Showing posts with label mental health. Show all posts
Showing posts with label mental health. Show all posts

Friday, April 22, 2011

Treatment for somatoform disorder can be difficult because

Treatment for somatoform disorder

Patient most appreciate discussion and account of their symptoms.Further management consists of ceasing reassurance that no earnest disease has been uncovered,since this only reinforces dependence on the doctor.The doctor should sensitively explore doable psychological and ethnic difficulties, if doable by demonstrating course between symptoms and stresses.useful questions to communicate ,include:

Treatment can be difficult because people with hypochondriasis believe that something exclusive the body is earnestly wrong. Reassurance does not relieve these concerns. However, a supportive, trustful relationship with a caring doctor is beneficial, especially if lawful visits are scheduled. If symptoms are not adequately relieved, people may benefit from referral to a specialist or added mental health practitioner for boost evaluation and treatment, with continuing tending by the primary doctor.

When were you last completely well and bright ?

Such a patient haw hit trouble remembering much a time,which helps to hold the diagnosis,and leads to a discussion as to why they hit never been well or happy.

What can't you do now because you are unwell ?
What changes has your ill-health caused in your near relationship ?

These questions usually provide informaion that crapper be used to theorize an agreed organisation of management.Repeated laboratory investigations should be discouraged.It is vital that every members of staff and near family members adopt the same approach to the patient's problem.Such patients often consciously or unconsciously separate both scrutiny staff and family members into 'good' and 'bad' ( or caring and uncaring ) people ,as a way of projecting their distress.Since these disorders hit a poor prognosis,the aim is to minimize disability.A contract of mutually agreed care involving the appropriate professionals ( general practitioner,and a choice of psychotherapist ,health psychologist ,complementary health professional,physician or psychiatrist ) , with agreed frequency of visits and a review date ,can be helpful in managing the condition.
Cognitive activity therapy has now been shown to provide trenchant rehabilitation in significant drawing of patients suffering from a somatoform disorders.

Although formal outcome studies have not been conducted, digit third of patients with hypochondriasis are believed to yet meliorate significantly. A good prognosis appears to be related with high socioeconomic status, treatment-responsive anxiety or depression, the epilepsy of a personality disorder, and the epilepsy of a related nonpsychiatric medical condition. Most children are believed to better by adolescence or primeval adulthood, but empiric studies have not been carried out .......read more





Sometime confused with an intentional falsification of illness in hypochondriasis ( somatoform disorder )


MAJOR DISEASE OUTBREAKS  CAN ALSO CONTRIBUTE  TO HYPOCHONDRIASIS


Hypochondriasis ( Somatoform disorder )

Hypochondriasis (or hypochondria, often referred to as upbeat phobia or upbeat anxiety) refers to an unrestrained preoccupation or vexation about having a serious illness. Often, anxiousness persists modify after a physician has evaluated a person and reassured them that their concerns about symptoms do not hit an underlying medical basis or, if there is a medical illness, the concerns are far in excess of what is pertinent for the level of disease. Many people suffering from this disorder pore on a particular symptom as the catalyst of their worrying, such as gastro-intestinal problems, palpitations, or hooligan fatigue.

The prominent feature is a preoccupation with an assumed earnest disease and its consequences.Patients commonly believe that they undergo from cancer or AIDS,or some another earnest condition . Characteristically ,such patients repeatedly letter laboratory and another investigations to either prove they are ill or reassure themselves that they are well.Such reassurance rarely lasts day long before another cycle of vexation and requests begins.The symptoms of anxiousness haw occur alternative to or associated with a variety of psychiatric disorders,particularly sad and anxiety disorders.Occasionally the anxiousness is delusional,secondary to psychosis or a sad psychosis . Hypochondriasis haw coexist with physical disease but the characteristic saucer is that the patient's concern is disproportionate and unjustified.

Hypochondriasis is usually episodic, with hypochondrial symptoms that last from months to years and equally long quiescent periods . Hypochondriasis appears to occur equally in men and women . Hypochondriasis can begin at any age, but the most common geezerhood of onset is primeval adulthood.





Family studies of anxiousness do not show a genetic sending of the disorder. Among relatives of grouping suffering from anxiousness exclusive somatization modify and generalized anxiety modify were more ordinary than in average families.  Other studies have shown that the first degree relatives of patients with OCD have a higher than due frequency of a somatoform modify (either anxiousness or body dysmorphic disorder).

Some anxieties and depressions are believed to be mediated by problems with brain chemicals much as serotonin and norepinephrine. The physical symptoms that grouping with anxiety or depression feel are indeed real corporeal symptoms, and are believed to be triggered by peptide changes. For example, too much vasoconstrictive will termination in non-indulgent panic attacks with symptoms of accumulated heart rate and sweating, shortness of breath, and fear. Too little serotonin crapper termination in nonindulgent depression, attended by a sleep disturbance, non-indulgent fatigue, and typically is treatable with scrutiny intervention.

Patients with hypochondriasis ofttimes are not aware that depression and anxiety produce their own physical symptoms that might be mistaken for signs of a serious medical disease. For example, people with depression ofttimes experience changes in appetite and weight fluctuation, fatigue, decreased interest in stimulate and motivation in life overall. Intense anxiety is associated with rapid heart beat, palpitations, sweating, muscle tension, stomach discomfort, and numbness or tingling in destined parts of the body (hands, forehead .e.t.c.)




Physical symptoms that may be misinterpreted include borborygmi, abdominal bloating and crampy discomfort, cardiac awareness, and sweating. The location, quality, and duration of much symptoms are ofttimes described in minute detail, but symptoms usually do not follow a recognizable pattern of nonsynthetic dysfunction and are generally not related with deviant fleshly findings. Examination and reassurance by a physician does not relieve the concerns of the patient, who tends to conceive the physician has failed to find the real cause. Symptoms adversely affect social and occupational functional and cause momentous distress...................... read more






Anxiety medication can help but not good for everyone for effective anxiety disorder treatment



Anxiety medication

Under the guidance of a health professional, medications can relieve some symptoms of anxiety, but requires non-pharmacological treatments for lasting change and continuous relief from anxiety. The medicine does not cure the underlying problem and is generally not a long term solution. Anxiety medications also come with side effects and safety issues, including the risk of dependency. To determine whether anti-anxiety drugs for you, it is important to talk to your doctor and weigh the advantages and disadvantages of drugs. Once you have researched their options, including alternative therapies and lifestyle changes that can be useful, you can make an informed decision.

Many several types of drugs used to treat anxiety, including traditional medicines and anti-anxiety benzodiazepines and new options such as antidepressants and beta-blockers. These medications can be very effective, but they should not be construed as a remedy. anxiety drugs may provide temporary relief, but it does not treat the underlying causes of anxiety. When you stop taking the medication, symptoms of anxiety often comeback. It is important to be aware of the risk for anxiety, too. drug against anxiety can cause a wide range of unpleasant side effects and sometimes dangerous. Many drugs used to treat anxiety are also addictive and physical dependence, it is difficult to stop taking them when you started. The bottom line is that drugs can help with anxiety, but they are not good for everyone and they are not the only answer.

There are alternatives for the treatment of many drugs, including cognitive-behavioral therapy, which is widely accepted as the most effective treatment for anxiety. Overcoming Anxiety for good, you may have to make major changes in his life. Lifestyle changes can make a difference in anxiety levels, regular exercise, adequate sleep and eat healthy. Other effective treatments for anxiety include psychotherapy, meditation, biofeedback, hypnosis and acupuncture. The advantage of drug treatment rather than the anxiety that produce lasting changes and long-term relief. If anxiety is severe enough to interfere with treatment, medication may be helpful in the short term to get their symptoms under control. Once your anxiety is at a manageable level, behavior and other forms of maintenance therapy can be successfully implemented.

The anti-anxiety depression medications , also known as tranquilizers, are medications that relieve anxiety by slowing the central nervous system. Their soothing and calming effects have made them very popular: the anti-anxiety medication is the type most widely prescribed drugs for anxiety. They are also prescribed as sleeping pills and muscle relaxants. Benzodiazepine is the most common class of anti-anxiety drugs. They include: Xanax (alprazolam), Klonopin (clonazepam) Valium (diazepam), Ativan (lorazepam) Benzodiazepines are fast acting, usually brings relief within thirty minutes to an hour. Because they work quickly, benzodiazepines are very effective when taken during a panic attack or episode of overwhelming anxiety. But despite their powerful anti-anxiety depression medication , they have their drawbacks.

Anti-anxiety depression medication such as benzodiazepines work by decreasing the activity of the brain. Although temporarily relieves anxiety can also lead to undesirable side effects. The higher the dose, the more pronounced these effects are in general. However, some people feel drowsy, foggy, and uncoordinated, even at low doses of benzodiazepines, which can cause problems with work, school or daily activities such as driving. Some even feel a hangover from the drugs the next day. Because benzodiazepines are metabolized slowly, the drug can accumulate in the body when used for long periods of time. The result is sedation. Oversedated People may look and behave as if they were drunk ........ read more



In few cases you have treatment for anxiety self help without anxiety medication

Treatment for anxiety

Self care at home for anxiety

In some cases, you can treat anxiety at home without the participation of a physician. These are limited to anxiety attacks of short duration, where you know the cause, the anxiety is short, he goes by himself, and the cause may be removed. For example you may be worried about an upcoming public performance, a final exam or a job interview on hold. In such circumstances, stress can be mitigated by actions such as: Picturing you cope with success and overcome fear with a specific Talking, TV shows meditation support person for a long hot bath to relax in one of deep breathing exercises dark ambient

Medication treatment for anxiety

Treatment depends on the etiology of anxiety. When the etiology of anxiety is a physical condition, treatment aims to correct this disorder. For example, your thyroid is overactive and cause anxiety, whose treatment may require surgery and various medications for thyroid regulation. When the cause is psychological, the underlying cause must be discovered and, if possible, eliminated or controlled. For example, if the cause is difficult in a marriage, your doctor may suggest marriage counseling. Removing a substance abuse is often directed to drug treatment. Sometimes the cause can be identified. In this case, the only treatment option is to control symptoms. Previously, anxiety treated with the drug in a class called benzodiazepines. This class of drugs currently used much less often to treat anxiety because of the possibility of addiction. Examples of drugs in this group include:

Diazepam (Valium), alprazolam (Xanax), lorazepam (Ativan), clonazepam (Klonopin). Other drugs for anxiety that is not a benzodiazepine that is buspirone (Buspar). Neurontin is an anticonvulsant that has been found useful in the treatment of anxiety in some people, but little research has indicated whether organized or not effective in treating anxiety disorders. Drug Class SSRIs (selective reuptake inhibitors are also used to treat depression) are sometimes prescribed and include the following sertraline (Zoloft), paroxetine (Paxil), fluoxetine (Prozac), escitalopram (Lexapro), citalopram (Celexa) venlafaxine (Effexor): This drug has the chemical properties of the class of SSRIs, as well as blocking the reuptake of norepinephrine, another neurotransmitter.

In addition, psychotherapy can be helpful. Help combat suffering anxiety whatever unrealistic beliefs that may underlie anxiety (cognitive therapy) or the development of methods to manage the concerns (behavioral therapy) is that psychotherapeutic approaches are often used......... read more






Anxiety is a future state of mind in which we are ready to cope with future adverse events



Anxiety

Anxiety is a  psychological and physiological phase characterized by cognitive, physical, emotional and behavioral problems. These elements create a discomfort that is typically associated with anxiety, fear, fear or worry. Anxiety is a general mood, which can often occur without an identifiable stimulus start. As such, it has been separated from fear, which is observed in the presence of a threat. Moreover, the fear associated with specific behaviors of escape and avoidance, whereas anxiety is due to the threats perceived as uncontrollable or inevitable.

Another view is that anxiety is a future state of mind in which we are ready or willing to try to cope with future adverse events suggest that there is a distinction between future vs. present dangers divides the anxiety and fear. Anxiety is considered a normal reaction to stress. It can help a person to manage a difficult situation, eg at work or school, asking someone to do it. When anxiety becomes excessive, it may fall under the classification of an anxiety disorder.

The physical effects of anxiety can include palpitations, weakness and muscle tension, fatigue, nausea, pain in the chest, shortness of breath, upset stomach or headaches. The body prepares to deal with a threat: blood pressure and heart rate are increased, sweating is increased blood flow to large muscle groups increased, and immune and digestive functions inhibited (the fight or flight ). The outward signs of anxiety may include pale skin, sweating, trembling, and pupillary dilation. Anyone have anxiety can also be seen as a feeling of fear or panic. Although panic attacks are not experienced by all who have anxiety, they are a common symptom. Panic attacks usually come without warning, and although the fear is generally irrational, the perception of danger is very real. A person who has a panic attack often feel as if he or she is about to die or vanish.

Anxiety is not only physical, there are many emotional beings. Include feelings of fear or fear, trouble concentrating, feeling tense or nervous, anticipating the worst, irritability, restlessness, watching (and waiting) for the signs (and events) or danger, and feeling that his mind has gone blank and nightmares / dreams, obsessions, feelings of déjà vu, a feeling trapped in her mind, and the feeling that all is fear. The cognitive effects of anxiety may include reflections on hazards, such as fear of dying. You can ... the fear that the chest pain [physical symptoms of anxiety] are a heart attack or shooting pains in the head [other physical symptoms of anxiety] are the result of a tumor or aneurysm. It feels intense fear when thinking about dying, or you can think more often than usual or can not get out of his mind.

The psychologist of Boston University conducted a  research study that found three common characteristics of people with chronic anxiety, which he described as a generalized biological vulnerability, psychological vulnerability widespread and a specific psychological vulnerability. Although questions chemicals in the brain that lead to anxiety

(especially as a result of genetics) are well documented, this study highlights an additional environmental factor that might result from being raised by parents who suffer from chronic anxiety themselves.

Neural circuitry in which the amygdala and the hippocampus is believed that the underlying anxiety. When people are confronted with unpleasant and potentially harmful stimuli, such as bad smells or tastes, PET show increased blood flow in amygdala.In these studies, the participants also reported moderate anxiety. This may indicate that anxiety is a protective mechanism to prevent the auditor to carry out malicious behavior. Research, when the child was very young, restless, alert, and were anxious that their nuclear accumbens is more sensitive than others when choosing whether to do an action that received a reward. Refers to connecting circuits responsible for fear, and is also keen to reward people.

As the researchers note a sense of responsibility during the study of anxiety, or by an independent body, in a context of uncertainty (probabilistic outcomes) stimulates the nervous system underlying appetitive motivation (i.e, the nucleus accumbens) more strongly inhibited temperament that adolescents without inhibitions. Although individual genes have little effect on complex traits and interact with each other and with external factors, research is underway to elucidate the molecular mechanisms underlying anxiety disorders and potential competitors. polymorphisms of a candidate gene for anxiety that influence is PLXNA2........ read more
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