T. Cruz. Union Theological Seminary.

Does ADD appear differently in women than it does in men -- symptom-wise order advair diskus with paypal, I mean? Nash: Men with ADD tend to show more "active" symptoms purchase advair diskus on line amex, like aggression best 250 mcg advair diskus, anger, irritability. If so, how can you differentiate between whether an adult has Attention Deficit Disorder or Bipolar? Nash: ADD can co-occur with a number of disorders, including depression, obsessive-compulsive disorder, anxiety disorders, etc. Attention Deficit Disorder is believed to be a neurological problem--a difference in the way the brain functions, especially the frontal lobes or the "executive system". Bipolar results from an imbalance in the chemistry in the body and brain, usually in a deficit of lithium salts. The symptoms of ADD and Bipolar are quite different. Bipolar, which is also known as manic depression, involves an alteration (for most people) between a "high" state of mania or hypomania ("high but not that high") and depression. My doctor says that it is no more addictive than caffeine. Nash: Stimulant drugs can be addictive, which is why the government watches it so carefully. In addition, they cause side-effects such as insomnia. David: Here are a few audience comments regarding adult ADD diagnosis and treatment. Stacie: CHADD is great for the support and they have been great in helping me get through the diagnosis stage. My doctor believes me now and is getting quite interested! Nash: More and more psychiatrists are willing to consider the diagnosis of ADD, now that the research evidence is accumulating. David: On the relationships front: Living with ADD can easily feel like an emotional roller coaster, both for the adult with ADD and also for the spouse or partner of the adult with ADD. What does the partner need to understand that would help the relationship go smoother? I often see couples that involve one ADD and one non-ADD person. It is so important for the non-ADD spouse to get educated about what ADD is. Otherwise she (or he) may take the behavior as a personal affront. It is possible to teach the non-ADD person how to be supportive of the ADD spouse. David: When you say "wreck havoc" on a relationship, what are you referring to, and what ADD symptoms cause that to occur? Nash: The non-ADD spouse is likely to take it personally when the ADD person forgets appointments, loses things, etc. Sometimes, it is the ADD person with the anger problem. When he gets frustrated with himself, he can take it out at home. So the ADD person needs to learn how to cope better with his situation so that anger is less likely or more manageable. Nash: Often, an ADD person marries a spouse who is highly organized and detail-oriented. This is terrific for the ADD person, but the non-ADD detail-oriented spouse can become frustrated. An ADD person usually does much better when there is a structured environment. The ADD person should learn to use some type of organizing system, but the key is that it must be SIMPLE. The non-ADD spouse can be helpful by providing reminders and playing back up. However, she must be willing to do so and understand why it is necessary, and he (the ADD person) must be willing for her to play this role. In addition, she (the non-ADD person) can help out in managing his impulsivity, if that is a problem. For example, she can send him "silent signals" when he is interrupting or talking too much. My husband is ADD and we use a signal system in social situations where I gently tug on my earlobe, and that is his signal to slow down, take a breath, stop talking, start listening. Once we understand that anger is inevitable, especially in the presence of frustration or fear, then we can focus on what to do with the anger. Anger is not a behavior; aggression (shouting, yelling, cursing, throwing things, etc. Next, we learn to understand what triggers his anger. What are the situations that are "high risk" for anger. Usually they are being tired, hungry, in pain, overwhelmed, or otherwise distressed. It may be necessary to take a time out, leave the arena, and "catch your breath. Leaving an upsetting situation is a behavioral strategy. Another type of coping skill involves thinking--talking oneself down, so to speak, from being angry. Trying to see or understand the situation another way. Dobby: Any suggestions for explaining your Attention Deficit Disorder to your children? Nash: Children are naturally full of energy, at least most of them. Use simple concrete language to explain your ADD to your children. It just means that each of us has to learn different ways to "be good. Nash: Exercise releases endorphins and provides a calming effect. Some ADD people develop a substance abuse problem because they try to medicate away their symptoms that way. David: One of the most common problems adults with ADD experience in their jobs or careers, centers around time management -- getting things done on time.

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Another book that helps some people with this is Brainlock order 250 mcg advair diskus with mastercard. So cheap advair diskus online visa, read Getting Control and this book for similar approaches that may help buy 500mcg advair diskus with mastercard. Jenike: Yes, it depends on how you define treatment resistant OCD. There are about six drugs to try; you need to try CBT as well; usually in combination with medication treatments for OCD. If that does not work and someone is really disabled by OCD, there are treatment facilities like ours at McLean Hospital where people can stay for awhile to get daily intensive therapy. In extreme cases, neurosurgical procedures are done to interrupt physically the circuits in the brain that seem to be involved with OCD. There are also newer techniques, like deep brain stimulation where these same circuits are stimulated by implanted electrodes. I say this, just to point out that there is a lot of research going on, and that there is hope for people with severe OCD. Motivation to get better and willingness to put up with what needs to be done in treatment are key elements in getting better. Some of the sickest patients I have ever seen have gotten better. Bea: How do you get a spouse to stop enabling the person with OCD without causing a lot of friction? If the person is helping to keep a loved one ill by enabling them, you may have to cause friction. Often we have to work with family members for a long while, to get them on our side. The family, patient, and caregivers need to band together to fight the OCD, or all is lost. Herb Gravitz, Obsessive Compulsive Disorder: New Help for the Family , that advises family members of an OCD patient. MYTWOGRLSMOM: Dr Jenike, My two-and-a-half year old little girl insists on washing her hands at times and will not touch anything that she thinks is "dirty". Could she have OCD, or acting on things she sees me do? Try not to let her see you do rituals; and work to get them under control. Often with kids this young, the treatment is very simple and quick. Jenike, is there a problem with taking antidepressant medication for the rest of our life? Why is it that every time I get off medications, I relapse. Jenike: Some people with OCD or depression are like this. There is no irreversible problem with staying on these meds for life. The neuroleptic medications are the ones that seem to be more toxic. Many patients are able to use CBT to keep the OCD away once they get a handle on it, but others need medications as well. Relapse, when you stop medication, usually does not occur right away, but more often 2-4 months later. It is very important to do the CBT exercises every day when you are stopping meds. Jenike, for being our guest tonight and for sharing this information with us. And to those in the audience, thank you for coming and participating. We have a growing OCD community here at HealthyPlace. Up to 30 percent of people who require mental health services have at least one personality disorder--characterized by abnormal and maladaptive inner experience and behavior. In addition, the patient usually sees the disorder as being consistent with his or her self-image and may blame others for his or her social, educational, or work-relatedEveryone has characteristic patterns of perceiving and relating to other people and events (personality traits). That is, people tend to cope with stresses in an individual but consistent way. Some people minimize problems; others exaggerate them. Regardless of their usual style, however, mentally healthy people are likely to try an alternative approach if their first response is ineffective. In contrast, people with a personality disorder are rigid and tend to respond inappropriately to problems, to the point that relationships with family members, friends, and coworkers are affected. These maladaptive responses usually begin in adolescence or early adulthood and do not change over time. Most people with a personality disorder are distressed about their life and have problems with relationships at work or in social situations. Many people also have mood, anxiety, substance abuse, or eating disorders. People with a personality disorder are unaware that their thought or behavior patterns are inappropriate; thus, they tend not to seek help on their own. Instead, they may be referred by their friends, family members, or a social agency because their behavior is causing difficulty for others. When they seek help on their own, usually because of the life stresses created by their personality disorder, or troubling symptoms (for example, anxiety, depression, or substance abuse), they tend to believe their problems are caused by other people or by circumstances beyond their control. Until fairly recently, many psychiatrists and psychologists felt that treatment did not help people with a personality disorder. However, specific types of psychotherapy (talk therapy), sometimes with drugs, have now been shown to help many people. Choosing an experienced, understanding therapist is essential. These patterns tend to become apparent because the person tenaciously resists changing them despite their negative consequences. A doctor may also talk with people who interact with the person. One thing that complicates the diagnosis of personality disorders is the fact that affected persons rarely seek help until they are in serious trouble or until their families (or the law) pressure them to get treatment. The reason for this slowness is that the problematic traits are so deeply entrenched that they seem normal to the patient. Although personality disorders originate during the childhood years, they are considered adult disorders. Some patients, in fact, are not diagnosed until late in life because their symptoms had been modified by the demands of their job or by marriage. It is unusual for people to develop personality disorders "out of the blue" in mid-life.

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But remember purchase advair diskus once a day, the person struggling with an eating disorder must take responsibility in order to change their behaviors generic advair diskus 250mcg without prescription. Scout: One way of helping prevent eating disorders buy advair diskus no prescription, in the thin sense, is do away with the thin models and use people with normal bodies. When do parents recognize they are doing these things to their children? How do I explain that I would stop for her and for myself if I could. She certainly has no clue and there is no support or help around where I live. Are there any certain books I could ask her to read? Young people and adults need to realize their comments and behaviors affect others. This is what I mean by "parents modeling healthy attitudes and behaviors. One thing that might help is a newsletter we put out. You can get that by calling our office at 206-382-3587. It costs $15 for student memberships and $25 for the general public and $35 for professionals. And one of your audience members suggested: The Secret Language of Eating Disorders. If anyone wants a longer list, we have a 3 page one we can send. Scout: Also, "The Best Little girl In the World," fictional work on anorexia. Spiffs: I was wondering if there were any online screening tests to help determine what eating disorder you or someone you know has? And people can get more info on education at our website: http://members. Early detection is important for eating disorder recovery. PegCoke: What can people without money do to help a friend with an eating disorder? Because really to get professional treatment it takes either money or insurance, in most instances. I mean what if you knew what you were doing and MADE it come. I know that I played with a lot of ideas before anything stuck in.. Holly Hoff: The danger in eating disorders is that people may experiment with the behaviors. Unfortunately, they can quickly become habit and spiral out of control. I would encourage you to see a professional about your situation. Bob M: We are talking with Holly Hoff, of Eating Disorders Awareness and Prevention. Any helpful ideas on how to work on seeing my body as others see me? Jrains: I understand that even in the medical profession, there is an ignorance about the severity and even existence of EDs. Holly Hoff: There are organizations jrains that can recommend eating disorder professionals, people with expertise in that area. The National Eating Disorders Organization-NEDO-is one. Bob M: And I want to add here, that a professional is someone who is a licensed Ph. If money is a concern and you are serious about treatment, you might want to call around and see if you can get free, or low cost treatment, by participating in the program. Champios: So what is your best suggestion for those of us with eating disorders that are working on getting better on our own? And either NEDO or ANAD can give you the phone numbers for support groups in your area. Maigen: After my parents got divorced, my high school paid for my therapy. If you have a school psychologist, it is possible to get counseling therapy. Liz B: Also a lot of kids and teens do not tell their parents. Holly, how does a child, or teen, confide in their parents without the fear of something "bad" happening to them? For teenagers, getting help for an eating disorder will probably involve their parents finding out at some point. Without telling, eating disorders can be life threatening. Bob M: And I have to believe that most parents care about and love their children. You have to be realistic and understand that your parents will be concerned, but hopefully, after maybe the shock, or surprise, or traumatic worry wears off, they will be supportive and help you get the help you need. How do we get treatment after starting, but running out of insurance or money? I know that some insurance policies do run if you sign up for another one, there is at least a one year wait for a preexisting condition, if they will cover it at all. If you qualify, try for medicare or a treatment research program. UgliestFattest: I make $333 a month and have no insurance and cannot get medicaid because I am not under 21 or not pregnant plus I am not a US citizen. I am getting therapy through the local MHMR (Mental Health Mental Retardation) center. My mom found out, even though I thought that I was hiding it well. One book I found to have some good self-help advice was "Overcoming Binge Eating" by Dr. I am trying to find healthy alternatives to binging. Anything that can keep you and your mind doing other things.

Disorders that frequently occur with OCD include other anxiety disorders discount advair diskus 100 mcg without a prescription, depression order 500mcg advair diskus amex, disruptive behavior disorders (attention deficit hyperactivity disorder and oppositional defiant disorder) cheap 500mcg advair diskus with mastercard, learning disorders, trichotillomania (compulsive hair pulling), and habit disorders such as nail biting or skin picking. The most successful treatments for children with OCD are behavioral therapy and medication. Cognitive-behavioral psychotherapy (CBT) helps children learn to change their thoughts and feelings by first changing their behavior. CBT involves exposure, or exposing the child to his fears to decrease his anxiety about it. For example, a child who is afraid of dirt might be exposed to something he considers dirty until he no longer fears it. For example, the child who fears dirt must not only stay in contact with the dirty object, he also must not be allowed to wash repeatedly. Some treatment plans involve having the child "bossing back" the OCD, giving it a nasty nickname, and visualizing it as something the child can control. Behavioral treatment with children works best when the whole family is involved, according to Dr. Because cognitive behavioral treatments often provoke considerable anxiety, a good deal of support is needed. As well, it is important to find a therapist who knows about how to treat OCD. OCD can worsen if not treated in a consistent, logical, and supportive manner. Research shows that selective serotonin reuptake inhibitors (SSRIs) are most effective in children with OCD. These include medications such as fluoxetine (Prozac), fluvoxamine (Luvox), paroxetine (Paxil), and sertaline (Zoloft). Another medication that may be prescribed is clomipramine (Anafranil). Most experts agree that medication should be used to treat children as a second choice to CBT. Therapy will help the child and family learn strategies to manage the waxing and waning of OCD symptoms," Dr. Once a child is in treatment, parents are encouraged to participate, to learn more about OCD, and modify their expectations and be supportive. Small improvements should be recognized and praised. Your entire family should be educated and supportive at all times. The more personal criticism can be avoided, the better. Family routines should be kept as normal as possible, family members should learn strategies to approach members with OCD, and if your child is on medication, the regime should never waver. Sheslow, who explains that OCD is different from other disorders, such as a fear of dogs, for example. Other disorders are easier for people to talk about than OCD. NIMH Pediatric Obsessive Compulsive Disorder Research Program websiteJohn S. Philadelphia: Lippincott Williams and Wilkins, 2002HTTP/1. The cases never cease to fascinate: reclusive people trapped by their own accumulations, in rooms made unlivable by floor-to-ceiling heaps of newspapers, books and saved objects -- from twist ties to grand pianos. Some pass into legend, like the Collyer brothers, "the hermit hoarders of Harlem," who, in 1947, were buried by the piles of urban junk that filled their four-story Harlem brownstone. But even less extreme examples, like that of the Bronx man rescued Monday after being trapped for two days under an avalanche of magazines and catalogs, haunt the public imagination. Such compulsive hoarding is increasingly being recognized as a widespread behavioral disorder, one that is particularly acute in cities like New York, where space is at a premium. The pack rat behavior ranges from egregious cases that endanger lives to more commonplace collecting that resonates with anyone who has ever stacked magazines to read later or bought more shoes than the closet will hold. One woman, for example, found throwing out a newspaper so unbearable that her therapist instructed her never to buy one again. Another could not pass a newsstand without thinking that one of the many periodicals on sale contained some bit of information that could change her life. And a third, trying to explain why she had bought several puppets that she did not want or need from a television shopping channel, spoke of feeling sorry for the toys when no one else bid on them. The emotional investment that goes into hoarding makes it much harder to overcome than landlords or housing court judges often understand, said Randy O. Frost, a professor of psychology at Smith College in Northampton, Mass. A national authority on the disorder, he helped a group of medical, legal and social service agencies establish the New York City Task Force on Hoarding a year ago. Similar groups exist in a dozen places, Frost said, including Seattle, Ottawa, Fairfax County, Va. Toby Golick, a clinical-law professor at Cardozo Law School, described the case of an elderly Manhattan man who rescued broken toys, discarded toasters and tattered umbrellas from the street until even his kitchen and bathroom were too crammed to use. The situation came to light only when the landlord could not squeeze in to fix a leaky faucet. The turning point had been finding a resale shop that would accept some items, so the man would not have to throw them away. Like the elderly tinkerer, the Bronx man, Patrice Moore, 43, saw treasure where others saw mainly trash. Interviewed Tuesday in the hospital where he was recovering from leg injuries suffered when his collection collapsed on him, he said he might sue the landlord over the loss of comic books and articles from the 1980s about his favorite entertainer, Michael Jackson. There are three facets to the problem, he said: enormous emotional difficulty throwing things away; compulsive acquisition -- sometimes by buying things, but often by picking them up for free -- and a high level of disorganization and clutter. Many of the people afflicted seem to be unusually intelligent, he said. Instead, they tend to organize their homes by visual or spatial cues -- they might locate an electric bill, for example, on the left-hand side of a pile six inches deep, rather than where bills are filed. This taxes their memory, so they tend to want to leave everything out in plain sight, piled in the middle of the room. But there was no room for sentiment at the two-story brick apartment building from which police, firefighters and other city emergency workers extracted Moore. And please sign up forNew research into the brain patterns of compulsive hoarders shows the disorder may have been misclassified and victims could be getting the wrong treatment, U. Hoarding is usually classified as obsessive-compulsive disorder, a catch-all term for a range of symptoms such as constantly repeating actions like handwashing or checking to make sure a stove is turned off. Sanjaya Saxena, who led the study, said in a statement.