Tuesday, November 08, 2005

Depression and suicidal ideation in elderly persons - by Caroline Wellbery, M.D.

The Prevention of Suicide in Primary Care Elderly: Collaborative Trial (PROSPECT) evaluated the impact of primary care interventions on reducing major risk factors for suicide in elderly persons. Depression is one such risk factor. Depression in later life frequently remains improperly diagnosed in primary care and often is treated inadequately. Pharmacotherapy commonly is used in insufficient dosages, and both patients and physicians may stop therapy prematurely. Bruce and colleagues report on results from the PROSPECT study.

Patients were randomized to depression treatment intervention versus usual care and followed at regular intervals for suicidal ideation, depressive symptoms, and remission rates in depressive symptoms. Practice-based depression care managers helped physicians identify depressed patients and provided patients with information on the treatment and monitoring of depression.

Depressed patients in the intervention group were given citalopram or offered psychotherapy if they declined medication. Both interventions were paid for with research funds. In the usual-care group, a minimum enhancement was provided: physicians were notified when patients met the criteria for depression and received information on treatment guidelines.

The investigators randomized patients by practice, recruiting in an age-stratified method participants age 60 to 74 and 75 years and older. Patients completed a Centers for Epidemiologic Studies Depression scale (CES-D), and patients with a CES-D score higher than 20 were eligible to participate. An additional 5 percent sample was included for comparison, as were some patients scoring 20 and below who might have had a false-negative screening result and who were identified as possibly depressed by supplemental questioning. Patients were assessed by telephone at four and eight months and had an in-person interview at 12 months. A total of 1,238 eligible patients agreed to a baseline interview; 598 patients who met the criteria for major or minor depression were selected to participate, as well as 47 patients who were selected randomly and 109 who were diagnosed with depression by supplemental questioning.

Patients in the intervention group were significantly more likely than those in the usual-care group to receive treatment at each follow-up visit. Patients in the intervention group were more likely to report suicidal ideation at baseline. At four months, both groups had similar rates of suicidal ideation, which reflected a greater decline in suicidal ideation in the intervention group.

This finding applied overall and to patients with major depression, but not to the subgroup with minor depression. Depression severity did not differ significantly between the groups at baseline but decreased more in the intervention group than in the usual-care group. This finding also applied to the group as a whole and to patients with major depression, but not significantly to patients with minor depression.

Similarly, more intervention patients experienced a 50 percent or more decrease in depression scores from baseline compared with the usual-care group at four months, again with insignificant impact on those with only minor depression. In terms of remission, rates were significantly higher at four months in the intervention group compared with the usual-care group, but rates narrowed to nonsignificance at eight and 12 months. The difference in suicidal ideation was most pronounced and statistically significant at eight months, with no difference between groups at 12 months.

Suicidal ideation resolved more quickly in intervention patients than in usual-care patients. Intervention patients also had a more favorable course of depression, in terms of both severity and remission measurements, although these findings applied to patients with major rather than minor depression. Actual rates of suicide in primary practice occur too infrequently to measure the effect of an intervention such as the one studied in PROSPECT.

The strength of this trial lies in its practice-based design and application of formal depression screening and diagnosis. The feasibility of using case managers in practices needs to be assessed in real-life practice, and providing therapeutic intervention at no cost to the patient is a potential limitation of the study's real-world application. Finally, the authors were unable to explain the higher baseline prevalence of suicidal ideation in the intervention group, an occurrence that may limit the generalizability of the study's findings.

CAROLINE WELLBERY, M.D. Bruce ML, et al. Reducing suicidal ideation and depressive symptoms in depressed older primary care patients. A randomized controlled trial.
JAMA March 3, 2004; 291:1081-91.

2004 American Academy of Family Physicians
2004 Gale Group

Monday, November 07, 2005

Advice on suicide & depression: warning signs - by Travis Meeks

Advice on suicide and depression, and the warning signs that are many times evident, is obviously a matter of life and death.

The concept of suicide and depression seem to be inextricably linked. However there are other warning signs and there is far more to be discussed when looking at suicide as a concept, beyond that of the classical motivation of being depressed. This article will examine common warning signs of suicide as well as signs of depression. In addition it will look at how anger and revenge can be a driving motivational factor or rationale for suicide. It is also important to look at the seperate parts in planning and acting on suicidal ideas. Evaluating these key actions and others assist in determining the seriousness of the attempt, although professionals should always be consulted immediately. While suicide and depression are linked, concepts such as revenge and anger cannot be ignored.

First and foremost let us look at one of the major linking causes of suicide, the most common, depression. Signs of depression can include (based on a description of symptomology from the DSM IV "Diagnostic and Statistical Manual of Mental Disorders Fourth Edition):

Dysthymic Disorder:

A. Depressed for two years in an adult, at least one year in children and adolescents.

B. 2 or more of the following

* poor appetite or overeating

* insomnia or hypersomnia

* low energy or fatigue

* low self esteem

* poor concentration or difficulty making decisions

* feelings of hopelessness

There are many different forms of depression and some of these symptoms are only examples without the complete detail or depth that one might find by consulting a variety of sources.

Major Depression (some symptomology)

2 weeks of a depressed mood with a loss of interest or pleasure in nearly all activities.

With children the mood may be irritable rather than sad.

Often described as depressed, sad, discouraged, hopeless, or down in the dumps. Loss of interest or pleasure is always present to some degree. Appetite and sleep disturbance. Psychomotor changes, such as agitation, pulling or rubbing of the skin or clothing, slowed down speech or thinking or body movements, increased pauses before answering. Decreased energy, tiredness and fatigue. Sense of worthlessness or guilt. Impaired ability to think, concentrate or make decisions, may include memory difficulties. Interference in social, occupational, and important areas of functioning.

Many of the symptoms one finds with depression may cause the individual to fall below a threshold of rational thought, where they seek cessation from pain through harming themselves. They do not think through the consequences of their actions in many cases. As depression deepens some state that they just want to go to sleep and never wake up, for example. Others display signs such as cuts on their arms, self destructive behavior, burn marks or attempt overdoses or other dangerous acts. Trying to list all the possible signs is an impossible act because suicide can be approached in so many different ways by different people. However spotting signs of depression can be a vital clue as well as threats or thoughts of suicide by a person with depression. These should always be taken seriously and assessed by a professional.

Furthermore one should look at anger and revenge as possible motivators for suicide. It has been said that suicide in some cases is anger turned 180 degrees. Meaning that the person is angry with someone and cannot kill them and so decides as an act of revenge to kill themselves. Also called murder 180 degrees. Looking at these motivations and any threats or attempts by a person can be another clue for suicidal ideation (suicidal ideas).

Actually examining the process and looking at the person's actions as well as their threats is also important. There are several stages. If a person indicates that they have thought about suicide and killing themselves, that is an indicator or represents if there is serious intent suicidal ideation (suicidal ideas). If the person has these thoughts frequently or obsessively then it is a stronger indicator for a potentially dangerous situation. The second area to look at is if the person has a definite plan. Do they know how they might kill themselves? Is there a specific plan that they have formed and do they have access to the weapons or drugs or what have you? Finally one should look at the most serious aspect of all: have they attempted to commit suicide, and if they have how many times? These are all major factors in determining and screening for serious intent in patients and looking at suicidal ideation. Professionals in the field should be consulted as they are equipped to take appropriate followup action and know many subtle signs. For example, how shallow are the cuts on the arm?? Are there any marks?

Legally the laws differ from state to state, although there are usually laws in place that not only make it against the law to attempt to commit suicide but allow authorities to take action to have the person placed in a safe facility for further evaluation. In the State of Florida, where this author resides, the particular act is called a Baker Act, where a person indicates they will harm theselves or others and then can be committed to a hospital facility. In many cases this might require witnesses or have to be done with serious intent in front of a police officer or other official. In some cases it might have to be ordered by a judge, by a petition to the court.

In conclusion we must look at suicide, depression, and anger as being linked and realize that there are many other factors involved as well. It is a complex subject touching on the very value and importance of life. One should always consult a professional if they suspect suicidal ideation (a person displays suicidal ideas) or threats of suicide or remain depressed. It is a complex issue not easily discussed or handled. Mental health issues, suicide in particular display an element of stigma or negative labeling. Many think it must be a matter of willpower or a basic weakness of character. However, as we have seen in some of the symptoms it is a far different story. It is a matter of biology and psychology and in no way simple. Consulting professionals with experience is part of the key. Perhaps the words of Alexander Dumas from his book the "Count of Monte Cristo" are most fitting for an ending to this article, that key to the life we hold dear "Where there is life, there is Hope."

Written by Travis Meeks

Sunday, November 06, 2005

Starting Over After Loss - By Kim Olver

How does one start over after the loss of a loved one? It is a monumental task that just feels overwhelming at times. Similar rebuilding occurs after the death, divorce or separation of a loved one.

First comes the shock of the loss and an almost denial that is has happened, particularly if there was no warning. We have hopes and dreams of the future that include our loved one and suddenly he or she is not there. How will we cope? How can we go on?

But go on we must and we will. Often times our first step is to attempt to regain what we have lost. This is impossible if our loved one has died but that doesn’t stop us from trying. A lot of what we go through in our grieving process is our best attempt to keep that person alive and well in our perception. So, we do things like go over the memories, look through picture albums, talk about our loved one to everyone who will listen, think about him or her every minute and even speak to him or her out loud.

If a loved one has not died, but has chosen to walk out of one's life, it can be more challenging. In this instance, you not only have to get over the shock of the loss but also cope with the feelings of rejection.

In our best attempt to get our loved one back, we may engage in all the behaviors someone who has lost their partner to death would. But in addition, we may beg them to take us back, follow our loved one around, try to get our friends to intervene on our behalf, and a host of other maladaptive behaviors.

Everyone grieves at his or her own pace. I am in no way suggesting that this process can or should be rushed. What I am saying is that when a person is ready, he or she can turn the grief into a new hope for the future.

There's a quote I've learned that is very helpful during this phase. Unfortunately, I do not know its source. The quote is: " Don't cry because it's over; smile because it happened." This is a highly evolved place to get and not everyone gets there.

However, if you find yourself in the process of starting over, adopting this particular attitude can be fairly helpful. You would begin by brainstorming all the possible benefits of no longer being in relationship with the person who's gone. This may seem uncomfortable at first, almost a betrayal of the love you shared, but it is the most healing thing you can do at this point.

You may feel that moving on will, in some way, send the message that you didn't really love enough. In an attempt to show the world how much you loved your partner, you use the depth of your grieving as the message. And if you are someone who wants to continue grieving, then nothing I have to say will get in your way. You don't even have to continue reading.

This article is really for those people who are tired of being depressed, who are ready to us start again and who want to actually believe that things can get better.

In 1999, my husband died of leukemia when he was 37 years old, leaving behind his two sons ages 13 and 15. Initially, there was no positive benefit I could see from that event at all.

However when I was ready to look for the positives, they did appear.

One of the first positives I saw is that I actually had the opportunity to say goodbye. My husband's entire family had the opportunity to say the things they wanted to say to bring closure to their relationships. Many people do not have that opportunity when loved ones pass.

A second benefit is that when my husband learned he was sick, he stopped working. He didn't stop because he was too sick. He stopped because there was some research link between his type of leukemia and the chemical benzene -- something he worked with at his job. Prior to his illness, my husband was a workaholic. Once diagnosed, he began to spend lots of quality time with our children. He coached soccer, coached Little League, taught our boys how to work on cars, and spent long hours with them hunting and fishing. This would not have happened had he lived to be a hundred years old with his workaholic behavior.

You too, can find the benefit in the loss of your last relationship. It merely involves putting on the proper lenses that will allow you to see it. Just like in science, there can be no positive without the negative and no negative without the positive. You can't have protons without neutrons -- and you can't have a devastating event in your life without it also bringing some positive benefits. Healing and moving on requires these lenses.

While you continue to mourn the loss of your relationship, you're only staying stuck in the past. Let's return to the quote mentioned above. Instead of mourning the loss of the relationship, focus on how fortunate you were to have that relationship in your life for as long as you did.

There are no guarantees in this life. When a loved one enters our life, there is no surety for how long he or she will stay. They're not possessions to be owned, but rather our gift to be cherished for as long as we have it.

One of the first steps to take in healing our grief is to reach out to others in our life who love us. When someone we love leaves us, it creates a huge void in our life. Some try to fill this void with drugs or alcohol, but that only results in a temporary reprieve from the pain.

If love is what we lost, then the only thing that will help us to feel better is more love. During this time you may confuse sex with love and go looking for meaningless encounters. However, this again will only postpone the inevitability of the pain of the loss of love.

We must replace love with love. Reach out to friends, family and co-workers. -- anyone who will fill some of the gap left by your loved one. It's not the same, it's not what you are really craving, but it will help heal the pain.

After that temporary reprieve with those who love us, you must start rebuilding your life and your strength. You can go on. You can laugh again. And yes, you can love again. Love has many forms.

You may develop another relationship in the time. You may find a cause that you love and believe in. You may "adopt" a neighborhood child. You may find or create work you love. You may get a pet that you can love unconditionally. You may become involved (but not too involved) in the lives of your extended family. Whatever form love takes, it will fill the void that was left from the relationship you lost.

But none of this will truly do the trick unless you learn to love yourself again. How does one accomplish this task? You must take inventory. Make a list of all that you have to offer the world. What are your strengths? What are your interests? What are your talents and abilities? What do you love?

If you're having difficulty completing your list, ask someone you trust for help. An objective viewpoint can often point out positives of which we are unaware.

And if, after taking this step, you are still unsure of your special talents and skills, then make a list of the person that you want to be. What is it that you would like to be able to offer the world? Describe a person that you admire whom you would strive to become. As long as there's breath in your body, it is never too late to learn to expand and grow to become the person that you truly want to be.

If you feel as if your life is over, you are truly wasting the gift of life that you have been given. There is only one you. You have something unique inside you to offer the rest of us. Please don't keep it hidden, lost in your grief.

Do not climb in the grave with your loved one. It is not your time. Do not wither and die behind the door your loved one closed on his or her way out of your life. Find someone less fortunate than you, and do something for them without expecting anything in return. You'll be surprised what that does to elevate your mood.

If you are ready and having trouble getting started, please email me at Kim@therelationshipcenter.biz or phone me at 708-957-6047. I would be happy to talk with you further about this.

Kim Olver is a licensed professional counselor and a life/relationship coach. She helps people unleash their personal power by living from the inside out, focusing their time and energy on only those things they can control. She also helps people improve the quality of their relationships with the important people in their lives. She offers free chats, assessments, a blog and an eZine, as well as workshops, teleclasses, e-courses, counseling and coaching. Visit her website at http://www.TheRelationshipCenter.biz or contact her at (708) 957-6047.

Article Source: http://EzineArticles.com/

Suicide is Not an Option - By David Snape

On December 12th, 1992, my brother committed suicide. The consequences were devestating to everyone involved. Maybe this story will help someone who is contemplating suicide to decide against it.

Suicide is not the solution that some may think it is. Problems and unresolved issues will haunt family and friends for many decades.

My nephew, who was just a baby at the time, would always ask about his uncle. He eventually learned to point up at the sky and say, "Uncle Scott".

But the reality is that he missed out on having the benefit and support of his uncle as he grew up. And of course, there are countless interactions with family members that will be missed over the decades.

Suicide is permanent. And the effects that it has on loved ones also lasts over a life time.

My brother was only 22 years old at the time he chose to commit suicide. I was only 24.

I remember going to the viewing and seeing his lifeless body. They couldn't quite erase all of the signs of his violent death. And that image will stick with the living for the rest of their lives.

In the end, the temporary pain someone escapes by committing suicide might be overshadowed by the pain and sadness of family and friends. That pain may continue through the decades whenever they think about it.

The missed opportunities for interaction also impedes the growth of everyone else. Countless interactions that would have occurred are all lost now.

Who knows how destiny was changed by such an event. The family that he may have had will not exist now.

The triumphs and set backs of a life will never be realized. The fulfillment of a lifetime was cut short by a decision that may have been made rashly at a moment of personal confusion or pain.

We never know who it is in our destiny to meet and interact with over a lifetime. All of those 'plays' of life will never be able to exist because one of the characters on the stage will not be there to fulfill his role.

So, the total sum of the tragedy is really unknown but it seems likely that over what would have amounted to decades of time, that sum must be quite high. I guess we won't get the chance to find out.

Though I am revealing this personal family tragedy to the masses through this article, if it saves a single life, it will be worth it. Drop me a line if you ever want to talk, I would be happy to hear from you.

Dave Snape writes for All Things Pondered:http://AllThingsPondered.com You can find him there.

Article Source: http://EzineArticles.com/

Thursday, November 03, 2005

Are You Depressed??? Viagra Will Surely Help - By- Jack Clive

Impotence, which is also known as Erectile Dysfunction. It is defined as the inability of men to achieve or to maintain an erection sufficient for sexual intercourse or the needs of his partner. Impotence is associated with mind and emotions. A Survey also shows that for both men and women, up to 78% of sexual dysfunction and inhibited sexual desire are of mental or emotional origin. It is important to clearly understand the main causes of impotence. Its causes in men are listed as sexual guilt, depression, fear of intimacy, and some recreational drugs.

The association between depressive symptoms in men and Impotence (ED) appears to relate to decreased sexual activity and dissatisfaction with not being able to have a healthy sexual life, research indicates.

Impotence and Depression are highly coexisting condition. Depression is one of the most common and most serious mental health problems men's facing today. According to a study published in American Journal of Psychiatry that successful treatment of erectile dysfunction or impotence in depressed men can lead to marked improvement in depression. 60% of all men over the age of 40 showed some degree of impotency and 30% of Americans have a depressive disorder every year. Study found a correlation between change in Impotence and change in depressive symptoms - but it was not cleared whether the depression caused impotence (ED), or impotence (ED) caused the depression.

A medical studies shows that use of Pfizer's wonder drug, "Viagra" for treatment of impotency has positive effects in helping men with their depression also. Viagra is used to treat impotence in men. Viagra increases the body’s ability to achieve and maintain an erection during sexual stimulation. A Survey indicates that Viagra showed great improvement in Men's in their Impotency as well as in their depression.

For more information about Viagra, can visit at: http://www.viagrapunch.com

About the Author: Author is well known online publisher & has published lots of online articles on Men's Health related problems.

Source: www.isnare.com

Wednesday, November 02, 2005

How To Step Out Of The State Of Depression - By Alex Fir

Depression is one of the most common mental illnesses. At least eight percent of adults in the US experience serious depression at some point during their lives.

The illness affects all people, regardless of sex, race, ethnicity or socioeconomic standing. Depression is two to three times more prevalent among women than it is among men. Experts disagree on the reason for this difference.

To step out of the state of depression, you just have to:

Change your mental focus from the negative to positive, visualize and magnify the intensity of new, positive, solution-based mental pictures, and rapidly change your body, i.e. posture, breathing, facial expression, etc.

You will realize something very important now...that you can shift from one mental state or emotion to another just by thinking it. This is a very powerful piece of information!

You can shift from one mental state or emotion to another just by thinking about it!

That means, as soon as you decide on an outcome, you can immediately shift your focus, state and emotion to manifest the desired state or emotion. How useful do you think that would be?

You can practice moving from one mental state to another by going from one emotion to another one. This is really a very powerful and useful exercise.

Example: Go from a sad state to a happy one, a frustrated one to an optimistic one, a procrastinating one to a totally motivated one, a nervous one to a confident one, etc.

The more you practice moving from one range to the other, the more prepared you will be, and the easier it will become for you to shift out of a negative state/emotion into a positive one when it counts. All it takes is practice and rehearsal so that you are prepared in advance.

Whenever you're caught in a negative state or emotion (anger, frustration, fear, boredom, etc.), just take a moment to step out of yourself and watch yourself from the outside. What changes would you immediately want to make to produce better results and outcomes?

It's really as simple as that.

About the Author: Visit Depression Help Center for more information on depression and latest news. http://www.depression-help-center.info

Source: www.isnare.com

Tuesday, November 01, 2005

Omega 3 EPA: Nature's Very Own Antidepressant - By Dave McEvoy

Since Dr Malcolm Peet, a consultant psychiatrist at Sheffield swallow court hospital released his findings about the effects of Ethyl Epa and its effects on people suffering from depression and low moods, many other studies have been performed using Ethyl Epa to help treat depression and related disorders. The vast majority of the studies that have been performed consistently confirmed that Ethyl Epa, a natural substance found in omega 3 fish oil, helps relieve depression and low moods.

The idea that high grade omega 3 EPA could be used to help combat depression and other related disorders came from the late Dr Horribin, who as early as the 1970s was a pioneer in lipid research involving the brain and central nervous system. Since the findings at Sheffield, studies have been conducted round the world, Harvard university 1999, London Hammersmith hospital 2001 and Israel Ben Gurion University 2002 to name but a few.

EPA As Part Of A Healthy Diet

EPA is part of the Omega 3 chain of ecosanoids and is most commonly found in fatty fish such as fresh salmon, mackerel, pilchards and sardines. Over the past 100 years the diet patterns of most people in the west has shifted dramatically to include far more hydrogenated oils and Trans fatty acids (bad fats) this is largely due to the increased consumption of fast food and ready made meals. Even people who think they eat a healthy diet consume way too much omega 6 and not enough omega 3.

Researchers have recently found that a diet high in Tran’s fatty acids could affect the mood stabilizing hormones within the brain, this is thought to be due to the saturated fats slowing down the messaging system within the brain, should this happen then the onset of depression could occur.

How Does EPA Work?

While the benefits of high grade EPA have been well documented, the scientific community still don’t know exactly how EPA works on the brain, one theory released by Dr Basant Puri is that it eases the passage of the signals over the tiny gaps in the brain called synapses. Another theory was that the high Grade Epa actually worked similar to lithium and had anti depressant properties of its own.

Until recently it was widely accepted in the medical community that once a human reached maturity that the adult brain could not grow anymore, in a recent paper just released by Dr Puri his findings show other wise. Dr Puri scanned a 21 year patient before treating him with high grade Pure Epa, after the course of treatment he rescanned the young man only to find that the grey matter of the brain had increased in size.

Omega 3 EPA And The Body

As well as EPA being very good for helping to balance mood it has other well documented effects on the body, these included:-

• Blood thinning properties
• Decrease risk of heart attack
• Decrease growth rate of atherosclerotic plaque
• Slightly lower blood pressure

There is also some limited scientific evidence to show that high grade EPA has helped people suffering from:-

• Bipolar disorder
• PMS
• Chronic fatigue syndrome / ME
• Huntington’s disease
• Fibromyalgia
• Obsessive compulsive disorder
• Schizophrenia
• ADHD
• ADD

Although more research needs to be done in these areas, the current evidence looks very promising.

EPA Versus DHA

Omega 3 fish oil contains another omega 3 nutrient called DHA, there is a currently a controversial argument as to which omega 3 nutrient is the more beneficial in dealing with depression and related disorders. This Argument is born from doctors who have used high grade Epa , Horribin, Puri and Peet They claim that the higher the ratio of Epa to Dha the more effective the results have been, just recently Dr Andrew Stoll has also come out in support of this theory.

EPA From Food

Any good doctor or nutritionist will tell you that the best way to get any nutrient is to eat a very balanced diet of the correct amount of carbohydrates , protein and omega essential fatty acids. In the case of Omega 3 epa this would be in the form of fish, unfortunately due to the high concentration levels of epa needed to obtain a therapeutic dose you would have to consume a large amount of oily fish daily and sadly due to the pollution levels found in our oceans today this is not advisable.

Omega 3 Epa can also be found in high doses in certain fish oil supplements, when choosing a fish oil supplement you should choose only the fish oil of the highest quality it should also have as high an EPA to DHA ratio as possible,for maximum therapeutic effect.

Conclusion

The large majority of scientific trails using high grade Omega 3 Ethyl Epa point towards this natural oil being very beneficial for many conditions. The argument about the DHA rages on and probably will until some solid scientific evidence is presented to us .In the mean time a product with a high EPA to DHA ratio is considered more beneficial by some leading UK doctors.

The Author Dave mcevoy: A great resource for high grade omega 3 Ethly EPA fish oil in a vegetable shell with a 90% concentrate of EPA and Zero DHA visit http://www.mind1st.co.uk

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Battling the Blues and Winning - By Leigh Erin Connealy

Summer time is over, the kids are back in school and soon the holiday preparations will begin. But unfortunately, what should be a magical time of year, all too often signals the beginning of the winter blues for millions of Americans. And whether you suffer from a mild form of depression when it comes time to start your holiday shopping, or you go into full blown panic attacks at the mere mention of hosting Thanksgiving dinner, you are not alone. The good news is that, while the changing of the seasons is inevitable, the holiday blues don’t have to be.

Depression seems to be the catch phrase of the new millennium and the health care community is often all too quick to prescribe antidepressants as a cure to what ails you. But not all forms of depression and anxiety warrant such drastic measures. Often times, with a few changes to your diet and lifestyle, you could be looking at the world with a whole new attitude.

Understanding the Evils of Depression and Anxiety We’ve all said it at one time or another, those words that seem to sum up our angst so perfectly: I’m so depressed! But what does that mean exactly? The symptoms of depression can be characterized by many factors, ranging from irritability and insomnia to panic and the inability to enjoy life’s little pleasures. Often times we strive towards perfection in an effort to manage our feelings of despair or inadequacy, generally falling short and leaving us feeling worse than we when we began.

Many of us were raised on the old adage, Mind Over Matter, and feel that we should be able to manage our emotions on our own, that anything less would be a sign of weakness or failure. Not true! This method of thinking is outdated and most often ineffective, as the culprit in depression is generally not a weak will, but rather a reduced level of an important brain chemical called serotonin.

Serotonin is the body’s primary defense against anxiety and depression. When our serotonin levels are low, we tend to lose our natural good nature and find that life’s challenges become increasingly more daunting.

There are many reasons why your serotonin may be low, genetics often times being a key factor. Does depression seem to run in your family? Did your parents have a difficult time facing the day to day stresses that seemed so easy for others? Is there a history of alcoholism or drug abuse in your family? These are all signs that low serotonin might be present. Don’t be discouraged if this is the case, though. As you will see, genetics do not mean a life sentence of depression. There is hope.

Stress can also be a contributing factor to depression. Have you experienced elevated levels of stress over an extended period of time? Whether the stress is the result of a major tragedy in your life, like the loss of loved one or the difficulty of a bitter divorce, or the result of a lengthy or debilitating illness, the effects on your body are the same. Under attack by such stressors, your serotonin store is tapped into repeatedly which can eventually lead to total serotonin depletion, leaving you running on a perpetual state of “empty”.

Believe it or not, but the time of the year may also have a very real affect on your mood. Do you find that your mood seems to drop when the weather is cloudy, or the sun doesn’t come out for days on end? There is a biological explanation for this. Serotonin is one of the few body chemicals that are actually stimulated by light. An underexposure to light can lower your serotonin production, leaving you feeling down and depressed. And if you are already running on low levels of serotonin, something as minor as a cloudy day can serve to bring you further down.

A major contributor to depression, and the one most often overlooked, is your diet. In order for your body to produce serotonin it relies on the foods that you eat to provide the much needed amino acid, Tryptophan. Tryptophan can be found in high-protein animal-derived foods such as turkey, chicken, beef and cheese. Once ingested, your body converts the amino acid, tryptophan, into a chemical called 5-HTP (5 hydroxytriptophan) and then into the neuro-transmitter, serotonin. Without tryptophan, your body is unable to produce 5-HTP and subsequently serotonin, leading to a myriad of problems, most notably, depression.

There are four key symptoms that could indicate the presence of low levels of serotonin: Gut and Heart Problems 90% of the serotonin in your body is in your gut and when you raise your serotonin levels your digestive tension (including constipation) can often dissolve with your depression. Your heart is also partly serotonin dependant. It’s well known that low serotonin type negative moods, including fear and anger, are closely associated with heart disease.

Sleep Disturbance Many people with low serotonin levels obsess and worry instead of getting to sleep, while others tend to wake up too early in the morning.

Fibromyalgia, TMJ, Migraines Raising serotonin levels not only has a powerful muscle relaxing effect, it can also stimulate our natural pain killers, the endorphins.

Cravings for Carbs and Alcohol Ingesting carbohydrates (whether through food or alcohol) can set off body wide stress, causing your pancreas to release insulin in order to remove the excess carbs from your bloodstream and store them as fat. The insulin sweeps most of the amino acids out of your bloodstream, along with the carbs. Only one amino gets left behind-tryptophan-and it goes right into your brain, unimpeded by the other aminos that usually crowd it. Once in the brain, the tryptophan can easily convert to 5HTP and then to serotonin, elevating your mood temporarily. The downside? This source of instant euphoria most often leads to a dependency on sugary foods which can in turn lead to excess weight gain along with a myriad of other health problems.

Turning the Corner to Peace and Happiness The treatment of depression may take some time but it can be accomplished. And while your mood may not improve right away, don’t let this discourage you.

Counseling can often be an effective tool in coping with depression and anxiety. By adopting valuable problem solving skills you can begin to regain control and achieve happiness in your life. Learning to recognize and accept your feelings, even feelings of sadness, anger or fear is an important first step.

One of the most important treatments for depression is exercise. When you exercise, your body seeks out the amino acids in your bloodstream for routine muscle repair. This causes tryptophan, the only amino acid not used for muscle repair, to go straight to the brain. Once it gets there, it is quickly converted to 5HTP and then to serotonin. Exercise also increases your oxygen intake which is critical to the formation of serotonin from amino acids. The amount of exercise needed to fight depression is not much and even a small amount of exercise has been shown to enhance the powerful mood elevating substances in the brain known as endorphins. When the endorphins are elevated, our mood improves. Physical exercise is a very safe and natural antidepressant, perhaps the most effective natural antidepressant available.

The presence of food allergies is a very significant factor to consider as a cause of depression. Food allergies often times play a major role with people who suffer from depression. A simple food allergy test could reveal whether or not you are experiencing the effects of this common problem.

Hypoglycemia, the result of a dysfunctional sugar metabolism, is a common but often unrecognized cause of depression. The brain doesn’t function properly when the sugar levels in our body are low, creating symptoms such as depression, irritability, anxiety, fatigue and headaches. A dietary intervention consisting of a proper balance of protein, carbohydrates and fats could completely alleviate this problem.

Our bodies are put under a lot of stress from consuming too much alcohol and caffeine and the natural production of serotonin is inhibited by such chemicals. Alcohol is a brain depressant that disrupts the normal sleep cycles and interferes with the many brain cell processes. Individuals who are prone to feeling depressed seem to also be especially sensitive to caffeine. Drinking too much caffeine can lead to all of the common symptoms of depression. Just by cutting down on, or eliminating all together, these two addictive chemicals, you could see a dramatic difference in your mood.

Proper levels of calcium, magnesium, vitamin D and B vitamins are needed to ensure the conversion of tryptophan to 5HTP to serotonin. Although it is difficult to diagnose, there is evidence that vitamin deficiency tremendously affects our health and can cause fatigue or a general lack of well being. Individuals with depression have often been found to be deficient in folic acid, B12 and B6. Also, very importantly, a deficiency in essential fatty acids (the omega 3 oils) has recently been linked to depression.

When I evaluate a patient for depression and/or anxiety, it is important that I gain a complete understanding of all of their symptoms along with their physical state of well being. There can be several physiological causes of depression, including chronic disease, low adrenal function, heavy metal toxicity, PMS, menopause, hypothyroidism and more. By determining the underlying cause of the depression and/or anxiety, the proper illness can be treated, which should subsequently ease the patient’s emotional unrest.

The drug Prozac, and medications similar to it, have become big sellers, generating over $2 billion in sales annually. However, it is doubtful that 20th century Americans have suddenly developed a Prozac deficiency. Before I place my patients on medication that could have both short and long term side effects, I begin with one of the many natural treatments that are available, such as tryptophan, tyrosine, phenylalanine or melatonin. I do sometimes find that the use of amino acids along with a low dose of an antidepressant medication may also be beneficial to the patient.

When people are depressed, they are often times unaware that their behavior has changed. If other people have noticed a change in your outlook, consider whether or not you might be suffering from depression. If it is possible, try adjusting your diet and adding approximately 20 minutes of exercise 3 days a week to your regular routine. If your depression is too severe to be affected by these adjustments, please seek the professional help that you need to start the healing process.

Depression is a very real disease and one that can be treated with the proper assistance. Don’t be held down by the weight of its symptoms any longer than you have to be. Solutions are out there and everyone deserves to live a happy, healthy and full life. Do it for yourself. Do it for your family. Do it for the holidays.

LEIGH ERIN CONNEALY, M.D., M.P.H. received a Master’s in Public Health from the University of Texas and her M.D. from the University of Chicago. She did her postgraduate training in family practice at Harbor/UCLA Medical Center in Los Angeles, California.
Dr. Connealy began practicing medicine in 1986. More and more of her patients started asking about alternative treatments and this prompted her to learn everything she could about nontoxic protocols. In 1992, she founded the South Coast Medical Center for New Medicine in Tustin, California, where she serves as Medical Director. Her practice is firmly based in the belief that strictly treating health problems with medications does not find the root cause of the illness. Her goal is to empower and educate individuals and their families through her treatment plans, lectures, newsletters and articles.

For more information and products visit her website at www.perfectlyhealthy.net.

Article Source: http://EzineArticles.com/

Monday, October 31, 2005

Sorry Folks

I just wanted to let all my readers know how sorry I am that I haven't been able to post helpful articles for the past couple of days. I've been extremely busy with my daughter who's been real sick lately. I promise to post some more helpful articles later today, if not tomorrow for sure.

Thanks for always coming back here and reading the articles.

Enjoy,
AA

Thursday, October 27, 2005

Helping Somebody with Depression - By Roopam Dhawan

If you want to help somebody suffering from depression or whom you suspect is depressed, following are the three simple things you can do.

* Understand the perspective and the situation of the person.

* Help him or her get an appropriate diagnosis.

* Get appropriate treatment for him or her.

Understanding the situation in regard to the possibly depressed person.

Remember that depression is a complex “illness”, and not something just in the mind. So, never ridicule the concerned person of faking an illness or lethargy. Do not expect or tell the person to just “snap out of it.” Most people will get a great deal of sympathy and attention if they have broken an arm or a leg, because the problem is so obvious and visible. The pain and suffering of anxiety and depression are no less real because we cannot see them, in fact they can be greater because we can forget they are there.

Tell the person that you understand and with appropriate diagnosis and treatment, he or she will get better for sure. Also tell the person not to think of himself or herself as inferior to anybody. Keep reassuring the person that he or she will be cured. Exude hope, confidence and optimism and promote treatment.

Offer emotional support to the depressed person. This involves understanding, patience, affection, and encouragement. Engage the depressed person in conversation and listen carefully. Do not disparage feelings expressed, but point out realities and offer hope. Do not ignore remarks about suicide. Report them to the depressed person's therapist or the doctor immediately.

Invite the depressed person for walks, outings, to the movies, and other activities. Be gently insistent if your invitation is refused. Encourage participation in some activities that once gave pleasure, such as hobbies, sports, religious or cultural activities, but do not push the depressed person to undertake too much too soon. The depressed person needs diversion and company, but too many demands can increase feelings of failure.

Understand that you may find the experience physically and emotionally draining, trying, distressing, maddening and downright exhausting at times. This is obviously more intense for those who live in close proximity with the person who is ill, rather than those who have frequent but less day-to-day contact. On the other hand, the sense of delight, sheer relief and pleasure that comes from watching the definite signs of recovery take place can more than compensate for the negative experiences of supporting someone who is severely depressed.

A lot of characteristics of a depressed person's behavior are such which repel people from them. In fact, although being alone is something that is not consciously desired by the depressed person, the sad reality is that he or she may end up acting in such a way that friends and relatives keep their emotional and physical distance from him or her. Once you understand this basic dilemma, it may make it possible for us to see that a depressed person may be crying out for company and attention, even when they are behaving in what is an apparently anti-social way. In such a situation, it can be helpful not to have a knee-jerk reaction to the alienating behavior, but to try to stand back for a moment and try to communicate at a deeper level with the person who is depressed by showing as much warmth and understanding as you can. It is common for those who are depressed to feel deeply unlovable and unloved: if you can respond in a genuinely compassionate and non-judgmental way it provides the depressed person with an opportunity to respond in a positive way.

Any suggestion that the depressed person is contemplating suicide requires professional support and input. Under no circumstances should this responsibility be shouldered alone by whoever is supporting a severely depressed and/or anxious person.

Diagnosis of the exact situation and problem

If you feel that a close friend or relative may be suffering from undiagnosed depression, make sure that he or she sees a doctor in order to ask for help. This can be a particular problem for men, who may feel instinctively uncomfortable about asking for help and advice if they feel depressed, since they may feel that this is partly an admission of weakness. This male fear of vulnerability is thought to be part of the reason why far more women than men are diagnosed as suffering from depression, since women on the whole are thought to be more comfortable with acknowledging problems of a non-physical nature. Since there are so many avenues of support open to anyone suffering from depression, it is very sad if these positive opportunities for treatment are missed due to avoiding asking for appropriate help when necessary. If someone is in too passive a state to go out and see their doctor, arrange for the doctor to come and see them. This may be especially appropriate if the person who is depressed is elderly or suffering from limited mobility.

If the person who is depressed is living alone, keep in touch regularly by a combination of visits and telephone calls. Preparing the occasional meal or giving help with household chores can be a lifesaver to someone who is going through an especially down phase, since at times like these it can take what seems a superhuman effort to accomplish even the most basic of tasks.

Make sure, as far as possible, that the depressed person takes frequent exercise. This need be nothing more ambitious than taking a regular walk each day, or having a swim at a nearby pool. Since it is natural for someone who is depressed to become very introspective and disinclined to take the initiative to go out, even when it may be very necessary, suggest going out for a coffee, a brief shopping trip, or for a drive into the country for a change of scene.

Try to counter negative statements with appropriate positive perspectives. Although this may not always be appreciated or appropriate, in certain situations it can be extremely important to balance an unrealistically bleak perspective with a more rational one. If someone who is depressed comes out with a comment that his or her life is worthless and nobody likes him or her, remind him or her of all of the people who care for him or her, including yourself.

Getting appropriate treatment for the depressed and sticking to it

This involves getting treatment for the depressed person from a qualified healthcare professional. Encourage the individual to stay with treatment until symptoms begin to abate. This may take several weeks. If no improvement occurs for a substantial period, seek a different treatment. You may be required to make an appointment and accompanying the depressed person to the doctor. Also monitor whether the depressed person is taking medication. The depressed person should be encouraged to obey the doctor's advice about the use of alcoholic products while on medication.

Roopam Dhawan is a health enthusiast and writes for http://www.health-bible.com

Article Source: http://EzineArticles.com/

Wednesday, October 26, 2005

Depression Among College Students - An Essay - By Michael Cooper

Depression among college students, with a focus on Freshmen.

Who is at risk, and what can be done?

Graduation time rolls around, and you already know where you will end up next year for college. Your two best friends will be joining you there, where you will all live in the same apartment complex. You have already put your first payment, and deposit in preparation. Now you wait.

When the time comes around, you pack up and move thousands of miles just to go to college. You haven't heard from either of your friends yet, and you can feel the anticipation welling in your gut. You are so excited, you haven't heard from them all summer. Then you find out they never came. Both decided on going to a different college without you, or telling you. You keep telling yourself you will cope, and make new friends, but you still feel lonely and rejected. Once you are actually in college, things are harder than you expected. You don't have a car, so it is harder to get around buying food, finding a bank, and getting school supplies. Often times you find yourself taking naps, or just sleeping, because you can't focus, or feel overwhelmed. One of the many signs of depression.

Money is tight, and you don't have a job, because you can't find any job openings within walking distance, you are afraid to ride the bus, because it is such a big city, compared to the one you came from. You biggest fear is getting lost, and not being able to make it home.

You often times feel overwhelmed by homework and such. You can never do it quite good enough, and are often times to shy to ask for help, so you sit in silence, confused, and helpless, like a grain of sand on a beach. Not noticed and not much potential.

This is the story of a college freshman. Probably many. That guy who sits next to you in math class, struggling with theorems, or that girl in your chem. class, under pressure to learn her Periodic Table of Elements. Who ever it is, they are there.

Depression effects 76 out of a 100 college students. Mainly freshmen entering a new world so to speak. Often times you won't see it right away or not at all. This is an age group that's tricky, states a psychologist at Davidson College in North Carolina, DeWitt Crosby said, They are adults by law, but they're still dealing with making decisions on their own.

More attention is spent on alcohol consumption, and crimes among students, so that little energy or money is left for the awareness or the treatment of mental health. Often times the only funding is for counselors who will perform â scattershot therapy. They don't actually treat what is wrong, but try to cover many possibilities of what could be wrong within a short period of time.

USA TODAY states in a recent study 14% of the 701 students who took a survey in the Boston area showed significant symptoms of depression, and over half of them could qualify as having major depression. If treatment of the depression was sought, at least 80% would get better.

The National Survey of Counseling Center Directors reported an 85% increase in severe psychological problems over the past five years. Also 30% reported at least one student suicide on their campus within the last (2001/2002) school year.

A hard part in treating depression is recognizing it. Some major symptoms of depression as told by www.campusblues.com are as follows.

1. Sadness, anxiety, or empty feelings
2· Decreased energy, fatigue, being slowed down
3. Loss of interest or pleasure in usual activities
4.· Sleep Disturbances (insomnia, oversleeping, or waking much earlier than usual)
5· Appetite and weight changes (either loss or gain)
6· Feelings of hopelessness, guilt, and worthlessness
7· Thoughts off death or suicide, or suicide attempts
8· Difficulty concentrating, making decisions, or remembering
9· Irritability or excessive crying
10 · Chronic aches and pains not explained by another physical condition

It's normal to have these feelings at one time or another, but five or more, for a two week or longer period is something to pay attention too. Also watch for changes in the way the person functions. The anxiety is normal in college, when you are studying for classes, or preparing to take a test, but when it rules your life, and they way you think and act is a time to seek help and gain control again.

You may visit http://www.TermPaperAdvisor.com and http://www.TermPapersMadeEasy.com for instant access to thousands of term papers. Several thousand free papers are also offered.

Article Source: http://EzineArticles.com/

Tuesday, October 25, 2005

The Past Cannot Be Changed, but Today Can. - By Roberta Barnes

Changing ourselves requires deprogramming. Reiki is one of the gentlest, most effect ways of making changes today, which affect yesterday and tomorrow. You might think deprogramming is for cults and wars, but it is most commonly used for the every day brainwashing that often causes depression and physical illnesses. Reiki is Natural Healing for the mind, body, and spirit. You cannot learn any of the many styles of Reiki from a book or video, but in today’s world there are many qualified Reiki Shihans(master/teachers)with an energy and technique lineage back to Mikao Usui,the founder of Reiki.

I will use person X as an example of every day brainwashing. You might find that person X sounds a lot like you. As a young person X was told s/he never listened, always procrastinated, and always wanted ridiculous things. Schoolteachers added to the list of things X did wrong. Then from a spouse it was, you never know what you are talking about, and you never do anything right. From children it was, I wish you were nice like the other kids’ parents, and you never know what is good for anyone. Good things were said to X as well. However, all the negative combined over time can create a block that can harm a person both mentally and physically. Often times these blocks keep a person from enjoying compliments and the good things in life. Physical and mental symptoms that medical doctors say they can find no reason for, sometimes appear as well.

A Reiki Shihan (teacher) or Reiki practitioner never diagnoses or promises a cure, but Usui Reiki Ryoho, heals by balancing and surrounding with harmony. Usui Reiki Ryoho, commonly shortened to Reiki, is the name Mikao Usui gave to the vibration of love and harmony he connected to in 1921. Techniques taught in such styles of Reiki as Gendai Reiki-ho and Komyo Reiki, release the negative from the whole person and fill the void with positive energy. Reiki is not a quick therapy that promises an immediate cure. The negative that has taken years to harm a mind, body, or spirit requires time to release. Multiple Reiki sessions or hours of Reiki training is best. The nice thing about a qualified Reiki Shihan or practitioner is that with Reiki, your actions are never out of your control as with hypnosis, and you never have to be exposed to alcohol or smoke. Reiki does not replace professional licensed medical care, but it can work with conventional medicine as it promotes and speeds healing at all levels.

Humans are said not to have instinctive behavior, but often the imprinted behavior we acquire happens when we are looking the other way. Pulling your hand back from a flame or ducking as an object or a fist comes toward you are learned behaviors to help keep us safe. Unfortunately, some reactions we blend into our everyday life are not helpful to our well-being. If you have ever seen those five simple lines of the Gokai (five Reiki precepts or principles), it might make you think that Reiki is too simple to be good.

Reiki does not require any elaborate rituals or any material objects to give it strength. Love and harmony are very strong energies and the combination is very powerful. Reiki practitioners spend immeasurable hours in study with his or her teacher learning and practicing self-healing and self-growth. A Reiki Shihan(teacher) has gone through at least four levels or degrees in whatever style of Usui Reiki Ryoho she or he practices. Within each of the first three levels of Reiki, numerous exercises and techniques are practiced for self-healing. Then remember that Reiki is the name given to the vibration of combined love and harmony. When all is balanced within you, and you are surrounded by harmony blocks are healed.

Living in Maine, in the United Stated I began by studying styles of Reiki commonly practiced in North America. I then learned the simple yet very strong Japanese Reiki techniques of Gendai Reikiho and Komyo Reiki from Japanese teachers. You can find out more about how Reiki balances on my website at www.naturalhealinglearning.com, and links to other factual Reiki websites.

Roberta R. Banres, Reiki Gendai Reikiho and Komyo Reiki Shihan and practitioner, and Herbalist. Teaching Reiki in her healing room nestled in the trees in Maine or anywhere a group of people has been organized. Through Reiki, herbs, and meditation healing journeys into the past she is dedicated to helping others in the art of well-being. Check out her website at http://www.naturalhealinglearning.com.

Article Source: http://EzineArticles.com/

Monday, October 24, 2005

Major Depression is the Leading Cause of Disability in the World - By Charles Donovan

According to the World Health Organization, major Depression is the leading cause of disability in the world. The only FDA approved long term treatment option for major depression is vagus nerve stimulation.

It is the most common and widespread of all psychiatric disorders, and it takes a significant toll on individuals, families, and society. Depression also negatively affects the economy through diminished productivity and use of healthcare resources.

At the 2005 American Psychological Association Annual Meeting, the subject of the co-morbidity of substance abuse and mental illness was discussed. In a symposium focusing on the wide-ranging impact of substance abuse on health, Mark B. Sobell, PhD, of Nova Southeastern University,[10] discussed the high comorbidity and impact of substance use. With regard to psychiatric illness, he quoted data from analyses of the National Epidemiological Survey on Alcohol and Related Conditions (n = 43,093) that showed that among persons with alcohol disorders, 40.69% experienced at least 1 mood disorder, 33.38% experienced at least 1 anxiety disorder, and 33.05% experienced at least 1 drug disorder. Among those with drug disorders, 60.31% experienced at least 1 mood disorder, 42.63% experienced at least 1 anxiety disorder, and 55.16% experienced at least 1 alcohol disorder. Concerning the impact of substance use on physical illness, Dr. Sobell cited data from a study of Medicaid beneficiaries (n = 26,332)[11] indicating that those with comorbid psychiatric and substance use disorders had the highest prevalence of 6 of 8 chronic medical conditions (eg, asthma, heart disease).

Next, Kate B. Carey, PhD, of Syracuse University, discussed assessing and treating individuals with comorbid substance abuse and mental illness. She observed that these individuals have specific health concerns that often occur at higher rates than in others with psychiatric disorders. Patients with dual diagnoses often do not comply with medication regimens and suffer symptom exacerbation, psychiatric hospitalization, social isolation, and interpersonal impairment. These are all classic symptoms of major depression.

If you suffer from major depression and have not had an adequate response to at least four different antidepressants, you should consider the only FDA approved long term treatment for chronic or recurrent depression: vagus nerve stimulation. This should be seriously discussed with your psychiatrist. A prescription for the procedure is required for the ninety-minute out patient procedure.

Charles Donovan was a patient in the FDA investigational trial of vagus nerve stimulation as a treatment for chronic or recurrent treatment-resistant depression. He was implanted with the vagus nerve stimulator in April of 2001. The treatment completely changed his life. He chronicles his journey from the grips of depression thanks to vagus nerve stimulation therapy in his book:

Out of the Black Hole: The Patient's Guide to Vagus Nerve Stimulation and Depression.
The book was exhibited at the American Psychiatric Association's Annual Meeting in late May. It is available on his web site http://www.VagusNerveStimulator.com or by clicking the link on the right side of this blog.

Article Source: http://EzineArticles.com/

Sunday, October 23, 2005

Watch for suicide risk factors in elderly patients: depression, social isolation - Clinical Rounds - Michele G. Suvillan

CHICAGO -- Primary care physicians may be the only ones to see the red flags associated with suicide in elderly patients, because most elderly suicide victims never come to the attention of psychiatrists.

Primary care physicians should be highly alert to signs of depression and increasing social isolation among their elderly patients, particularly those who live alone, Dr. George El-Nimr said in a poster session at a meeting of the International Psychogeriatric Association.

"Previous studies have shown that attempted suicide and deliberate self-harm are associated with social isolation, which was also round to be associated with the onset of suicidal ideation," said Dr. El-Nimr of Hollins Park Hospital in Warrington, England. Yet data suggest that more than 80% of" elderly who commit suicide never see a psychiatrist before their death and that only about 15% are under psychiatric care when they commit suicide.

Dr. El-Nimr conducted a retrospective study of 200 suicides of people aged 60 years and older that occurred in Cheshire from 1989 to 2001.

Women, whether living alone or with someone else, were more likely than men to have contacted their primary care physician and to have been known to psychiatric services before suicide.

"Women seem to have a higher tendency to utilize services and ask for help," Dr. El-Nimr said. "They also appear to present their problems in a way that attracts the attention of relevant psychiatric services."

And, he added, children who urge an elderly parent to get help are more likely to have an impact on mothers than on fathers. But since most suicide victims never get a psychiatric referral, their primary care physicians must be alert for any danger sign: depression, which can present as physical ailments; alcoholism; social isolation; and living alone.

It's also important to note the presence or absence of close family members, whether spouses or children, he said. 'According to our study, childless women and widowed men, as well as the socially isolated, are at a particular risk."

If danger signs emerge, an integrated care approach is likely to be most successful.

Michele G. Suvillan
OB/GYN News, Dec 1, 2003

Treating minor depression and dysthymia in the elderly - By Caroline Wellbery

It is well known that elderly persons are subject to major depression, albeit at a lower rate than younger persons. Elderly persons also may have minor depression or dysthymia, which might be amenable to treatment with medication or behavioral intervention. Ciechanowski and colleagues examined whether an intervention focused on problem solving would be more effective than usual care in the treatment of dysthymia and depression in elderly patients.

Persons 60 years and older who received senior services or lived in senior housing projects were screened for depression, as were self-referred persons. They were randomized to usual care or a program used to treat dysthymia and minor depression, the Program to Encourage Active, Rewarding Lives for Seniors (PEARLS), adapted to a home-based problem-solving treatment. The program involved eight 50-minute in-home sessions given over 19 weeks, with evaluation at baseline, six months, and 12 months. In patients with insufficient improvement, the primary care physician was contacted to evaluate the patient for antidepressant use and previously unidentified risk factors for depression. Outcomes included rates of depression (as assessed by a validated scale); health-related quality of life, including physical, emotional, and social function; health care utilization; and antidepressant use.

Most patients were low-income women. Intervention patients received a mean of 6.6 visits. There were no differences in antidepressant use between the groups at any time during the study. Significant differences favoring the intervention group were noted in depression scores, improvement of more than 50 percent, and remission. The scores in all of these categories dropped, but not significantly, between six and 12 months.

The PEARLS intervention resulted in greater remission of depression at 12 months in study subjects compared with the usual-care group (36 versus 12 percent). Depression severity also was decreased in patients who received the intervention. Functional and emotional well-being improved in the intervention group at 12 months. The lack of improvement in social and physical well-being may have been a result of physical and practical barriers in the target population. In addressing the nonsignificant decline in improvement in depression between six and 12 months in the intervention group, the authors speculate that better overall improvement may have been obtained with ongoing intervention sessions. In spite of the modest gains, this study demonstrates a successful, community-based, nonpharmacologic intervention for depression.

CAROLINE WELLBERY, M.D.
American Family Physician, Jan 15, 2005

Saturday, October 22, 2005

When Someone You Know Has To Deal With Depression, Anxiety And Fear - By Stan Popovich

What do you do when you someone you know has to deal with persistent fears and anxieties or even depression? Well the first thing you need to do is to get the person to seek the services of a professional and/or counselor who can lead them in the right direction and give them the help they need. In the meantime, here are some other things you can do to help the person cope.

Learn as much as you can in managing fears, anxieties and depression. There are many books and information that will educate on how to deal with fear and anxiety. Share this information with the person who is struggling. Education is the key in finding the answers your looking for in managing your fears.

Be understanding and patient with the person struggling with their fears. Dealing with depression and anxiety can be difficult for the person so don't add more problems than what is already there.

As for the person dealing with the anxiety, he or she must realize that managing anxiety and fear takes practice. So when experiencing an anxiety related situation, begin to learn what works, what doesn't work, and what you need to improve on in managing your fears and anxieties. As you do this, you will become better in dealing with your anxieties.

Don't forget to Pray and ask God for help. A person can only do so much. Asking God for help can give us additional resources to help manage our fears and anxieties. It is not always easy, however God is in control and he will help you if you ask him.

Another thing to remember is that things change and events do not stay the same. For instance, you may feel overwhelmed in the mornings with your anxiety and feel that this is how you will feel the rest of the day. This isn't correct. No one can predict the future with 100 Percent accuracy. Even if the thing that you feared does happen there are circumstances and factors that you can't predict which can be used to your advantage. You never know when the help and answers you are looking for will come to you.

As a Layman, I realize it is not easy to deal with all of our fears. When your fears and anxieties have the best of you, seek help from a professional. The key is to be patient, take it slow, and not to give up. In time, you will be able to find those resources that will help you with your problems.

About the Author

Stan Popovich is the author of "A Layman's Guide to Managing Fear Using Psychology, Christianity and Non Resistant Methods"-a book that presents a overview of techniques in managing Fear. For more info go to: http://www.managingfear.com For free articles on managing fear please go to: http://www.managingfear.com

Let's Alter Your Mind - By Randall Stafford

“It’s a chemical imbalance.” I’ve heard those words so many times in the last decade, it’s becoming routine for Doctors to blame everything on it.

Have you been listening to the News, the talk shows, the media, and other people lately. It’s pathetic. I am not a doctor, or scientist of any kind. I am just an ordinary man just listening. I guess that would make me a shrink, right? Nope, I’m not that either.

Now, I grew up in a house where mother took prescription drugs by the handfuls. She had 3 doctors, 2 or 3 pharmacist, and naturally she smoked 3 packs of cigarettes per day.

Some doctors gave her uppers while some gave her downers. Some gave her “in-between-ers”. No, that was a joke. She took diet pills and she took blood pressure pills. She had asthma and bronchitis. If you read any of my stories in the past, you know the doctor told her that she needed to start smoking to build her lung up since one of them was taken out. I don’t need to go into that here.

You wonder where I am going. It appears that every doctor around is selling mind altering drugs. I want a full explanation to what “Chemical Imbalance” is. If it’s a vitamin deficiency then shouldn’t we give the person a banana instead of a liver killing pill?

I was diagnosed as having arthritis in the lower back. I told the doctor, lets cure it. He said, there is no cure. We can treat it. But you may as well get used to it.

Bull S___. I’m not going to get used to it. Treat it! What he means is, you can pay me every month and become a permanent customer. No way. The only way that’ll happen is if I bow down to that crap.

Guess what happened next? I showed signs of depression. Now why on earth would I be depressed. All this time I thought I was out of shape and now I find out that I have some sort of incurable disease! Should that make me happy? Of course not. I bet you know what the doctor did. You got it.

He started writing a prescription for depression. I’m wondering about the arthritis and he writing a prescription for my head. Something is totally wrong here.

I have a little experience with this mind altering crap. Most likely, I am wrong according to all the pen writing legal drug dealers. You must keep in mind throughout this whole story that this is just my opinion. “Nothing more!” I have no intentions to sway any person away from the advice of their doctors. It’s not my fault they still need practice.

My kid Lewis was 7 years old and started 2nd grade. Boy was he happy. He was like a wild horse. The teacher couldn’t get him to pay attention to her in class so instead of letting him go out and burn that energy up, she punishes him by making him sit in the room while everyone else goes out and plays. Later, she convinces my part time wife that my son Lewis belongs on ridlin. The once happy boy turned into a Zombie. That was 17 years ago. He’s also been in jail since the age of 15. I wonder if turning him onto drugs at an early age did anything to him.

Shoot, no wonder our kids are fatter than we want them to be. We are not happy when they are running so we shoot em full of drugs to slow them down. Why not run them. More exercise would have done Lewis better than sitting him in a corner.

Oh yeah, I know, those doctors have been trained. Trained at what? To collect money, keep your kids sick so that they have a never ending supply of patients. In my opinion, the doctors have too many patients. Half the time, you sit out in the waiting room for an hour after your appointment and then they call you to wait another 30 minutes in a closed room.

Yes, I do believe there is a cure for cancer, arthritis, colds, and other things. I just don’t believe they are through using the term PRACTICE here in the US. Now don’t get me wrong. I am an American and proud of it. I just ain’t to proud of our government right now. Maybe I should be attacking the FDA or whatever they call their selves.

Is it all about the money? Is everything about Lies?

I read somewhere that we are living longer now than we did a hundred years ago. If this is true, are we feeling better or are we living longer with PAIN? I don’t know about you but it seems like every time you turn around someone tells you they are bi-polar. Geesh!

Who knows, I may be bi-polar too according to the definition. However it fits my marriage better. My marriage has been bi-polar for years. I may have even had ADD or whatever. I remember going to a superman movie and dreaming that I was superman and I could not pay attention in class. To be quite honest, I don’t pay much attention now. It’s called being bored.

With what I have learned, some doctors call it a chemical imbalance while others call it a vitamin deficiency. Maybe they are not the same. Maybe they are.

About the Author:Randall Stafford has recently been doing quite a bit of research in the health industry since he was diagnosed with arthritis. If you'd like to read more information, you can get that at his web site. http://www.randallsquare.com or http://www.starmotivators.com

Article source: ArticleWorld.net Free Articles

Friday, October 21, 2005

What is seasonal affective disorder and depression? - By Diana Maree

Seasonal Affective Disorder (SAD) is the clinical name for cloudy day blues, and it can have serious effect on the lives of sufferers. Read these suggestions to keep wintertime depression under control.

Seasonal Affective Disorder (SAD) is the clinical name for "the winter blahs." More than just a "down" feeling, it is a form of depression that descends on its victims in the dark, winter months. Triggered by a decrease in daylight hours, it's more prevalent in the northern parts of the world, in those countries most impacted by the rotation of the earth in relationship to the sun. Generally, symptoms appear in late fall, worsen through the holiday months, (possibly aggravated by seasonal celebrations of those around them), and lessen when the springtime sunshine reappears. Most sufferers report no complaints from late spring through the early fall.

Symptoms are similar to those of clinical depression, but disappear when the sun shines again. Sufferers find themselves wanting to hibernate, avoid contact with people, sleep either too much or too little, gorge on carbohydrates. Unplanned weight losses or gains are common, as is generalized ennui and fatigue; SAD sufferers frequently find their thought processes foggy and have to force themselves to exercise, go outside their homes, and maintain daily routines.

If you find yourself feeling more blue on overcast days, followed by a brighter disposition when the sun breaks through again, you may be among the millions dealing with SAD. Some people are so severely afflicted they've found it necessary to relocate, to move to a climate with mild, sunny winters, to maintain a normal disposition. Others, who are able to adjust their lifestyles to accommodate multiple residences, find relief by becoming "snowbirds." During the winter months living in the southern hemisphere, and returning north to avoid the equatorial heat.

If you have to stay where you are, and that happens to be a region with a gloomy winter season, you can take steps to "bloom where you are planted." Here are some important things you can do to minimize the SAD disruption in your life.

First, check with your doctor to determine if you are facing a physical problem that has depression as a side effect. He may recommend medication as wintertime boost. (This should be no more discomfiting than if you were given a prescription for vitamins to compensate for an iron deficiency.)

Then take a look at some of these self-care tools you can use to keep the deep doldrums at bay.

LIGHTING:

Light therapy has tremendous impact on SAD. Studies have shown that fluorescent light boxes can simulate daylight well enough to relieve SAD in many mild to moderate cases. The most effective amount seems to be 2500 lux of white light for two hours per day, although some studies demonstrate that 10,000 lux for half an hour a day may work just as well. A light box can be purchased from medical suppliers, or, if you're handy with tools, made at home. A search on the web will lead you to places to purchase them or to directions for building your own.

Light boxes may be covered by your medical insurance if a physician prescribes them. Do check with your provider to be sure.

To increase the amount of light in your home, replace your normal light bulbs with full spectrum ones. Available from medical supply houses, photographic supply sources and sometimes from chain departmetn stores, these are available in many wattages, as fluorescent or standard, and made to fit most fixtures, either as screw in bulbs or fluorescent tubes.

Use white or pastel colors on your walls. A light, bright room helps to lift moods more than, for example, a paneled den.

Allow as much daylight into your home as you can; keep drapes and curtains open except at night.

DIET:

Carbohydrates seem to intensify the sluggishness of a depressive, so even though winter menus historically call for rich soups and other heavy foods, be careful to balance them with fruits, vegetables, and extra proteins.

EXERCISE:

Some studies show that a half an hour of exercise every day is at least as effective as medication in fighting off depression. To keep yourself motivated, find a friend who will commit to joining you for a daily walk, think about exercise as a reward for your body rather than an unpleasant task, and find a way of exercising that you enjoy. Walking, swimming, and dancing appeal to some more than aerobics or weight lifting.

SELF AWARENESS:

Journal keeping and meditation can be helpful in identifying stress factors in your life that contribute to sadness. Use these tools to become more conscious of times that you avoid speaking what's really on your mind, find yourself headed in a direction you don't want to go, or are involved in unhealthy relationships.

MENTAL HEALTH THERAPY:

Talking over your feelings with a counselor can help you get a grip on what's going on at the sub-conscious level, and to identify patterns of coping that may not be in your best interest. Group therapy can put you in touch with others experiencing SAD; there, you can share productive ways of dealing with your blues and learn, too, that you are not alone, or "crazy." Therapy sessions also make you get yourself dressed and out of the house.

ROUTINE:

When the fog of depression attacks, maintaining a routine becomes both crucial and difficult. This is not the time to forego regular haircuts, to cancel lunch dates, or quit your job. While it's not a good idea to overload yourself with NEW commitments in the midst of a depressive episode, neither is it the time make major life changes or abandon connections with healthy habits and people.

What can work is to create time for self indulgence. Snuggling up in a blanket with a good book in front of the fireplace, for example, or going on a weekend retreat, nourishes our spirits without pushing our limits to cope.

Making copies of an "everyday" to-do list helps to keep the focus on well-being; include such things as taking vitamins, using your light box, journaling, going for a walk, making contact with other people, eat lunch, eat dinner--all important facets of healthy living that are easily forgotten by sufferers of any form of depression, including Seasonal Affective Disorder.

Written by Diana Maree - © 2002 Pagewise

Suicide warning signs in teens and adults

Here are proven suicide warning signs to look for in a suicidal person. Knowing them may help prevent a tragedy.

Suicide is a devastating thing. Unfortunately, it is a real problem, especially among teens. Every year 30,000 people commit suicide. It is the second leading cause death among college students. It is the third leading cause of death among people ages 15 to 24 years old. And the suicide rate among children ages 10 to 14 has doubled in the last 10 years.

Here are proven signs to look for in a suicidal person. Knowing them may help prevent a tragedy.


-changes in behavior or mood

-withdrawn

-unusual anger

-total apathy

-inappropriate behaviors

-change in eating and/or sleeping habit

-any illness without cause

-fatigue, loss of energy

-unusual changes in social habits

-loss of interest in life, activities and simple pleasures

-unusual amount and depth of sadness, crying, depression

-talk of death, preoccupation with death

-talk of suicide

-giving away personal possessions

-start of using or increased use of alcohol, and/or drugs

If you suspect someone is contemplating suicide, don't be afraid to ask them. You won't put the thought into their head. Chances are, if you suspect they might be thinking of it, they HAVE thought about it or they are thinking about it already. Talking about it, may make them realize the seriousness of it, the reality. Also, TELL SOMEONE IMMEDIATELY!! Don't keep it to yourself. You may help save a life. Also never leave the patient alone.

Thursday, October 20, 2005

Care for those with bipolar disorder: guide for caregivers

What caregivers need to know about symptoms of manic and care for those who are depressive or bipolar mood disorder, and the medications that are used to treat this condition?

What was once called manic, or manic-depressive behavior is now called Bipolar I and Bipolar II disorder, based on the presenting symptoms. The focus here will be on manic, or Bipolar I illness.

There are three levels of mania, beginning with cyclothymic disorder. This is not considered a major mental illness, and there are plenty of people with this condition, who we all think of as very moody, with strong ups and downs. No medication is needed and the individual is able to function in all areas.

The second level of mania is hypomania, which means below mania, and it is more intense, and can be seen by spending sprees, food binging and minor disruption of daily living. There may be some absentism from work or school, and the tendency to engage in questionable and impulsive behavior exists. However, it is the degree of disruption of daily life and ability to function that determines the degree of mania.

Full blown mania is a frightening thing to see.

While the patient feels confident, attractive and able to perform above and beyond his normal abilities, this false eupohoria is the beginning stage of true Bipolar Disorder. Loved ones and family members often mistake this phase for drug use, and manics will describe this as a cocaine-like high.

Typical symptoms include rapid and sometimes violent mood swings, with laughter, crying and even rage. Insomnia is common, and often there is a decline in personal attention to grooming and hygiene, eating and concern for one's physical needs.

A manic may run outside in shirt sleeves or nightgown in a downpour, or may dress in a provocative and exposing way. They may refuse meals stating they will eat later or there is no time to eat, and you may have trouble even expressing your concerns before the patient's attention is directed elsewhere.

As the attention span decreases, the mind continues to race, and the manic likes to think of himself as the most clever and humorous individuals. Frequent jokes with an emphasis on punning and rhyming are classic presentation.

Also typical is a train of thought termed tangential.

In tangential thinking the individual in an acute manic phase will "go off on tangents." If you say "it is raining cats and dogs, you better put on a jacket", the patient will say "dog my cats!" or make reference to the movie "Full Metal Jacket and The Dog Days Of War." While initially entertaining, this rapidly becomes both tiring and exasperating for those attempting to co-exist with the manic patient.

Mania is caused by a biochemical imbalance in the brain, and there are a variety of medications used in its treatment. The classic medication is lithium carbonate, a naturally occuring salt, which has a narrow range of effectiveness, and can be toxic at high dosages.

Another medication, used for both mania and seizure control is carbamazepine, (Tegretol). It is the drug of second choice, but may be used if there are health problems such as heart or thyroid conditions that may preclude the use of lithium.

Bipolar patients have difficulty seeing that their behavior is out of line or that they can endanger themselves in an acute manic episode. The massive high, which seems abnormal to us seems normal to them, and there is an unfortunate tendency to self medicate or avoid medication whatsoever.

A manic who has been up for days without sleep or proper nutrition is at risk for developing manic related psychosis. Symptoms may include increased vigilance, paranoia, hallucinations such as believing others are whispering about them or are devils. In this phase acute, and frequently locked psychiatric observation and treatment is required.

At this extreme level of mania, it is common to find no therapeutic level of Lithium or Tegretol in the bloodstream. Strong medications called anti-psychotics or psychotrophics often are given such as Haldol and Thorazine. The goal is to rapidly reduce the mania, using the above medications, anti-manic medications and sometimes tranquilizers in combination with close observation.

At this level patients cannot safely be managed in the home environment, and may suddenly turn on loved ones or friends. Some hostage situations and murder-suicides have been linked to this extreme and disorienting level of manic behavior.

In the home setting, once regulated on a maintenance dose of medication, it is important to follow the Doctor's stated regime exactly.

Medication side effects such as weight gain and edema can be expected but more severe adverse effects such as tremors, lethargy and metallic taste in the mouth and vomiting should be reported immediately.

Be alert for increasing euphoria or high energy levels as the patient commonly decreases the amount of medication they are taking or flushes it from the body with abnormal amounts of fluid intake. A loved one who tells you everything is fine and brushes off your concerns is liable to be heading for another full blown episode.

One way to avoid this is to be vigilant for sudden mood swings, noncompliance with regular lab tests and Doctor's visits, (these help to regulate the safe dose of medication in the blood stream and will pinpoint non medication compliance), and return of previously risky patterns.

It is said the patients with a Bipolar I diagnosis are often intelligent but not wise. It is then up to the caregivers to educate themselves, attend available support groups and be alert to help loved ones, and themselves, maintain the highest quality of life.

The depressed child - By Julia Nielsen

Twenty million children in the United States alone suffer from clinical depression. What is happening and how can we help?

All kids feel sad some time in their childhood, whether it be from a friend moving away or a pet that died. Nevertheless, there is also an estimated two million children who are clinically depressed--scary numbers for parents and doctors. In researching for this article, I have come away with some sobering statistics in this, the beginning of the twenty-first century.

1.Depression in children is rising. In a study done at the National Institute of Mental Health, it was concluded that depression onset is occuring earlier in life than that of the past, and that children who suffer from depression will turn either to alcohol or to crime and will at least attempt suicide in adulthood, if they don't get the necessary treatments now. My eyes grew wide when I learned of this report.

2. Suicide is the third leading cause of death among children between the ages of 10-24.

3. If you, as a parent have suffered anxiety or depression, your child has a greater than fifty percent chance that they too will develop anxiety or depression.

4. It is estimated that half of the children who have depression will never get the proper help they need.

5. Depression can lead to poor grades, poor health and poor communication skills with children.

6. By the time children who have not gotten help, reach adulthood--they will have more health problems than those who sought out help when they were children.

7. Often times, parents think the child will just, "snap out of it." Those children never get help, and therefore end up in far worse circumstances.

8. Depression is treatable. By finding the right doctor and treatment for your child, depression can be controlled and even cured.

So, what is depression and more importantly, what can we, as parents do to prevent it from occurring in our children?

Depression is characterized as having imbalances in the brain's neurotransmitters, the chemicals that allow communication between nerve cells. The neurotransmitters, Norepinpherne and Serotonin, are two chemicals whose low levels are thought to play an important role. Some doctors believe depression is heridatary, in that if parents or grandparents suffer from it, their children most likely will to. No one knows for sure why the chemicals are deficient; it could stem from genes, traumatic events, like a death or a move or from illness. Whatever the reason, depression in children is not normal. Kids need not be sad all the time. The question is, can depression be cured, before it causes major problems in the family?

According to the National Institute of Mental Health, depression can be controlled or cured, if we catch the signs early.

· Frequent vague, non-specific physical complaints such as headaches, muscle aches, stomachaches or tiredness

· Frequent absences from school or poor performance in school

· Talk of or efforts to run away from home

· Outbursts of shouting, complaining, unexplained irritability, or crying

· Being bored

· Lack of interest in playing with friends

· Alcohol or substance abuse

· Social isolation, poor communication

· Fear of death

· Extreme sensitivity to rejection or failure

· Increased irritability, anger, or hostility

· Reckless behavior

· Difficulty with relationships

If your child exhibits these signs, talk to a counselor as soon as possible. The earlier parents get help, the better. Children do not need to suffer needlessly nor do they need to feel as if they are alone.

There are all sorts of treatments out there for adolescent depression, but before you call a psychiatrist or stock your medicine cabinet with drugs, talk to your child and your doctor. Not all drugs are right for children and some can make the depression worse or have bad side effects. The most important thing you can do for your child is to discuss treatment options. The more the child feels in control of their depression, the better. If they are hesitant about medication, listen to why they are afraid and then come to a decision that will benefit everyone. Not all depressed children need drugs; some just need someone to listen to, someone they can relate to and someone who will understand and accept what they are feeling. The same with psychiatrists; children have different needs. It is vital that you pick someone that the child will feel comfortable talking with and expressing their feelings. Get on the Internet and research medications; if you feel that is the route, you would like to take.

The worst thing a parent can do is give up on their child. They need their parents more than anything. Often times, children do not know why they are feeling sad and they are scared. If the depression is because of a friend or loved one who has died or the fact that someone is bullying then in school, make it a point to talk to the school counselor and even the principal. Let them know what is going on so they can be aware and help the child.

I do not think we can necessarily prevent depression from ever entering out child's life. Just by watching the news or reading the newspaper, children get a sense of the real world around them and the things that make them fearful. In depressed children, these feelings can be overwhelming. We can help by not setting their feelings aside. We can be there for them; we can strive to help them have self-confidence and self-esteem. We can listen to their fears, hopes and dreams.

I still feel--and this is my opinion--that children need to be heard. Talk to them; find out what could be the reason that they are sad. If they are hesitant about speaking to you, or just do not want to, have a close relative or friend try to talk to your child. Sometimes, anxious parents can be a deterrent for children when they are feeling sad. We, as Parents mean well, but we could be the reason they are depressed. Children need to feel that by talking to us they will not feel as if we are judging them or making them feel bad for feeling the way they do.

Depression among adolescents is rising; let's do something before it gets out of control and help kids become kids again.

Written by Julia Nielsen - © 2002 Pagewise

Wednesday, October 19, 2005

1st 2 Cure Depression - By: Kenny Goh Jern Yue

As our society progresses, we often find ourselves in challenging situations and tough scenarios which often challenge our wits and abilities to the extremes. So what happens if we fail? Depending on individual characters, some may get up and keep going, while others may suffer a heavy blow to their self confidence and slump into depression.

Why does anyone get depressed? Ever felt that time is running out on you and life is passing you by? When a person isn’t engaged in productive activities, he or she may feel stagnant and begin to feel depressed. Inactivity and lack of purpose can result in feelings associated with loss of hope. Life seems to be devoid of any sense of purpose.

So if purpose is what we lack, then how can we turbo charge ourselves with worthy purposes? Even if we found worthy causes to pursue, how can we always be focused in our purpose and goal? Besides loving them, there is a way which we can attain higher focus and involvement in pursuing our goal.

The secret is to live it like a game show. Ever watched the Apprentice? Ever noticed that all the contestants are very pumped up and engaged in their tasks? This is because they are treating their tasks very seriously and are constantly pushing themselves. Irregardless of their achievement level, most of them have pushed their abilities to the max.

Game shows participants have a much higher focused frame of mind. Their eyes are set on the prize and the goals. No room is left for depression or thoughts of failure. Fear factor contestants realize this and we can see many attempted and still continue to negatively influence their competitors with negative thoughts and verbal assaults.

Everyday we need to set our objectives and rewards. Set out to achieve them. It isn’t life or death if we fail, but when attempting the task, we need to put our very best into it. Do not punish yourself if you failed. Learn instead from the experience and equip yourself with the knowledge to start off with a better footing next time.

When you have successfully applied this attitude in your life, you will begin to see that life is meaningful and beautiful. Realize that there are so many beautiful things to be enjoyed in life.

About the Author: Kenny is the publisher of http://1st-2-cure-depression.com, http://1st-natural-acne-treatment.com/ and http://1st-health-insurance-quote.com/.

Source: www.isnare.com