By C. Spike. Golden State Baptist College.
Young discuss recovery from anorexia zudena 100mg sale, treatment of eating disorders buy generic zudena 100mg on-line, eating disorder relapses and shifting between being anorexic and bulimic order 100 mg zudena visa. Our topic tonight is "Treating Anorexia: The Recovery Process order 100mg zudena. You can also visit the Peace, Love and Hope Eating Disorders site in the Eating Disorders Community. Many people talk about wanting to stop being anorexic, yet they find it extremely difficult to accomplish that. David: Just so we are all on the same page here, when you use the word "recovery," what do you mean by that? Young: I think of it as having two components, the surface or behavioral level of working towards a healthy relationship with food, and the underlying issues such as feelings, personal issues, and self-esteem for example. David: Are there cases that you can think of, where it would be impossible that a person could recover? I believe that recovery from anorexia nervosa is possible, even if only to some extent. David: What does it take, inside the person, to bring about a significant recovery? Young: It often takes first getting to the point of being sick and miserable with how things are. It often takes the motivation of pain to make us want to change! It also takes perseverance and patience with what can be a long process, as well as, the willingness to let go of rigid ideas about weight or food. However, the last happens gradually with a lot of support. Without support from others, it can be harder to give up the comfort of the old behaviors. There are also many free support groups in most areas, such as ANAD (National Association of Anorexia Nervosa and Associated Disorders). The internet can also be a source, as we see here:)brewnetty: Recovery is being able to eat without fear, right? It can seem like the enemy, rather than a part of healthy self care. I would also add the ability to value yourself for aspects beyond weight and appearance. It is diagnosed by:loss of menstrual periodHowever, you still may have an eating problem even if you do not meet all the criteria. If it takes up a lot of your time, and energy, and makes you unhappy, it is a problem. David: Here are some more audience questions: joycie_b: I understand that Anorexia is about emotions, not the actual food. If this is true, then what is the best way to help my friend to talk about what she ate that day and help her realize it was not "too much" or should I not bring it up at all? Young: Joycie, it is great you want to help your friend! This is a common concern, because actually focusing too much on the food and eating can make things worse, since needing control may be a factor for the anorexic. You should be there to listen, validate feelings, and tell your friend all the great things about her or him. Is there anywhere that I can get help (as cheap as possible) without my parents finding out? You may need to consider whether its worth involving them to get financial help and whether they can be of any support. If it is really not an option, than please check at any local colleges or universities, because they usually offer counseling programs. ANAD is a group that runs free support groups in many areas. Young, how would you suggest that teenagers with eating disorders broach the subject with their parents? I know it is tough and may go against a long family pattern. Sometimes it helps to share a book on eating disorders, or written information, like from a website. Basically, tell them whichever way you can, the behavior and how you feel about it. Let them know you love them and need their help and support. Family therapy is often important to change the old habits of all family members that contribute to the development of anorexia. For example, a family may think recovery is as simple as making the sufferer eat again and not recognize the emotional and psychological issues behind anorexia. Families need to be educated about the eating disorder and they have to learn that telling someone to eat, will not fix the problem. It is not a "just pull yourself up by your boot straps" type of situation. If it were that easy, you would have done it already! Krystie: I am twenty-eight years old and have taken on many anorexic tendencies just in the last year-and-a-half alone. Because of my age, I am regarded as childish and looking for attention; treated as though I am using this as a game, when I have spent so much time, effort, and money to overcome this. How does an adult sufferer begin recovery with this societal attitude? Young: Krystie, I am sorry you are encountering that bias! Because it does often begin in adolescence, there may be that confusion. Try to find a good therapist with experience with anorexics at different ages, and a group (or treatment program) with an age range as well. Young: scarlet47: I am fifty-one years old and have had anorexia for four years. I also have PTSD (Post Traumatic Stress Disorder) and self-harm. All stem from abuse and a frightening fear of abandonment. Mine never started with the thoughts of wanting to be thin. I had high blood pressure and they said I needed to lose weight, as opposed to taking medications. I have been with a private therapist and have lost twenty-five pounds since. I feel so alone because most eating disorders seem to be associated with teenagers. One is that anorexia may be part of a more complex picture. It may be one reaction to trauma in the past, like another type of self-harm. It is important to have a skilled clinician to help you differentiate. David: I did not realize how many people develop an eating disorder in adulthood. On the other end, girls as young as five, are now talking about being fat and needing to diet! It may be that a person used other coping mechanisms earlier, or may have had alcohol or drug problems, so the eating issues did not surface until later. Any time of life transition or stress can be a kind of trigger for developing issues that were lurking beneath the surface. Young: Family therapy is usually crucial, since the adolescent is often still at home.
Finally cheap zudena 100 mg with mastercard, if you happen to be covered by Kaiser Permanente purchase zudena 100 mg line, I recently participated in major training program for 90 of their therapists to learn how to treat OCD trusted zudena 100 mg. Baer: Scrupulosity is usually associated with religious or moral guilt zudena 100 mg without prescription. Usually the person is worried about having committed a sin. The Catholic church has written about this for centuries, and their is even a religious organization called "Scrupulous Anonymous. Baer please discuss the connection between OCD and Ruminating? Baer: Ruminating is worrying or thinking about something over and over again. Often it is about real life things, like not having enough money, or whether something will work out or not. Therefore, ruminating occurs in depression and in anxiety. Obsessions are a very specific kind of ruminating, about being dirty or contaminated, or about having made a mistake, or about things being out of order and not perfect, etc. I have to wait until the 10th to get a different medication. What can I do in the meantime to keep from going more frustrated and incapacitated? Baer: For the depression cognitive therapy can be very helpful. This is especially important because all of these drugs can take up to 12 weeks to have any effect on OCD symptoms. Baer: It is important to distinguish suicidal thoughts and self-injury for this reason, from urges that seem to build up to do something to relieve the tension. Suicidal thoughts are caused by depression and hopelessness, while the urges to do impulsive acts to relieve tension are part of the OCD spectrum disorders. Baer mentioned that people with OCD sometimes start out by being highly critical of themselves. Baer: Another of the disorders that is part of the OCD spectrum is "body dysmorphic disorder" where the person thinks that some part of his or her appearance is ugly or somehow not right. We often see people who pick at their skin or other things to try to improve their appearance. Steve1: How much association does Obsessive-Compulsive Disorder have with Panic Disorder and if you have Panic Disorder what are the chances of you developing OCD? Baer: There is some overlap between OCD and panic disorder, but much less than we would have expected. The vast majority of people with panic disorder will never develop OCD. I mentioned at the beginning that in a few cases of OCD, traumatic experiences may have triggered the symptoms, and we often see both panic and OCD symptoms co-existing in these cases. We have met with several doctors who have diagnosed her with OCD. We were working with a behaviorist with very little success. Baer: At the risk of sounding like a bookstore, I would strongly recommend that you get Dr. He explains how, at Duke University, he modifies behavior therapy in terms kids can understand and gets excellent results, usually with no, or very little medication. The techniques are the same in treating kids as adults, but of course it has to be explained differently. Baer: These are the only two SRI drugs that are sometimes prescribed together. Then it should be treated as a serious symptom of depression. Of course, it is important to take any suicidal thoughts seriously and see a professional, and it will probably take a professional to tell these thoughts apart. I would therefore suggest talking to a professional before trying self-treatment for this symptom. However, others have obviously seen bizarre behavior. My question is do people with OCD develop other major problems later in life if OCD is not treated early? Baer: Other disorders do not develop, and the OCD usually remains at about the same level if not treated; although, of course, more relationships and job situations are affected as people have OCD longer. Baer: People with primary obsessional slowness do everything extremely slowly. They can get "stuck" in bathrooms for many hours at a time or in showers until all the hot water runs out. They usually describe not being able to start an action until it feels perfectly right. This problem does not respond to self-treatment and almost always requires medication in addition to behavior therapy. I talk about it in Getting Control Slate: My husband has OCD. He is doing really well in terms of not acting out compulsions, as a result of some work with exposure and response prevention. But his obsessions often focus around flaws he sees in ME. Baer: We are testing a new kind of treatment for OCD which is called cognitive therapy for OCD. It seems to be effective for the kinds of symptoms you describe about perfectionism. It involves having the person examine his thoughts for cognitive errors or distortions common in OCD. I included a chapter describing this technique in my book The Imp of the Mind along with a case illustration of this new technique. Baer, for being our guest tonight and for sharing this information with us. And to those in the audience, thank you for coming and participating. We have a very large and active community here at HealthyPlace. Michael Jenike talks about one of the most difficult aspects of Obsessive Compulsive Disorder (OCD), obsessions, including obsessive thoughts, intrusive thoughts, disgusting thoughts and what to do about them. We also discussed medication for treating OCD, Cognitive Behavioral Therapy, and treatment resistant OCD. Our topic tonight is "What To Do About The Obsessions Part Of OCD. Just so everyone knows, obsessions are unwanted, recurrent, and disturbing thoughts that the person cannot express and that cause overwhelming anxiety. Jenike is a psychiatrist at Massachusetts General Hospital, a Harvard Medical School professor and his primary research interest is in obsessive-compulsive disorders. He has written numerous articles for scholarly journals on the topic, authored a book entitled " Obsessive-Compulsive Disorders: Practical Management ," and he is a member of the board of directors of the Obsessive Compulsive Foundation. What is it that causes certain individuals to have obsessive thoughts? Everyone has intrusive thoughts, but people with OCD give them special significance and they get stuck in their minds. We really do not know what causes Obessive-Compulsive Disorder in most patients, occasionally, it can occur after strep infections or head injury, but this type of cause is very unusual. Jenike: Patients often report that they have a sudden onset of some thought that upsets them, for example, that they did something hurtful to someone else, said something inappropriate, or some sexual thought that is repulsive to them, like wanting to molest their children or parents. What is that makes a person with OCD obsess about them?
Usually these can be dispelled easily and so cause little discomfort best 100mg zudena. Sometimes it can be hard for parents to tell if some of the things their child does are normal or if there might be a problem purchase 100mg zudena. A guide may be how much time your child is engaging in performing their rituals discount zudena 100 mg mastercard. Another guide may be how upset your child gets when he / she carries out the rituals or you try to stop them purchase zudena 100 mg with mastercard. If distress is extreme and prolonged this might indicate a problem. Below are some frequently asked questions about OCD. Obsessive Compulsive Disorder (OCD) is a form of anxiety disorder, which can vary in severity from very mild to severe, and can take many different and novel forms. When children are troubled by their obsessional problems they can experience very high levels of anxiety and distress, and they can find the problem takes up a lot of their time and attention. It can seem that the problem is taking over their life, and that there is little time for anything other than worrying, washing, checking or other obsessional behaviour. Other things that increase the chances of OCD include awful things that go on for a long time (like being bullied) or awful things that happen all of a sudden (such as someone dying). Feeling depressed for a long time can also increase the chances. Other possible reasons include the idea that the brain works differently in people with OCD and the idea that the chances of getting OCD increase if other family members have it too. But the good news is that no matter what causes OCD, it can be treated with a treatment called cognitive behavior therapy (CBT). From the research that has been carried out so far, we know that it is important to treat OCD as early as possible. When people do CBT they learn how thoughts, feelings and what they do are connected. They also learn how to deal with upsetting thoughts and feelings. CBT works well for people with many different problems, such as panic attacks, fears like that of spiders or injections, and depression. CBT also works for adults with OCD, and many good experiences working with CBT and OCD in young people have been reported. Recent pilot work by Professor Paul Salkovskis and Dr. Tim Williams on CBT for young people with OCD has been very promising, with the results showing a significant positive effect of CBT treatment. While many kids can do well with behavioral therapy alone, others will need a combination of behavioral therapy and medication. Therapy can help your child and family learn strategies to manage the ebb and flow of OCD symptoms, while medication, such as selective serotonin reuptake inhibitors (SSRIs), often can reduce the impulse to engage in the ritualistic behavior. If yoDiscover how a bully becomes a bully and what can a child do to stop a bully. He thinks controlling you will help him feel better about himself. He might have been exposed to a lot of violence in the media. But if you look closer, the "good guy" is always cooler! His (or her) friends, or peers, could be a "bad" influence, talking him into doing things he may, or may not, understand are wrong. They might have been too busy to teach him how wrong it is to hurt others. Or maybe they spoiled him, making him think he can do anything he wants, including bullying! If his bullying is physical or violent, tell them not to give your name. That will take away his power he "thinks" he has over you. Do this only if the bullying is mental, not physical. This should only be used as a last resort (in self defense). Using this to show off for your friends, or simply because someone made you angry, could lead to law suits, and YOU becoming a bully! Many parents are unsure what to do after their teenager has been diagnosed with depression or other mood disorder. One who is smart, attractive, talented, obedient, polite, and healthy in mind and body. Many spend money on preschool and private education to create academic advantage and increase the odds of acceptance into a prestigious college. It comes as a shock when our youngster has difficulty navigating this traditional path. An elementary school report card may contain "C"s and learning disabilities discovered. A healthy parent learns to love and accept their child as he or she is and relinquishes personal and social expectations. At no time is this parental resolve more tested than when their teen is diagnosed with a mood disorder. Under normal circumstances, hormonal and social changes may turn the most compliant and even-tempered pre-adolescent into a defiant, moody, chronically irritated, angry, scared teen. One hour he may be sobbing that no one loves him and the next be excitedly talking on the phone about a date. One minute she may want a hug and the next scream not to be touched. For a small percentage of teens these normal moods become extremely intense, debilitating and require professional care. They become suicidal when depressed and out-of-control when manic. Eventually, a diagnosis of "mood disorder" - major depression or bipolar disorder - may be made and a combination of medicine and therapy prescribed. Gradually, their whirlwind of emotional changes begins to subside. It is not as easy for parents of newly diagnosed mood-disordered teens to find inner peace. Haunting questions of "why did this happen," "what could I have done to prevent it," and "how can I help my mood-disordered teen" often generate parental feelings of shame, guilt, and inadequacy. If you are in such a situation, know first that you are not alone. Statistics indicate that 7 to 14 percent of children will experience an episode of major depression before the age of fifteen. Out of 100,000 adolescents, two to three thousand will have severe mood disorders. Know also that science is far from clear about the relative effect of environment, genes, and brain chemistry on producing severe adolescent mood disorders. While it is true that both depression and bipolar disease tend to run in families, it is not certain why some genetically-prone individuals remain mentally healthy and others do not. But you can help your teen cope with his or her disease. And you can keep your own physical and mental health in the process. All the love in the world cannot instantly cure chronic depression or bipolar disease. Our power as parents is to help our kids develop coping mechanisms for effectively dealing with their life circumstances. This means we must not confuse our child with his or her mood disorder.
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Through the Medicare website, people can alsofind out if they are eligible for Medicare and when they can enrolllearn about their Medicare health plan optionsfind out what Medicare coversfind a Medicare Prescription Drug Plancompare Medicare health plan options in their areafind a doctor who participates in Medicareget information about the quality of care provided by nursing homes, hospitals, home health agencies, and dialysis facilitiesCalling 1-800-MEDICARE (1-800-633-4227) is another way to get help with Medicare questions, order free publications, and more. Help is available 24 hours a day, every day, and is available in English, Spanish, and other languages. Medicare information can also be obtained from the following agencies or programs:Each state has a State Health Insurance Assistance Program (SHIP) that provides free health insurance counseling. SHIP counselors can help people choose a Medicare health plan or a Medicare Prescription Drug Plan. The phone number for the SHIP in each state is available by by calling Medicare or visiting www. People can contact the agency at 1-800-772-1213, visit its web-site at www. State Medical Assistance (Medicaid) offices in each state can provide information about help for people with Medicare who have limited income and resources. People who enroll in Medicare can register for MyMedicare. People can view their claims, order forms and publications, and see a description of covered preventive services. Help for Diabetics with Medicare Who Have Limited Income and ResourcesDiabetics who have Medicare and have limited income and resources may qualify for help paying for some health care and prescription drug costs from one of the following programs:Extra help paying for Medicare prescription drug coverage. Those who meet certain income requirements may qualify for extra help from Medicare to pay prescription drug costs. People can apply for this help by calling Social Security; visiting www. 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To contact a state Medicaid office, people cancheck the government pages of the phone book for the local department of human services or department of social services, which can provide the needed informationSCHIP is a federal and state government partnership to expand health coverage to uninsured children from families with income that is too low to afford private or employer-sponsored health insurance but too high to qualify for Medicaid. The free or low-cost coverage is available to eligible children younger than 19. SCHIP provides an extensive package of benefits including doctor visits, hospital care, and more. People who are not eligible for Medicare or Medicaid may be able to purchase private health insurance. Many insurers consider diabetes that has already been diagnosed a pre-existing condition, so finding coverage may be difficult for people with diabetes. Insurance companies often have a specific waiting period during which they do not cover diabetes-related expenses for new enrollees, although they will cover other medical expenses that arise during this time. Many states now require insurance companies to cover diabetes supplies and education. The Health Insurance Portability and Accountability Act (HIPAA), passed by Congress in 1996, limits insurance companies from denying coverage because of a pre-existing condition. Some state offices may be called the state insurance department or commission. This office can also help identify an insurance company that offers individual coverage. The Georgetown University Health Policy Institute offers consumer guides on health insurance topics, including guides for each state about getting and keeping health insurance. When leaving a job, a person may be able to continue the group health insurance provided by the employer for up to 18 months under a federal law called the Consolidated Omnibus Budget Reconciliation Act, or COBRA. People pay more for group health insurance through COBRA than they did as employees, but group coverage is cheaper than individual coverage. People who have a disability before becoming eligible for COBRA or who are determined by the Social Security Administration to be disabled within the first 60 days of COBRA coverage may be able to extend COBRA coverage an additional 11 months, for up to 29 months of coverage. Department of Labor at 1-866-4-USA-DOL (1-866-487-2365) or visiting www. Some professional and alumni organizations offer group coverage for members. Most states have a high-risk health insurance pool or other means for covering people otherwise unable to get health insurance. Information about high-risk pools is available at www. Some insurance companies also offer stopgap policies designed for people who are between jobs. Each state insurance regulatory office can provide more information about these and other options. Information about consumer health plans is also available at the U. The Bureau of Primary Health Care, a service of the Health Resources and Services Administration, offers primary and preventive health care to medically underserved populations through community health centers. For people with no insurance, fees for care are based on family size and income. The Department of Veterans Affairs (VA) runs hospitals and clinics that serve veterans who have service-related health problems or who simply need financial aid. Veterans who would like to find out more about VA health care can call 1-800-827-1000 or visit www1. Many local governments have public health departments that can help people who need medical care. People who are uninsured and need hospital care may be able to get help from a program known as the Hill-Burton Act. Although the program originally provided hospitals with federal grants for modernization, today it provides free or reduced-fee medical services to people with low incomes. The Department of Health and Human Services administers the program. More information is available by calling 1-800-638-0742 (1-800-492-0359 in Maryland) or visiting www. Kidney failure, also called end-stage renal disease, is a complication of diabetes. People of any age with kidney failure can get Medicare Part A?hospital insurance?if they meet certain criteria. To qualify for Medicare on the basis of kidney failure, a person musthave had a kidney transplanthave worked long enough?or be the dependent child or spouse of someone who has worked long enough?under Social Security, the Railroad Retirement Board, or as a government employeebe receiving?or be the spouse or dependent child of a person who is receiving?Social Security, Railroad Retirement, or Office of Personnel Management benefitsPeople with Medicare Part A can also get Medicare Part B. However, a person needs to have both Part A and Part B for Medicare to cover certain dialysis and kidney transplant services. More information about dialysis and transplantation is available bycalling Social Security at 1-800-772-1213 or visiting www. A free nylon filament?similar to a bristle on a hairbrush?is available to check feet for nerve damage. The filament, with instructions for use, can be obtained by calling 1-888-ASK-HRSA (1-888-275-4772) or by accessing www. More information is available at the Medicare website at www. Drug companies that sell insulin or diabetes medications usually have patient assistance programs.