Burnout: Reclaiming Balance

burnout written with flames burning a whole through the wordsToday we live in a fast-paced world with tight deadlines and multiple responsibilities creating a sense of overwhelming stress. We work hard and drive for success. We continue to push ourselves faster to the point of exhaustion. However, there’s a tipping point where exhaustion turns to burnout. Psychology Today defines burnout as “a state of emotional, mental, and often physical exhaustion brought on by prolonged or repeated stress.”

Burnout happens slowly overtime, often unnoticed. We start to push ourselves to get extra stuff done, gradually increasing the pressure on our accelerator. We pick up extra responsibilities at work due to cuts, there’s software changes we need to learn, a family member needs help getting to doctor appointments, driving kids to extracurriculars, home repairs, and the list continues. The next thing we know, we’ve got the accelerator pushed all the way down going 100 miles an hour. The tipping point happens when we can no longer sustain the high speed with high performance.

Understanding Burnout

We need to recognize the early signs. It’s important to pause and take inventory of all the items you’re taking care of. Be honest with yourself as you examine your response to things throughout the day. Common early warning signs include:

  • Chronic fatigue- exhaustion lingers
  • Increased irritability- small disruptions lead to major frustrations
  • Lack of motivation- tasks feel draining and pointless
  • Physical symptoms- headaches, trouble eating or sleeping, digestive issues
  • Isolation- withdraw from social obligations

Practical Strategies

Create a sustainable balance. Actionable strategies include:

  1. Prioritize self-care
  2. Set boundaries
  3. Take breaks
  4. Ask for help
  5. Reevaluate expectations

Burnout is a sign that something needs adjusted. To ease up on the accelerator, we need to work smarter and more intentionally to restore the balance. Take a deep breath, reassess, and find ways to regain control of your energy and incorporate joy into your day.

 

Written by: Amanda Bohlen, Family and Consumer Sciences, Washington County, Ohio State University Extension, Bohlen.19@osu.edu

Reviewed by: Megan Taylor, Family and Consumer Sciences/4-H Youth Development, Union County, Ohio State University Extension, taylor.4411@osu.edu

Photo Credits:

Pixabay

Thrive through change

Leaves color progression from spring to autumn

April is National Stress Awareness Month and, as the seasons change, we often realize how change is an inevitable part of life. Change can be stressful and coping with that stress is necessary for our physical, mental, and emotional health.

Stress is our body’s response to new or challenging situations. Stress can be positive or negative and our body usually can handle it in small doses. However, when stress becomes chronic or long-term, it can affect multiple systems in our body leading to other conditions like heart disease and depression. Therefore, it is important that we do what we can to cope and deal positively with stress.  When dealing with stress, it is important to take care of our physical health. Getting quality sleep, exercise, eating a balanced diet, and avoiding smoking and substance abuse are important for helping us cope with stress and change. We also should pay attention to our mental and emotional health when we are stressed. Find time to relax and do activities you enjoy or that help you to focus on the positive aspects of your life. Be social and find ways to connect with family, friends, your community or faith groups, or a furry friend who you can lean on for support.

When we process change, it is important to:

  • Accept the change and focus on what we can control. In Brian Kight’s “E+R=O Mindset”, the Event plus our Reaction equals the Outcome. Eventually we must accept the event or change, but we can control our reaction to it and influence the overall outcome.
  • Journaling or at least writing our feelings and thoughts down can help us release it. Getting the thoughts and feelings out can help us process the change and direct our reactions to it.
  • Continue self-care and routines. Often when stressed and overwhelmed, it can be easy to neglect our self-care and routines. However, these can provide us with the opportunity to experience small “wins” and feel in control when dealing with changes in our life.
  • Focus on the good. This may take unplugging from the news or social media from time to time. Find ways to focus more on the positive aspects of life by practicing gratitude, enjoying your favorite activities, or by considering the challenges you are facing as opportunities for growth.
  • Make plans even if you’re not a planner. You don’t have to stick to your plans perfectly, but planning can help create those small “wins” and give you another opportunity to experience control.
  • Remind yourself that you are strong. Since change is inevitable, we have faced it before. Remind yourself that you have gotten through other challenges in the past and that you are capable and strong.

Change can feel overwhelming, but we can reduce the stress and even find the beauty of something new. Remember, April’s showers bring May’s flowers. If you are struggling or experiencing chronic stress, anxiety, or depression, reach out to a mental health professional for additional help and support.

Written by: Aaron Fowler, Extension Educator, Family and Consumer Sciences, Ohio State University, Greene County, fowler.440@osu.edu.

Reviewed by: Jessica Lowe, Extension Educator, Family and Consumer Sciences, Ohio State University Extension, Pickaway County, lowe.495@osu.edu.

Don’t let daylight savings get you down

Daylight Saving Time (DST) begins on Sunday, March 9, 2025, at 2 a.m., when clocks advance by one hour to maximize evening daylight. This shift can disrupt our internal clocks, leading to sleep disturbances and potential health impacts. To ease the transition, consider the following strategies:

  1. Gradually Adjust Your Sleep Schedule

In the days leading up to the time change, aim to go to bed and wake up 15–20 minutes earlier each day. This gradual shift helps your body adapt to the new schedule with minimal disruption.

sleepfoundation.org

  1. Seek Morning Sunlight Exposure

Morning light exposure aids in resetting your internal clock. On the day after the time change, spend time outdoors in natural sunlight shortly after waking. If outdoor access is limited, consider using a light therapy box.

almanac.com

  1. Maintain Consistent Bedtime Routines

Engage in relaxing activities before bedtime to signal your body that it’s time to wind down. This could include reading a book, taking a warm bath, or practicing meditation. Consistency in your pre-sleep routine reinforces healthy sleep patterns.

colorado.edu

  1. Limit Exposure to Evening Light

Reducing exposure to bright and blue light in the evening can help signal to your body that it’s time to wind down. Consider dimming lights and avoiding screens at least an hour before bedtime.

sleepfoundation.org

  1. Be Mindful of Napping

If you feel sleepy after the time change, a short nap (no more than 20 minutes) can be beneficial. However, avoid napping too close to bedtime, as it may interfere with your ability to fall asleep at night.

webmd.com

  1. Practice Good Sleep Hygiene

Maintain a comfortable sleep environment by keeping your bedroom cool, quiet, and dark. Avoid caffeine and heavy meals close to bedtime and engage in regular physical activity during the day to promote better sleep quality.

sleepfoundation.org

Implementing these tips can help mitigate the effects of the time change, promoting a smoother transition into Daylight Saving Time and supporting your overall health and well-being.

How to Prepare for the Start and end of Daylight Saving Time https://www.sleepfoundation.org/circadian-rhythm/how-to-prepare-for-daylight-saving-time

5 tips to help your body adjust to the time change

https://www.almanac.com/5-tips-help-your-body-adjust-time-change

 6 tips to help you fall back into standard time  https://www.colorado.edu/health/blog/daylight-saving-tips

Daylight Savings: Health Effects and Tips

https://www.webmd.com/sleep-disorders/spring-forward-with-sleep-tips

 Daylight Saving Time: Sleep Health & Tips https://extension.usu.edu/mentalhealth/articles/daylight-saving-time-sleep-health-and-tips.pdf

Feelings of Heaviness?

word job on someone's back

In the poem, “For One Who is Exhausted, a Bleassing” the Irish poet John O’Donohue writes:

Weariness invades your spirit.

Gravity begins falling inside you,

Dragging down every bone.

Can you resonate with those words? Do you find yourself having strong stressors and emotions when you listen to the news or read the newspaper? You may find yourself experiencing personal challenges, financial stress, high-pressure jobs, parenting, caregiving, or dealing with a chronic illness. I find myself wondering what’s next or what else am I going to be expected to handle. If you too find yourself with a sense of struggle, being irritable, difficulty concentrating or lacking motivation. Those are sign’s you may be emotionally exhausted.

Emotional exhaustion tends to happen slowly over time and people can find themselves feeling worn out and drained. According to the Mayo Clinic, emotional exhaustion includes emotional, physical and performance symptoms.

person sitting down with head between their knees

Emotional symptoms can include:

  • Anxiety
  • Depression
  • Feeling hopeless
  • Irritability
  • Lack of Focus
  • Lack of Motivation
  • Negative Thinking
  • Sense of Being Trapped
  • Tearfulness

Physical symptoms can include:

  • Fatigue
  • Headaches
  • Lack of Appetite
  • Muscle Tension
  • Poor Sleep
  • Upset Stomach

Performance symptoms can include:

  • Difficulty Completing Tasks
  • Increased Absences
  • Isolation
  • Lowering Commitments
  • Not Meeting Deadlines
stones on the beach at the ocean

The middle of the poem goes on to talk about getting out of the heaviness and shifting your focus.

Draw alongside the silence of stone

Until its calmness can claim you.

Be excessively gentle with yourself.

Strategies to reduce emotional exhaustion can include:

  • Balancing Your Thoughts
  • Eating A Balanced Diet
  • Exercising
  • Minimizing Stressors
  • Practicing Mindfulness
  • Sleep

Heaviness can lift. That temporary state can be overcome and when it does, you will feel light again.

Gradually, you will return to yourself,

Having learned a new respect for your heart

And the joy that dwells far within slow time.

You are stronger than you realize—every challenge you’ve faced has built a resilience within you that can carry you through this too. You will rise stronger than before.

Written by: Amanda Bohlen, Family and Consumer Sciences Educator, OSU Extension Washington County

Reviewed by: Megan Taylor, Family and Consumer Sciences/4-H Educator, OSU Extension Union County

Protecting Your Peace this Holiday Season

 

Family of all ages at dinner table laughing.

The holidays are often considered a time of joy, gatherings with friends and family, and festive cheer. However, the pressures of gift-giving, social events, and expectations can sometimes take a toll on your mental health and steal the joy of the holiday season. According to the American Psychiatric Association, almost 9 in 10 adults report concerns about stress during the holiday season.

If you’re experiencing increased stress or struggling with your mental health during the holidays, know that you are not alone. It is common to feel a mix of emotions during this time. Here are some tips to help you protect your peace this holiday season.

  1. Set realistic expectations and embrace imperfection – Holidays often highlight the gap between expectations and reality. Whether it’s the pressure to plan a holiday party, a forgotten gift, or trying to meet everyone’s needs, remind yourself that no celebration is truly perfect. Focus on connection and enjoyment and creating meaningful moments over perfect events.
  2. Family time that works – Families can be both a source of joy and stress during the holidays. As you prepare to spend extended time with your immediate and extended family, prioritize your mental health. Give yourself permission to miss some events and not engage in every conversation. When possible, limit your time or take a break from the gathering by going for a walk, calling someone you enjoy talking to, or spending time alone.
  3. Practice self-care – it can be easy to get caught up in the hustle and bustle of the season and forget to look after yourself. Take time for your favorite activities, maintain your routine, get enough sleep, and say “no” to extra commitments. Scheduling time each day to read, meditate, or go for a walk improves your sense of well-being and reduces stress.
  4. Ask for help – if you know that this time of year can be difficult, make a plan to protect your peace. Lean on your safe friends and family and talk to your primary care provider or mental health provider. If you are having mental health crises, call or text 988 – Suicide and Crisis Lifeline.

Your mental health and peace are just as important as your physical health. Take time to find your peace amid the hustle and bustle in order to enjoy a balanced and fulfilling holiday season.

Written by: Laura Halladay, Family and Consumer Sciences Program Specialist, Ohio State University Extension

Reviewed by: Kate Shumaker, Family and Consumer Sciences Educator, Ohio State University Extension, Holmes County

Are You Getting the Right Dosage of Vitamin N(Nature)?

Stream flowing below a forest of pine trees and a blue sky

One of the most overlooked and easy-to-access health remedies is getting outdoors, or as I like to say, taking your Vitamin N(Nature). There are numerous scientific studies, some old and some new, that demonstrate the benefits of spending time out in nature. For a quick summary, you can skim the American Psychological Association’s review of research that documents how nature improves our mental and cognitive health.

Once you become aware of the health benefits of spending time outdoors, people often ask, how much Vitamin N do I need? One study that documented the benefits of time spent in nature showed a reduction in stress by spending as little as 20 minutes outdoors. The participants were asked to stay off their phones and computers while they were outside, in addition, they were also told not to exercise.

The participants swabbed their saliva before and after spending time outdoors to measure the amount of cortisol, or stress hormone, they had in their saliva. The results were fascinating. Being outside was linked to a 21% reduction in cortisol for every hour the participants spent outdoors.

So back to the question: How much time does someone need to spend in nature to get the maximum benefit? I like to refer people to the Nature Pyramid, which was created to incorporate the research about time in nature with the U.S. Department of Health and Human Services recommendations for physical activity.

The SHIFT Rx Challenge Nature Pyramid

The pyramid provides a reminder that we should seek a daily dose of nature that can be nearby, like our backyard or a neighborhood park. It goes on to explain that weekly, we should seek out bigger and wilder parks or outdoor locations that are farther removed from noise and traffic.

On a monthly basis, we should seek out even more “restful” natural areas, like state and national parks where there is little human intrusion. The final recommendation is an annual or bi-annual pilgrimage to the wilderness that lasts several days.

I was fortunate to attend a professional conference in Estes Park, CO earlier this month. The location allowed me to spend several days near and in the Rocky Mountain National Park. I can attest to the positive effect such beautiful and natural surroundings had on my heart, soul, and mind. The feelings I experienced from my nature time in CO reminded me of the Henry David Thoreau quote: I took a walk in the woods and came out taller than the trees.

Looking for more resources about nature? Visit go.osu.edu/nature-matters for educational resources, book lists, and more information to get started or keep you going on your nature journey!

Written by: Laura M. Stanton, Family and Consumer Sciences Educator, Ohio State University Extension, Warren County. Email: stanton.60.osu.edu     

Reviewed by: Shari Gallup, Assistant Professor and Family and Consumer Sciences Educator, Ohio State University Extension, Licking County. Email: gallup.1@osu.edu

Sources:

American Psychological Association. (2020, April 1). Nurtured by nature. Monitor on Psychology, 51(3). https://www.apa.org/monitor/2020/04/nurtured-nature

Hunter, M.R., Gillespie, B. W., and Chen, S. Y-P. (2019). Urban nature experiences reduce stress in the context of daily life based on salivary biomarkers. Frontiers in Psychology, 10. Article 722. https://doi.org/10.3389/fpsyg.2019.00722

Piercy K. L., Troiano R. P., Ballard R. M., Carlson S. A., Fulton J. E., Galuska D. A., George S. M., and Olson R.D. (2018, November 20). The physical activity guidelines for Americans. Journal of the American Medical Association. 320(19):2020-2028. doi: 10.1001/jama.2018.14854. PMID: 30418471; PMCID: PMC9582631

Shaping How we Invest For Tomorrow (2018). The SHIFT Rx Challenge: Take Your Doctor’s Health Recommendations Outside. https://shiftjh.org/the-shift-rx-challenge-take-your-doctors-health-recommendations-outside

Stanton, L. M. (n.d.). Nature Matters. Ohio State University Extension, Warren County. go.osu.edu/nature-matters

Photo Credit: Colorado by Laura M. Stanton (June 2023).

Stress Awareness- The Basics

letter blocks that spell the word stress

For the past 31 years, the month of April has been recognized and promoted as Stress Awareness Month. Health professionals had noticed that there is a correlation between stress and the wellbeing of the body, mind, and on our behaviors. Stress can affect the body negatively with symptoms such as headaches, upset stomach, anxiety, constant worrying, substance abuse and having angry outbursts.

Stress can be positive or negative. Positive (eustress) stress happens when you are trying to meet a deadline or preparing to take a test, it can improve your focus and motivation. Examples of positive stress could also be getting married or having your first child. Negative (distress) stress happens when certain situations overwhelm our ability to cope. Negative stress can result from financial worries, illness, or having high expectations in the workplace. The problem with stress is when the small, manageable amounts start to build up on each other to create big problems, which can affect your health. A few different techniques that may help with decreasing stress levels are:

a green cup filled with coffee and words  for journaling and a pen
  • Journaling– Track your stress and how you reacted and coped with it.
  • Healthy lifestyle- Eating healthy while also getting in regular amounts of sleep and exercise.
  • Relaxation techniques- Practice methods such as meditation, deep breathing, yoga, or getting a massage.
  • Setting time aside- Finding the time within your day to “simplify” and enjoy the little things.
  • Healthy relationships– Continue to build and strengthen interpersonal connections that will have a positive impact in your life.

Don’t let stress continue to negatively impact your body, mind, or behaviors. Start using stress relief techniques to help manage the stress in your life.

References

Healthy Lifestyle: Stress Management. Mayo Clinic, Published 3/24/2021. Accessed 3/4/2023. Stress symptoms: Effects on your body and behavior – Mayo Clinic

What is stress? My Brain Co. Published 11/21/2019. Accessed 3/5/2023. What Is Stress? Positive vs. Negative | Fight or Flight | Resilience (mybrainco.com)

Ohio State University Extension (2015) Have you tried “Journaling” your Stressors?? at Have you tried “Journaling” your Stressors?? | Live Healthy Live Well (livehealthyosu.com)

Ohio State University Extension (2012) S.I.M.P.L.I.F.Y- In Recognition of Stress Awareness at S.I.M.P.L.I.F.Y. – In Recognition of Stress Awareness | Live Healthy Live Well (livehealthyosu.com)

Bilodeau, K. Fostering Healthy Relationships. Harvard Health Publishing. Published 7/1/2021. Accessed 3/6/2023. Fostering healthy relationships – Harvard Health

Written by : Amy Cleland, BGSU Dietetic Intern working with Wood County Extension and Susan Zies, Extension Educator, FCS, Wood County

Reviewed by: Casey Bishop, MACP, Paulding County Extension Educator, FCS

The Best Gift to Give Yourself This Holiday Season

The holiday season is a magical time of year, yet for many, the holidays bring stress, anxiety, conflict and even heartache.   Often stress starts at Thanksgiving and runs through the New Year.    Holiday triggers, can create internal and external forces influencing our mind and body, creating stress and anxiety during the holiday season.    Give yourself the gift of a stress-free holiday by being aware of common holiday triggers and learning ways to cope with holiday stress.

 Be aware of these common holiday triggers:

  • Increased expectations:  Choosing which family member’s gatherings to attend after years of unresolved conflict and finding ways to dodge the uncomfortable conversations at the holiday table is stressful.  We often feel pressured to meet the expectations of others.
  • Financial strain:  Wanting to create the perfect holiday experience comes with a price tag that affects our finances often into the New Year.
  • Time management concerns:  Balancing work, family, friends, and additional commitments is more challenging than ever this time of year!
  • Eating concerns:  For those with any kind of negative relationship with food the holiday focus on food is triggering. The food pushers who do not take no for an answer when offering food is overwhelming.  Eat mindfully, have a game plan and if necessary, remind your family that your eating habits are not up for discussion.

Ways to Cope with Holiday Stress:

  • Connect with those you trust and are comfortable with.  A support system is always important, especially this time of year.
  • Practice empathy and compassion for yourself and others. Give yourself grace when you need it, remember everyone has their own struggles.
  • Try not to set unrealistic expectations of yourself.  Establish boundaries and do not be afraid to say no.  Create a holiday spending plan.
  • Set a schedule for shopping, cooking and holiday activities.  Make a to-do list helps visualize and manage your time.
  • Continue healthy habits.  It is alright to indulge in some of the holiday treats,  remember to keep your physical health a priority.
  • Adopt one or two mindful exercise that work for you (deep breathing, visualization, stretching).

Be kind to yourself this holiday.  Practice self-compassion.  Spend time with your favorite people, books, hobbies, movies and say “no” to anything that does not make you happier.    Have a wonderful stress-free holiday!

Written by: Beth Stefura, Family and Consumer Sciences Educator, Ohio State University Extension, Mahoning County, stefura.2@osu.edu

Reviewed by: Shari Gallup, Assistant Professor, Ohio State University Extension, Licking County, gallup.1@osu.edu

References:

Holiday Depression Triggers What Causes Holiday Blues? (webmd.com)

10 Common Holiday Stresses and How to Cope With Them | Psychology Today

The Health Benefits of Keeping an Aquarium

Do you ever wonder why many doctors and dentists’ offices have an aquarium in their waiting areas? No, it’s not because doctors and dentists all happen to be hobbyists; it’s because there’s some evidence that aquariums have a calming effect and improve moods. Calm patients make easier patients, especially for a dentist! Aquariums have many potential health benefits including:

  • Improves mood
  • Reduces pain
  • Improves nutritional intake and body weight
  • Improves loneliness
  • Improves anxiety, relaxation and stress

One study found that increasing the amount and variety of fish in an aquarium was associated with greater reductions in heart rate, greater increases in self-reported mood, and higher interest. 

Aquariums can be expensive though depending on the type. They range from the inexpensive such as a simple bowl with goldfish to the most expensive option of a large saltwater aquarium with beautiful tropical fish, coral, and other sea creatures. There is also a brackish aquarium which contain fish and animals found in coastal rivers where there is mix of fresh and saltwater. Many pet stores can help you decide which might be the best option for you.

Depending on what you decide you will most likely need (besides the aquarium), lighting, a pump, a filter, a heating device (if tropical), rocks, gravel, and some cleaning equipment. If you go with saltwater, you will need a salt, a hydrometer, and possibly chemical testing equipment. Saltwater and brackish fish and sea creatures are also the most expensive and least hardy, but they are also colorful and interesting.

In any event, do some research if you think it might help you or your family become healthier!

Author: Dan Remley, MSPH, PhD. Associate Professor, Field Specialist, Food, Nutrition, and Wellness, Ohio State University Extension

Reviewed by: Susan Zies, Assistant Professor, Extension Educator, Family and Consumer Sciences, Ohio State University Extension, Wood County

Sources

Cracknell, D., White, M. P., Pahl, S., Nichols, W. J., & Depledge, M. H. (2016). Marine Biota and Psychological Well-Being: A Preliminary Examination of Dose–Response Effects in an Aquarium Setting. Environment and Behavior, 48(10), 1242–1269. https://doi.org/10.1177/0013916515597512

Clements H, Valentin S, Jenkins N, Rankin J, Baker JS, Gee N, Snellgrove D, Sloman K. The effects of interacting with fish in aquariums on human health and well-being: A systematic review. PLoS One. 2019 Jul 29;14(7):e0220524. doi: 10.1371/journal.pone.0220524. PMID: 31356652; PMCID: PMC6663029.

The Sunday Scaries

When asked in a recent poll, 58% of Americans said that Monday was their least favorite day of the week. For many people, Monday marks the start of a new work week and the tasks and responsibilities that come along with it. Individuals may start to feel some anticipatory anxiety thinking about what Monday will bring, sometimes referred to as the “Sunday Scaries” – a sense of anxiety or dread that comes around each Sunday (or the last day of your weekend). Generally, Sunday Scaries begin in the late afternoon or evening hours, when your mind starts to think of the week ahead.

If you experience these feelings, you are not alone. The shift from “weekend mode” to “work mode” each week is a transition many others struggle with as well. Sunday Scaries may be expressed in different ways, such as: a racing heartbeat, upset stomach, headache, or trouble sleeping.

Woman with a pen at her desk.

There are strategies to try to combat the Scaries:

  • Stay in the Moment – Try to keep your mind on the present and not on tomorrow’s to-do list. Plan fun activities for the day or spend some time with family and friends.
  • Sunday Self-Care Routines – Keep time open for rest and relaxation! Complete household chores and tasks on Saturday, so that Sunday can be left for hobbies and activities that you enjoy. This can help you feel more refreshed for the week ahead.
  • Treat Yourself – Give yourself something to look forward to on Monday. Maybe it’s your favorite food for lunch or plans to meet with friends after work that will make Monday not seem so bad.
  • Exercise – Schedule in some time for movement. Exercise can relieve some of the stress you may be feeling about your week. If you are able, go outside to get in some green exercise.
  • Listen to Your Mind – Is there something in particular about work that you are dreading? Perhaps it is a specific task or co-worker that is causing your worries. By figuring out what exactly you are dreading, you can take steps to make changes in your schedule.

If your life and routines are being greatly impacted by the Sunday Scaries – perhaps you are unable to sleep at all on Sunday nights, your eating habits change drastically, or you feel so anxious that you regularly call off work on Mondays, a mental health professional may be able to help you through different treatment options.

Sources:

Ballard, J. (2021). What is America’s most and least favorite day of the week? YouGov America.  https://today.yougov.com/topics/lifestyle/articles-reports/2021/03/15/most-and-least-favorite-day-week-poll

Cleveland Clinic (2021). What are the ‘Sunday Scaries’?  https://health.clevelandclinic.org/sunday-scaries/

Schramm, S. (2022). Ways to Beat the ‘Sunday Scaries’. Duke Today.  https://today.duke.edu/2022/04/ways-beat-%E2%80%98sunday-scaries%E2%80%99

Treber, M (2019). Thanks, Doc, for the Nature Prescription. Live Healthy Live Well.  https://livehealthyosu.com/2019/08/29/thanks-doc-for-the-nature-prescription/

Written by:  Jessica Lowe, Family and Consumer Sciences Educator, Ohio State University, Pickaway County, lowe.495@osu.edu

Reviewed by: Dan Remley, Field Specialist, Food, Nutrition and Wellness, OSU Extension