Age and Attitude: How You Think About Aging Impacts How You Age

Surely you have seen the meme with smoking hot Jennifer Lopez next to matronly Golden Girl, Rue McClanahan, with the caption: Jennifer Lopez is 51 years old, which is the same age Rue McClanahan was when she began playing Blanche on The Golden Girls.


While looking like JLo is not a realistic option for mere mortals, the meme (plus a big birthday at the beginning of the year) got me thinking about how our beliefs about aging affect
how we actually age.

Many think of getting older as synonymous with decline — a progressive worsening of physical and cognitive functioning along with reduced quality of life. Studies show that this negative view is far from the truth. Contrary to the stereotypes that tell us it’s all downhill after 50, getting older is, in fact, associated with higher well-being and better psychosocial functioning. Most people become more responsible, more agreeable, and less neurotic with age. This is known as the Maturity Principle. Despite the stereotypes portrayed in the movie Grumpy Old Men, people tend to get nicer, more productive and to become greater contributors to society in their old age. We also get better at regulating our emotions and experience fewer negative emotions and enjoy more positive ones. In other words, we are like fine wine, we get better with time.

The key is focusing on what age gives us, not what it takes away. People with more positive attitudes about growing old tend to live longer and healthier lives than those with negative thoughts about aging, according to research.

A study of 14,000 adults over age 50, co-authored by experts at Harvard T.H. Chan School of Public Health, found that the people who had the highest satisfaction with aging had a 43% lower risk of dying from any cause over a four-year period compared with those who were the least satisfied. The study also found that people more satisfied with the aging process had lower risk for conditions such as diabetes, stroke, cancer, and heart disease; better cognitive functioning; were more likely to engage in physical activity and less likely to have trouble sleeping; were less lonely and depressed; and were more optimistic with a greater sense of purpose.

Harvard psychologist Ellen Langer explored the power of the link between. mindsets and aging in her famous Counterclockwise study. She bused a group of elderly men in their 70s and 80s up to a New England hotel that was retrofitted to look like a hotel would have looked 20 years earlier. It was as though they had stepped into a time capsule — food, the magazines, the music, even the television programs were authentically 1959. The intention wasn’t to invoke nostalgia for the good old days, it was to re-create the good old days. The men were told to act as though it were 1959.

The results were astonishing. After only one week, the men were more physically fit and flexible. Hearing and memory improved. People who saw photos of them judged them to be younger. Perhaps most astonishing was finding that their fingers were longer. Because their arthritis had lessened, they were able to extend their fingers farther. Dr. Langer’s experiment literally turned back time.

A new book, Breaking the Age Code, by Becca Levy furthers the argument about the link between aging and attitude. Levy found that the single most important factor in determining the longevity of participants in her research was mindset:

More important than gender, income, social background, loneliness, or functional health was how people thought about and approached the idea of old age. Age beliefs, it turns out, can steal or add nearly eight years to your life. In other words, these beliefs don’t just live in our heads. For better or worse, those mental images that are the product of our cultural diets, whether it’s the shows we watch, the things we read, or the jokes we laugh at, become scripts we end up acting out.”

So thank you JLo for expanding our idea about what middle age and beyond can be.

Age is of no importance unless you are a cheese.” — Billie Burke

I wish you all the best,

Dr. Samantha Boardman

How To Help Teens Navigate Stress and Boost Resilience

Being a teenager has never been easy but these days seems harder than ever. In addition to the ordinary stresses of coming of age — a global pandemic, war in Europe, mass shootings, economic insecurity, and 24/7 exposure to social media are all contributing to what has been described as a youth mental health crisis.

Adolescents today are more stressed than ever, exhibiting record levels of stress-related internalizing symptoms, such as anxiety and depression,” says Jeremy Jamieson, an associate professor of psychology at the University of Rochester.

A new study published in Nature and co-authored by Jamieson offers a promising strategy to help adolescents counter stress and boost resilience. The one-time 30-minute intervention involves two key components:

  1. A Learning Mindset 

This is based on the idea that ability is not set in stone but can be developed through effort, effective strategies, and support from others. As part of the process, students were presented with scientific information about the malleability of the brain. They learned that the brain is like a muscle and when you use it, it grows stronger and smarter. They also learned about the importance of flexibility and deploying new strategies and asking for help when they feel stuck. To help them internalize the message, they were asked about how they might use a learning mindset in their own lives, such as in math class or on the sports field.

To encourage your adolescent to develop a learning mindset, model a learning mindset. Welcome challenges and stick to them, try new strategies to problem solve, ask for advice when you are stuck, and use mistakes to learn and grow. Have conversations with the following questions in mind:

  • “What is a challenge you have faced?”
  • “How did you overcome that challenge?”
  • “What advice can you give to someone facing a challenge?”
  • “How can you use what you learned to overcome a current or future challenge?”
  1. A stress-can-be-enhancing mindset

This is predicated on the idea that our physiological responses to stress such as sweaty palms, racing heart, deep breathing, and feeling anxious are not harmful but instead can be viewed as positive changes because they mobilize energy and deliver oxygen to our tissues. Rather than something to be avoided, these physical experiences mean our body is ready to take on and overcome a challenge. The stress-can-be-enhancing mindset messaging encourages adolescents to see the activation of their psychophysiological stress response, which often follows engagement with challenging stressors, as a helpful resource that energizes their pursuit of valued goals, rather than as a problem.

To encourage your adolescent to develop a stress-can-be-enhancing mindset, remind them that stress is a normal and even defining feature of adolescence.

  • Talk to them about how the stress the body feels when you face challenging experiences is also preparing you to learn from them.
  • Discuss people they admire who became good at something who had to face and overcome struggles.
  • Have conversations about your own stressful experiences and what you learned from them.

Students who embraced these mindsets described feeling more liked, satisfied, and good about themselves. They also reported feeling less insecure, less anxious, and less disconnected. Their grades also improved. Changing how teens think about stress, and the ability to handle it, is at the core of the intervention.

In the play, The Cursed Child, Draco says, “People say parenting is the hardest job in the world — they’re wrong — growing up is. We all just forgot how hard it was.”

Today, growing up seems harder than ever. Thankfully there are tools we can provide to help children navigate these challenges with stamina, grace, and fortitude.

I wish you all the best,

Dr. Samantha Boardman

How To Bolster and Boost Mental Health During a Transition

Transitions can be exciting but also stressful. In my experience, people tend to respond to major life changes in one of two ways: Denial or Distraction. Deniers cling to the past and are flooded with nostalgia. Distractors bury themselves in busywork, hoping to put the upheaval behind them as soon as possible.

Bruce Feiler, author of the bestselling book Life is in the Transitions: Mastering Change in a Nonlinear Age, has made a similar observation:


When most people enter a lifequake, they feel overwhelmed and go to one of two extremes. They either make a 212-item to-do list and say, ‘I’ll get through it in a weekend,’ or they lie in a fetal position and say, ‘I’ll never get through it.’ Neither approach works.”


Feiler offers a healthier alternative plan for dealing with upheaval:

1. Lean into your feelings

Instead of sweeping emotions under the rug, use them as data points. What can you learn from them? How can they help you re-goal? Consider writing about how you are feeling or talking to someone.

2. Reach out

Navigating a transition alone makes it even harder. Seek wisdom from a friend, a colleague, a teacher, or even a stranger. Share your experience with others. Spread the wisdom you have acquired along the way.

3. Mark the occasion

According to Feiler, rituals are effective tools to help us navigate transition. Commemorate the change with a ceremony, a special meal, a toast, or lighting a candle. Rituals help us shed parts of ourselves we are ready to let go of and embrace a new beginning.

4. Be good to your body

When your routine is disrupted, it’s all the more important to take care of yourself. Prioritize sleep, eat nourishing meals, and build movement into your everyday routine. Feeling physically strong will help you stay mentally strong.

5. Get creative

Make the most of the fresh start by tapping into your creativity. Start a new hobby or personal project that engages your imagination and allows for growth and possibility. As Feiler says, “The simple act of imagining — a painting, a poem, a loaf of bread — allows us to imagine a better future.”

Transitions are often tough, messy and uncomfortable. They also mark new beginnings.

As Tom Stoppard remarked, “Look on every exit as being an entrance somewhere else.”

I wish you all the best,

Dr. Samantha Boardman

The Experiences That Make People Happiest

We may be creatures of habit but research suggests that the best way to boost our everyday happiness is to shake up our routine. According to a study published in the journal Nature Neuroscience, we feel happier when we have more variety in our daily lives. The researchers found that regularly going to novel places and having a wider array of experiences reliably boosts positive emotions.

Previous research has shown that rodents raised in “enriched environments” — environments where they are exposed to novel and diverse experiences — are more playful, relate better to fellow rodents, learn better, and demonstrate greater resilience to stress. As the study in Nature Neuroscience shows, the same principle seems to hold true for human beings.

Using GPS, the researchers tracked participants’ daily movement for 3 to 4 months. Each individual’s “roaming entropy” — their level of exploration — was quantified using the location data. Those with low roaming entropy stayed close to home. Those with high roaming entropy were more intrepid, frequently venturing beyond their neighborhood and exposed to novel situations. On days when participants had higher roaming entropy, they reported more positive emotions such as “happy,” “excited,” “strong,” and “relaxed.”

Our results suggest that people feel happier when they have more variety in their daily routines—when they go to novel places and have a wider array of experiences,” explained Catherine Hartley, an assistant professor in New York University’s Department of Psychology and one of the paper’s co-authors.

The benefits of shaking things up linger — those who spent time in different locations and engaged in varied experiences on one day also felt more upbeat the following day.

Low roaming entropy may partially explain why lockdown was so challenging. It may also account for why some people find working from home to be draining or devitalizing. Being locked into a routine that limits exposure to new places, people, or things can take a toll. That said, fresh and diverse experiences can be had without venturing too far. Biking across town, visiting a museum, walking a different path, or trying a new skill are all ways to lean into the unfamiliar. Exploring the unknown has a powerful effect on mood. Take advantage of it. No need to become an intrepid explorer or climb Mount Everest. Just a little variety is enough to give you a boost.

Patients often tell me, “I am who I am.” I remind them that they are who they chose to be.

Bottom Line: As tempting as it is to retreat, remember that the most uplifting moments of the day come from venturing out into the world.

 

I wish you all the best,

Dr. Samantha Boardman

The Mind Shifts in Mysterious Ways After Midnight

When I was a teenager my parents’ favorite response to my requests to stay out late was always the same: “Nothing good ever happens after midnight.” Like most teenagers, I had perfected the art of the eye roll. What did they know? Well apparently quite a lot according to a new study published in the journal Frontiers in Network Physiology, The Mind After Midnight: Nocturnal Wakefulness, Behavioral Dysregulation, and Psychopathology.

The concern that bad things happen after dark now has science behind it. When we are awake during the wee hours, neurophysiological changes in the brain alter the way we interact with the world, especially actions related to impulse control, reward processing, and high risk decision. If you’ve ever stayed up late and sent a regrettable Tweet, wolfed down a box of cookies, polished off another bottle of wine, or gone on a late night QVC shopping spree, you might agree that the mind after midnight is not thinking straight. If you’re awake in the middle of the night, it’s fair to say that your brain is not functioning at its best.

Bad things happen after dark

  • Homicides and violent crime are more common at night
  • People are more at risk for engaging in harmful behavior such as suicide, violent crime and substance abuse at night
  • Our nighttime food choices at night also tend to be unhealthy, as we pursue more carbohydrates, lipids and processed foods and often consume more calories than we need.
    (Source: SciTechDaily.com)

So why does behavior shift at night?

The cloak of darkness offers a partial explanation—it’s easier to commit crimes or indulge in unhealthy habits when fewer people are around and awake to notice or intervene.

But there’s more to it than that. Research shows how the mind shifts in mysterious ways after midnight:

  1. The tendency to experience positive affect — positive emotional states such as joy, energy, and cheerfulness — is highest during morning hours and bottoms out between 1am and 4am.
  2. The tendency to experience negative affect — negative emotional states such as anger, distress, and fear — peaks at night, when positive affect is at rock bottom.
  3. The combination of low positive affect with high negative affect shapes how we attend to and interpret information. In the wee hours, things that are annoying or irritating can feel catastrophic. An ex’s social media post about their new partner might have rankled you at 1pm. At 1am, it’s far more upsetting.
  4. It’s harder to manage a bad mood in the middle of the night. According to the study published in Frontiers in Network Physiology, we are more vulnerable to depressive, anxious, and paranoid thinking after midnight.
  5. Reward processing is out of whack and executive functioning is dysfunctional at night.

Long-term planning and behavioral inhibition are diminished in favor of high-risk decision-making and cognitive inflexibility, leading to repeated, maladaptive behaviors that do not respond to negative feedback,” explain the researchers.

If you are sending a kid off to college for the first time or back to school, have a conversation with them about prioritizing sleep. Remind them that in addition to improving academic performance, getting enough rest will protect their mental health. A study found that teens who got 8 3/4 to nine hours of sleep per night had the lowest levels of mental health issues, including moodiness, feelings of worthlessness, anxiety and depression.

Don’t worry about the eye roll. Unlike our parents, at least you have some concrete data!

Bottom Line: It’s not a good idea to be awake when reason sleeps.

I wish you all the best,

Dr. Samantha Boardman

Spot a Narcissist (Before You Marry, Hire, Date, or Befriend One) By Asking These 2 Questions

Hands down, narcissism is the psychological disorder I get the most questions about. Rarely do people voice concern over their own narcissistic tendencies. In fact, nobody has ever come to my office and said, “Am I a narcissist?” though many have asked if they have depression or anxiety. What they would like to know about is how to deal with the narcissists in their lives. This week’s Dose is about how to spot a narcissist before you marry, hire, date, or befriend one.

It’s worth pointing out that narcissism isn’t always toxic and to a certain extent is adaptive. Desiring admiration, attention, and approval is part of being human and the motivation to maintain positive self-regard is perfectly normal. In fact, it’s healthy to think well of oneself. Interestingly, studies show that most of us think a little
too highly of ourselves. Ninety-three percent of drivers believe they are “more skilled than most drivers.” Eighty-five percent of college students say they “get along better with others than average.” People think their kids are better than other kids.

Just because most of us have exaggerated perceptions of personal superiority doesn’t mean that we are all narcissists.

Normal narcissism is distinct from pathological narcissism.
The two questions I always ask to assess for the presence of pathological narcissism are:
Those with narcissistic personality disorder can typically talk about themselves for hours on end but they have a hard time describing the other people in their lives. They happily provide lively, specific, and usually flattering details about themselves but when pressed to talk about other significant people in their lives, they have little to say.


In contrast to the rich depictions of the self, they typically provide shallow, vague, and oftentimes generic descriptions of the people they are supposedly close to. A narcissistic husband who cheats on his wife might describe her as “a bore” or “not fun to be with” without providing any nuance or depth of understanding of her inner life or acknowledging how his behavior is impacting her.

According to Eve Caligor, clinical professor of psychiatry at Columbia University, people with narcissistic personality disorder have relationships that are transactional and lacking in empathy. Their interest in others is self-serving and viewed through the lens of self-enhancement as in “how can this person elevate my social standing or help me look good?”

For a narcissist, getting ahead is more important than getting along and this exploitative mindset is captured by their inability to imagine or describe the feelings of others.

As insanely obvious as this sounds, this is a reliable way to identify a narcissist. A study found that how people rated themselves on a scale of 1 (not true of me) to 7 (very true of me) aligned closely with other validated measures of narcissism, such as the widely used Narcissistic Personality Inventory.

Brad Bushman, a co-author of the study and professor of communication and psychology at Ohio State University
explained:

“People who are willing to admit they are more narcissistic than others probably actually are more narcissistic. People who are narcissists are almost proud of the fact. You can ask them directly because they don’t see narcissism as a negative quality — they believe they are superior to other people and are fine with saying that publicly.”

One of the many advantages of this simple narcissism litmus test is that it enables narcissist identification so quickly and easily. Of course, you could always ask someone to take the classic
Narcissism Personality Inventory developed by Raskin and Hall but that might be a little awkward.


Bottom line: Healthy narcissism is real. So is toxic narcissism. Ask these two revealing questions to spot the difference.

I wish you all the best,

Dr. Samantha Boardman