Pages

Monday, September 30, 2013

Say It Forward 2013


The International Bipolar Foundation and the Depression and Bipolar Support Alliance have dedicated the month of October to the Say It Forward Campaign. It is an attempt to reduce stigma by educating through means of social media about mental illness.  Be sure to check out the site for ways you can join in the campaign.  

Being open and honest about having a mental illness is one of the hardest things I have ever done.  The only thing harder was keeping silent.  It ate me up inside for many years.  Even after I sought treatment, I still tried to remain very hush-hush about what was going on inside my head.  Unfortunately, many of the symptoms of my illness made complete secrecy impossible.  Still, I didn't want everyone to know my business!  It caused a lot of anxiety for me, and that anxiety doubled as rumors about me began spreading throughout our small community.  I felt like the spotlight was on me, and all I wanted to do was hide.  I didn't want the people who had always known and loved "Normal Amy" to know I had mental issues.  I didn't want them to know about my suicide attempt, the downfall of my marriage, my inability to take care of my children at the time.  It just didn't seem fair that I had to deal with having a mental illness and on top of it deal with people's nosiness and ignorance. It just wasn't fair!

Roughly two years ago, I made the big decision to attach my real name to the blog I had been keeping throughout my diagnosis and treatment of mental illness.  I deleted most of the old posts and began anew, vowing to do my part to reduce stigma by opening up the darkest part of my history.  I didn't know what to expect.  Would everyone shun me?  Well, some people had already, so I was used to that, right?  Would it make me look stupid to talk about this stuff?  Would they think I just wanted attention?  Would they even believe me?  

Through this blog and my Facebook page I have shared a lot of details about what I have went through.  There are some things that I don't get specific about because I want to protect my children and other people involved, but for the most part I put it all out there, and every time I click "Post" I get a little queasy.  I think this is it, this is the time I have went too far and told too much. But then I get a kind comment, or a heartfelt email saying "thank you for what you are doing.  You have made me feel less alone"  and I know what I am doing is worth it.  I am just a small person in this vast world, and it's hard to feel like I could possibly make any size of impact on something as hefty as stigma.  But all of our small parts add up to a large part of what brings communities together in the fight against mental health ignorance.  And the reduction of stigma leads to more people seeking help, less people feeling ashamed for an illness they didn't ask for, and more understanding from those who know us.  Some minds will never be changed.  I call those the closed ones!  But our efforts will change something, and we all deserve that nudge in the right direction.  

How To Make Children Feel More Confident

Children India Polio Handicap

It is really important that a child develops a sense of self-confidence from early on to guarantee the best possible chances of success later in life. It can be very helpful to learn to trust in yourself and your own abilities early so that you are able to take life’s challenges head on.

But sometimes children might seem unable to break out of their shell and not feel very confident in strange situations. Therefore it is crucial that you learn to encourage your child to be more confident.

Build Positive Self-Image


Much of the confidence is based on the perception that children may have of themselves and thus it is really important you ensure their self image is as positive as possible. There are many different ways you can guarantee that their self-image is as positive as possible and it is a good idea to try and employ some of these tips.

First, Ask Dr. Sears website reminds parents that they need to make sure their own self-image is positive because children take so much influence from their parents. So if you are constantly putting yourself down the child will learn negative behaviour and will lose confidence in himself. So try to learn to love yourself so that you can teach your child to do the same.

Of course it doesn’t mean that you need to be unrealistic about it. It is also important for the child to learn to view herself in a realistic way and learn that people are different. It is okay to tell them that some people are better at some things, just as long as they understand it doesn’t make them any worse as a person.

Practice Real Life Situations


Often for a child a lot of different situations can feel very foreign and thus be very scary. For instance, going to the doctor might make them feel a bit scared because they aren’t used to the situation. Therefore a good way to provide children with more confidence is to practice these sorts of situations beforehand.

You could, for example, get a few dolls and gather them around and go through what happens during a doctor’s visit. When your child can be the doctor and the dolls act as the patients then the child will be able to control the situation and learn that there is nothing to worry about.

Dolls are really good for building up confidence in children because they can play the part of the child and the child can take care of them and express their feelings through the dolls. A Girl For All Time collectable dolls, for instance, is a really good way to build up your child’s confidence in a fun and controlled way.

Building up confidence through play is a really useful and simple way to encourage your child to stay confident and will also make them less anxious when they are faced with different situations in life. Learning about different behaviours this way will also allow them to ask questions and thus they won’t have to wonder why adults act the way they do in real life.
Featured images:
Hannah likes to help parents handle their children better and wants to guarantee children have the best possible start in life. She loves to spend time with youngsters and volunteers at her local youth club whenever she can.

Sunday, September 29, 2013

Quote of the Day

"Progress always involves risk; you can't steal second base and keep your foot on first." -Frederick Wilcox

Thursday, September 26, 2013

"Did You Forget to Take Your Meds?"


*Please note that any side effects from the specific drugs mentioned in this piece are from my own personal experience.  It in no way indicates what you could expect from the same prescription. Drugs affect people in different ways.  Also, make sure to discuss with your doctor any changes in your own medication.

One of the most confusing aspects of mental illness is treatment, and whether medication should be part of that treatment.  While I can't answer that for you, I can tell you about my own journey through the medicating process.

My first psychiatric drug was an antidepressant prescribed by my gynecologist after the birth of my first daughter. He prescribed Zoloft, primarily for prevention of the daily migraines I had begun having, but also for the severe postpartum depression that, though I did not say much to him about, he must have sensed from my demeanor.  The "happy pills" worked their magic; my migraines decreased in frequency, and my depression lifted significantly. I do remember an embarrassing moment after taking the first pill.  I was walking through Walmart a few hours later when suddenly I had a dire urge to go to the bathroom.  Like, in a really bad way.  I nearly didn't make it to the toilet (I may have knocked a few people down as I ran through the aisles), and it was ghastly once I sat down! Loud and ghastly! I don't think there was a soul left in that public restroom once I got through. Fortunately, this smelly little side effect only lasted a few days. I stayed on Zoloft for about three years, content with the results.  I did notice that it lowered my libido a bit and heightened my irritability, but my husband was understanding (or scared of me) so it didn't concern me too much.  

Since Zoloft is considered safe during pregnancy, I remained on it while pregnant with my second daughter and also while I breastfed her for a year. I had never been happier, and I had a lot of energy.  Nothing out of the ordinary until...

Things started to change.  There was a definite shift, but I couldn't pinpoint it then, and I certainly can't now.  I just knew I wasn't "okay" anymore.  The depression was back, yes, but sometimes I was really happy too.  I was too happy, and the irritability was at an extreme. I was irritated that I was happy, and irritated at anyone and anything around me.  I made an appointment with my primary doctor and told him I didn't think my antidepressant was working anymore.  I admitted to feeling depressed and irritable, but I didn't mention the "too happy" feeling. I didn't think it was relevant.  He prescribed a different antidepressant, Lexapro.  I don't remember if a wean-off from the Zoloft was necessary; I just remember the Lexapro was the ultimate Turn Me Into a Royal Bitch drug for me.  I didn't even make it a week before my husband and I both decided that it was a mistake.  If I had taken it longer, possibly the bitchiness would have subsided, but it was not a gamble we were willing to take.  

My doctor tried me on a couple of other antidepressants, but they all produced the same effect.  Finally, I told him about the other symptoms I was experiencing, and he referred me to a mental health clinic.  At that point I just wanted relief, so I made an appointment to see an intake therapist at the clinic.  After speaking with her (this time I was honest and didn't leave out any symptoms), she gave me a preliminary diagnosis of bipolar disorder.  I had read very little about the illness prior to this, but I had had my suspicions; still, it was a shock to be right.  I was scheduled to meet with the psychiatrist, and she confirmed a diagnosis of bipolar disorder (it was later down the road when I was additionally diagnosed with obsessive-compulsive disorder, social anxiety, and panic attacks). And of course, her first course of action was to get out her prescription pad and start scribbling out drugs I had never even heard of before. 

The first combo was Depakote and Effexor.  I immediately hated the Depakote, as it made me gain 5 pounds a week and caused a lot of scary hallucinations.  As far as I could tell, it did nothing to stabilize mood, so she switched my meds. And switched them again.  And again. Along with each drug came new side effects; some annoying and some downright unbearable. Many made my symptoms worse rather than providing any form of relief. Finally I got fed up and *like an idiot* I just stopped taking any of it.  Okay, maybe "idiot" is harsh, but I was definitely an uninformed individual about the potential dangers of abruptly stopping psychiatric medication.  Besides making me dizzy and sick, it was most likely the main trigger of the biggest psychotic break I have thus experienced.  Very bad things happened after that, and I will spare you the details since I have written about most of it before, but suffice it to say I went off the deep end and lost my family in the process.  I'm not going to sit here and blame medication (or the lack of) for the things I did during that time period, but I do feel like the constant switches between medications (often with no reprieve in between) and then the complete absence of medication so abruptly did nothing to help my mental status.  I made some very irrational decisions that seemed perfectly rational (to me, and only me) at the time. I was a mess, and it didn't seem like I would ever get better.  I was committed to a mental hospital on two separate occasions, and there were so many med changes I can't even remember them all. The second hospital wanted to change my diagnosis to schizophrenia and so anti-psychotic medication got added to the pile.  Those made me so groggy and zombie-like, I didn't even feel alive.  It led me to wonder, countless times, which is worse: the symptoms of my illness or the side effects of these drugs?  I would get fed up with meds and go without them for a while.  Then I would end up in such a mess that I would succumb to trying them again.  This cycle repeated oh so many times.  I really didn't think there would ever be a "perfect cocktail" for me.  I didn't even want to try anymore.  In the midst of this I had started drinking (something I had never done before), and my hair had started falling out.  My marriage had fallen apart in the beginning of all of this, and my subsequent relationships fell apart as well. I still had joint custody of my daughters, but I wasn't allowed to be with them without the supervision of another person.  I had hit rock bottom, and even that bottom seemed to be crumbling underneath me.  

Then, a breakthrough!  Cymbalta and Lamictal did the trick for me, along with regular therapy.  My moods stabilized, the more psychotic symptoms went away, and I was eventually able to hold a full time job.  I found an apartment and was able to get my kids every other weekend like a "normal" parent.  At some point I decided I was all better - cured!  never had bipolar to start with! - and I weaned myself off the medication that had supposedly helped me so much.  And, surprisingly, I actually did quite well without them.  For about two years, in fact.  I did have a suicide attempt at one point during that drug-free era, and now that I look back there were instances that hint at the fact that perhaps I wasn't doing so great after all, at least not all of those two years.  But I was able to keep my full time job - I even advanced to a management position - and I kept my inner demons at bay as much as I could while I was at work or any other public place.  I was also trying desperately to keep it together at home, but my new marriage was not a happy one, and it added a lot of stress to me.  I recognized that I needed more than just therapy to keep me afloat and I resumed the Cymbalta and Lamictal.  Klonopin was eventually added to help with my anxiety. It became a regular occurrence for my husband to flip out on me and say "did you forget your meds today?"  This wouldn't just happen when I actually had an obvious bipolar symptom rear its ugly head.  It was whenever I showed the least bit of emotion about anything. I really detested hearing that said to me, especially when I knew it was unwarranted. But sometimes (increasingly more often) I wondered if he was right.  Sometimes I would double, even triple how many times I took my medication in a single day, in hopes that it would make me act "right" for him.  But it didn't fix my marriage, and it didn't fix me.  I started drinking again, and even more so after my dad passed away.  

Thankfully, I had a good therapist at the time, and she helped get me through the death of my dad and another failed marriage, and I stopped relying on overdoses and drinking to get me through my life.  I abruptly walked out of my job one morning, but I think I just needed a clean break from everything that had been weighing me down.  It wasn't a mature, or even sane, thing to do, but I was one step away from the breaking point at that time, smothered in stress and discontent, and I saw a window to fly out of. I moved out of my apartment and tried to move on with what little self-worth I had left. Things got better, and I began to unbury myself from the wreckage.  I found another job and began a healthy relationship. I didn't feel like I was breaking anymore.

I have went through med changes since then, and I have stopped/started many times too.  It seems to be one of those lessons I never learn, though I am trying! Right now, my current medication is not doing so great for me and I am going to make an appointment to discuss what my next options are.  It's an overplayed scene, but I'm used to it.  My bipolar is of the rapid-cycling variety, and it's harder to treat. I accept this.  Do I like it?  Of course not!  But I do what I have to in order to be the best I can be.  Sometimes I actually do better without any meds at all, but sometimes they are a necessary part of my treatment.  I'm never going to wake up and be cured from mental illness.  I doubt I'll ever be able to go drug-free for any lengthy amount of time, let alone forever, but who knows.  It could happen.  Some people do great without medication.  Some don't.  Me?  I don't know if I'll ever feel completely "fixed" either way.  


Wednesday, September 25, 2013

The Relationship Between Occupational Injury and Depression



Depression is more than just feeling sorry for yourself for a couple of days. It usually lasts for weeks or even months at a time, and left untreated can develop into a severe illness. It can prevent you from enjoying life and cause distress to those around you.

There are many triggers for depression. These include stress, lack of sleep, certain medications, alcohol or drug abuse, trauma and so on. Some people seem more susceptible to stress than others and research has found that one group apparently has an elevated risk – those who are injured at work.

Although empirical evidence is still limited, it appears that occupational injury leads to an increased likelihood of depression. According to a study published recently in the online medical journal BMC Public Health, 5.5% of workers injured on the job later suffered depression, against 4.7% of workers injured away from work and 3.1% with no injuries. The study also found that, the heightened risk of depression aside, the likelihood of the onset of depression increased as the length of time since the injury increased.

Studies have attributed two possible explanations for the increased likelihood of those suffering depression after a workplace injury than after a non-workplace injury:

1. An injury at work might result in reduced quality of life and lower socioeconomic status. Occupational injuries are often severe and the physical impairment and reduced income combine to increase the possibility of depression.

2. Those injured at work often have to go through an inquiry to find the cause and attribute blame. Employers and insurers may be unwilling to accept responsibility, meaning that the injured worker has to face additional stresses.

The most at risk of stress are those who have suffered life-threatening injuries or injuries that have caused disfigurement, but the onset of stress often remains undiagnosed or undetected for a considerable time. This can result in chronic anxiety, depression, substance abuse or somatic illnesses (those with physical symptoms but no biological cause).

As with all stress-related illnesses early intervention is crucial to recovery. Given the elevated risks of depression after a workplace injury, a timely assessment of the injured worker will allow strategies to be put into place that will obviate the risk of later problems. In the long term, this will have benefits both for the company itself and for the worker and his or her family.

The relationship between depression and workplace injury has only relatively recently come under scrutiny – first recognised since the 1970s when the link between occupational hazards and post-traumatic stress syndrome was established. Armed with new knowledge, occupational health practitioners will be able to become more effective in the prevention of stress and depression in the wake of workplace injuries.

Presently, however, injured workers may continue to struggle with depression or other emotional problems. For them early depression treatment is vital if their condition is to be controlled and they are to achieve full recovery before it seriously impacts on their lives.


This article was written by Alexander Thornton an expert in Mental Health and Addiction based in the UK.

Monday, September 23, 2013

Humor and Its Role in Patient Health

An article published by the New York Times last year focused on how a study found that humor is now one of the ways people identify themselves and others. Specifically, the Nielsen Entertainment Group polled 2,000 males online to find out more about their perceptions of humor. Interestingly, 88 percent said they used humor as a tool in self-definition, and more than half of respondents said they relied on funny videos to make an impression on someone else. Although that data is related to the general male population, it aligns with similar data published about how humor can aid people in recovering from illnesses. Keep reading to learn more.


Poker, Coffee and Memories


Caregivers Can Use Humor to Relate to Patients



It’s worthwhile to remember how when someone goes to a hospital to receive treatment, they’re likely scared, embarrassed or uncertain. Fortunately, all these emotions can be alleviated if a nurse or doctor uses humor as a way to relate to patients. By nature, the healthcare industry can be very stressful for patients and caregivers alike, and a well-timed joke could be just the thing to keep the mood as light as possible.

Humor to Reduce Heart Disease Risk


We’ve all heard the saying “Laughter is the best medicine,” and an article from the American Heart Association suggests there’s truth in it. The piece states how laughter can reduce blood pressure and increase a person’s amount of “good” cholesterol. Information in the article also states how people who have heart disease are 40 percent less likely to laugh than people who have not been diagnosed with the disorder. It’s also notable that the good effects of laughter can last as long as 24 hours. With that in mind, it could be important to let yourself laugh regularly, especially if you’re at risk for heart disease.

The Effects of Different Types of Humor on the Recovery of Cardiovascular Patients


Further supporting the benefits of laughter for a person’s well-being is a University of Montana study which examined different types of humor when used in the context of helping cardiovascular patients recover more quickly. In general, humor helped to improve social and psychological health perceptions. Looking deeper though, researchers found how antidote-centered humor was beneficial, but other types, such as distancing humor, had negative influences on patient recovery.

Lee Glickstein’s Use of Humor for Recovery


A man named Lee Glickstein holds “Humor in Recovery” classes in San Francisco, CA, and those focus on stand-up comedy to help patients laugh no matter what stage of recovery they’re going through. He uses the audience’s own empathy and personal stories to create laughter that’s genuine but doesn’t take cheap shots that could be considered offensive by people who are ailing. Some people who have benefited from Glickstein’s approach are people who are recovering from addictions or other issues that have a combination of mental, physical and emotional components.

Laughter


Don't Forget to Laugh!


Steve Wilson, a psychologist and staff member from the World Laughter tour, offers the strong reminder that although preschoolers laugh an average of 400 times per day, adults only do so less than 15 times over the same period of time. No matter which sector of the healthcare industry you’re in, don’t overlook how humor could be a powerful tool to help people feel better after an illness, or even prevent future health problems. It could even reduce your own stress around the workplace.


Brett Harris believes laughter is the best medicine to cure an aching heart. If you would like to help cure an achy heart check out the 10 most affordable online nursing programs.

Sunday, September 22, 2013

Stumbling Through the Dark



Why is it so hard to tell the people closest to you things like "I'm struggling" and "I need help pulling through this depression"? I think it's because even when we do try to tell others, it doesn't get through. It comes out all wrong. It's misinterpreted, or ignored. Sometimes it seems much easier to keep it to yourself, to pray it passes soon, before it ruins everything and everyone you hold dear. 


The truth is, I hate myself when I am this way. I know it's not the real me, but I can't find any part of this monster that even resembles her. I just want to wake up from this awful nightmare, but I can't. Not yet anyway. I want to tell everyone I love I'm sorry. I don't mean to lay around doing nothing. I don't mean to cry at odd moments, and to seem absolutely void of emotion at the wrong times. I don't mean to be troublesome, obnoxious, a bore. I want to pull through. I really do. The fact that I am still breathing proves that. For all I do to try to help the ones I love when I can, why is that not enough when I am the one who is broken? Why do I feel like such a burden, like my living causes more grief than my death would? Is that this illness talking, or is it the truth? Because I can't tell right now. And that scares the hell out of me.

Quote of the Day

“Others imply that they know what it is like to be depressed because they have gone through a divorce, lost a job, or broken up with someone. But these experiences carry with them feelings. Depression, instead, is flat, hollow, and unendurable. It is also tiresome. People cannot abide being around you when you are depressed. They might think that they ought to, and they might even try, but you know and they know that you are tedious beyond belief: you are irritable and paranoid and humorless and lifeless and critical and demanding and no reassurance is ever enough. You're frightened, and you're frightening, and you're "not at all like yourself but will be soon," but you know you won't.” 

Friday, September 20, 2013

What It Really Means to Have Bipolar Disorder


It means being told your feelings are wrong, stupid, invalid.  Whatever the situation, you're always told you are overreacting.  As if your broken heart is something to be ashamed of.  As if your anger is misled. As if your happiness is abnormal. And yes, maybe it is.  Maybe it always is.  But you take any one person and tell them over and over that they overreact to everything, that they're "not supposed to" feel that way, and what does it do?  That's right. It chisels the life out of them, chip by chip, until they don't trust themselves or anyone else.  And there's no pills to fix that.

Applying for Disability Benefits with a Mental Illness


Those who are unable to work due to a severe mental illness can potentially qualify for disability benefits from the Social Security Administration (SSA). In order to do so however, you must meet the technical requirements for eligibility and also have the necessary medical documentation to prove that your mental illness prevents you from maintaining gainful employment.

The SSA’s Disability Programs

SSD programs administered by the SSA include:

  • Social Security Disability Insurance (SSDI), which is a program for disabled workers, and sometimes their dependents. SSDI requires you worked long enough, and recently enough, to build up the required “work credits” by paying into the program through Social Security taxes (FICA).
  • Supplemental Security Income (SSI), which is a need-based program designed to pay benefits to those who need them most, including disabled workers and individuals who cannot qualify for SSDI. SSI requires you have very limited income and other financial resources with which to support yourself.
For more information on the disability programs, please visit: http://www.ssa.gov/disability/

Mental Illnesses and Proving Disability

The SSA recognizes a number of mental illnesses as disabilities. The conditions in the following section are among those listed in the SSA’s Blue Book. This does not mean you automatically qualify for SSD benefits however. You must still prove your condition is so severe that it prevents you from getting and keeping a job in which you can earn a gainful living. You must also support your claim for disability benefits with substantial medical records and other documentation.

Conditions that May Qualify

Many mental illnesses can qualify for disability, though in order to do so, they must cause severe and persistent symptoms, despite consistent treatment. In other words, you must follow the treatment regimen prescribed by a doctor and still suffer from severe limitations in order to qualify for benefits.
The following are just a few of the primary conditions listed in the Mental Disorder (12.00) section of the SSA’s Blue Book, which is a manual of potentially disabling conditions, including the medical documentation required for proving disability with each.

  • Organic mental disorders, or those caused by a physiological issue, like a brain deformity or brain injury
  • Schizophrenia
  • Affective disorder
  • Personality disorder
  • Bipolar disorder
  • Substance addition disorder

For more information on applying for benefits with a mental illness, please visit: http://www.disability-benefits-help.org/disabling-conditions/mental-disorders

Medical Records

If you suffer from a mental illness, you need consistent medical care to live as full and “normal” a life as possible. You also need to regularly see a medical doctor or a psychiatrist regularly in order to obtain a formal diagnosis, build up your medical records, and to follow a treatment protocol, all of which are essential components of satisfying the SSA’s medical eligibility criteria for SSD benefits.

Applying for Benefits

While you can apply for SSD benefits online, at the SSA’s website, you can also make an appointment and apply in person at your local SSA office. When submitting an initial application you will have to provided detailed medical documentation, as well as documentation showing your financial situation and your work history.

Don’t be discouraged if you application for disability is denied. Over 60% of initial applications are denied. There is an extensive appeals process through which you can obtain the benefits that you deserve. If your application is denied, you should strongly consider hiring a disability attorney or advocate to help you with the appeals process.


Article by Ram Meyyappan
Social Security Disability Help


Thursday, September 19, 2013

Mixed Messages about Alcohol and Depression

© Jorge Royan / http://www.royan.com.ar / CC-BY-SA-3.0


Wine can help with depression. Or make it worse. Or kill you. Depends on the flavor-of-the-week study.

Research published Aug. 30 noted lower levels of depression with drinking “two to seven small glasses of wine per week.” I found it in – wait for it – Wine Spectator. The Spanish study also was reported on other medical news sites, however. And the report could be the loophole a drinker may use to avoid quitting, or the justification an ex-drinker may use to slip out of sobriety.

First, to credit the authors of the study, the research followed more than 5,500 men and women over age 55 for seven years, specifically looking at amount and type of drink and level of depression. “Moderate” drinkers of wine were found to have lower levels of depression than either abstainers or problematic drinkers. Lead author of the study, Miguel A. Martínez-Gonzále of the University of Navarra in Spain explained, “Problematic alcohol intake may be associated with depression not only because of increased intake of ethanol but also because of other alcohol-related unhealthy lifestyles or because of the social environment surrounding problematic drinkers (job loss, family problems, financial problems or other addictions). Any of these circumstances may be a potential trigger for depression, even in the absence of a specific detrimental role for ethanol.”

Other research from February this year contradicts that message somewhat, noting that a third of depressive episodes are tied to alcohol abuse of the disease of alcoholism and the periods of depression are “different from depressive episodes caused by other life events.” The February study, lead by noted alcohologist Marc Schuckit of the University of California, San Diego, focused on the problematic drinkers avoided in the University of Navarra study.

Heavy drinking causes depression. Light drinking alleviates depression. That seems to be the message. The question on the table is how to distinguish between heavy and light, and whether the individual can drink at all. Physicians define light as 1.2 drinks per day, moderate as 2.2 drinks a day, heavy as 3.5 drinks daily and abusive drinking was defined as 5.4 drinks a day.

Those with the disease of alcoholism have one choice: Zero drinks per day. Total abstinence is the only way to keep the disease in remission.

Experts have long known that heavy drinking can spur temporary episodes of depression while many with alcohol use disorders use alcohol to relieve depression. They self-medicate. "I don't know that the average person realizes that heavy drinking can induce mood problems," said Schuckit.

However, yet another widely reported Sept. 2013 study claims alcohol has no connection to mental depression in men, even though alcohol itself is central nervous system depressant. The University of Western Australia's three-year Health in Men Study lead author Osvaldo Almeida said the association observed between alcohol and depression could be explained by other factors, but not by alcohol itself. "The conclusion is that alcohol use neither causes nor prevents depression in older men. Our results also debunk the view that mild to moderate alcohol consumption may reduce the risk of depression.”

But Almeida was quick to add, “It doesn’t mean alcohol is entirely safe and people can consume it in whatever way they like. We know that alcohol when consumed in excess does create a lot of health problems – but what we now know is that one of those problems is not depression.”

There is one additional consideration stemming from a Norwegian study, also from February, that point to the health risks regardless of the relationship between alcohol and depression. “The evidence of the harmful effects of alcohol outweighs data on the benefits of drinking,” a physician wrote in an online issue of the journal Addiction. In a critical analysis of the health-boosting, disease-preventing characteristics of alcohol, Norwegian psychiatrist and addiction researcher, Hans Olav Fekjær, notes in the journal, “Altogether, the evidence for alcohol's ability to prevent diseases is considerably weaker than that for alcohol causing several kinds of harm.”

Fekjær also noted claims that moderate wine drinking has health benefits. “Wine drinkers generally had more formal education, better dietary and exercise habits and more favorable health status indicators. Altogether, there is ample evidence that groups with different drinking habits differ in several other ways than their drinking, making it difficult to separate the effects of drinking habits from other factors.”

Other evidence-based studies on diseases demonstrate increased health risks with alcohol consumption. For example, Boston University's study in the Feb. 14 Journal of Public Health concluded when it comes to cancer, “No amount of alcohol is safe."

While there is observational data that light or moderate drinkers have a reduced risk of several diseases which are influenced by lifestyle factors, whether or not the lower risk is due to alcohol is a more complicated issue. “Taken together, the existing evidence does not seem to meet the criteria for inferring causality. For almost all the diseases, we do not know of any plausible biological mechanism explaining a preventive role for alcohol. Alcohol's possible ability to prevent diseases should probably not be considered as an established fact.

“The absence of definite knowledge leaves plenty of room for wishful thinking, which we observe frequently on this topic,” Fekjær concluded.

Don't drink the Kool-Aid … or in this case, the wine. Consider other possible consequences of the "cure" for depression while evaluating studies of alcohol’s connection to depressive illnesses.


Scott Stevens is the journalist and award-winning author behind the alcoholism recovery bestseller Every Silver Lining Has a Cloud: Relapse and the Symptoms of Sobriety. www.alcohologist.com

Wednesday, September 18, 2013

What Is Involved In Taking Part In A Clinical Trial?

Clinical trials are an important part of medical science. Drug testing is imperative to check the safety and validity of medicines and practices in combating illness and disease control. To take part in a clinical trial is to assist scientists in this battle and perhaps help others alleviate suffering, or, in some cases, even save lives.

Who can take part?


There are many different types of clinical trials. Some may be gender specific, age specific or even illness specific. It is important to gather the information beforehand regarding which volunteer demographics are applicable if you are thinking of volunteering for a specific trial. If you dont have a specific trial in mind, there is normally something suitable for most people who are interested in taking part.

Screening Visit
The Process


Before any clinical trial is undertaken, you will need to undergo a medical (commonly called a screening visit). Volunteers generally need to be healthy and tests are in place to ensure your safety and the tenacity of the ongoing trial. If this test is failed you will be unable to partake in the clinical testing so if you catch a cold a few days before your screening visit it would be a good idea to call in and arrange a new appointment for a later date.

Possible risks involved


As with most things in life, there is an element of risk involved, but clinical trials are heavily regulated and the safety of volunteers is always the primary concern. Should you have any worries, it is important to discuss these at your initial assessment. The people carrying out the trial will provide you with a booklet containing information about the trial before you take part, and at no point are you under any contractual obligation to carry on with the trial. Clinical research companies are happy to answer any questions you may have about the trial, and you will be closely monitored throughout the entire duration.

Payments for undertaken trials


In general, most clinical trials last from between 1 and 30 days and may take up precious time that you would have otherwise spent working. Volunteers are paid between £500 and £3000 for taking part in a trial; the payment is directly proportionate to the length of time committed to the trial. There are also expenses to take account of for travel costs. Volunteers are paid up to £100 to account for the costs of travelling each time they need to visit the Clinical Research Unit (CRU).

Clinical Trial Volunteer
Things to consider


For their own safety and the tenacity of test results, volunteers can only partake in one clinical trial at a time. After undertaking one clinical test, you will be unable to take part in another trial for 3 months. The 3 month cool down period begin from the date your last trial ended.


Smoking may be allowed in some clinical trials within a designated area, but some trials prohibit smoking entirely. If you are a smoker it is therefore a good idea to check before applying for a particular study, in relation to whether or not smoking is allowed.



Consider the length of time you will be required to stay at the CRU. You may need to arrange childcare, or for a friend to look after your pet. A travel itinerary is a good idea if you don't drive and are dependent on public transport. Also, ensure you pack for the duration of your stay. Trials are carefully planned and rarely go over the designated duration allotted.



Make notes of any questions you may have for the initial screening stage. If this is your first clinical trial, it is important to note all concerns and ensure you are happy moving forwards.



There are plenty of opportunities for clinical trial volunteers. All new treatments and existing treatments that have been modified need to go through the clinical trial process before they can apply for licensing and be made available for prescription. Volunteers, therefore, are an exceptionally important part of medical science. To be a part of this process could make a huge difference in quality of life for someone else, possibly even a loved one. Whilst there is a financial motivation for volunteers to take part, creating safer or more effective medicines is in itself the reward for many admirable people.

Featured images:
  •  License: Image author owned 
  •  License: Image author owned 
  •  License: Image author owned 
This post was written by Nick Davison, Nick writes on a number of topics including Health, Psychology, and Medical Development.

Monday, September 16, 2013

Quote of the Day

"The most beautiful people we have known are those who have known defeat, known suffering, known struggle, known loss, and have found their way out of the depths. These persons have an appreciation, a sensitivity, and an understanding of life that fills them with compassion, gentleness, and a deep loving concern. Beautiful people do not just happen." 
~Elizabeth Kubler-Ross

The Psychological Factors Of Back Pain

                              

Do you find yourself dealing with recurring bouts of back pain? If yes, you are part of the eight out of ten people who experience this condition at any point in their lives. But you don’t have to deal passively with the pain – there are steps you can take to avoid it, including exercising regularly and keeping your back and abdominal muscles strong.

But did you know that your pain can also be psychological or emotional in origin? There is evidence showing that underlying emotional issues and unresolved trauma can have a huge influence on your health, specifically as it relates to physical pain.

Back Pain Can Have an Emotional Component

In a 2004 study, 100 patients were monitored for four years – none of them had back pain at the onset of the study. Instead, they underwent psychological tests, which were compared to see which types of people developed back pain, and which ones remained pain-free.

Unsurprisingly, those who fared poorly on the psychological tests were three times more likely to report having experienced back pain by the end of the research.

Many health experts have emphasized your emotional health – and your ability to effectively manage stress – as a major influence on whether or not you will effectively eliminate your pain.

For example, Dr. John Sarno is a psychiatrist who uses mind-body techniques to treat patients with severe low back pain. He specializes on individuals who already have had surgery for low back pain and did not get any relief. Despite the given difficulty of healing this group of patients, Dr. Sarno has a greater than 80 percent success rate using tools such as the Emotional Freedom Technique (EFT), which works like acupuncture but without the use of needles.

How to Fight Back Pain Effectively

Aside from psychological or emotional stress, there are other factors that can contribute to back pain, including accidents and sports injuries, poor posture, obesity, poor physical conditioning due to inactivity, internal disease (kidney stones, infections, and blood clots), and osteoporosis.

Here are some quick tips on how to relieve back pain:
  • Avoid slouching when standing or sitting.
  • Sit in chairs or car seats that offer good lumbar support.
  • Switch sitting positions often, and periodically walk around or gently stretch your muscles to relieve tension.
  • Avoid bending over without supporting your back.
  • Lift with your legs, keeping your back straight.
  • Wear comfortable, low-heeled shoes.
  • Always stretch before any strenuous physical activity – A regular stretching program like active isolated stretching (AIS) is recommended.
  • Sleep on your side to reduce any curve in your spin. Always sleep on a firm surface.
  • Manage your weight.
  • Quit smoking, which reduces blood flow to your lower spine and causes the spinal discs to degenerate.
Chiropractic is considered a good first line of defense for acute back pain. Chiropractic philosophy highlights your body’s innate healing wisdom and far less reliance on Band-Aid approaches such as drugs and surgery.

Chiropractic management has been shown to be much safer and less expensive than allopathic medical treatments. Its practitioners – chiropractic, osteopathic, and naturopathic physicians – receive extensive training in managing musculoskeletal disorders during their graduate healthcare training, which typically lasts from four to six years.

For pain and stress relief, you can also explore the benefits of massage. This age-old relaxation technique releases endorphins, which help relieve pain, induce relaxation, and reduce levels of stress chemicals such as cortisol and noradrenaline. Stronger massage stimulates blood circulation, improving the supply of oxygen and nutrients to body tissues and helping your lymphatic system flush away waste.

Massage simply eases tense and knotted muscles and stiff joints, helping improve your mobility and flexibility.

Last but not the least, keeping your spine strong requires sufficient amounts of calcium and vitamin D. Get adequate healthy sun exposure to optimize your vitamin D levels safely and naturally.


Jonas Gardner is a health writer who researches the underlying causes of chronic conditions like back pain. He uses independent natural health sources such as the daily newsletter of Dr. Joseph Mercola.

Sunday, September 15, 2013

All Kinds of Sickness

I'm not back to 100% yet (more like 55%) but at least the depression isn't as severe now. I have been physically unwell today, dealing with upset stomach and vertigo. It may sound odd, but I like being sick when I am depressed. It adds "proof" that I need rest and comfort/space. It shouldn't be that way. It would be great if invisible illnesses like depression were respected as much as physically noticeable ailments. And it's not like I want attention or pity. I just want what I'm going through to be taken for what it really is, and not some form of laziness or weakness. Plus, it's easier to admit "I'm sick" than to try to explain "I'm depressed" to ignorant ears.

Friday, September 13, 2013

Simplify, Simplify, Simplify


I have to reevaluate my life frequently. I have a (major) tendency to take on too much, and then I find myself overwhelmed and in mandatory need of simplifying to prevent complete mental breakdown. I also have a tendency to consider this a weakness on my part, and depression ensues. But being able to recognize when you've bitten off more than you can chew is NOT a weakness. It's pretty damn impressive when you think about it. Sure, we'd all like to take on every project full speed ahead and succeed at everything, and limits are frustrating! But just because you have to take a step down every once in a while (or very often like me!) it doesn't mean you are going backward. You're not even standing still! Remember the tortoise and the hare: slow and steady wins the race.

And now, here are some of my favorite quotes about living a more simplistic life:

“Sometimes our stop-doing list needs to be bigger than our to-do list.”
― Patti Digh


“Free yourself from the complexities and drama of your life. Simplify. Look within. Within ourselves we all have the gifts and talents we need to fulfill the purpose we've been blessed with.” 
― Steve Maraboli


“Overcoming procrastination is not, I repeat, not about cramming additional work into your day . . . overcoming procrastination is about simplifying your life to make space for the activities that matter most.” 
― Richie Norton


Our life is frittered away by detail. Simplify, simplify, simplify! I say, let your affairs be as two or three, and not a hundred or a thousand; instead of a million count half a dozen, and keep your accounts on your thumb-nail.  
― Henry David Thoreau

"I think people want very much to simplify their lives enough so that they can control the things that make it possible to sleep at night."
― Twyla Tharp

Moods, Decisions, and Why I May or May Not Disappear


Here's the deal with me.  I am in a horrible mood.  If you have ever found yourself in that cynical, withdraw-from-everyone depression, you know the mood I speak of.  I went to bed last night, slept solidly for three hours, and then woke up at 2 a.m. wide eyed and determined to delete my blog and Facebook page.  I fought hard not to do it, not really knowing exactly what I was fighting for.  I do want to help people.  Obviously, that is why I started the whole fiasco of writing about mental health and creating a FB to go along with the same topic.  I should be happy:  nearly every day I have someone write to me and thank me for the job I'm doing.  This always reminds me of my purpose and it lessens the blows of the more critical emails and comments I get.  But sometimes those critical ones are really hard to get over. But, that just comes along with being in the public eye.  Sure, I play a very minuscule part in the cyber world, but apparently not small enough to avoid pissing someone off every once in a while.

Yet, I don't know why I woke up with such a pressing need to delete my whole existence off the internet.  I am still debating it, to be truthful, but that doesn't bring me any closer to the subconscious reasoning behind it all.  Maybe I'm just tired.  It's true that I am at the most extreme end of introvert, and I'm as antisocial as they come.  Maybe this "job" is too social for me.  Maybe I should just...crawl into a hole and never been seen or heard of again.  That would certainly take less effort.  But would I feel any better than I do now?  Do I want to try it out and see?

I don't know.

Sometimes I think it's enough to simply focus on being an awesome mom and let the rest of the world deal with itself.  I'm raising the future here.  Leave me alone.  Maybe that really is what I should do.  When the kids are older, then I can give more than 45% of myself to the Stigma Fighter role.

That sounds noble enough to me.

Of course, I will probably completely change my mind as soon as this cynically depressed mood lifts.