Sunday, December 11, 2011

<b>Depression</b>, Disability Can Follow ICU Care: Study - Health News <b>...</b>

FRIDAY, Dec. 9 (HealthDay News) — Depression and new physical problems are common among patients released from the intensive care unit after treatment for a potentially deadly condition called acute lung injury, a new study finds.

The findings may also apply to ICU patients with other types of disease or injury who get hooked up to breathing machines, according to the researchers.

“When people are discharged from the ICU, we tend, understandably, to focus on their physical health, but our data tell us we need to focus on their mental health, too,” study leader Dr. O. Joseph Bienvenu, an associate professor of psychiatry and behavioral sciences at the Johns Hopkins University School of Medicine, said in a Hopkins news release.

“Depression can make recovery much more difficult. Identifying depressive symptoms early — and treating them — could make a real difference in how patients fare physically in the long term,” he added.

The researchers looked at the depression levels and physical abilities of 186 survivors of acute lung injury three, six, 12 and 24 months after they became ill. Physical abilities included whether people could perform basic tasks of daily living such as shopping, preparing food and using the telephone.

Forty percent of the patients developed depressive symptoms during the two years of follow-up, even though they had not previously experienced such symptoms.

In addition, 66 percent of the patients developed new physical impairments during the follow-up period.

The average age of the patients in the study was 49, and they should be in the prime of their lives, the researchers noted. Instead, many had become disabled and unable to return to work.

The researchers will continue to follow these patients to find out if the depression symptoms and physical impairments persist beyond the initial follow-up of two years.

The study was published Dec. 9 in the American Journal of Respiratory and Critical Care Medicine.

More information

The Society of Critical Care Medicine has more about ICU care.

– Robert Preidt

SOURCE: Johns Hopkins Medicine, news release, Dec. 7, 2011

Last Updated: Dec. 09, 2011

Copyright © 2011 HealthDay. All rights reserved.


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Natural Cures For Depression - Health

If you are suffering from mild to moderate depression, conventional antidepressants may not be your best option because of their side effects. Over the last few years more and more natural cures for depression have been shown to be effective in alleviating depression symptoms, so taking natural remedies for depression is a credible alternative.

The most effective natural remedies for depression include antidepressant herbs, essential oils, selected vitamin and mineral supplements and physical exercise.

Herbal tinctures

Herbs for depression are best taken as a tincture. Herbal tinctures such as St John's wort, rose, vervain or oats have been shown to be beneficial for mild depression. You can buy these tinctures ready-made from herbal shops or make your own.

Take up to 2ml of your chosen tincture (tincture strength 1:2) diluted in some water, 2-3 times a day. When taking St John's wort avoid excessive exposure to sun or UV light. If you are taking any other medication, consult a specialist before taking the tincture.

Essential oils

Essential oil mixes specifically formulated for depression can be used as massage oils or put on the space between the nose and upper lip. Never apply essential oils neat on the skin. Always mix them with a base or carrier oil.

Mix 15 drops of geranium, 10 drops of bergamot and 5 drops of lavender essential oil in two tablespoons of base oil such as avocado, grapeseed, apricot kernel or sweet almond. Alternatively, use 15 drops of geranium, 12 drops of nutmeg and 8 drops of neroli oil. For chronic depression 3 drops of osmanthus oil and 3 drops of jasmine oil will bring relief.

You can also use any of the above mixes in a bath. Sprinkle your preferred mix into the water and swish around to disperse the oils. Soak in the bath for about 15 minutes.

Essential oils can also be poured on a tissue or handkerchief to sniff or used in a vaporiser. Use fewer drops of each oil for this.

Exercise

Vigorous exercise helps to counter depression. Exercise that increases your heart rate at least three hours a week (or 30 minutes a day) may help boost your body's natural mood-enhancers. Exercise in natural surroundings is particularly beneficial as contact with nature and green spaces has a positive effect upon mental health. Gardening is an ideal activity of this sort.

Mindfulness meditation and the traditional Chinese exercises of Chi Gong and Tai Chi can also be employed to relieve depression. In addition, a type of controlled breathing with roots in traditional yoga (Sudarshan kriya yoga) can provide relief for depression. The program involves several types of cyclical breathing patterns, ranging from slow and calming to rapid and stimulating. Overall, exercise is a more effective treatment for depression than antidepressants, with fewer relapses and a higher recovery rate.

Vitamins and minerals

People suffering from depression often have low vitamin B levels. By eating a healthy diet and taking vitamin supplements that contain folic acid and vitamins B6, B12 and B6 you can correct any deficiencies. Taking vitamin D together with calcium supplements or 100 mg of selenium per day will also improve your mood.

Make sure you get enough iron. A lack of iron can make depression worse. Let a health professional check your iron levels. Also balance your fats. Depressed people may have lower omega-3 fatty acid levels, so increase your intake of oily fish high in omega-3 fatty acids. Take 10g of omega-3 fatty acids per day.

Depression is a complex disease. A low mood can be improved with natural cures for depression as described above but for severe depression you should always consult a health professional.

Monika Ruthe is a complementary therapist and the creator of an online information resource on natural healing remedies. To discover the best natural remedies for a variety of common ailments and how to use them visit http://www.naturalhealingremedies.biz/


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Do you Suffer from <b>Depression</b>? � eXtended Media Project

Are you feeling tired all the time? Have you lost interest in activities you once enjoyed? Do you find yourself battling persistent feelings of sadness, or perhaps even crying all the time or not even wanting to get out of bed in the morning?  While there are some health problems that can cause these symptoms, it is possible you are suffering from depression. If you suspect that is the case, it might be helpful to take a Depression Test online, just to have an idea if that may be the problem. If your results indicate depression, it is important to consult a qualified mental health professional immediately to discuss your treatment options.

Depression can affect your job performance, and having difficulties at work, being passed over for a promotion, or even being fired is not going to help your situation. It can also affect your social relationships, as you may isolate yourself or drive people away with negative behaviors. It is more than simply feeling sad; true depression can seriously disrupt your life and cause further problems that will need to be fixed. If you suspect you may suffer from depression, it is important to seek treatment immediately. Don’t ignore it and hope it will simply go away; depression is caused by a chemical imbalance in the brain, and will not usually disappear on its own.

Depression is usually treated with a combination of prescription drugs which will help to fix the chemical imbalance in your brain, and with talk therapy which can help you to overcome negative emotions and sort through your problems. There is no shame in seeking help for this disorder. Depression affects millions of people, and it is something counselors and psychiatrists treat every day. Give your treatment time to work and take it just as seriously as you would any other health condition. With the right treatment, you can begin feeling like your old self again, or perhaps even better than you’ve ever felt. Depression doesn’t have to ruin your life, and can even be a turning point to become healthier and happier than you have ever been.


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Holiday <b>Depression</b> Is Basically Guaranteed

By Anna North Dec 8, 2011 7:45 PM 12,583 138 Get the most popular stories and breaking news directly in your Twitter feed Follow @Jezebel

Holiday Depression Is Basically GuaranteedThe Cleveland Clinic has issued a list of risk factors for holiday depression, and if you are alive, you basically have all of them.

According to USA Today, the risk factors include the following:

Connecting the holidays with family problems or painful memories.

Did a bad thing ever happen to you around the holidays? Or did a bad thing happen to you at some point, but you associate it with the holidays because that is when you are back in your hometown and forcibly confronted with all your memories? Go ahead and check the box next to this one.

Expecting that you should feel happy.

You mean like what happens when every store is playing, extremely loudly, a song that says "it's the most wonderful time of the year"? That thing?

Developing unrealistic expectations, or thinking about negatives that have occurred during the past year.

The holidays are when you are culturally encouraged to take stock of your life and find it desperately wanting. Conveniently, this also happens when the days are short and cold, thus casting your hopelessly flawed existence in the bleakest possible light. So, check.

Drinking too much alcohol during the holidays.

How else are you supposed to cope with the above three things?

Basically, you are screwed. If you are a human being, and you have feelings, you are going to be depressed during the holidays. The only solution is to sleep until February (which sounds like a pretty good idea no matter what), or possibly some combination of thinking only positive thoughts while expecting only misery. How do we do this? Tell us, Cleveland Clinic — how?

Health Tip: Are You Disposed To The Holiday Blues? [USA Today]

Image via Gts/Shutterstock.com

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Saturday, December 10, 2011

Dealing with <b>depression</b> difficult in workplace - KansasCity.com

<br />Ryan Lefebvre shared the story of his chronic, severe depression this week with a group of about 200 Kansas City area human resource practitioners.Ryan Lefebvre shared the story of his chronic, severe depression this week with a group of about 200 Kansas City area human resource practitioners.

HELP IS AVAILABLE

Resources for employers or individuals to learn about and deal with depression in the Kansas City area include:

• Mid-America Coalition on Health Care, www.machc.org, 816-753-0654

• Comprehensive Mental Health Services Inc., www.thecmhs.com, 816-254-3652

• Jackson County Community Mental Health Fund, www.jacksoncountycares.org, 816-842-7055

• Wyandot Center, www.wyandotcenter.org, 913-233-3300

• Johnson County Mental Health Center, http://mentalhealth.jocogov.org, 913-831-2550

• Tri-County Mental Health Services Inc., www.tri-countymhs.org, 816-468-0400

And nationally:

• Mental Health First Aid, www.mentalhealthfirstaid.org

• National Institute of Mental Health, www.nimh.nih.gov

• Partnership for Workplace Mental Health, www.workplacementalhealth.org

The way Ryan Lefebvre remembers it, fellow baseball broadcaster Fred White looked at him and asked, “Are you OK? No, really, are you OK?”

And the dam broke.

That serious, caring question by a co-worker was what it took for Lefebvre to let his depression spill out.

But that kind of question — and an honest response — isn’t easy to ask or answer in the workplace.

Social stigmas about mental disease, legal cautions about not violating health privacy laws, fear of job repercussions and disinclination to stick noses in someone else’s business all conspire to prevent such interactions at work.

Lefebvre — a former ball player and guy who on the surface “had it all” — shared the story of his chronic, severe depression this week with a group of about 200 Kansas City area human resource practitioners.

It was a timely presentation in a community stunned by the recent depression-related suicide of television meteorologist Don Harman, as well as the deaths of other people in less-publicized circumstances, some spurred by job loss, financial loss or personal plights.

Their deaths leave colleagues wondering: What did I miss? What could I have done?

“It wasn’t a co-worker’s responsibility to ‘fix’ me,” Lefebvre emphasized, but it was invaluable that a colleague saw that something wasn’t right with him and spoke up.

Clare Miller, director of the national Partnership for Workplace Mental Health, said it’s especially tough for men to speak out about depression, “and most people aren’t sure exactly what to do when we see symptoms.”

The symptoms are rife. About 58 million Americans — 1 in 4 adults — experience mental health impairments in a given year, according to the National Alliance on Mental Illness.

For about 15 million of them, the impairment is major depression, a serious mental illness that can interfere with thinking, behavior, mood, energy level and physical health.

“Co-workers shouldn’t feel pressured to solve the problem,” advised Nancy Spangler, a Kansas City consultant to the mental health partnership. “They’re not trained to diagnose or respond in the best way.”

But given that work consumes many people’s waking hours, co-workers are as likely as anyone to detect an individual’s serious depression, a medical condition that usually is treatable with medication and counseling.

Unfortunately, “it’s a sticky wicket” to talk about mental health issues at work, Spangler acknowledged.

“Co-workers are legally free to say, ‘Hey, you seem depressed,’ but supervisors need to be more careful when discussing health issues,” she said.

When confronted with a co-worker or employee who appears to be having mental health problems, the key to expressing concern — but avoiding legal hassles — is to focus on performance, experts say.

“Tell the person what you observe and that it concerns you,” Spangler said.

A sample best-case approach for a supervisor might be: “We notice you’re missing deadlines. That’s not your style. We’re worried about it.”

A co-worker might say: “I notice you’re not joining us for lunch anymore. It worries me to see you withdraw.”

But there’s no one-size-fits-all template for broaching apparent mental health issues.

So that’s the impetus behind a tiny but sure-to-grow program named Mental Health First Aid, a training course designed along the lines of familiar CPR and first-aid training.

Theresa Cummings, director of program development for the Jackson County Community Mental Health Fund, is one of a handful of area trainers who can bring a 12-hour training course to workplaces and religious and social service organizations.

“It’s really beneficial for human resource departments to help demystify concerns about mental health,” Cummings said.

Missouri is among two states (Maryland is the other) in the vanguard of introducing the program, which originated in Australia, in the United States. The Missouri Foundation for Health is funding grants to faith-based organizations to have the training delivered to their congregations, Cummings said.

The course teaches people how to recognize depression, anxiety, substance abuse, eating disorders and other mental health conditions — and then direct sufferers to appropriate resources.

The program lands on fertile ground in Kansas City, which already has a national reputation for raising public awareness of depression.

“Stress and depression are very hot issues with employers,” said Christine Wilson, chief executive of the Mid-America Coalition on Health Care, which in 2000 began an initiative with a couple dozen large employers to understand and deal with depression.

The coalition has developed a “Depression Tool Kit” for employees and employers, conducted a work site awareness campaign, presented information sessions to business groups and conducted an employee attitudinal study.

In some workplaces, in-house wellness specialists or human resource practitioners are trained to give front-line assistance to employees exhibiting mental health disease.

In workplaces without in-house specialists, referrals to Employee Assistance Programs — generally affiliated with employee health insurance plans — are the likely responses.

“Depression can have a major impact beyond the individual. It affects workplace productivity and co-workers,” Wilson said. “The more you can bring awareness and remove the taboo about talking about mental illness, the better.”

For that to happen, experts agreed, a workplace first has to have an atmosphere of trust among management and employees. Workers have to believe that they can obtain confidential help for mental health conditions and that it won’t lead to a pink slip or other punitive measures.

“Even if your workplace doesn’t have a formal EAP, one easy, free thing is to have the CEO tell employees that ‘we’re concerned about you,’^” Miller said. “Let employees know that it’s OK to seek help if you need it, and here are the resources available to you, whether they’re employer provided or not.”


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Sunday, December 4, 2011

Chronic Post-Traumatic Stress Disorder In Women Linked To History Of Rape, Child Abuse

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Also Included In: Women's Health / Gynecology;  Psychology / Psychiatry
Article Date: 01 Dec 2011 - 0:00 PST

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A Florida State University clinical psychologist has identified factors that could cause some women with post-traumatic stress disorder (PTSD) to have chronic, persistent symptoms while others recover naturally over time.

At the conclusion of a two-year study of women from across the nation, Assistant Professor Jesse R. Cougle found that those with PTSD who reported a history of rape or severe childhood physical abuse were more likely to suffer chronic PTSD symptoms. What's more, women who reported more "re-experiencing" symptoms, such as nightmares and flashbacks, at the initial assessment were more likely to suffer from persistent PTSD symptoms two years after the study began.

"What makes our findings unique is the recovery component," Cougle said. "Most studies of this kind have looked at risk and resiliency or the factors that determine who develops PTSD and who doesn't. We studied factors that influence recovery, or lack thereof, in a sample with PTSD."

"What we found,interestingly, is that more than half of the women in our sample - 58 percent - recovered within two years," Cougle said.

Most people will experience at least one potentially traumatic event during their lifetimes that could result in PTSD. Knowing the factors that predict chronic PTSD will help to identify people who are most in need of assistance and treatment after suffering a traumatic event.

Cougle also found that about half of the women who recovered from PTSD during the study did so without any sort of professional treatment.

"Some women have a natural capacity to recover from PTSD," Cougle said. "They won't require treatment to get better."

Cougle's research, "Factors Associated with Chronicity in Post-Traumatic Stress Disorder: A Prospective Analysis of a National Sample of Women," has been published in the journal Psychological Trauma: Theory, Research, Practice and Policy. He conducted the study with Medical University of South Carolina psychiatry professors Heidi Resnick and Dean G. Kilpatrick.

In addition to re-experiencing symptoms, a PTSD diagnosis includes avoidance and numbing, such as efforts to avoid thoughts, feelings or conversations associated with the trauma; efforts to avoid activities, places or people that arouse recollections of the trauma; an inability to recall an important aspect of the trauma; and feelings of emotional detachment. Additional symptoms include hyperarousal,such as difficulty concentrating; difficulty falling or staying asleep; irritability; and hypervigilance.

Additional References Citations Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
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Anxiety / StressWhat is Anxiety?Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling... Read more...Most Popular Articles

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A Doubling Seen In The Use Of Opioid Painkillers For Abdominal Pain

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Also Included In: GastroIntestinal / Gastroenterology
Article Date: 01 Dec 2011 - 0:00 PST

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Across U.S. outpatient clinics between 1997 and 2008, opioid prescriptions for chronic abdominal pain more than doubled, according to a new study in Clinical Gastroenterology and Hepatology, the official journal of the American Gastroenterological Association.

Chronic abdominal pain is a common symptom and a frequent reason for health-care visits. Because it is often incurable, clinicians often find it challenging to help their patients manage their abdominal pain over time.

"Opioid use for persistent abdominal pain highlights the growing challenges clinicians face trying to manage chronic illness without the time, infrastructure and incentives needed to take the integrated approach that experts suggest," said Spencer D. Dorn, MD, MPH, of the University of North Carolina and lead author of the study. "Writing a prescription for a pain killer may be the path of least resistance; doing so may satisfy the patient's demand for relief and mitigate the clinician's possible feelings of inadequacy."

The researchers concluded that the dramatic nationwide rise in opioid use to treat chronic abdominal pain is concerning for several reasons. First, using opioids to treat non-cancer chronic pain is supported by very limited evidence. Second, opioids are frequently misused and sometimes abused. Finally, when used over long periods of time, opioids may trigger other gastrointestinal symptoms, such as constipation, nausea and vomiting, and may even paradoxically worsen abdominal pain.

The researchers speculate that the growth in opioid use has likely been driven by numerous factors, including a tendency to generalize recommendations for the use of opioids in treating pain, campaigns to recognize pain as the "fifth vital sign," and widespread direct-to-consumer advertising, which, in the case of OxyContin, was considered misleading and illegal.

View drug information on OxyContin.

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