Sunday, 19 December 2010

How to Recover from Bipolar Disorder & Depression

How to Recover from Bipolar Disorder & Depression



If you have had Bipolar Disorder or Depression, you have undoubtedly been through a very tough time in your life. The aim of this article is to help you recover from this time.

Steps

  1. You are capable of living a meaningful, productive and happy life, although you may have to change your goals in order to accommodate your illness.
  2. Remain in the workforce if at all possible.
  3. If you can't work, become a volunteer. All of us have artistic, creative or intellectual abilities that must be utilized or we'll feel frustrated and depressed. Aim for eventual re-entry into the workforce.
  4. Accept your diagnosis. It's an illness, a chemical imbalance of the brain. It's not WHO you are. You are much more than your illness.
  5. Your illness is a part of you but does not define you. You are a whole person with interests and talents. Don't say, "I'm bipolar." Say, "I have bipolar disorder."
  6. Have faith in your ability to recover. We don't know why, but some people as they age, such as Ruth Deming, co-author of this piece, reach a full recovery from bipolar disorder and are on no meds. This is documented in the book "A Mood Apart"
  7. Constantly create new brain circuitry by doing new things. You could browse a new store, try a different restaurant, visit art museums and watch great movies. Try to find something that fits your energy levels and interests. Our minds are capable of constant expansion. Feed your mind only the best ingredients!
  8. Educate yourself about the illness. Use the Internet, read books and ask questions to your family doctor, psychiatrist, therapist and fellow support group members.
  9. Attend a support group in your area with like-minded people. It's great to talk to people and learn how they cope with their illness. DBSAlliance.org lists many support groups for mood disorders in the US, and Mooddisorders.on.ca lists groups in Ontario, Canada. If you have the website for other locations, please add it by clicking 'edit'.
  10. Set a small goal at your support group to accomplish by the next meeting (such as, "I'm going to set my kitchen timer for an hour and make phone calls looking for a job.")
  11. If there's no support groups near you, start your own.
  12. Choose an excellent psychiatrist. Have someone you trust recommend one if possible. Support groups can be a starting point. Also, if you like a particular university hospital, call that hospital and ask for a referral, or ask for a referral to that hospital from your family doctor.
  13. Be aware that some psychiatrists are research doctors who will not see you after the research is completed. Ask them about aftercare.
  14. While seeing a psychiatrist, see a therapist (social worker, psychologist) as well to maximize your personal growth. Therapists teach us how to Express Our Feelings, paramount for everyone but especially for those of us with mood disorders. Mood disorders are "an emotional processing disorder." The goal is to process our feelings with the right person, someone who truly understands us.
  15. To choose a good psychiatrist, speak with them on the phone. Tell them your philosophy and see if they're open to it. Your philosophy should be: the least medication possible.
  16. Establish a Crisis Plan the first time you visit the doctor. Your psychiatrist must be readily accessible to you. If he isn't, switch doctors immediately.
  17. First impressions are very important. The psychiatrist should make you feel comfortable and should not be judgmental. Get a good vibe from your psychiatrist as you will constantly be disclosing confidential information to this person and must feel comfortable while doing so.
  18. After you and your psychiatrist are comfortable with one another, ask if it's OK to slightly adjust your meds if necessary. For example, if you're not sleeping well, ask, How much extra sleeping med can I safely take? This avoids costly trips to the doctor.
  19. If you don't like your psychiatrist, switch immediately. Your mental health is the most important thing you own. If your psychiatrist hasn't found the right medication, get a consultation with someone else.
  20. Keep your psychiatrist's name and number on a small piece of paper in your wallet, or one of their business cards.
  21. During sessions, be prepared. Visits are short. Come with a list of questions. Also bring your version of a "mood chart," which tells how you've been feeling between visits. These are available FREE online by entering the words Mood Chart.
  22. Your psychiatrist should be accessible to you in times of crisis. Establish this on your first visit. If s/he's not, switch psychiatrists.
  23. Tell the psychiatrist everything you think is important for her/him to know about you. This includes: extreme behaviors you've engaged in, mood patterns, triggers, average length of time of mood stabilization. Have this info typed up beforehand so you won't waste time and keep repeating yourself repeating yourself.
  24. Keep a folder at home with the above info. Don't depend on your psychiatrist to keep all the notes. In this folder, keep records of your lab tests, per below.
  25. Crisis Plan. Call your psychiatrist immediately if you feel your depression is worsening or you're getting manic. Ideally, you'll learn, with your psychiatrist's help, how to medicate yourself should you or a loved one perceive the arrival of mania.
  26. If you're feeling suicidal, take your cellphone with you and leave the house. Get away from anything lethal. Tell yourself, "I'm having a bad moodswing but it will pass. I won't always feel this way." Call people in your support group to hear the sound of another person's voice, the most soothing sound in the world. Spend time with positive people when feeling suicidal.
  27. You must get regular lab tests if you're on certain drugs such as lithium, Depakote and Tegretol. Keep track of when you need the tests done.
  28. Hot weather may be hazardous to people on lithium, Lamictal and antipsychotics. Drink plenty of water, wear sunscreen with an SPF rating of 15 or more, as your skin is especially sensitive to the sun. Watch for lithium toxicity (dizziness, confusion, altered gait) and if you have symptoms go to the ER immediately.
  29. Medicines help approximately 80 percent of all patients. If you are treatment resistant you have options such as the newer more precise electroshock treatments (ECT) as described by Kitty Dukakis in her book: "Shock: The Healing Power of ECT." Vagus nerve stimulation is also helpful.
  30. Research centers work on treatment resistant cases such as the Depression Clinic at University of PA under Jay Amsterdam, MD.
  31. A radical new approach is described in "Healing Depression and Bipolar Disorder Without Drugs," by former bipolar sufferer Gracelyn Guyol. This approach is becoming more popular.
  32. If you really must, use binaural beats, acupunture, herbal medicine, reiki, books, meditation, and or do something not fun, but intriguing, like a Rubix cube or a puzzle.

Tips

  • Identify your own mood triggers. People with mood disorders often have difficulty processing their emotions because of the way our brains are wired. We feel things passionately, intensely and often take things too personally. We have exquisite sensitivity. It's been described as "going through life without shock absorbers."
  • If anything bothers you, get on the phone immediately to express your feelings. Don't keep your feelings bottled up.
  • Identify the situations and people that stress you out. Examples include long supermarket lines, heavy traffic, rejection letters, not getting a job.
  • Strategies to deal with the above are to call a friend, keep a journal, exercise vigorously, punch a pillow or punching bag, write a letter and then decide whether to mail it, take the phone off the hook to avoid intrusive phone calls.
  • Even positive events can cause stress and act as triggers because they change our known routine and habits. This includes getting a new job, going back to school, getting married. We are very sensitive to change.
  • Mania can be stopped in its tracks, but only if you recognize the symptoms. Many people do. If you can't, alert your friends and loved ones, your doctor and therapist, so you can do a reality check with them. Once you become manic, you cannot stop it. By recognizing the early warning symptoms you can increase your medicine and avoid the devastation that occurs with mania.
  • Always put yourself first. Only YOU know what makes you feel good.
  • Have a daily schedule and write it on your calendar. Stay busy. Calendar entries may include doing the laundry, working, going to concerts, cleaning the house.
  • Stay around people who make you feel good about yourself. Limit the time you spend with negative judgmental people, even if this includes family members.
  • Work at a place you enjoy and where you like most of the people. It's depressing if you don't like your job or the people there.
  • Acquaint yourself with your mood ebb and flow and embrace it. If you have more energy in the morning, utilize mornings.
  • Maintain a regular schedule - awake at the same time each morning, take your meds at the same time, go to sleep at the same time.
  • Have fun and laugh often. Rent funny movies. Laugh and smile often. It's contagious.
  • Vigorously engage in an aerobic exercise program. Fast walking is easy and cheap.
  • Reduce "visual stress" around the house or your office. At home, stuff things in the closet until you're ready to work on them. Buy organizational tools such as shelves or file boxes. Save cartons and shoe boxes.
  • When cleaning out your house, throw away things that make you feel unhappy such as rejection letters, old love letters. Live in a positive energy field. Also, your home should be "feng shui" - uncluttered - so energy can flow through.
  • Don't smoke cigarettes. True, smoking raises endorphin levels but you can quit if you put your mind to it. Learn to get natural highs from exercise, music, nature.
  • Stop use of alcohol and recreational drugs. They interfere with your meds. Cocaine, often the choice of people with bipolar, increases the risk of heart attack seven times.
  • Give up all caffeine. You'll be surprised that you still have energy. Think of yourself when you were a kid. No caffeine necessary. Also stay away from artificial sweeteners as they're bad for the brain.
  • Don't disclose your illness on the job unless you're sure you can trust the other person. The exception is if you're hospitalized for depression. Better to say you were hospitalized for the latter than to say for bipolar disorder as people equate that with being crazy. Never say you were suicidal. A "bad depression" will suffice.
  • Your support group is a great first step in making friends. People rally around each other. Get a phone list of people to call or get together with.
  • Channel your feelings into art. You don't have to be good at it. Write poetry, short stories, do artwork. Buy self-hardening clay and sculpt. Art is healing and keeps you in the present moment. Again, the more connections you create in your brain the better.
  • Medicine tips. YOU are the only one who knows how your mind and body feel. If you're getting medication side effects and your doctor says, "I've never heard of that before, he's right." He hasn't. But YOU are feeling these side effects and your doctor should open-mindedly listen to you.
  • Meds other than psych meds affect your moods. Check with your doctor about this when adding meds for other conditions. Steroids can cause mania. Anesthesia for surgery has a slight chance of causing depression. Antibiotics taken for several weeks may interfere with your meds. Prescription or over-the-counter allergy meds may cause devastating mania. Many doctors do not realize this. He or she must be our partner in recovery.
  • Suicide is a real threat for many of us. If you have the urge to kill yourself, call someone immediately. Get the words out of your head and out into the open.
  • Remove yourself from the suicidal situation. If you're feeling suicidal at home, leave the house immediately. Go anywhere. Be around people. Go to a friend or family member's house. Go to Barnes & Noble. Do not be alone, as the feelings intensify when there's no one around. Also remove yourself from people who aggravate you.
  • Pick up the phone and call someone who understands. Get a list of names of people from your support group. An excellent suicide hotline is 1-800-SUICIDE or 1-800-784-2433.
  • Also call your psychiatrist or therapist. Talk to your doctor and see if you need a med change. If necessary check yourself into the ER.
  • Consider these alternatives to suicide: Fast walking which get the endorphins flowing, journaling and writing about your feelings, playing rousing music, read favorite passages from the Bible. If nothing works, check yourself into the hospital. In the Philly area, Horsham Clinic has an excellent reputation.
  • Your suicidal feelings always pass. It's a question of enduring them. Strong people ask for help. We can't let our illness defeat us.
  • Do things that have made you feel happy in the past. Keep a list of these items. Keep a picture of your loved ones or children on hand and look at at them often. Through the distorted lens of depression, you may feel it would be a blessing to kill yourself so your family won't bear your sufferings anymore. Nothing could be further from the truth.
  • Pray to God to protect you to keep you safe. Establish a personal relationship with God. Think of God as all the infinite spirit of Love in the universe.

Suggested Reading

  • Castle, Lana R. Bipolar Disorder Demystified: Mastering the Tightrope of Manic Depression. New York: Marlowe & Company, 2003.
  • Burns, David, MD. Feeling Good. New York: Plume, 1999.
  • Dukakis, Kitty. Shock: The Healing Power of Electroconvulsive Therapy. Penguin, 2006.
  • Duke, Patty and Gloria Hockman. Brilliant Madness: Living with Manic Depressive Illness. New York: Bantam, 1992.
  • Fink, Candida, MD and Joseph Kraynak. Bipolar Disorder for Dummies. New Jersey: Wiley Publishing Inc., 2005.
  • Gartner, John D. The Hypomanic Edge: The Link Between a Little Craziness and Success in America. New York: Simon & Schuster, 2005.
  • Guyol, Gracelyn. Healing Depression and Bipolar Disorder Without Drugs. New York: Walker Publishing, 2006.
  • Jamison, Kay R. An Unquiet Mind: A Memoir of Moods and Madness. New York: Vintage, 1996.
  • Milkowitz, David J., Phd. The Bipolar Disorder Survival Guide. New York: Guilford Press, 2002.
  • Pauly, Jane. Skywriting: A Life Out of the Blue. New York: Random House, 2004.
  • Styron, William. Darkness Visible: A Memoir of Madness. Random House. 1990.
  • Thich Nhat Hanh, Anger: Wisdom for Cooling the Flames. Penguin, 2001.
  • Whybrow, Peter C. MD. A Mood Apart: The Thinker's Guide to Emotions and Its Disorders. New York: Harper Collins, 1998.

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Sources and Citations

  • NewDirectionsSupport.org
  • DBSAlliance.org
  • Insanity: A Love Story http://amzn.com/1449521703
  • mooddisorders.on.ca/
  • NIMH.nih.gov/healthinformation – top information
  • Psycheducation.org/ (Dr. Jim Phelps)
  • Psycom.net/depression.central.html (Dr. Ivan Goldberg)
  • PeterWhybrow.com
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How to Deal with Severe Clinical Depression

How to Deal with Severe Clinical Depression



Clinical depression is a serious medical condition. It is not a case of "the blues", it is not just being sad sometimes. Clinical depression is the invisible burden of sadness that never goes away for those who carry it. Sometimes it is responsive to treatment, and sometimes it is just something that will never be solved, and must be accepted.
This article is a starting point for how to find tools, helpers, medications, and anything else that may help.

Steps

  1. Know Thine Enemy. A good place to start in any quest to fix a problem is the internet. There are an unbelievable amount of resources floating around the internet, and the more you can learn about depression will, in some way, help you. Knowledge is power, and knowing what is making your life hell is half the battle.
  2. But now, there is the war. As anyone affected by clinical depression knows, it can be a lifelong ordeal. Accept that your struggle with depression might be a lifelong task; doing this sooner, rather than later, may spare you some extra frustration if you find out that your depression is resistant to treatment.
  3. Look around your biological family. Are there other depressed people? Watch them and see what they do that seems to work. This is especially important if anyone in your family also suffers from addiction or alcoholism, because Depressed people are statistically more prone to these problems. If you can find no clues from your family, it may be time to seek therapy.
  4. Interview therapists. If you choose to enlist the help of a therapist, be sure to select one that is qualified to work with depressed people, and whom you get along with. The right therapist can't solve all your problems instantly, but they can help you learn to help yourself, prescribe medications, and provide support through tough times. A good therapist is worth their weight in peace-of-mind and gold.
  5. Once you know your therapist, discuss medication. Find out if the therapist thinks medication would help you. Ask for the names of psychiatrists that the therapist knows have been helpful to people with your kind of history. If the therapist says that all you need is vitamins, ask them why. If they have no reason to believe that you are severely deficient in aid vitamins, or can't provide you with a reasonable explanation, find a new therapist. If you find a therapist that suits you, keep going as long as it works for you. Find out if you can call between visits if something unexpected happens. "Yes" is the right answer to this question.
  6. Interview the suggested psychiatrists. Accept that all psychiatrists are not created equal. Ask your psychiatrist about what sort of treatments he often suggests to people in your situation. Ask whether the psychiatrist uses the same medications on everybody. If the answer is yes, find a different shrink. Be inquisitive about which medications they use, whether they will prescribe more than one medication, and how they decide upon dosage adjustments. If anything cannot be adequately explained to you, find a different psychiatrist.
  7. Find or ask for referrals to therapy groups. If therapy groups are something you are not ready for, or just not your thing, at least find (or make if you have to) a good friend to help you.
  8. Better yet, make a few friends. If you have to tear yourself a new one to reach out and be social, do so. It will be worth it in the long run. If you are truly depressed, sometimes friends are the only people who can save you.
  9. If you lose the will to live for yourself live for others, especially your friends. Friends are especially important if your family is not supportive. If you feel even worse than usual, having a friend to listen and support you, even by just being there, can save your life.
  10. If you EVER feel genuinely suicidal and don't trust your impulse control, feel free to call a hotline, call 9-1-1, or just present yourself to the nearest emergency room with an explanation of how you feel.
  11. Sometimes, clinical depression is resistant to whatever treatment you throw at it. If truly nothing works, then sometimes the only logical choice is to accept that you will have to contend with this disorder for the rest of your life and to make the most of it.
  12. If nothing cures your depression, the best you can do is to try to find out what eases it a little bit, and go with that. If you need to be selfish every once in a while to keep from sinking any lower, be selfish. Do whatever eases the pain for a bit (exercise, unplug all your electronics, write scathing letters to the world, light a fluffy dandelion on fire, eat chocolate, play darts with a picture of your boss), so long as it doesn't end up making your depression worse as a consequence.

Tips

  • Don't be afraid to ask a friend or family member for help with any of the steps. Sometimes it is hard to get started when you are depressed and there is no shame in having a friend get the ball rolling.
  • Even if you are taking prescription drugs already - do not think that pills will do all the job for you. There are many other methods to fight depression that are worth trying.
  • In some women, depression may be caused (or worsened) by low hormone levels, most commonly progesterone. Progesterone helps keep serotonin levels from dropping too low, and low serotonin can cause depression. Doctors can test for low progesterone and prescribe it (though many doctors are unaware of the link with depression); it is even available without prescription, which gives you an idea how safe it is when used according to directions. Indications that a depression may be progesterone related are: symptoms get worse in the two weeks before menses, during perimenopause/menopause, or after giving birth. Anxiety-depression is most commonly seen, sometimes accompanied by severe mood swings and insomnia; some women may get more headaches/migraines. NOTE: synthetic progestins such as Provera, medroxyprogesterone, DepoProvera, and birth control pills can make these symptoms worse instead of better; we're talking about progesterone specifically, not its "substitutes". Progesterone is available as Progest cream (a good brand) without prescription, and as Prometrium capsules with prescription; compounding pharmacies also make various dose forms (such as Progesterone 50 mg/ml Lotion, compounded).

Warnings

  • If you decide to use medication as a way to help your depression, different medicines will affect you differently. Some may worsen depression, if this happens contact your doctor or therapist immediately.
  • NEVER stop a medication cold turkey. This will produce withdrawal symptoms (shaking, hot and cold flashes, etc) and will worsen depression.
  • Depression caused by a chemical imbalance can be hereditary. If you have children, be sure to keep an eye on them and watch for signs of early depression. If they continue to worsen over time, confront them and tell them your story. My mother saved my life by doing this.

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How to Deal With Teenage Depression and Nostalgia

How to Deal With Teenage Depression and Nostalgia



You've now reached the awesome teen years, and your parents are even nicknaming you 'obnoxious'. But suddenly life seems to suck, and you keep wishing you were back in your fun, carefree kiddie past. Here's how to deal with this depressing nostalgia, so you can have great fun being a teen.

Steps

  1. Think about why you are miserable now, and what's making you long to be back in the past. There could be many typical ( or random ) reasons why you may feel this way. Did someone bully you? It may be the whole new workload that high school is giving you, or the fact that you are you missing your old friends. Or it may simply be the major change you're experiencing as a teenager. You must discover the reasons for your sadness. Write the reason(s) down on a list.
  2. If you really don't know what is getting you down then, fill a diary with your current thoughts and feelings every week or so. When looking back upon diary entries, people are usually surprised by what they thought during the time!
  3. Accept your present situation. There's no point wishing that you could be in playgroup or kinder again, when you know it's impossible. Life will always involve some work from now on, because you are on your way to being an adult.
  4. Look through the list you created. Decide upon which complaints are realistic, and which ones are unachievable. For example, if you wrote "I'm sad because I want to be 3 again so I don't have school and can watch 'The Wiggles' all day," -get over it! A whim like that is totally unachievable and will never happen again. However if you wrote "I'm sad because I wish to be 7 again, because then I had friends but now I don't.", that's actually reasonable, because something can be done about it.
  5. Ditch all those impossible whims from the list, it's a total waste of time mourning over it. Attempt to make the possible ones real. So try to make more friends, try to have more fun, play chasey once in while, laugh a lot, watch funny movies, etc.
  6. Get moving! Try to make your teen years the happiest, they can be, because you only get 7 years. Have fun!
  7. If you are sad because you are away from home(for kids studying abroad), it can be really difficult. But read, or study, or socialize, and somehow try to make yourself forget about the situation.
  8. Find out if there is anything you can do. Why are you feeling nostalgic? If you are missing old friends, then contact them by telephone or e-mail and arrange to meet up. If you miss an old school/childhood, it may help to wander around the school once more and maybe say hello to familiar faces if it helps.
  9. Stick with people who are friendly and can help you. If you are still with some people who were with you during the times you now long for, talk it over with them. They might be feeling the same way. Talking it over certainly helps.

Tips

  • To be honest, most cases of nostalgia result from fallen friendships or relationships. Broken romantic relationships are understandably the most difficult to overcome. If this is your case, then obviously you're wishing it was the past, when you were having fun with your BF/GF. Sorry, the only solution here is to move on .
  • If you want to retain your past, then make sure you don't lose contact with your old friends or class buddies. Call them to catch up, or arrange friendship 'reunions' every 4 weeks or so.
  • Just relax. You may be relieved to know that most teens feel depressed whenever they are doing homework. However that is no excuse to let it impede upon your grades. The teacher probably won't be satisfied with your explanation "I get depressed when I do homework, so I couldn't do it last night."
  • A lot of teenagers experience nostalgia deep down. A lot. Just ask some of your friends (if you're close enough)
  • Do remember that the choices you make in your teen years WILL affect you the rest of your life. Eat too much junk food now, and you'll be fat by the age of 21. Learn to spend your money unwisely, and you'll spend the rest of your life on government handouts (the sluggard craves and gets nothing!). Buy into every new psychology fad or social theory, and you'll only wind up lost and direction-less.
  • Take life seriously. The teen years are more a time to prepare for manhood/womanhood than they are to goof off and watch television. Learn this early on, and maybe you won't be so depressed later in life by your foolishness.

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Saturday, 23 October 2010

How to Help Your Teen With Depression and Suicidal Ideation

How to Help Your Teen With Depression and Suicidal Ideation



Teenage depression is a very common state that nearly 75% of teens go through within their high school journey. The key is to deal with it, and limit it to a point where it does not go back. This article will offer tips to help your teen appreciate life and everything it has to give.

Steps

  1. Have an open heart-to-heart conversation with your teen, making him or her open up to you.
  2. get rid of the FUD factors (Fear, Uncertainty, Doubt).
  3. Make sure your teen understands that being popular does not equate being liked.
  4. Allow them to spread sun-shine wherever they go!
  5. Win their hearts, with 10 words or less (an expanded thank you!).
  6. Give a strong shoulder and a big ear.
  7. Make sure they know you just want them to be happy.
  8. Actions speak louder than words.
  9. Use the words "I LOVE YOU" lavishly, but only when you mean it.
  10. Make sure your teens appreciate diversity.

Tips

  • Do not stress on everything and add more fuel to the fire.
  • Open your heart, listen, and understand everything your teens have to say.
  • Camping trips really help! Pack your bags, and go on a family wild trip.
  • If you know someone who is dealing with depression, don't ignore it. Help them out. It will do them better in life and make you feel better about helping people out.
  • If your trying to help a person who is born with depression which is very common to babies now, their is nothing you can do but be by their side. Talk about happy things that happened to them or to you. Make them smile:)
  • If the depression gets worse and they start to think about suicide, then don't try to act like their own therapist. Get some help from a hotline. Hotline is a group of people who help people out all around the world with problems like these. They do this for a LIVING you don't.

Warnings

  • If things go out out of hand, seek professional help.
  • Do not shout, as it never works. Teens with depression are waiting to hear from someone who loves them.
  • Make sure you see the signs before your teens attempt to take their own lives, for example:
    • Were straight "A" students for many years, but no longer interested in their studies
    • Do just about everything without complaining (this should be an abrupt change from prior state)
    • Become very quiet, having very little to say
    • May have a sudden request ("can you stay home tonight") that you're quick to dismiss. Please listen to this! Your teens have reached a last chance to change their mind.
    • Have just experience a recent lost, e.g. parental separation, long time friend moves, death of loved one.
  • If you have observed your teens and see any of the above, intervene immediately.

Things You'll Need

  • An open and understanding heart
  • Patience
  • Willingness to be supportive
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How to Manage Your Bipolar Disorder

How to Manage Your Bipolar Disorder



If you have Bi-polar disorder, or know someone who does, you know how frustrating it is. It doesn't have to be so frustrating if you can accept it and adapt to it.

Steps

  1. Get your diagnosis firm and get settled on your meds. This list will take a long time to complete, so there's no hurry. Work through it at your own pace. If you have the disorder and are not on medication, you may wish to start taking medication. There are a lot of medications out there, and they all work a little differently. If you wish, research medications to find out about them, but rely on your treating doctor when it comes to choosing meds. If you get side effects, contact the doctor in a constructive way (not complaining) and work with him/her to manage the meds.
  2. Find out about bipolar: this includes not only the medical stuff but read about other people's stories.
  3. Get to know your cycles and your episodes. If you are a type II (depression and hypomania), then your cycles may be longer, and episodes shorter and less severe.[[:Template:Goodwin & Jamison Manic Depressive Illness]] If you are a type I (depression and mania or just mania), your episodes may be more severe, longer and more often.[[:Template:Goodwin & Jamison Manic Depressive Illness]]
  4. Keep a journal or some type of "log" that can help you figure out just when you might be able to expect to shift. If you keep a journal, look especially for the changes in your moods, activities and thinking/thought processes ((Kraepelin 1921)) It will help you manage the disorder if you realize patterns in your behavior/thinking associated with your ups and downs. Then things might start to make more sense.
  5. In your journal, note down for these changes that occur when you are beginning to get ill. Note them down and find those that are reliable. Also record those changes that happen when you're getting really sick. These will become signs for a) starting to get sick; b) when you need a 'rescue'
  6. Make a plan to cover all the following:
    1. triggers
    2. mood, activity & thinking changes: early and late in the illness
    3. strategies to stop the illness early or stay safe late in the illness
    4. plans to protect work, money, education, relationships and your children, if any.
    5. maintain a pretty strict daily routine for waking, sleeping and eating. This is because your body clock is fragile because of the disorder.
    6. from experience, figure out when your stimulus levels are getting too high and create some strategies for lowering the impact on you.
  7. Focus on your life in the mainstream whether you are working, volunteering, parenting or whatever. Don't get caught in the mental illness ghetto! Find a happy medium - not only with medication, but also with life in general. Find friends who won't make you feel worse, and try making your space (room or apartment) calming and peaceful. It should make you feel safe, and if you need to "hide," then it should hide you.
  8. For anyone who has the disorder or knows someone with it - it is important that you read up on the medical information out there on it, because it explains so much! If you ever question why they (the bipolar person) do or say or feel something because you can't understand, this actually might answer some of those questions!
  9. Eventually it's better if you can accept that you have bipolar disorder and that this is something you have to deal with. However, almost everybody experiments and/or goes off meds - it's our way of testing this disorder and coming to terms with it. It is not fun ... but to know, accept, and love yourself no matter what will make life a little lighter.
  10. To those of you close to a bipolar person, the best thing you can do is try to ride their waves as best as you can while getting on with your own life! If they want to be alone, let them be. Treat them like the adult they are. Do not blame the disorder for everything they do. Try to make them comfortable, treat them like you would everyone else, and sometimes it's best to distract them from their minds. If the person with bipolar is behaving in abusive or otherwise intimidating way, treat them as if the bipolar is not there. Ask them to leave, for example. You will do them a favour as they learn from the feedback from your response to them.
  11. An online course on living well with bipolar will be available in January 2010 at BeatBipolar.
  12. --BeatBipolar 11:28, 8 November 2009 (GMT)--BeatBipolar 11:28, 8 November 2009 (GMT)

Tips

  • Tell friends and family you have this disorder. Sometimes it helps you feel a little less "crazy."
  • Laugh at yourself, and at situations. You'll eventually see that it's not as bad as you once thought.
  • Don't dwell on the past, present, or even possible future situations!
  • Find things you like to do that can take your mind off of...your mind! It will also make you feel better about yourself.
  • Stick to your doc's advice. Discuss your queries with him/her. Proper compliance is a must for satisfactory management.
  • Join or form a support group, if possible.
  • Uncomfortable bipolar medication side effects such as weight gain or tiredness are often temporary and should not be a reason to discontinue the use of bipolar medicine.

Warnings

  • This article should not be construed as professional medical advice.
  • Those with bipolar disorder have a high risk for addiction. Self-medication is not medication at all!
  • If your doctor suggests SSRI's for treatment, be aware of the serious danger of manic episodes triggered by their effects on brain chemistry. This is a common problem that may be overlooked by doctors accustomed to treating "ordinary" depression or anxiety.Template:Bipolar and the Art of Roller coaster Riding, Kelly, M TwoTreesMedia.

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Sources and Citations

Article provided by wikiHow, a wiki how-to manual. Please edit this article and find author credits at the original wikiHow article on How to Manage Your Bipolar Disorder. All content on wikiHow can be shared under a Creative Commons license.

How to Treat Autism

How to Treat Autism



Autism spectrum disorders (ASDs) are developmental disabilities that cause considerable impairments in social interplay and communication and the existence of atypical behavior and preoccupation. An ASD begins before the age of 3 and lasts a person's lifetime. Those who suffer from ASDs respond differently to stimulus, and have very dissimilar ways of learning. The reasoning and comprehension abilities of people with ASDs can vary from gifted to severely challenged. Autism is included in this group of disorders. This article will provide information to assist you in the treatment of autism.

Steps

  1. Seek professional help. There is no medical examination for ASDs. Health care providers rely on behavioral symptoms of a child during routine checkups. There are screening tests that can also be done during these visits. If your child's doctor does not regularly screen your child, ask that he/she do so.
  2. Understand that every child with autism is different. Appropriate treatment should meet with individual needs.
  3. Be aware that some parents may use regimens not commonly advocated by their child's doctor to assist the symptoms of autism. These treatments are called complementary and alternative treatments. The following is a list of treatments that fit this category and examples of what they may involve:
    • Energy therapy - reiki, acupuncture, Therapeutic Touch
    • Alternative medical systems - aromatherapy, homeopathy
    • Manipulative and body-based method - deep pressure, acupressure, hydro massage
    • Mind-body intervention - auditory integration, meditation, dance therapy
    • Biologically based therapy - using herbs, special diet, and vitamins
  4. Know that there is no magic elixir that will cure autism. There are medicines that can help in the treatment of autism symptoms. The following is a list of symptoms that can be helped with medication:
    • Severe outburst of anger
    • Aggression
    • Elevated energy level
    • Self-injurious behavior
    • Inability to concentrate
    • Depression
    • Seizures
  5. Consult with your health care provider to ensure your child is receiving the proper treatments for his/her individual needs.

Video

Michael Davis, MD, pediatrician, talks about autism in children, as well as autism treatments.

Tips

  • Some parents feel a change in their child’s diet will improve how the child feels or behaves.
  • ASDs can be detected as early as 18 months.
  • ASDs include autistic disorder, pervasive developmental disorder (including atypical autism), and Asperger syndrome. These conditions have similar symptoms, but are dissimilar in terms of when the symptoms begin, their severity, and the exact causes of the symptoms.
  • Early detection of developmental delays and beginning intervention services quickly can better outcomes and assist a child in attaining his/her possibility for achievement.
  • Always maintain a close and open communication with your child's pediatrician.
  • Remember that ASDs cannot usually be cured, and will remain with child for their lifetimes. Also remember that just because the child has an ASD, it makes them no less aware of what is happening, and does not make them physically different in any way. Try to treat them like normal people, help them when they need it, and never let them look at it as a disorder, until they are old enough to undertsand this. Instead, show them it can be as much of an advantage as a disadvantage
  • Keep in mind that many brilliant, famous people have Autistic Spectrum Disorders, including Albert Einstien and Thomas Edison.
  • It may be beneficial to try to introduce them to acting, and to other Autistic people. Acting will help work on their social skills, and meeting others with similar difficulties may help them to perceive the world in a brighter way, or give them a coping method.
  • ASD children often have extremely bad tempers from a young age, so if your child has temper issues, or you are worried your child has an ASD, start teaching them coping methods from a young age.

Warnings

  • Children with ASDs may also have epilepsy or mental retardation.
  • Some children with ASDs have psychiatric disorders such as anxiety and depression.
  • Some children with ASDs may have attention deficits, sensory concerns, sleep difficulties, and gastrointestinal upset.
  • Support neurodiversity. Do not completely treat autism - keep the rare gifts that they have. It is much better to accept an autistic person than to cure them completely.

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Sources and Citations

Article provided by wikiHow, a wiki how-to manual. Please edit this article and find author credits at the original wikiHow article on How to Treat Autism. All content on wikiHow can be shared under a Creative Commons license.

How to Make a Behavior Intervention Plan for an Autistic Child

How to Make a Behavior Intervention Plan for an Autistic Child



Autistic children often have difficult behaviors because they lack the ability to communicate their needs and wants in an appropriate way. To eliminate the unwanted behaviour, the child needs to be helped to have their needs and wants met in a constructive way.

Steps

  1. Early detection is key to making a behavior intervention plan for a child with autism. The earlier autism is detected, the bigger the difference you can make.
  2. Target only one behavior at a time. Different negative behaviors likely have different causes, and thus different solutions, and it is too difficult to address all of these at once.
  3. To identify possible reasons for the behavior, keep a log of what happens before the behavior, the behavior itself, and what happens after (For example: At 4:30, Joey came into the kitchen and grabbed two cookies. When I told him he could not have them, he began to throw a tantrum. When he calmed down, I gave him a cookie).
  4. After keeping this log for several days to a week, try to identify the cause of the behavior. In the above example, Joey's tantrums are the result of a desired item (cookie) being taken away after he tried to access them inappropriately. Brainstorm possible reasons: perhaps Joey is very hungry at 4:30, and wants to express that he needs something to eat.
  5. Provide a way for the child to get their need met in an appropriate way. Depending on the skills of the child, he could be taught to ask for a snack (I want a snack please). For a non-verbal child, provide pictures of snacks the child likes, and teach him to exchange the picture for a snack when he is hungry.
  6. If you have correctly identified the cause of the problem behavior and provided a solution that works for the child, the problem behavior should decrease.
  7. Remember, positive strategies help more than negative ones.
  8. You must maintain the trust of the child if you want results.
  9. If the problem behavior does not decrease, go back to making a log of the behavior, and look for different possible causes and/or solutions.

Tips

  • Remember that behavior communicates something - "I'm upset", "I'm scared", "I need your attention", "I'm bored" , etc. What the autistic child is communicating may or may not be appropriate to the situation, but figuring out what the message could be can help you find possible solutions.
  • Choose one very specific behavior that you want to change, e.g. throwing food at meals, not "She gets mad and throws everything all the time".
  • Determine what happens before the behavior that might be causing it, for instance, does the child with autism finish eating more quickly that everyone else? Is there some way you can eliminate or change that thing to eliminate the behavior?

Warnings

  • Be aware that children with autism can be affected by things you might not even notice, for instance you always eat off of certain plates and you changed them, someone is sitting in a different place, you ate before bath time rather than after, etc.

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Article provided by wikiHow, a wiki how-to manual. Please edit this article and find author credits at the original wikiHow article on How to Make a Behavior Intervention Plan for an Autistic Child. All content on wikiHow can be shared under a Creative Commons license.

How to Parent a Child With Autism


After careful evaluation, your child has been diagnosed as someone with Autism Spectrum Disorder. Now what? How do you live with this and how do you help your child have the best life he/she can? Autism has many associated essential features. The first is an extreme isolation and inability to relate to people and significant difficulties in communication. A typical characteristic of Autism children is there extreme lack of responsive to adults. A child who has this disorder is aware of people, but considers them no differently from the way he or she considers the desk, bookshelf or filing cabinet.

Steps

  1. Learn and know that children on spectrum are normal but they may require different supports that Neuro Typical (NT) children.
  2. Make sure that your diagnosis is accurate! If your child was diagnosed by a pediatrician, follow up with a doctor that specializes in ASD (Autism Spectrum Disorders) and have them do an evaluation to determine your child's placement on the spectrum. It is likely that they will also determine if your child has secondary diagnosis, (such as ADD/ADHD {Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder}, Apraxia, SI {Sensory Intergration Disorder}, etc.) Many children on spectrum have secondary disorders and they require support for them as well as autism.
  3. Check for Fragile X Syndrome. If your child is male, have him and the male parent tested for Fragile X. In some cases, males diagnosed with ASD are also children born to a parent with Fragile X.
  4. Construct a plan for support for your child based on the areas of delay/deficit. If your child is of age to attend school, have your local district assess them to determine what services are beneficial to your child. There are a vast number of therapies that will benefit your child and each therapy is different. Much of this will be trial and error. Do not expect your child to benefit from every single therapy out there or even be in every therapy. Keep in mind that this is a SPECTRUM disorder and while the diagnosis is autism, there are different degrees and areas of delay and advancement. No two persons on spectrum are the same and no two persons respond to therapies in the same manner. Give any thing you try with your child a chance to work or not based on your desire for development for your child.
  5. Learn all that you can about your child's present level of development.
  6. Learn all you can about diets, medications and alternative therapies available. Again, YOUR child and your beliefs should play a role in what you do or do not try with your child. Understand there is no current cure for AS disorders. At the same time, there are a large number of persons on spectrum who have shown positive improvement from diet and medicinal intervention. When contemplating if you want to consider giving your child medication...you may want to ask yourself, 'if my child had asthma, would I give them medication?' If you answered yes, then why would you not medicate them if it would limit the adverse impact that autism may pose on their development. No one is saying that medication will do this for your child, but if it can in anyway improve their quality of life, you may want to give it consideration.
  7. Get plugged into organizations that support families living with ASD. You are not alone and they will be your best source of information on programs, funding and research. This is also a great place to vent about things that only other persons living with a family member with ASD would understand. YOU are NOT alone, so don't isolate yourself.
  8. Locate an organization that can provide Parent Education. Understanding what autism is (...and isn't) and how it impacts your child takes time. Having professional intervention help you understand the what's, how's and why's of your child go a long way to helping your child grow.
  9. Become a student of autism from every angle. You will benefit your child and family as a whole if you understand the laws about educational rights, insurance (what your medical benefits are and if you have little or no insurance...you can seek state insurance {medicaid}, what your local school districts can and cannot offer for your child to be mainstreamed or if they will be required to pay for your child to attend a school that specializes in working with children with Developmental Delays/Disorders.
  10. Take appropriate safety measures, if needed. If your child tends to "escape"/"run" (this is also known as elopement) and has little or no safety awareness, you may need to outfit your home with an alarm system. In some cases, your child may benefit from special devices to restrain them in cars and even in some cases in their own bed. In the case of a child who wanders from their bed and could endanger themselves or others, you may need to acquire a self-contained bed. In many cases, they are covered by insurance, but are expensive and often refused by the carrier as an unnecessary cost. The alternative is to not sleep at night for fear that your child may leave their bed and either get into something that could harm them or even leave the house. For those who have this apparatus, it is a necessity.
  11. Love your child. You are the model of what others will think, and believe about your child. If you treat your child as you would any other child...others will too. It is perfectly fine to explain to someone that your child has autism, but never apologize for it and never make excuses.
  12. Work with your child's medical professionals, social workers, physical therapists, speech therapists and teachers to help your child develop in a positive manner. Remember it's a team effort when it comes to dealing with your child's development.

Video


Tips

  • Surround yourself and your child with professionals who are trained in childhood development. Not everyone who has a degree is qualified to care for a child with autism.
  • Trust your judgment! If you feel that something will benefit your child, do all that you can for your child to get it...whatever that might be.
  • Listen to other parents who have passed the milestones you are at...there is no need to reinvent the wheel.
  • You are your child's best advocate, but you are only as good as what you know, so learn all you can about everything related to autism.
  • Apply what works for you and your family and reject what doesn't. There are no general rules for how to treat children on spectrum, so don't expect to find a concrete approach to your child.
Article provided by wikiHow, a wiki how-to manual. Please edit this article and find author credits at the original wikiHow article on How to Parent a Child With Autism. All content on wikiHow can be shared under a Creative Commons license.

Sunday, 17 October 2010

How to Live With Obsessive Compulsive Disorder

How to Live With Obsessive Compulsive Disorder
Living with Obsessive Compulsive Disorder (OCD) can be very difficult and time consuming. Just because it may seem unbearable does not mean it has to be.

Steps


  1. Do not feel ashamed of your condition. Every single person in this universe has something quirky about them. People with OCD may have more than one. It is nothing to be ashamed about.
  2. Educate yourself. Try to find as many resources you can about OCD. Books, pamphlets and online support groups are great ways to learn about OCD and coping mechanisms.
  3. COGNITIVE BEHAVIORAL THERAPY. This specific therapy has a very high success rate and has helped a lot of patients with OCD. It is a great way to maintain your condition without medications. The only side effects will be amazing results!
  4. Try not to get caught up in your thoughts. It can be very hard not to when you feel afraid, but you need to try and get a hold on which thoughts are rational and which are not.
  5. Replace compulsions with positivity. When you feel a compulsion coming on, do not give in. If you feel a sudden urge to let's say wash your hands or scream go do an activity that will not only prevent you from giving in, but benefit you in a positive way.
  6. Laugh at yourself! That's right, laugh at yourself. They say laughter is the best medicine and from personal experience I can agree.
  7. Expose yourself to fears. This is a great way to lessen a specific fear or phobia. Exposing yourself to a fear repeatedly will numb you to it. The reason we have a fear is because we associate that specific object with a negative feeling or experience, if you change it into a positive experience then it will no longer be a fear!
  8. Don't let OCD define who you are. You are more than your condition. Write a list of all the amazing qualities you possess and read it over again every time you feel down.
  9. Congratulate Yourself. Every time you achieve something that you could not achieve before compliment yourself and feel proud. Even if it would be a small achievement to another person, if you feel great about it, then let yourself know!
  10. DON'T WORRY, BE HAPPY! Sometimes it can be very hard to let go of your worries but with a little self push you CAN do it! Clear your mind and just live in the now!!!

Tips


  • Do not pressure yourself to be perfect and learn to accept that imperfections are what make you special and unique.
  • Take your time and do not feel like a failure if you cannot overcome something right away. Improving your well being takes time and everyone does so at a different pace!
  • Just have fun and occupy your time with the people and things you love.
  • Read a lot of books about overcoming OCD. There are a lot of people who have done it and live amazing and fulfilling lives. It may seem hard, but it is possible!
  • Read up on famous people who have and still suffer from OCD. Some times having an idol to relate to is very helpful. Jessica Alba, Justin Timberlake and Megan Fox all suffer from OCD!
  • Stay healthy! exercise and eat healthy, take vitamins. Taking care of your health does wonders for your mind.

Warnings


  • Beware of anyone or anything that offers a quick fix. There is no panacea or wonder drug for OCD.
  • Stay away from junk food and Caffeine!
  • If you have been prescribed medication for your condition, stick to it along with coping methods. NEVER STOP TAKING YOUR MEDICINE WITHOUT SPEAKING TO YOUR DOCTOR.


Article provided by wikiHow, a wiki how-to manual. Please edit this article and find author credits at the original wikiHow article on How to Live With Obsessive Compulsive Disorder. All content on wikiHow can be shared under a Creative Commons license.

How to Deal With an Obsessive Mental Preoccupation

How to Deal With an Obsessive Mental Preoccupation




Is there something you can't stop thinking about? Does it start to get under your skin? Regardless of what it may be, following these steps will help you deal with thinking obsessively about something.

Steps


  1. Seek professional help. The safest and easiest way to get rid of an obsession is to talk about it with a psychologist or counselor. Don't be ashamed to go to one; it doesn't mean you're insane, you just have a problem you need help with; it's something perfectly normal. The counselor will understand what's actually going on with you, go to the bottom of it and give you some good advice on how to get through it. It's a process of self-discovering and self-understanding.
  2. Do something that doesn't require thinking. Doodle, play Solitaire, listen to music, dance- your mind will focus on these little things and you'll stop thinking about your obsession.
  3. Understand why is this so important to you that you can't stop thinking about it. If it's really something that matters, pay as much attention to it as needed; for example, if you're worried about an exam and do nothing but study and stress over it, don't stop studying; just don't pay more attention to it than you'd need- especially when talking about an exam, relaxation is as important as studying. If it's an irrational, harmful obsession, like hatred for something/somebody, it's crucial that you solve your issues before it takes over your life. Understand that you are the one whom it harms in the first place; not other people.
    • If your obsessive thoughts are feelings of guilt, do something that eases this burden. Apologize to the person you've mistaken to, confess to a priest if you are Orthodox or Catholic, go to the person's tomb if they're no longer alive, or do something good to compensate the bad thing you've done (for example, volunteering or donating money for charity).

  4. Be more relaxed and optimistic. Nothing on this world deserves getting all of your attention, no matter how important it may be. Things often work out by themselves; you don't need to be so stressed about them. Especially if your constant worry is about something that's not up to you, for example a family member's disease or world peace, there's no need to worry about it so much.
  5. Talk to someone that knows you well and you're close to. Sometimes a friend or a family member understands you better than a psychologist, simply because they know you so well.
  6. Improve something about yourself. Find a reason to be confident. People who are OK with themselves don't have such issues. Try learning to do something you've always wanted to know; for example, studying a foreign language or taking drawing lessons.
  7. Illustrate what you feel. Now that we're talking about drawing, it's a good way to express your feelings without saying a word; just draw whatever crosses your head. It doesn't matter if you're good at it; just doing it is helpful enough.
  8. Keep a diary. Writing dow how you feel is also a healthy method to express an emotion. It's also important in keeping track of your thoughts. Whenever you have a day when you haven't thought about that something so much, note this in your diary. It reminds you that you can defeat your obsession.

Warnings


  • Don't despair. No matter how difficult it may be, committing suicide must never be an option. Life is wonderful; just because some thoughts hunt you, you shouldn't kill yourself. Problems find their solution, but nobody can get you back among the living if you kill yourself.

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Article provided by wikiHow, a wiki how-to manual. Please edit this article and find author credits at the original wikiHow article on How to Deal With an Obsessive Mental Preoccupation. All content on wikiHow can be shared under a Creative Commons license.

How to Reduce the Risk of Dementia Through Long Term Relationships

How to Reduce the Risk of Dementia Through Long Term Relationships

Studies have shown that people who spend more time with the same persons throughout their lives have a lowered risk of dementia as they get older.[1] There are various ways you can incorporate the insights of these studies into your life. You can even make a commitment to avoid from 2 to 3 times greater risk of developing dementia. Although being true to yourself in commitment to your own long-term relationships is easier said than done -- it happens -- and this article shows how critical they are for mental sharpness in your golden years.

Steps


  1. Be in a long-lasting relationship before middle age. While studies focused on marriage as a factor, having a long-term relationship in which you live together has the same effects.
  2. Maintain your relationships ideally into old age. The company will help keep your mind sharp. Note that the marriage or relationship doesn't have to be perfect, or ideal.
  3. Remarry if you lose your spouse. You may consider yourself blessed to be able to be in dating for a lasting relationship again, finding a potential loved-one to possibly remarry and being committed to this kind of long-lasting relationship.
  4. Keep up the interactions in your long-term relationship with the daily challenges of marriage because that is what matters most to reduce the risk of dementia...
    • This is based on the long term professional study reported July 3, 2009 and published in the British Medical Journal covering a large number persons studied at age 50 and again at age 70. [2]


Tips


  • Alzheimer’s is "not" as dependent on lifestyle choices such as being and staying married --
    • and Alzheimer's involves a more complex set of factors involving genetics and environmental damage. [3]

  • The study indicates there is "a dramatic increase in risk of Alzheimer’s disease for widowed..." as compared to married in the study, this is not conclusive, but the matter of dementia is now shown by this study.marriage and dementia - British Medical Journal, July 3, 2009, bmj.org
  • Long lasting relationships also help couples to live longer and this is rather well known. See the studies reported in the following health, medical, and social science journals:
    • Marital Status and Longevity in the United States Population [4]
    • Marital Status and Mortality in the Elderly: A Systematic Review and Meta-Analysis[5]
    • U.S. Mortality by Economic, Demographic, and Social Characteristics: the National Longitudinal Mortality Study[6]


Warnings


  • In "any case" for long-life, avoid triglycerides (modified fats). Triglycerides tend to harden in the arteries going to the brain and heart, and may cause heart or cerebral (brain) strokes. Many people are unable to burn them.
    • Note: To have continuing better mental health as a result -- one should take good care to not cook with or eat products made with the hydrogenated (partially hardened) oils or modified fats in the diet called triglycerides.


Related wikiHows



Sources and Citations



  1. http://www.parade.com/health/2009/08/09-marriage-is-good-for-the-brain.html

  2. http://www.bmj.com/cgi/content/full/339/jul02_2/b2462 "The British Medical Journal" - Full text of the report on marriage and dementia at bmj.org

  3. http://aspe.hhs.gov/hsp/07/marriageonhealth/rb.htm#34 U.S. Health and Human Services

  4. Kaplan, Robert M. and Richard G. Kronick. "Marital Status and Longevity in the United States Population." Journal of Epidemiology and Community Health, vol. 60, 2006; pp. 760-765

  5. Manzoli, Lamberto, Paolo Villari, Giovanni M. Pirone, and Antonio Boccia. "Marital Status and Mortality in the Elderly: A Systematic Review and Meta-Analysis." Social Science & Medicine, vol. 64, 2007, pp. 77-94

  6. Sorlie, P.D., E. Backland, and J.B. Keller. "U.S. Mortality by Economic, Demographic, and Social Characteristics: the National Longitudinal Mortality Study." American Journal of Public Health, vol. 85, no. 7, 1995, pp. 949-956


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How to Help Someone Suffering from Dissociative Amnesia

How to Help Someone Suffering from Dissociative Amnesia



Dissociative amnesia is a condition often triggered by trauma in a person's life. A person suffering from dissociative amnesia will forget important personal information about themselves and events in their life, often as a reaction to forgetting the trauma. There will be large gaps in memory far greater than mere lapses of memory or forgetfulness.[1]
When a loved one in your life is suffering from associative amnesia, it is important to know what to do to help them, as well as learning how to cope with how they have changed.

Steps


  1. Do research and reading. It is important that you understand the disorder and how it impacts the sufferer. The more that you understand, the easier it will be to help and to forgive the moments when you feel completely distanced from your loved one.
    • Also try to learn about what caused your loved one to develop dissociative amnesia. Typical causes include involvement in a disaster in which they witnessed death or were near death, an abusive childhood, major life stresses, time spent in a combat zone, involvement in an accident, etc.[2][3] Unless you were also present, you won't be able to completely grasp what they went through but it will help you to understand the depth of their pain.
  2. Get your loved one to quality treatment. Help your loved one find a reputable health professional whom you trust and know that your loved one is comfortable with.
  3. Take on the role of talking to other family members. Your loved one isn't in a good place to be able to explain what is happening, and may instead simply withdraw, get angry, or refuse to speak. Help your family members to realize:
    • This memory loss is more than mere forgetfulness and impacts daily living.
    • That symptoms such as inability to recall information, depression, anxiety, and confusion are part of this condition.
    • This is not a case of malingering. Ask family members not to make snide comments or to express anguish about the inability of your loved one to remember things.
  4. Help your loved one to choose appropriate treatment options. There will be a range of options available but they will all have varying degrees of effectiveness. You can play a key role in observing how your loved one is responding to treatment from the home life perspective, and give feedback to the health professionals. Treatment options might include:[4]
    • Psychotherapy
    • Cognitive therapy
    • Medication
    • Family therapy (this is teaching the family about the disorder and ways that the family can help the patient)
    • Creative therapies
    • Clinical hypnosis - Eriksonian hypnotherapy is recommended.[5]
  5. Try to maintain the home life to enable independence and quality of life.
    • Get practical help as needed to help the person live normally.
    • Provide a secure, caring environment. Expect distress from the patient at times over the memory loss and be ready to reassure.[6]
    • Protect the patient from self-harm or neglect.
    • Ensure as much family and friend contact as possible.
    • Find ways to help the patient feel happy and useful.[7]
  6. Look after yourself and your family. It is hard looking after someone who suffers from dissociative amnesia. Don't neglect your own emotional needs and seek support if you feel that you're not coping very well.


Tips


  • Women are more likely than men to develop dissociative amnesia.[8]
  • The earlier a person with dissociative amnesia gets help, the more likely it is that the treatment will result in a successful outcome.


Warnings


  • Some people will never retrieve their lost memories. Prepare yourself for this possibility.


Things You'll Need


  • Professional help


Related wikiHows




Sources and Citations


  1. Cleveland Clinic, Dissociative Amnesia, http://my.clevelandclinic.org/disorders/dissociative_disorders/hic_dissociative_amnesia.aspx
  2. Dr Pamela Stephenson Connolly, Head Case: Treat Yourself to Better Mental Health, p.221, (2007), ISBN 978-0-7553-1721-9
  3. PsychNet UK, Dissociative Disorder, http://www.psychnet-uk.com/dsm_iv/dissociative_amnesia.htm
  4. Cleveland Clinic, Dissociative Amnesia, http://my.clevelandclinic.org/disorders/dissociative_disorders/hic_dissociative_amnesia.aspx
  5. Dr Pamela Stephenson Connolly, Head Case: Treat Yourself to Better Mental Health, p.221, (2007), ISBN 978-0-7553-1721-9
  6. Merck, Dissociative Amnesia, http://www.merck.com/mmhe/sec07/ch106/ch106c.html
  7. Dr Pamela Stephenson Connolly, Head Case: Treat Yourself to Better Mental Health, p.221, (2007), ISBN 978-0-7553-1721-9
  8. Cleveland Clinic, Dissociative Amnesia, http://my.clevelandclinic.org/disorders/dissociative_disorders/hic_dissociative_amnesia.aspx
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