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NO ONE REALLY KNOWS
Shattered souls
Broken bits
Holes
Deep and dark at night
Told to be whole
Desperately trying to hold on
Fading away
Covered in weak attempts to soothe my aching soul
No one knows
JmaC
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Covers alternative approaches to mental health care including: self-help, diet and nutrition, pastoral counseling, animal assisted therapies, expressive therapies, healing arts, relaxation and stress reduction.
An alternative approach to mental health care is one that emphasizes the interrelationship between mind, body, and spirit. Although some alternative approaches have a long history, many remain controversial. The National Center for Complementary and Alternative Medicine at the National Institutes of Health was created in 1992 to help evaluate alternative methods of treatment and to integrate those that are effective into mainstream health care practice. It is crucial, however, to consult with your health care providers about the approaches you are using to achieve mental wellness.
Many people find that self-help groups for mental illnesses are an invaluable resource for recovery and for empowerment. Self-help generally refers to groups or meetings that:
Adjusting both diet and nutrition may help some people with mental illnesses manage their symptoms and promote recovery. For example, research suggests that eliminating milk and wheat products can reduce the severity of symptoms for some people who have schizophrenia and some children with autism. Similarly, some holistic/natural physicians use herbal treatments, B-complex vitamins, riboflavin, magnesium, and thiamine to treat anxiety, autism, depression, drug-induced psychoses, and hyperactivity.
Some people prefer to seek help for mental health problems from their pastor, rabbi, or priest, rather than from therapists who are not affiliated with a religious community. Counselors working within traditional faith communities increasingly are recognizing the need to incorporate psychotherapy and/or medication, along with prayer and spirituality, to effectively help some people with mental disorders.
Working with an animal (or animals) under the guidance of a health care professional may benefit some people with mental illness by facilitating positive changes, such as increased empathy and enhanced socialization skills. Animals can be used as part of group therapy programs to encourage communication and increase the ability to focus. Developing self-esteem and reducing loneliness and anxiety are just some potential benefits of individual-animal therapy (Delta Society, 2002).
Art Therapy: Drawing, painting, and sculpting help many people to reconcile inner conflicts, release deeply repressed emotions, and foster self-awareness, as well as personal growth. Some mental health providers use art therapy as both a diagnostic tool and as a way to help treat disorders such as depression, abuse-related trauma, and schizophrenia. You may be able to find a therapist in your area who has received special training and certification in art therapy.
Dance/Movement Therapy: Some people find that their spirits soar when they let their feet fly. Others-particularly those who prefer more structure or who feel they have “two left feet”-gain the same sense of release and inner peace from the Eastern martial arts, such as Aikido and Tai Chi. Those who are recovering from physical, sexual, or emotional abuse may find these techniques especially helpful for gaining a sense of ease with their own bodies. The underlying premise to dance/movement therapy is that it can help a person integrate the emotional, physical, and cognitive facets of “self.”
Music/Sound Therapy: It is no coincidence that many people turn on soothing music to relax or snazzy tunes to help feel upbeat. Research suggests that music stimulates the body’s natural “feel good” chemicals (opiates and endorphins). This stimulation results in improved blood flow, blood pressure, pulse rate, breathing, and posture changes. Music or sound therapy has been used to treat disorders such as stress, grief, depression, schizophrenia, and autism in children, and to diagnose mental health needs.
Traditional Oriental medicine (such as acupuncture, shiatsu, and reiki), Indian systems of health care (such as Ayurveda and yoga), and Native American healing practices (such as the Sweat Lodge and Talking Circles) all incorporate the beliefs that:
Acupuncture: The Chinese practice of inserting needles into the body at specific points manipulates the body’s flow of energy to balance the endocrine system. This manipulation regulates functions such as heart rate, body temperature, and respiration, as well as sleep patterns and emotional changes. Acupuncture has been used in clinics to assist people with substance abuse disorders through detoxification; to relieve stress and anxiety; to treat attention deficit and hyperactivity disorder in children; to reduce symptoms of depression; and to help people with physical ailments.
Ayurveda: Ayurvedic medicine is described as “knowledge of how to live.” It incorporates an individualized regimen—such as diet, meditation, herbal preparations, or other techniques—to treat a variety of conditions, including depression, to facilitate lifestyle changes, and to teach people how to release stress and tension through yoga or transcendental meditation.
Yoga/meditation: Practitioners of this ancient Indian system of health care use breathing exercises, posture, stretches, and meditation to balance the body’s energy centers. Yoga is used in combination with other treatment for depression, anxiety, and stress-related disorders.
Native American traditional practices: Ceremonial dances, chants, and cleansing rituals are part of Indian Health Service programs to heal depression, stress, trauma (including those related to physical and sexual abuse), and substance abuse.
Cuentos: Based on folktales, this form of therapy originated in Puerto Rico. The stories used contain healing themes and models of behavior such as self-transformation and endurance through adversity. Cuentos is used primarily to help Hispanic children recover from depression and other mental health problems related to leaving one’s homeland and living in a foreign culture.
Biofeedback: Learning to control muscle tension and “involuntary” body functioning, such as heart rate and skin temperature, can be a path to mastering one’s fears. It is used in combination with, or as an alternative to, medication to treat disorders such as anxiety, panic, and phobias. For example, a person can learn to “retrain” his or her breathing habits in stressful situations to induce relaxation and decrease hyperventilation. Some preliminary research indicates it may offer an additional tool for treating schizophrenia and depression.
Guided Imagery or Visualization: This process involves going into a state of deep relaxation and creating a mental image of recovery and wellness. Physicians, nurses, and mental health providers occasionally use this approach to treat alcohol and drug addictions, depression, panic disorders, phobias, and stress.
Massage therapy: The underlying principle of this approach is that rubbing, kneading, brushing, and tapping a person’s muscles can help release tension and pent emotions. It has been used to treat trauma-related depression and stress. A highly unregulated industry, certification for massage therapy varies widely from State to State. Some States have strict guidelines, while others have none.
The boom in electronic tools at home and in the office makes access to mental health information just a telephone call or a “mouse click” away. Technology is also making treatment more widely available in once-isolated areas.
Telemedicine: Plugging into video and computer technology is a relatively new innovation in health care. It allows both consumers and providers in remote or rural areas to gain access to mental health or specialty expertise. Telemedicine can enable consulting providers to speak to and observe patients directly. It also can be used in education and training programs for generalist clinicians.
Telephone counseling: Active listening skills are a hallmark of telephone counselors. These also provide information and referral to interested callers. For many people telephone counseling often is a first step to receiving in-depth mental health care. Research shows that such counseling from specially trained mental health providers reaches many people who otherwise might not get the help they need. Before calling, be sure to check the telephone number for service fees; a 900 area code means you will be billed for the call, an 800 or 888 area code means the call is toll-free.
Electronic communications: Technologies such as the Internet, bulletin boards, and electronic mail lists provide access directly to consumers and the public on a wide range of information. On-line consumer groups can exchange information, experiences, and views on mental health, treatment systems, alternative medicine, and other related topics.
Radio psychiatry: Another relative newcomer to therapy, radio psychiatry was first introduced in the United States in 1976. Radio psychiatrists and psychologists provide advice, information, and referrals in response to a variety of mental health questions from callers. The American Psychiatric Association and the American Psychological Association have issued ethical guidelines for the role of psychiatrists and psychologists on radio shows.
This fact sheet does not cover every alternative approach to mental health. A range of other alternative approaches—psychodrama, hypnotherapy, recreational, and Outward Bound-type nature programs—offer opportunities to explore mental wellness. Before jumping into any alternative therapy, learn as much as you can about it. In addition to talking with your health care practitioner, you may want to visit your local library, book store, health food store, or holistic health care clinic for more information. Also, before receiving services, check to be sure the provider is properly certified by an appropriate accrediting agency.
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What is adult ADHD? Is adult attention deficit disorder the same as the condition commonly associated with children and adolescents? The medical and mental health community has long recognized this chronic biochemical disorder in children; recognition and diagnosis of adult ADD has steadily increased in recent years.The terminology and labels used to represent the group of childhood issues characterized by the condition have changed multiple times over the decades, but most medical and mental health practitioners use and recognize the termsattention deficit disorder (ADD) and attention deficit hyperactivity disorder (ADHD).
Health care professionals began formally recognizing adult ADD/ADHD sometime around 1990. Research indicates that attention deficit hyperactivity disorder continues into adulthood in approximately 60 percent of children diagnosed with the condition. Experts estimate that approximately 4.5 percent of adults suffer from ADHD. Adult ADD symptoms resemble those of childhood ADD, but the intensity of symptoms, particularly hyperactivity, may diminish over time. A history of problems attributed to ADHD in childhood is required for clinicians to diagnose adults with ADD. However, if impairment exists in multiple environments, such as academic, relational, and professional, the individual need not meet the full Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V) criteria for ADD diagnosis in childhood.
Typically, ADHD adults first speak to their primary care physicians about a variety of attention-related complaints, including difficulty with organization, time management, task prioritization, task persistence, and simply beginning a task. Adult attention deficit disorder causes problems in relationships, work environments, and other social settings due to varying levels of impulsive behaviors and a low tolerance for frustration.
Adults with ADD have dealt with the condition and its impact on their quality of life since childhood, but often only receive a diagnosis and ADHD treatment as adults. Symptoms may occur in varying levels, but they are always present and never occur episodically. Frequently, the ADHD adult has co-existing psychiatric disorders, such as bipolar disorder, depression, antisocial personality disorder, or learning impairments. Often these adults have developed unhealthy coping mechanisms, such as alcohol or substance abuse, in an attempt to self-medicate their symptoms.
Prior to publication of the new DSM-V, the DSM-IV criteria required that adult report that symptoms, causing impaired quality of life, were present before 7 years of age (even if the adult was never diagnosed as a child). The new DSM-V revision states that symptoms must have been present prior to 12 years of age with no requirement that they created impairment at that time. By increasing age of onset and taking away the impairment requirement, adults can more easily get the help they need.
As in children with the disorder, ADHD drugs called stimulant medications represent the front line treatment protocol for the ADHD adult. These greatly improve the cognitive and behavioral symptoms associated with the condition in the majority of adults. For adults with a potential for substance abuse, a non-stimulant drug such as Strattera has shown moderate efficacy in some adults, but stimulants still demonstrate the highest degree of efficacy in bringing significant relief to ADHD adults.
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Second generation antidepressants and CBT have evidence bases of benefits and harms in major depressive disorder. This meta-analysis concluded available evidence suggests no difference in treatment effects of second generation antidepressants and CBT, either alone or in combination, although small numbers may preclude detection of small but clinically meaningful differences.
HR Amick et al (2015) Comparative benefits and harms of second generation antidepressants and cognitive behavioral therapies in initial treatment of major depressive disorder: systematic review and meta-analysis BMJ 2015;351:h6019
Brain hyperintensities, detectable with MRI, increase with age. They are associated with a triad of impairment in cognitive ability, depression and physical health. Here we test the hypothesis that the association between hyperintensities and cognitive ability, physical health and depressive symptoms depends on lesion location.
244 members of the Aberdeen 1936 Birth Cohort were recruited to this study. 227 participants completed brain MRI and their hyperintensities were scored using Scheltens’s scale. 205 had complete imaging, cognitive, physical health and depressive symptom score data. The relationships between hyperintensity location and depressive symptoms, cognitive ability and physical health were examined by correlation and structural equation analysis.
We found that depressive symptoms correlated with hyperintensity burden in the grey matter (r = 0.14, p = 0.04) and infratentorial regions (r = 0.17, p = 0.01). Infratentorial hyperintensities correlated with reduced peak expiratory flow rate (r = −0.26, p < 0.001) and impaired gait (r = 0.13, p = 0.05). No relationship was found between white matter and periventricular (supratentoral) hyperintensities and depressive symptoms. Hyperintensities in the supratentorial and infratentorial regions were associated with reduced cognitive performance. Using structural equation modelling we found that the association between hyperintensities and depressive symptoms was mediated by negative effects on physical health and cognitive ability.
Hyperintensities in deep brain structures are associated with depressive symptoms, mediated via impaired physical health and cognitive ability. Participants with higher cognitive ability and better physical health are at lower risk of depressive symptoms.
WMH (white matter hyperintensities), PVH (periventricular hyperintensities), ABC36 (Aberdeen 1936 Birth Cohort), GMH (grey matter hyperintensities), ITH (infratentorial hyperintensities), SEM (structural equation model), PCA (principle components analysis)
White matter hyperintensities, Physical health, Frailty, Depression, Cognition, Cohort
These are your self discipline positive affirmations. They will help transform you into someone who has the internal strength to tackle any goal or project with dedication and consistency.
Self Discipline is like a muscle, the more you exercise it the stronger it gets and the easier it becomes to follow through on the many things you aim to accomplish. You can get a big head start in strengthening your self discipline by using our positive affirmations to go deep inside your mind and wipe out any negative thinking patterns that are holding you back.
These affirmations will build up your self discipline naturally, improve your resolve to succeed, and give youthe control and focus needed to become someone who always follows through on their goals and plans.
| Present Tense Affirmations | |
|---|---|
| I am disciplined | |
| I am in complete control of myself | |
| My willpower has the strength of steel | |
| I am dedicated to achieving my goals | |
| I relish the feeling of working through a difficult task | |
| My mind is strong, capable, and disciplined | |
| I have an unshakeable dedication to my goals | |
| I am completely focused on succeeding | |
| I succeed because I have self discipline | |
| I set goals and I work persistently until they are accomplished |
| Future Tense Affirmations | |
|---|---|
| I will become highly disciplined | |
| My self control is growing stronger by the day | |
| I am developing an intensely focused and dedicated mindset | |
| I will always complete every project I start | |
| I will achieve massive success because of my unbreakable willpower | |
| With each passing day I gain more control over my impulses | |
| I am finding it easier to push through difficult or boring projects | |
| I will become someone who others see as a hard worker who always gets things done | |
| I am becoming more focused and dedicated in all areas of my life | |
| I am beginning to love the feeling of working hard and finishing what I start |
| Natural Affirmations | |
|---|---|
| Self Discipline comes naturally to me | |
| I can tap into my willpower whenever I need to | |
| I find it easy to maintain focus and work through difficult projects | |
| I’m the kind of person who just doesn’t stop until I reach my goal | |
| Self control feels effortless and natural | |
| My ability to control myself is one of my greatest strengths | |
| People know they can depend on me because I always finish what I start | |
| It’s easy for me to maintain a high level of focus and dedication | |
| Having control over my impulses is easy | |
| Making a plan, working hard, and seeing it through until the end is just what I do |
MONDAY, July 29, 2013 (HealthDay News) — Bipolar disorder develops differently in obese people and among those who binge eat, a new study finds.
Up to 4 percent of Americans have bipolar disorder, a serious mental illness that causes extreme mood swings. Just less than 10 percent of people with bipolar disorder are binge eaters, which the authors of the new study said is a higher rate than in the general population.
This study found that bipolar patients who binge eat are more likely to have other mental health problems, such as suicidal thoughts, psychosis, anxiety disorders and substance abuse.
Obese bipolar patients who do not binge eat are more likely to have serious physical conditions such as arthritis, diabetes, high blood pressure and heart disease.
More women than men with bipolar disorder were binge eaters or obese, according to the study, which was published online recently in the Journal of Affective Disorders.
“The illness is more complicated, and then by definition how you would conceptualize how best to individualize treatment is more complicated,” study co-author Dr. Mark Frye, a psychiatrist and chairman of the psychiatry/psychology department at the Mayo Clinic in Rochester, Minn., said in a Mayo news release.
“It really underscores the importance of trying to stabilize mood, because we know when people are symptomatic of their bipolar illness their binge frequency is likely to increase,” Frye said. “We want to work with treatments that can be helpful but not have weight gain as a significant side effect.”
The investigators plan further research to determine whether there is a genetic link between binge eating and bipolar disease.
“Patients with bipolar disorder and binge eating disorder appear to represent a more severely ill population of bipolar patients,” study co-author Dr. Susan McElroy, chief research officer at the Lindner Center of HOPE, in Cincinnati, said in the news release.
“Identification of this subgroup of patients will help determine the underlying causes of bipolar disorder and lead to more effective and personalized treatments,” McElroy said.