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Healthy-Ish podcast: importance of sleep routine


Are you struggling to get a sweet night’s sleep? Sleep expert and author Olivia Arezzolo discusses how to navigate sleep when holidays and festive fun are disrupting your routine. 

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To hear today’s full interview, where she chats about TikTok’s 10-3-2-1-0 sleep routine…search for Extra Healthy-ish wherever you get your pods.

For more on MyFitnessPal’s study, see here. You can find Olivia on Instagram at @oliviaarezzolo, on TikTok here, or via her site here

WANT MORE BODY + SOUL? 

Online: Head to bodyandsoul.com.au for your daily digital dose of health and wellness.

On social: Via Instagram at @bodyandsoul_au or Facebook. Or, TikTok here. Got an idea for an episode? DM host Felicity Harley on Instagram @felicityharley

In print: Each Sunday, grab Body+Soul inside The Sunday Telegraph (NSW), the Sunday Herald Sun (Victoria), The Sunday Mail (Queensland), Sunday Mail (SA) and Sunday Tasmanian (Tasmania). 





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Extra Healthy-Ish podcast: how to create a bedtime routine


How’s your sleep right now? The festive season and holidays can affect the quantity and quality of our shut-eye. Sleep expert and author Olivia Arezzolo shares her tips for improving sleep hygiene this summer and chats about TikTok’s 10-3-2-1-0 sleep routine. 

WANT MORE FROM OLIVIA?

For more on MyFitnessPal, see here. You can find Olivia on Instagram at @oliviaarezzolo, on TikTok here, or via her site here.  

WANT MORE BODY + SOUL? 

Online: Head to bodyandsoul.com.au for your daily digital dose of health and wellness.

On social: Via Instagram at @bodyandsoul_au or Facebook. Or, TikTok here. Got an idea for an episode? DM host Felicity Harley on Instagram @felicityharley

In print: Each Sunday, grab Body+Soul inside The Sunday Telegraph (NSW), the Sunday Herald Sun (Victoria), The Sunday Mail (Queensland), Sunday Mail (SA) and Sunday Tasmanian (Tasmania). 





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National Health Survey: Research finds Australians are smoking less but are sadder than ever


Struggled with mental health this year? You’re not alone. New data from the Australian Bureau of Statistics shows that while Australians are turning away from vapes, chronic conditions including mental illness are on the rise. 

According to new data from the Australian Bureau of Statistics (ABS), Australians are smoking less than ever, but are more mentally ill than they have ever been. 

The findings have come from the latest instalment of the ABS’ annual National Health Survey, released last week, which gathers “Information on health behaviours, conditions prevalence, and risk factors in Australia.” 

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Smoking is on the way out

According to the report, one in ten (10.6 per cent) Australian adults aged 18 years and over were current daily smokers in 2022, and one in seven (14.4 per cent) adults have used e-cigarette or vaping devices.

These rates of smoking have steadily declined over the past twenty years, from 22.4 per cent in 2001.

Notably, nearly three in five (58.3 per cent) adults have never smoked, which Emeritus Professor Wayne Hall from the National Centre for Youth Substance Use Research at the University of Queensland told the ABC is indicative of the success of anti-smoking public health campaigns.

„It is especially pleasing to see the daily smoking rate is as low as 1.6 per cent among 15 to 17-year-olds and 7.3 per cent in adults 18-24 years,“ he said.

„Smoking rates in these age groups have declined over the past three national health surveys in the absence of similar declines in those over 55 years.“

Quitting smoking by turning to vaping 

That being said, many people may have never smoked but have vaped – or have switched from smoking to vaping, in a misled attempt to quell their cigarette addictions. 

The ABS data shows that one in six (17.9 per cent) young people aged 15–17 years had used e-cigarette or vaping devices, with that figure rising to 38 per cent for those in the 18-24 bracket. 

Of the results, Hall said the data suggests “increased e-cigarette use among younger adults may have contributed to the decline in cigarette smoking.” 

„It would be desirable to see more data on the frequency of e-cigarette use and the extent to which e-cigarette users have switched from smoking cigarettes to the exclusive use of e-cigarettes.“

Howwever, it’s important to note too that while decreased usage of cigarettes is fantastic, the new popularity of vaping is not. As people continue to vape, new data is being discovered about their intensely addictive nature, and the plethora of health conditions they cause – from lung defects to seizures to decreased sperm count. 

A rise in chronic conditions

While Australians are making positive changes when it comes to smoking, the Survey has also shed light on some less-than-ideal developments when it comes to chronic health conditions. 

According to the Australian Institute of Health and Welfare, “Chronic diseases are long-lasting conditions with persistent effects. Their social and economic consequences can impact on peoples‘ quality of life.” 

The ABS data showed that eight in 10 (81,4 per cent) Australians had at least one long-term health condition, while one in two (49.9%) people had at least one chronic condition. 

The most common conditions were mental and behavioural health (26.1 per cent), back problems (15.7 per cent), and arthritis (14.5 per cent). 

Physiotherapist and professor Lorimer Moseleys from the University of South Australia said the data showed there’s a need for people with chronic pain conditions and mental illness to be able to access models of care „grounded in education and active self-management strategies“.

There are clinical guidelines across the world that “recommend these interventions, but not enough Australians are receiving them,” he told the ABC.



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Matthew Perry’s passing puts spotlight on Ketamine use


The tragic passing of Friends actor Matthew Perry has just been linked to ketamine, a dissociative drug first developed in the 1960s. Here’s why the drug has risen in popularity in recent years, both for recreational and medicinal purposes.  

It has been nearly two months since the shocking Hollywood loss that sent the world– Friends fans and all– into mourning

Now, the public has finally gained access to the late Matthew Perry’s coronary report, a document explaining once and for all what caused the star’s unfortunate demise. Sadly, the information uncovered has only further fuelled the spirit of inquiry, leaving Perry’s fans and loved ones across the globe searching for answers yet again. 

As the report states, the beloved actor’s drowning incident has been attributed to a lethal combination of several factors, such as coronary artery disease, the presence of buprenorphine (a prescribed opioid medicine) and the ‘acute effects of ketamine’. 

Known for its widespread recreational use, ketamine and various iterations of the drug have recently gained traction in the medical community, being used as a treatment method for a variety of conditions. Here’s why the drug played such a significant role in Perry’s accidental death.

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What does ketamine do?

Ketamine was first developed in the sixties as an anaesthetic and pain relief drug, purposes still currently being embraced by veterinarians and medical practitioners. But today, the prevalence of ketamine usage across the globe goes far beyond the operating table. 

In recent years, the upsurge of recreational ketamine use has seen partygoers embrace the ‘dreamlike’ effects of the drug, despite obtaining unprescribed dosages through illegal means.

For a drug that is colloquially known as ‘horse tranquilliser’, the list of intense physiological effects should hardly come as a surprise to most. When taken recreationally, the drug has been known to promote a relaxed or detached state between mind and body, lower sensitivity to pain and visual and auditory hallucinations.

The unwanted– and invariably dangerous– side effects associated with ketamine use include nausea and vomiting, dizziness, an increased heartbeat, and difficulty moving.

Like many illegal compounds sold for recreational use, it can be almost impossible to know exactly what is mixed in with the drug, potentially increasing the risk of unwanted side effects and overdosing. 

The rise of recreational ketamine use

According to statistics provided by the Alcohol and Drug Foundation, the age group most embracing the recreational use of the drug is young Aussies in their 20s, with the COVID-19 lockdowns throughout 2020 to 2021 contributing to a 21 per cent rise of ketamine usage alone. 

Several factors are feeding into the steady rise of recreational ketamine use, such as its greater availability and significantly lower cost in comparison to other drugs. 

Taking inspiration from its application in the medical community, Ketamine has also become a popular method of self-medication, with users taking the drug to address anxiety and depression.

In the case of Perry’s accidental death, the coronary report suggests the lethal traces of ketamine found in the actor’s system were likely a result of recreational use, despite his known participation in ketamine infusion therapy. 

Given the drug’s half-life of three to four hours, his most recent medical infusion (one and a half weeks prior) could not possibly have still been in his system. 

What is ketamine infusion therapy?

As a self-professed recovering addict, Perry claims to have been sober for 19 months, having embraced the benefits of supervised ketamine infusion therapy throughout his pursuit of recovery. 

Given the drug’s known effects, it has been widely popularised in the medical community as a treatment to manage mental health conditions such as depression, anxiety and addiction. Following a thorough psychiatric evaluation and referral, the treatments can be recommended to patients who have not responded to antidepressant medication or other treatments.

According to the Black Dog Institute, a low dose of the substance will be injected into the skin (or administered intranasally) during a ketamine infusion therapy session designed to combat depression. 

However, like any treatment plan, each patient’s response to the drug will vary, with no medical practitioner able to guarantee the avoidance of unwanted side effects or the longevity of the drug’s benefits.

Find more information on the side effects and risks associated with ketamine use here.  



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7 signs and symptoms of problem drinking


If you struggle to socialise without a drink in hand or find yourself counting down the hours until midday, it could be time to reevaluate your relationship with the bottle, experts say.

With its festive cheer and celebrations, the Christmas and New Year period is the time of the year that brings people together for joyous occasions. For many, it’s a time to unwind, enjoy the company of loved ones, and indulge in a few drinks.

Societal norms often dictate a celebratory toast, reinforcing the expectation that joyous moments must be accompanied by clinking glasses and sipping spirits. However, amidst the merriment, it’s crucial to notice when drinking crosses the line from social enjoyment to a potential problem

After a busy working year and juggling the responsibilities of her three children, Natasha* was looking forward to her many end-of-year Christmas parties and celebrations last year.

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“My December was packed with long lunches with different friendship groups, two work Christmas parties, a four-day beach getaway with my mum’s group, plus the regular Christmas Day and Boxing Day lunches with the family,” she recalls. “I think a lot of people have a similar end-of-year scenario.” 

Day-to-day, Natasha would usually drink one or two glasses of wine in the evening to unwind after a busy day, however, over the holiday period this increased dramatically, and by the end of January, Natasha had found herself drinking up to two bottles of wine a day.

“It was Australia Day and we were with extended family. The kids were in the pool with their cousins, and I began to get shaky as I watched them splashing about. All I could think about was having a glass of wine, but it was only 10am. I was too embarrassed to suggest that we open a bottle that early in the morning.”

Natasha immediately knew she was having withdrawal symptoms. “That was a real low point. A close family member of mine had struggled with their drinking in the past, so I recognised the signs. I knew I needed help quickly, so I entered a rehab facility.” 

There are plenty of others like Natasha whose drinking increases significantly over the holiday period. It’s easy to embrace the joyous spirit with loved ones and a few celebratory drinks.

However, as we revel in the holiday cheer, it’s essential to remain mindful of the thin line between social enjoyment and when drinking transcends celebration. Here are the signs that indicate your drinking may be becoming a problem:

You can’t socialise without a drink

During the holiday season, social gatherings are abundant. While enjoying a drink in moderation is a common part of celebrations, pay attention if you find yourself relying on alcohol to navigate social situations or cope with stress.

If the idea of attending events without alcohol becomes daunting or if you feel uncomfortable without a drink in hand, it may be time to assess your relationship with alcohol. This is a challenge but not impossible. We always need to reach out if we become concerned about our reliance on alcohol – help is available.

The frequency and quantity have increased

Take stock of how often you find yourself reaching for a drink. The holiday season, with its numerous festivities, can sometimes blur the lines between occasional indulgence and regular consumption.

If you notice a significant increase in your drinking frequency or if you find it challenging to limit the quantity, it’s a red flag that warrants consideration.

Your tolerance has escalated

Alcohol tolerance refers to the body’s adaptation to regular consumption, leading to a diminished response to the same amount of alcohol. If you notice that you need more drinks to feel less stressed and more relaxed, or if you find yourself seeking stronger beverages, it’s an indication that your body is becoming tolerant, and your drinking habits may be escalating.

If you experience blackouts, where you’ve been present at the event but have no memory of it, alcohol may be becoming a problem for you, and it’s important to address this with a healthcare professional.

Impaired control

Losing control over your drinking is a critical sign of a potential problem. If you struggle to set limits and consistently find yourself drinking more than intended, it’s essential to evaluate whether your relationship with alcohol is contributing to impaired decision-making.

You may tell yourself time and time again you will only have one or two drinks today and exceed that number every time. You may even think to yourself, I won’t drink today, only to find yourself halfway through a bottle.

Neglecting responsibilities

The holiday season can be hectic, balancing festivities with work, family, and personal obligations. Have you woken up late after a night of drinking and struggled to get to the office on time or the children to school?

If you notice a decline in your ability to fulfil responsibilities, whether at home, work, or in relationships, and if alcohol use is a contributing factor, it’s crucial to address the impact of your drinking on your daily life.

Is alcohol costing you more than money? Is it costing you connected and peaceful relationships with your partner, children, extended family and friends? Do you think to yourself, this is not like me, or do you blame others for how you are?

Mood and behavioural changes

Be attentive to shifts in your mood and behaviour associated with drinking. If alcohol begins to affect your emotional well-being, leading to increased irritability, and mood swings, or if you find yourself engaging in risky behaviours under the influence, it’s a clear indication that your drinking habits are impacting your mental health.

Family and friends have voiced concerns

Sometimes, those closest to us notice changes before we do. They may even begin to question your drinking or express that they are noticing its impact on you. If family members or friends express concerns about your drinking, it’s essential to take their perspectives into account.

External observations can provide valuable insights into the impact of your drinking on both yourself and those around you. They are raising difficult issues because they are aware of the changes happening to you – changes you may not be aware of.

Try not to take their comments as criticisms, but rather as a means of them reaching out to you, because of how much they care for you.

When to seek professional guidance

If you recognise any of these signs in your behaviour over the Christmas and New Year period, seeking professional guidance is a proactive step toward a healthier relationship with alcohol.

Mental health professionals, addiction counsellors, or support groups can help. For those who are in early recovery, it’s particularly important to seek support during the festive period. Many clients in early recovery have a plan to keep themselves safe.

This may consist of attending functions where they can leave when ready or where they are comfortable not drinking; attending with a recovery friend and being able to discreetly step outside to call a friend for reassurance. Staying sober during this period can be difficult so plan to keep yourself on track.

*Name has been changed.

Diane Young is a psychotherapist at South Pacific Private, one of Australia’s leading trauma, addiction and mental health treatment centres. 



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