Anger. Sadness. Anxiety. Fear.

The Inside Out movies may be onto something.

They’re examples of “big emotions,” says Rachel Yuhas, LCPC, a psychotherapist at OSF HealthCare. Yuhas says it’s OK to feel these emotions, but you should know how to react to them. When you’re angry, for example, swinging your fists at others is a bad idea.

“A big thing is taking accountability first,” Yuhas says of managing these emotions. “Often when you have a big emotion, it can impact people around you.”

Yuhas also preaches techniques to ground yourself like deep breathing, taking time out from stressful situations, meditation, journaling and practicing mindfulness.

“With children, having them interact in a group might be really effective because they can learn from their peers. They can learn how to have those relationships. They even learn how other kids might be having these emotions,” Yuhas says. “I might also incorporate play therapy with kids because it’s more their style. They might receive that better.”

For adults, Yuhas often uses dialectical behavior therapy (DBT). She says it’s a type of therapy where the person learns skills to use in the outside world.

“We talk about mindfulness skills; meditation and interpersonal effectiveness, which is how to communicate with people in an effective way when you’re experiencing big emotions,” Yuhas explains. “We talk about stress. Say you’re at a nine on the stress scale and you need to come down to a seven. There are also emotional regulation skills we talk about.”

Details to know about some of these tactics:

• Mindfulness: As the name suggests, try to keep your mind full. Use your senses to notice things that you wouldn’t otherwise, such as a painting on the wall or the scent of a food truck.
  
  “We want to come back to the here and now instead of ruminating on the emotional turmoil we’re experiencing,” Yuhas says.
   
• Communication: Yuhas will coach people through tough conversations. For example: You’re mad at your partner. Instead of throwing an object against the wall, think about how you’re really feeling and what triggered the anger. Find a way to communicate that without a “catastrophic reaction,” Yuhas says.
   
• Distress tolerance: Yuhas says it starts when knowing that you’re highly stressed – in the “red zone” or toward the top of the one to 10 stress scale. Step away from the situation and find an outlet that helps you calm down, like going for a run.
  
  “Run off some of the steam,” she says.

Read more about mental health resources on the OSF HealthCare website.

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Four of the new emotions in the upcoming Disney/Pixar movie Inside Out 2 – the latest peek inside the mind of now-teenage girl Riley – are sure to ring a bell.

But what’s ennui?

A quick Google search will tell you it’s just another word for boredom. But there’s more to it than that, says Kyle Boerke, PsyD, a clinical child psychologist and the director of behavioral health outpatient services for OSF HealthCare. And you can also count Dr. Boerke as a fan of the Inside Out franchise. He says the first movie and the trailer for the second get a lot right when it comes to kids’ emotions and how parents can help.

Ennui demystified

Dr. Boerke says ennui (pronounced awn-WEE) describes an angst or listlessness-type boredom that develops in the pre-teenage or teenage years. It can show itself in adulthood, too, but the younger years are the prime time.

“As we learn to regulate our emotions better, you’re going to see less of that emotion overtly,” Dr. Boerke says. “It will still be there, but we’re learning to express it better.”

Children experiencing ennui may mope around the house or not be interested in things they used to, like playing with Legos.

How parents can help

Should we learn about emotions from Hollywood? Common sense says to take everything on our screens with a grain of salt and to talk to a health care provider for trusted advice. But Dr. Boerke says parents can use the Inside Out movies to teach kids about healthy behaviors.

“The biggest thing we can do with children from a young age is understanding and naming emotions,” Dr. Boerke says. “If I can get a two, three or four-year-old naming emotions, I have succeeded. And the first Inside Out movie did a fantastic job with that.”

Some things to consider when chatting before, during or after these movies:

• There are no “bad” emotions, Dr. Boerke says.

“If something sad happens, it’s okay to be sad. If something frustrating happens, it’s okay to feel anger,” he says.

“While there are no bad emotions, I can express an emotion in a bad way,” he adds. “I can express happiness in a bad way by overindulging in something. Or sometimes happiness comes out as anger. I’m so excited and happy that I go and tackle my friend to the ground.”

• Dr. Boerke says ennui, like other emotions, has a good middle ground. Children shouldn’t be overstimulated or completely bored. But somewhere in the middle lies a silver lining: a spark of creativity. A child may, out of boredom, go outside and kick a soccer ball around, sparking curiosity in a new hobby. Or they may call a classmate, leading to a new friendship. Dr. Boerke says sometimes it takes a mental health professional to light the spark.

“Often, I don’t even say things that are different than what parents say. But I’m not mom or dad. I’m not the caregiver,” Dr. Boerke remarks. “It’s what we call behavioral activation. Let’s come up with things to do to help you become less bored.”

• Don’t bottle up emotions. The Inside Out 2 trailer even addresses this in a tongue-in-cheek way, showing Riley’s emotions from the first movie – joy, sadness, anger, fear and disgust – in a literal bottle.
  
  “If they do it as well as I think they will, this will be a great conversation starter,” Dr. Boerke says.

“An emotion, if left to its own devices, is going to come up. You’re going to express it, hopefully appropriately. And it’s going to go back down again,” he adds. “However, if we bottle that emotion up, it’s going to fester and rise until it can’t be controlled. Then it comes out in an inappropriate way.”

For example, a child may continually bottle up frustration over being asked to clean their room until they trash the room. Long term, behaviors like this can impact a litany of things: the child’s mental health, physical health, performance in school and relationship with peers. Plus, it strains the rest of the family.

Learn more

Read more about mental health resources on the OSF HealthCare website.

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Inside Out 2 trailer

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Now that Labor Day has come and gone, so have the days of summer sun into the evening hours. While this is a typical sign of changing seasons, it can also come with a change in mood for those who suffer from seasonal affective disorder, or SAD.

It’s estimated that SAD affects 5-million to 8-million people a year in the United States, particularly in late fall and colder, winter months when days are shorter and nights are longer.

It is thought to be related to the lack of available sunlight, leading to a deficiency of Vitamin D. This can disrupt a person’s natural sleep cycle, and the effect on the brain can cause a person to function differently.

“People in the winter time, particularly in northern, far northern latitudes or far southern latitudes, farther away from the equator will tend to get kind of sluggish and maybe depressed, they start to have carbohydrate cravings, and it may be enough that it’s really a significant problem for them,” explains Dr. Scott Hamilton, a psychiatrist with OSF HealthCare Behavioral Health in Bloomington.

As a behavioral health psychiatrist, Dr. Hamilton works with people suffering from Seasonal Affective Disorder. He says there’s a difference between SAD and a case of the occasional winter blahs. If you find your mind and mood are impacting your relationships, ability to work, or social activities, it’s something that needs to be addressed.

There are a number of treatment opportunities for Seasonal Affective Disorder. Dr. Hamilton says one of the most effective is bright light therapy.

“These have a UV shield, full spectrum light, 30 minutes in the morning is how most studies were done with pretty good results. Pretty uniformly positive results in people that have wintertime depression, and people that don’t have winter depression, they do sometimes still help, but they’re not as likely to be helpful.”

Dr. Hamilton says these light boxes are available online, often for less than $50. He also says that simple behavior modification can help with SAD symptoms. He says eating well and exercise can have a tremendous effect on depression symptoms, but if a person is having a tough time functioning on a day-to-day basis, he or she might want to see a therapist for professional help.

“I think trying that and getting more exercise and doing some healthy things first does make sense,” said Dr. Hamilton. “If they get to the point where they can’t function or they get suicidal thoughts, things like that, then they ought to talk to somebody. Those would be the real red flags.”

Learn more about Seasonal Affective Disorder here. To connect with an OSF HealthCare Behavioral Health specialist, talk to your primary care physician for a referral. To for more information about OSF HealthCare Behavioral Health click here.

Interview Clips - Dr. Scott Hamilton