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Fresh Start with Dr. David - Season 2 - Episode 28 -Diabetes Drugs, COVID19 (COVID Brain Fog & Clotting Proteins), The Season of Fall, Healthcare Insurance, & The See Saw Principle (Equalizer Principle) (Proportionality Principle) (Plastic Surgery Principle)
You don't want to miss this episode where I chat about Jillian Michaels, one of Americans Top Trainers, and what she and others are sharing about the dangers of using Diabetes Drugs just to lose weight.
Ozempic injections, which contain the active ingredient Semaglutide, function as a GLP-1 receptor agonist. GLP-1 receptor agonists mimic the actions of the metabolic hormone glucagon-like peptide-1 (GLP-1). By stimulating insulin secretion, GLP-1 receptor agonists can help lower blood sugar levels, making them beneficial for individuals with diabetes.
One of the effects of GLP-1 receptor agonists like Semaglutide is the slowing of gastric emptying. This means that food stays in the stomach for a longer period, leading to increased satiety and a reduced desire to eat. This aspect of Ozempic injections can be helpful in weight management and promoting weight loss.
However, it is important to acknowledge the existing controversy surrounding GLP-1-based therapy, including Ozempic injections. Studies and research have examined the potential risks associated with GLP-1 receptor agonists, such as the development of malignant diseases like pancreatic carcinoma and thyroid cancer.
The most common include nausea, diarrhea, vomiting, stomach pain and constipation, according to Novo Nordisk, the company that makes both Ozempic and Wegovy. But patients may also experience serious side effects such as pancreatitis, gallbladder problems and kidney failure, it warns.
Possible thyroid tumors, including cancer. Tell your health care provider if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer. In studies with rodents, Ozempic® and medicines that work like Ozempic® caused thyroid tumors, including thyroid cancer. It is not known if Ozempic® will cause thyroid tumors or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in people.
'Ozempic Face'
You’re more likely to experience these side effects with higher doses of semaglutide. That’s why your healthcare provider will raise your dose slowly over a few weeks to minimize these effects. For most people, these side effects should improve over time as your body gets used to the medication.
Eating smaller meals, avoiding high-fat foods, and remaining upright after you eat can also help manage potential nausea and vomiting from semaglutide. But if these side effects are accompanied by severe stomach pain that may or may not spread to your back, get medical attention right away. This could be a sign of pancreatitis, a rare but serious side effect. More on that later.
Similar to nausea and vomiting, you’re more likely to experience diarrhea with higher doses of semaglutide. As mentioned above, your healthcare provider will slowly raise your dose over time to minimize this side effect. Constipation can also happen, but it tends to be less common than diarrhea.
Severe stomach pain can be a sign of other side effects, like pancreatitis or gallbladder problems (like gallstones). Contact your healthcare provider right away if this develops.
Semaglutide works for weight loss by making you feel less hungry. And eating fewer calories may cause you to feel more tired. Feelings of fatigue should subside as your body adjusts to potential changes in your diet.
Keep in mind the benefits of semaglutide on your health outweigh these effects. But if you’re concerned about possible changes to your appearance, talk to your healthcare provider. They can suggest treatments for lessening the appearance of wrinkles or increasing fullness in your face.
Semaglutide should be paired with a healthy diet and regular exercise. Establishing habits that you can maintain long term is important if you decide to stop semaglutide.
If you’re concerned about regaining weight after stopping semaglutide, talk to your healthcare provider. They can help you weigh the pros and cons of stopping or continuing treatment.
But taking semaglutide with other blood sugar-lowering medications, like insulin and sulfonylureas, raises the risk of hypoglycemia. So, your healthcare provider may need to change the dose of these medications when starting semaglutide.
If you have Type 2 diabetes, it’s important to regularly check your blood sugar levels to help avoid hypoglycemia. You may be advised to have an emergency glucagon or glucagon-like product to raise your blood sugar quickly if severe hypoglycemia happens.
Keep in mind that several other medications can cause vivid dreams. If they start happening while you’re taking Wegovy or Ozempic, let your healthcare provider know, especially if they’re interfering with your sleep or quality of life. They can help determine the potential cause and next steps.
This type of hair loss, called telogen effluvium, is usually temporary. Hair loss you may be experiencing from Wegovy or Ozempic should subside as your body adjusts. Keep in mind this may take several months.
Since these medications can also affect your appetite, it’s important to make sure you’re getting enough vitamins, minerals, and protein. If you’re not, this can also contribute to hair loss. Your healthcare provider can help you ensure you’re getting adequate nutrition during treatment.
Let your healthcare provider know before starting semaglutide if you have a history of acute pancreatitis. They may recommend a different medication for you.
Symptoms of gallbladder problems include upper stomach pain, fever, and jaundice. You may also notice clay-colored stools. Let your healthcare provider know right away if these develop.
Talk to your healthcare provider about ways you can avoid gallbladder problems while taking semaglutide. This may include dietary changes and routine physical activity.
Kidney damage is also more common if you already have kidney problems. Taking medications that cause you to get rid of excess water, like diuretics (water pills), also puts you at risk.
Your healthcare provider may monitor your kidneys if you’re experiencing a lot of stomach-related side effects. Let them know right away if you’re not urinating very much or at all, or notice swelling in your arms or legs.
Mild allergic reactions can include itching, rash, or redness at the injection site. Stopping semaglutide isn’t always necessary with mild reactions. But make sure to still tell your healthcare provider about your reaction.
Don’t use oral or injectable semaglutide if you’re allergic to any of their ingredients. And there’s a chance you could have an allergic reaction to semaglutide if you’ve had a reaction to a medication in the same class.
Still, you shouldn’t take semaglutide if you or your family have a history of medullary thyroid cancer or multiple endocrine neoplasia (MEN) type 2. Contact your healthcare provider immediately if you notice signs or symptoms of thyroid cancer. These include a lump in your neck, and neck or jaw pain.
Here are five things to expect when you stop Ozempic.
“I used to be able to eat half a pizza, but now on semaglutide, I take a few bites and feel full,” says David Shafer, MD, an attending plastic surgeon at Lenox Hill Hospital and Northwell Health in New York City who takes semaglutide. “If I miss a dose, my consumption increases as I lose the effect of feeling full.”
But that rapid feeling of satiety produced by semaglutide goes away as soon as people stop taking Ozempic, says Kushner.
“Once Ozempic is stopped, all of the benefits from the medication cease,” Kushner says. “If the patient experienced a reduction in appetite and body weight that resulted from consuming a lower-calorie diet, the individual’s appetite will increase back to baseline when the medication is stopped, making it harder to follow a lower calorie diet.”
Whether people take Ozempic for obesity or type 2 diabetes, medication should be just one piece of a treatment plan that also includes healthy lifestyle changes like eating a balanced diet and getting plenty of exercise.
“Ozempic should always be taken along with making healthy lifestyle changes in diet and physical activity,” Kushner says. “These changes should be continued even after stopping the medication and can help maintain some of the health benefits seen with body weight and blood sugar control.”
Stopping Ozempic will also reverse facial changes caused by the drug. “Ozempic face will go away if you gain back the weight you lost from the drug,” Dr. Zeichner says. “The face can get full the way it used to, just as you can regain the weight in your body.”
Not everyone experiences side effects, and they may be mild for others. They can also be avoided or minimized by taking the ramp up in dosage more slowly from the lowest starter dose of Ozempic to the higher dose that’s typically used for ongoing treatment, Kushner says.
How you eat — and what you eat — also makes a difference. “Side effects can be greatly mitigated by reducing dietary fat, consuming smaller portions, and not skipping meals,” Kushner says.
Anyone who experiences side effects but still sticks with treatment would see those side effects go away when they stop taking Ozempic, Kushner adds.
“Since Ozempic treats the chronic disease of diabetes, people can potentially see a worsening of their diabetes when they stop Ozempic,” Dr. Tchang says.
Because Ozempic helps people eat less, a halt to treatment may lead them to consume more calories and eat larger portions, leading to an increase in blood sugar, Tchang says. And even if people manage to maintain the eating habits they developed while on Ozempic, their blood sugar might still rise when they stop treatment because the drug boosts the production of insulin, a hormone involved in blood sugar control.
The good news is that people with diabetes still have other medicines they can take instead of Ozempic, including several in the same family of medicines as semaglutide, Tchang notes. Ozempic is what’s known as a glucagon-like peptide-1 (GLP-1) receptor agonist, a class of drugs that also includes liraglutide (Victoza), dulaglutide (Trulicity), and exenatide (Bydureon).
Check out, Subscribe & Rate the "Fresh Start with Dr. David" Podcast, now on YouTube, Apple Podcasts, iTunes, Spotify, Pandora, iHeartRadio, Google Podcasts, Amazon Music, Alexa, Audible, and all other major Podcast Platforms!
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Fresh Start with Dr. David - Season 2 - Episode 27 - Lifestyle Choices and Habits (with Special Guest Melat Tezera and Expert Fitness Trainer Johannes from Floyd Mayweather's Boxing Academy)
This episode of the Fresh Start with Dr. David (with Special Guest Melat Tezera and Expert Fitness Trainer Johannes from Floyd Mayweather's Boxing Academy) is all about how to make better lifestyle choices.
Johannes, an Expert Fitness Trainer, MMA Trainer, and Boxing Trainer at Floyd Mayweather's Gym in Decatur shares his thoughts about making better lifestyle choices and what he teaches his clients and what they teach him.
He also talks about how fitness training, MMA Training, and Boxing help to create and build mental toughness and mental fitness.
You can book an appointment with Johannes here:
Website: https://www.trainwithjohannes.com/
Instagram handle: fit_johannes
Email: [email protected]
I share more about LIFE ADVICE 360 ™, the Life Coaching and Life Advice Subscription Service that I created to help you with decision making on a regular, consistent basis, with plans starting as low as $25 per month (less than $1 per day).
Email: [email protected]
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Fresh Start with Dr. David - Season 2 - Episode 26 - Decision Making, Setting Priorities, & ADHD Symptoms (with Special Guest, Melat Tezera)
This episode of the Fresh Start with Dr. David (with Special Guest, Melat Tezera) is all about how to make better decisions through Planning, Organization, Objectivity and Vulnerability. During this episode, Melat shares about the symptoms of Inattention, Lack of Focus, Inability to Concentrate, Distractibility, and Mental Fogginess that she had when she first presented to my office 2 years ago. She shares about how she has overcome those symptoms without addictive prescription stimulants and how she has become more focused, more organized, more productive, more intentional, more resilient, and more stable using the strategies that I've been giving her for the past 2 years. She also shares how she has made Self-Care & Self-Love apart of her lifestyle choices and how creating healthier boundaries (including the ability and choice to say "No" to some things) has helped her manifest and maintain stability.
You definitely don't want to miss this episode.
I also chat about my thoughts, and I share more about LIFE ADVICE 360, the Life Coaching and Life Advice Subscription Service that I created to help you with decision making on a regular, consistent basis, with plans starting as low as $25 per month (less than $1 per day). For less than the price of an Extra Large Pizza each month, you'll get life advice, life coaching, and insightful recommendations that will empower you to create and maintain stability over life's daily nuisances, annoyances, dilemmas, and frustrations.
Website: www.lifeadvice360.com (Under Construction)
Email: [email protected]
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Fresh Start with Dr David - Season 2 - Episode 25 - ADDICTION (Cigarettes, Vaping, Alcohol, Drugs, and Technology)
This Episode of the Fresh Start with Dr. David Podcast is all about ADDICTION. Addictions have been on the rise, especially since the COVID19 Pandemic. And, it's important to understand, regardless of the specific type and object of the addiction, how and why it's occurring.
Tune into this episode for learn about addiction and get some pearls about how to start ending it.
I also talk about and introduce my new services, LIFE ADVICE ™ and LIFE ADVICE 360 ™
LIFE ADVICE ™ and LIFE ADVICE 360 ™ are New, Easy-to-use Services that allows you to ask for and receive sound, experience-based advice from a professional quickly, easily, and affordably at any time.
https://www.lifeadvice360.com (Under Construction)
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Fresh Start with Dr David - Season 2 - Episode 24 - LIFE ADVICE (TM) - Threats to our Way of Life, Freedom, Independence, Liberty, and our Survival as a Species
You can find out more about LIFE ADVICE (TM) Here:
https://atlantahealthandwellness.com/life-advice/
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Fresh Start with Dr David - Season 2 - Episode 23 - Workplace, Vocational, & Life Stressors, Anxiety, & Warning Signs (with Returning Special Guest & Client, Melat Tezera, Adverting, Marketing, and Design Expert in Atlanta)
This is an episode that you don't want to miss, because it's all about how to deal with life and work-related stress (i.e., stressors), including the most important steps to overcome them.
Key Steps to overcoming, managing, and preventing workplace and life overwhelm, burnout, exhaustion and disequilibrium:
1. Awareness (Insight/Mindfulness)
I also talk about several upcoming episodes on The COVID-19 Pandemic and Other Prevalent Viruses Viruses (Metapneumovirus, RSV, etc.), ADD and ADHD Symptoms, Addictive Prescriptions (Adderall and Xanax), and I talk about how to use the past episodes that talk about Life Stability, Prioritization, Decision-Making, Self-Love, Self-Care, and other topics in order to maintain a good life balance and equilibrium that fosters peace, stability, tranquility, joy, and happiness.
I also introduce a New Service, "LIFE ADVICE" (TM), with plans starting as low as $25/month!
You can reach out to my Special Guest and Client, Melat Tezera, for any advertising, marketing, website design, log design, or other brand design related needs for you or your business here:
Instagram: melattezera
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Fresh Start with Dr David - Season 2 - Episode 22 - Factors in Gender, Gender Identity, Sexuality, and Transgenderism
This is an episode that you don't want to miss, because it's all about the factors and variables that influence Gender, Gender Identity, Sexuality, and other characteristics.
This Episode Gives You a Good Guide and Starting Point for understanding what’s happening in our world right now when it comes to Gender, Sexuality, and other Social Constructs.
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Fresh Start with Dr David - Season 2 - Episode 21 - Making Better Decisions by Setting Priorities (Decision Making Made Easy) - Part 1
This is an episode that you don't want to miss, because it's all about how to make better, quicker decisions by setting priorities in a specific ways.
This Episode Gives You a Good Guide and Starting Point for making your decision making better, easier, quicker, and sounder by setting priorities in a more strategic way.
I also talk about several upcoming episodes on The COVID-19 Pandemic and Other Prevalent Viruses Viruses (Metapneumovirus, RSV, etc.), AI and Emerging Technologies (and the negative impacts on society and mental health), and on challenges associated with being a small business owner in the modern world.
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Fresh Start with Dr David - Season 2 - Episode 20 - Boundaries & Limitations - Part 3 - 05102023
This Podcast Episode (Part 3) is all about Boundaries & Limits.
You Don't want to miss Episode 3 of this 3-Part Series on BOUNDARIES!!!
This Episode Gives You all of the Golden Nuggets, Diamonds, & Pearls that will empower you to create boundaries in ways that allow you to let people know that they have to respect you in a way that if kind, considerate, but firm. This episode wraps up our 3-Part Conversation about Boundaries & Limitations...
You Definitely want to listen to this one!
Everyone (Including YOU) Needs BOUNDARIES!
And, those BOUNDARIES have to be renegotiated regularly...
Personal boundaries are the limits and rules we set for ourselves within relationships. A person with healthy boundaries can say “no” to others when they want to, but they are also comfortable opening themselves up to intimacy and close relationships.
If you don't have boundaries, then you probably won't have Peace, Calm & Tranquility...
Tune into this 3-Part Series on BOUNDARIES to understand how creating boundaries will save you time, money, relationships, heartaches and disasters, and to protect your sense of peace and tranquility.
Self-Love & Self-Care begin with BOUNDARIES!
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7 Types of Boundaries You May Need
What is an example of a boundary?
Rivers, mountain ranges, oceans, and deserts can all serve as physical boundaries. Many times, political boundaries between countries or states form along physical boundaries. For example, the boundary between France and Spain follows the peaks of the Pyrenees Mountains, while the Alps separate France from Italy.
A boundary is a border and it can be physical, such as a fence between two properties, or abstract, such as a moral boundary that society decides it is wrong to cross. If you have no sense of boundaries, you probably annoy people sometimes by getting too close to them or talking about inappropriate topics.
What does a person with no boundaries look like?
https://www.scienceofpeople.com/how-to-set-boundaries/
You can set boundaries around:
Emotional energy
Boundaries can be set with:
Family
Though they aren’t as blatantly clear as a fence, wall, or “no trespassing” sign, healthy boundaries communicate to others what you will and will not tolerate. In short, boundaries empower you to take charge of your life.
Personal boundaries are at the root of a fulfilled, balanced life. Without them, people can quickly lose themselves in their work, relationships, familial obligations, or service to others. They can even wind up being exploited or taken advantage of by people who do not respect them.
These borders help define what you are willing to say “yes” to and what you decide to say “no” to. They give you a sense of agency and sovereignty over your decisions.
Like an internal compass, boundaries can all start with a “gut feeling” that tells you when you have the time or energy to devote to something versus when you need to say “no.”
Good boundaries free you to live life on your terms.
Healthy Boundaries vs. Unhealthy Boundaries
People with solid boundaries tend to have lower levels of stress and higher self-esteem because they prioritize their well-being.
On the other hand, people without boundaries may inadvertently let others take advantage of them.
People without boundaries can be easily persuaded into things they don’t want to do because they may be acting out of guilt or obligation rather than self-love.
Signs of Healthy Boundaries Potential Signs of Unhealthy Boundaries
Protect yourself from getting taken advantage of
Vulnerable to being “used” or taken advantage of
Own your time
Over-commit your time to others and leave little time for yourself
High self-esteem and self-respect
Lower self-esteem and critical inner dialogue
Prioritize time for yourself
Give a lot of their time to other people
You only take on responsibilities you can handle; you don’t overcommit yourself Feeling exhausted or burnt out by overwhelming commitments and responsibilities
Authentically say “no” if you don’t have the energy or capacity to do something Have a hard time saying “no”
Feel guilty for expressing boundaries
Strong sense of identity and direction Change yourself to fit in with different people
Take care of your own problems and understand that you cannot heal other people’s issues for them
Take on other people’s problems as your own
You clearly communicate your needs and wants; you prioritize your self-care
You put other people’s needs and wants before your own
Suppose you’re tired of living your life for other people or find yourself exhausted by all the commitments you’ve made to others. In that case, it’s time to set some boundaries and reclaim the power of your time, energy, and mental well-being.
5 Effective Ways to Set Healthy Boundaries
Setting boundaries comes down to communication. Communicating your needs and desires is the most vital step toward defining your limitations and living a more liberated existence.
Visualize and Name Your Limits
The first and most important step to defining your boundaries is to make them concrete. Boundaries are often confusing and abstract because they feel invisible in our daily lives.
However, by visualizing your boundaries and writing them down, you can get much more clarity on where you want to draw the line between you and other people.
Set aside some time to reflect on the state of your life. Ask yourself:
What is causing me unnecessary stress or discomfort?
For example:
A daily routine
On the outside of the circle, write down anything that causes you discomfort, pain, annoyance, or emotional exhaustion. These are the people or situations pushing the limits of your boundaries.
For example:
Your mom telling you what to do with your life
Openly Communicate Your Boundaries
One of the biggest mistakes people make is setting boundaries in their minds but not openly sharing them with the people in their life. Sometimes people assume that you should know their boundaries. But if they didn’t clearly communicate where they’ve drawn the line, how will you know when you’ve overstepped it?
This can seem daunting and scary, but it can feel like a significant relief once you get it out of the way. As social psychology researcher Brene Brown says, “clear is kind, unclear is unkind.” Once you know your boundaries, you have to communicate them.
Take a deep breath, gather your resolve, and assertively express your needs in a kind, direct way. Here’s how:
HOW TO CLEARLY COMMUNICATE BOUNDARIES
Time Boundary “I can only stay for an hour” or “If you’re going to be late, please let me know ahead of time.”
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Fresh Start with Dr David - Season 2 - Episode 19 - Boundaries & Limitations - Part 2
This Podcast Episode (Part 2) is all about Boundaries & Limits.
Everyone (Including YOU) Needs BOUNDARIES!
And, those BOUNDARIES have to be renegotiated regularly...
Personal boundaries are the limits and rules we set for ourselves within relationships. A person with healthy boundaries can say “no” to others when they want to, but they are also comfortable opening themselves up to intimacy and close relationships.
If you don't have boundaries, then you probably won't have Peace & Tranquility...
Tune into this 3-Part Series on BOUNDARIES to understand how creating boundaries will save you time, money, relationships, heartaches and disasters, and to protect your sense of peace and tranquility.
Self-Love & Self-Care begin with BOUNDARIES!
You Don't want to miss Episode 2 of this 3-Part Series on BOUNDARIES!!!
1) Physical Boundaries
Tune In!
Subscribe!
Rate!
Share with Others!
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7 Types of Boundaries You May Need
What is an example of a boundary?
A boundary is a border and it can be physical, such as a fence between two properties, or abstract, such as a moral boundary that society decides it is wrong to cross. If you have no sense of boundaries, you probably annoy people sometimes by getting too close to them or talking about inappropriate topics.
What does a person with no boundaries look like?
https://www.scienceofpeople.com/how-to-set-boundaries/
You can set boundaries around:
Emotional energy
Boundaries can be set with:
Family
Though they aren’t as blatantly clear as a fence, wall, or “no trespassing” sign, healthy boundaries communicate to others what you will and will not tolerate. In short, boundaries empower you to take charge of your life.
Personal boundaries are at the root of a fulfilled, balanced life. Without them, people can quickly lose themselves in their work, relationships, familial obligations, or service to others. They can even wind up being exploited or taken advantage of by people who do not respect them.
These borders help define what you are willing to say “yes” to and what you decide to say “no” to. They give you a sense of agency and sovereignty over your decisions.
Like an internal compass, boundaries can all start with a “gut feeling” that tells you when you have the time or energy to devote to something versus when you need to say “no.”
Good boundaries free you to live life on your terms.
Healthy Boundaries vs. Unhealthy Boundaries
People with solid boundaries tend to have lower levels of stress and higher self-esteem because they prioritize their well-being.
On the other hand, people without boundaries may inadvertently let others take advantage of them.
People without boundaries can be easily persuaded into things they don’t want to do because they may be acting out of guilt or obligation rather than self-love.
Signs of Healthy Boundaries Potential Signs of Unhealthy Boundaries
Protect yourself from getting taken advantage of
Vulnerable to being “used” or taken advantage of
Own your time
Over-commit your time to others and leave little time for yourself
High self-esteem and self-respect
Lower self-esteem and critical inner dialogue
Prioritize time for yourself
Give a lot of their time to other people
You only take on responsibilities you can handle; you don’t overcommit yourself Feeling exhausted or burnt out by overwhelming commitments and responsibilities
Authentically say “no” if you don’t have the energy or capacity to do something Have a hard time saying “no”
Feel guilty for expressing boundaries
Strong sense of identity and direction Change yourself to fit in with different people
Take care of your own problems and understand that you cannot heal other people’s issues for them
Take on other people’s problems as your own
You clearly communicate your needs and wants; you prioritize your self-care
You put other people’s needs and wants before your own
Suppose you’re tired of living your life for other people or find yourself exhausted by all the commitments you’ve made to others. In that case, it’s time to set some boundaries and reclaim the power of your time, energy, and mental well-being.
5 Effective Ways to Set Healthy Boundaries
Setting boundaries comes down to communication. Communicating your needs and desires is the most vital step toward defining your limitations and living a more liberated existence.
Visualize and Name Your Limits
The first and most important step to defining your boundaries is to make them concrete. Boundaries are often confusing and abstract because they feel invisible in our daily lives.
However, by visualizing your boundaries and writing them down, you can get much more clarity on where you want to draw the line between you and other people.
Set aside some time to reflect on the state of your life. Ask yourself:
What is causing me unnecessary stress or discomfort?
For example:
A daily routine
On the outside of the circle, write down anything that causes you discomfort, pain, annoyance, or emotional exhaustion. These are the people or situations pushing the limits of your boundaries.
For example:
Your mom telling you what to do with your life
Openly Communicate Your Boundaries
One of the biggest mistakes people make is setting boundaries in their minds but not openly sharing them with the people in their life. Sometimes people assume that you should know their boundaries. But if they didn’t clearly communicate where they’ve drawn the line, how will you know when you’ve overstepped it?
This can seem daunting and scary, but it can feel like a significant relief once you get it out of the way. As social psychology researcher Brene Brown says, “clear is kind, unclear is unkind.” Once you know your boundaries, you have to communicate them.
Take a deep breath, gather your resolve, and assertively express your needs in a kind, direct way. Here’s how:
HOW TO CLEARLY COMMUNICATE BOUNDARIES
Time Boundary “I can only stay for an hour” or “If you’re going to be late, please let me know ahead of time.”
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