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Keys to Treating Stress By Lisa J. Gotto

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Do you find yourself doing a lot of numbing out lately? If you’re not familiar, “numbing out” is a practical term used in the wellness community to describe a practice that we all probably do from time to time as a way of coping with every-day life stressors.

A typical example of “numbing out” says Jamie Frees Miller, a local Fertility and Family Wellness Coach at A Nourishing Path, is when we’re stressed from the day’s events and attempt to practice self-care by clicking on Netflix and escaping into a program that serves as a diversion or escape from the “real world”.

Frees Miller

While self-care is definitely encouraged as a positive modality for the modern world, Frees Miller says the diversional approach does nothing beneficial for us in return, and offered some insights for and alternatives to the stressors that seem to be coming at us from every direction right now.

Frees Miller’s background and education in anthropology and cultural studies provides a solid foundation and primer for her work as a fertility and wellness coach, as she sees the biological connection between nature and how humans evolved as key to understanding how to treat today’s threats to health and well-being.

“I think there’s a real disconnect between our modern environment and how we biologically evolved. That’s the anthropology part of my perspective of health coaching,” Frees Miller explains. “So, when I’m coaching someone, I’m really looking at how do we get back to the basics of what it means to be human and how do we handle the modern stressors of our daily lives? Stress for me is about 50 percent of healing. If you don’t address the stress part, it’s probably not going to be possible to fully heal.”

She notes that there are three key aspects of our physiology, which include our limbic system, our parasympathetic nervous system, and the function of our vagal nerve, that can be most impacted by stress.

The upside, or good news, says Frees Miller, is found in our human ability to adapt.

“The brain is really neuroplastic. It can be retrained. You can rewire neurons. I like to tell people when we get in those negative spirals of stress, anxiety, depression—that’s the part that we want to retrain. We want to be able to help our bodies become aware of what’s happening.”

This, she says, is one piece of the larger physiological puzzle, associated with the body’s limbic system, or the part of our brain that regulates behavior and emotional responses.

This is where the practice of mindfulness or taking that moment to be present and check in with the self is so beneficial, so we can be more aware of what’s actually going on internally when we’re in these patterns.

In turn, this practice, says Frees Miller, enhances our ability to choose and create the life that we actually desire. So, if we’re stressed and just numbing out to the TV, we’re missing the opportunity to create longer lasting and better outcomes for ourselves.

Stress can also impact the optimal health of our parasympathetic nervous systems. When we are in stress mode, we are compromising this part of our nervous system which is responsible for our bodies maintaining homeostasis and regulating various bodily functions, including digestion, heart rate and blood pressure, immune responses, mood, and more.

“Most people have heard of fight or flight, that’s the sympathetic response,” she explains. “Then there’s the parasympathetic response, which is the rest and digest. In order to actually digest our food and get true restorative rest that the body needs to heal, we need to be able to get back into parasympathetic response.”

In addition to working with a wellness coach to ensure that your body and mind is adapting to stress as it should, Frees Miller recommends healthy doses of physical activities and mindful practices that you don’t need an appointment for. Easily accessible literature and information on topics and practices, she says, can be found on apps such as Calm and Insight Timer, which are great sources for guided meditation practices, and websites such as the Primal Trust Academy & Community at primaltrust.org, that provide guidance for limbic system work.

Most often in this space, yoga and meditation are among the first practices that are mentioned and recommended with annals of cited beneficial data to back up both, but Frees Miller says there’s so much more out there.

In her own life, she says, there was a time when she found yoga to be the most beneficial and practical activity for helping to maintain optimal health. She says she tried meditation, as well, but struggled, as many do, to achieve the meditative state. She says you need not engage in just the most popular practices to experience results and encouraged other modalities.

Currently, Frees Miller, gains substantive benefit from a series of breathing exercises she practices regularly.

“I find that my brain doesn’t shut off enough for me to feel like I’m in a meditative state. Whereas the breath work program I’m going through is more along the lines of you don’t have to shut off your brain,” says Frees Miller.

“All you do is you sit with your thoughts and acknowledge them, and you set an intention before you breathe. And so, when thoughts come up, you think along the lines of how does this thought relate to my intention? So ( in this practice) there’s intention-setting, a 15-minute breath session, and then a debrief.”

This particular breathwork program, she says, involves a deep level of unwinding of nervous system stress responses and is best done under the guidance of a breathwork practitioner or coach.

“I often work with a coach who can help me reflect and go deeper on how it relates to my intention,” she says of the practice which she learned from a program called The Reconnected Parenting Course. The “debriefing” for her involves journaling to reflect on what thoughts and physical sensations occurred during her session.

“But I often work with a coach who can help me reflect and go deeper on how it relates to my intention.”

She also pointed to practices such as forest bathing and therapeutic massage that can add depth and variety to your plan to address stress.

“When I think about nervous system work, it’s really about thinking of safety. How do we make our body feel the most safe? And going back to the anthropology piece and how we evolved in nature.”

Frees Miller often reminds people that just spending time in nature is beneficial and a way of going back to our roots as humans.

Mary Hardcastle, a local forest therapist and novelist with an MFA in Interdisciplinary Arts, agrees.  Like Frees Miller, Hardcastle is a member of the broader Chestertown Wellness Collective.

Mary Hardcastle

“Mental distress can often make us feel overwhelmed and isolated because our perspective becomes limited to our own thoughts and we lose touch with a broader view of the world,” says Hardcastle. Forest bathing, she adds, does two very important things for us.

“It allows us to access our five senses, breathe in beneficial plant biochemicals, and practice mindfulness in a peaceful environment.”

She explains that these effects not only help us relieve stressful thoughts, but being in nature reassures us that there is a wide world beyond ourselves, beyond the human-made world, where life goes on as plants are growing, birds are flying, and we can see the vast sky above us.

“We can connect to this bigger flow of life because we are nature, too.”

The physical piece of any nervous system work, Frees Miller says, is grounded in the function of our vagus nerve. The vagus, or cranial nerve, also regulates many essential physical functions including our breathing, the muscles involved in our ability to speak, the way our body reacts to inflammation, our taste transmitters, and so much more.

There are a variety of vagal toning techniques such as deep breathing exercises, cold water immersion therapies, meditation, and even singing and humming, that can be employed to stimulate the vagus nerve.

Massage therapy has also be identified as a therapeutic approach to vagal toning. In addition to the calming, immediate effects a good massage has on the body and mind, benefits are also gleaned from incorporating the practice on a regular basis to temper stress.

For those who suffer from stress-induced sleep issues, sessions with a certified massage therapist can help in obvious and even some not so obvious ways.

“The body is always attempting to heal itself through the process of sleep,” says John Hudson, a licensed massage therapist based in Chestertown.

“A good massage can be comparable to getting two nights of good sleep.”

Hudson says he works regularly with clients who feel that therapeutic massage is an essential part of their overall approach to addressing the effects that stress and everyday life has on them. Oftentimes the practice results in improved sleep, which is important for healing.

“Most people who haven’t had one, don’t understand the value of having a massage,” says Hudson. However, once committed to the practice as part of their health and wellness approach, many clients say they can’t imagine not doing it.

“While you’re having the massage, you’re really having the opportunity to check in with yourself,” says Amy Brown, a greater Chestertown resident and client of Hudson’s.

“It may be relaxing or something like that, but it may also be that you’ve got this kink here or there.”

For Brown, who owns and works on an organic farm with her husband, this practice which she has been participating in for at least 20 years, has been a part of what she sees as an invaluable aspect of her approach to good health.

A long-time practitioner of Pilates, Brown feels massage was a way to get more deeply into her indispensable muscles and joints on the therapeutic side.

“But the other thing I know, is that it really does relax me. It really does loosen up where I tighten up because of my anatomy. I deal with stress in different ways than some people do, but it does get manifested in my body.”

Brown feels, in her life, massage is the most efficient way to release that stress.

A good read on the matter, says Frees Miller, is “Assessing the Healing Power of the Vagus Nerve” by Stanley Rosenberg.

“There’s a bunch of exercises in the back of that book. So, it’s a relatively affordable way people can start working on their nervous system on a structural and vagal toning level.”

Whatever specific therapies you choose, Frees Miller says, its wise not to wait until you’re actually feeling stressed out to treat it.

“Carve out a space in your everyday life for stress relief, because it’s not necessarily like when your stressed there’s something you need to fix, and you can just whip a tool out of a bag and fix it on the spot. With a careful, mindful daily approach, our entire being benefits as the daily stressors occur.”

She adds we should take heart in the fact that there are many options out there and that the best ones are going to be different from person to person. The key is to choose something that you know that you will be able to do only a daily basis, but one that does not involve “numbing out”.

“I don’t look at health as a destination. It’s going to be a continuous journey. So, there’s always room to continue to improve your health.”

For more about Chestertown Wellness Collective, go here.

 

 

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Let’s Talk about It: Dare to Lead Training Shapes Mid-Shore Leaders with For All Seasons Beth Anne Dorman

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The opportunity to participate in For All Seasons’ Dare to Lead™ training last month opened my eyes to learning who I am as a leader and how I want my leadership to evolve moving forward. For All Seasons’ Center for Learning is offering community leaders the opportunity to develop bold, authentic leadership through this courage-building program based on the research of Dr. Brené Brown. This January, the agency welcomed 12 local professionals to participate in the four-day training, designed to help us embrace vulnerability, cultivate meaningful connections, and develop a leadership approach rooted in integrity.

As both a community leader/volunteer and owner of my own company, I have had many great mentors over the years who have taught me about the qualities of a good leader. This course helped me to reflect on those lessons and to evaluate how I show up for those whom I serve. While we all have the will to be good leaders, I learned that there are specific skills that, when used correctly, enable us to be more effective in our leadership.

Even though I have been in the field of communications my entire life, this training offered me a new perspective in how to engage in problem-solving with my peers, leaning into vulnerability, and paying attention to my emotional literacy and the emotional literacy of others – showing up with an open heart and mind to discussions, conversations and meetings. I also learned how my body language, how I form my words, and how I organize my thoughts can be powerful tools in effectively communicating with others.

The section on values was particularly valuable in helping me understand the filters I use when making hard decisions. While I lead with my key values, I also learned that I need to be aware of the values of others when problem-solving—whether at home with my family, in the office with colleagues, or in the community.

One of the most confirming parts of the training was realizing that I am a risk taker and that when I take risks, there are often unexpected finds as a writer and as a civic leader/volunteer. Brené Brown uses a quote from Joseph Campbell to explain this concept, saying, “The cave you fear to enter holds the treasure you seek.” That quote now holds special meaning for me. Understanding how to navigate the cave, having courage, and not being averse to risk will enable me to have better success in the future as I follow my heart.

One unique aspect of the Dare to Lead training was getting to know the 12 people training with me. I asked a few of them about what they took away from the training, and these are a few that were shared with me.

“The Dare to Lead™ course allowed me to explore my leadership style and to identify my strengths and areas to improve on. There were great takeaways for me to make immediate improvements in communication with my team. My team meeting structure has improved, as has our expectation of one another. I highly recommend this course for any leaders young or old(er),” comments Beth Brewster, Supervisor of Food Services, Caroline County Public Schools.

“The thought-provoking training encouraged me to embrace new perspectives, think deeper about how I engage with others, and helped reshape how I approach leadership,” shares Kelly Simonsen, Director, Corporate Communications for Easton Utilities.

The Dare to Lead program is facilitated by Beth Anne Dorman, President & CEO of For All Seasons, and Lesa Mulcahy, LCSW-C, Chief Clinical Officer, both Certified Dare to Lead™ Facilitators and two of fewer than 300 professionals nationwide authorized to teach Brown’s leadership curriculum. Participants explore the foundational principles of courage-driven leadership, learning to build trust within teams, align their actions with their values, and confidently navigate challenges.

“The courage was contagious during this week of inspiration,” shared participant Sharon M. Pepukayi, Ed.D., Superintendent of Schools, Talbot County Public Schools.

For All Seasons will offer another Dare to Lead™ training session from May 13 to 16, 2025, at Anchor Church in Easton. The program is open to professionals from all industries who want to enhance their leadership skills in both professional and personal settings. Each session runs from 8:00 a.m. to 4:30 p.m. over four consecutive days, with breakfast, lunch, and training materials provided.

The training curriculum covers four core leadership skill sets: Rumbling with Vulnerability, which challenges common misconceptions about vulnerability and its role in effective leadership; Living into Our Values, which focuses on aligning personal and professional behaviors with one’s core beliefs; Braving  Trust, which teaches leaders how to build and maintain trust within their teams; and Learning to Rise, which explores resilience, growth, and how to navigate failure with courage.

Participants who complete the training will receive a certificate of completion and the right to display an “I am Dare to Lead™ Trained” badge on LinkedIn. Additionally, clinicians attending the program will be eligible to receive 24 Category I CEUs issued by For All Seasons, an approved continuing education provider for Maryland social workers and professional counselors.

The total cost for the training (inclusive of meals and materials) is $650, with a non-refundable deposit of $100 required at registration. Limited scholarships are available, and payment plans are offered to make the program more accessible. Interested individuals can register or learn more by visiting https://supportforallseasonsinc.org/daretolead or by contacting [email protected].

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Mid-Shore Health: Getting to the Heart of Heart Disease with Dr. Ian Davis

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Ian Davis, MD, is the medical director of the Congestive Heart Failure Clinic at the University of Maryland Shore Regional Health and one of the newest providers with the University of Maryland Shore Medical Group-Cardiology.

During our recent interview with Dr. Davis, he discussed some of the signs and symptoms of heart failure and how the transitional care clinic at UM Shore Regional Health can help patients with heart failure transition from a hospital stay back to their home. The transitional care clinic enables patients to be better equipped to stay home, reducing the chance of a future hospital stay while working to improve their quality of life through a long-term care plan. A patient’s long-term care plan may include medication adjustments that will help strengthen the heart, prolong life, and reduce heart failure symptoms. Dr. Davis also discussed some ways to lead a heart-healthy life.

This video is approximately eight minutes in length. For more information about the Congestive Heart Failure Clinic at Shore Health please go here.

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Let’s Talk About It: A Different kind of Valentine with For All Seasons CEO Beth Anne Dorman

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For All Seasons is bringing love and generosity with its annual Valentine’s Day Silent Auction, running online from February 8 to February 14.

Featuring exclusive experiences and unique getaways, this exciting event supports the organization’s mental health and victim services, helping those in need. Bid on incredible items like sports tickets, spa packages, luxury vacations, and local experiences—all with starting bids below their actual value! Don’t miss this fun, meaningful way to celebrate Valentine’s Day while giving back.

The Spy chatted with For All Seasons CEO Beth Anne Dorman last week about the plans.

This video is approximately three minutes in length. To preview and bid please go to ForAllSeasonsInc.org

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Mid-Shore Health: The role of forensic nursing with survivors of sexual and physical assault

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For the Spy’s continued interview series with UM Shore Regional Health, we asked Shannon Temple, their long-tenured forensic nurse coordinator, to stop by the Spy Studio earlier this month to talk about the unique challenges related to helping survivors of sexual and physical assault. Shannon highlights forensic nurses’ critical role in providing compassionate care to those suffering such traumatic experiences while aiding investigations to bring their assailants to justice.

This video is approximately ten minutes in length. For more information about Shore Regional Health’s programs for victims of sexual and physical assault, please go here

 

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Qlarant Foundation takes a big step forward with first executive director Amanda Neal

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To state that philanthropy is in the DNA of Qlarant is a matter of fact. From the day the company began operations to combat fraud in Medicare and Medicaid, it was charted as a nonprofit organization with a mission to help society and protect its health system.
For the last twenty years, it has also made it a point to make direct grants in the health and human services sector. That commitment has grown to $8 million to community organizations in supporting communities in D.C. and Maryland.
But as Qlarant continues to grow with over 500 employees working in seven states, there was total agreement with its board of directors and senior management that as part of the business growth, it would mean moving its funding arm, the Qlarant Foundation, to a higher orbit as well.
As part of this doubling down, Qlarant hired its first full-time executive director to expand the foundation’s grants to Texas, Florida, and Georgia in addition to the Mid-Atlantic.
The Spy sat down with the new executive director (and former Qlarant director), Amanda Neal, to learn more.
This video is approximately six minutes in length. For more information about the Qlarant Foundation please go here.

 

 

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Mid-Shore Health: The war against lung cancer with Drs. Rashmi Benda and David Oliver

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It is very much the case that society’s health war against cancer has made significant, sometimes astonishing progress in this century, but there remain certain forms of this dreaded disease that simply are harder for modern science to conquer, and one of them is lung cancer.

Despite significant investment in research and care, lung cancer remains the leading cause of cancer-related deaths in the United States and accounts for nearly 25% of all cancer fatalities. Despite advancements in early detection and treatment, the disease takes a severe toll on Americans, with smoking remaining a major contributor.

Nonetheless, progress is taking place. Early detection, such as low-dose CT scans and targeted therapies, have significantly improved lung cancer outcomes in the United States in 2024, leading to earlier diagnoses and more effective treatments. As a result,  survival rates have steadily increased, offering hope to patients and families alike.

In the Spy’s continuing series on Mid-Shore health, we asked local experts, Dr. Rashmi Benda, the medical director of UM Shore Regional Health’s Requard Radiation Oncology Center, and Dr. David Oliver, its director of the Lung Cancer Screening Program at UM Shore Regional Health, to talk about the state of lung cancer on the Eastern Shore and how early detection remains the key factor is survivability.

This video is approximately eight minutes in length. For more information about UM Shore Regional Health’s screening program, please click here.

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UM Shore Medical Center at Shore Community Outreach Team Wins Statewide Rural Health Award

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Shown at the MRHA Awards presentation are Lara Wilson, Director of Rural Health Care Transformation at UM Shore Regional Health; UM Shore Medical Center at Chestertown SCOT team members Michele Matthews, Amanda Webster ,Emily Welsh and Serenity Kelly; and Zack Royston, Vice President, Rural Health Care Transformation at UM Shore Regional Health and Executive Director, UM Shore Medical Center at Chestertown.

The University of Maryland Shore Medical Center at Chestertown’s Shore Community Outreach Team (SCOT) is being honored by the Maryland Rural Health Association (MRHA) as recipients of its 2024 Outstanding Rural Health Program Award.

SCOT team members Emily Welsh, MSN, RN, Nurse Coordinator, Social Worker Michelle Matthews, LCSW, and community health advocates Serenity Kelly, CCHW, and Amanda Webster, CCHW, received the award at MRHA’s annual awards ceremony.

Nominated by Lara Wilson, Director of Rural Health Care Transformation at University of Maryland Shore Regional Health (UM SRH), the outreach team was selected for the award based on their outstanding work in providing effective, community-oriented rural health care delivery and excelling in their service to rural communities. UM SRH is a member organization of the University of Maryland Medical System (UMMS).

Focusing on the underserved and vulnerable populations in Kent and northern Queen Anne’s counties, the mission of SCOT is to improve the community’s health by collaborating with local partners to bring health care access and support services to residents in their homes and community settings. In Fiscal Year 2024, SCOT served 90 people through community case management, provided a total of 304 health blood pressure and diabetes (A1c) screenings at sites throughout Kent and northern Queen Anne’s counties, conducted 679 home visits and connected dozens of patients to primary care, mental health services and medication reconciliation support.

“I am continually blown away by the reach this team has achieved within our communities and the incredible impact they are making for our residents,” said Wilson, who was on hand to present the award. “They are an amazing resource for our vulnerable populations, and their ongoing collaboration with local government entities, nonprofit and civic groups promises to advance their reach even further.”

SCOT also developed a number of creative initiatives to assist local residents in need of support services. These include a raised gardens program, block parties at senior communities and the African-American Health Advisory Committee, which they helped launch to offer health education events geared to the concerns of the local Black community.

“I am very fortunate to have such a dedicated and passionate team,” Welsh said in accepting the award on behalf of the SCOT members. “This award motivates us to continue our vision to be a leader in excellent patient care and the transformation access to health care in rural communities. We will use this recognition to strengthen our program further, expand our reach and improve the health and well-being of even more people.”

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