Tag Archives: Diagnostic and Statistical Manual of Mental Disorders

Dealing with depression and chronic pain specifically

Dealing with depression and chronic pain specifically: The best ways of managing pain and depression

Dealing with depression and chronic pain specifically

Dealing with depression and chronic pain specifically is a sure way of restoring the comforts of life for absolute happiness and life enjoyment to the fullest.

Dealing with depression and chronic pain specifically can be a tall order for many people owing to the many life demands and challenges. But all the same we must all do something about these two conditions despite those known challenges. That is why we as professionals from AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury we are on the front in creating awareness to all people about depression and chronic pain so that people can take timely actions to defeat all the consequences that comes with late responses of these conditions. Therefore it would be very important for all of us to appreciate that depression doesn’t only affects our brains and behavior but it also affects our entire body. Doctor Akoury says that depression has been linked with other health problems like chronic pain and therefore if we have to address depression, then it would mean that we will be dealing with more than one health problem at a time which can be very difficult at times, but all the same it must be done professionally for timely treatment. Besides these it is important to note that depressive disorder or depression is a serious mental illness which can interfere with your daily activities, life and routine by impacting negatively on the quality of your life.

Pain on the other hand can also come in different kinds. The major types of pain we have include acute and chronic pain:

Acute pain – this kind of pain can be intense and short-lived, in which case we call it acute pain. Acute pain may be an indication of an injury however when the injury heals the pain usually goes away.

Chronic pain – this sensation lasts much longer than acute pain. Chronic pain can be mild or intense (severe). Therefore knowing how to deal with these conditions is very important and to get more about the approaches to take, we are going to respond to some of the questions that have been raised so that we can be up to speed with the modalities of dealing with depression and chronic pain specifically as we progress into the discussion.

Dealing with depression and chronic pain specifically: Is there a whole-life approach to treating pain and depression?

Like we had mentioned before, chronic pain and depression can affect a person’s entire life. Consequently, an ideal treatment approach addresses all the areas of your life that are affected by chronic pain and depression. Because of the connection between chronic pain and depression, it makes sense that treatments for these conditions overlap.

Dealing with depression and chronic pain specifically: How do antidepressants help both chronic pain and depression?

Because chronic pain and depression involve the same nerves and neurotransmitters, antidepressants are used to treat both chronic pain and depression. Antidepressants work on the brain to reduce the perception of pain. There is adequate evidence of the effectiveness of tricyclic antidepressants such as Elavil and doxepin. However, because of side effects, their use is often limited. Newer antidepressants known as serotonin and norepinephrine reuptake inhibitors (Cymbalta, Effexor), on the other hand, seem to work well with fewer side effects.

Dealing with depression and chronic pain specifically: How can physical activity help both chronic pain and depression?

Many people with chronic pain avoid exercise. But, if you don’t exercise, you get out of shape and have an increased risk of injury and worsened pain. Consult with a physician to design an exercise plan that’s safe and effective for you. Remember that exercise also helps in easing depression by releasing the same kind of brain chemicals that antidepressant medications release.

Dealing with depression and chronic pain specifically: Why is taking control important for healing?

Chronic pain affects your ability to live, work, and play the way you’re used to. This can change how you see yourself sometimes for the worse as you feel victimized by the pain and depression. Getting busy and taking control of your life is important. Working with a health care provider who refuses to see you as a helpless victim but sees you as a healthy person with pain is important.

Dealing with depression and chronic pain specifically: How does talk therapy help chronic pain and depression?

Research clearly shows that, for many people, certain kinds of mental training can help improve chronic pain. Like for instance, cognitive therapy is one approach. In cognitive therapy, a person learns to notice the negative “automatic thoughts” that surround the experience of chronic pain. These thoughts are often distortions of reality. Cognitive therapy can teach a person how to change these thought patterns and improve the experience of pain. Besides that cognitive therapy has also been proven as an effective treatment for depression and can reduce symptoms of anxiety in those with chronic pain.

Dealing with depression and chronic pain specifically: What’s the best way to manage chronic pain and depression?

The best way to approach managing chronic pain is to consult regularly with a pain specialist or even your family doctor to create a treatment plan. When chronic pain and depression are combined, the need to work with a doctor is even greater. When you visit your doctor’s office, tell him/her that you want to gain control over your chronic pain and depression. As you develop a plan, keep in mind that the ideal pain management plan will be multidisciplinary, which means it will address all areas of your life that are affected by the pain. Therefore empower yourself by tapping into available resources such as the American Chronic Pain Association, the American Pain Foundation, and the Academy of Cognitive Therapy. It is important that when you’ve started the treatment process, you must stay committed to the treatment plan until you feel in control of your pain and depression and can fully live your life, doing the activities you enjoy.

Finally to defeat this problem, don’t wait for too long but find a cognitive therapist near you with experience in the treatment of chronic pain. If you are in doubt then you can locate one by contacting AWAREmed Health and Wellness Resource Center or alternatively you could settle for any of the cognitive therapists’ professional groups mentioned above.

Dealing with depression and chronic pain specifically: The best ways of managing pain and depression

 

 

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Pornographic Addiction

What’s Pornography Addiction?

Pornographic addiction is one that is caused by habitual and repeated use of pornographic material which causes serious negative effects to ones mental, physical, financial and social welfare or safety. Internet pornography or cybersex has also contributes a great deal to such addictions. There is however no such thing as pornographic addiction diagnosis. An addict can also view pornography that is problematic that is called ‘problematic internet pornography’ viewing for various reasons that will include social or personal reasons. Most people will resort to problematic internet pornography mostly when they are undergoing difficult times. In most cases , when they are isolated by friends, family members, when undergoing financial problems, when they have recently lost their jobs and are not finding any these people will resort to such acts to pass time and release the tension they are undergoing.

Pornographic addiction

Pornography or visual sex stimuli as its otherwise known is almost if not as strong as pathological gambling, cocaine or heroin addiction and sexual addiction and should be treated seriously before it gets out of hand. Since the world is quickly moving to digital age, pornographic addiction will not be for a particular age group, it will be for all age as there will be no limit to internet and television usage. There also will not be any way of adults finding out whether their children are glued to it on screen or not. It is also necessary for everyone to know that over five billion people will move to join internet in the next ten years. That in itself is an alarming number so just imagine how many from that number will be lured to viewing internet pornography?

pornography addiction

So how does one know if they are addicted to pornography or not? Well, just like any other addictions, if one finds themselves consistently engaging in sexual activities for a long time than necessary as a way of running away from distress or adopt it a way to distract themselves from problems. If it’s interfering with other obligations then it could be pornographic addiction in waiting. Pornography has been opposed from every corner of the world by social conservatives citing that it offends tradition and social values. Religious leaders also say that it’s against religious and Christian culture. Catholic leaders have been particularly vocal about this act.

 

Pornography is also believed to demean women in particular. It is also believed that pornography causes psychological harm to the addicts with the end result of pornography induced erectile dysfunction. These various sectors have publicly opposed pornography. The opposition of pornography also varies from country to country or group to group. Many of whom make distinction between pornography that they are opposed to. Some religions and culture however consider pornography less harmful. Some social liberals have also supported pornography saying that its ones freedom. They claim that accusing one of spending too much on pornographic materials in infect infringing in someone’s right or freedom.

Treating of pornographic addiction

Pornographic addiction just like any other addiction is something that comes from deep within someone’s mind and seeking counseling is always the first step. One should also consider abstaining from watching such materials completely. Remember it all starts from the head.

What’s Pornography Addiction?

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Food addiction

Food addiction-Fighting food addiction

food addiction

food especially sugar is becoming the biggest luring substance to food addiction

There is one common addiction for all mankind, we are all in one way or the other addicted to food. Visualize how it feels like when you aren’t able to eat. You will probably start to crave for food, and become more physically and emotionally uncomfortable. The longer the cravings go on for, until eating becomes the most important thing for you to do. This is the constant experience of people struggling with food addiction, even if they have plenty to eat.

However food is essential to survival, and unlike other addictive behaviors, it is normal to eat repeatedly every day, and to look forward to eating for pleasure. But several characteristics separate normal or occasional binge eating from a food addiction.

The first point, food addiction is maladaptive, so although people overeat to feel better, it often ends up making them feel worse, and gives those more to feel back about. Food addiction can threaten health, causing obesity, malnutrition, and other problems.

The second point, the overeating that people with food addiction do is persistent, so a person addicted to food eats too much food and most of the time it’s the wrong kinds of food taken repeatedly. Everybody overeat from time to time, but people with food addiction often overeat daily, and they eat not because they are hungry, but as their main way of coping with stress.

The Controversy of Food Addiction

As behavioral addictions, the concept of food addiction is a controversial one. Opinions differs between those who think that overeating can be a type of addiction, and those who think that true addictions are limited to psychoactive substances which produces symptoms such as physical and withdrawal. Although this has been demonstrated in research with sugar and fat (the two most common obesity-causing constituents of food), and other studies show that food produces opiates in the body, many think that this does not necessarily constitute an addiction.

However, the growing epidemic of obesity over the past years has raised public health concern. In almost all US states, one in five adults are obese. Childhood obesity was ranked as the top health concern for children in 2008, higher than either drug abuse, rated second, or smoking rated third, both of which were ahead of obesity in 2007.

This concern, along with effective treatments for addictions, which are being successfully applied to more and more problematic behaviors, is contributing to a movement towards understanding over-eating, and the consequences of obesity and related health problems, in terms of addiction.

Food addiction is now included in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), named as Binge Eating Disorder, and categorized with the Eating Disorders. Excessive eating is also a characteristic of another eating disorders outlined in the DSM, known as Bulimia Nervosa. Some controversy remains over whether eating disorders are actually addictions, but many experts believe that they are.

Food Addiction like Other Addictions

There are several similarities between food addiction and drug addiction, including effects on mood, external cues to eat or use drugs, expectancies, restraint, ambivalence, and attribution.

Neurotransmitters and the brain’s reward system have been implicated in food and other addictions. In animal studies, for example, dopamine has been found to play an important role in overall reward systems, and binging on sugar has been shown to influence dopamine activity.

Food, drugs and other addictive substances and behaviors are all associated with pleasure, hedonism, and social, cultural or sub-cultural desirability. When advertising or the people around us tell us that a food, drug or activity will feel good, it sets up a self-fulfilling prophecy. We are more likely to seek it out, and we are more likely to experience pleasure when we indulge.

Food addiction and Mental Health

Similarities between food addiction and other addictions suggest a universal process underlying food and other addictions. Some experts go further, theorizing that overlaps, similarities, and co-occurrences of mental health problems, including addictions, depression, obsessive-compulsive disorder and eating disorders, and the phenomenon of a new addiction or mental health problem developing when an old addiction is treated, indicate that they are expressions of related underlying pathologies. It has been argued that viewing these conditions separately hinders the development of a comprehensive view of addictions.

In the study involving 39 healthy women with different weights from lean to overweight or obese, the participants were asked to complete the Yale Food Addiction Scale, which tests for signs of food addiction. Women with full-fledged eating disorders of any type were not included in the study.

Then, using fMRI, researchers led by Yale’s Ashley Gearhardt and Kelly Brownell looked at the women’s brain activity in response to food. In one task, the women were asked to look at pictures of either a luscious chocolate shake or a bland, no-calorie solution. For another brain-scan task, women actually drank the shake made with four scoops of vanilla Häagen-Dazs ice cream, 2% milk and 2 tablespoons of Hershey’s chocolate syrup or the no-calorie control solution, which was designed to be as flavorless as possible (water couldn’t be used because it actually activates taste receptors).

The scientists found that when viewing images of ice cream, the women who had three or more symptoms of food addiction things like frequently worrying about overeating, eating to the point of feeling sick and difficulty functioning due to attempts to control overeating or overeating itself showed more brain activity in regions involved with pleasure and craving than women who had one or no such symptoms.

These areas included the amygdala, anterior cingulate cortex and medial orbitofrontal cortex — the same regions that light up in drug addicts who are shown images of drug paraphernalia or drugs.

Similar to people suffering from substance abuse, the food-addicted participants also showed reduced activity in brain regions involved with self-control (the lateral orbitofrontal cortex), when they actually ate the ice cream.

In other words, women with symptoms of food addiction had higher expectations that a chocolate shake would be yummy and pleasurable when they anticipated eating it, and they were less able to stop eating it once they started.

Interestingly, however, unlike drug addicts, the participants with more signs of food addiction did not show a decrease in activity in pleasure-related regions of the brain when they actually ate the ice cream. People with drug addictions tend to derive less and less pleasure from drug use over time — they want drugs more but enjoy them less, creating compulsive behavior. But it’s possible that this tolerance may be seen only in serious addictions, not in people with just a few symptoms.

Notably, the study also found that food addiction symptoms and brain responses to food were not associated with weight: there were some overweight women who showed no food addiction symptoms, and some normal-weight women who did.

That’s why addictions aren’t simple: they involve variations not only in levels of desire, but also in levels of ability to control that desire. And these factors may change in relation to social situations and stress.

Neither heroin nor Häagen-Dazs leads to addiction in the majority of users, and yet there are certain situations that may prompt binges in people who otherwise have high levels of self-control. So the answers to addiction may lie not in the substances themselves, but in the relationship people have with them and the settings in which they are consumed.

Food addiction-Fighting food addiction

 

 

 

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