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And to those in the audience artane 2mg otc, thank you for coming and participating discount 2 mg artane with visa. We have a very large and active community here at Healthyplace. The weekend is almost here:)Our conference tonight is on "OCD: What Can Be Done To Help". Claiborn from the OCD (Obsessive-Compulsive Disorder) mail list where he responds to "ask-the-expert" questions. Claiborn is a member of the scientific advisory board of the Obsessive Compulsive Foundation. At his "day job" though, one of the things he does is provide cognitive-behavioral therapy to adult OCD sufferers. Very briefly, because maybe we have some visitors tonight who are learning about Obsessive-Compulsive Disorder for the first time, what is it and how do you know if you have it? Claiborn: OCD is well-named as it is a disorder where people have obsessions and/or compulsions. Obsessions are ideas thoughts, images, impulses, etc. Compulsions are things people do often, over-and-over, in a stereotyped way to reduce their distress. The disorder is diagnosed if a person is suffering from these and it takes up significant time or causes interference with functioning in life. Some children may get it as a reaction to strep infections. We also know that it is not caused by bad toilet training, as Freud used to think. David: You provide cognitive-behavioral therapy to help OCD sufferers. Claiborn: Cognitive behavioral therapy, or CBT, is a treatment method that includes doing things like intentionally exposing a person to what they fear and stopping them from carrying out compulsions. It also includes methods like looking at errors or problems in thinking that lead to distress. CBT is as effective, or more effective, as a treatment for OCD, than medication. Most people who go through CBT will get a significant benefit in reduction of symptoms. David: How important are medications in controlling the OCD symptoms and also in helping to be more receptive to therapy? Is it imperative for a person with OCD to be on medications? Claiborn: On any given trial, about half of the people will get a benefit from medications, and if we look at trying several medications about 70% can benefit. However, some people believe that the reason medication helps is because it reduces anxiety and allows people to do the exposure-based things that really help. If we look at someone with mild to moderate Obsessive-Compulsive Disorder, they may get as much help as they need from Cognitive Behavioral Therapy alone and never need to take medication. Some people will not do CBT until after they are on medication. In either case, if they ever want to be off medications, they will need to do CBT. Experts on children recommend that all children with OCD get CBT and some get medications. David: Before we get to some audience questions, what about self-help for OCD? Claiborn: We have reason to believe that self-help methods can be very useful especially for mild to moderate OCD (Obsessive-Compulsive Disorder). There are several good OCD self help books and some good support groups. David: I was also wondering if a person can ever make a full recovery from Obsessive-Compulsive Disorder, or whether it is a lifelong disorder that is constantly managed? Claiborn: If we say that a person whose symptoms are so mild as to not be a problem is cured, then some people will get there.

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The therapist may use confrontation order artane 2 mg amex, dream analysis cheap 2mg artane with amex, dialogue with polarities, or role playing to reach their goals. This therapy stresses the clients ability of thinking on their own and in their ability to change. The rational-emotive therapist believes that we are born with the ability of rational thinking but that my fall victim to irrational thinking. They stress the clients ability to think, in making good judgments, and in taking action. The therapist believes that a neurosis is a result of irrational behavior and irrational thinking. The Rational-emotive and Cognitive-behavioral therapist believe the clients problems are rooted in childhood and in their belief system, that was formed in childhood. Therapy will include method is solving and dealing with emotional or behavior problems. The therapist will help the client to eliminate any self-defeating outlooks they may have and to view life in a rational way. The therapist will never have a personal relationship with the client. The therapist will think of the client as a student and themselves as the teacher. Reality Therapy The reality therapist teaches the client ways to control the world around them and how to meet their personal needs. They believe that the client can and will change their life for the better. The reality therapist focuses on the what and the why of the clients actions. They point out what the client doing and in getting them to evaluate it. A behavioral or emotional problem is a direct result of the clients believe and feelings about themselves. The therapist will help the client evaluate their behaviors and feelings, to challenge them to become more effective at meeting their needs. Transactional Analysis focus on the clients cognitive and behavior functioning. The therapist helps the client evaluate their past decisions and how those decisions affect their present life. They believe self-defeating behavior and feelings can be overcome by an awareness of them. The therapist believes that the clients personality is made up of the parent, adult, and child. They believe that it is important for the client to examine past decisions to help their make new and better decisions. If there is a university nearby, its departments of psychiatry or psychology may offer private and/or sliding-scale fee clinic treatment options. Otherwise, check the Yellow Pages under mental health, health, social services, suicide prevention, crisis intervention services, hotlines, hospitals, or physicians for phone numbers and addresses. In times of crisis, the emergency room doctor at a hospital may be able to provide temporary help for a mental health problem, and will be able to tell you where and how to get further help. Listed below are the types of people and places that will make a referral to, or provide, diagnostic and treatment services. Mental health specialists, such as psychiatrists, psychologists, social workers, or mental health counselorsReligious leaders/counselorsHealth maintenance organizationsCommunity mental health centersHospital psychiatry departments and outpatient clinicsUniversity- or medical school-affiliated programsState hospital outpatient clinicsSocial service agenciesPrivate clinics and facilitiesEmployee assistance programsLocal medical and/or psychiatric societiesWithin the Federal government, the Substance Abuse and Mental Health Services Administration (SAMHSA) offers a Services Locator for mental health and substance abuse treatment programs and resources nationwide. Within the Federal Government, a bureau of the Health Resources and Services Administration (HRSA) provides a Health Center Database for a nationwide directory of clinics to obtain low or no-cost healthcare. Locate a Veterans Administration (VA) Medical Center for a broad spectrum of healthcare services, including medical and rehabilitative, as well as readjustment counseling services after war. The Gateway to VA Healthcare also provides eligibility information, programs, and additional resources. This CMS section is of particular importance to beneficiaries receiving Part D drug benefits.

I did try over-the-counter diet pills but luckily Phen-Fen and Redux were not available at the time or I could have been one of the people harmed before they were recalled cheap 2mg artane with mastercard. I would have done anything artane 2 mg sale, including risking my life to lose weight. I often wished that I would get sick so that I would have a way to lose weight because nothing else worked. David: Besides the food, did you ever turn to alcohol or other substances to ease the pain? Debbie Danowski: I did drink a little but I only liked the drinks with lots of whipped cream. I thought that if I could buy the prettiest clothes no one would notice my size 52 body or make fun of me. David: What developed that made you want to change and actually follow through? Debbie Danowski: I was at the point that I was either going to get better or I was going to die. It was an incredible amount of pain that made me want to change. It was the misery that made me work so hard at my recovery because I never want to be that miserable again. There were many times when I thought about killing myself and even more that I wished I would die. Whatever your trigger foods are once you eat them you want more and more. Was the idea something that took awhile to brew inside your head, or just one day you decided, "This is it. First, I had to take the step to admit to someone that I did have a problem. I went to a counselor who asked me straight out what I did to deal with my feelings. I looked her in the eyes and said that I write over them. It made everything real for someone to actually confront me about it. What were the next steps in recovering from food addiction? Debbie Danowski: I went to an overeaters support group and eventually to an in-patient food addiction treatment center where I got the structure I was lacking. David: Regarding the support group, so we can be helpful to people here tonight, are you referring to something like Overeaters Anonymous? Debbie Danowski: Yes, Overeaters Anonymous is a valuable support system. It allows people who are suffering in the same way to come together. The first real step in recovering is to admit that there is a problem and OA helps people to do that. David: Why did you have to go to a food addiction treatment center? I was so sick and hopeless that everything was overwhelming, so I needed extra help. David: Do you completely abstain from your food triggers, even today? I no longer have that hung-over feeling that I once had, and I can remember things and think clearly. David: What eating techniques did you learn that might be helpful to others here tonight? Debbie Danowski: I learned to eat three balanced meals and a snack at night. I learned to eat these meals four to five hours apart and not to switch off foods because that sets me up for playing with the portions I eat.

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