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sleeping too little or too much
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withdrawing or isolating themselves
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showing rage or talking about seeking revenge
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25
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• extreme mood swings
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Additional Resources
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Because entering college is such a big transition, it is important to know what health services are available on
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your campus. Some help may be beyond the scope of a college counseling program, and if this is the case,
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your college health center can refer you to off-campus resources to support you.
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Regardless of where you attend college, OK2TALK and NAMI offer online, text, and phone support.
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• OK2TALK (https://ok2talk.org) is a community for young adults struggling with mental health problems. It
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offers a safe place to talk.
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• Call the NAMI helpline at 800-950-6264, or txt NAMI to 741741.
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11.5 Maintaining Healthy Relationships
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Estimated completion time: 18 minutes.
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Questions to consider:
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• How does self-care benefit relationships?
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• Why is community so important to healthy relationships?
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• What is sexual health?
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Relationships are key to happy and healthy lives. According to Dr. Robert Waldinger, director of the Harvard
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Study of Adult Development, people with the best health outcomes were people who “leaned into
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relationships, with family, with friends, with community.”
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25 https://suicidepreventionlifeline.org/how-we-can-all-prevent-suicide/; https://www.nimh.nih.gov/health/publications/suicide-faq/
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index.shtml
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Access for free at openstax.org
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11.5 • Maintaining Healthy Relationships
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Figure 11.11 Healthy relationships involve trust, respect, and support. (Credit: Garry Knight / Flickr / Attribution 2.0 Generic (CC-BY
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2.0))
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The quality of our relationships is important, however. What makes a relationship healthy? Relationships come
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in many forms: lovers, family, friends, coworkers, team members, and neighbors. Think of a relationship where
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you have mutual respect and trust, supporting each other in tough times, celebrating the good times, and
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communicating with ease and honesty. This is a healthy relationship. Do you have someone in mind? On the
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other hand, if communication is often tense or strained, confidences are broken, or you don’t feel listened to,
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appreciated, or valued, these are signs of an unhealthy relationship. Unhealthy relationships can have both
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immediate and longer-term health impacts. If you are unhappy in a relationship, try to improve the
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relationship, or end it. Do not stay in a relationship for the wrong reasons, such as fear of being alone or guilt.
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If a partner tries to force you to do something sexually, harms you physically, or is verbally abusive, you are in
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an unhealthy relationship. Even if you believe the person loves you, it does not make up for the harm they are
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doing to you. End the relationship.
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Take a moment to assess the health of your relationships. Who are the people who make you smile, who boost
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your confidence, who truly listen when you need to talk, and who want only the best for you? Investing in
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these relationships is likely to make you happier and healthier. Relationships are two-way streets. How
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committed are you to your relationships? How much effort do you put into nurturing your relationships?
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Self-Care
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Healthy relationships start with healthy individuals. Self-care is learning to take good care of yourself and to
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prioritize your own needs. Self-care involves any activity that nurtures and refuels you, such as taking a walk in
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the woods, going to a yoga class, attending a sporting event, reading a good book, or spending time with
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friends. When you are feeling calm and nourished, you are going to look forward to your day, and despite how
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busy it is, you will prioritize time with friends and family. If you don’t take care of and learn to love yourself,
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you will never be able to bring your best self to any relationship.
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An important dynamic you bring to any relationship is how you feel about yourself. Self-esteem is about loving
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yourself and being happy for who you are. Building healthy self-esteem impacts how you see yourself, which
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can drastically improve your relationships. While low self-esteem won’t keep us from romantic love, it can act
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as a barrier to a healthy relationship. If you do not believe you are good enough, how can you expect your
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partner to think so?
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When you feel secure in yourself, this allows you and your partner to feel more secure about the relationship.
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If you have insecurities, it may show in your relationship as jealousy, defensiveness, or tension that leads to
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unnecessary arguments. Healthy self-esteem goes hand in hand with self-confidence, and feeling confident
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about yourself will translate into a stronger and more satisfying relationship. If you are experiencing low selfesteem, you may give your partner too much credit or stay in a relationship that is not healthy for you. If you
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11 • Engaging in a Healthy Lifestyle
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find yourself changing your personality for someone else, that is never a sign of a healthy relationship.
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You can reverse negative self-talk and build your self-esteem. If you catch yourself thinking you are unlovable,
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unattractive, or not good enough, it’s important to start talking to yourself in a positive way and to celebrate
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all that is uniquely you.
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Self-care includes self-forgiveness. We all make mistakes. A misstep isn’t the end of the world. Pick yourself up,
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put things in perspective, acknowledge any lessons to be learned, focus on all that makes you special, and
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move forward. Be kind to yourself.
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The Importance of Community
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The Nicoya Peninsula in Costa Rica is home to some of the highest number of centenarians (people who are
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100 years old or older) in the world. Costa Ricans in general report a high level of life satisfaction. Dan
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Buettner, author of the Blue Zones study of the longest living populations in the world, explains that Costa Rica
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“is a place where religion, family, and social interaction are the main values, unlike trying to get ahead, or
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financial security, or status. Their cities are set up so they’re bumping into each other all day long. They walk to
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26
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the markets, where they have conversations with people.”
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In many families in Costa Rica, multiple generations live together under the same roof or nearby where they
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can be involved in each other’s lives. Neighbors are like extended family, and people often stop in for a visit
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and go out of their way to help one another.
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While this isn’t the way many of us live in the United States, the lessons from the Blue Zone study underscore
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the importance of community and the health benefits of connecting to and staying close to a community.
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What communities do you belong to? Is your dorm a community? A sports team? A club or people you
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volunteer with? When you start seeing the social circles you connect to as communities and prioritize your
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time to develop more closeness with those communities, you will experience many physical, mental, and
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emotional health benefits.
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