DIET, HEALTH AND FITNESS: May 2011

Tuesday, 31 May 2011

Is It Time to Take Biologics?

If you suffer from chronic pain, you may have to try a variety of treatments before you find the right ones for your symptoms. Some treatments may include pain and anti-inflammatory medications, diet and lifestyle changes, physical, occupational and support therapies. If these don't provide the relief you need, there's one more option that might relieve your chronic pain--biologics.

Biologics are relatively new advancements of some old-fashioned medical treatments that include products like vaccines, blood and blood components, gene therapy, and more. They've been used for targeted medical treatments for over 100 years. Currently they're being used to treat many chronic pain and autoimmune conditions including rheumatoid arthritis, psoriasis, Crohn's disease, colitis, certain cancers, and ankylosing spondylitis.

Biologics are protein-based drugs derived from living cells cultured in a laboratory. Unlike more traditional drugs that might work on the entire immune system, biologics work on specific parts of the immune system. They're customized to work on or block specific cells that affect specific diseases. For example, The National Psoriasis Foundation says the biologics used to treat psoriatic diseases (including psoriatic arthritis) act by blocking the action of a specific type of immune cell called a T cell, or by blocking proteins in the immune system, which play a major role in developing psoriasis and psoriatic arthritis. Biologics are also used to treat Rheumatoid arthritis by slowing disease progression and preventing disability when more traditional medications haven't worked on their own.

While biologic treatment has advanced rapidly over the last decade, it's not a cure-all for everyone with chronic pain. They have to be injected (often self-injected by the patient) or given by IV and they have potentially significant side effects. Since they work as immune-system suppressants, biologics can make some patients more vulnerable to illnesses like viruses and bacterial infections. They can also cause suppressed chronic diseases like Tuberculosis to flare up. About 30 percent of patients develop pain and/or a rash at the injection site.

How do you know if it's time for you to take biologics for your chronic pain symptoms? Biologics aren't often used as a first line of defense and doctors may encourage patients to try a variety of other treatment options first. If those don't do the job of controlling chronic pain symptoms and disease progression well enough, then it might be time to bring on the biologics.

Here's some biologics you may see advertised or hear about from your doctor:

Amevive (alefacept). Given as an injection at the doctor's office weekly for 12 weeks for psoriasis.Enbrel (etanercept). Patient-injected once or twice a week for psoriasis, psoriatic arthritis, rheumatoid arthritis, juvenile rheumatoid arthritis, and ankylosing spondylitis. Patients have to continue injections indefinitely to maintain results.Humira (adalimumab). Patient-injected every other week for psoriasis, psoriatic arthritis, ankylosing spondylitis, and rheumatoid arthritis.Remicade (infliximab). Three intravenous infusions are given in a doctor's office over the first six weeks of treatment and may be repeated every eight weeks. It is used to treat psoriasis, psoriatic arthritis, rheumatoid arthritis, ulcerative colitis, ankylosing spondylitis, and Crohn's disease.Simponi (golimumab). Patient-injected once a month for psoriatic arthritis, rheumatoid arthritis, and ankylosing spondylitis.Stelara (ustekinumab). Two initial injections are given at a doctor's office four weeks apart then repeated every 12 weeks for plaque psoriasis.

Sources:

National Psoriasis Foundation

Moderate to severe psoriasis - biologics

http://www.psoriasis.org/netcommunity/learn/treating-psoriasis/biologics

Food and Drug Administration

Biologics

For Healthcare Providers: http://www.fda.gov/BiologicsBloodVaccines/ResourcesforYou/HealthcareProviders/default.htm

For Consumers: http://www.fda.gov/BiologicsBloodVaccines/ResourcesforYou/Consumers/default.htm

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Full-Body Scans: Too Much of a Good Thing?

There's no question that advanced imaging techniques help us detect cancer and other serious diseases, allowing early-and potentially life-saving-intervention. However, is it possible to have too much of a good thing? When it comes to full-body scans, the answer may be yes.

Full-body scans (computed tomography, also called CT or CAT scans), create 3D x-ray images from the shoulder to the pelvis. CT scans take a detailed image of bone, soft tissue, and blood vessels, all at the same time. You can obtain full-body scans without a physician's referral.

Proponents of full-body scans say they provide peace of mind and are useful for detecting illnesses before they become symptomatic, particularly heart disease and some cancers.

However, full-body scans are controversial among radiologists and the broader medical community. The Food and Drug Administration (FDA) and the American College of Radiology (ACR) don't endorse them, referring to them as off-label (non-approved) use of CT scans. They are not a recognized standard of care nor do they meet generally accepted criteria for an effective screen procedure. The FDA and ARC say there is no scientific evidence that these scans provide more benefits than harms.

Full-body scans expose you to high levels of exposure. For example, the radiation in one full-body scan is approximately 150 times more than a chest x-ray and nearly 100 times more than a typical mammogram. In one analysis, researchers estimated the lifetime cancer risk mortality from a single full-body CT scan in a 45-year old adult at one in 1,250. As a point of reference, they said, in 1999, the odds of dying in an auto crash were roughly one in 5,900.

Results of full-body scans can cause needless worry or create a false sense of security if the scan fails to detect an existing problem. Imaging tests often uncover something that is not, or would not become, medically significant had it continued undetected. These false positives often lead to further testing or other potentially risky interventions.

In an article about unnecessary medical testing, author Martin Donohoe, MD, writes, "use of clinically unjustified tests also erodes the scientific underpinnings of medical practice and sends a mixed message to trainees and patients about when and why to use diagnostic studies. Such use also runs counter to physicians ethical obligations to contribute to the responsible stewardship of healthcare resources."

If you are considering a full-body scan, be sure you fully understand all the risks and benefits so you can make an informed decision.

Sources:
Pennachio, Dorothy L. "Full-body scans--or scams?" Medical Economics. Web. 9 August 2002.
http://medicaleconomics.modernmedicine.com/memag/Psychiatry+%26+Behavioral+Health/Full-body-scans--or-scams/ArticleStandard/Article/detail/116402

Querna, Elizabeth. "Full-body scan." US News and World Report. Web. 7 September 2004.
http://health.usnews.com/usnews/health/briefs/cancer/hb040907.htm

Food and Drug Administration. "Full-Body CT Scans - What You Need to Know." Web. 6 April 2010.
http://www.fda.gov/Radiation-EmittingProducts/RadiationEmittingProductsandProcedures/MedicalImaging/MedicalX-Rays/ucm115340.htm

Brenner, David J., PhD, DSc, and Elliston, Carl D., MA. "Estimated Radiation Risks Potentially Associated with Full-Body CT Screening." Radiology 232 (2004): 735-738. Web. 23 July 2004.
http://radiology.rsna.org/content/232/3/735.full

Martin Donohoe, MD, FACP. "Unnecessary Testing in Obstetrics, Gynecology, and General Medicine: Causes and Consequences of the Unwarranted Use of Costly and Unscientific (Yet Profitable) Screening Modalities ." Medscape Medical News. Web. 30 April 2007.
http://www.medscape.com/viewarticle/552964

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Is It Time to Take Biologics?

Here's some biologics you may see advertised or hear about from your doctor:

Sources:

National Psoriasis Foundation

Moderate to severe psoriasis - biologics

http://www.psoriasis.org/netcommunity/learn/treating-psoriasis/biologics

Food and Drug Administration

Biologics

For Healthcare Providers: http://www.fda.gov/BiologicsBloodVaccines/ResourcesforYou/HealthcareProviders/default.htm

For Consumers: http://www.fda.gov/BiologicsBloodVaccines/ResourcesforYou/Consumers/default.htm

View the original article here

The Dirty Truth Behind Body Mass Index

In 2004, the Centers of Disease Control and Prevention (CDC) labeled obesity as the number one health risk facing Americans. According to a study published in the Journal of the American Medical Association, obesity affects 32 percent of adult men and 35.5 percent of adult women. While these statistics are alarming, it's important to understand the truth behind the numbers.

The CDC defines obesity as an adult with a body mass index (BMI) over 30. Those with a BMI between 25 and 29.9 are considered overweight. But what is BMI exactly? It can be calculated using the following formula:

BMI = 705 x Body Weight (in pounds) ÷ [height (in inches) x height (in inches)]

For example:

A person who is 5 feet 6 inches (66 inches) tall and weighs 155 pounds has a BMI of 25:

BMI = 705 x 155 ÷ (66 x 66) = 25

While a person who is 5'6" and weighs 155 pounds may not sound (or look) like your typical overweight individual, according to their BMI and the definitions set forth by the CDC, they are.

It is essential to remember that while BMI correlates with the amount of body fat, BMI does not directly measure body fat-it does account for lean muscle mass as well. Athletes, for instance, may have a high body mass index despite not having excess body fat.

BMI should be considered an indicator of health risk, rather than a hard-and-fast rule. According to the National Heart, Lung, and Blood Institute, those with a high body mass index should also assess their health by the following guidelines:

Waist circumference. The more weight you carry around your mid-section, the higher at risk you are for type 2 diabetes and cardiovascular conditions. Women with a waist size of 35 inches or higher and men 40 inches or higher are considered to be at high risk.Other risk factors. Inactivity, poor diet, smoking, and high blood pressure will put you at an increased risk of health complications.

Body mass index is not the be-and-end-all when it comes to determining obesity or assessing your health. However, if your high BMI is coupled with a large waist circumference and secondary risk factors, consult your health professional to work out a weight loss plan that is right for you.

Sources:

National Heart, Lung, and Blood Institute
Assessing Your Weight and Health Risk
http://www.nhlbi.nih.gov/health/public/heart/obesity/lose_wt/risk.htm

Overweight and Obesity
Centers for Disease Control and Prevention
http://www.cdc.gov/obesity/defining.html

Prevalence and Trends in Obesity Among US Adults, 1999-2008
Katherine M. Flegal, PhD; Margaret D. Carroll, MSPH; Cynthia L. Ogden, PhD; Lester R. Curtin, PhD
http://jama.ama-assn.org/content/303/3/235.full

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Share Your Story. Become a Health Hero.

Would you like to inspire thousands by sharing your story? There are no better, more inspiring stories than those that are personal. At QualityHealth, we understand that you, our readers, have your own tales that are both unique and powerful, but most importantly, can serve as an inspiration to others. That's why we want to hear your voice.

We are looking to profile Health Heros on our website and in our newsletters. To be considered as a Health Hero, please provide the following information:

A photo—preferably of only yourselfA phone number and/or email address so we can contact youYour story—in 500 words or lessTell us your story by answering the following questions (feel free to elaborate or omit information where necessary):

o A brief introduction: Your name, age, location, job description, family life etc. What was life like before you were diagnosed?

o Diagnosis/Realization: How did you find out or realize you suffered from your condition? What was your reaction? What was the reaction of your loved ones?

o Treatment: How did you/are you treating the condition? What was/is treatment like? What were/are your emotions during treatment? Was/is the treatment successful?How has the treatment or condition impacted your life?

o Aftermath: How has this affected you and/or your loved ones? What have you learned about yourself through this? How has your story shaped the person you are today? What advice would you give someone who is going through the same situation you did?

Please email your contribution to HealthHeroes@qualityhealth.com and include the condition in the subject line. Submissions over 500 words will not be accepted. All accepted submissions are subject to editing and quality control. If we choose to use your story, you will be contacted by one of the editors.

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Foot and Ankle Arthritis: Common Causes, Symptoms, Treatments

Arthritis of the foot and ankle can be particularly frustrating because it may hinder your ability to get around. Unfortunately, because the foot has 28 bones and more than 30 joints, there are plenty of places where this condition can flare up. Here's what you need to know:

Foot and ankle arthritis can have different causes. Your arthritis may be osteoarthritis, which is the most common form of arthritis. Usually occurring as we age, it happens because of wear and tear that erodes the cartilage protecting our joints. But you may also have post-traumatic arthritis, which occurs after an injury to the bone, joint, or ligament. The arthritis can arise years after the injury, even if it was properly treated. Finally, you may have developed rheumatoid arthritis, a system-wide autoimmune disorder in which the body destroys its own cartilage and can cause multiple complications elsewhere.How do I know if the pain and stiffness in my feet and ankles is arthritis? It's not always easy to tell. If you've experienced arthritis that migrates from one joint to another, or if you have other unexplained health issues such as eye infections or skin irritations, there's a chance your foot and ankle problems are rheumatoid in nature. If you've been active for many years without any other apparent health issues and find that your feet and ankles are becoming painful, stiff and sore, especially in the morning, consider that you may have developed osteoarthritis. If the pain and discomfort occur in a part of the foot or ankle that once sustained an injury, there's a very real possibility that you've developed post-traumatic arthritis. In any case, there's no definitive test that will let your doctor diagnose you with arthritis. Diagnosis is made based on a combination of factors such as physical symptoms, medical history, blood tests, x-rays, bone scans, and MRIs.How do I get rid of foot and ankle arthritis? Getting rid of it completely may not be possible. Rheumatoid arthritis is a chronic condition that typically flares up periodically. You may feel fine for several months and then experience a flare-up that makes it difficult to walk for weeks. This cycle often repeats itself, with flare-ups occurring during times of stress or for no apparent reason. Osteoarthritis or post-traumatic arthritis may be "cured" via joint-replacement surgery, if the condition is severe enough. For many people, however, a combination of anti-inflammatory medication, pain relievers, physical therapy, foot or ankle braces, and weight control can go a long way toward providing relief.

Sources:

American Academy of Orthopaedic Surgeons, www.aaos.org

Cleveland Clinic, http://my.clevelandclinic.org.

View the original article here

Monday, 30 May 2011

Be the Best Partner You Can Be

Getting the most out of a loving relationship takes time and effort, but the personal satisfaction that results from it is well worth it. Being your best self means taking charge of your physical as well as your mental wellbeing so you can share a long, healthy life with those you love.

Understanding your emotions and communicating them will win you points at home and keep you closely connected to your significant other.

Be Head Strong

Though often overlooked, mental health is an important aspect of wellbeing. Having real intimacy-a deep connection with a loved one-will enable you to be the best partner you can be. According to Albert Maslow, PhD, a clinical psychologist and author of Men, Women and the Power of Empathy, showing empathy is the key.

"Empathy is the ability to put yourself in your partner's shoes and tune into her thoughts and feelings," says Maslow. "When you empathize, you gain a sense of what it's like to be your loved one and that communicates to her that she is important to you, and that her feelings matter."

Unfortunately, both men and women underestimate male vulnerability. Men have been programmed since boyhood to 'act tough' or 'be a man,' Maslow explains. "In other words, to hide their emotions. As a result, men don't acknowledge when they're hurt and if this spills over into a relationship, it can be very damaging."

Men who aren't cognizant of feeling hurt or rejected act out by becoming angry and defensive or withdrawn and distant. Maslow advises men to recognize their vulnerable feelings by considering what is truly bothering them and then sharing that information with their partner. "It's human to have feelings of self-doubt and rejection," Maslow says. "Admitting you've been hurt ultimately strengthens the relationship because it shows your partner you are involved in the relationship and care deeply about it."

Plus, when feelings are considered, many problems resolve themselves automatically. Maslow, who counsels couples in his Charlottesville, VA-based practice, advises men to resist the urge to find fault. "It's not about who is right or who is wrong," Marlow says. "It's about trying to understand each other's feelings." Listening should be the first order of business. "Listening closely doesn't mean you agree with your partner's conclusions, but it tells her that her feelings are valid, which brings intimacy into the relationship."

Source:

Interview with Albert Maslow, PhD
Clinical Psychologist in Private Practice (Charlottesville, VA)

View the original article here

Bipolar Disorder vs. Borderline Personality Disorder

Diagnosing mental health disorders is not quite as clear-cut as diagnosing a physical problem, such as diabetes or cancer. Many symptoms of mental illnesses overlap and can fluctuate from day to day, or week to week. Unfortunately, this means physicians frequently diagnose patients incorrectly, prolonging the start of appropriate and effective treatment. This problem often occurs with two common mental health conditions: bipolar disorder and borderline personality disorder.

People with bipolar disorder have fluctuations in mood, energy, and activity that vary along a continuum anchored at each end by depression and mania (hyperactivity, euphoria). The periodic episodes of mania distinguish bipolar disorder from general depression. Bipolar disorder is the sixth leading cause of disability between ages 15 and 44. It often coexists with other mental health disorders, such as substance abuse, panic disorder, and Obsessive Compulsive Disorder (OCD). In between mood episodes, those who suffer from bipolar disorder are capable of functioning at a relatively normal level.

Borderline personality disorder (BPD) is primarily an inability to regulate emotions. Sufferers experience pervasive mood instability, excessive or impulsive behavior, and unstable relationships. Borderline personality disorder accounts for 20 percent of psychiatric hospitalizations, and individuals with BPD are at higher risk for suicide. Many BPD sufferers have a history of abuse, neglect, and separation.

Eighty-five percent of those with BPD also meet the criteria for other mental health disorders, including bipolar disorder. However, there are a few important differences.

People with BPD do not experience periods of mania, which are the hallmark of bipolar disorder. Bipolar mood swings alternate between depression and mania with periods of relative stability in between. Mood episodes can last for days or weeks. In contrast, people with BPD exhibit short, intense bouts of anger and anxiety.Individuals with BPD suffer from pervasive feelings of chronic emptiness, abandonment, and fear. They tend to feel they are bad or unworthy, and often complain they are unfairly misunderstood or treated.

The first line of treatment for people with bipolar disorder is medication, which physicians may augment with psychotherapy. In contrast, psychotherapy is the primary treatment for borderline personality disorder. Dialectical Behavior Therapy, a type of psychotherapy that's specific to borderline personality disorder, is generally effective.

It's important to recognize these differences. In a 2008 study, one in four mental health patients were not initially diagnosed correctly. These misdiagnoses lead to higher rates of psychiatric hospitalization and medical costs.

Sources:

National Institute of Mental Health. "What is bipolar disorder?" Web. 15 April 2009.

http://www.nimh.nih.gov/health/publications/bipolar-disorder/what-is-bipolar-disorder.shtml

Association to Assist Persons with Emotional Lesions. "BPD and bipolar disorder, similarities and differences." Web. August 2007. http://www.aapel.org/bdp/BLbpd-bipolarUS.html

National Institute of Mental Health. "Borderline Personality Disorder." Web. 24 August 2010.

http://www.nimh.nih.gov/health/publications/borderline-personality-disorder-fact-sheet/index.shtml

National Institute of Mental Health. "Group Therapy Program Offers Meaningful Gains for People with Borderline Personality Disorder." Science Update. Web. 26 February 2008.
A http://www.nimh.nih.gov/science-news/2008/group-therapy-program-offers-meaningful-gains-for-people-with-borderline-personality-disorder.shtml

National Institute of Mental Health. " National Survey Tracks Prevalence of Personality Disorders in U.S. Population. Science Update. Web. 15 July 2009. http://www.nimh.nih.gov/science-news/2007/national-survey-tracks-prevalence-of-personality-disorders-in-us-population.shtml

Insel, Thomas. "What's in a Name? - The Outlook for Borderline Personality Disorder." Blog posting. Web. 19 April 2010.

http://www.nimh.nih.gov/about/director/2010/whats-in-a-name-the-outlook-for-borderline-personality-disorder.shtml

Bowden, Charles L., M.D. "Strategies to reduce misdiagnosis of Bipolar Depression." Psychiatric Services 52 (2001): 51-55. Web. http://psychservices.psychiatryonline.org/cgi/content/full/52/1/51

"Managing Bipolardisorder: Misdiagnosis and Quality of Life." The American Journal of Managed Care 11 (2005): S267. Web. 9 October 2005.

http://www.ajmc.com/supplement/managed-care/2005/2005-10-vol11-n9Suppl/Oct05-2150pS267

"Bipolar Disorder Misdiagnosed In A Quarter Of Cases." Annual Meeting of the Royal College of Psychiatrists, 2 -5 June 2009. Medical News Today. 7 June 2009. http://www.medicalnewstoday.com/articles/152814.php

Busko, Marlene."Adults Admitted to a Mood-Disorder Clinic are Often Misdiagnosed." Medscape Medical News. 16 October 2008. http://www.medscape.com/viewarticle/582125

View the original article here

Health Concerns: How to Keep Family Updated

When Jennifer Wilson Cooper learned she had ovarian cancer, she launched a blog as a way to share her story with others and to make it easy for friends and family to keep up with her progress. Little did she know she'd quickly-and dramatically-expand her circle of friends (you can follow Cooper's journey on her blog, Four Seeds, which is featured in Quality Health's free cancer newsletter and on the QualityHealth.com site).

People with cancer and other serious diseases used to rely on time-intensive methods, such as personal letters and phone calls, to keep loved ones updated. This is draining, both physically and emotionally, especially when they need to focus all their energy on getting well.

Now, thanks to the Internet, cancer patients have many options for sharing health status updates with others. Like Cooper, you can create your own blog. Or, you can take advantage of the many free (or almost free) online services that facilitate this communication process. Using an online tool makes it a snap to update people who want to know how you or your family member is doing. This method is fast, easy, and efficient; and you can share the same information with a large group at the same time.

These online forums also provide a way for others to support, reassure, and cheer you in a non-intrusive way. When you're not feeling well, you might not be up to a live visitor, but an electronic note of love or encouragement can help you stay connected and feel less isolated.

Most online forums make it simple to create a website or a blog, set up a guestbook for visitors to sign, and post photos. You determine the level of privacy that is most comfortable for you. Many forums even have tools for mobile devices so you can stay connected even when you (or they) are not near a computer.

There are several popular online tools for disseminating updates.

The founders of Caringbridge.org and Carepages.org designed these sites specifically to connect people who have an illness with friends and family.

In addition to connecting and providing emotional support to people who are ill, the Human Tribe Project also has a fundraising component. Unlike typical disease fundraisers, which funnel donations to research organizations, the Human Tribe Project directs the funds to help individuals cover the costs of medical treatment.

Myfamily.com and Facebook are general tools for connecting people, but you can also use them to keep others updated on your health status. You can set your privacy settings on both sites to limit who has access to your personal information.

Sources:
Caringbridge.org. Web. http://www.caringbridge.org/

Carepages.com. Web. http://www.carepages.com/

HumanTribeProject.com. Web. http://humantribeproject.com/

Myfamily.com. Web. https://www.myfamily.com/

View the original article here

What's Behind Munchausen Syndrome by Proxy?

Making one's own child ill in order to receive sympathy and attention from health-care professionals is a rare psychiatric disorder known as Munchausen Syndrome by Proxy that impacts an estimated two in 100,000 children.

Considered one of the most harmful forms of child abuse, Munchausen Syndrome by Proxy (MSP) was named for Baron von Munchausen, an 18th-century German dignitary with a reputation for fabricating the truth. ("By proxy" means through a substitute.)

In MSP, the adult (usually a female) exaggerates a child's "symptoms" and/or deliberately makes the person under her care, usually a preschool-aged child, suffer.

Conditions faked by parents or caregivers include: failure to thrive, allergies, asthma, vomiting, diarrhea, seizures, and infections. Sadly, the afflicted adult may induce symptoms by starving a child or using household substances (such as Ipecac syrup to induce vomiting) or cleaning solvents to cause skin rashes, burns, and breathing difficulties. There have also been cases of blood or urine sample contamination.

The MSP-stricken adult longs to develop a relationship with the health-care provider and has such a strong need for the child to be seen as sick that defenseless, children have also undergone painful or risky procedures in a desperate attempt for the troubled adult to garner the special attention she craves.

The problem is difficult to diagnose because the mentally-disturbed adult is often so well versed in medical details and symptoms that she impresses medical professionals as a devoted mother or caregiver.

Though the exact cause of MSP is not known, both biological and psychological factors seem to play role in the development of this disorder. The adult may have experienced the early loss of a parent or may have been abused or neglected during her childhood. Evidence also suggests that marital problems or other major stressors could trigger an episode of MSP.

Noticing suspicious behavior can help save a child's life. A child with multiple hospitalizations (often with strange symptoms) or symptoms that become worse but are reported only by the mother and never witnessed by medical staff may be signs the child is in danger. Other signs are more than one unusual illness or the death of another child in the family.

Reporting your concerns to a health-care professional can safeguard a child. Managing MSP requires intervention from social workers, health-care providers, and police. Since it is considered a form of child abuse, law enforcement personnel are usually involved and social services may find it necessary to remove the child from the family.

Treating people with MSP is complex. They are often in deep denial about having a problem and are unable to separate fact from fiction. Psychotherapy and medication can be helpful. Children often need medical care to treat injuries inflicted by the parent, as well as psychiatric care to deal with depression, anxiety, and other conditions provoked by child abuse. Some children may died from infections or other injuries inflicted by parents with MSP.

Finally, if you have an urge to harm your child seek psychiatric help immediately.

Sources:
American Academy of Pediatrics
www.Kidshealth.org

The Cleveland Clinic
www.Clevelandclinic.org

American Academy of Family Physicians
www.aafp.org

National Institutes of Health
www.nih.gov

View the original article here

Could Light Therapy Cure Seasonal Affective Disorder?

If you suffer from Seasonal Affective Disorder (SAD), you'll be glad to know there's an easy, effective way to relieve symptoms: light therapy.

SAD generally strikes in the fall when the days start getting shorter and it's more prevalent in northern regions of the country. Changes in sunlight trigger SAD, a type of depressive disorder, which generally disappears in the spring when the days begin to lengthen. About three fourths of SAD suffers are women, and people with SAD may suffer from other mood disorders as well.

Light therapy is effective for treating SAD and general depression. The exposure to artificial light affects brain chemicals linked to mood and helps regulate our internal clock.

During light therapy, you must indirectly expose your eyes to artificial lights. Standard light boxes emit 2,500 to 10,000 lux of light. Lux measures the amount of light you receive at a specific distance from the light source. Experts recommend placing the light box about two feet from where you are sitting or working. Start with 15 minutes and work up to at least 30 minutes once daily. At 5,000 lux, the recommended dose is one hour; at 10,000 lux, half an hour should work.

The key to using light therapy is consistency. It's important to use the light at the same the same time each day, generally right after you wake in the morning. Using light therapy later in the day can disrupt your sleep.

You can purchase a light box over the counter or by prescription. Select a light box specifically designated to treat affective disorders (some light boxes treat skin conditions, such as psoriasis). While white light is the standard, it appears that blue lights are also effective, although they may harm your eyes. LED (light-emitting diodes) lights work as well as fluorescent or incandescent lights. You may see a difference in just a few days, or it may take a few weeks before you notice improvement.

Fortunately, there are few side effects with light therapy. If you experience headache, nausea, eyestrain, irritability, dry mouth, and trouble sleeping, it generally does not last very long.

Check with your physician before beginning light therapy to rule out any co-existing conditions that may interfere, or to prevent complications caused by medications, eye conditions, or if you have a history of skin cancer.

Sources

Light Therapy Products. "Seasonal Affective Disorder." Web. 28 June 2008.

http://www.lighttherapyproducts.com/sadinformation.aspx

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Take the Sting Out of Asthma and Insect Allergies

Warm weather means heading to the beach, basking in the sun, or enjoying a hike or bike ride-but along with the outdoor fun come those pesky bugs. And for some asthmatics who have allergies to insect bites, being stung by a bug can have deadly consequences.

About three percent of the U.S. population has an allergy to stinging insects, and those with asthma can be especially vulnerable to a serious reaction. The types of stinging insects to watch for include honeybees, bumble bees, sweet bees, yellow jackets, hornets, and wasps.

The problem occurs when these insects sting you and release their venom into your skin, it triggers an immune system response. For some people, the response will be localized to the area where the sting occurred, while for others, the reaction can affect the whole body.

Some sting allergy symptoms include swelling, itching, and redness at the site of the spot. These are typical and will usually go away pretty quickly.

But if you have a systemic reaction, you may experience more serious symptoms, including dizziness, shortness of breath, a sharp drop in blood pressure, loss of consciousness, or even death.

You don't have to spend the summer indoors or be prepared to run at the sight of every bee or wasp that comes your way. The best way to protect yourself is to take some of the following precautions:

Avoid eating outdoors, since food and drinks can attract insects.Cover up your arms and legs as much as possible.Wear shoes outside, even at the beach, so you'll have some protection if you step on an insect.Keep your garbage cans tightly sealed.Forego the perfume, hair spray, and other scented products.Steer clear of brightly colored clothing or those with vibrant patterns that may attract bugs.Remain calm if a stinging insect comes near you. Don't swat at it or wave your arms, since this can encourage it to sting you. Always carry an injectable epinephrine with you.Have your inhaler within reach in case you need it.

It's also important to talk to your doctor about what to do in the event you do get stung. Remember that everyone's reaction will be different, but it can help to be prepared. Your doctor may recommend that you:

Remove the stinger right away. Do not squeeze or put any pressure on the area, which could release more venom into your body and increase your risk.Use your inhaler to try to head off any breathing problems.Take an antihistamine to relieve local symptoms. Seek emergency medical care immediately for a systemic reaction.

You should also talk to your allergist about getting desensitized to stinging insects by using venom injections. Many people with asthma have had success overcoming a stinging insect allergy using this type of long-term immunization therapy. This can be an effective way to head off future reactions.

Sources:

"Bugging Out: An Examination of Insect-Sting Anaphylaxis." The Asthma Center Educational and Research Fund. The asthmacenter.org, n.d. Web. 13 April 2011.

"Insect Sting Allergy." American College of Allergy, Asthma and Immunology. ACAAI, n.d. Web. 13 April 2011.

"Venom Allergy." Allergy & Asthma Advocate/American Academy of Allergy, Asthma and Immunology. AAAAI, Summer 2007. Web. 13 April 2011

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Sunday, 29 May 2011

How an Allergist Can Help You

You take your car to a qualified mechanic when you need maintenance or repairs, don't you? But do you also seek out the same excellent level of care when it comes to your health? If you're coping with allergy symptoms, it's important to rely on the expertise of an allergist who's specifically trained in diagnosing and treating conditions that affect the immune system.

It's easy to pinpoint when you're suffering from allergies, as symptoms such as runny nose, sneezing, congestion, itchy eyes, nose, throat, and wheezing make you miserable. But determining the exact cause of the problem can be much more challenging.

While your primary care doctor can prescribe allergy medications to address basic allergy symptoms, visiting an allergy specialist can help you get to the root of the problem and determine what to do about it. This is because an allergist will have the tools to perform a variety of tests to narrow in on the exact causes of your misery and to use this information to develop an effective treatment plan.

What to Expect from an Allergist

When you go for a visit, the doctor will take your personal medical history, perform a physical exam and allergy tests to help identify your triggers and determine a comprehensive treatment strategy.

For allergies that don't respond well to allergy control medications, your allergist may suggest that you undergo immunization therapy to help desensitize you to your triggers. Many people choose to undergo these injections right in the allergist's office, since the staff has the skill and expertise to respond in case you have any side effects.

How to Find an Allergy Specialist

Your primary care physician can provide you with a referral to a qualified allergist or allergy specialist in your area. You can also visit the website of the American Academy of Allergy, Asthma and Immunology (AAAAI) for a searchable directory of board-certified allergists. Just check with your insurance company first to be sure to choose a specialist who participates in your health plan.

Signs You Need an Allergist

If you're not sure you need to see an allergist, the AAAAI suggests some criteria that can help determine your level of need:

Do you have severe allergy symptoms that reoccur often? Do they lower your quality of life or keep you from your regular activities? Do these symptoms co-exist with other ongoing health issues, such as asthma, sinusitis, or polyps?Have you found allergy medications to be ineffective, or have you had negative effects from them?

If the answer is yes to any of these questions, see an allergist so you can get your symptoms under control.

Sources:

"Tips to Remember: Feel Better. Live Better. See an Allergist/Immunologist." American Academy of Allergy, Asthma & Immunology (AAAAI). AAAAI.org, n.d. Web. 21 March 2011.

"How the Allergist/Immunologist Can Help: Consultation and Referral Guidelines Citing the Evidence." American Academy of Allergy, Asthma & Immunology (AAAAI). AAAAI.org, n.d. Web. 21 March 2011.

"Tips to Remember: Allergy Shots." American Academy of Allergy, Asthma & Immunology (AAAAI). AAAAI.org, n.d. Web. 21 March 2011.

View the original article here

Overcoming Family Issues for Bipolar Parents

Parenting certainly has challenges. So when a parent has a mental illness such as bipolar disorder, it adds another whole dimension to the family dynamics

Bipolar Disorder can cause stress, guilt, anger, helplessness, and a range of other emotions, on top of the disease's signature manic and depressive mood swings. Children of parents with bipolar disorder are at higher risk for developing mood disorders. Part of the risk is genetic. Stressful life events, which may be related to a parent's mental illness, can further increase the child's risk.

Learning to manage bipolar disorder in the family is critical.

As a parent, you need to know that bipolar disorder can be treated and managed. However, you must seek treatment and keep up with your medication and therapy to prevent bipolar episodes. Experts recommend you learn to recognize the warning signs that an episode is imminent so you and your family can prepare. They also suggest developing a daily routine. Creating structure and predictability in your life can minimize the likelihood of triggering mania or depression. Take care of yourself by eating properly and exercising regularly. Maintain a strict sleep schedule and minimize stress as much as possible.

Explain your condition in age-appropriate language and tell your child what you are doing to treat your mental illness. The Centre for Addiction and Mental Health (CAMC) in Canada suggests that parents and children make an action plan before the child sees mood changes. This helps children make decisions about what to do when they are scared.

Madeleine Kelly, who suffers from bipolar disorder, is the author of Bipolar and the Art of Roller-coaster Riding. Her number one tip for managing bipolar disorder in the family is for parents to keep the lines of communication open. This means acknowledging your child's feelings and fears, allowing him to express them, and inviting questions. In fact, the CAMC says that one of the most important things kids can do to stay mentally healthy and happy is to be open about how they feel so they can get help solving problems or dealing with stress when they need it.

Kelly recommends finding a trusted adult as a backup to care for your child when you're unable and to help create a consistent emotional environment.

Angela Grett, another author, wrote a book from the perspective of a child growing up with a Bipolar parent, My Mother's Bipolar, So What am I? Through her website, ChildrenofBipolar.com, Grett is organizing support groups for adult children of bipolar parents. Her book or a support group may help you make sense of, and peace with, your experiences if you were raised by a bipolar parent.

Sources

Brauser, Deborah. "Children of Parents With Bipolar Disorder at High Risk for Earlier Onset, More Comorbidity." American Academy of Child & Adolescent Psychiatry 56th Annual Meeting: Abstracts 18.2 and 18.1, October 31, 2009. Medscape Medical News. Web. 11 November 2009.processing....

http://www.medscape.com/viewarticle/712184

Two Trees Media. "Parenting with Bipolar Disorder." Web.

http://twotreesmedia.com/parents_with_bipolar.htm

Centre for Addiction and Mental Health. "When a parent has bipolar disorder... What kids want to know." Web. 13 March 2008.

http://www.camh.net/About_Addiction_Mental_Health/Mental_Health_Information/when_parent_bipolar.html

Smith, Melinda M.A., Segal, Jeanne Ph.D., and Segal, Robert M.A. "Bipolar Support and Self-Help:

Living and Coping with Bipolar Disorder." HelpGuide.org. Web. February 2009.

http://www.helpguide.org/mental/bipolar_disorder_self_help.htm

ChildrenofBipolar.com. Web. http://childrenofbipolar.com/index.php

View the original article here

Disease Management Programs: Pros and Cons

On the con side, expensive, time consuming disease management programs (DMPs) don't necessarily benefit patients in the long term, according to a German study. Roland Linder, a professor at Deutsches Aerzteblatt International, and his group set out to determine if diabetes-related conditions and emergency inpatient hospital admissions occurred less frequently in patients in a DMP.

The researchers, who presented their findings in a recent issue of Deutsches Arzteblatt International, found that participating in the DMP didn't confer any clear medical benefits. In fact, researchers found, patients in DMPs tended to get even more prescriptions filled and make more use of more healthcare services than those not in the DMP. All in all, the authors said they felt the T2DM (Type 2 diabetes mellitus) DMP in Germany should be discontinued.

Medical experts in the U.S. don't necessarily feel the same way.

A comprehensive disease management program in which an individual sees many members of a team can pay off in the long run, says Jonathan Waitman, MD, of NewYork-Presbyterian/Weill Cornell Medical Center in New York City.

"Complications can happen down the road and intervention may not pay dividends for years and years," Waitman says. "While a DMP may not yield benefits in a short period of time, it may prevent morbidity down the line."

He feels that DMP programs can be beneficial. "A multi-disciplinary team to manage the disease can significantly improve compliance with the program and can confer long term benefits," Waitman says.

Helping diabetics keep on top of potential health problems by having them see specialists as varied as ophthalmologists and nephrologists is only one benefit of a disease management program, according to Waitman. It also helps keep them on track and organized about the many facets of their medical care, which can be daunting with a disease like diabetes.

Patient education, a crucial tool in managing diabetes, can be ongoing and time consuming, and not all physicians are able to take enough time with each patient to impart all the necessary information. That's where a certified diabetes educator or registered dietitian comes in as part of a DMP.

"Our educators can spend more time with a patient," explains Gerald Bernstein, MD, of the Friedman Diabetes Institute in New York City.

Other crucial members in a team that cares for a person with diabetes are an exercise physiologist and possibly a psychologist who can help a person work through his emotions as he confronts a lifelong illness.

"Overall, a disease management program can give a person the best possible opportunity for preventing the complications that can occur with diabetes," Bernstein says.

Source:
"Question hangs over disease management programs." 24 March 2011. Medical News Today.
http://www.medicalnewstoday.com/articles/220090.php

View the original article here

Eyebrow Plucking, Waxing, and Threading

The toil of achieving the perfect set of eyebrows is enough to make anyone weary. Yet millions of women (and men, too!) show up at the salon every few weeks to be threaded or waxed—while others stay home to take on the challenge with tweezers. Many would agree that no method of eyebrow shaping is perfect, but what are the pros and cons of each?

Plucking

This method of eyebrow shaping is the most economical way of grooming your eyebrows. You can buy tweezers at any drug or beauty store, which are ideal for removing coarse hair or small groups of hair. However, tweezing can be time- consuming and oftentimes takes precision and skill to get the shape you want.

Additionally, your skin's reaction to this very act can be unpredictable, potentially resulting in hyperpigmentation, folliculitis, scarring, ingrown hairs, and distorted follicles.

Waxing

Like plucking, waxing removes the hair from the hair shaft proving-and it could 2-3 weeks before hair begins to grown back. Although this method is the most expensive, it's considered to be the most effective as well because unlike plucking, waxing removes larger quantities of hair from the hair shaft. Instead of opting for a DIY home waxing kit, though, allow an experienced operator from a sanitary beauty salon to work her magic on you. She will provide quicker and more precise results.

Also, keep in mind the waxing-zones that are off-limits. They include areas where there are moles and warts as well as skin that's irritated, sunburned, or broken. The same potential effects of eyebrow plucking (hyperpigmentation, folliculitis, scarring, ingrown hairs, and distorted follicles) can exist for waxing. However, experts say this mode of hair removal may reduce regrowth because repeated waxing helps to destroy hair follicles.

Finally, if you're using a retinoid skin treatment that is systemic or topical, refrain from waxing for at least months after you've stopped treatment. This way, you'll avoid any possible skin tearing or scarring.

Threading

This ancient technique involves the use of a lengthy, twisted loop of thread that is rapidly rotated across the desired hair. Then, the tight coil pulls or breaks off the trapped hair. Some consider this method to be very painful while others are barely bothered. And interestingly, side effects are similar to plucking and waxing.

Conclusion

While no method is without fault, each has merit, too. A talk with your dermatologist can help you further determine which will yield the best results and be gentlest on your skin.

Sources:

Nonlaser Hair Removal Techniques
http://emedicine.medscape.com/article/1067139-overview

View the original article here

Warm Up to Running with Asthma

You may love to run outdoors, but no matter how far or fast you go you can't outrun your asthma. But despite its presence, it doesn't have to slow you down or turn you into a coach potato. Instead, ask your doctor about how to effectively manage asthma before you slip on your running shoes and head for the track.

The Connection Between Running and Asthma

A study published in the Journal of Allergy & Clinical Immunology in 2007 discovered that people who used their inhaler before they began their workout experienced fewer asthma symptoms. The benefits remained for several hours, making this approach a viable option for many people with chronic asthma, as well as those who suffer from exercise-induced asthma, which is asthma that occurs specifically when a person engages in strenuous activity.

Running with Asthma

When running or jogging, breathing in through your mouth instead of your nose can pose a risk for experiencing asthma symptoms. This is because the nose warms and filters the air first before it's transported to the lungs.

In the winter, breathing in cold air directly is enough to irritate your sensitive airways and trigger a reaction, while in the summer, heat and humidity can pose a similar challenge. In addition, on days with high pollen and mold counts, you may be breathing in large amounts of these allergens, which can also worsen your asthma symptoms. As a result, even runners who don't have a formal asthma diagnosis may find themselves grappling with exercise-induced bronchospasms.

Exercise Induced Asthma Symptoms

The signs of exercise-induced asthma include:

Chest tightness and painCoughingShortness of breathWheezing

These symptoms may occur during exercise or may present themselves20 minutes or more after you've finished running.

Managing Exercise-Induced Asthma

Take some of the following preventative steps to manage your condition before you head out the door:

Check the pollen count and temperature to be sure conditions are conducive to a good, safe workout.Use your fast-acting inhaler about ten minutes before your workout. Be sure to warm up and cool down before you exert yourself.Drink plenty of water to stay well hydrated.Wear a scarf over your mouth and nose if you must run in cool air.When it's humid out, run in the early morning before things heat up or plan a walk instead.Listen to your body and notice any wheezing or difficulty breathing.Carry your fast-acting relief inhaler with you in case you experience a flare up during your run.Skip the workout when you're feeling ill.

Sources:

"American Academy of Allergy, Asthma & Immunology Work Group Report: Exercise-Induced Asthma." Journal of Clinical Allergies and Immunology, Volume 119, Issue 6 (April 2007): 1349-135813. Web. 6 April 2011.

"Exercise and Cold Weather: Tips to stay safe outdoors." Mayo Clinic. Mayo Foundation for Medical Education and Research (MFMER), Oct. 30, 2010. Web. 30 March 2011.

"Exercise Induced Asthma." Kids Health from Nemours. KidsHealth.org, Oct. 2010. March 2011.

"Exercise Induced Asthma: Not a Walk in the Park." Allergy and Asthma Network/Mothers of Asthmatics. AANMA.org, 4 Feb. 2009. Web. 6 April 2011.

View the original article here

Do This and Keep Your Brain Sharp

It's no secret that knowing a second language brings multiple benefits. You're able to get around more easily if you visit a country in which that language is spoken, you can communicate with friends and family who speak that language, and you might even have an advantage in the job market.

But did you know that speaking a second language actually boosts your cognitive abilities and staves off dementia?

Scientists at the Rotman Research Institute and York University in Toronto have concluded that speaking two languages regularly throughout the lifespan leads to gains in attention span and concentration while delaying the symptoms of dementia by an average of 4.3 years.

The reason? People who switch between two languages on a day-to-day basis are not only regularly translating words but also ideas and concepts, which stimulates certain areas of the brain and keeps them functioning well for longer periods of time. Much as an athlete who cross-trains stays agile physically, people who immerse themselves in two languages retain mental agility.

This latest research is in sharp contrast to the prevailing beliefs of yesteryear, when immigrant families in the United States encouraged children to speak only English. They believed that speaking two languages would be confusing and, in many cases, were simply desperate to shed all vestiges of their previous lives and become true Americans.

But by the 1960s, scientists realized that it was the bilingual children who actually scored higher on standardized tests. What can you do to ensure that you remain fluent in more than one language? Here are some options:

Intensive language programs. Children as young as preschool age can benefit from enrolling in schools that offer language immersion.

Setting language rules at home. You may want to speak only one particular language with certain family members so that everyone stays cognitively challenged.

Visits to other countries. There's nothing like spending time in a foreign land to encourage true fluency.

Can you learn a second language later in life? It's certainly possible, although acknowledged to be more difficult than picking it up as a child. But it may be worth doing-researchers say that becoming bilingual as an adult may offer some protection against cognitive decline, although not as much as if you learned two languages in childhood.

Source:
AARP
www.aarp.org

View the original article here

Saturday, 28 May 2011

Mood Disorders: Are They Caused by Vitamin Deficiencies?

Hippocrates is quoted as saying, "Leave your drugs in the chemist's pot if you can heal the patient with food."

This age old healer knew what many physicians know today: humans require sufficient doses of vitamins and minerals, mostly obtained from food, for optimal health and disease prevention. Unfortunately, most of us are significantly deficient in one or more important vitamins.

Vitamins play a critical role in mental health and insufficient intake of vitamins, or disruptions in our bodies' ability to use vitamins, have been linked to mood disorders. For example, in one study, researchers found an association between low vitamin D and higher incidences of premenstrual syndrome, seasonal affective disorder, major depression, and non-specified mood disorders.

This specific link between vitamins and mental health disorders is not new either. In a 2007 paper published by the American Psychological Association, the authors wrote that medical reports from the 1920s to the 1940s "almost lead us to believe that scientists had successfully defined vitamin and mineral deficiencies as the primary causes of mental illness." The authors went on to say that following the discovery that pharmacological interventions could reduce symptoms of mental illness, interest in nutritional treatment waned.

Mark Hyman, MD, a physician in functional medicine and author of The UltraMind Solution: Fix Your Broken Brain by Healing Your Body First actively promotes the importance of nutrition and vitamins for mental health. He says evidence clearly links low levels of vitamins B12, B6, D, and Folate (among others) to depression and mood disorders.

In fact, in The UltraMind Solution, Hyman writes, "I have tested for vitamin and nutrient deficiencies in thousands of patients and found that by correcting them people feel better, improve their mood, mental sharpness, memory and ability to focus as well as have more energy and even lose weight. Correcting deficiencies also helps prevent disease. I have seen depression, anxiety, bipolar disease, autism, ADHD, mood swings, Parkinson's, and dementia go away or dramatically improve."

Humans need a balanced blend of all of the major vitamins. Increasing our intake of one single vitamin in the hopes of curing a problem may upset the body's natural balance and possibly even create other deficiencies.

Individuals can try to modify their risk for mood disorders by eating a wide variety of whole foods and taking a complex multivitamin. A physician who practices functional medicine can test for vitamin deficiencies and recommend specific diet changes for you.

Sources:

Gonzalez, Christine PharmD, CHHC. "Vitamin D Supplementation: An Update." Medscape Medical News. Web. 11 November 2010. http://www.medscape.com/viewarticle/731722

Hyman, Mark, MD. "The UltraMind Solution: Fix Your Broken Brain by Healing Your Body First." Scribner. 2009.

Hyman, Mark, MD. "Why Antidepressants Don't Work for Treating Depression." HuffingtonPost.com. Web. 24 April 2010. http://www.huffingtonpost.com/dr-mark-hyman/depression-medication-why_b_550098.html

Kaplan, Bonnie J., Crawford, Susan G., Field, Catherine J., and Simpson J. Steven A. "Vitamins, Minerals, and Mood." Psychological Bulletin 133( 5) (2007): 747-760. Web.

Murphy, Pamela K. CNM, MS, IBCLC, and Wagner, Carol L. MD. "Vitamin D and Mood Disorders Among Women: An Integrative Review." Journal of Midwifery & Women's Health 53(5) (2008): 440-446. Medscape Medical News. Web. 1 October 2008. http://www.medscape.com/viewarticle/579946

View the original article here

Obsessed with Order or OCD?

Obsessive Compulsive Disorder (OCD) is a type of anxiety disorder that may first appear as strange or odd behaviors. In children, the onset typically occurs between the ages of 8 and 13 and is rarely diagnosed in preschoolers.

People with OCD are distressed by constant, unwanted thoughts or impulses (obsessions). To relieve the anxiety that results, a behavior (compulsion) gets repeated over and over again. A child who is obsessed about germs, for instance, might wash his hands multiple times as a temporary form of stress relief.

Alicia Nordstrom, Ph.D. cautions concerned parents about distinguishing normal oppositional behavior that is common in the 2 to 4-year-old age group from compulsive behavior. "A compulsion is a behavior intended to reduce anxiety caused by an obsession (an intrusive thought) and is different than a child who is being stubborn, asserting independence, or trying to annoy her parents which is often the case with toddlers."

According to the Diagnostic and Statistical Manual of Mental Disorders, a professional journal published by the American Psychiatric Association (2000), OCD is classified as an anxiety disorders because anxiety is the driving force of the obsessions. "The person feels anxious and performs a compulsion to relieve the anxiety, but just temporarily because the intrusive obsession will crop up again shortly causing the person to repeat the compulsion, and the cycle continues," Nordstrom explains.

OCD does have a genetic component and many of the common OCD targets are similar between family members.

If you suspect a problem, consult your pediatrician who may refer you to a mental health professional. Nordstrom says it takes a well-trained and skilled clinician to differentiate whether a repetitive behavior stems from OCD or ASD (Autism Spectrum Disorder), a group of conditions that includes autism and Asperger Syndrome.

According to Nordstrom, the defining feature for OCD diagnosis is what is driving the behavior. If it's anxiety--"I must wash my hands or I will get a terrible illness" or "I must flip the light switch five times or else something bad will happen"--then it represents OCD. "If the behavior stems from a need to block out an over stimulating world by narrowing focus on a very specific stimulus (circles on a rug), then it would represent ASD," explains the expert. "Although the behavior might appear similar, it is its function that defines it."

While there are no preventive measures to reduce the incidence of OCD in children, early detection and intervention can reduce the severity of symptoms and improve the quality of life for sufferers.

Cognitive-behavioral therapy (CBT) alone or in conjunction with medication can be effective treatments for OCD in children.

"Therapists will often use an analogy of OCD as a 'monster' on their back to help children realize that the condition is controlling them and it is not their fault," Nordstrom explains. The "cognitive" part of CBT teaches children ways to identify obsessive thoughts and talk themselves out of them-thus, "noticing the monster". In the "behavior" part of therapy, children learn how to calm their anxiety through relaxation techniques, as well as the crux of the treatment--"facing the monster".

Therapists help OCD children face their fears (the monster) by having them tolerate it in small doses which are gradually increased over time. This means that children are exposed to their obsessions then prevented from compensating with a compulsion. In place of the compulsion, the child must apply coping strategies.

Sources:
National Institutes of Mental Health
http://www.nimh.nih.gov/health/topics/obsessive-compulsive-disorder-ocd/index.shtml and http://www.nichd.nih.gov/health/topics/asd.cfm

The Pennsylvania State University; Milton S. Hershey Medical Center, College of Medicine
http://www.hmc.psu.edu/healthinfo/no/ocd.htm

Interview with Alicia Nordstrom, Ph. D. Misericordia University

Cincinnati Children's Hospital Medical Center
http://www.cincinnatichildrens.org/health/info/mental/diagnose/ocd.htm

View the original article here

Could You Have Generalized Anxiety Disorder?

Do you tend to worry too much about everyday things, even when there's no real reason for worry? Do you have trouble relaxing, concentrating, or sleeping? Are you plagued with unexplained aches and pains?

If you answered yes, you may be suffering from Generalized Anxiety Disorder, or GAD. GAD sufferers tend to worry endlessly and often have accompanying physical symptoms such as fatigue, headache, muscle tension, aches, irritability, and hot flashes. Generalized Anxiety Disorder often goes hand-in-hand with depression.

Generalized Anxiety Disorder typically starts in teens or young adults and develops slowly. Mental health experts are trying to decipher the mechanisms behind GAD. They believe some of it is genetic. Individuals with GAD also have brain abnormalities that may keep them from processing negative emotions. In imaging studies, people with high anxiety responded excessively to emotionally negative stimuli. The most anxious patients had the greatest impairment in their ability to adapt to emotional conflict.

Most of us are familiar with Type A (competitive, aggressive) and Type B (easy going, creative) personalities. There is also a Type D (depressive) personality. These people have a tendency to experience negative emotions such as anxiety, depression, and stress. Type Ds are also socially inhibited. This combination of characteristics makes Type D individuals vulnerable to chronic forms of psychological distress and anxiety, such as Generalized Anxiety Disorder.

Fortunately, Generalized Anxiety Disorder is treatable. Patients find relief with medication-antidepressants or anti-anxiety drugs-and psychotherapy. Cognitive Behavioral Therapy, a type of psychotherapy, is effective in treating people with GAD. Flexible treatment programs that allow patients to chose their preferred treatment-either medication, psychotherapy, or both-seem to work best.

Effectively treating Generalized Anxiety Disorder can significantly improve your quality of life. But there's another important reason not to let excessive anxiety continue. Patients with coronary heart disease (CHD) who also suffer from GAD are at significantly increased risk for adverse cardiovascular outcomes, such as stroke, heart attack, or death. Since more than a quarter of CHD patients also experience symptoms of anxiety, this combination can be quite serious.

Furthermore, Type D personalities with coronary heart disease are almost four times as likely to have poor long-term outcomes. The stress hormone cortisol, and an increase in inflammatory proteins found in people with Type D personalities, may play a role in heart disease.

If you believe you are suffering from Generalized Anxiety Disorder, don't wait for it to improve on its own; seek treatment right away.

Sources

National Institute of Mental Health. "Generalized Anxiety Disorder (GAD): When Worry Gets Out of Control." Web. 21 January 2011.

http://www.nimh.nih.gov/health/publications/generalized-anxiety-disorder-gad/generalized-anxiety-disorder-gad-when-worry-gets-out-of-control.shtml

Brauser, Deborah. "Anxiety May Increase Cardiovascular Events, Death in Heart Disease Patients." Archives of General Psychiatry 67 (2010): 750-758. Medscape Medical News. Web. 7July 2010. http://www.medscape.com/viewarticle/724696

Barclay, Laurie, MD. "Cognitive Behavioral Therapy Effective in Older Adults With Generalized Anxiety Disorder." JAMA 301 (2009): 1460-1467. Medscape Medical News. Web. 29 April 2009.

http://www.medscape.com/viewarticle/702038

Lowry, Fran. "Chronic Anxiety Requires Long-Term Treatment to Prevent Relapse." Archives of General Psychiatry 67 (2010): 1274-1281. Medscape Medical News. Web. 16 December 2010.

http://www.medscape.com/viewarticle/734374

Brauser, Deborah. "GAD Patients Less Able to Regulate Response to Negative Emotions." American Journal of Psychiatry. Medscape Medical News. Web. 16 February 2010.

http://www.medscape.com/viewarticle/717028

Harrison, Pam. "Disorders in Primary Care." JAMA 303 (2010): 1921-1928. Medscape Medical News. Web. 19 May 2010. http://www.medscape.com/viewarticle/722073

O'Riordan, Michael. "'Distressed'-Personality Heart-Disease Patients at Increased Risk of Future Events." Medscape Medical News. Web. 14 September 2010. http://www.medscape.com/viewarticle/728496

View the original article here

Apps, GPS and other Electronic Devices for Asthma Management

Thanks to the latest technology, you have the ability to stay in touch with friends, browse the Internet, and listen to your favorite songs all on one device. But did you know that you can also use your smartphone to manage your health?

There are a number of innovative apps currently underway that can make monitoring your asthma, identifying what's triggering your symptoms, and communicating with your doctor easier than ever.

New Asthma App

A new personal record system application is currently being developed by Virginia Commonwealth University and RTI International. This tool, which is part of a larger health project sponsored by The Robert Wood Johnson Foundation, will make it possible for you to incorporate the best practices in asthma management into your daily activities right through your smartphone or other electronic portable device.

Some of the features include the ability to:

Keep track of your symptomsReport your medication usageCheck air pollution levelsRecord your allergy symptoms

Your doctor will be able to view your entries on his office computer, providing a valuable overview of how your asthma is responding between office visits.

New Portable Sensor Identifies Triggers

Another noteworthy portable electronic device, which comes from the Georgia Tech Research Institute, is a stand-alone portable sensor that's small in size, but big on action. The pocket-sized system continually measures and records the air content, including temperature, humidity, gases, and other allergens. When you experience asthma symptoms while wearing it, you simply make a note of the exact time. Then medical technicians will be able to comb through the recorded data to determine which triggers you were exposed to when your asthma kicked in. By using this portable electronic device, you can pinpoint the exact causes of your asthma in such a precise way, it will take the guesswork out of asthma management.

New Inhaler and GPS System Maps Your Symptoms

Another innovative effort relies on an inhaler and a GPS system in order to gain a better understanding of asthma triggers. This project, which is led by a scientist from the Department of Population Health Sciences at the University of Wisconsin, looks at location, rather than air makeup, in order to narrow in on what's causing symptoms. When you experience a flare-up and need to use your inhaler, the GPS will note the exact location so your doctor can see what patterns exist.

What You Can Do

Next time you visit your doctor, be sure to ask about these types of asthma management tools and find out what is appropriate for your situation. Remember that with the help of such portable electronic devices and asthma apps, it will soon be easier than ever to improve your efforts to manage asthma.

Sources:

"Medical Devices: Pocket Protector." The Journal of Life Sciences. 13 Feb. 2008. Web. 17 March 2011.

"Using GPS to Track Asthma Attacks." University of Wisconsin School of Medicine and Public Health. University of Wisconsin, 2 April 2009. Web, 16 March 2011.

"Pervasive Asthma Monitoring System PAMS: A Health Systems Approach to Remote Monitoring of Asthma." Georgia Institute of Technology. Gatech.edu, n.d. 15 March 2011.

"RTI International to Build Personal Health Record Application for Patients With Asthma." Research Triangle Park International. RTI International, 3 March 2010. Web. 13 March 2011.
"BreathEasy: A PHR for Adults with Asthma & Depression or Anxiety."

Project HealthDesign. Robert Wood Johnson Foundation, 2010. Web. 13 March 2011.

View the original article here

Could You Have Treatment Resistant Depression?

While antidepressant medications generally provide significant relief from depression, 10 to 30 percent of patients find their symptoms persist. Some patients experience only minimal improvement; others find their symptoms don't subside at all or return after a brief improvement. Fortunately, with a bit of perseverance, most patients find a treatment regimen that works.

Many factors contribute to treatment-resistant depression. If you answer yes to any of these questions, it may explain why your antidepressant is not working.

Have you been taking your antidepressant for less than four to six weeks? It typical takes at least this long before you notice improvement.Are you on a low dose of antidepressants? Only about 11 percent of patients take an adequate dose initially, or stay on an antidepressant long enough for it to take effect. Insufficient dose and duration are the most common causes of treatment failure.Are you under excessive stress? Do you have an underlying health problem, such as hypothyroidism or anemia that might reduce the effectiveness of your medication?Are you also taking other drugs? Medications such as beta-blockers actually cause depression as a side effect, and others block the action of antidepressants.Do you have a co-existing condition, such as an eating disorder or substance abuse?

Depression is highly treatable. If you're taking antidepressants and your depression is not improving, seek help from a professional who specializes in mental health, rather than your primary care physician.

Sometimes all it takes is switching to a different antidepressant. For example, individuals whose symptoms include low energy might respond better to an antidepressant that has a slightly stimulating effect. For those who have difficulty sleeping, an antidepressant with sedating properties might be the right choice.

For any given antidepressant, there's no absolute correct dose. The right dose varies from person to person depending upon age, weight, health status, and other co-existing conditions. You may need a higher dose than your prescription calls for.

Ask your mental health professional to evaluate you for other mental health problems, such as bipolar disorder, and have your primary care physician rule out other health conditions that may be interfering in your depression treatment.

Attend to your basic needs. Eat a healthy, balanced diet, get enough sleep, and avoid drugs, alcohol, and pain medications. Adding psychotherapy may provide the treatment boost you need.

Sources:

Thase, Michael E. and Rush, A. John. "Treatment-Resistant Depression."Psychopharmacology: The Fourth Generation of Progress. Web.

http://www.acnp.org/g4/GN401000105/Default.htm

Hall-Flavin, Daniel K., M.D. "Antidepressants: Can they stop working?" Mayo Clinic. Web. 18 March 2010. http://www.mayoclinic.com/health/antidepressants/AN01312

Mayo Clinic. "Treatment-resistant depression: Explore options when depression doesn't get better." Web. 27 April 2009. http://www.mayoclinic.com/health/treatment-resistant-depression/DN00016

Cadieux, Roger J., MD. "Practical Management of Treatment-Resistant Depression." American Family Physician (1998). Web. December 1998. http://www.aafp.org/afp/981200ap/cadieux.html

National Institutes of Health. National Institutes of Mental Health. "Subsequent Treatment Strategies for Persistent Depression Yield Modest Results." Web. 1 September 2006.

http://www.nimh.nih.gov/science-news/2006/subsequent-treatment-strategies-for-persistent-depression-yield-modest-results.shtml

Zusky, P.M., Biederman, J., Rosenbaum, J.F., Manschreck, T.C., Gross, C.C., Weilberg, J.B., and Gastfriend, D.R. "Adjunct low dose lithium carbonate in treatment-resistant depression: a placebo-controlled study." Journal of Clinical Psychpharmacology April 8(2) 1988: 120-124. Web. http://www.ncbi.nlm.nih.gov/pubmed/3131389

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What is Lyme Arthritis?

Lyme disease has gotten a lot of press for its rising numbers over the past couple of decades. The disease, which is spread by ticks, is prevalent in woodsy, deer-heavy locations such as the Northeast. It commonly causes fever, fatigue, and a telltale bullseye rash at the site of the tick bite. Once diagnosed, it's usually easily treated and causes no major complications. But what many people don't realize is that if left undiagnosed and untreated, it can lead to serious problems such as arthritis.

In fact, estimates are that about half of all people who contract Lyme disease end up suffering from arthritis a few months later. The most commonly affected joint is the knee, although it's not unusual for the arthritis to move around. This so-called migratory arthritis means that the knee may swell, stiffen and hurt for awhile, then get better, then another large joint such as the hip will swell, stiffen and hurt, and so on.

The good news about Lyme arthritis is that, unlike other forms of arthritis such as osteoarthritis (caused by progressive wear and tear on the joints) or rheumatoid arthritis (a chronic autoimmune condition), Lyme arthritis generally goes away with treatment. Once your doctor has determined that you have Lyme disease, you will be treated with a course of antibiotics. If the arthritis is causing you discomfort, you may also be prescribed an NSAID, or nonsteroidal anti-inflammatory drug, to relieve pain and inflammation. Only a small percentage of people with Lyme arthritis will go on to experience chronic arthritis that damages cartilage and bone.

How do you know if you have Lyme arthritis? If you suddenly experience pain, swelling and fluid in a large joint, typically the knee, talk to your doctor. She will probably consider Lyme arthritis if you live in a Lyme-heavy area such as the Northeast, or have recently visited a Lyme-heavy area; can recall finding a tick on your body; have experienced fevers or malaise in the past few weeks or months; have seen a red "bullseye" rash anywhere on your body; and do not have any other known conditions such as rheumatoid arthritis or osteoarthritis which would cause these symptoms. A blood test can confirm the diagnosis.

To prevent Lyme disease in the first place, experts say you should wear long pants when walking in or near woods, and check yourself carefully afterwards for ticks. If you find a tick on your body, don't panic. It takes about 24 hours for a tick to attach itself to you and transmit the disease. Remove the tick carefully with tweezers, making sure to get all parts of it out of your skin. Then watch yourself for signs of the illness. And keep flea and tick collars on outdoor pets-they can easily bring ticks into the house, making you a target.

Sources:

American Academy of Orthopaedic Surgeons, www.aaos.org

Arthritis Foundation, www.arthritis.org.

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Friday, 27 May 2011

5 Myths about Panic Disorders: Busted

Panic attacks are frightening and disruptive enough; you don't need the additional stress of worrying about whether common misconceptions about panic disorders are true.

Panic disorders cause sudden and repeated attacks of fear despite the absence of any real danger. Although panic attacks can seem interminable at the time, an attack generally lasts only a few minutes. About six million adults suffer from panic disorders. They generally begin in individuals' late teens or early adulthood years, and women are more likely than men to experience them.

Myth: Panic disorders only occur in people who are emotionally weak or who have serious mental illness.

Fact: Panic attacks can strike anyone, although they tend to run in families. There are also biological explanations for panic disorders. Studies have linked them to a specific hormone in a brain circuit that regulates vigilance. Too much of this hormone may lead to panic attacks. Other studies suggest that the brains of people with panic disorders are lacking in a type of serotonin receptor. Serotonin is a neurotransmitter that regulates emotion.

Panic disorders are not a personal weakness or sign of mental illness, and having occasional panic attacks don't necessarily lead to panic disorder.

Myth: Everyone will know I'm having a panic attack.

Fact: While the feelings of fear and anxiety are very real to you when you're having a panic attack, remember, they're just in your mind. The people you're with are not aware of them and may not know you're having a panic attack.

Myth: Specific situations trigger panic attacks.

Fact: It's common to associate specific places or activities with panic attacks if that's where (or when) they occurred. And while certain situations might trigger a panic attack, there are other triggers as well.

Myth: Panic attacks produce physical symptoms but physical conditions do not cause panic attacks.

Fact: Many individuals do experience physical symptoms during panic attacks, such as a racing heart, sweating, or difficulty breathing.

However, physical conditions such as heartburn or a headache can also trigger a panic attack. Individuals with depression and anxiety may also have a predisposition to developing panic attacks after consuming high doses of caffeine. If you're concerned about panic attacks, it may be best to skip the coffee.

Myth: Drugs are the only treatment for panic disorders.

Fact: Medications such as antidepressant or anti-anxiety drugs may be part of a patient's treatment for panic disorders. However, Cognitive Behavioral Therapy (CBT), a type of psychotherapy, is probably the most effective treatment. During CBT, a qualified therapist will gradually expose you to different experiences in a safe environment to help you learn to cope with anxiety-provoking situations.

Sources:

Brothers, Joyce MD. "Quiz helps dispel myths about panic disorders." Seattle PI. Web. 25 March 2008.

http://www.seattlepi.com/brothers/354263_joyce326.html

PanicAttacksDisorders.org. "Anxiety Disorder Panic Attack Myths Debunked." Web.

http://www.panicattacksdisorder.org/anxiety-disorder-panic-attack

National Institute of Mental Health. "Panic Disorder: When Fear Overwhelms." Web. 18 January 2011.

http://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms/panic-disorder-when-fear-overwhelms.shtml

Busko, Marlene. "Caffeine Challenge Induced Panic Attacks in Patients with Panic Disorder." Comprehensive Psychiatry 48 (2007): 257-263. Medscape Medical News. Web. 22 June 2007. http://www.medscape.com/viewarticle/558744

National Institute of Mental Health. "Runaway Vigilance Hormone Linked to Panic Attacks." Science Update. Web. 28 December 2009.

http://www.nimh.nih.gov/science-news/2009/runaway-vigilance-hormone-linked-to-panic-attacks.shtml

National Institute of Mental Health. "Emotion-Regulating Protein Lacking in Panic Disorder." Web. 26 June 2008.

http://www.nimh.nih.gov/science-news/2004/emotion-regulating-protein-lacking-in-panic-disorder.shtml

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Secondhand Smoke and Kids: How Much Is Too Much?

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We know that smoking puts us at risk for countless health problems, especially cancer and heart disease. Despite the overwhelming evidence, many parents continue to smoke. In addition to compromising their own health, smoking parents put their children at risk for serious health issues by exposing them to secondhand smoke.

The smoke one exhales or the smoke from a burning cigarette are the two sources of secondhand smoke (also called passive or involuntary smoking). Secondhand smoke has more than 250 chemicals known to be toxic or carcinogenic and causes more than 3,000 lung cancer deaths annually. Living with a smoker increases a non-smoker's risk for lung cancer by 20 to 30 percent.

Sadly, adults expose about 60 percent (22 million) of American children to secondhand smoke, much of it in their homes or cars. One-third to one-half of all children live in homes where secondhand smoke is prevalent. In fact, kids are exposed to more secondhand smoke, on average, than nonsmoking adults. This is particularly true in lower-income families where parents may not be as aware of the dangers of secondhand smoke.

Secondhand smoke is one of the most common toxic environmental exposures children face and they have little control over it. Children's bodies and brains are still developing so they are more vulnerable to health problems caused or exacerbated by exposure to secondhand smoke. They also have smaller airways and greater oxygen demands.

Studies have linked secondhand smoke to a litany of physical and mental health problems:

Coughing and wheezingBronchitisAsthmaPneumoniaRespiratory tract infectionsEye and ear problems Sleep disturbancesLower birth ratesPoor mental health, especially hyperactivity and conduct disorders

Furthermore, babies exposed to secondhand smoke are more likely to die from Sudden Infant Death Syndrome (SIDS) and early exposure may be associated with the development of cancer later in life.

It doesn't take long for secondhand smoke to wreak havoc. In a study of secondhand smoke exposure in children riding in cars, researchers found that if someone smokes a single cigarette for only five minutes it causes alarmingly elevated levels of respiratory suspended particles (RSP) and a significant increase in carbon dioxide in the child.

The U.S. Surgeon General says there is no risk-free level of secondhand smoke and the only way to protect children is by maintaining 100 percent smoke-free environments.

Give your children the gift of a smoke-free childhood.

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Sources:
Brauser, Deborah. "Secondhand Smoke Exposure Linked to Mental Disorders in Children." Medscape Medical News. Web. 15 December 2010.
http://www.medscape.com/viewarticle/734309

Campaign for Tobacco-Free Kids. "Harm to kids from secondhand smoke." Web. 9 September 2010.
http://tobaccofreekids.org/research/factsheets/pdf/0104.pdf

Kids Involuntarily Inhaling SecondHand Smoke. Web.
http://www.kiiss.org/

Rees, Vaughan, W. PhD, and Connolly, Gregory N. DMD, MPH. "Measuring Air Quality to Protect Children from Secondhand Smoke in Cars." American Journal of Preventive Medicine 31(5) (2006): 363 - 367. Web.
http://www.hsph.harvard.edu/academics/public-health-practice/files/REES_AJPH_car_study_2006.pdf

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5 Habits of Daily Exercisers

Every morning, rain or shine, Lucy drinks her coffee, pulls on her sneakers, and walks out the door. She comes home 45 minutes later and feels great knowing she's gotten her exercise out of the way. At 80-years-old, Lucy hasn't missed more than a dozen daily walks in over 60 years. She's fit as a fiddle and unlike some of her friends, Lucy doesn't have any significant health problems. She lives independently and is as sharp as a whip. Lucy credits daily exercise as her key to longevity. She credits the power of habits for keeping her motivated.

Habits are powerful. People tend to give more credit to their bad habits (like smoking, overeating, or nail biting) than to good ones, but long-time exercisers say the reason they stick with fitness is because it's a habit. They plug it into their daily routine, much like brushing their teeth or reading the morning paper. Their day simply doesn't "flow" without it. The fact that exercise makes them feel and look good and keeps them strong, calm and healthy only reinforces that habit.

How do you make exercise a habit? Experts say that when you repeat an action or behavior at least 21 times, it stands an excellent chance of becoming a regular habit.

Try these five tips to establish your fitness habit:

1) Make a commitment. Write it down, and tell your friends and family and make it public. Ask them to keep you accountable, support your goals, and join you as you build better habits.

2) Schedule it. Don't expect exercise time to appear by magic. You have to make time for it, just like you would a dentist appointment, pedicure, or business meeting. Program it into your day planner. Schedule a couple weeks worth of exercise slots in advance so you can plan for it.

3) Do it first thing in the morning. If fitness is part of your morning routine, you'll have it over and done with and won't let anything else that comes up get in the way.

4) Do it at work. Give up your lunch-hour fast food run and hit the gym, bike trai,l or local track instead. Ask coworkers to tag along. Or, add "fitness" to the end of your workday and exercise on your way home.

5) Make no excuses. Even if you're exhausted, bored or feeling lazy, honor your exercise commitment to yourself. You don't have to do a full-court press every time. If your energy level is low, do something easy like a walk instead of a run. If you're bored, do something different like a bike ride instead of running on treadmill. Any exercise you do counts as part of your new habit.

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Arthritis and Blood Clots: How to Protect Yourself

While a blood clot can happen to anybody, people with autoimmune diseases such as rheumatoid arthritis and lupus have a higher than average risk of experiencing this potentially dangerous condition, according to the results of a recent study.

Scientists at the University of Oxford in England examined data over a 40-year period and found that autoimmune sufferers-particularly those with lupus-had an elevated risk of developing blood clots. Why do autoimmune diseases seem to spike the risk of blood clots? The study's authors aren't entirely sure but suggest that the same processes responsible for autoimmune diseases such as lupus and arthritis lead to the formation of clots.

But while blood clots may seem to strike at random, experts maintain that there are definite steps you can take to lower your risk. Among the ways to prevent blood clots are:

Wearing loose clothing or socks. Having blood vessels that remain constricted is a risk factor.Getting up and changing position. Sitting for long periods in one position is a known risk factor for blood clots. This can be particular problem during travel, as in cramped airplane cabins. Doctors recommend that you not sit or stand still for more than an hour at a time. Get up and stretch. Walk around a bit if possible. This will keep your blood moving and possibly help your arthritis symptoms.Raising your legs above your heart. If you're at risk of blood clots, you don't want to give blood the opportunity to pool in your lower extremities. From time to time, raise your legs to give your blood the chance to circulate through the body.Not crossing your legs. Crossing your legs restricts blood flow and may allow clots to form.

Signs of a blood clot include swelling, redness, warmth, and pain in the affected area. If your doctor determines you have a blood clot, you'll probably be put on a blood-thinning medication to treat it. The blood clot should then dissolve, but there is a chance that it will break loose from the spot where it formed and travel throughout your bloodstream. Be especially concerned if you suddenly have trouble breathing, have chest pain, feel faint, or start coughing. Blood clots that lodge in the lungs, called pulmonary embolisms, can be fatal if not treated immediately.

Sources:

U.S. Department of Health and Human Services, www.ahrq.gov

Arthritis Research UK, www.arthritisresearchuk.org

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Tuesday, 31 May 2011

Is It Time to Take Biologics?

Full-Body Scans: Too Much of a Good Thing?

Is It Time to Take Biologics?

The Dirty Truth Behind Body Mass Index

Share Your Story. Become a Health Hero.

Foot and Ankle Arthritis: Common Causes, Symptoms, Treatments

Monday, 30 May 2011

Be the Best Partner You Can Be

Bipolar Disorder vs. Borderline Personality Disorder

Health Concerns: How to Keep Family Updated

What's Behind Munchausen Syndrome by Proxy?

Could Light Therapy Cure Seasonal Affective Disorder?

Take the Sting Out of Asthma and Insect Allergies

Sunday, 29 May 2011

How an Allergist Can Help You

Overcoming Family Issues for Bipolar Parents

Disease Management Programs: Pros and Cons

Eyebrow Plucking, Waxing, and Threading

Warm Up to Running with Asthma

Do This and Keep Your Brain Sharp

Saturday, 28 May 2011

Mood Disorders: Are They Caused by Vitamin Deficiencies?

Obsessed with Order or OCD?

Could You Have Generalized Anxiety Disorder?

Apps, GPS and other Electronic Devices for Asthma Management

Could You Have Treatment Resistant Depression?

What is Lyme Arthritis?

Friday, 27 May 2011

5 Myths about Panic Disorders: Busted

Secondhand Smoke and Kids: How Much Is Too Much?

5 Habits of Daily Exercisers

Arthritis and Blood Clots: How to Protect Yourself

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