People are starting to take their mental health more seriously and utilizing mental health day. Some companies have even started offering mental health days for their employees on top of their regular sick and vacation days to ensure their employees needs are met. But how do you know it may be time to take a mental health day before you’re burned out completely?
One of the coolest things about our bodies is that it gives us cues on what it needs. We’re used to the loud physical cues like a grumbling tummy that lets you know it’s time to eat or excessive yawning and dry eyes that tell you its time to sleep. But there are other cues that we have either overlooked or haven’t quite learned to recognize what our body is trying to tell us and those have to do with needing a mental health break.
When we think of our mental health, we don’t often think about the physical symptoms that can be a precursor to emotional symptoms. It’s the emotional symptoms that generally get our attention that say something may be bothering us, but our bodies give us clues. Maybe we should listen a bit more closely.
1. You’re always tired.
It doesn’t seem to matter how much sleep you got the night before, as soon as you get to work, you’re exhausted. All you can think about is going home and crawling back in bed. But when your shift is over, suddenly your energy rebounds and you feel like you can do everything you want to do.
2. Frequent headaches
It’s normal to get a headache every once in a while but for some reason you seem to only get them when you’re either at work, thinking about work or are getting ready to go to work. Could it be that work is giving you the headache? Possibly. Instead of stocking up on Aleve, you might just need a staycation for a couple of days to reset.
3. Muscle pain
For some reason your shoulders, neck and jaw muscles are always tight and you can’t figure out why. You try working the knots out yourself and even trade shoulder massages with your officemate but it keeps coming back. It could be tension that you’re carrying from work. Our shoulders, necks and jaws are places that tend to hold a lot of our tension so if you’re noticing constant muscle tightness in those areas while at work, it’s probably time to check in with yourself.
Of course, many of us ignore these physical symptoms of stress and push through, which can cause us to be more curt, snippy, easily irritated and flustered. Once you surpass the obvious symptoms that often feel like undue irritation, we can then slide into crying on breaks, heightened anxiety, feelings of depression, and more. Unfortunately, many people wait until they reach the more disruptive stages before recognizing they need to take a mental health break.
Now that you know the symptoms, how do you ask for a break? If you’re not working for yourself, chances are you’re reporting to a boss of some sort and will need to disclose you’d like to take a mental health break. If don’t work for a company that offers them, you can send an email or ask for a meeting.
You could say something along the lines of, “I’m really invested in the success of the company and my role within in it. In order for me to continue being successful and showing up at my best, I’d like to take two days off next week to focus on my mental health and recharging my battery.”
Depending on your company policy, you may need to give more notice. If it’s an emergent mental health situation it’s always best practice to be candid about your needs without disclosing an excessive amount of unneeded information.
This article was written by Jacalyn Wetzel, Licensed Clinical Social Worker and practicing therapist.
In a small village in Pwani, a district on Tanzania’s coast, a massive dance party is coming to a close. For the past two hours, locals have paraded through the village streets, singing and beating ngombe drums; now, in a large clearing, a woman named Sheilla motions for everyone to sit facing a large projector screen. A film premiere is about to begin.
It’s an unusual way to kick off a film about gender bias, inequality, early marriage, and other barriers that prevent girls from accessing education in Tanzania. But in Pwani and beyond, local organizations supported by Malala Fund and funded by Pura are finding creative, culturally relevant ways like this one to capture people’s interest.
The film ends and Sheilla, the Communications and Partnership Lead for Media for Development and Advocacy (MEDEA), stands in front of the crowd once again, asking the audience to reflect: What did you think about the film? How did it relate to your own experience? What can we learn?
Sheilla explains that, once the community sees the film, “It brings out conversations within themselves, reflective conversations.” The resonance and immediate action create a ripple effect of change.
MEDEA Screening Audience in Tanzania. Captured by James Roh for Pura
Across Tanzania, gender-based violence often forces adolescent girls out of the classroom. This and other barriers — including child marriage, poverty, conflict, and discrimination — prevent girls from completing their education around the world.
Sheilla and her team are using film and radio programs to address the challenges girls face in their communities. MEDEA’s ultimate goal is to affirm education as a fundamental right for everyone, and to ensure that every member of a community understands how girls’ education contributes to a stronger whole and how to be an ally for their sisters, daughters, granddaughters, friends, nieces, and girlfriends.
Sheilla’s story is one of many that inspired Heart on Fire, a new fragrance from the Pura x Malala Fund Collection that blends the warm, earthy spices of Tanzania with a playful, joyful twist. Here’s how Pura is using scent as a tool to connect the world and inspire action.
A partnership focused on local impact, on a global mission
Pura, a fragrance company that recognizes education as both freedom and a human right, has partnered with Malala Fund since 2022. In order to defend every girl’s right to access and complete 12 years of education, Malala Fund partners with local organizations in countries where the educational barriers are the greatest. They invest in locally-led solutions because they know that those who are closest to the problems are best equipped to solve and build durable solutions, like MEDEA, which works with communities to challenge discrimination against girls and change beliefs about their education.
But local initiatives can thrive and scale more powerfully with global support, which is why Pura is using their own superpower, the power of scent, to connect people around the world with the women and girls in these local communities.
The Pura x Malala Fund Collection incorporates ingredients naturally found in Tanzania, Nigeria, Pakistan, and Brazil: countries where Malala Fund operates to address systemic education barriers. Eight percent of net revenue from the Pura x Malala Fund Collection will be donated to Malala Fund directly, but beyond financial support, the Collection is also a love letter to each unique community, blending notes like lemon, jasmine, cedarwood, and clove to transport people, ignite their senses, and help them draw inspiration and hope from the global movement for girls’ education. Through scent, people can connect to the courage, joy, and tenacity of girls and local leaders, all while uniting in a shared commitment to education: the belief that supporting girls’ rights in one community benefits all of us, everywhere.
You’ve already met Sheilla. Now see how Naiara and Mama Habiba are building unique solutions to ensure every girl can learn freely and dare to dream.
Naiara Leite is reimagining what’s possible in Brazil
Julia with Odara in Brazil. Captured by Luisa Dorr for Pura
In Brazil, where pear trees and coconut plantations cover the Northeastern Coast, girls like ten-year-old Julia experience a different kind of educational barrier than girls in Tanzania. Too often, racial discrimination contributes to high dropout rates among Black, quilombola and Indigenous girls in the country.
“In the logic of Brazilian society, Black people don’t need to study,” says Naiara Leite, Executive Coordinator of Odara, a women-led organization and Malala Fund partner. Bahia, the state where Odara is based, was once one of the largest slave-receiving territories in the Americas, and because of that history, deeply-ingrained, anti-Black prejudice is still widespread. “Our role and the image constructed around us is one of manual labor,” Naiara says.
But education can change that. In 2020, with assistance from a Malala Fund grant, Odara launched its first initiative for improving school completion rates among Black, quilombola, and Indigenous girls: “Ayomidê Odara”. The young girls mentored under the program, including Julia, are known as the Ayomidês. And like the Pura x Malala Fund Collection’s Brazil: Breath of Courage scent, the Ayomidês are fierce, determined, and bursting with energy.
Ayomidês with Odara in Brazil. Captured by Luisa Dorr for Pura
Ayomidês take part in weekly educational sessions where they explore subjects like education and ethnic-racial relations. The girls are encouraged to find their own voices by producing Instagram lives, social media videos, and by participating in public panels. Already, the Ayomidês are rewriting the narrative on what’s possible for Afro-Brazilian girls to achieve. One of the earliest Ayomidês, a young woman named Debora, is now a communications intern. Another former Ayomidê, Francine, works at UNICEF, helping train the next generation of adolescent leaders. And Julia has already set her sights on becoming a math teacher or a model.
“These are generations of Black women who did not have access to a school,” Naiara says. “These are generations of Black women robbed daily of their dreams. And we’re telling them that they could be the generation in their family to write a new story.”
Mama Habiba is reframing the conversation in Nigeria
Centre for Girls' Education, Nigeria. Captured by James Roh for Pura
In Mama Habiba’s home country of Nigeria, the scents of starfruit, ylang ylang and pineapple, all incorporated into the Pura x Malala Collection’s “Nigeria: Hope for Tomorrow,” can be found throughout the vibrant markets. Like these native scents, Mama Habiba says that the Nigerian girls are also bright and passionate, but too often they are forced to leave school long before their potential fully blooms.
“Some of these schools are very far, and there is an issue of quality, too,” Mama Habiba says. “Most parents find out when their children are in school, the girls are not learning. So why allow them to continue?”
When girls drop out of secondary school, marriage is often the alternative. In Nigeria, one in three girls is married before the age of 18. When this happens, girls are unable to fulfill their potential, and their families and communities lose out on the social, health and economic benefits.
Completing secondary school delays marriage, and according to UNESCO, educated girls become women who raise healthier children, lift their families out of poverty and contribute to more peaceful, resilient communities.
Centre for Girls’ Education, Nigeria. Captured by James Roh for Pura
To encourage young girls to stay in school, the Centre for Girls’ Education, a nonprofit in Nigeria founded by Mama Habiba and supported by Malala Fund and Pura, has pioneered an initiative that’s similar to the Ayomidê workshops in Brazil: safe spaces. Here, girls meet regularly to learn literacy, numeracy, and other issues like reproductive health. These safe spaces also provide an opportunity for the girls to role-play and learn to advocate for themselves, develop their self-image, and practice conversations with others about their values, education being one of them. In safe spaces, Mama Habiba says, girls start to understand “who she is, and that she is a girl who has value. She has the right to negotiate with her parents on what she really feels or wants.”
“When girls are educated, they can unlock so many opportunities,” Mama Habiba says. “It will help the economy of the country. It will boost so many opportunities for the country. If they are given the opportunity, I think the sky is not the limit. It is the starting point for every girl.”
From parades, film screenings to safe spaces and educational programs, girls and local leaders are working hard to strengthen the quality, safety and accessibility of education and overcome systemic challenges. They are encouraging courageous behavior and reminding us all that education is freedom.
Experience the Pura x Malala Fund Collection here, and connect with the stories of real girls leading change across the globe.
Our understanding of ADHD has come a long way in just a few short years. Though it wasn’t even formally recognized as a medical condition until the 1960s, by the time the 90s rolled around, diagnoses and stimulant prescriptions were extremely prevalent. (Raise your hand if you grew up in the era of “Anyone who struggles in school gets Ritalin!”) Today, diagnoses and treatment are a lot more thoughtful and individualized, and there are more options for treatment and therapy including but not limited to stimulants like the well-known Ritalin. Even with all these advancements, though, we still have more to learn.
A new long-term study published in the Journal of Clinical Psychiatry has proven to be an excellent next step in getting a better understanding of the disorder, showing that a lot of what’s commonly believed or assumed about ADHD is incomplete or just flat-out wrong.
Researchers studied 483 participants who were diagnosed with ADHD in childhood and continued to assess them for a period of 16 years. The study’s authors wanted to get a sense of how ADHD symptoms might change over time.
What the researchers found surprised them. In most participants, symptoms of ADHD fluctuated greatly over the years rather than staying consistent. What surprised them even more were the environmental factors that seemed to play a role in those fluctuations.
Researchers expected that greater life demands—like more responsibility at work, a heavier workload at school, major life changes, etc.—would exacerbate ADHD symptoms. What they found was the opposite.
It makes sense that a person that struggles with inattention or hyperactivity might have more trouble focusing when they have more “going on” and more distractions to pull them in different directions. It was a huge surprise to the researchers that, actually, people’s ADHD symptoms seemed to ease up when life got hectic.
“We expected the relationship between environmental demands and ADHD symptoms to be the opposite of what we found,” study author, professor, and clinical psychologist Margaret H. Sibley explained. “We hypothesized that when life demands and responsibilities increased, this might exacerbate people’s ADHD, making it more severe. In fact, it was the opposite. The higher the demands and responsibilities one was experiencing, the milder their ADHD.”
I have a 4-year-old with ADHD and the findings totally track for me based on what I’ve witnessed in our own life.
We find it’s actually easier to be in perpetual motion sometimes (out running errands, doing activities, visiting friends and family) versus staying put too long. When we’re just relaxing at home, that’s when she tends to start bouncing off the walls! Her ADHD tendencies come out strong in these quiet periods, including what we sometimes playfully refer to as her “hoarding” dozens of coloring sheets or surrounding herself in giant piles of toys, blankets, and stuffed animals; thereby making a huge mess in the house.
Doing nothing or doing very little is not often a restful state for people with ADHD. Typically, people with ADHD experience more background noise than neurotypical brains, so a quiet, seemingly restful environment can sometimes amplify racing thoughts, negative self-talk, and impulsive behavior versus dampening it. You know how kids sometimes act out in school not because they’re not smart, but because the material is actually too easy for them and they’re bored? Something similar is at play in both of these scenarios.
Of course, as always in science, you have to be careful assuming causation from the findings.
It’s important to note that the results of the study don’t definitively prove that being busy causes a decrease in ADHD symptoms.
“This might mean that people with ADHD perform their best in more demanding environments (perhaps environments that have stronger immediate consequences, like needing to put food on the table for a family or pay rent monthly). It also might mean that people with ADHD take more on their plate when their symptoms are relatively at bay,” Sibley says. Either way, the correlation is certainly strong and worthy of more study.
In the meantime, the study’s authors think the results could be viewed in a hopeful light for people just learning to manage their ADHD. “If you’re a doctor talking with a patient who is first getting diagnosed with ADHD, it’s a huge help for that person to hear the message that, ‘You’re going to have good years and not-so-good years, but things can go really well for you if you can get the right factors in place,’” Sibley said. As a parent, I can imagine how reassuring that would have been to hear early on in our own process.
With ADHD diagnoses on the rise, more and more research is being conducted. For example, a recent long-term study out of Sweden was just published linking use of ADHD medication with a reduction in traffic crashes, general injuries, and criminal behavior. That’s a strong argument for continuing to hone in on accurate diagnoses and treatment for people who need it, as it clearly benefits society as a whole when done properly!
We’re learning more and more about what the factors that affect positive ADHD outcomes are, like what might exacerbate symptoms and what types of things can help, and we’re starting to get a clearer picture of how people can manage this challenging disorder.
Some people have quirky hobbies and interests that others might find odd, so when we asked our Upworthy audience on Facebook, “What’s something that you really enjoy that other people can’t seem to understand?” and over 1,700 people weighed in, it wasn’t too surprising. Some people shared things like housework, cleaning and laundry, which a lot of people see as chores. Others shared different puzzles or forms of art they like doing, and still others shared things like long car rides or grocery shopping.
But what was surprising was the one answer that dominated the list of responses. It came in various wordings, but by far the most common answer to the question was “silent solitude.”
A woman relaxes alone on the couch. Photo credit: Canva
Here are a few examples:
“Feeling perfectly content, when I’m all alone.”
“Being home. Alone. In silence.”
“That I enjoy being alone and my soul is at peace in the silence. I don’t need to be around others to feel content, and it takes me days to recharge from being overstimulated after having an eventful day surrounded by others.”
“Enjoying your own company. Being alone isn’t isolating oneself. It’s intentional peace and healthy… especially for deep feelers/thinkers.”
Spending time by ourselves is something some of us relish, while some of us hate being alone. Naturally, this points to the common theory of introversion vs. extraversion, but in some ways, that’s overly simplistic. Even the most peopley people among us can enjoy some quality alone time, and not all introverts see time alone as truly enjoyable. (It might be necessary for an introvert’s well-being, but not necessarily something they truly revel in.)
A man sits quietly by the water. Photo credit: Canva
Interestingly, studies have found that people who enjoy being alone are not any more or less extraverted than those who don’t, though they do tend to be less “sociable.” They are also less likely to be neurotic (tense, moody, worrying types) than the general population and more likely to be open-minded. Those characteristics are the opposite of what social norms often tell us about people who want to be alone.
“If our stereotypes about people who like being alone were true, then we should find that they are neurotic and closed-minded. In fact, just the opposite is true,” writes Bella DePaulo, PhD.
A woman lost in thought with a cup of coffee. Photo credit: Canva
There may be lots of reasons some people like to spend time by themselves while others don’t. We are naturally social creatures and need social interaction, but some of us find ourselves overstimulated by being around other people all the time. On the flip side, some people find being alone not just unenjoyable, but extremely uncomfortable, which can be a problem.
“Ideally, we should be comfortable with ourselves, alone or with others,” writes psychologist Tara Well Ph.D.. “If you are uncomfortable being alone, it means you are uncomfortable being with yourself without distraction, engagement, or affirmation from others. This can be a liability in life. If you cannot be alone, you may stay in situations or make life choices that aren’t good for you in the long run, like staying in a job or a relationship, mainly because you can’t tolerate being alone while transitioning to a better situation.”
An older woman dances alone while listening to headphones. Photo credit: Canva
Dr. Well also points out that people can make the most of their alone time, even if it’s not something they naturally enjoy. One way is to make it purposeful, setting aside a little time daily to write in a journal, meditate, go for a walk or otherwise engage your mind and body in some form of reflection. Another is to pay attention to self-judgments that might make alone time uncomfortable and challenge them with some compassionate confrontation and counteraction with positive thoughts about yourself.
Alone time can be refreshing and rewarding, especially if it’s something you naturally crave. Some people even like to take themselves out on dates or enjoy traveling by themselves. That kind of self-care can be just as important as connecting with others for our overall health and well-being. Being alone doesn’t mean being a loner and it doesn’t mean being lonely. Some of us genuinely like having quality time with ourselves, whether it makes sense to other people or not.
Glenda Bridges had none of the usual warning signs. The 83-year-old Naples, Florida, woman wasn’t obese, didn’t have diabetes, didn’t have high blood pressure. But in the span of just a few days, she had three strokes. She said that one morning she woke up and “had no balance, and my vision was blurry,” according to the Gulf Coast News.
With each stroke, her brain was sustaining more damage, and doctors at NCH (the only Joint Commission-certified comprehensive stroke center in southwest Florida) needed answers fast.
Dr. Viktoria Totoraitis, a vascular neurologist at NCH, noticed something that other doctors might have missed: all three strokes had occurred in exactly the same location in Bridges’ brain. That wasn’t typical. “Blood vessels are like highways,” Dr. Totoraitis explained, “meaning they each go to a specific territory. So when a patient has a stroke, I know what blood vessel supplies that territory.” The fact that every stroke hit the same spot pointed to a single, consistent cause rather than random clotting events.
The strokes were what neurologists call wake-up strokes, meaning Bridges had gone to sleep without symptoms and woken up with them. Research suggests that roughly one in five acute ischemic strokes falls into this category, and they’re notoriously difficult to treat because the exact time of onset is unknown, complicating eligibility for clot-busting medications.
What Dr. Totoraitis needed to know next was exactly how Bridges slept. When she asked, Bridges answered: “On my side, kind of all curled up in a fetal position.” That detail, combined with something else in Bridges’ medical history, several prior neck surgeries and significant cervical spinal arthritis, led to an imaging test with Bridges positioned the same way she slept every night. The results were clear. “When she’s sleeping and curled up like that, because she does have a lot of cervical spinal arthritis, some narrowing, she was pinching off one of her vessels.”
The fix required no surgery. Dr. Totoraitis recommended Bridges change her sleeping position and wear a soft cervical collar at night. She also clarified that the fetal position is not dangerous for people without prior neck surgeries. For Bridges, though, the combination of arthritis, surgical history, and a habitual curl was cutting off blood flow to her brain every night.
Since making that small change, Bridges has not had another stroke.
Her case is an unusual one, but it carries a useful reminder: strokes don’t always look the way we expect. The fastest way to identify one remains the F.A.S.T. method: Face drooping, Arm weakness, Speech difficulty, Time to call 911. The sooner someone gets to a hospital, the more brain tissue can be saved.
Nobody knows how many days they have on this earth, and, in a way, that makes every moment feel more valuable. Since we don’t know how much time we have, it’s best to cherish every moment on this beautifulplanet with the people we love. It’s also a good idea to stay in shape so you can enjoy the greatest longevity possible.
An interesting new study from the University at Buffalo involving 5,000 women cannot tell you the exact number of days you have left. Still, it suggests that after the age of 60, it is relatively easy to determine whether you can look forward to a long life. The study found that a two-step test—in which participants first demonstrate handgrip strength and then complete five consecutive sit-to-stand chair lifts—is a good indicator of longevity.
The study found that women with higher grip strength and faster sit-to-rise scores had a significantly lower risk of death over the next eight years. In fact, for every 15-pound increase in grip strength, mortality risk was reduced by 12%. Women who scored highest on grip strength had a 33% lower risk of death compared with those in the lowest group. For chair stands, moving from the slowest to the fastest time in six-second increments was associated with a 4% lower risk of death.
“If you don’t have enough muscle strength to get up, it is going to be hard to do aerobic activities, such as walking, which is the most commonly reported recreational activity in U.S. adults ages 65 and older,” said study lead author Michael LaMonte, PhD, a research professor of epidemiology and environmental health in UB’s School of Public Health and Health Professions.
Women 63 and up with the strongest grip had a 33% lower risk of death over eight years compared to those with the weakest grip. Grip strength predicted longevity independent of how much women moved each dayhttps://t.co/TpdCkr52lk
“Muscular strength, in many ways, enables one to move their body from one point to another, particularly when moving against gravity,” LaMonte added. “Healthy aging probably is best pursued through adequate amounts of both aerobic and muscle-strengthening physical activities. When we no longer can get out of the chair and move around, we are in trouble.”
How to improve grip strength
Grip strength has come to be seen as an “indispensable” biomarker of aging because it reflects strength in the hands, forearms, and throughout the body. Looking to improve yours? Here are five expert-based ways to boost grip strength:
Use a stress ball
Grab a tennis ball or hand gripper and squeeze as hard as you can for five to 10 seconds, then repeat for 10 to 20 reps.
Seniors can perform dead hangs from a pull-up bar while keeping their feet on the ground or on a bench for 10 to 30 seconds at a time. The goal is to build up to hanging for 60 seconds.
Functional movements
The key is to get some real-world exercise that uses your hands, such as gardening, playing a sport like bowling, or carrying heavy grocery bags.
Eat a lot of protein
Protein supports muscle function and growth, so according to Health, it’s a good idea to eat one gram of protein per pound of body weight per day.
Lift weights
Use free weights such as kettlebells, barbells, or dumbbells to challenge and strengthen your hands. “Even using soup cans or books as a form of resistance provides stimulus to skeletal muscles and could be used by individuals for whom other options are not feasible,” LaMonte said.
In recent years, women have become more open about what happens leading up to and during menopause. As a result of this public sharing, younger women are learning about a shocking possible side effect of depleted estrogen: the shrinking, and in some cases the disappearance, of the labia.
As our parents prepare us for adulthood, some things slip through the cracks. We learn about puberty, how babies are conceived, and then the conversation stops. One area with a large information-sharing gap is the process of menopause. This lack of information puts both women and the people who love them at a disadvantage. It can leave people confused and frustrated.
Perimenopause, which is the time leading up to menopause, is not a short process. Hormone levels can begin to fluctuate widely as early as a woman’s 30s. At the same time, the average age of menopause is about 51, though it can occur as late as 60, according to the American Medical Association.
The Cleveland Clinic explains that “Menopause is a point in time when a person has gone 12 consecutive months without a menstrual period.” It is a natural part of the aging process for women, but for decades, if not centuries, the menopausal experience has been shrouded in coded language and silence. Not anymore.
The habit of Millennials seeking community in online spaces is opening the blackout curtains on the taboo subject. This has led to honest conversations about what happens when women go through “the change,” and the revelation about shrinking labia is causing a bit of panic.
Labia are the outer visible anatomy of the female genitalia, consisting of the labia minora and labia majora. This tissue protects the urethra, vaginal opening, and other sensitive areas from infection and friction, Dr. Somi Javaid, OB-GYN and founder of HerMD, tellsThe Flow Space.
So the idea of losing them due to a lack of estrogen has some women calling for a timeout as they try to process this previously unheard-of information. Several of these women took to social media to seek clarity and support.
“So nobody was going to tell me that one day I could lose my coochie lips?” one woman asks in an Instagram video. “That one day, my bean could just decide to clock out for the rest of my life? Why aren’t the older women sharing with us? Why aren’t the elders sharing this with us, cause this lady got on here and said if you start your estrogen early when you first go through menopause, you can save your lips.”
“I just saw this post of this doctor lady explaining that your labia minora grows during puberty, and then you lose it in menopause,” another concerned woman says in a TikTok video. “Come again? You’re telling me…is it…where does it go? Where is it gonna…does it just…I have so many questions. Does it just…one day I’m gonna wake up, and I’m gonna have no labias? Does it slowly disappear?”
These were not the only people concerned. Video after video showed women, and some men, flabbergasted and concerned about the mystery of the disappearing labia. Commenters were equally freaked out. All of this open confusion and fear created a perfect learning opportunity. OB-GYNs, urologists, and other medical professionals took to their own platforms to ease people’s stress about the process.
“So yes, the labia can shrink around menopause, and this is because estrogen levels are dropping, and this affects the tissues. The good thing is, you can prevent it. Start vaginal estrogen really early, as soon as you start to notice any of these changes, and it improves blood flow, elasticity, and lubrication, relieves dryness and soreness.”
Can your labia change around perimenopause and menopause? Yes and no one really talks about it!!! As oestrogen levels drop during perimenopause and menopause, vulval and vaginal tissues can become thinner, drier and lose elasticity. Some women even notice their labia shrinking, which can feel worrying if you’re not expecting it. The good news? Vaginal oestrogen can help. Used early, it supports blood flow, elasticity and lubrication, and can relieve dryness, soreness and discomfort. It’s a safe, local treatment and can be used long-term. If you notice changes, you don’t have to ignore them, support exists 💛 #perimenopause#menopause#HRT#womenshealth#hormones
Doctors and nurses online continue to reassure viewers that, while it sounds scary, vaginal estrogen can prevent it. One urologist explains that after women go through menopause, their estrogen levels are lower than those of men. This drop in estrogen causes structural changes in the labia, which can also lead to adhesions and pain.
“Let’s be clear: you do not lose your labia, but the tissues do undergo significant and visible changes,” says Dr. Mary Claire Haver, a menopause specialist. She adds, “The labia minora may shrink, flatten, or adhere to adjacent tissues. The labia majora can sag or retract due to tissue thinning.” She also says that prescription estrogen is the only way to prevent the issue.
In an era when both obesity and “heroin chic” trends are growing concerns, weight loss can be a touchy topic. Society’s ever-changing views on body size are worthy of their own discussion, of course. But as the link between obesity and health risks has been well-established, the reality is that many adults want and need to lose weight for health reasons.
People who are looking to lose weight know to expect certain things—an increased focus on nutrition and exercise, for example. Some weight loss journeys might include surgery or GLP-1 medications, which have exploded in recent years. But some parts of the journey can still take people by surprise, especially as they get closer to their goal.
Many people shared that they felt colder after losing weight. Body fat acts as an insulator, so losing it can make people more sensitive to cold temperatures. Changes in metabolism and hormones that accompany weight loss can also temporarily make you feel cold. However, nutritional deficiencies can cause similar symptoms, so it may be worth checking with your doctor if it becomes a concern.
“How well the fat insulates heat. On the positive note, I can tolerate hot and humid weather much better now. But I have to wear a lot of extra layers when it is cold, and I don’t enjoy swimming in the sea anymore even in height of summer, because it is too cold all the time (I am in the UK).”
“Oh man, so true, I’m still a big person but much smaller than I was and in winter I’m shaking like a Chihuahua, even with a lot of layers on.”
wanna know the most ANNOYING side effect of losing weight? i’m cold ALL the time. 72 degrees has me in a hoodie and i don’t like that 😂
“Absolutely correct! I get frustrated at how easily I get cold now. It was not something I anticipated.”
“Same, I absolutely cannot tolerate the cold anymore. But warm weather is much easier to cope with, so it’s not a bad tradeoff.”
“I lost 6 stone last year and this winter has been COLD but I’m looking forward to not being a gross sweaty mess this summer!”
Armpits are pits
Armpits are just arm pits, right? Not necessarily. When extra fat in that area fills in the hollow, it doesn’t appear as much of a “pit.” Losing weight revealed the actual pit feature for some folks.
“That your armpits are actually pits, they’re not just called that. When you’re fat, you just have underarms.”
“Just got here. Asked my wife why she was staring at me oddly, she said my pits were hollow.”
“From my all time heaviest I am down 90 pounds to 279 as of this morning. For about a month I’ve really been feeling the pits come in…lol. The joy this brought was very surprising.”
“Fair warning: now I have pits I absolutely cannot figure out the right angles to shave at anymore lmao. A blessing and a curse. A blurse.”
“Yes!! I have to change how I shaved them.”
Feeling your bones
When you become accustomed to having a layer of cushion around your body, losing it can be disconcerting—especially when you start feeling hard, knobby things that you might mistake for growths of some kind.
“I fairly recently lost 50 lbs. Imagine my surprise when I scheduled a doctors appointment thinking there was some sort of tumor in my chest only for them to tell me I have bones.”
“I’ve lost 50kg. I panicked when I felt my sternum.”
“Yes! I felt this with my chest. 😂😭 I thought I had some kind of chest cancer lump. This is the part of weight loss I did not expect.”
losing weight and start feeling bones you’ve never felt before
“I was very muscular in high school. Then gained a bunch of weight in college. Then lost the weight (and a fair bit of muscle) a few years after that. One day I thought I felt a lump in my boob and panicked. Turns out it was a rib that had been previously covered in muscle or fat.”
“I’m so glad I’m not the only one 🤣 I once went to the doctor thinking I had breast cancer. The doctor asked me if I had recently lost a lot of weight, then explained I was feeling my ribs.”
“When I lost 100 lbs and all of a sudden I could feel like wtf there’s actually a spooky skeleton inside me I would just sit there grabbing bones in bewilderment and mild horror.”
People treat you differently
Perhaps the hardest realization people shared was how being overweight had made them invisible to so many. A lot of commenters said people became nicer to them after they lost weight. That’s food for thought for all of us.
“How much nicer people are. As someone who’s lost and gained and lost again, it’s something I’ve noticed. People aren’t noticeably rude or dismissive to me as a bigger person, it’s more like they just don’t really acknowledge you. The world is just nicer when you’re smaller.”
“I’m male. I lost 140 lb and got fit in my mid-40s after living all my late teen and adult years being 300+. That was almost a decade ago. I can honestly say that everything in this thread has been, to some degree, true for me as well, but the most startling has been the way people react to me. It’s unbelievable. Male or female, stranger or acquaintance or friend, passing or casual or business, I’m treated differently. It’s like stepping into another reality and also makes me sad for all those years. Sure, I was fat, but man, I was treated like a subspecies.”
“Yes. I didn’t even realize how much being a fat woman over 40 negatively impacted me professionally until I lost 70 pounds right after Covid. My income more than doubled within a year. It has now nearly tripled. Is it partly because of increased confidence on my part? Probably. Does that explain it entirely? Probably not.”
“My least favorite experience with significant weight loss was experiencing ‘pretty privilege’ for the first time, realizing how mean people had been all my life, and why.”
“I’ve been losing weight and exercising regularly, and suddenly women are interested in me again. I knew logically that humans have a general preference for people of a healthy weight, but I feel like I’ve crossed some threshold of no longer being invisible to them. Wild.”
“I was telling my dad how it blew my mind how differently I was treated and he almost couldn’t believe the difference I was describing.”
Having energy
Carrying excess weight is physically demanding and requires extra energy for everyday activities. Obesity and sleep problems are also linked, often leading to fatigue. Many people found that their exhaustion eased and that they felt much more energetic after losing weight.
“That being tired all the time isn’t normal and I have a lot more energy to get things done than I thought.”
Losing weight is never fun.
But life is so much better after you lost it, because it improves your health, increases your energy levels, and makes you look, feel and perform better.
— P.D. Mangan Health & Freedom Maximalist 🇺🇸 (@Mangan150) September 9, 2025
“When people ask me what I feel like after losing 120lbs, the best explanation I can come up with is that I didn’t realize how sick and miserable I felt all the time until I didn’t feel sick and miserable all the time.
The energy, the aches, the poor sleep, the brain fog…i frog boiled myself into that being my new normal, and now it’s all gone and I can’t believe that’s how I lived for so many years.”
“It’s crazy how many people think constant exhaustion is just ‘normal life’ until they finally fix whatever’s causing it. Feels like getting a whole different version of your day back.”
“It’s crazy how easy it is to assume that’s just your normal baseline. Then you lose weight and you find that you’ve been running on hard mode the entire time. And after losing weight I felt like I had superpowers…”
These revelations are a good reminder of how much of a difference focusing on health can make in our own lives—and how much kindness can make a difference for others.
Andrew Bustamante (@Andrew-Bustamante) spent years as a covert CIA intelligence officer. When Lex Fridman asked him to name the single most useful spy trick that anyone could apply to their everyday life, his answer wasn’t about surveillance, or reading body language, or disappearing off the grid.
Here’s the distinction he draws, as he explained to Fridman and as YourTango reported in covering the exchange. Perception is how each of us interprets the world around us. It’s personal, it’s filtered, and it’s entirely our own. There’s nothing wrong with it, but the problem is that most people treat their perception as objective reality and then spend enormous energy trying to convince everyone else of it. “That’s why so many people find themselves arguing all the time,” Bustamante said, “trying to convince other people of their own perception.”
Perspective is different. It’s not just feeling what someone else feels, which Bustamante distinguishes from empathy. It’s actively placing yourself in someone else’s position and asking what their life actually looks like. What did they wake up worried about? What are they afraid of? What pressures are they carrying that you can’t see? “Perspective is the act or the art of observing the world from outside of yourself,” he told Fridman. “You sit in the seat of the person opposite you and think to yourself, ‘What is their life like?’”
The intelligence application is obvious. An officer who can only see a situation through their own cultural and personal lens is going to miss things. One who can genuinely inhabit another person’s point of view, their incentives, their fears, their constraints, is going to understand things that others don’t. But Bustamante’s point is that this skill doesn’t stay in the field.
“If you do that to your boss, it’s gonna change your career,” he said. “If you do that to your spouse, it’s gonna change your marriage. If you do that to your kids, it’s gonna change your family legacy. Because nobody else out there is doing it.”
That last line is the part that tends to land. Most interpersonal friction, whether in a marriage, a workplace, or a friendship, comes not from bad intentions but from two people each arguing from their own perception without pausing to genuinely inhabit the other’s. Bustamante is saying the CIA trains people to close that gap, and that closing it is available to anyone who practices it deliberately.
The comment sections on the viral clips reflect how directly this lands for people. “He just put it into words for me,” one viewer wrote. Another added that taking on multiple perspectives is “a way to find useful truths and do skillful systems analysis.” The observation isn’t new, but something about hearing it framed as tradecraft, as a skill that professionals train for rather than a platitude, seems to give it traction.
Bustamante runs his own platform, Everyday Spy, where he teaches intelligence-based skills for civilian use. His core argument, across the podcast appearances and the books, is that 95% of what CIA officers are trained to do applies directly to ordinary life. The perception versus perspective shift, he says, is where most people could start.
This article originally appeared earlier this year.
Accidents and medical emergencies happen every day, but, unfortunately, many Americans do not feel prepared to jump into action when they do. According to a poll from the American College of Emergency Physicians (ACEP), most Americans report feeling comfortable calling 911 and speaking with dispatchers. However, the number drops to just 55% for life-saving CPR—and…
Accidents and medical emergencies happen every day, but, unfortunately, many Americans do not feel prepared to jump into action when they do.
According to a poll from the American College of Emergency Physicians (ACEP), most Americans report feeling comfortable calling 911 and speaking with dispatchers. However, the number drops to just 55% for life-saving CPR—and only 46% feel comfortable applying a tourniquet.
Without medical training, confidence wanes and fear likely sets in for the average civilian. And since first responders may not be present when a medical emergency happens, an emergency room nurse with 11 years of experience shared their medical insights with the average person on Reddit.
They explained four essential medical skills everyone should know that could potentially save someone’s life.
“I know everyone wants the dramatic skills,” they wrote. “But these four things, done correctly, will genuinely make a difference in the scenarios most of us are actually likely to face.”
Medical skill #1: Wound packing and pressure
Learning how to pack wounds and apply pressure is the most important medical skill civilians should know, according to the ER nurse. These skills are more important than learning how to suture.
“Suturing a wound that isn’t fully clean can trap infection inside and make things significantly worse,” they wrote. “What saves lives in the field is knowing how to pack a deep wound with gauze and hold real pressure for long enough.”
They explained that most people apply only one-fifth of the pressure actually needed to help.
“Most people stop after 2 minutes. You need at least 10, sometimes more,” they added. “This one skill has a higher chance of keeping someone alive until they can get real help than almost anything else on the average prep list.”
Medical skill #2: Recognizing shock
The next most important medical skill people should learn is how to recognize shock, which, according to the nurse, is “not just ‘they look pale.’”
“I mean understanding the progression: restlessness and anxiety first, then skin changes, then the dangerous drop in blood pressure that most people think comes first,” they explained. “By the time someone looks classically ‘shocky’ you’re already behind. Learning the early signs gives you a real window to act.”
Medical skill #3: Splinting, not setting
Next up is dealing with possible bone breaks. The ER nurse emphasizes that people should absolutely not try to set broken bones. Instead, they should know how to splint them.
“Splint them where they are, immobilize the joint above and below the break, and focus on getting the person calm and still,” they shared. “A bad reduction attempt can damage nerves and vessels in ways that are very hard to fix later.”
Medical skill #4: Medication interactions and allergy documentation
Finally, the fourth medical skill recommended by the ER nurse is knowing which medications (including dosages) family members or close friends take, as well as any allergies they may have, in case of a medical emergency.
“Keep a physical list. Not just in your phone. Know what everyone in your household takes, the doses, and any known allergies,” the nurse explained. “In a chaotic situation this single piece of paper can prevent a serious medication error if someone else has to help you.”
