The Best Yogurt for You

Here’s a good incentive to add some culture to your life: Eating yogurt regularly may also positively affect brain function, according to a new study published in the journal Gastroenterology.

In the four-week study, UCLA researchers observed 36 women and found that consuming probiotics helped reduce activity in several parts of the brain—including the areas that monitor your moods and sensitivity to pain, anxiety, and stress.

The only problem? There are so many different types of yogurt these days, trying to pick one can be a stressor in and of itself. Use this handy guide to minimize dairy aisle-induced anxiety:

If you have a sweet tooth, try:
Traditional yogurt
Yogurt is the love child of fermented milk and live active cultures (healthy bacteria that fight harmful types, aid in digestive health, and enhance our immune system). There’s a difference between the plain stuff and the glut of fruity flavors you see on shelves, though. Many of these are loaded with sugar or artificial sweeteners. You don’t have to steer clear of flavoring altogether; just look for options without artificial sweeteners like aspartame or added sugars like high fructose corn syrup or cane sugar. You’ll also want to stick with varieties that have less than 12 grams of sugar per container, says Keri Glassman, registered dietician and Women’s Health nutrition expert. (Note: Because milk contains natural sugars, even milk yogurt without added sweeteners will contain some sugar.)
Eat up: Make a parfait by layering it with flaxseed granola and mixed berries (the probiotics in the yogurt feed off the prebiotics found in flaxseed). Another option: this PMS-busting muffin recipe.

Photo: Todd Huffman

If you prefer a tarter taste—or have a sensitive stomach, try:
Greek yogurt
The excess liquid is strained from Greek yogurt to make a slightly sour snack with a thick, rich texture. Depending on the brand, Greek yogurt can have about twice as much protein per bite, but roughly the same amount of calories as traditional yogurt. You’ll still want to avoid added sugars, says Glassman. While Greek yogurt has less calcium than traditional (some of it is lost in the straining process), it also has less sodium (pro!) and less lactose, which makes it easier to digest, says Glassman.
Eat up: Swap Greek yogurt in for sour cream. Or try it in this crab and lentil stuffed tomato recipe.

Photo: Michael Maes

If you love Greek yogurt but want a more filling version, try:
Skyr (Icelandic) yogurt
Actually a soft skim-milk cheese, skyr is a thicker, creamier, concentrated form of yogurt. While it doesn’t get as much love as Greek yogurt, skyr is made using a similar technique, says Smári Ásmundsson, founder and CEO of Smári Organics, an Icelandic-yogurt manufacturer. Because it’s made from skim milk, skyr is naturally fat-free. And since the recipe calls for up to four times more milk as regular yogurt, the final product contains as much as three times as much protein and more calcium, says Glassman. Smari, for example, has 20 grams of protein per container and 20 percent of your daily calcium needs.
Eat up: Use it as a healthy substitute for cream cheese in any recipe that calls for it, like this carrot-cranberry-pineapple snack cake.

Photo: Mitch Mandel

If you’re always on the go, try:
Kefir
OK, it’s not technically yogurt, says Women’s Health food and nutrition editor Jill Waldbeiser. But Kefir—a creamy, slightly sour drink you’ll find in the same section of the dairy case—does contain protein, calcium, B vitamins, and even more probiotics than yogurt. It’s made by fermenting milk with kefir grains comprised of yeast and gut-friendly bacteria.
Eat up: Stick some in the freezer for a healthful summer dessert, or try it in this green goddess smoothie.

Photo: Lisa Hubbard

If you’re lactose intolerant, try:
Soy yogurt
This dairy-free option is made from fermented soy milk, so it doesn’t contain lactose, saturated fat, or cholesterol. While soy yogurts tend to have slightly less protein than traditional yogurt, there’s not much difference in taste and consistency. In fact, you might not even notice the difference, says Waldbeiser.
Eat up: As a stand in for regular yogurt in this blueberry pomegranate smoothie.

Photo: Con Poulos

photo: iStockphoto/Thinkstock

More from WH:
The Benefits of Yogurt
The Best Dairy Products
How Greek Is Your Greek Yogurt?

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“Should I Worry About Eyelash Extensions?”

Every week, the Scoop examines alarming new claims to help you make sense of the latest health research.

Forget false eyelashes you apply at home—the latest lash trend (inspired by stars like Heidi Klum, Rihanna, and Kim Kardashian) is eyelash extensions. To get them, an aesthetician uses tweezers to glue individual strands of silk, synthetic material, or mink to each of your natural lashes one by one. The process takes about two hours, costs from $ 200 to $ 1,000, and can last about three weeks before they grow out and need to be removed or replaced.

While the American Academy of Ophthalmology (AAO) generally recommends that false eyelashes be applied by a professional for safety reasons, earlier this month the AAO warned consumers that even eyelash extensions obtained in a salon may cause infections of the cornea and eyelid, as well contact dermatitis caused by an allergic reaction to the type of glue salons use. “I’m seeing more and more patients with injuries caused by extensions, some of which can threaten a woman’s vision,” explains Rebecca Taylor, MD, an ophthalmologist in Nashville, Tennessee, and a clinical spokesperson for the AAO.

Infections and allergic reactions aren’t the only problems. Another danger is the temporary or permanent loss of your natural eyelashes, which can happen if the extensions damage the lash follicle or are so heavy they put tension on the lash, causing breakage. “Eyelashes have an important function: They sweep dirt and debris away from your eyes, preserving vision,” says Taylor. Losing yours temporarily is harmful enough, but if they never grow back, you set yourself up for a lifetime of eye issues.

That said, if you’ve been thinking of getting them—the Bambi eyes look can be seriously sexy—you can lower your risk of complications by taking a few precautions. First, hit up a reputable salon, and have the procedure done by a certified experienced aesthetician. “An inexperienced aesthetician can easily cut the eyeball or cornea,” says Taylor. Ouch. Also, a salon with an iffy reputation may not encourage staffers to wash their hands and utensils properly between customers, and that can spread infection-causing microbes.

Next, ask the aesthetician not to use glue that contains formaldehyde. “Many of the glues used for extensions contain this chemical, which can cause an allergic reaction resulting in stinging, burning, swelling, and a rash on contact or up to a week later,” says Taylor. Even if you don’t think you’re allergic to formaldehyde, play it safe and insist on a glue without it.

Once the extensions are on, watch for symptoms such as pain, itching, or redness, says Taylor. If these develop, resist the urge to scratch or tug the extensions, which can make things worse, and see an ophthalmologist, who can diagnose the issue and prescribe any necessary meds, she says. And be vigilant about lash breakage: Should the fake lashes start causing your real ones to fracture and fall off, get the extensions removed by a professional and score seductive eyes the safer way—with a mascara wand.

The verdict: Eyelash extensions can pose a serious health threat to your eyes and even cause permanent damage. While your best bet is to avoid them, make sure to take the necessary safety precautions if you feel like you absolutely have to try them.

photo: iStockphoto/Thinkstock

More From Women’s Health:
5 Natural Beauty Products for Longer Lashes
My Lush Lash Secret
The Best Mascara: Get Dramatic Eyelashes

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Running May Protect Your Eyesight

You know that pumping up your mileage can help keep your heart and lungs healthy, but new research indicates your vision may benefit as well: Running might lower your risk for developing cataracts, or clouding of the eye lens, according to a new article in Medicine & Science in Sports & Exercise.

Study author Paul Williams, PhD, came to this conclusion based on his large, long-term National Runners Health Study. In 2009, Williams had reported that cataract risk decreased significantly among men runners with increased mileage. For this study, he broadened the participant pool to include women runners, as well as regular walkers of both sexes.

Williams found that his latest data analysis supported his earlier finding. In more than 32,000 runners and 14,000 walkers, the more they walked or ran, the less likely they were to be diagnosed with cataracts during the study’s six-year follow-up period. The risk reduction was equal between men and women.

Like other exercise-science types, Williams describes activity level in terms of METs (for “metabolic equivalent”), which gives activities a value in relation to how much energy you expend doing that activity compared to sitting still. Walking at a good pace, for example, is usually given a MET value of around 3, while running at 10:00 mile pace is usually given a MET value of around 10 (that is, it takes roughly 10 times as much energy to run at that pace as it does to sit on your couch thinking about running at that pace).

Williams found that, when overall energy expenditure was the same, walking and running provided similar risk reductions for developing cataracts. And again, Williams found that more energy expenditure was associated with less risk of developing cataracts.

The runners in the study, however, had less risk of developing cataracts than the walkers for the simple reason that it’s easier to amass a given amount of METs running than walking. That being the case, the most active runners in the study were the ones with the least incidence of cataracts. Compared to what would be expected for people of their age, those whose energy expenditure from running was the equivalent of averaging more than five miles a day had a 41 percent lower risk of developing cataracts.

Williams says that several mechanisms might explain why the more active people had the lowest risk of developing cataracts. One possibility is that many lifestyle-related conditions, such as Type 2 diabetes, hypertension and obesity, have been linked to developing cataracts, and being highly active can forestall those conditions.

photo: iStockphoto/Thinkstock

More From Women’s Health:
101 Greatest Running Tips
6 Reasons to Start Running
Your Running Weight-Loss Plan

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Get This: Meat Now Says Where It Came From

Check out the list of links that should be on your radar today:

New meat labeling laws mean you’ll know exactly where your steaks and roasts came from. Find out how to make meat safer[Huffington Post]

Inside Amy Schumer has been renewed by Comedy Central. Score! [Vulture]

You can learn how to be compassionate. [PsychCentral]

Angelina Jolie’s aunt died of breast cancer—just two weeks after the actress spoke out about her preventative double mastectomy. [Newser]

More than nine in 10 people have detectable levels of BPA in their urine, according to a recent study. [MedicalDaily]

Pesticides may increase your risk of Parkinson’s disease, according to a new review of existing research—but eating (organic) peppers might help prevent it. [Reuters]

Medicare paid for $ 80 million in eyelid lifts in 2011. [Newser]

Domino’s Brazil has invented a DVD that smells like pizza when you play it. That’s just cruel. [The Frisky]

A Seattle chef is serving tempura tarantula at the—wait for it—third annual Bug-A-Thon. Needless to say, we won’t be attending. [Reuters]

Photo: Digital Vision/ThinkStock

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5 Ways a Baby Messes with Your Relationship

Having a child is right up there with your wedding and the honeymoon as one of the best times of your relationship…right? Right? Uh…maybe not so much. Sixty-seven percent of couples see their marital satisfaction plummet within one year post-baby, according a study published in the Journal of Family Psychology. Between lack of sleep, wacky hormones, and the stress of figuring out how to change a diaper or calm a crying kid—on top of the effort required to maintain a happy, healthy relationship, whether or not you have an infant to worry about—it’s no wonder people go through a rough spell.

Now, new research has pinpointed the top source of first-time parents’ gripes: how parents handle the different tasks related to raising a child. “For moms, their main happiness determinant is whether they’re satisfied with the division of labor of caretaking activities,” says study author Kari Adamsons, PhD, assistant professor of human development and family studies at the University of Connecticut. For dads, having a clearly defined role in child-rearing is key to marriage satisfaction. Find out which relationship issues crop up most often for new moms and pops—and how to make sure they don’t wreck your bond:

The problem: You feel like he’s not pulling his weight in child-rearing–and, by association, your relationship.
The solution:
You don’t need to strive for a perfect 50-50 split of duties—many moms don’t even necessarily want that, says Adamsons. What matters is that you’re on the same page with your partner about which tasks you’ll each be handling. “Communication is key,” she says, “and you have to start talking before the baby is born.” Discuss who’s going to change the diapers at night, whether or not you’ll return to work full-time, if your hubby will take over baby duties when he gets home so you can have a break, whether you’ll use a bottle so he can do some of the feedings, who will handle things like bathing and putting the baby to bed, etc. You can always re-evaluate your roles after the little one’s born, but starting the conversation early on is smart so you know where the other person stands and you aren’t caught off guard later. And as Adamsons’ research found, fathers in particular respond well to having their duties clearly defined.

The problem: He feels picked on.
The solution: When your partner takes on baby-related jobs (yay!), resist the urge to let him know if he’s off the mark. “One reason men don’t participate more in caretaking is that women tend to micromanage,” says Carolyn Pirak, LCSW, founding director of the Bringing Baby Home program at The Gottman Institute. But when you criticize the way someone performs a task, they’re likely to stop doing it altogether. It may make you cringe to see him put the diaper on backward or use the wrong onesie, but as long as he’s not doing anything that could harm the baby, it’s better to step back and let him figure it out on his own.

The problem: Sex takes a nosedive.
The solution: One thing you should know: It’s (unfortunately)  normal for your sex drive to dip after you have a baby. “It generally takes at least six weeks for your body to recover and be ready for intimacy,” says Pirak. Hormonal changes in your body can also make you averse to sex for—yikes—up to a year (it’s your body’s way of preventing you from getting pregnant again too soon). Understanding and anticipating these shifts ahead of time makes the dry spell easier to deal with. That said, physical intimacy is of course key to a healthy relationship. Beyond working out any unequal divisions of labor (which kills the mood for many women), try focusing on nonsexual but still romantic actions, says Pirak. “Does he hold your hand? Do you tell him he looks nice?” she says. Focus on those sweet things you used to do in the early stages of dating, and desire should follow.

The problem: You have zero couple time.
The solution: You don’t have to make reservations at a Michelin-starred restaurant to reap the benefits of spending time together sans infant. You can keep it casual—breakfast, a walk, a glass of wine on your patio before dinner while la bebe is sleeping, even running errands together. There are only two rules: Don’t talk about the kid (well okay, you can debrief for a couple minutes right at the beginning), and group hang-outs don’t count. This is clutch for giving you and your partner time to connect so you can stay in sync, says Pirak.

The problem: Your parenting philosophies clash, so you start to question your partner’s core values.
The solution: He rushes in the room every time the baby makes a peep; you want to let her cry it out. He thinks it’s no big deal for kids to play with iPads; you’re anti-gadgets. Parenting is full of hot-button topics, so when a disagreement comes up, have a discussion where you both voice your opinions. “Try out each person’s technique for two days, see how it goes, and then reevaluate,” suggests Pirak. When you test things out, it’s quickly becomes apparent that it doesn’t have to be all-or-nothing; often you’ll realize there’s some value in the other person’s opinion and the solution will involve some sort of compromise, says Pirak.

No matter what difficulties parenthood throws at your relationship, remember to set a peaceful tone and express appreciation and admiration for your partner (like telling your man how great he is at comforting the baby or sending him a quick thank-you email for filling the gas tank). Also: Don’t forget to focus on the good stuff. “Babies are hard work, and many couples tend to dwell on the negative aspects,” says Pirak. You can be honest about your frustrations with your hubby, but how upset would you be if you let them overshadow the awesome parts of parenthood?

photo: LifeSize/Thinkstock

More From Women’s Health:
Early Pregnancy Symptoms That Suck
Is Pregnancy the Latest Trend?
Why Breastfeeding Is Best

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Are You Eating Enough of THIS Veggie?

Spuds don’t generally get a ton of love in the vegetable department, but researchers in nutrition science want you to know that you definitely shouldn’t avoid them. In fact, eating potatoes is just as important as filling up on the other, more colorful veggies, according to a new supplement published in the journal Advances in Nutrition.

Researchers gathered at Purdue University to bust the myth that white veggies—potatoes in particular—aren’t as nutritious as colored ones. While potatoes get a bad rap for being starchy, they’re also filled with vital nutrients, says supplement coauthor Connie Weaver, PhD, head of the department of nutrition science at Purdue University. One medium baked potato provides 11 percent of your recommended daily fiber intake and 12 percent of your recommended daily magnesium intake. What’s more, spuds are the highest dietary source of potassium (take that, bananas!).

It’s not that you have to replace other vegetables with potatoes, says Weaver. But since people in the U.S. generally don’t get enough fiber, potassium, and magnesium, according to the National Institutes of Health, you don’t want to nix them from your diet, either.

The bottom line: when it comes to which veggies you eat, it’s not one versus the other, says Bonnie Taub-Dix, MA, RD, CDN, author of Read It Before You Eat It and nutrition expert in New York.

“The important thing to emphasize is variety,” she says. “One fruit or vegetable doesn’t give us everything that we need—it’s the blend of colors that count, and that includes potatoes.”

For some healthy ways to incorporate potatoes into your diet, try these tasty recipes:

Skinny Scalloped Potatoes

Photo: Mitch Mandel

Twice-Baked Potatoes

Photo: Jonathan Kantor

Chili-Dusted Avocado Potatoes

Photo: Con Poulos

Spinach and Goat Cheese-Stuffed Baked Potatoes

Photo: Kurt Wilson

Potato-Cauliflower Casserole

Photo: Mitch Mandel
Photo (top): iStockphoto/Thinkstock

More from WH:
4 Ways to Get More Potassium
The 18 Best Supplements for Women
The Best New Superfoods

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Get This: Hanson Made a Beer!

Courtesy of Mmmhops.com

Check out the list of links that should be on your radar today:

Just in time for Memorial day, the Hanson brothers debuted their new beer this week. It’s called—wait for it—Mmmhops. Genius! [People]

A 9-year-old went to the most recent McDonald’s shareholder meeting to lecture the fast-food chain’s CEO on healthy eating. Totally heart this girl. [USA Today]

Seven months after being devastated by Hurricane Sandy, the Jersey Shore has finally reopened. [Today.com]

Going for “healthy” foods might not be as beneficial as you think: You’re more likely to overeat with good-for-you foods than indulgent ones, finds new research. [Fox News]

Hobby Lobby Stores Inc. is asking a federal appeals court for an exemption from the Affordable Care Act‘s birth control benefit. [Vitals]

Heartburn sufferers may face a higher risk of throat cancer, according to a new study. [WebMD]

A New Jersey restaurant served a customer rubbing alcohol instead of scotch. How does that even happen? [USA Today]

A new study finds that skydiving isn’t a relaxing experience. You think? [The Atlantic]

As if regular donuts weren’t hard enough to resist, cronuts—hybrid croissant-donuts—are the latest dessert trend. You’re killing us, Smalls! [Today.com]

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4 Bachelorette Party Ideas Fit Brides Will Love

Forget Vegas. If you’re helping to plan a bachelorette party for a future Mrs. who loves staying active, celebrate her upcoming nuptials with a fitness-focused getaway. The best part: You’ll be able to enjoy all those drinks without worrying about your bridesmaid dress feeling a little too tight afterward.

Ballooning and Biking in Yountville, California
The bride’s probably already in pretty high spirits, but you can lift them even more by taking her on a one-hour hot air balloon overlooking the beautiful vineyards of Napa Valley. Groups of up to 12 can share a balloon, then continue the adventure by bike: After you’re back on solid ground, you’ll pedal to various boutique wineries in Napa Valley, learning about locally made vino. Also included: a picnic lunch overlooking more vineyards in Yountville.
$ 354 per person for local transportation, a one-hour balloon flight, a post-flight Champagne breakfast buffet, bike and helmet rentals, a tour guide, and lunch. Winery tasting fees not included.
More details

White Water Rafting in Weatherly, Pennsylvania
Strapless wedding gown? No problem. The bride can row her way to super buff arms and shoulders on a rafting adventure down the Lehigh River Gorge in Pennsylvania’s Pocono Mountains. Each raft holds up to six people, and the 10-mile journey lasts about six hours (that includes a picnic break on the shore). Pack her favorite foods, and prove you’ve got her back as you work together to paddle through choppy Class II and III rapids together.
Starting at $ 65.55 per person (depending on the season) for gear and transportation back to the starting point
More details

Tightrope Walking in Monroe, North Carolina
After the nerve-wracking-in-a-good-way experience of completing a high-ropes course, walking down the aisle will seem like a breeze. At the Xtreeme Challenge park (about 45 minutes from Charlotte-Douglas International Airport), a guide will help your private party climb 28 feet into the air so you can make your way across a swinging 50-foot-long bridge strung between oak trees. At the top, you’ll navigate a horizontal rope ladder, sidestep along a tightrope cable, swing between platforms on a rope a la Tarzan, and zip line over a lake at up to 35 miles per hour. Women of any age and fitness level can participate…or opt out at any point in the course. If you stick it out for the full two-hour journey, you’ll work your core, upper, and lower body. Even better: It’s BYO (food and booze), so you can pop a bottle of champagne in honor of the bride after you complete the course.
About $ 100 per person for a private, 2-hour adventure with training and a professional group photo keepsake
More details

Butt-Busting in Playa del Carmen, Mexico
Want to make sure the bridal party really bonds? Head to the Riviera Maya in Mexico for a five-day bachelorette trip with Tiger Athletics Fit Camp. You’ll stay in a villa together (each one fits up to six people) and complete twice-daily group workouts—60 to 90 minutes of cardio and strength-training on the beach in the a.m., plus paddle boarding, kayaking, yoga, core work, or a pool workout when you reconvene in the late afternoon. But don’t worry—it’s not all work and no play. The resort is 30 minutes south of Playa del Carmen’s hopping nightlife, so you can still take the bride out on the town.
Starting at $ 1,500 per person for five days of accommodations, healthy breakfasts and snacks, training, kayak and paddleboard rentals, and a token T-shirt. Flights not included.
More details

photo: Stockbyte/Thinkstock

More from WH:
Why You Shouldn’t Find a Husband in College
How to Have the Perfect Wedding
7 Ways to Save Money on Vacation

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Should I Worry About… Driving After a Drink?

Drinking and driving is serious business. Last week, the National Transportation Safety Board (NTSB) recommended that states lower the current blood alcohol concentration limit of 0.08 percent to 0.05 percent or lower.

“We continue to kill 10,000 people annually in these crashes (involving alcohol), injuring 173,000, and 27,000 of those injuries are debilitating, life-altering injuries,” says NTSB chairman Deborah Hersman. Lowering the legal driving BAC limit was one of 19 recommendations released in a NTSB report titled “Reaching Zero: Actions to Eliminate Alcohol-Impaired Driving.”

Experts say it’s tough to provide a number of drinks per hour that would set you above the legal limit of 0.08 (or the suggested limit of 0.05) because there are just so many factors that go into how your drinking affects your body. The strength of the drink (a strong beer versus a light one, for example), whether or not you have food in your stomach, how quickly you’re going through drinks, and your weight all come into play, says Alexander C. Wagenaar, PhD, professor of health outcomes and policy at the University of Florida College of Medicine.

Another big factor is serving size; think about the heavy pours you get at certain restaurants, and check out this infographic to see how the serving sizes of different drinks compare.

Alcohol can also affect women differently than men: When you drink alcohol, the ethanol diffuses into all the water-soluble parts of the body, explains Wagenaar, who has been doing research on road safety and alcohol issues since the early 1980s. In general, women naturally have a higher percentage of fat tissue than men—which means less water-based tissue for the ethanol to diffuse into. So even if a woman and a man of the same weight consume the same amount of alcohol, the woman will end up with a slightly higher BAC.

Under normal circumstances, if you’re 200 pounds, it’s unlikely that you’ll hit the proposed 0.05 limit after two drinks—”but that assumes some time passes between the drinks,” says Wagenaar. “If you weigh 90 pounds, at the other extreme, well then it’s possible—and not at all unlikely—that one drink on an empty stomach could hit a woman to the (proposed) 0.05 limit,” he adds.

For a 140-pound woman, one drink would probably put her around the 0.03 BAC level, says Wagenaar.

Those are all rough estimates, of course; since you probably don’t carry a breathalyzer around in your clutch, there’s really no way to know exactly how a drink will affect you on any given night.

In its recent report, the NTSB cited research showing that by 0.05 BAC, most people experience visual and cognitive impairments. The report also notes that more than 100 other countries—including the majority of European countries—have a BAC limit of 0.05 or lower. “The risk is very definitely there, and it’s not insignificant at 0.05,” says Wagenaar. “That’s why 0.05 is a logical legal standard that’s in place in most developed countries in the world.”

At 0.05 BAC, people are 38 percent more likely to be in a crash than people who are completely sober, according to research cited in the NTSB report. At 0.08 BAC, people are 169 percent more likely to be in a crash than people who haven’t had anything to drink.

Here’s the deal, though: Regardless of whether the legal BAC limit is set at 0.08 or 0.05, the fact remains that even a little bit of alcohol does affect your ability to drive safely. “When you need to cognitively attend to more than one thing at a time—which is a clear part of driving—those types of abilities begin to deteriorate even at the low levels of drinking,” says Wagenaar. “So the safest is to not drink and drive at all—I mean zero BAC.”

If you’re planning to drink, have a designated driver with you, or take a cab home (save taxi numbers in your phone beforehand!). There are even apps and websites out there for connecting you with a designated driver that will get you and your car home safely, like StearClear and this National Directory of Designated Driver Services.

The verdict: A glass of wine or a beer over a long dinner probably won’t put you over the proposed legal limit of 0.05 BAC—depending on your weight, how big/strong the drink is, and other factors. But of course the safest personal policy is not getting behind the wheel after any drinks. And if you educate yourself now about the resources available to get you home safely, you should be able to avoid driving yourself there—even if you end up drinking when you hadn’t planned on it. 

photo: iStockphoto/Thinkstock

More from Women’s Health:
Don’t Mix THIS with Alcohol
This Is Your Brain on Booze
Is Your Drinking Habit Deadly?

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What You Need to Know About the New DSM

In huge mental health news, the latest version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was released this week at the American Psychiatric Association’s Annual Meeting. Known as the authoritative guide for clinicians, the DSM-5 is the latest edition that helps to define, diagnose, and treat mental health disorders.

So what does a new edition mean for you? As with previous versions, this newest guide takes into account new research to add to, remove from, and tweak the list of disorders and their criteria. The goal? To make it as useful as possible. “Starting [May 21], one can look at these criteria sets and be able to utilize them for more precise diagnoses than we’ve been able to do in the past,” says David Kupfer, MD, Task Force Chair for the DSM-5.

The hope is that this new edition will be even better at diagnosing and treating patients. “Determining an accurate diagnosis is the first step toward being able to appropriately treat any medical condition, and mental disorders are no exception,” says Kupfer.

Not everyone is so thrilled about this latest edition, though. Critics of the DSM-5 worry that the new criteria for disorders may lead to overdiagnosis since more disorders have been added and the requirements for some have been modified.

Thomas Insel, MD, director of the National Institute of Mental Health, recently announced that the NIMH plans to turn their research away from the DSM. As Insel noted in a recent blog post on the topic, “We need to begin collecting the genetic, imaging, physiologic, and cognitive data to see how all the data—not just the symptoms—cluster and how these clusters relate to treatment response.” Translation: the NIMH would rather diagnose people based on lab tests and science—rather than using a symptom-based approach like the DSM encourages.

It took researchers 19 years to finalize this revision, so it’s understandable if you’re a little confused about it. Here, a few major things you need to know about the DSM-5:

New disorders were added 
A few disorders, like Premenstrual Dysphoric Disorder (PMDD, a severe form of PMS that may be related to low levels of serotonin), Binge Eating Disorder, and Caffeine Withdrawal, have been moved from the appendix to the main text. A disorder is listed in the appendix when it requires a little bit more research and is moved into the main text when the researchers feel that it meets a certain criteria. Because they’re now listed in the main text of the DSM-5, treatment and services related to these illnesses will now be covered by health insurance, says Kupfer. Other additions include the diagnoses for Hoarding Disorder and Excoriation (Skin-Picking) Disorder, neither of which were even mentioned in previous editions.

Not all the rumors are true
There was a ton of speculation about what changes the DSM-5 would include, but not everything was accurate. You may have heard, for example, that the section on personality disorders was getting reorganized and that a few diagnoses would be thrown out. In the end, because of the strong feedback they received, the task force decided to keep the same categories from the DSM-IV, and all 10 personality disorders are intact. They did, however, decide to include the proposed revisions into the back of the book to encourage further research on them and keep them in consideration for a future edition.

Another rumor was that sexual addiction or hypersexuality would be added as a disorder, but Kupfer says that the task force didn’t have sufficient research to put it in the main text or even the appendix.

Your insurance may take a while to catch up
When a disorder is defined in the DSM, it helps insurance companies to know what services should be covered. Unfortunately, these changes won’t happen overnight. While doctors can start using the DSM-5 immediately, insurance companies may take a while to update their claims forms and procedures, says Kupfer. “The American Psychiatric Association (APA) is working with these groups with the expectation that a transition to DSM-5 by the insurance industry can be made by December 31, 2013,” says Kupfer.

It will be online soon
You may have noticed that the DSM-5 uses the Arabic numeral for five instead of roman numerals, which is how it was written in the past (like DSM-IV, DSM-III, etc.). This is because the task force is hoping to update this version more frequently and simply than before. “We see a 5.1 and a 5.2,” says Kupfer. “Since this will be online, we will be able to make changes when it’s appropriate.” They expect it to be on the web in June 2013 and available on a subscription basis, with fees varying depending on your use.

Your doctor might not be totally behind it
While the creators of the DSM-5 hope it will be the new gold standard in diagnosing mental illness, it may not be widely accepted right away. Many clinicians have criticized the new text for either being too broad in scope or trying too hard to fit patients into distinct categories. In a recent blog post for Psychology Today, for example, Allen Frances, MD, (former chair of the DSM-IV Task Force) advises clinicians not to use the new edition and suggests patients become informed consumers when it comes to a diagnosis—just as they would when buying a car.

Kupfer says he thinks the DSM-5 will catch on in the medical community—eventually. “I think there’s going to be a transition,” he says. “I think some people will take a little longer than others.

If you are considering or currently seeking treatment for a disorder, Kupfer suggests having a conversation with your doctor about the new edition and asking about any effect it may have on your diagnosis or treatment.

photo: iStockphoto/Thinkstock

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