Minggu, 29 Mei 2011

How To Avoid Stress or Depression in Your Life suicide imagination symptoms

Recovering from depression is a long and difficult journey. Unfortunately, 50% of people who have one major episode of depression will relapse, and the likelihood goes up if you’ve had more than one episode, says Eve A. Wood, MD, medical director of the Eating Disorder Center of Denver and author of 10 Steps to Take Charge of Your Emotional Life. Your relapse risk can vary, depending on the severity of your symptoms and family history. The good news is that there are some steps that may help you avoid depression relapse.

Don’t take on too much

While staying busy isn’t a problem, doing too much, too soon could be. Feeling overwhelmed creates stress, and stress is a risk factor for depression, says Nancy Irwin, PsyD, author of You-Turn: Changing Direction in Midlife. What’s more, stressful experiences can make the symptoms of anxiety and depression additionally severe. “Thwart stress by creating balance and knowing your limits,” Irwin says. “If you are prone to depression, this is your responsibility—just like brushing your teeth or obeying the speed limits.”

Exercise regularly

One of the best ways to prevent depression? Exercise. “Exercise appears to be an antidepressant in its own right and may act like an antidote to stress,” says Gerard Sanacora, MD, PhD, professor of psychiatry at Yale University and director of the Yale Depression Research Program, in New Haven, Conn. A 2009 analysis found that exercise lightens depression as well as cognitive behavioral therapy (CBT) or antidepressants. A resistance and aerobic combo seems better than aerobic exercise alone. Workouts with a meditative focus, such as tai chi and yoga, also help, according to a 2008 study.

Work on a positive attitude

Is your glass half empty? It can help to try to have a more positive attitude. In fact, certain depression treatments, such as CBT, can help you develop a more upbeat outlook—although this treatment doesn’t work for everyone. “Not all respond to CBT interventions,” says Dr. Wood. “The underlying philosophy of CBT is that the thoughts are what cause the distress and if you change the thoughts you can change the depression, but that’s true for only a subset of people.”

Take care of your health

Now is the time to focus on both your mental and physical health, because the mind-body connection plays a role in depression and relapse. “The more we take care of ourselves, the less vulnerable we might become to depression, as well as to a recurrence,” says Dr. Wood. Depression is associated with a greater risk of heart disease and diabetes. “There’s very good evidence that people with depression have higher rates of medical illnesses than people without depression, and the more medical illnesses you have, the more likely you are to have depression and to relapse,” explains Dr. Sanacora.

Put off big decisions

You may feel like a new person, but it's not the time to make major changes—even ones that you think will make you happier. “Both good and bad ‘big decisions’ are stressful," says Susan L. Marusak, MD, research physician and clinical faculty at the Mood Disorder Research Program at UCLA Medical Center and a private practitioner, in Santa Monica, Calif. "I often advise patients to wait, if they can, until they are feeling stable and euthymic before making a major life-changing decision.” Irwin recommends putting off big decisions until you're at least a six on a happiness scale of one to ten (where zero is misery and ten is elation).

Stop blaming yourself

If you’re prone to depression, you may mentally berate yourself for missteps, either real or imagined. But a constant barrage of “I should have done this differently” or “If only I would have done that” is counterproductive, and could send you spiraling downward into depression. You need to learn to accept what you can’t change and focus on changing what you can, says Dr. Sanacora, who recommends seeing a therapist with expertise in techniques like cognitive behavioral therapy to help change your thought patterns.

Watch your diet

Diet and exercise go hand in hand when it comes to maintaining mental and physical well-being. “A low-fat diet, rich in fish, especially omega-3s, and folic acid can be helpful for mood. And avoiding alcohol and minimizing caffeine use is also helpful,” says Dr. Marusak. A Mediterranean-style diet, rich in veggies, fruits, nuts, whole grains, and fish, is linked to a lower risk of developing depression, according to a 2009 study in the Archives of General Psychiatry.

Don’t stop treatment

Doctors recommend taking medication for six to nine months after symptoms lift and you start to feel stable, says Dr. Marusak. The decision to end therapy or medication should be made with your doctor's help. “Some drugs, if you go off them, may not work for you again when you go back on them—(there’s no) guarantee that if it worked once, it will work next time,” says Dr. Sanacora. For some people, the best way to prevent a relapse is to continue treatment.

Volunteer

Reaching out to others may help you too. One 2005 study in the Journal of Health and Social Behavior found that volunteering had a beneficial effect on depression among older adults, and preliminary findings conducted at the Institute of Psychiatry at King’s College, London, suggest a “strong link” between volunteering and recovery from mental health problems, with about 85% of participants reporting positive outcomes after volunteering. “Usually when we can get out of ourselves in some way, we can feel a lot better,” says Dr. Wood.

Avoid alcohol and drugs

Steer clear of alcohol and especially illegal drugs, which can interfere with depression medications and alter your mood—and not in a good way. “Alcohol is a depressant, and many street drugs deplete serotonin and dopamine, which are important neurotransmitters in relation to mood,” says Dr. Marusak. “We usually recommend patients abstain from alcohol, even socially.” Irwin says that you can be setting yourself up for a relapse if you take unprescribed drugs. “Alcohol gives depressives ‘permission’ to slip into that abyss, because it underscores or verifies your negative mood state,” she says.

Manage stress

Chronic stress can actually cause physical changes in the brain, which can affect moods and emotions. In fact, a number of studies have led researchers to suspect that stress produces changes in the brain similar to those caused by depression. “Stress might have a large effect on some of the brain regions that control emotion and memory,” says Dr. Sanacora. "If it is chronic and uncontrollable, stress might actually cause physical damage to the brain." Develop stress-busting strategies, such as exercise, yoga, pilates, meditation, acupuncture, hypnosis, talk therapy, or turning to friends and family for support.

Have an attitude of gratitude

Although it sounds simplistic, research suggests that for many, gratitude is a road to greater happiness. In fact, a 2005 study published in the journal American Psychologist found that people who performed daily gratitude exercises, such as making a list of three good things in their life, had lower levels of depression.

Join a support group

“Support groups are particularly helpful, because there will be people there who have learned how to manage their depression and can provide excellent advice,” says Anne Sheffield, author of Depression Fallout: The Impact of Depression on Couples and What You Can Do to Preserve the Bond. To find one near you, check out the National Alliance on Mental Illness or the Depression and Bipolar Support Alliance. “Being with people who share your problem forces you to realize that you’re not alone and that others have battled the same problems and can help you find solutions,” says Sheffield.

Reconnect

Depression can make you feel alone, so it’s important to reconnect with friends and family. “We know that for all aspects of wellness, community has a healing and protective effect,” says Dr. Wood. In fact, a 2009 study published in The American Journal of Psychiatry found that people 65 and older with a history of depression were at greatest risk of developing major depression if they believed

Build your self-esteem

While self-esteem isn’t something you can grow overnight—learning to accept yourself takes time—there are things you can do if you’ve lost that loving feeling. For example, make sure you spend time doing things you enjoy, and try to surround yourself with people whom you like and make you feel good about yourself.

Talk to people you trust

Many people don’t want to talk about depression because they think they should be able to handle it on their own, or don’t want to burden others. But confiding in close friends, a spouse, or family member can give you the social support you need to stay on the path to recovery. “Health, purpose, and love are your weapons against depression,” says Irwin. Just remember, your friends or spouse aren’t licensed therapists and may not know how to help you, warns Sheffield. So if you start having depression symptoms again, you should reach out to your doctor or therapist as well.

Get your rest

It's important to get sufficient rest as you recover, since sleep helps regulate moods and is necessary for both mental and physical health. Insomniacs are almost 10 times as likely to have depression compared to their well-rested counterparts, according to a 2005 study in the journal Sleep. “Sleep is a cornerstone of health, like food,” says Irwin. “If it goes unattended, the body and mind cannot function properly. Regulating sleep can really help prevent depression and relapse.”

Copyright © 2009 Health Media Ventures, Inc. All rights reserved.
Source : 
http://health.msn.com/health-topics/depression/17-ways-to-avoid-depression-relapse

intermediate explosive disorder symptoms

    The essential feature of Intermittent Explosive Disorder is the occurrence of discrete episodes of failure to resist aggressive impulses that result in serious assaultive acts or destruction of property (Criterion A). The degree of aggressiveness expressed during an episode is grossly out of proportion to any provocation or precipitating psychosocial stressor (Criterion B). A diagnosis of Intermittent Explosive Disorder is made only after other mental disorders that might account for episodes of aggressive behavior have been ruled out (e.g., Antisocial Personality Disorder, Borderline Personality Disorder, a Psychotic Disorder, a Manic Episode, Conduct Disorder, or Attention Deficit/ Hyperactivity Disorder) (Criterion C). The aggressive episodes are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., head trauma, Alzheimer's disease) (Criterion C). The individual may describe the aggressive episodes as "spells" or "attacks" in which the explosive behavior is preceded by a sense of tension or arousal and is followed immediately by a sense of relief. Later the individual may feel upset, remorseful, regretful, or embarrassed about the aggressive behavior.
    Specific Symptoms of Intermittent Explosive Disorder

    Several discrete episodes of failure to resist aggressive impulses that result in serious assaultive acts or destruction of property.

    The degree of aggressiveness expressed during the episodes is grossly out of proportion to any precipitating psychosocial stressors.

    The aggressive episodes are not better accounted for by another mental disorder (e.g., Antisocial Personality Disorder, Borderline Personality Disorder, a Psychotic Disorder, a Manic Episode, Conduct Disorder, or Attention-Deficit/Hyperactivity Disorder) and are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., head trauma, Alzheimer's disease).

    Aggressive behavior can occur in the context of many other mental disorders. A diagnosis of Intermittent Explosive Disorder should be considered only after all other disorders that are associated with aggressive impulses or behavior have been ruled out. If the aggressive

    

    
Intermittent Explosive Disorder
SYMPTOMS

          Criteria summarized from:
          American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders, fourth edition. Washington, DC: American Psychiatric Association.

Kleptomania definition, symptoms, causes, and treatment

    Most people put Kleptomania or Kleptomaniac is identical with the act of stealing, shoplifting, or any other equivalent term. People with impaired Kleptomania equated with thieves because other people like to take things without permission of the owner.

Judging from the home he said, Klepto is meant to steal and mania are continuous encouragement. People with Kleptomania always felt the encouragement of excessive and continuing to steal. If his intention was not realized, Kleptomania sufferers will feel uncomfortable, restless, even anxious, said one psychologist.

Goods taken by a Kleptomania is not a high value, usually small items taken goods and worthless, or at least the stuff that they think is not berharga.Karena that they often feel no stealing, but taking action without prior permission by the Kleptomania still in. category of theft.

Even so, are called upon to people not equate people with Kleptomania and shoplifters with real thief. Of course between the two are very different. People with Kleptomania steal on impulse to steal the excessive and sometimes do not realize what they are doing, while shoplifters stealing on the basis of need or because they want to have a good, but could not afford.


LESS ATTENTION

Kleptomania term, can only be addressed to children of primary school age (SD) or 10 years and over. If the take stuff without permission, children aged 4 years, it caused the child's moral understanding is not complete.
Children at this age still think if he wants something, just take it. This condition is called self-centered. When children have entered elementary school, let alone their teens, then be called Kleptomania.

Kleptomania is generally caused by lack of harmony of one's relationship with the family. For example, young children who receive less attention or less took control of her parents.
Background of a harmonious family life is very influential because children need to be noticed and loved, if the child until you feel lost love, he can turn into the figure of Kleptomania.
People with Kleptomania is often considered the act of stealing by taking and storing it as love or affection that is missing from their lives.

This is also what distinguishes a real thief with a real kleptomania.Pencuri will use the stolen goods in order to meet their needs, while people with more Kleptomania often store stolen goods. In fact, it is often stolen goods were left lying for granted.

Kleptomania definition, symptoms,  causes, and treatment

Can heal itself

Until now the cause of Kleptomania is not known with certainty. However, recently experts associate with obsessive compulsive disorder, mood disorders, and conditions of dependency.

The researchers also stated that Kleptomania related to problems in brain chemicals called advanced lebi serotin.Penelitian that still needed to uncover the veil of this Kleptomania, so they can find the most appropriate therapy. If allowed, Kleptomania disorder can last into adulthood. In some sufferers, this habit can be lost gradually with age.

It may also happen condition, the sufferers began to realize that his actions just like stealing, so it starts to control his mind to stop mencuri.Kalau sufferers are aware of his actions were wrong, but could not stop stealing, you should ask the help of a therapist (psychologist / psychiatrist). Therapy is given to change the nature and behavior by modifying the mind.

Actually Kleptomania can be prevented by giving adequate attention to the child. No need to get spoiled. This fact can make the child is spoiled when adult. Simply by creating an atmosphere and situation of children feel loved, cared for, and not alone.