Varicella zoster virus

The varicella-zoster virus is a member of the herpes virus family.

It causes two distinct diseases:

Chickenpox (varicella)

This is typically the primary infection, usually occurring in childhood.

It manifests as an itchy, blister-like rash, fever, and general discomfort.

Chickenpox is highly contagious and spreads through respiratory droplets or direct contact with the rash.

Shingles (herpes zoster)

This is a reactivation of the same virus that causes chickenpox.

After the initial chickenpox infection, the virus remains dormant in the nerve tissues and can reactivate later in life, typically when the immune system is weakened.

Shingles is characterised by a painful rash that usually appears on one side of the body or face.

Important varicella-zoster virus facts

  • it’s a type of herpes virus
  • it can cause chickenpox, shingles and other infections
  • it can style in your nerve cells even after you’ve recovered from chickenpox
  • both chickenpox and shingles can be prevented through vaccination
  • the varicella vaccine is commonly given to children to prevent chickenpox. It’s free through the National Immunisation Program
  • the shingles vaccine is recommended for older adults to reduce the risk and severity of shingles. Certain people are eligible to get it free through the National Immunisation Program
  • if it’s reactivated, it can cause meningitis, encephalitis and meningoencephalitis (brain or lining infection), eye shingles, facial paralysis. While serious, these are rare conditions

References

  • Chickenpox and shingles (varicella / herpes zoster). Department of Health, Victoria, Australia. Accessed 19 July 2024
  • Chickenpox (varicella) vaccine. Australian Government Department of Health and Aged Care. Accessed 19 July 2024
  • Shingles (herpes-zoster). Centers for Disease Control and Prevention, USA. Accessed 19 July 2024
  • Varicella-zoster virus (chickenpox). National Institutes of Health, USA. Accessed 19 July 2024

Last reviewed and updated: 19 July 2024

5 easy techniques to reduce stress

Managing stress is crucial for maintaining overall well-being.

Integrating these techniques into your daily routine can help manage and reduce stress over time.

Here are five effective techniques to help reduce stress:

Mindfulness and meditation

Practising mindfulness or meditation helps centre your thoughts and calm your mind.

Even a few minutes a day can make a significant difference.

Techniques include deep breathing exercises, guided imagery or simply focusing on the present moment.

Regular exercise

Physical activity is a powerful stress reliever. It helps release endorphins, which improve mood and reduce feelings of stress.

Activities like walking, jogging, yoga or any form of exercise you enjoy can be beneficial.

Healthy eating

Nutrition plays a crucial role in how your body handles stress.

A balanced diet rich in fruits, vegetables, lean proteins and whole grains can help stabilise your mood and energy levels.

Avoid excessive caffeine, sugar, and alcohol, which can exacerbate stress.

Time management

Poor time management can lead to increased stress.

Prioritise your tasks, break them into manageable steps, and set realistic goals.

Using tools like planners or digital apps can help keep you organised and reduce the feeling of being overwhelmed.

Social support

Connecting with friends, family, or support groups can provide comfort and perspective.

Talking about your stressors with others can offer relief and help you feel less isolated. Don’t hesitate to reach out for support when you need it.

Last reviewed and updated: 19 July 2024

Ketoacidosis

Ketoacidosis is a serious metabolic condition characterised by an accumulation of ketone bodies in the blood, leading to a decrease in blood pH (acidosis).

It occurs when the body starts breaking down fats at an excessive rate, producing ketones faster than they can be utilised or cleared.

Types of ketoacidosis

There are 3 types of ketoacidosis:

  • diabetic ketoacidosis
  • alcoholic ketoacidosis
  • starvation ketoacidosis

Diabetic ketoacidosis

This is a complication of diabetes, particularly type 1 diabetes, but can also occur in type 2 diabetes. It happens when insulin levels are too low, leading to high blood glucose levels and subsequent ketone production. Common causes include infection, stress, missed insulin doses or undiagnosed diabetes.

Symptoms can include:

  • High blood sugar levels
  • Ketones in the urine
  • Fruity-smelling breath
  • Rapid breathing
  • Nausea and vomiting
  • Abdominal pain
  • Confusion or lethargy

Alcoholic ketoacidosis

This  can occur in people with chronic alcohol consumption. It is more prevalent in people who have been drinking heavily and then suddenly reduce their intake or stop drinking.

Symptoms can include:

  • Abdominal pain
  • Nausea and vomiting
  • Confusion
  • Dehydration
  • Rapid breathing

Starvation ketoacidosis

Starvation ketoacidosis is a type of ketoacidosis that occurs in the context of prolonged fasting, starvation, or extreme caloric restriction. It results from the body’s response to inadequate glucose availability, which leads to increased fat metabolism and elevated ketone production. Some extreme diets which recommend calorie restriction can easily cause ketoacidosis.

When the body is deprived of carbohydrates for an extended period, it shifts from using glucose as its primary energy source to using fatty acids. As fats are broken down, ketone bodies are produced as an alternative energy source. In cases of prolonged starvation or very low carbohydrate intake, ketone production can become excessive, leading to ketoacidosis.

Symptoms can include:

  • Fatigue and weakness
  • Nausea and vomiting
  • Abdominal pain
  • Dehydration
  • Confusion or irritability
  • Fruity-smelling breath (similar to diabetic ketoacidosis)

Ketoacidosis treatment

Treatment for ketoacidosis typically involves:

  • addressing the underlying cause
  • administering fluids
  • electrolytes
  • insulin
  • providing supportive care
  • reintroducing carbohydrates and adequate nutrition

It’s important to seek medical attention if ketoacidosis is suspected, as it can lead to serious complications if not treated promptly.

References

  • Adult diabetic ketoacidosis. National Institutes of Health, USA. Accessed 18 July 2024
  • Alcohol ketoacidosis. National Institutes of Health, USA. Accessed 18 July 2024
  • Ketoacidosis. National Institutes of Health, USA. Accessed 18 July 2024
  • Starvation ketoacidosis on the acute medical take. National Institutes of Health, USA. Accessed 18 July 2024

Last reviewed and updated: 18 July 2024

Human papillomavirus (HPV)

Human papillomavirus (HPV) is a group of viruses that infect the skin and mucous membranes.

HPV is one of the most common sexually transmitted infections (STIs). HPV can affect various parts of the body, including:

  • genital area
  • mouth
  • throat

There are over 200 different types of HPV, and they are categorised into low-risk and high-risk types based on their potential to cause disease.

Types of HPV

Low-Risk HPVs

They are associated with benign conditions such as:

  • Genital warts – small, warty growths that can appear on the genitals, around the anus or in the throat
  • Common warts – these benign warts appear on other areas of the body, such as hands and feet

High-Risk HPVs

They are linked to more serious conditions, including:

  • Cervical cancer – high-risk types, such as HPV-16 and HPV-18, are strongly associated with cervical cancer. Persistent infection with these types can lead to changes in cervical cells and potentially progress to cancer
  • Other cancers – high-risk HPV types can also be associated with other cancers. These include anal, penile, vulvar, vaginal, and oropharyngeal cancers (cancer of the throat, base of the tongue, and tonsils)

Transmission

HPV is primarily spread through direct skin-to-skin contact, including:

  • Sexual contact – this includes vaginal, anal and oral sex. It is one of the most common STIs because it is highly contagious and can be transmitted even when an infected person has no visible symptoms
  • Non-sexual contact – some types of HPV can spread through non-sexual skin-to-skin contact, such as common warts on the hands

Prevention

  • Vaccination – the HPV vaccine prevents infection with the most common high-risk and low-risk HPV types. It’s recommended for preteens (both boys and girls) aged 11 to 12 years, but it can be given up to age 45. The vaccine can greatly reduce the risk of developing HPV-related cancers and genital warts
  • Screening – women should get regular cervical screening (Pap tests and HPV tests). These tests are crucial for detecting precancerous changes in the cervix early, to prevent cervical cancer

Treatment

Low-risk HPV

Treatments for genital warts or other benign lesions can include:

  • topical treatments
  • freezing (cryotherapy)
  • surgical removal

High-risk HPV

There is no direct treatment for the virus itself.

Management focuses on monitoring and treating any precancerous or cancerous changes.

Regular screening helps in early detection and management of potential complications.

HPV is a widespread virus, but with appropriate preventive measures and screening, the risks associated with it can be significantly reduced.

References

  • HPV and cancer. National Cancer Institute, USA. Accessed 18 July 2024
  • Human papillomavirus (HPV). Australian Government Department of Health and Aged Care. Accessed 18 July 2024
  • Human papillomavirus (HPV). Centers for Disease Control and Prevention. Accessed 18 July 2024
  • Human papillomavirus and cancer. World Health Organization. Accessed 18 July 2024
  • What is HPV? Cancer Council, Australia. Accessed 18 July 2024

Last reviewed and updated: 18 July 2024

Nervous system fitness: the new stress management

Stress management used to be framed as something we did after we were already overwhelmed: take a break, have a bath, go for a walk, calm down. These strategies can help, but they often arrive too late. By the time stress has built up, the body may already be in a high-alert state, with a racing mind, tense muscles, shallow breathing, disrupted digestion and poor sleep.

Nervous system fitness is a more proactive way to think about stress. Instead of only trying to “relax” after stress takes over, the goal is to train the body to move more smoothly between activation and recovery. It is about improving flexibility, not avoiding stress altogether.

What is nervous system fitness?

Nervous system fitness refers to the body’s ability to respond to pressure, then return to a steadier state once the challenge has passed. A well-regulated nervous system is not calm all the time. It can mobilise energy when needed, focus under pressure and then shift back into rest, digestion, connection and repair.

This matters because stress is not only a feeling. It is a whole-body response involving the brain, autonomic nervous system, hormones, breathing, heart rate, muscle tone, digestion and immune function. Short bursts of stress can be useful. They can help us react quickly, perform well and solve problems. The issue is not stress itself, but stress without enough recovery.

When the body repeatedly stays in high-alert mode, stress can become chronic. This may show up as poor sleep, fatigue, irritability, headaches, muscle tension, digestive symptoms, brain fog, low mood, anxiety or feeling constantly “wired but tired”.

Why the nervous system matters in stress

The autonomic nervous system helps control automatic body functions such as heart rate, breathing, blood pressure and digestion. It includes the sympathetic nervous system, which helps prepare the body for action, and the parasympathetic nervous system, which supports recovery.

When we feel threatened, overloaded or under pressure, the sympathetic system becomes more active. Heart rate can rise, breathing may become faster, muscles tighten and the body becomes more alert. This is useful in short bursts.

The parasympathetic system helps bring the body back down after stress. It supports slower breathing, steadier heart rate, digestion, repair and recovery. The vagus nerve is a major part of this calming and regulating system.

Nervous system fitness is essentially the ability to use both sides well: enough activation to deal with life, enough recovery to avoid staying stuck in survival mode.

The role of heart rate variability

Heart rate variability, often called HRV, is one way researchers measure autonomic nervous system regulation. HRV looks at the tiny variations in time between heartbeats. A healthy heart does not beat like a metronome. It adjusts constantly in response to breathing, movement, emotion, sleep, illness and stress.

Higher HRV is often associated with better physiological flexibility and recovery capacity, while lower HRV may occur with stress, poor sleep, illness, overtraining or burnout. However, HRV is highly individual. It is more useful to watch your own trends over time than to compare your number with someone else’s.

For everyday stress management, the lesson is simple: the body likes rhythm, recovery and adaptability. Breathwork, exercise, sleep, relaxation practices, social connection and time outdoors can all support that flexibility.

How to train your nervous system

Meditation breathing

You do not need extreme routines to support nervous system fitness. Small, repeated practices are usually more useful than occasional dramatic resets.

1. Practise slower breathing

Slow breathing is one of the most accessible ways to influence the stress response. When breathing becomes slower and steadier, it can support parasympathetic activity and help the body shift out of high-alert mode.

A simple practice is to breathe in gently through the nose for 4 seconds, then breathe out slowly for 6 seconds. Repeat for 2 to 5 minutes. The longer exhale is often useful because it encourages the body to soften rather than brace.

This should feel comfortable. If breathwork makes you dizzy, anxious or short of breath, stop and return to normal breathing.

2. Build recovery into the day

Many people wait until the end of the day to recover, but the nervous system responds better to regular small pauses. Recovery can be as simple as stepping outside, loosening the jaw, unclenching the shoulders, taking 5 slow breaths or sitting quietly without a screen.

These micro-recoveries tell the body that the day is not one continuous emergency. They help create a pattern of activation followed by recovery, which is the core of nervous system fitness.

3. Move your body regularly

Exercise is not only for muscles, weight management or cardiovascular health. It also helps train the stress response. Regular physical activity can improve mood, sleep, autonomic regulation and stress resilience.

The key is matching movement to your current capacity. A brisk walk, cycling, swimming, strength training, yoga or gentle mobility work can all help. If you are exhausted or burnt out, very intense exercise may not be the best starting point. Begin with low to moderate movement and build gradually.

4. Use the body to signal safety

Stress often lives in the body as much as the mind. Tight shoulders, clenched hands, a locked jaw, shallow breathing and a rigid posture can reinforce the message that you are under threat.

Try relaxing the tongue from the roof of the mouth, dropping the shoulders, softening the belly and slowing the breath. Gentle stretching, warm showers, humming, singing, walking outdoors and progressive muscle relaxation may also help some people feel more settled.

These practices are not magic switches. They are body-based cues that can support regulation when used regularly.

5. Strengthen your sleep rhythm

Sleep is one of the most important foundations of nervous system fitness. Poor sleep can make the body more reactive to stress, while chronic stress can make sleep worse. This creates a cycle where the nervous system has fewer chances to recover.

Support sleep by keeping a consistent bedtime and wake time where possible, reducing bright screens before bed, limiting caffeine late in the day and creating a wind-down routine. The aim is not perfect sleep, but a predictable rhythm that helps the body know when it is safe to rest.

6. Train attention with mindfulness

Mindfulness can help people notice stress earlier, before it becomes overwhelming. This might mean observing breathing, noticing body sensations, naming emotions or pausing before reacting.

The goal is not to empty the mind. It is to create a little more space between a trigger and a response. Over time, this can help reduce automatic stress habits such as catastrophising, overworking, avoidance or emotional reactivity.

Why this is different from “just relax”

Regulate & relax

Telling someone to relax can feel dismissive, especially when their body is already in a stress state. Nervous system fitness is different because it recognises that regulation is a skill built through repetition.

It also shifts the focus from blame to training. If your stress response is strong, it does not mean you are weak. It may mean your body has learned to stay alert because of workload, trauma, illness, uncertainty, poor sleep, caregiving, financial pressure or repeated overload.

The way forward is not to shame the body for reacting. It is to teach it, slowly and consistently, that recovery is possible.

When stress needs more support

Self-care practices can support everyday stress, but they are not a replacement for medical or mental health care. Speak with a GP, psychologist or qualified health professional if stress feels unmanageable, continues for a long time, affects work or relationships, disrupts sleep or is linked with panic, depression, trauma symptoms or thoughts of self-harm.

Nervous system fitness works best as part of a broader approach that includes lifestyle support, healthy relationships, appropriate healthcare and realistic changes to the sources of stress where possible.

The bottom line

Nervous system fitness is the new stress management because it moves beyond quick fixes. It focuses on training the body to respond, recover and adapt.

Stress will always be part of life. The goal is not to become calm all the time. The goal is to build a nervous system that can meet pressure without staying trapped in it.

References

  • Activating This Nerve Can Relieve Stress: The Science of Vagal Tone. (2026). The Washington Post Wellness Reports. The Washington Post.
  • Brown, L, Rando, A A, Eichel, K, Van Dam, N T, Celano, C M, Huffman, J C, Morris, M E. (2021). The effects of mindfulness and meditation on vagally mediated heart rate variability: A meta-analysis. Psychosomatic Medicine, 83(6), 631-640. doi: 10.1097/PSY.0000000000000900.
  • Chu, B, Marwaha, K, Sanvictores, T, Ayers, D. (2024). Physiology, stress reaction. StatPearls. NCBI Bookshelf.
  • Fincham, G W, Strauss, C, Montero-Marin, J, Cavanagh, K. (2023). Effect of breathwork on stress and mental health: A meta-analysis of randomised-controlled trials. Scientific Reports, 13, 432. doi: 10.1038/s41598-022-27247-y.
  • Goessl, V C, Curtiss, J E, Hofmann, S G. (2017). The effect of heart rate variability biofeedback training on stress and anxiety: A meta-analysis. Psychological Medicine, 47(15), 2578-2586. doi: 10.1017/S0033291717001003.
  • How Somatic Movement Restores the Autonomic Nervous System. (2026). WelleCo Science & Intuitive Health Insights. WelleCo Journal.
  • Lehrer, P M, Gevirtz, R. (2014). Heart rate variability biofeedback: How and why does it work? Frontiers in Psychology, 5, 756. doi: 10.3389/fpsyg.2014.00756.
  • Nervous System Regulation: A Definitive Guide to Autonomic States. (2026). Mind Health Australia Clinical Guides. Mind Health Australia.
  • Neuro-Informed Approaches and Vagus Nerve-Calming Interventions. (2026). Journal of Neurological and Psychological Wellness, 5-12. Sage Journals.
  • What Somatic Exercises Do to Your Nervous System: Clinical Evidence vs. Viral Trends. (2026). Superpower Health Intelligence Guides. Superpower Research.
  • WHO defines stress as a natural human response to difficult situations and notes that too much stress can affect both mental and physical health. Healthdirect Australia also describes stress as a normal physical response that becomes problematic when it is prolonged or overwhelming.
  • Zaccaro, A, Piarulli, A, Laurino, M, Garbella, E, Menicucci, D, Neri, B, Gemignani, A. (2018). How breath-control can change your life: A systematic review on psycho-physiological correlates of slow breathing. Frontiers in Human Neuroscience, 12, 353. doi: 10.3389/fnhum.2018.00353.
  • Zhang, W, Bi, S, Luo, L. (2025). The impact of long-term exercise intervention on heart rate variability indices: A systematic meta-analysis. Frontiers in Cardiovascular Medicine, 12, 1364905. doi: 10.3389/fcvm.2025.1364905.

Nightmares

Nightmares are a common part of the sleep experience. They can be distressing dreams that often provoke strong negative emotions such as fear, anxiety, or sadness.

They typically occur during the REM (rapid eye movement) stage of sleep, which is when most vivid dreaming happens.

If they become problematic or persistent, seeking guidance from a healthcare provider can help address any underlying issues and improve overall sleep quality.

Characteristics of nightmares

  • Disturbing content – nightmares often involve threatening or frightening scenarios, such as being chased, attacked, or experiencing disasters
  • Emotional impact – they often lead to feelings of terror, panic, or helplessness. Upon waking, individuals may feel distressed or have difficulty falling back asleep
  • Frequency – occasional nightmares are common and can affect anyone. Frequent nightmares or recurring themes might indicate underlying stress or mental health issues

Causes of nightmares

  • Stress and anxiety – high levels of stress or anxiety can contribute to the occurrence of nightmares
  • Trauma – experiences of trauma or post-traumatic stress disorder (PTSD) can lead to recurring nightmares related to the traumatic event
  • Sleep disorders – conditions such as sleep apnoea or narcolepsy can increase the likelihood of experiencing nightmares
  • Medications – certain medications or substances, including some antidepressants and medications affecting the central nervous system, can contribute to nightmares
  • Illness – fevers or other physical illnesses can sometimes lead to disturbing dreams or nightmares
  • Diet and lifestyle – eating large meals or consuming caffeine or alcohol close to bedtime may affect sleep quality and contribute to nightmares

Impact of nightmares

  • Sleep disruption – frequent nightmares can disrupt sleep patterns. This can lead to difficulties falling asleep or staying asleep and may cause daytime fatigue
  • Emotional and psychological effects – persistent nightmares can contribute to stress, anxiety and overall reduced quality of life

Management and treatment of nightmares

  • Stress management – techniques such as mindfulness, relaxation exercises and stress reduction strategies can help alleviate nightmares
  • Cognitive behavioural therapy for insomnia (CBT-I) – this form of therapy can be effective in addressing nightmares, particularly if they are related to stress or anxiety
  • Sleep hygiene – improving sleep habits, such as maintaining a consistent sleep schedule and creating a comfortable sleep environment, can help reduce the frequency of nightmares
  • Professional help – if nightmares are frequent, severe, or impacting daily life, consulting a healthcare provider or mental health professional. They can help to address potential underlying causes or to explore therapeutic options

References

  • Nightmares. Sleep Education, USA. Accessed 18 July 2024
  • Nightmares. Sleep Health Foundation, USA. Accessed 18 July 2024
  • Nightmares and the brain. Harvard Medical School, USA. Accessed 18 July 2024
  • Why we have nightmares (and how to prevent them). Sleep Foundation, USA. Accessed 18 July 2024

Last reviewed and updated: 18 July 2024

Separating from your partner

Separating from a partner can be a complex and emotional journey, but with careful planning, support, and self-care, you can navigate this transition and move toward a healthier and more fulfilling future.

Separating from an abusive or gaslighting relationship, can be challenging and emotionally taxing.

Here’s a comprehensive guide to help you navigate this process.

Assess your situation

  • Evaluate your safety – if you’re in an abusive relationship, prioritise your safety. Make a safety plan that includes emergency contacts, a safe place to go, and important documents
  • Clarify your reasons – write down your reasons for wanting to separate. This can help you stay focused and motivated during difficult moments

Seek support

  • Therapy and counselling – a mental health professional can help you process your emotions, navigate the separation, and rebuild your self-esteem
  • Support groups – join support groups for individuals who have experienced similar situations. Sharing experiences with others can provide emotional support and practical advice.
  • Trusted friends and family – confide in friends and family who can offer emotional support and practical help during this time

Plan the separation

  • Financial preparation – assess your financial situation and plan for any changes. This might involve budgeting, understanding your rights, and possibly seeking legal advice regarding financial settlements or spousal support
  • Legal advice – consult with a lawyer to understand your rights and obligations, especially if you have shared assets or children. This can help you prepare for legal aspects of the separation
  • Housing arrangements – decide where you will live after the separation. This might involve finding a new place or making arrangements to stay with friends or family

Communicate effectively

  • Choose the right time – pick a time to discuss the separation when you’re calm and not in the heat of an argument
  • Be clear and direct – communicate your decision clearly and calmly. Use “I” statements to express your feelings and reasons without placing blame
  • Prepare for reactions – be prepared for a range of emotional responses from your partner. They may try to persuade you to stay or react with anger or distress

Focus on self-care

  • Emotional healing – engage in activities that help you process your emotions, such as journalling, meditating, or talking with a therapist
  • Physical health – maintain a healthy lifestyle through exercise, balanced nutrition, and sufficient sleep to support your overall well-being
  • Personal interests – reconnect with hobbies and interests that bring you joy and fulfilment

Establish boundaries

  • Limit contact – after separation, set clear boundaries with your ex-partner. Decide on how much contact you will have and stick to it
  • Maintain boundaries – if your partner tries to cross boundaries or manipulate you, reinforce your limits firmly and consistently

Manage the practicalities

  • Change passwords – update passwords for personal accounts, especially if they were shared with your partner
  • Update documents – change your address and update any legal documents or identification if necessary
  • Inform relevant parties – notify any relevant institutions or services about your change in circumstances, such as banks, utilities, and employers

Rebuild your life

  • Set new goals – focus on personal growth and set new goals for your future. This can help you stay positive and forward-looking
  • Build a support network – strengthen connections with friends and family who can provide ongoing support and encouragement
  • Explore new opportunities – embrace new opportunities and experiences that align with your values and interests

Legal and custody matters (if applicable)

  • Custody arrangements – if you have children, work on creating a fair and clear custody arrangement that prioritises their well-being. Consult a family lawyer to help navigate this process
  • Legal protection – if necessary, seek legal protection from harassment or threats, such as restraining orders

Reflect and learn

  • Reflect on the relationship – take time to reflect on what you’ve learned from the relationship and how you can use this insight to build healthier relationships in the future
  • Seek personal growth – engage in activities or therapy that support personal growth and help you develop healthier relationship patterns

Last reviewed and updated: 17 July 2024

Life after divorce

Life after divorce can be a period of significant transition and adjustment. It’s a time to rebuild, rediscover yourself, and create a new path forward.

Life after divorce can be a challenging yet transformative period. It’s a multifaceted process, but with time, self-care, building new connections and setting personal goals, you can navigate this transition and build a new, fulfilling chapter in your life.

Here are some strategies and tips for navigating life after divorce.

Allow yourself to grieve

  • Acknowledge your emotions – it’s normal to experience a range of emotions after a divorce, including sadness, anger, relief, and confusion. Allow yourself to feel and process these emotions. Accept that you may experience a range of emotions, such as sadness, anger, relief, confusion, and even guilt. These feelings are normal and part of the grieving process
  • Avoid suppressing emotions – don’t try to push your feelings aside or pretend they don’t exist. Recognising and accepting your emotions is crucial for healing
  • Seek support – consider talking to a therapist or counsellor to help you navigate your emotions and deal with any residual pain or anxiety associated with the breakup of your marriage

Focus on self-care

  • Create stability – develop a daily routine to provide structure and a sense of normalcy. Routine can help manage stress and create a sense of stability during a period of change.
  • Develop coping strategies – create strategies for dealing with these triggers, such as reaching out to a support network or engaging in comforting activities.
  • Mental health – engage in activities that promote mental wellness, such as meditation, mindfulness, yoga or relaxation techniques
  • Physical activity and health – maintain a healthy lifestyle through regular exercise, a balanced diet, and adequate sleep. Taking care of your body can improve your mood and overall well-being
  • Recognise emotional triggers – be aware of situations or events that might trigger emotional responses related to your divorce, such as anniversaries or reminders
  • Self-Compassion – be kind to yourself and avoid self-criticism. Understand that healing takes time and it’s okay to move at your own pace

Rebuild your social network

  • Reconnect with friends – rebuild relationships with friends and family members who can provide support and companionship. Don’t be scared of connecting with friends you haven’t seen in a long time. Social connections are crucial for emotional support
  • Expand your circle – join clubs, groups, or activities that interest you. Meeting new people and forming new connections can help you create a fulfilling social life. Join community groups online, which do offline activities. Find activities that make you happy and spark your joy

Set new goals

  • Adjust goals as needed – life is unpredictable, so be prepared to adjust your goals if circumstances change. Flexibility can help you stay resilient and focused
  • Personal growth – reflect on what you want for yourself moving forward. Set new personal and professional goals that align with your values and interests
  • Career and education – consider pursuing further education, career development, or hobbies that you’re passionate about. This can help you focus on positive changes and personal growth

Manage finances

  • Create a budget – develop a new budget based on your current financial situation. Track your income and expenses to manage your finances effectively. Think about how you can better use your money to manage your life’s expenses
  • Financial planning – consult with a financial adviser to plan for long-term financial stability and address any changes resulting from the divorce, such as property division or alimony

Navigate family dynamics

  • Co-parenting – if you have children, work on establishing a healthy co-parenting relationship with your ex-partner. Focus on providing stability and support for your children so there is a seamless transition to their new lives
  • Family relationships – maintain open communication with family members and seek their support. Be mindful of any changes in family dynamics and address them as needed

Embrace new experiences

  • Travel and adventure – if possible, take the opportunity to travel or engage in new experiences. This can provide a fresh perspective and a sense of renewal
  • Create new traditions – establish new routines and traditions that reflect your current life and interests. Creating new rituals can help you build a sense of stability and joy

Seek professional help if needed

  • Therapy – continue therapy or counselling if you find it helpful. Professional support can assist in managing any lingering emotional challenges and in working through personal issues
  • Legal advice – if there are ongoing legal matters or concerns related to the divorce, seek legal advice to ensure that your rights and interests are protected

Cultivate positivity

  • Be kind to yourself – treat yourself with the same compassion and understanding you would offer a friend. Avoid self-criticism and be gentle with yourself as you navigate this difficult time
  • Celebrate achievements – recognise and celebrate your progress and achievements, no matter how small. This can boost your motivation and self-confidence
  • Practice gratitude – focus on positive aspects of your life and practice gratitude. Keeping a gratitude journal can help shift your mindset toward the positive
  • Recognise your strengths – acknowledge your resilience and the strengths you’ve demonstrated through this challenging period. Remember to tell yourself that you have survived and will eventually thrive
  • Stay optimistic – maintain an optimistic outlook on the future. Believe in your ability to create a fulfilling and happy life post-divorce

Last reviewed and updated: 17 July 2024

Ear wax

Ear wax, also known as cerumen, is a natural substance produced by glands in the ear canal. It serves several important functions.

Composition

  • Secretions – ear wax is a mixture of secretions from ceruminous glands (modified sweat glands) and sebaceous glands (oil-producing glands) in the ear canal
  • Dead skin cells – it also contains dead skin cells from the lining of the ear canal
  • Debris -ear wax can trap dust, small particles, and microorganisms

Functions

  • Protective barrier – ear wax helps protect the ear canal by trapping dust, debris, and microorganisms, preventing them from reaching the eardrum
  • Moisturising – it helps keep the ear canal moisturised, preventing dryness and itching
  • Cleaning mechanism – ear wax has a natural self-cleaning mechanism. As it accumulates, it gradually moves out of the ear canal due to the movement of the jaw (e.g., while talking or chewing)

Types

  • Dry cerumen – more common in people of Asian and Native American descent, it is usually light in colour and flaky
  • Wet cerumen – more common in people of European and African descent, it is typically sticky and moist

Problems and management

  • Impacted – sometimes, ear wax can build up and become impacted, causing symptoms like hearing loss, earache, dizziness, or itching
  • Excessive production – some people produce more ear wax than others, which can lead to buildup and potential blockage
  • Removal – if ear wax becomes impacted or causes symptoms, it can be removed by a healthcare professional using methods such as irrigation, manual extraction, or ear drops designed to soften the wax. It is generally advised not to use cotton swabs or other objects to clean the ears, as these can push the wax further into the ear canal or cause injury

If you’re experiencing symptoms related to ear wax buildup or have concerns about your ear health, it’s best to consult a healthcare professional for appropriate advice and treatment.

References

  • Ear wax. MedlinePlus Medical Encyclopedia, USA. Accessed 17 July 2024
  • Ear wax information. Mount Sinai – New York, USA. Accessed 17 July 2024
  • Got an earful? Here’s some advice for ear wax removal. Harvard Health, USA. Accessed 17 July 2024
  • Understanding the basics of ear wax. Ear Science Institute Australia. Accessed 17 July 2024

Last reviewed and updated: 17 July 2024

Fostering better relationships

Building and maintaining strong relationships with different people involves a mix of communication skills, empathy, and effort.

Here are some tips to help you foster better relationships:

  • Listen actively – pay close attention when others are speaking. Show interest by asking questions and providing feedback. This shows that you value their perspective and helps you understand them better
  • Communicate openly and honestly – share your thoughts and feelings clearly and respectfully. Honesty builds trust, but it’s important to balance honesty with tact to avoid unnecessary conflicts
  • Show empathy – try to understand things from the other person’s perspective. This can help you respond to their needs and feelings more effectively and strengthen your connection
  • Be reliable – follow through on promises and be dependable. Reliability builds trust and shows that you respect and value the other person
  • Spend quality time together – make an effort to spend time with the people who matter to you. Shared experiences can deepen your bond and create positive memories
  • Be supportive – offer encouragement and be there for people in times of need. Showing support can strengthen your relationship and build mutual respect
  • Respect boundaries – understand and respect the personal space and boundaries of others. This shows that you value their comfort and autonomy
  • Show appreciation – express gratitude for the things people do for you. A simple thank you or a gesture of appreciation can go a long way
  • Be open to feedback – be willing to listen to and consider feedback from others. It can help you grow and improve your relationships
  • Handle conflicts constructively – address conflicts calmly and respectfully. Focus on finding solutions rather than assigning blame
  • Be authentic – be yourself and let others see the real you. Authenticity fosters deeper and more genuine connections
  • Celebrate achievements – acknowledge and celebrate the successes and milestones of the people in your life. Sharing in their joy can strengthen your bond

Building strong relationships takes time and effort, but by consistently applying these principles, you can create meaningful and lasting connections with those around you.

Last reviewed and updated: 16 July 2024