A Pen and PTSD

A recent JAMA Psychiatry-published study is revisiting the adage, “a picture is worth a thousand words.” Written exposure therapy, a new treatment for PTSD, has been discovered to be remarkably effective. The treatment consists of five supervised half-hour sessions, in which the patient writes down his/her thoughts and feelings that took place during a trauma. The patient then speaks about the writing process with a therapist and, in later sessions, writes about how the trauma affected their lives.

The effectiveness of this treatment is based in the writing process, according to Dr. Denise Sloan, a psychologist who worked on developing the treatment and is one of the authors of the JAMA Psychiatry study. Sloan explains that writing removes the client from the shame or embarrassment that may accompany talking about an event aloud. Writing also slows down the process, enabling patients to have greater engagement with memory and thinking through the episode.

This form of therapy was inspired by a 1980s study conducted by a psychologist in Texas, James Pennebaker. He found that people who used “expressive writing,” or routine journaling of difficult life experiences had stronger immune systems and visited their doctor less frequently.  

Pennebaker’s findings reveal that writing can help cope with a myriad of emotions, and is not just for someone suffering from PTSD. In all circumstances, both severe and mild, penning a thousand words may have both mental and physical health benefits!   

First Treatment for Alopecia to Hit the Market Soon

Alopecia is an autoimmune disease that causes mild to extreme hair loss. Individuals suffering from alopecia finally have reason to celebrate, as the United Stated Food and Drug Administration has recently approved the very first alopecia treatment drug.

Ritlecitinib, also known as Litfulo, is approved for people aged 12 and above. In a clinical trial run by Yale University, approximately 30% of participants taking Litfulo saw significant hair regrowth. Associate professor of dermatology at Yale School of Medicine, Dr. Brett King, called the development of Litfulo a “huge advancement” and “nothing short of transformative.”

As the treatment becomes available to the public, patients will certainly notice the high cost of this new drug. Manufactured by Pfizer, the list price of a one-year supply of Litfulo is close to $50,000, but the actual cost will depend of the insurance held by individual patients. A spokesperson from the pharmaceutical company said, “We are committed to helping patients access the treatments they need… There will be copay savings for commercially insured patients and a patient assistance program for eligible patients to help achieve this”.

This Summer, Consider a “Walk and Talk”

As we head into summer, consider scheduling a “walk and talk” to connect with a partner or close friend. Research shows that talking to someone while walking side-by-side lends itself to less eye contact. This reduces the stress in a conversation. According to couple’s therapist, Esther Perel, “When walking next to someone, a conversation becomes parallel play.” The dynamic is that both people are, “looking ahead yet connected by the exchange.”

Furthermore, walking makes it nearly impossible to persistently check our phones. Priya Parker, author of “The Art of Gathering: How We Meet and Why It Matters,” says that walks lend themselves to more natural silence. Some of the greatest conversations follow a period of silence. She adds that silence can be its own form of intimacy for a couple.

While these walks should feel pressure-free, they can be maximized by considering a topic ahead of time. Some ideas include raising a struggle or discussing a memory. Another option that Perel offers to make walks more fun is to think of a prompt, for example:

  • If my younger self could see me today, they would say…
  • A trip that changed my life was…
  • What’s a promise you wish you hadn’t broken?

A creative alternative posited by Parker is choosing a previously-unexplored area for a “wander walk.” The unfamiliarity of the surroundings encourages conversation topics that would not arise during a regular routine.

Embrace these positives and the beautiful weather, and schedule your walk and talk!

Despite “Engagement Gap,” Signet Jewelers President is Hopeful for Rebound

Top U.S. retailers report that engagement ring and wedding dress sales have not rebounded since the pandemic. The beginning of the lockdowns in the early spring of 2020 led to an “engagement gap,” according to Signet Jewelers, the largest jewelry company in the United States. Signet reports that engagement ring sales were down in 2023 and are projected to remain low in 2024. As another indication of lower engagement and marriage rates, David’s Bridal, the largest wedding dress retailer, recently declared bankruptcy.

According to president and chief consumer officer of Signet, Jamie Singleton, the average couple in the United States dates for 3.25 years before getting engaged. Thus, the company needs the number of engagements to grow by 25% by the year 2026 in order to return to pre-Covid sales.

Singleton, though, is hopeful that numbers will trend upward in the coming years, quoting the statistic that dating is back up 8% to pre-Covid levels.

An Opera a Day Keeps the Blues Away

In case you ever needed an excuse to go to that concert, play or art installation – you’ve now got it! Dr. Dacher Keltner, the co-founder and director of UC Berkeley’s Greater Good Science Center explains that the power of awe has long-lasting and far-reaching consequences. Whether music, drama, nature, religion or art gives you that feeling of awe – the awe itself can be transformative.

How does awe help us? Research has shown that having a sense of awe can improve positive social behavior because it makes people feel that they are part of something larger than themselves. Awe can help us to reduce stress and anxiety. It can also be associated with creativity and curiosity.

The good news, for those who can’t afford to go to expensive venues to pursue wonder and awe, is that Keltner explains that awe can be cultivated in many ways. As he explains, “I think one of the promises of our digital lives is (having access to) more aesthetic awe, and getting you to artists that you wouldn’t ordinarily find in a museum.” Slowing down, taking a walk outside, putting your phone down and relaxing are all ways to try to bring more awe into your life.

New Option: Skip Those Airplane Meals

Here’s an interesting idea that a number of airlines are proposing. You can now opt to skip receiving your meal while on your next flight. Airlines such as Delta and Japan Airline are using an option to allow passengers to opt out before they even fly. Why would people choose to do so?

At the moment, the idea is serving as a test case for what airlines can do to reduce fuel, costs and waste on board flights. Of course, critics argue that the airlines are trying to make themselves look green – but that they are actually just trying to cut corners.

Of course, passengers who have chosen this option far before their flights are often worried about what will happen if they change their mind. They won’t be able to get a full meal, but there are always snacks on flights that passengers can find. And they can try to remember to bring their own goodies with them as well.

One other added benefit of forgoing the food is the chance to set your body onto the correct time zone. Eating at unusual times during a flight can definitely make it difficult for your body to adjust to the time change.

It will be interesting to see if this is something that takes off – or just a passing phase.