Saturday, January 13, 2007

Conquering the Stigma of a Mental Health Disorder

Having a family member that is suffering a mental health disorder can be taxing at times. Depending on the severity of the disorder, many families have been broken up because of this. Some of them can be blamed on the lack of love or patience a family member can bestow. Some just cannot handle the pressure and others just cannot take the shame.

But if the people around a person with a mental health disorder feels awkward, then what about what the actual person with the disorder feels? Many or most of these people are too afraid or ashamed to share their disorder with other people because they fear being ridiculed or judged.

Even as seeing a psychiatrist or taking mental health disorder medicines are commonplace nowadays, many people still distrust a person with a mental health problem; they feel that they are too unstable and unpredictable. Fearing what they do not know, this ignorance causes more depression and damage to a person with a mental health disorder.

Getting Over the Fear

What mental health disorder patients want is for them to be considered as normal people. Only that they need more compassion, understanding and kindness. Treat a mental health disorder afflicted person the same way as you would anyone, this would make him or her feel more normal.

As they feel more accepted and happy, they increase the chance of becoming normal. Also, be prepared; learn about the disorder that has afflicted your family or friend. Know the symptoms so you can be prepared as well.

For the patient, learn and try to accept your condition, do not be afraid of what people will say, open up your condition to them. If they can’t take it then they’re not worth it. Remember that there are many people with mental health disorder; some are not just as obvious. Hold your head up high and live with dignity.

How To Beat Unfair Mental Health Funding

I happened to be talking to my local politician before Christmas because a fine website on depression, www.DepressioNet.com.au was about to lose funding for its crucial 24 hour support forums as a result of failure by the Australian government to fund its programs.

So I pinged the pollies and Bill, my local politician, wanted to chat. The one illuminating aspect of our 45 minute conversation was that it was very hard (for politicians) to decide what other health programs should be cut in order to increase funding for mental health because of myriad vested interests.

Watching news reports around the world and back home I see similar difficulties arising. It is somewhat reminiscent of the ‘Yes Minister’ dilemmas that Sir Humphrey Appleby would put to his boss, thereby stymieing him every time.

Just last week in South Australia an identical furore erupted. There, the government was brave (or hassled) enough to announce increased mental health funding. The opposition was equally mean enough to demand to know what (more highly valued) general health programs were to be sacrificed for the increase. Read the report here: http://www.abc.net.au/news/newsitems/200601/s1545360.htm

Now to get back to Yes Minister, Jim Hacker in his early days would have said ‘But we should just fund health needs according to the cost to the community, the individual and the carer. And that should be the minimum amount needed to restore the ill person’s health so as to function in relationships, at work and in the community.’ You wish!

The unfairness is obvious when authoritative reports state: ‘Stigma is systemic in decision-making at the highest political levels. Ultimate responsibility for mental health services lies with government leaders at Federal and State levels.

‘It is they who have ensured these services have had such a low priority in policy-making and funding…

‘The proportion of Australia’s health budget spent on mental health services is under 8%. In comparable OECD countries, the proportion is 12% or more.’ Dare to Care, SANE Mental Health Report 2004 at http://www.sane.org/images/assets/Research_reports_and_images/MHR2004text.pdf

A report by Access Economics for SANE Australia in 2003 calculated the costs of bipolar in Australia as being ‘$16,000 on average’ per year for each sufferer. Yet spending is ‘only $3,007 per person.’

It gets worse. The report states that this paltry $3,007 is even less than spending on the average Australian’s health care, even though ‘the burden of disease – the pain, suffering, disability and death – is greater for bipolar disorder than for ovarian cancer, rheumatoid arthritis or HIV/AIDs, and similar to schizophrenia and melanoma.’

And who makes up the shortfall? According to the report, ‘around half (i.e. $8,000) of this cost is borne by people with the illness and their carers.’

‘Mentally healthy’ public outnumber the mentally ill by a factor of 4 to 1. They want their subsidized spas and perfect teeth at the expense of us getting into hospital when we need it! But because they still view the behaviors of mental illness as not symptoms but as plain bad behavior, our health needs are viewed as less deserving than theirs, and funded accordingly.

Because of the ‘Yes Minister’ factor, I think we face an uphill battle persuading the politicians. They won’t shift until public opinion does, to say nothing of favors and kickbacks.

The 4 people in 5 who don’t have a mental illness have something much worse—prejudice. They are the ones who need persuading that mental health deserves equitable funding.

Friday, January 12, 2007

The Effects Of Addiction On Your Mental Health

Alcohol abuse is overstated, while drug abuse is underrated. The DSM manual suggests that in substance abuse there are differences in the definition of drug and alcohol use. To confuse matters worse the law has its own version of who is an alcoholic or drug addict.

Some of the symptoms that help professionals determine if alcohol and drugs are a problem include, excessive drinking/drugs, withdrawal symptoms, shaking of the hands, etc. If a person drinks everyday of the week and relies on alcohol, then you are probably dealing with an alcoholic.

The fact is, most of the people nagging or evaluating alcohol and drugs have a problem themselves or have gotten help someone in their lifetime to treat their own problems. Therefore, as you can see addictions, dependant alcoholics, and other types of alcoholics and drug addicts may alter.

Any chemical that causes harm is a potential danger to you.If you start out drinking when you are young and continue through your lifetime without alcohol causing you trouble, or else landing you a spot in jail, then you are probably not an alcoholic according to some.

The fact is the ones that are drinking and driving and getting caught are alcoholics according to the system. Alcoholism and drug addictions are complex, in the sense there are too many misconstrued inputs and often the label is placed on individuals according to culture and history.

The problem becomes a problem when the person has difficulty putting down the bottle and/or increases their intake as well as combining drugs with the alcohol to get an affect they was had. If someone will steal or lie to get alcohol or drugs then you know they have a real problem.

However, most alcoholics and drug addicts have bigger problems than addictions and this is often ignored. For example, people with mental illnesses often resort to alcohol and/or drugs to find relief of their symptoms. Now if a professional is treating this person for his or her diagnosis and progress is moving along the person often feels healthy and the alcohol and drugs are out the door.

In my studies and opinions, I disagree with alcoholism and drug addictions if the person is able to stop once the mental illness is treated. This means that the person was suffering and the substances was a mechanism to help them cope. On the other hand, if the person is treated for mental illnesses and his or her drug and alcohol habits continue, then I think you had better get out the chair and start talking ‘one day at a time.’

There are many therapeutic strategies in mental health, and each depends on the patient and the diagnoses. The focus of this therapeutic strategy is to get the patient to stay focused, voice their values and beliefs freely without feeling threatened, learn to pay attention, teaching the patient to accept responsibility and so forth. In most events, the groups consist of Interpersonal, Psycho educational, support, and psychotherapy groups.

Many of the patients that attend each of the groups have difficulty socializing, staying focused, trusting others, and are often emotional immature or underdeveloped. Most of the patients were subjects of harsh society and impractical parent/educational up bring. The point then is to bring the patient to a point of survival that does not include fear.Left untreated it can become a chronic illness that becomes resistant to treatment.

Mental Health and Nutrients

Every one of us humans innate biomedical factors that influence health functions, since every person has a different combination of characteristics from either one of there parents or ancestors they adapt to different types of psychological behaviors and nutrient needs. Therefore some of us are genetically suited for vegetarian-based diets and others are not. Some get satisfied with nutritional needs by diet alone and others require nutrition supplements to overcome genetic aberration.

When genetics differ from body to body in the process of food then we can ponder that some of us have an overload of nutrients than the others. Some of us have very low levels of such nutrients causing at most times the RDA (Recommended Daily Allowance) to achieve not on a physical but also a mental health unbalance. Its also very important to understand that excessive amount of such nutrients can also result to serious health problems- namely such nutrients include copper, iron, folic acid,, calcium and many forms of fatty acids, this naturally differs from person to person but the presence of multiple vitamins and minerals can be harmful for some and act normal for some.

The medical communities agree on tremendous influence of neurotransmitters on behavior of disorder. People can have a predisposition for there problems due to genetically aberrant level of neurotransmitters. Our mental health is dependant upon having the proper amounts nutrient intake or presence to be comprehensive of no critical brain malfunction.

The brain works like a factory producing serotonin, dopamine and various such chemicals everyday, the only relief for our brain is the proper intake of nutrients such as vitamins and minerals. Improper amounts of nutrients can cause serious problems with our neurotransmitters. People with depression require basic amounts of vitamin B-6. This vitamin is the deplete nutrient we persist or have to synthesis our actual mental health trauma. There are other serotonin enhancing medications and other altering drugs but the true cause of mental difficulties so often remains uncorrected, therefore if a patient needs the support in basic mental conditions medical administrators improvise on vitamin B-6 with supporting nutrients to achieve simple health benefits of the body and mind. Hence nutrient therapy can be very potent chemistry that doesn’t involve side effects, since no molecules foreign are needed for body support. This therapy may eventually eliminate the need for most psychiatric medication and observation.

Nutrients play a critical role in mental health, they are the building blocks of the nervous system, correct testing and understand of deficiencies, and overloads can pinpoint the causes of many sever mental symptoms, thus opening the door to hope and recovery.

Thursday, January 11, 2007

Questions to Ask Mental Health Professionals About Depressive Illness

If you or someone you love visits a therapist, there are questions you need to ask to avoid problems. Some therapists are more advanced than others are. I can tell you that some are not qualified to diagnose anything that is more complex. If you suspect you have a disorder, the best thing you can do is get accuracy on those symptoms, research your behaviors, and write them down.

If you go to the therapist you will be ahead of the game, and by learning more about your own behaviors, symptoms, and so on can save you from a diagnose you may or may not have. Therapists as a rule base their treatment on the thought patterns, which includes hearing and talking. If the patient shows a disturbance in their thinking patterns, the therapist will consider psychosis, since this is a symptom related to the diagnosis.

They will search for signs that the patient may demonstrate, including vague thoughts, fleeting ideas, peripheral thought patterns, blocking thoughts, disassociation and so forth. Counselors often search for evidence of schizophrenia or psychosis when there is a break in reality, paranoia etc.

Paranoid and Paranoia are separate from the other, and must not be misconstrued. Professionals could make a mistake in diagnosis if they are not aware of the difference of paranoia and paranoid. Schizophrenias are often paranoid, while patients that suffer posttraumatic stress in the early stages may illustrate paranoia.

When a patient answers out of content, or else the ideas delivered are unrelated to the conversation then there is a potential mental illness. For example, we are discussing society, and the patient says, “I never go there. After I get back from Australia next week we can do that.”

An area of concern is when the patient is talking fragments. The patient will start with one idea and jump to several other ideas. This pattern is known as fleeting thought processing. When the patient is illustrating thoughts that are sidetracked, the therapist may show a degree of concern.

Language is important when evaluating a patient, since some patients may not have sufficient skills in communication it could very well mean a lack of education rather than a diagnosis. If you have been talking individually to a therapist, and this is the only symptom, make sure that the patient is not on medications he or she may not need.

It is important to pay attention to symptoms and signs that link mental health problems and other issues. Ask the therapist questions any time there is a diagnosis, what the symptoms include, and what medicines can do to treat the disorder. When a person is suddenly, loosing a train of thought during a session this may be a possible diagnosis.

If a person is telling you about a dream related to his or her parent, and all of a sudden claims they cannot remember what they were talking about, this is an evident sign of some disorder. Most likely, this patient has suffered trauma. The symptoms are in front of you and it is important to continue treatment to find which diagnosis the patient may have.

Unfortunately, most therapists are not trained to treat patients with Multiple Personality Disorders, and often these people pay a steep price. The sign or symptom is known as disassociation or blocking memories and this is a definite sign or Multiple Personality Disorder. Multiple Personality Disorder is often exclusive in blocking memories to avoid pain.

GIRL POWER! Is Good Mental Health

GIRL POWER! is paving the way for girls to build confidence, competence, and pride in themselves, in other words, enhancing girls' mental wellness. Girl Power! is also providing messages and materials to girls about the risks and consequences associated with substance abuse and with potential mental health concerns. For instance, did you know:

Girls are seven times more likely than boys to be depressed and twice as likely to attempt suicide.*

Girls are three times more likely than boys to have a negative body image (often reflected in eating disorders such as anorexia and bulimia).*

One in five girls in the U.S. between the ages of 12 and 17 drink alcohol and smoke cigarettes.*

Girls who develop positive interpersonal and social skills decrease their risk of substance abuse.*

Girls who have an interest and ability in areas such as academics, the arts, sports, and community activities are more likely to develop confidence and may be less likely to use drugs.*

On the other hand, this also is a time when girls may make decisions to try risky behaviors, including drinking, smoking, and using drugs.*

The Girl Power! Campaign, under the leadership of the Center for Substance Abuse Prevention (CSAP), Substance Abuse and Mental Health Services Administration (SAMHSA) is collaborating with the Center for Mental Health Services (CMHS) to provide this valuable mental health information.

* Girl Power! Hometown Media Kit, Center for Substance Abuse Prevention, 1997.

Substance Abuse and Mental Health

Results from a study of nearly 6,000 people aged 15 to 24 show that among young people with a history of both a mental disorder and an addictive disorder, the mental disorder is usually reported to have occurred first. The onset of mental health problems may occur about 5 to 10 years before the substance abuse disorders.**

This provides a "window of opportunity" for targeted substance abuse prevention interventions and needed mental health services.

** "National Comorbidity Survey," Ronald C. Kessler, Ph.D., et al., American Journal of Orthopsychiatry, June 1996.

What Is Mental Health?

Mental health is how we think, feel, and act in order to face life's situations. It is how we look at ourselves, our lives, and the people we know and care about. It also helps determine how we handle stress, relate to others, evaluate our options, and make choices. Everyone has mental health.

A young girl's mental health affects her daily life and future. Schoolwork, relationships, and physical health can be affected by mental health. Like physical health, mental health is important at every stage of life. Caring for and protecting a child's mental health is a major part of helping that child grow to become the best she can be.

Girls' independence is usually encouraged in childhood, and their strengths nurtured. Most girls become emotionally, mentally, and physically healthy young adults. But sometimes, during the transition from childhood to adolescence, extra care is necessary, so that a girl's self-esteem and coping skills are not diminished. For more information on teen mental health, call 1-800-789-2647 and ask for the brochure: "You and Mental Health: What's the Deal?" (Order # CA-0002)

Nurturing Your Child's Mental Health

Parents and other caregivers are responsible for children’s physical safety and emotional well-being. Parenting styles vary; there is no one right way to raise a child. Clear and consistent expectations for each child, by all caregivers, are important. Many good books are available in libraries or at bookstores on child development, constructive problem-solving, discipline styles, and other parenting skills. The following suggestions are not meant to be complete.

Do your best to provide a safe home and community for your child, as well as nutritious meals, regular health check-ups, immunizations, and exercise.

Be aware of stages in child development so you don’t expect too much or too little from your child.

Encourage your child to express her feelings; respect those feelings. Let your child know that everyone experiences pain, fear, anger, and anxiety.

Try to learn the source of these feelings. Help your child express anger positively, without resorting to violence.

Promote mutual respect and trust. Keep your voice level down—even when you don’t agree. Keep communication channels open.

Listen to your child. Use words and examples your child can understand. Encourage questions.

Provide comfort and assurance. Be honest. Focus on the positives. Express your willingness to talk about any subject.

Look at your own problem-solving and coping skills. Do you turn to alcohol or drugs? Are you setting a good example? Seek help if you are overwhelmed by your child’s feelings or behaviors or if you are unable to control your own frustration or anger.

Encourage your child’s talents and accept limitations.

Set goals based on the child’s abilities and interests—not someone else’s expectations. Celebrate accomplishments. Don’t compare your child’s abilities to those of other children; appreciate the uniqueness of your child. Spend time regularly with your child.

Foster your child’s independence and self-worth.

Help your child deal with life’s ups and downs. Show confidence in your child’s ability to handle problems and tackle new experiences.

Discipline constructively, fairly, and consistently. (Discipline is a form of teaching, not physical punishment.) All children and families are different; learn what is effective for your child. Show approval for positive behaviors. Help your child learn from her mistakes.

Love unconditionally. Teach the value of apologies, cooperation, patience, forgiveness, and consideration for others. Do not expect to be perfect; parenting is a difficult job. Many good books are available in libraries or at bookstores on child development, constructive problem-solving, discipline styles, and other parenting skills. Mental Health Problems Many children experience mental health problems that are real and painful and can be severe.

Mental health problems affect at least one in every five young people, at any given time. At least 1 in 10 children may have a serious emotional disturbance that severely disrupts his or her ability to function.

Tragically an estimated two-thirds of all young people with mental health problems are not getting the help they need. Mental health problems can lead to school failure, alcohol or other drug abuse, family discord, violence, or even suicide.

Wednesday, January 10, 2007

Alternatives In Mental Health

"Health" and "illness" are contrasting terms. They can be used in physical or in mental context. We know that physical exercise done on a regular basis keeps us healthy. Mental exercise also keeps us mentally healthy. Just like after doing physical exercise we need rest, after mental exercise the mind also needs rest. But we hear the term "physical rest" frequently. The term "mental rest" is rarely used. No doubt then that as mental activities have increased with industrialisation, stress has increased. This stress results from our inability to allow our mind to become inactive or relaxed for even a short time.

Some people believe that our brain becomes inactive when we sleep. If that were so then we should not have any dreams. Dreams are evidence that our mind remains active, even when we are asleep. This simply means that our mind is active 24 hours a day without any rest at all. Just imagine how our bodies would behave if we were to go through 24 hours of physical activity.

Although research may show that 30% of mental illness may occur without a trigger of stress, it also shows that a majority - 70% - of mental illnesses occur with stress. The research may have failed to look at the other 30%, mentally ill who may not be 'acknowledging' stress at a given moment. This gives us a pessimistic view of mental illnesses. We are made to believe that we can do nothing about them. We are also told that mental illnesses occur because of our genes, our upbringing, our personality, our temperament, our lifestyle and we can do nothing about them. Stress or no stress, we are told, if we have all these factors loaded in our personal history, we are prone to have a mental illness. Some psychiatrists adhere to this belief strongly. This belief is then put across authoritatively as the "gospel truth" of science. Naturally, this brings up a sense of low self-esteem and helplessness in the person who is suffering with the illness. We are then made to believe that medications are man-made answers to mental illness, which is a curse of nature.

Prayer, which was until recently considered unscientific, has now been shown to have beneficial effects on patients.1 Similarly, the current belief in psychiatry is that mental illnesses can be treated by medical professionals only and the person who is mentally ill has no control over their lives. The medical system works in a way in which the doctors themselves have limited choices other than prescribing drugs. The patient has no choices worth mentioning. From the legal perspective, a person who is mentally ill is considered not capable of taking any responsibility for their actions. This is one of the most unfortunate aspects of mental illnesses. People who are mentally ill also have a sense of responsibility in many areas of their lives.

The role of emotions in mental illnesses has been totally ignored by scientists. Yet researches do show that separation from mother,2 losses3 - including deaths,4 traumatic events, especially when they occur over the previous three months5 can trigger mental illnesses. What has been looked at is the history of such events in a person's life. What is ignored is the emotional upheaval it causes in a person's body and mind. Emotional expression ameliorates the effects of trauma.6 Repetitive upheavals in the body are simply not forgotten. Release of emotions by emotional expression explains the role of counselling and confession. We tend to believe, erroneously, that everything will settle with time. Things do settle with time - but not everything. It is these issues and their emotional effects, that cause mental illnesses and psychosomatic illnesses. It is obvious that whenever we undergo any emotional experience, our nervous and hormonal systems are shaken-up. The nervous system and the hormones together control the activities of various parts of the body. If the neurohormonal expression is allowed to go through completion, a physiological calmness occurs in the body. This has a scientific basis.7

For people who attend church regularly, a common experience is the sense of calmness on entering a church. Coupled with music, incense and sermons spoken in a low, soft tone, a sense of calmness dwells on the person. There is scientific evidence to suggest that going to church helps a person remain healthy.8 More interesting is the fact that there is little research to state that music or aromatherapy help to bring about mental health. Yet experience shows that they have a calming effect. Only recently have papers started to be published in scientific journals bridging the gap between spirituality and science.9 It has now been researched that people who are religious in orientation have a lower rate of strokes than those who are not religious.10

The whole area of mental illness is about losing a sense of freedom. When we find ourselves bound to emotional issues of our life, that we cannot rid ourselves of, we lose our freedom of thinking. This creates stress in our mind and our body bears the brunt of it. This loss of freedom brings up a sense of fear or a sense of helplessness. Both such feelings bring up a sense of insecurity. A person loses confidence in their own worth. Self-esteem becomes low. With lack of confidence and low self-esteem, comes poor decision-making. A person suffers with all these conditions when suffering with a mental illness. This changes the behaviour of the person. The behaviour is affected by the way the person feels and thinks. If the person feels fear for a long time, the chances of becoming phobic and paranoid increase. Withdrawal from social situations occurs. The family members observe the person to be unwell. Such a person is then asked to see a doctor. With the person's self-esteem low, vulnerability increases. This does not mean however, that the person becomes totally irresponsible towards their own well-being. Many times the person wants to do 'something' to get better, but the health system has limited resources to offer much in terms of growth of the person, except medication. When a mentally ill person goes to seek help - confidence, self-esteem and sense of freedom are already lost. Instead of helping the person become independent, there is a tendency to make the person dependent on medication.

Medication plays its role in controlling the condition or state of illness. It does nothing to improve the quality of life permanently. To improve their quality of life, the person needs to take responsibility for their own well-being. This is encouraged in some of the organisations, which are being run by the sufferers themselves. GROW is an example of such an organisation. Are there any alternatives to medication in mental conditions? A doctor can only prescribe drugs to "control" the mental condition. The current trend in some other parts of the world is to encourage people suffering with mental illnesses to take responsibility for their own well-being, along with medication. Psychotherapy11 and self-help is encouraged. The usage of medication in such situations is minimised or eliminated.

In psychiatry, we know that the suicide rate among physicians is higher than in the general population and psychiatrists are at a greater risk among physicians, than other specialists.12 Research shows that psychotherapy is more economical than medication alone in treating mental illness.13 Conditions like schizophrenia are also being treated without medication in some parts of the world.14 It is also a known fact that the more positive the attitude we have, the more balanced are the chemicals in our body.15 This would be more acceptable for those who see the positive role of religion on mental health. Some authors have suggested that the medicine of the future is going to be "prayer and Prozac."16 Mental health is a preventative activity. Do we need to suffer first before we take steps to deal with it? If we could only assume responsibility for our own mental health, we may not have to suffer. The best medicine in this case is certainly prevention.

Real Men, Real Depression! (Mental Health Matters)

Depression is a serious but treatable medical condition - a brain disease - that can strike anyone, including men. In America alone, over 6 million men have depression each year.

Whether you're a company executive, a construction worker, a writer, a police officer, or a student, whether you are rich or poor, surrounded by loved ones or alone, you are not immune to depression. Some factors, however, such as family history, undue stress, the loss of a loved one or other serious illnesses can make you more vulnerable.

If left untreated, depression can lead to personal, family and financial difficulties, and, in some cases, end in suicide. With appropriate diagnosis and treatment, however, most people recover. The darkness disappears, hope for the future returns, energy and desire come back, and interest in life becomes stronger than ever

Depression can strike anyone regardless of age, ethnic background, socioeconomic status, or gender; however, large scale research studies have found that depression is about twice as common in women as in men. In the United States, researchers estimate that in any given one year period, depressive illnesses affect 12 percent of women (more than 12 million women) and nearly 7 percent of men (more than six million men).3 But important questions remain to be answered about the causes underlying this gender difference. We still do not know if depression is truly less common among men, or if men are just less likely than women to recognize, acknowledge, and seek help for depression.

Types of Depression

Just like other illnesses, such as heart disease, depression comes in different forms. This booklet briefly describes three of the most common types of depressive disorders. However, within these types, there are variations in the number of symptoms, their severity, and persistence.

Major depression (or major depressive disorder) is manifested by a combination of symptoms (see symptoms list below) that interferes with the ability to work, study, sleep, eat, and enjoy once pleasurable activities. A major depressive episode may occur only once; but more commonly, several episodes may occur in a lifetime. Chronic major depression may require a person to continue treatment indefinitely.

A less severe type of depression, dysthymia (or dysthymic disorder), involves long lasting, chronic symptoms that do not seriously disable, but keep one from functioning well or feeling good. Many people with dysthymia also experience major depressive episodes at some time in their lives.

Depression

Persistent sad, anxious, or “empty” mood.

Feelings of hopelessness or pessimism.

Feelings of guilt, worthlessness, or helplessness.

Loss of interest or pleasure in hobbies and activities that were once enjoyable, including sex.

Decreased energy, fatigue; feeling “slowed down.”

Difficulty concentrating, remembering, or making decisions.

Trouble sleeping, early morning awakening, or oversleeping.

Changes in appetite and/or weight.

Thoughts of death or suicide, or suicide attempts. Restlessness or irritability.

Persistent physical symptoms, such as headaches, digestive disorders, and chronic pain that do not respond to routine treatment.

Men and Depression

Researchers estimate that at least six million men in the United States suffer from a depressive disorder every year. Research and clinical evidence reveal that while both women and men can develop the standard symptoms of depression, they often experience depression differently and may have different ways of coping with the symptoms. Men may be more willing to acknowledge fatigue, irritability, loss of interest in work or hobbies, and sleep disturbances rather than feelings of sadness, worthlessness, and excessive guilt. Some researchers question whether the standard definition of depression and the diagnostic tests based upon it adequately capture the condition as it occurs in men.

Men are more likely than women to report alcohol and drug abuse or dependence in their lifetime;14 however, there is debate among researchers as to whether substance use is a “symptom” of underlying depression in men or a co occurring condition that more commonly develops in men. Nevertheless, substance use can mask depression, making it harder to recognize depression as a separate illness that needs treatment.

Instead of acknowledging their feelings, asking for help, or seeking appropriate treatment, men may turn to alcohol or drugs when they are depressed, or become frustrated, discouraged, angry, irritable, and, sometimes, violently abusive. Some men deal with depression by throwing themselves compulsively into their work, attempting to hide their depression from themselves, family, and friends. Other men may respond to depression by engaging in reckless behavior, taking risks, and putting themselves in harm’s way.

More than four times as many men as women die by suicide in the United States, even though women make more suicide attempts during their lives. In addition to the fact that men attempt suicide using methods that are generally more lethal than those used by women, there may be other factors that protect women against suicide death. In light of research indicating that suicide is often associated with depression, the alarming suicide rate among men may reflect the fact that men are less likely to seek treatment for depression. Many men with depression do not obtain adequate diagnosis and treatment that may be life saving.

Depression in Older Men

Men must cope with several kinds of stress as they age. If they have been the primary wage earners for their families and have identified heavily with their jobs, they may feel stress upon retirement­loss of an important role, loss of self esteem­that can lead to depression. Similarly, the loss of friends and family and the onset of other health problems can trigger depression.

Depression is not a normal part of aging. Depression is an illness that can be effectively treated, thereby decreasing unnecessary suffering, improving the chances for recovery from other illnesses, and prolonging productive life. However, health care professionals may miss depressive symptoms in older patients. Older adults may be reluctant to discuss feelings of sadness or grief, or loss of interest in pleasurable activities.

They may complain primarily of physical symptoms. It may be difficult to discern a co occurring depressive disorder in patients who present with other illnesses, such as heart disease, stroke, or cancer, which may cause depressive symptoms or may be treated with medications that have side effects that cause depression. If a depressive illness is diagnosed, treatment with appropriate medication and/or brief psychotherapy can help older adults manage both diseases, thus enhancing survival and quality of life.

Identifying and treating depression in older adults is critical. There is a common misperception that suicide rates are highest among the young, but it is older white males who suffer the highest rate. Over 70 percent of older suicide victims visit their primary care physician within the month of their death; many have a depressive illness that goes undetected during these visits. This fact has led to research efforts to determine how to best improve physicians’ abilities to detect and treat depression in older adults.

Approximately 80 percent of older adults with depression improve when they receive treatment with antidepressant medication, psychotherapy, or a combination of both. In addition, research has shown that a combination of psychotherapy and antidepressant medication is highly effective for reducing recurrences of depression among older adults. Psychotherapy alone has been shown to prolong periods of good health free from depression, and is particularly useful for older patients who cannot or will not take medication.18 Improved recognition and treatment of depression in later life will make those years more enjoyable and fulfilling for the depressed elderly person, and his family and caregivers.

A depressive disorder is not the same as a passing blue mood.

Depression can strike anyone regardless of age, ethnic background, socioeconomic status, or gender; however, large scale research studies have found that depression is about twice as common in women as in men.In the United States, researchers estimate that in any given one year period, depressive illnesses affect 12 percent of women (more than 12 million women) and nearly 7 percent of men (more than six million men) But important questions remain to be answered about the causes underlying this gender difference. We still do not know if depression is truly less common among men, or if men are just less likely than women to recognize, acknowledge, and seek help for depression.

Symptoms of Depression

Not everyone who is depressed or manic experiences every symptom. Some people experience only a few; some people suffer many. The severity of symptoms varies among individuals and also over time.

Depression

Persistent sad, anxious, or “empty” mood.

Feelings of hopelessness or pessimism.

Feelings of guilt, worthlessness, or helplessness.

Loss of interest or pleasure in hobbies and activities that were once enjoyable, including sex.

Decreased energy, fatigue; feeling “slowed down.”

Difficulty concentrating, remembering, or making decisions.

Trouble sleeping, early morning awakening, or oversleeping.

Changes in appetite and/or weight.

Thoughts of death or suicide, or suicide attempts.

Restlessness or irritability.

Persistent physical symptoms, such as headaches, digestive disorders, and chronic pain that do not respond to routine treatment.

Depression can coexist with other illnesses. In such cases, it is important that the depression and each co occurring illness be appropriately diagnosed and treated.

Research has shown that anxiety disorders­which include post traumatic stress disorder (PTSD), obsessive compulsive disorder, panic disorder, social phobia, and generalized anxiety disorder­commonly accompany depression. Depression is especially prevalent among people with PTSD, a debilitating condition that can develop after exposure to a terrifying event or ordeal in which grave physical harm occurred or was threatened.

Traumatic events that can trigger PTSD include violent personal assaults such as rape or mugging, natural disasters, accidents, terrorism, and military combat. PTSD symptoms include: re experiencing the traumatic event in the form of flashback episodes, memories, or nightmares; emotional numbness; sleep disturbances; irritability; outbursts of anger; intense guilt; and avoidance of any reminders or thoughts of the ordeal. In one NIMH supported study, more than 40 percent of people with PTSD also had depression when evaluated at one month and four months following the traumatic event.

Substance use disorders (abuse or dependence) also frequently co occur with depressive disorders. Research has revealed that people with alcoholism are almost twice as likely as those without alcoholism to also suffer from major depression. In addition, more than half of people with bipolar disorder type I (with severe mania) have a co occurring substance use disorder.

Men and Depression

Researchers estimate that at least six million men in the United States suffer from a depressive disorder every year. Research and clinical evidence reveal that while both women and men can develop the standard symptoms of depression, they often experience depression differently and may have different ways of coping with the symptoms. Men may be more willing to acknowledge fatigue, irritability, loss of interest in work or hobbies, and sleep disturbances rather than feelings of sadness, worthlessness, and excessive guilt. Some researchers question whether the standard definition of depression and the diagnostic tests based upon it adequately capture the condition as it occurs in men.

Men are more likely than women to report alcohol and drug abuse or dependence in their lifetime; however, there is debate among researchers as to whether substance use is a “symptom” of underlying depression in men or a co occurring condition that more commonly develops in men. Nevertheless, substance use can mask depression, making it harder to recognize depression as a separate illness that needs treatment.

Instead of acknowledging their feelings, asking for help, or seeking appropriate treatment, men may turn to alcohol or drugs when they are depressed, or become frustrated, discouraged, angry, irritable, and, sometimes, violently abusive. Some men deal with depression by throwing themselves compulsively into their work, attempting to hide their depression from themselves, family, and friends. Other men may respond to depression by engaging in reckless behavior, taking risks, and putting themselves in harm’s way.

More than four times as many men as women die by suicide in the United States, even though women make more suicide attempts during their lives. In addition to the fact that men attempt suicide using methods that are generally more lethal than those used by women, there may be other factors that protect women against suicide death. In light of research indicating that suicide is often associated with depression,17 the alarming suicide rate among men may reflect the fact that men are less likely to seek treatment for depression. Many men with depression do not obtain adequate diagnosis and treatment that may be life saving.

More research is needed to understand all aspects of depression in men, including how men respond to stress and feelings associated with depression, how to make men more comfortable acknowledging these feelings and getting the help they need, and how to train physicians to better recognize and treat depression in men. Family members, friends, and employee assistance professionals in the workplace also can play important roles in recognizing depressive symptoms in men and helping them get treatment.

The first step to getting appropriate treatment for depression is a physical examination by a physician. Certain medications as well as some medical conditions such as a viral infection, thyroid disorder, or low testosterone level can cause the same symptoms as depression, and the physician should rule out these possibilities through examination, interview, and lab tests. If no such cause of the depressive symptoms is found, the physician should do a psychological evaluation or refer the patient to a mental health professional.

A good diagnostic evaluation will include a complete history of symptoms: i.e., when they started, how long they have lasted, their severity, and whether the patient had them before and, if so, if the symptoms were treated and what treatment was given. The doctor should ask about alcohol and drug use, and if the patient has thoughts about death or suicide. Further, a history should include questions about whether other family members have had a depressive illness and, if treated, what treatments they may have received and if they were effective. Last, a diagnostic evaluation should include a mental status examination to determine if speech, thought patterns, or memory has been affected, as sometimes happens with depressive disorders.

Treatment choice will depend on the patient’s diagnosis, severity of symptoms, and preference. There are a variety of treatments, including medications and short term psychotherapies (i.e., “talk” therapies), that have proven effective for depressive disorders. In general, severe depressive illnesses, particularly those that are recurrent, will require a combination of treatments for the best outcome.

Alcohol­ including wine, beer, and hard liquor­or street drugs may reduce the effectiveness of antidepressants and should be avoided. However, doctors may permit people who have not had a problem with alcohol abuse or dependence to use a modest amount of alcohol while taking one of the newer antidepressants.

Questions about any medication prescribed, or problems that may be related to it, should be discussed with your doctor.

How to Help Yourself if You Are Depressed

Depressive disorders can make one feel exhausted, worthless, helpless, and hopeless. It is important to realize that these negative views are part of the depression and do not accurately reflect the actual circumstances. Negative thinking fades as treatment begins to take effect. In the meantime: Engage in mild exercise. Go to a movie, a ballgame, or participate in religious, social, or other activities. Set realistic goals and assume a reasonable amount of responsibility.

Break large tasks into small ones, set some priorities, and do what you can as you can.

Try to be with other people and to confide in someone; it is usually better than being alone and secretive. Participate in activities that may make you feel better. Expect your mood to improve gradually, not immediately. Feeling better takes time. Often during treatment of depression, sleep and appetite will begin to improve before depressed mood lifts.

Postpone important decisions. Before deciding to make a significant transition–change jobs, get married or divorced–discuss it with others who know you well and have a more objective view of your situation.

Do not expect to ‘snap out of’ a depression. But do expect to feel a little better day by day.

Remember, positive thinking will replace the negative thinking as your depression responds to treatment. Let your family and friends help you.

How Family and Friends Can Help

The most important thing anyone can do for a man who may have depression is to help him get to a doctor for a diagnostic evaluation and treatment. First, try to talk to him about depression­help him understand that depression is a common illness among men and is nothing to be ashamed about. Perhaps share this booklet with him. Then encourage him to see a doctor to determine the cause of his symptoms and obtain appropriate treatment.

Occasionally, you may need to make an appointment for the depressed person and accompany him to the doctor. Once he is in treatment, you may continue to help by encouraging him to stay with treatment until symptoms begin to lift (several weeks) or to seek different treatment if no improvement occurs. This may also mean monitoring whether he is taking prescribed medication and/or attending therapy sessions. Encourage him to be honest with the doctor about his use of alcohol and prescription or recreational drugs, and to follow the doctor’s orders about the use of these substances while on antidepressant medication.

The second most important thing is to offer emotional support to the depressed person. This involves understanding, patience, affection, and encouragement. Engage him in conversation and listen carefully. Do not disparage the feelings he may express, but point out realities and offer hope. Do not ignore remarks about suicide. Report them to the depressed person’s doctor. In an emergency, call 911. Invite him for walks, outings, to the movies, and other activities. Be gently insistent if your invitation is refused. Encourage participation in some activities that once gave pleasure, such as hobbies, sports, religious or cultural activities, but do not push him to undertake too much too soon. The depressed person needs diversion and company, but too many demands can increase feelings of failure.

Listed below are the types of people and places that will make a referral to, or provide, diagnostic and treatment services.

Family doctors

Mental health specialists, such as psychiatrists, psychologists, social workers, or mental health counselors Religious leaders/counselors

Health maintenance organizations

Community mental health centers

Hospital psychiatry departments and outpatient clinics

University or medical school affiliated programs

State hospital outpatient clinics

Social service agencies

Private clinics and facilities

Employee assistance programs

Local medical and/or psychiatric societies

Tuesday, January 09, 2007

Choosing a Mental Health Counsellor

Everyone faces situations in life that are difficult and overwhelming. One way to cope is to consult with a professional counsellor. Counsellors can help you make a career change, deal with the death of a loved one, overcome panic attacks, manage stress, get over anger, cope with divorce, chronic pain, bullying, school anxiety - in short, counsellors are trained to help you face a wide range of difficulties.

Counsellors work with people across the life span – from childhood, through adolescence, and adulthood. Counsellors offer their services in a variety of modes: individual counselling, couple, family, and groups.
, Finding the right counsellor is often a confusing process. You can use the following guidelines to identify a qualified, helpful counsellor.

1. A good counsellor is a qualified profession with a university education (often a master’s degree or higher) from a recognized university. You can ask to see their university degree, where they did their internship and how long they’ve been in practice.

2. A good counsellor is part of an association to which they are accountable, has a code of ethics, and which grants certification based on high standards of training and education. The Canadian Counselling Association (CCA) certifies qualified counselors. To find a Canadian Certified Counsellor in Canada, contact The Canadian Counselling Association at 1-877-765-5565 or by visiting their website at www.ccacc.ca A good counsellor has expertise and the necessary training or area of specialization to help with you specific problems.

3. A good counsellor listens more than they speak and keeps the focus on you. A good counsellor is respectful and willing to challenge you when necessary. A good counsellor is someone you are comfortable with, who is nonjudgmental, someone you can trust with the personal details of your life. A good counsellor encourages and answers your questions.

3. A good counsellor discusses the issue of confidentiality with you, explains when confidentiality might be broken and with whom and under what circumstances the counsellor can discuss your case.A good counsellor helps you set clearly defined goals and a plan of action. A good counsellor gives you an estimate of how long counselling might last and how counselling will end.

4. A good counsellor describes appontment policy with you including the session fees, method of payment, the policy regarding missed appointments, the length of each session and how to reach them in case of an emergency.

5. A good counsellor welcomes your feedback and asks how you feel the counselling process is going and if you have any concerns or questions.

Image is Everything! (MHM-Mental Health Matters)

The image you have of yourself is everything. If your image is that of a worthless bum, then you are going to more likely be an ineffective person in life and you need to turn the picture round and get a picture of success and well being, as you can be what you want and if you see yourself as a negative person it will be very hard to get anything done.

What you need to do is have a positive image of yourself, then we can move forward with the building of the perfect you. So the image you have of yourself needs to be a positive one and you need to be able to see things that are yet to be. To see the future and to mold and shape it in any form that you so need to get to where it is that you want to go. See yourself buying the new house, see yourself getting the new job and continues to build you up in a very positive way.

Slowly the picture will start to change and since you saw that new job and new car and the pack of cigarettes thrown out the window, you now have that much more of a chance to get these things as you have planted the seeds that you need to bring the thought to the next level and that is reality, continue to think about what car you want and what kind of house you want and what color you want in each room, because when you see these things over and over and over again the closer you are to seeing them happen and happen they will, with a little help from your imagination the minds most powerful tool.

It can bring a dream into a reality and that is what I mean buy positive image and seeing things that are yet to be, and holding on to them until you are changed and your future seems to start to become different and the results start to come in as it was the first thought of your imagination that made it all so clear. Holding on to whom and what you want to be is important also.

Be the husband that you want, see yourself helping your wife out around the house, sees yourself playing with your kids as the great dad that you want to be. See the image of yourself getting more and more positive as the days roll on. You really can shape up your image with thought it is so true. Think of the stuff you want and see yourself doing whatever it is that you need to get there and continue on until you start to see results and that will in turn have a greater effect on your image it will be like a giant snowball rolling down a big hill, it just keeps getting bigger and bigger as it goes farther and father down until it is so big that you can’t believe how huge it’s gotten.

That can be just like your image as you slowly continue to build it up and up as the things start to change and before you know it you have a huge snowball or in this case your image is grand as there is now nothing that you can’t do! This won’t happen overnight but if you keep the right image of yourself you shall soon see the difference and all shall become clear as your future UN folds unto another successful year.

Take it day by day and if something does not work out continue to see the picture until you start to see results you want and results are all that you need to start the snow ball rolling down that giant hills we call life and once you see it begin to hold on to the positive picture of yourself and keep all your dreams near as they all shall start to come into focus, things will start to become clear as the snowball gets bigger year after year.

When you have a giant snowball and your dreams are now free to develop unto all that maybe, the problem with your image is now just a dream, a dream of the past far away it may be as your image is rock solid not just dreams. Dreams have become reality as now you can see that all along all you needed was your image to be set free.

Monday, January 08, 2007

'Tis the Season to Binge and Stress; This Year Avoid the Holiday Worry and Pounds

The holiday season is a time full of joy, cheer, parties, and family gatherings. However, for many people, it is also a time filled with anxiety, stress, and weight gain. Unfortunately, many people often use the busy holiday season as an excuse to reduce exercise or put off starting a new program. Often these people have the intention of coming back with a vengeance after the New Year. “The New Year is just around the corner and I’m going to lose weight and get in shape”; this trusty New Year’s resolution declaration is also conveniently used to justify holiday overindulgence. Researchers at the National Institute of Child Health and Human Development (NICHD) and the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) have shown that for most people weight gained during the holidays is not lost and accumulates on a yearly basis. Says NICHD Director Duane Alexander, M.D; "These findings suggest that developing ways to avoid holiday weight gain may be extremely important for preventing obesity and the diseases associated with it.” Maintaining a regular exercise program throughout the holiday season provides benefits on many different levels.

The demands of shopping, parties, family reunions, and house guests can contribute to feelings of tension. According to The National Mental Health Association, (NMHA) this tension can illicit stress responses such as: headaches, excessive drinking, difficulty sleeping, and the ever-popular over-eating. Exercise has been shown to be a tremendous tool to manage stress. Exercise will give you energy and the mental strength to deal with the mad rush of holiday shopping, holiday travel and holiday visitors. Managing stress with exercise can also help control cravings for those comfort foods that adorn the holiday tables. Regular exercise also increases metabolism, thus reducing the detrimental effect of an occasional extra cookie or glass of eggnog. Experts at NMHA claim, even more people experience post-holiday let down after the New Year than suffer holiday anxiety. With this comes lack of motivation and comfort eating. Its no wonder those New Year’s resolutions are rarely successful.

Parties, large meals and extra calories are almost unavoidable during the holiday season. Weight maintenance rather than weight loss through the holidays is a much healthier goal. Exercising regularly and enjoying the few extra calories will break the vicious cycle of guilt, feelings of failure, and more eating. Getting a head start on exercise prior to January 1st will give you a healthier and happier holiday season as well as make those New Year’s resolution goals far more attainable.

Healthy Holiday Tips:

1. Focus on weight maintenance not weight loss - Parties, large meals and extra calories are almost unavoidable during the holiday season. If you are currently overweight and want to lose weight, this is not the time to do it; setting difficult or unrealistic goals can lead to a vicious cycle of guilt, feelings of failure, and more eating.

2. Get moving – Regular exercise will increase metabolism and allow you to enjoy a few extra calories without putting on the pounds. Exercise will give you energy and the mental strength to deal with the mad rush of holiday shopping, the holiday travel or holiday visitors and the party hopping.

3. Get Plenty of Sleep – Lack of sleep impairs our ability to handle stress (which there is usually no shortage of during the holidays). Chronic sleep loss can also affect various components of metabolism that influence hunger and weight gain.

4. Substitute healthy recipes - Use applesauce in place of oil; use egg whites in place of whole eggs; try plain nonfat yogurt in place of sour cream. Magazines and healthy cooking cook books are full of reduced calorie and reduced fat holiday recipes that taste great.

5. Don’t go to parties hungry – Going to a party on an empty stomach is a recipe for disaster. Starting your day with a healthy breakfast and eating sensibly throughout the day should help you control your appetite and avoid over-indulging on the typically high fat and high calorie holiday fare.

6. Eat slowly- Make one plate of the foods you really want. It takes about twenty minutes for your brain to register that your stomach is full. Take your time to enjoy the taste of every bite, and you will realize you don’t need to go back for seconds.

7. Limit alcoholic beverages - Liquors,wines and mixed drinks can contain 150-450 calories per glass whereas, water and diet sodas are calorie-free. If you choose to drink, try light wines and light beers, and use non-alcoholic mixers such as water and diet soda. Limit yourself to one to two drinks.

8. Get rid of leftovers – Some foods are more fattening than others, however, no food will make you gain weight unless you eat too much of it. Often we eat beyond our body’s physical hunger simply because food is there.

9. Keep it in perspective – It takes days of overeating to gain weight; one day won't make or break your eating plan. Nothing is more destructive to a healthy eating plan than the negative feelings of failure and guilt. If you over-indulge at a holiday meal or party, don’t beat yourself up; simply return to your sensible healthy diet the next day.

Addiction Treatment and Mental Health: Dual Diagnosis Opens Path to Recovery

The disease of addiction is often misunderstood. Society has a tendency to view substance abusers and alcoholics as a deviant population who are lazy, unmotivated, selfish, and indifferent. Yet, so often when one looks beyond the façade of an addict, it is frequently found that the addict is struggling with more than just drug abuse and alcoholism.

Many medical models and studies provide evidence that addiction is hereditary, yet many statistics also indicate that substance abuse and alcoholism can be a form of self-medication for an individual who is suffering with a psychiatric illness or an emotional trauma. The term dual diagnosis is applied to individuals who are affected by both chemical dependency and psychiatric/emotional disorders. In many instances, the symptoms of chemical dependency and mental illness disguise one another and as a result can make dual diagnosis a complex disease to identify. Some comparable symptoms of drug abuse and mental illness include depression, anxiety, paranoia, delusions, and hallucinations.

For one who is dually diagnosed to fully recover, both disorders need to be treated. An individual who is dually diagnosed may attempt to recover from one illness without addressing the other resulting in the contribution of relapse of the other disorder. Both illnesses have the ability to affect an individual physically, psychologically, socially, and spiritually. An individual who neglects a mental illness may feel the need or desire to self medicate with drugs or alcohol in an attempt to mitigate the symptoms of mental illness. This scenario can often lead to hospitalization.

Denial is usually an inherent problem for one who suffers with dual diagnosis. The individual involved often does not have the proper insight of the severity of their problem. Their way of living has become normal to them. One who has been dually diagnosed should be made aware of the difficulty in recovering from an addiction problem and could greatly benefit from receiving praise for overcoming addiction.

It is essential to recognize the seriousness of being dually diagnosed. While chemical dependency and mental illness interfere with a person’s ability to function effectively, it is essential to treat these diseases simultaneously. The more one becomes educated on dual diagnosis, the more one will become enlightened to the fact that substance abuse has a tendency to go hand in hand with another psychiatric condition. Just as with most other illnesses, an individual affected with dual diagnosis can progress and improve on one’s condition once appropriate care is received.

Sunday, January 07, 2007

Terror Barrier! (MHM-Mental Health Matters)

The Blasted terror barrier, what exactly is it? Have you ever seen a dear stuck in his spot in your head lights? Just frozen they are unable to move? He is struck with terror and can not move from his spot even if it means he gets squished and dies. This is what sort of happens to us, we get caught in the bright lights of life, which is our past and how we’ve always acted! We can now break through the terror barrier and move from out of those lights and then we won’t get squished by the past and we then move on past the terror barrier, unto a new reality which is free from terror!

You may be asking your self how do I break all these bad habits and be frozen in the past or the way we have been taught to act in certain situations. First we have to find a way that works for us, to get past the terror barrier. It was put to me in these certain terms, now don’t laugh, it sounds so simple that I even said what the hell, this can’t be it! IF YOU DO THE THING, YOU WILL HAVE THE POWER, IF YOU DON’T DO THE THING, YOU WON’T HAVE THE POWER!

Can you it really be that simple? Yes and no is my answer. For thirty six years of my life I fought the terror barrier and have just recently found out how to break this nasty little wall of terror. The good thing for you is, you will now have a blue print to overcome this terror barrier, which I struggled with for my whole life!

What is our first step in overcoming the terror barrier? Self relation that a terror barrier does truly exist and that you are affected by it every day it literally takes control over you. Now what do you think chances of beating are? If you can’t do this step you sure as hell aren’t going to go to the next step, so if you disagree that there is no terror barrier, then please stop reading this book right now, and send it back for a full refund.

Now what is our next step in overcoming the terror barrier? Recognition that you are helpless over the terror barrier right now, but there is hope and recognize that hope is always there and will always be there and you can tap into the universal power that is one with God. Now once you get a handle on this step you will find out that you can use this and apply it to any situation in your life.

Relentlessness’ pursuit of your goal or dreams, if you get knocked down, get back up and try it again the only way you are considered a failure is if you stop trying. If you but will continue to try then each failure or not getting the right results you want, moves you one step closer to your dreams.

Just because you don’t make on your first try don’t sweat it, you can make it on the second or third time and this is a given. Robert Kiosks says you will fail nine times out of ten, but it’s the tenth one that makes you a millionaire. So being rent less in your pursuit of any dream or goal, will get you that much closer, each time you fail or you do not get the desired Results you are that much closer to your desired results. So being a failure is not so bad because the more you fail the closer you are getting to what you want. So be rent less in your pursuit of your dreams and goals and know that next failure gets you one step closer to your desired results.

Now we have covered the three a r’s, Recognition, Realization, Relentlessness. What is next? Well it sort of goes like this. Zig Ziglar says that failure is an event not a person.

So who cares if you fail that is not you, which is just some event that got you one step closer to your desired results. So please know when you are failing that is not who you are, it is just something that happened to you, it is an event. Your time will come and before you know it you will overcome that terror barrier!

Now do you see that with these three action steps you get closer and closer to overcoming your terror barrier? Well you should because every step gets you closer to your goals. Now you will sometimes erect wall that keep you in the place where you are at. I bet you are saying no way why would I do that? Let me explain.

Every time you think you are getting to where it is you want to go. POW everything falls apart and you have to stay where you are at. Why is this so, the brain knows that it is much easier to stay where you are then to do all the work required to get to the next level.

We erect barriers that weren’t normally going to be there. We self sabotage your plans and we don’t even know this. Now once we understand that this is what we are doing, we can find a way to stop it. How? By the three R’s so follow the steps we have just outlined and you will be well on your way to beat the thing we call the nasty terror barrier and this will stretch your reality and then you will see a whole new world open up to you!

Dirty White Boy! (MHM-Mental Health Matters!)

What exactly do I mean by the name of this chapter? What I mean is this, when you don’t have any money because you are on social security you are frowned upon and looked down upon, hey let’s face it when you are this low, you never take a shower so you look terrible and smell just as bad.

I wonder why that is the first thing to go is personal hygiene, why this is I am not sure but it is a proven fact, henceforth the name dirty white boy. Because if you look bad, smell bad and live in the not so great part of town and to top it all off you have to drive clunkers, that literally look like shit on wheels, now do you see how some people not knowing you have an illness, could mistake you for a low life, trailer trash, or even a DIRTY WHITE BOY!

Now don’t get me wrong these biologically unhappy people can’t help themselves. Let me try to explain an illness or illnesses to you all, as I have BPD (Borderline Personality Disorder), ADHD (Attention Deficit Hyperactive Disorder), OCPD (Obsessive Compulsive Personality Disorder), GAD (General Anxiety Disorder), and I am (Bi Polar) now how’s that for an illness?

Let me explain some of the symptoms of all these illnesses and then I believe you will have a better chance at understanding what a fellow human being my be going through, be it a loved one, friend, patient.

BPD – Some of the symptoms for this illness are very severe. The reason they call it borderline is because the patient is said to live at the border of reality and make believe. I must admit this is the toughest illness that I have ever went up against and just when I think I have it whooped, it let’s out a furious attack and I get knocked down a few pegs. So what are some of the symptoms of this dreaded disease?

You are very compulsive in all or any of the following – Sexual behavior when you are in a down mood you something tells your mind that having sex with anyone you can find will make you feel better, guess what it does for five min then all hell brakes lose. You feel dirty you shower ten times yet you still feel dirty and cheap.

The thing that is strange about this is it’s likely to happen again, even though this behavior is destructive, when a person hits a thing that is called Diaspora they will do absolutely anything to get out of it and I mean they will literally do anything to get themselves out of this feeling. They call this the caged animal part of the disorder.

Some have a compulsivity to spend money and do they ever, they buy everything in sight and they won’t stop until the dysphoria goes away, yet now they are $6,000 in dept, not to mention all the bounced checks that they wrote.

You want to know the funny thing they would rather go to jail for writing bad checks than stay in dysphoria which literally is the worst feeling in the world it’s every bad emotion their ever was put together and all wrapped up in one and you feel them as though they are happening at once, you feel them all at once, this is dysphoria and please know that if you haven’t experienced it you are lucky because it can literally ruin your life and is the absolute worse feeling that any individual can possibly feel and you live in constant worry that it will come back again,!

Yes it comes back time after time and leaves you defenseless for you to make the right decisions. Please know there is also medicine for dsyphoria, so there is now hope were a few years ago it was just tuff it out, so please know they are coming up with more and more miracle drugs to combat these negative symptoms, so your chances of recovery are getting better by the day!

Black and White Thinking – I know this sounds weird, but once you see the reasoning behind black and white thinking it will all become clear. Say that someone you love dearly does something to piss you off. A normal reaction would be to go to that person and ask them why they did such a thing and try to work the problems out in a civil matter.

Not you though you see them as evil and you can only see them in the black (THE BAD), which is another symptom of BPD. You will even go as far as hating this loved one and doing some pretty dumb things to get even, now let’s talk about the white (THE GOOD)

A friend or loved one buys you a gift, you are really touched and now you feel this person can do no wrong they are now great to you and you’ll do anything for them, anyway you can. Now the thing that may seem weird to you, there is no gray it’s either LOVE (WHITE) or HATE (BLACK), can you see how this type of behavior could run off some mates AND RUIN A RELATIONSHIP?

Back and fourth, love ya then, hate ya, Love ya, and hate ya. Tag you are it. Please know with the right medication this can greatly be controlled, which is a great break through and is helping many couples stay together every day, so don’t let the black and white thinking ruin your life!

Love can break all boundaries, overcome any obstacles, so stop and think what it was like before your loved one had a biological unhappiness and then never let go off that picture until the dream becomes a reality. Visualize you and your mate doing the things that you want, you each being the person that the other loves and please remember that a winner never quits and a quitter never wins.

Self-Mutilating Behavior - This may sound a bit gross and at times it can be very gross indeed. Now let try and explain why a person would act in such a manner and inflict pain on themselves. Ok the reason why they would take a razor and slit their wrist or their leg is because they are in that nasty little word disphoria and when the razor breaks the skin and the bloods start to flow everywhere, it gives such relief!

Now I feel normal again! When I was going through my toughest times with my BPD, I would drive nails through my hands and my feet, sometime I would actually have three to four nails in one hand and the same in one of my feet and I can honestly say I felt normal again. I am so thankful that they have medicine to control this behavior and I haven’t self-mutilated for five years now

Trapped Animal Effect – Let’s say you are in Africa and you are out on the plains and as you are walking around you see a cave so you think you will set up camp there for the night. Low and behold there is a mother lioness and her cubs in the cave with you and your crew are in front of the exit. Now can you see how the mother lioness would go absolutely nuts and stop at nothing to get her cubs to safety? Well this is how a person with BPD feels at certain times in their life, and I must admit that you will make some bone head decision when you are spa zing out and feeling like that trapped animal, please know that this is greatly reduced with medications.

What are some of the most common behaviors of ADD and ADHD? One thing for sure, is the fact that we have an abundance of energy and we just keep going and going, sometimes it’s even hard to get a breath in! Running here, running there and starting this and starting that and never really finishing anything.

Unfinished piles of work everywhere and this absolutely drives you crazy. You interrupted your dad when are talking to him and this pisses him off and in turn makes you mad at him, as a matter of fact you are always interrupting everyone! When will this madness end? I need to slow down and take a break, I can’t sleep

WAIT A MINTUE! There is hope and I can est. to the fact that adderall has changed my life. WAIT A MINTUE! There is hope and I can est. to the fact that adderall has changed my life. Yes I can concentrate again. I can actually read something and understand it, I can read holy shit, I can’t believe it I only had to read it once and I remember how it goes and all that and I didn’t even analyze it a hundred times.

So yes even with ADD and ADHD there is now hope in a pill called an stimulate, which for someone with the above mentioned illness actually act to slow you down a bit and helps you to concentrate. Now the down side is this, people without ADHD use this drug like cocaine and they get a high a great feeling, that they want the feeling to last for ever and they become addicted to the stimulant.

It is usually abused by the younger generation and college kids to stay up all night to help them study for exams and of coarse party all the time, so this is where the negative press comes from. Some dumb kids ruining the entire positive that is happening, for many children and adults. So let’s stop the negative stigma and get the good press and the entire positive that these medicines are doing for millions.

Now let’s move on to OCD, obsessive compulsive disorder. Now this can be very debilitating and can ruin ones life. Some of the symptoms are excessively checking to make sure that the door knob is locked, even though they checked it all ready one hundred times, dam when will the madness end?

Their are some that pull their hair out and in doing so there are even bald spots all over there head, and not only can’t they stop, they look terrible in the process. Basically this illness is an anxiety disorder one that can’t be controlled very easy.

It is almost always excessiveness in anything you can think of and then some. Now I know some people who are millionaires that have this disorder, that with medication are very happy and seem to have the illness under control and function very well and then there are those that don’t responded to the treatments as well.

As each day passes and more and more medicine comes out, we have hope that, we may have never had before, so hold on and keep the faith and with some hard work on your and your Drs. Part, it is my belief that we can greatly control this animal!

Let’s move on to the next illness that affects our biological clock in our little head of ours. Have you ever heard of OCPD- Obsessive Compulsive Personality Disorder? What exactly is this animal? Let me try to explain this disorder, as I have it and it is in a pain in the neck, it can literally ruin your life.

Let’s see you see your self as perfect, or the need to be perfect, yet in your mind you can’t seem to get it right, just that one idea that is lurking in the dark and you know this is the “Perfect” answer to your problem. What about this idea or that idea?

Everyone says you did a great job and they are all signing your praises, yet you know that it is far from your best and you tear it up and start over and if someone offers you help you, you go nuts. There is no way that they could even come close to the perfection that you must have, so you politely tell them that the way they are helping is really off coarse and is deviating from your plan and could they please stop so you can get back on track to perfection.

I must admit I to this day have quite a bit of trouble with this disorder. I can never seem to please my self or anything I do and it causes me a great deal of pain, the medicine seems to help a bit, but I must admit that I feel the need to be perfect in everything that I do, but I can never satisfy myself, my hardest critique.

For this at least for myself I try to use consoling and I’ve made small steps in the write direction, with allot of blood, sweat, and tears, I have been able to give myself small praises and believe me if I can start to praising myself, some then there is light at the end of the tunnel for all of us who have this disorder, so keep your head high and know that if you shoot for the moon, if you miss at least you made it to the stars and this could very well be the step that just lets you settle for second best, which may indeed be perfection to everyone else!

Anxiety, or GAD- General Anxiety Disorder, is absolutely terrible and you honestly feel as though you are having a heart attack, or even worse you are losing your mind and your heart flutters and is beating stronger and stronger, as you are sweating profusely and you feel as though you are losing all the sanity that you have left!

When it is finally over you are so beat all you want to do is sleep and sleep as long as you can, I mean if you are sleeping you can’t have another panic attack. The worst of it is now you live in fear of it happing again and again. For some it is going out in public, the world starts to shrink and you can feel it closing in on you and you can’t breath and the hearts starts to beat a little faster and faster until it’s a full blown attack.

Some are terrified with public speaking and it all starts over and over again and again. This is a viscous cycle that just keeps getting worse. Here’s the thing the drugs to combat this are very addictive and are hard to get a Dr. give them to you, but if worse comes to worse they will and this will help you tremendously. Along with the medication you need to practice some relaxation as much as you possible can and try to stay calm in all situations. You may also need therapy as they will help you see what is triggering it all. I believe that with all three that you will find a great deal of satisfaction with the outcome!