In The Press Archive | Forward Recovery

Mental Health’s Effect on Your Weight

Gustavo Moro — Sat, 06 Dec 2025 16:46:13 +0000

By: Marijke Vroomen Durning, RN

Mental health and physical health are interconnected. One often affects the other. This is especially true when it comes to weight and obesity. If you’re struggling with weight — whether it’s gaining the pounds or trying to lose them — you need support from your health care team and your mental health has to be taken into account.

Let’s start with the more common mental health issues that many of us face: anxiety, chronic stress, and depression.

Depression and Anxiety Can Play a Role

“When people are depressed or anxious, they often engage in emotional or comfort eating. These foods are typically high in calories and unhealthy,” says Renee Solomon, PsyD, a clinical psychologist and CEO of Forward Recovery in Los Angeles, California. Stress changes how you react to things, and it can lead to impulse control and affect your judgment. This means you might be more likely to reach for that so-called forbidden food or you might decide you don’t need to go for that walk or gym session. The result is sudden comfort or relief from what’s bothering you, rather than looking at the long-term.

When people are depressed or anxious, they often also experience sleep disturbances and fatigue, Solomon says. “[This] can also throw off the regulation of the body and make people think that they are hungry when they are actually tired.”

Anxiety and major depressive disorder can increase cortisol, a steroid hormone, which in turn increases your appetite. In other words, the higher cortisol levels alter your brain and it’s now telling you that you’re hungry when you’re not. So you’re not imagining the increased cravings and feeling of hunger when you’re depressed or anxious.

“When people are depressed or anxious, they often engage in emotional or comfort eating. These foods are typically high in calories and unhealthy.”

Renee Solomon, PsyD

Food is sometimes a way to help us cope through tough times as well. “Eating behaviors like emotional eating or eating to soothe emotions or numb from distressing thoughts or emotions can be a temporary maladaptive coping strategy or can become a full eating disorder,” says Janet Lydecker, PhD, associate professor of psychiatry at Yale School of Medicine. This type of eating can lead to weight gain, and weight gain can lead to further depression or anxiety.

Other Mental Health Disorders

Other mental health disorders can have a significant effect on your health, but sometimes the mental health diagnosis is only made after someone has gained weight. For example, one study found that people who had a body mass index (BMI) of 30 or higher, the medical definition of obesity, had a higher rate of being diagnosed with major depression, bipolar disorder, panic disorder, or agoraphobia at some point in their life. Remember, though, this doesn’t mean that everyone who has a high BMI will or does have any of these disorders. The study just found that more people who live with obesity have these disorders than those who don’t live with it.

People who have schizophrenia also have a higher rate of obesity, but it’s more likely the medication used to treat the disease that causes the weight gain rather than the disease. This is the same for bipolar disorder and major depression disorder. “It’s also important to note that there are some psychiatric medications that can change appetite and weight, for example, medications that treat persistent depression or schizophrenia,” Lydecker says. “It’s tough to balance the treatment of these debilitating disorders with preventing metabolic health problems that can come from being on these medications long-term.”

Balancing Mental Health Treatment and Weight-Related Concerns

Living with a mental health disorder is tough enough, but when it’s combined with obesity, and its related physical health issues and how society looks at you, it can be much tougher. Treating the mental health disorder is vital, but the physical side is as well, so doctors must find a way to balance that care.

“For the most part, how treatment is approached by providers depends on the patient’s goals and the history of the problem they’re experiencing,” Lydecker explains. Mental health professionals tend to focus on the underlying problem — the mental health issue — because it’s more likely that the added problems, like weight gain, may also improve at the same time. But if the weight gain is being caused by the treatment, then other options might be available.

“[Dieticians] can help people map out a healthy eating plan and work on developing intuitive eating.”

Renee Solomon, PsyD

“There are many ways to treat mental illness and obesity,” Solomon says. “If medication is causing the weight gain, there are certain medications that are less likely to cause weight gain. These can be explored with a primary care doctor or a psychiatrist.” She also suggests exploring the use of the new weight loss drugs because they could be helpful for some people. “There are many medications right now that have been proven to help with treating obesity such as the GLP-1 medications.” Studies have shown that one of these medications, liraglutide, may be the most effective for people who are gaining weight due to antipsychotic medications and it doesn’t seem to have negative effects on the antipsychotic treatment.

For extreme weight gain, there might be a conversation about gastric surgery — either bands, sleeves, or bypass — called bariatric surgery. But this isn’t a solution for everyone. Researchers found that while the quality of life might improve after bariatric surgery, it doesn’t seem to be all that helpful in improving mental health overall. That doesn’t mean you can’t discuss this with your doctor, though, if you’ve tried everything else. It might be an option to think about.

So What Can You Do?

Speaking to your doctor about your concerns is the first step. Understand that weight gain may be part of the illness or its treatment, but there might be steps you can take to help slow down or stop the weight gain, or even reverse it.

If you are taking medications that can cause weight gain, ask if there are other drugs you can try. If not, ask your doctor if there are other options. For some, it’s going to therapy as well as taking medications. For example, Solomon says that cognitive behavioral therapy can be very helpful for people who have anxiety or depression. She also recommends getting a referral for a dietitian or nutritionist: “They can help people map out a healthy eating plan and work on developing intuitive eating.”

If you don’t have insurance or it doesn’t cover dietitian services, there might be community services that are free, either individual or in a group. Don’t be shy about asking around for any resources that might be available to you.

Source: https://www.webmd.com/obesity/patient-voices/weight-mental-health-effect

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Can you take trazodone and lorazepam together?

Gustavo Moro — Thu, 23 Jan 2025 02:28:30 +0000

By Leandra Beabout | Jan. 20, 2025 Medically reviewed by Samantha Marr, DNP, APN, AGPCNP-BC, CCRN Important considerations when taking trazodone and lorazepam Sleep and mental health are deeply connected. In fact, insomnia can elevate the risk of anxiety or worsen its symptoms. Sometimes, treating one improves the other. In other cases, insomnia and anxiety or depression require different treatments. Trazodone hydrochloride is an antidepressant known to cause drowsiness. Although it is approved by the Food and Drug Administration (FDA) for major depressive disorder (also known as clinical depression) in adults, it is sometimes prescribed off-label to treat anxiety. Lorazepam (generic Ativan) is a fast-acting drug that is FDA approved for anxiety disorders, anxiety-induced insomnia, and long-lasting seizures. It is also prescribed off-label as a sleep aid. If you or someone in your care has insomnia along with anxiety or depression, you might wonder whether it is okay to take trazodone and lorazepam together. The answer depends on the circumstances. Below, our experts unpack safety, side effects, and other considerations to know before combining trazodone and lorazepam. Can you take trazodone and lorazepam together? You can take trazodone and lorazepam together, but there are risks, and it ultimately depends on various factors that should be considered on a case-by-case basis. Trazodone and lorazepam are sometimes prescribed to be taken on the same day but not at the same time. For instance, Sid Khurana, MD, psychiatrist and cofounder of Nevada Mental Health, says someone might take a nightly dose of trazodone for chronic insomnia while taking lorazepam during the day if and when a panic attack strikes. Simultaneous dosing is not recommended “because we don’t want someone’s respiratory system to get too depressed,” he says. Alex Dimitriu, MD, a double-board-certified psychiatrist, sleep medicine physician, and founder of Menlo Park Psychiatry & Sleep Medicine, says that while there are no known interactions between lorazepam and trazodone, he considers it ideal to take one or the other—not both. He also says trazodone is usually preferred because it is “gentler” and safer for long-term use. Still, trazodone and lorazepam are prescribed together when necessary—though usually during a short-term period of acute treatment. “We use the combination of trazodone and lorazepam on a daily basis,” says Renee Solomon, a clinical psychologist and the clinical director and CEO of Forward Recovery, an addiction rehabilitation center in Los Angeles. “When clients are coming in detoxing from drugs and alcohol, they are often prescribed lorazepam to deal with the dangers and side effects of withdrawal. Many of them have issues sleeping, and we utilize the trazodone to help them sleep at night.” Both trazodone and lorazepam can suppress the central nervous system (CNS), so both Drs. Khurana and Soloman warn that combining them can cause severe drowsiness. Sleepiness, combined with lorazepam’s potential for respiratory suppression, can be dangerous. Bottom line: Anyone who wants to take trazodone and lorazepam together should speak with their healthcare provider first. It is critical to get medical advice before combining medications, as combining drugs increases the risk of interactions, side effects, and other adverse events. Is trazodone or lorazepam better? Trazodone and lorazepam are very different medications. Which one is better depends on an individual’s symptoms and medical conditions. Research has repeatedly demonstrated traxodone’s effectiveness as a sleep aid. Lorazepam has also been proven effective for sleep trouble—anxiety-induced insomnia, specifically. But beyond both helping treat sleep difficulties, these medications are not similar, which explains the lack of head-to-head comparisons in scientific research. Drug class Trazodone and lorazepam belong to two different drug classes. Trazodone is an antidepressant that is a serotonin antagonist and a serotonin reuptake inhibitor. Antidepressants like trazodone are considered generally safe for long-term use. Lorazepam is a benzodiazepine that can be administered by mouth or injection. Colloquially known as a “benzo,” lorazepam is a controlled substance with a risk of misuse and dependence. Effectiveness for mental health conditions Trazodone and lorazepam do not treat the same mental health conditions. Which drug is best depends on the condition being treated. Trazodone is FDA approved and proven effective for depression. However, it is most widely used for the treatment of insomnia. Other less common off-label uses include the following: Anxiety Alzheimer’s disease Substance misuse Bulimia Post-traumatic stress disorder (PTSD) Lorazepam is FDA approved for anxiety, anxiety-related depression, and long-lasting seizures. It is a fast-acting anti-anxiety medication that is favored in in-patient psychiatric settings. Off-label uses include: Insomnia Nausea and vomiting from cancer treatments Agitation caused by alcohol withdrawal Panic disorder Effectiveness for sleep issues “Doctors often try to use trazodone first as it is a gentler agent, less habit forming, and not a controlled substance,” Dr. Dimitriu says. “Because trazodone is gentler, it may take longer to work and [may] not feel quite as strong as lorazepam,” says Dr. Dimitriu. “However, trazodone is much better in the long-term and can actually improve sleep architecture, which is the opposite effect of lorazepam.” Ultimately, even though lorazepam might help someone fall asleep more quickly, especially if sleep troubles are linked to anxiety, it’s not the best or safest long-term treatment for insomnia or sleep issues. Therefore, trazodone is better for long-term treatment of insomnia. Common side effects The most common side effect of trazodone is drowsiness. Other common side effects of trazodone include dry mouth, lightheadedness, and headaches. “Trazodone can also make some people dizzy, and it can give them nausea and potentially [cause] vomiting,” Dr. Khurana says. Priapism, a prolonged and painful erection, is also a rare but serious side effect of trazodone in men. RELATED: What are the side effects of trazodone for older adults? Common side effects of lorazepam also include dizziness and drowsiness. But lorazepam side effects also include muscle weakness. Serious side effects include respiratory depression and memory problems. Risks and restrictions The drug labels for both trazodone and lorazepam include disclaimers about risks, restrictions, and possible drug interactions. It is essential to review this information before taking these medications. It is also important to tell your healthcare provider about other medicines (including over-the-counter drugs and supplements) and health conditions (including pregnancy) before taking trazodone, lorazepam, or both. One of the most critical warnings associated with trazodone is an increased risk of suicidal thinking. Trazodone has a boxed warning (also called a black box warning) about the increased risk of suicidal thinking and behavior in children, adolescents, and young adults taking antidepressants for major depressive disorder (MDD) and other psychiatric disorders. There is also a risk of serotonin syndrome, which can occur when serotonin levels get dangerously high. If you experience extreme mood swings and changes in mental health, report the symptoms to your healthcare provider immediately. Lorazepam has a boxed warning about an increased risk of serious or life-threatening breathing problems and sedation. Dr. Khurana warns that lorazepam should never be mixed with alcohol as there is a risk of “shutting down your respiratory system.” The boxed warning also indicates that there is a serious risk of abuse, misuse, and dependency when taking benzodiazepines like lorazepam. Cost The out-of-pocket costs of trazodone and lorazepam depend on the dosage, insurance coverage, and preferred pharmacy. The retail cost of a daily dose of trazodone is lower than lorazepam, but actual costs will vary. Without insurance, trazodone costs about $34 for 30, 50 mg tablets. When used for depression, trazodone is dosed two or three times daily, so the average out-of-pocket cost could be $102 per month for some patients. When taken off-label for insomnia, trazodone is only dosed once per day. Without insurance, lorazepam costs about $28 for 30 0.5 mg tablets. There is a wide range of doses, but at 3 mg daily, the monthly retail cost is about $112. When taken off-label for insomnia, lorazepam has a similar dose and monthly cost. Trazodone vs. lorazepam: Comparison chart Trazodone Lorazepam Drug class Antidepressant Benzodiazepine Form(s) Tablet Oral tablet, oral concentrate, injection Uses FDA-approved: Major depressive disorder Off label: Insomnia Anxiety Alzheimer disease Substance misuse Bulimia Fibromyalgia PTSD FDA-approved: Anxiety Anxiety-induced insomnia Long-lasting seizures Off label: Insomnia Nausea and vomiting from cancer treatments Acute agitation Standard dosage For depression: 50–100 mg two to three times daily Off-label for insomnia: 25 to 50 mg at night before bed For anxiety: 2–6 mg daily, divided into three doses For procedural sedation: 0.05 mg/kg of body weight injected 2 hours pre-procedure or 0.044 mg/kg injected 15–20 minutes pre-procedure Off-label for insomnia: 2–4 mg at bedtime Risks and restrictions to consider Risk of suicidal thoughts Risk of serotonin syndrome High risk of abuse and misuse Risk of serious or life-threatening breathing problems Mixing with alcohol could be dangerous or deadly Side effects Drowsiness Dry mouth Lightheadedness Headache Nausea Dizziness Drowsiness Muscle weakness Average cost without insurance* $34 for 30, 50 mg tablets $28 for 30, 0.5 mg tablets SingleCare cost* *Average cost at time of publication. Drug prices fluctuate and vary by pharmacy and location. Bottom line Trazodone is a generic antidepressant often used in the treatment of insomnia. Lorazepam is a fast-acting, generic benzodiazepine most often used to treat anxiety and panic attacks. However, it is also used off-label as a sleep aid. You can take both trazodone and lorazepam, but combining the two is not commonly recommended in an outpatient setting. If a healthcare provider does prescribe these drugs together, simultaneous use may be short-term. Ultimately, it’s important to consult a healthcare provider before combining any medications. Even prescription drugs that do not directly interact can cause dangerous problems when their adverse effects are compounded. singlecare.com

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Keeping it Clean

Gustavo Moro — Mon, 03 Jun 2024 17:45:14 +0000

by Brian Sodoma | Updated: May 26, 2024 How an immaculate home, room, or workspace can be good for your mental health Clean home, uncluttered mind. That’s the thinking for many people, as considerable research evidence continues to show tidiness may indeed support mental well-being. A 2017 study linked cluttered environments to procrastination, while another published in 2021 examined the lives of 96 mothers and found a chaotic, cluttered home had negative effects on caregiving. Let’s take a closer look at the brain’s neurological response to clean environments, why it tends to prefer them, and offer a few tips for keeping your home clean and clutter-free. Why Our Brain Likes Cleanliness Dr. Renee Solomon is a clinical psychologist in California. She also runs Forward Recovery, a drug treatment program, where patients abide by certain rules, chief among them being keeping their personal spaces clean. Beds must be made daily and areas need to be kept picked up. “I really feel our environment on the outside reflects how we feel on the inside,” the mental health expert said. Clean environments can boost serotonin levels, Solomon explained. Serotonin is a neurotransmitter that delivers messaging between cells in your brain and others throughout the body. It has a hand in elevating mood, promoting good digestion, supporting immune function, and even healing wounds. Highly anxious people, in particular, Solomon noted, tend to experience that serotonin boost in uncluttered, clean physical spaces. “You may hear some say ‘I can’t do anything until my area is clean.’ Other people may not say that, but I do think that it does impact them internally,” she said. Robin Murphy, owner of Chirp Chirp, a New York-based cleaning company, finds clients are often motivated to have their home professionally cleaned because it’s the only time the home is top-to-bottom clean, instead of only having areas cleaned throughout the week. “Being in a clean home really can reduce stress and anxiety and improve your mood,” she added. “It’s like having a clean car or wearing a nice clean pair of sneakers to the gym, you just feel better. Plus, cleaning, to me, also gives me a sense of accomplishment.” Before You Start A Cleaning Routine If you feel a clean home or workspace could help improve your mood, and you want to develop a routine, Solomon recommends starting small. Focus on one room, a space, or an area of the home that you think would benefit from being consistently clean and tidy. Then develop a routine that’s easy to adhere to. It could be to simply make sure to pick up the area for a few minutes every night before going to bed. “There’s no one size fits all here. It’s really about being in touch with what feels right for you,” Solomon said. Tips From A Cleaning Pro If your goal is to keep your home clean throughout the week, Murphy has a few tips to help you stay on track. Make Decluttering A Priority Murphy recommends sorting through mail daily and avoiding unnecessary items in the home. Before you purchase something, ask yourself if it’s something you really need, and where will you store it? In addition, “Spend a few minutes each day picking up items that are out of place and consider a monthly routine to sort through items that you no longer need or use,” Murphy said. Daily Wipe-Downs And Immediate Action On Spills Don’t let spills sit for long and wipe down frequently used surfaces, such as kitchen counters and vanities, daily. Clean sinks promptly, too. After you brush your teeth, wipe down the sink. The same goes for the kitchen sink. After you use it, wipe it to avoid grime buildup, Murphy emphasized. Use Doormats And Sweep/Vacuum Regularly Even quick, once or twice-weekly sweeping and vacuuming will significantly reduce dust and dirt in the home; and doormats catch dirt that would otherwise be tracked inside, the cleaning pro added. Load The Dishwasher Daily And Be A Smart Multitasker Loading the dishwasher keeps the sink clear. Murphy also likes to incorporate small cleaning tasks into her day. “For example, while waiting for your coffee to brew, you could unload the dishwasher and wipe down the kitchen counters,” she said.

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Women Are Prescribed Sleeping Pills More Often Than Men, Study Finds — But Why?

Gustavo Moro — Sat, 09 Dec 2023 09:09:34 +0000

by Alexandra Frost | Updated: July 28, 2023 When insomnia is causing serious disruption to your waking hours, because you just didn’t get much sleep last night, some people do nothing, hoping it will resolve on its own. Others actively seek help from their medical team, where they might be prescribed lifestyle changes, such as sleep hygiene practices, or they might be handed a prescription. At that point, women, a new study shows (1), are being more frequently handed sleeping pill prescriptions than men. The May 2023 study published in Sleep says that women with insomnia using buprenorphine for opioid use disorder are often prescribed benzodiazepines. The author, Jessica Nye, details the specifics in Psychiatry Advisor, explaining that 9,510 people who had been diagnosed were evaluated for prescription fills for insomnia medications. Nye concluded that women were more like to receive:

Nonbenzodiazepines or Z-drugs (91 percent compared to 86.2 percent of men)
Benzodiazepines (73 percent versus 65.3 percent)
Z-drugs (43.7 percent versus 38.2 percent)

The issue is a choice that around 1 in 5 Americans are confronted with for their sleep disturbances, the current number taking sleep medications, the Centers for Disease Control and Prevention reported. Why Women Are Prescribed Sleeping Pills More Often Dr. Renee Solomon, is a clinical psychologist who has been in private practice for 27 years and co-owner of Forward Recovery, a drug and alcohol treatment center. She points to a sexist and condescending history in medical treatment for the leftover discrepancy in prescribing the pills, among other reasons. A history of trying to calm “crazy” women “Sleeping pills are prescribed more for women than for men, which dates back to women being prescribed sleeping pills due to them being ‘hysterical.’ Sleeping pills were used to calm them down and prevent them from being ‘crazy’,” she explains. Now, experts are learning more about alternative tips and tricks to calm anxiety related to sleep issues (2), though medication might still be involved in some cases. Biological differences In a chicken or egg scenario, women also tend to have more sleep disturbances than men, which can complicate the question of whether they are being prescribed sleeping pills more. “Men also naturally fall asleep faster than women. This is just a biological piece,” Solomon says. Other research shows that almost half of women are struggling to sleep, and in a 2023 survey of 2,000 people (3), 61 percent of women struggled with sleep compared to 39 percent of men. Family Stressors While family dynamics have made significant progress in both men and women carrying the mental workload of parenting, homemaking, and organizational logistics, there is still work to be done, according to movements such as Fair Play (a book and documentary from the concept’s creator, Eve Rodsky). “Women also must multitask more than men as they play the roles of being both a worker and a mother. This causes a great deal of stress, and it is hard to wind down and be able to go to sleep. Women often have to wake up earlier than men to have their babies situated before they go into work. This causes them to utilize sleep aids more so that they can be up early to fulfill both roles,” Solomon says. “Women who have had children also have a hard time falling and staying asleep as they get used to their sleep being interrupted by small children. This is sometimes hard to correct as their children get older.”

A Word of Warning From the Experts…

It would be one thing if sleeping pills “worked,” and were really helping women long term to recover from and manage sleep conditions. But, that’s not really the case. Prior research, including a 2021 study in the British Medical Journal (4) determined that women taking these medications for sleep issues were really no better off at one and two years later, bringing into question long-term use and prescribing of these types of medicines. They can also be highly addictive, and should be started and managed with careful care and consideration from both individuals and their medical teams. That’s a struggle that women and men alike should be careful of if sleeping pills are a part of the potential treatment plan with their medical teams. Sources

Nye, Jessica. “Women With Insomnia and OUD More Likely Than Men to Receive Benzodiazepines.” Neurology Advisor, 9 May 2023, p. NA. Gale Academic OneFile, link.gale.com/apps/doc/A748598514/AONE?u=anon~5040c27f&sid=googleScholar&xid=c1fca148. Accessed 28 July 2023.
Solomon, Renee. Author interview. July 2023.
Solomon DH, Ruppert K, Habel LA, et al. Prescription medications for sleep disturbances among midlife women during 2 years of follow-up: a SWAN retrospective cohort study. BMJ Open 2021;11:e045074. doi:10.1

https://sleepopolis.com/news/women-prescribed-sleeping-pills-more-than-men/

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8 Times Life Might Trigger a Bipolar Episode

Gustavo Moro — Thu, 07 Dec 2023 00:00:50 +0000

It’s impossible to live a stress-free existence, but knowing how to navigate these key moments may help you prevent a BD-I episode. By Amy Marturana Winderl Life comes with plenty of unexpected and stressful situations. When you have bipolar I disorder, they can feel impossible to take in stride—and may even trigger a BD-I episode. “When a big life event happens, people with bipolar disorder can feel ill-equipped to deal with it and overwhelmed by their feelings,” says Renee Solomon, Ph.D., a clinical psychologist and clinical director and CEO of Forward Recovery in Los Angeles, CA. “This can lead to extreme depression or mania.” While any major change can potentially be triggering, here are a few biggies that you may encounter—and how to deal.

Job Change or Loss

A job change can upend your daily routine—which is important to keep consistent for helping people with bipolar disorder to stay steady, says Philip Lam, D.O., an assistant clinical professor of psychiatry at the University of Arizona College of Medicine in Tucson. Even a promotion or other positive change may be triggering if it leads to more work and messes with a regular structure that you’ve come to rely on. Meanwhile, losing a job can cause financial hardship and hurt your self-esteem, notes Solomon, and these vulnerabilities may also trigger BD-I depression or mania.

Breakup or Divorce

When a relationship ends, your life is thrown into transition, often including where you live and when, or even if, you see your kids— all potential triggers for a major depressive or manic episode, says Solomon. “If the person with bipolar did not want the divorce, it can be even harder for them to feel stable,” she adds. “They are going to be living on their own, which can also create fears of loneliness and isolation, as well [bring on] financial issues.” Social support, individual therapy, and group therapy can all be helpful during this time, Solomon advises.

Physical Health Issue

Experiencing any new health issue or diagnosis can feel overwhelming, and like you’ve lost control, Solomon says. That sense of vulnerability can cause people with bipolar to start a negative thought spiral, she notes thinking, for example, “I broke my ankle, so I will never be able to exercise again.” But just like you’ve learned to manage your BD-I, you can learn to keep other health conditions in check, too, with expert medical guidance. Work with your doctor to make sure any new treatments don’t interfere with your bipolar meds.

Death of a Loved One

Death can upend your mental health—especially if the deceased was a source of stability in your life, Solomon says. When the death of a loved one triggers a manic episode, it’s called grief mania or funeral mania and may result in aggressive attitudes, hyperactivity, insomnia, and increased risk-taking. “It occurs due to the denial of the loss,” she explains. It’s often impossible to prepare for death, so Solomon stresses the importance of finding support (like a bereavement group) as you grieve, since it can be “helpful to be around others also experiencing loss,” she notes.

Traveling and Disrupted Sleep

Dr. Lam says that sleep deprivation may provoke a bipolar episode—mania, in particular. “For some people, that happens when they’re traveling to another time zone,” he notes. Why? Changing time zones affects the body’s circadian rhythm, or the internal clock that regulates our sleep-wake cycles. Research shows that circadian rhythm dysfunction plays a big role in bipolar I disorder. While traveling, Dr. Lam suggests factoring in time to rest and adjust instead of going straight into an activity that exacerbates your sleep debt. He also recommends asking your doctor if you can take a sleep aid or melatonin.

Relocation

Moving and all that comes with it—packing up your whole life, a big financial investment, endless logistics—is often a high-stress endeavor. “This can be a trigger, as it is very overwhelming, upsets your routine, and can make you feel very chaotic,” Solomon says. Moving from a place you feel attached to can also feel like a loss, contributing to mood instability, she adds. Hiring movers, asking friends to help, being extremely organized, and setting realistic expectations (not everything has to be unpacked in one day!) can all help reduce some of the stress, Solomon says.

Having a Baby

Welcoming a new baby is a joyous occasion that also upends your routine and sleep schedule, both of which can trigger BD-I. Research also shows that women with BD-I are at a high risk of postpartum psychosis, and those with a history of sleep deprivation-induced mania may be especially vulnerable. It’s important to speak with your doctor about mood changes that occur in pregnancy and the postpartum period, and to discuss safe treatment options to address them, Solomon says. Recruiting help postpartum is also essential—whether from family, friends, partners, or a night nurse—so that you can get some R&R.

Heading Off to College

“College is the most common time for mental illness, especially bipolar disorder, because it’s the first time a young adult has to balance social pressures, academic pressures, and living on their own,” Solomon says. (Lack of sleep is par for the course, too.) As a parent, talk to your child about how to identify a manic or depressive episode coming on, and make sure they know where to seek psychological help on campus if they need it, Solomon recommends. Being continually involved in your student’s life after they leave home is important, she adds, so you can step in when needed.

Self-Care and a Routine Can Do Wonders

There’s no way to avoid life’s upending events entirely, but you can make sure you’re equipped to handle them when they happen. “Taking care of yourself is important,” Dr. Lam says. That means exercising regularly, eating a balanced diet, getting enough sleep, going to therapy, and following your treatment plan, notes Solomon. “Planning and discussing the stressors related to the transitions can also be helpful to avert a bipolar episode,” she adds. And by sticking to a routine, you’ll have space to process your emotions and cope when life throws a curveball your way.

https://www.healthcentral.com/slideshow/bipolar-episode-life-event-triggershttps://www.forbes.com/health/mind/what-are-control-issues/

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Raising a Family When You Have Bipolar I Disorder

Gustavo Moro — Thu, 07 Dec 2023 00:00:30 +0000

Open communication, coupled with self-care and a plan in place before a BD-I episode strikes, can help bring harmony to your home. Updated Dec 7, 2023 By Amy Marturana Winderl Keeping a family functioning, happy, and healthy is a lot of work, full stop. Even on the best of days, working with a partner (or riding solo) to raise kids and keep a household running can feel like a marathon. Now try navigating all that and bipolar 1 disorder (BD-I). For those who live and parent with this condition, it can feel like an ultra-marathon on rocky terrain in the Swiss Alps that you never had the chance to train for.

“Parenting and being a spouse are universally challenging roles,” says Michele Green, a licensed psychotherapist in Las Vegas, NV, and clinical director at Insight Therapy Solutions. “For those with BD-I, the additional layer of managing mood swings and medication can make these roles even more complex.”

While mental illness adds an extra sticky layer to a relationship and family, it’s something that you can certainly work around. “A lot of people with bipolar disorder have completely normal families,” says Philip Lam, D.O., a doctor of osteopathic medicine and an assistant clinical professor of psychiatry at the University of Arizona College of Medicine in Tucson, AZ.

Planning ahead, solid communication, and a commitment to self-care can all go a very long way in keeping you and your family happy and healthy, Dr. Lam says, even if bipolar disorder is that annoying aunt that sometimes shows up uninvited to cause drama. You can prepare for that unwanted visit—and then get through it with familial harmony maintained—with the following expert tips. Plan Ahead Plan Ahead for Yourself and Your Loved Ones If your bipolar I disorder is well-managed, it’s likely not a factor in your family’s day-to-day—until an episode strikes. Understanding what can happen in that situation, and having an emergency plan in place, is important. “This might include identifying a safe space in your home, a go-to support person, or a specific relaxation technique,” Green suggests. That means discussing with your family is advance what you’d like to happen, Dr. Lam advises, when you’re in the middle of an episode. Let your partner know the behaviors to look for—such as manic symptoms including decreased sleep, an unusually upbeat or wired mood, or distractibility—that signal a severe episode, and what you’d like them to do if they notice them. For example, should your partner call a mental health provider? A crisis response center? Or even 911? You can also put together a legal document, called a psychiatric advance directive, that states your preferences for treatment, should you need it when you’re not in a sound psychological state to make good decisions. Another thing to pre-game: childcare. If you’re experiencing an episode, is there somewhere else the kids can go for a few days (like a grandparent’s house, or another trusted adult’s place) so they can be cared for while you focus on getting yourself better? Maybe this can also free-up your partner to focus on helping you. Whatever the plan is, discussing it ahead of time will ensure everyone is comfortable with how things shake out when a BD-I episode happens, our experts agree. Talk About It Talk About Bipolar So Your Kids Understand You’ll also want to talk with your children about what bipolar disorder is, and why it might make Mom or Dad behave in seemingly strange ways sometimes. Green says there’s no best age to discuss it, but if your child understands the idea of going to the doctor for check-ups or has seen family members dealing with minor health issues, then they are likely developmentally ready to learn about bipolar disorder. It’s important to tell your kids about BD-I for multiple reasons, Green says. “Children need consistency and routine, which is difficult when someone is going through bipolar disorder. Depending on the severity of the mood imbalance, kids could be seeing behavior from a parent that is confusing,” she explains. Additionally, educating your kid in a developmentally appropriate way can strengthen the bond between a child and a parent with BD-I, she adds. Another benefit? “Bipolar disorder is heavily stigmatized, so learning about it [as a young person] can shape the future adults of the world” and their attitudes about this condition—and potentially, other mental health disorders, as well. When explaining bipolar disorder to a young child (aged 6 to 10), Green says you’ll want to make clear that BD-I is a medical condition that people can’t see but still need a doctor for to feel better. “Kids this age are looking at the world through a lens where if someone feels bad, they usually can ‘see’ it, like [with] a wheelchair or someone with flu symptoms,” Green explains. She also recommends finding a kids’ book that explains chronic illness (like this one, called Mama’s Waves) in a way that is developmentally appropriate. As for what not to say, Green says it’s important to avoid phrases like “Dad gets crazy sometimes.” She also cautions against using the word bipolar casually—for example, saying, “the weather is bipolar today.” These just perpetuate the stigma against BD-I and won’t help your child gain an appropriate and full understanding of the condition. If you need help speaking with your child about BD-I, a therapist or child psychologist can be a huge help, Green adds. Be a Team Approach Managing Your BD-I as a Team As important as it is for you to support your family’s efforts to understand your BD-I, it’s equally as important to feel like your loved ones are supporting you. Dr. Lam recommends surrounding yourself with people who lift you up and avoiding people who are difficult or not supportive. Educating both your immediate and extended family members (if they are a regular part of your life) about bipolar disorder—and specifically, your experience with BD-I, including your triggers and what you may need from your loved ones when symptoms arise—can help them better help you, Green adds. “Communication is always central to any relationship,” agrees Renee Solomon, Ph.D., a clinical psychologist and clinical director and CEO of Forward Recovery in Los Angeles, CA. “It is essential to be able to talk about bipolar episodes openly.” Part of this is sharing your triggers for a manic or depressive episode, as well as the symptoms that signal your mood has become unstable. “Make it clear that you can plan ahead and work on it together, so that you’re not causing your partner to feel like they’re in charge of this,” Dr. Lam advises. Approaching it as a team and family unit can help everyone feel supported, he adds. Doing so “helps them understand your needs and moods,” says Green. And while BD-I definitely shouldn’t be the topic of every dinnertime conversation, neither should you shy away from talking about how you feel, or from being honest and vulnerable. Your loved ones can’t read your mind, and they won’t be able to help if they don’t know what’s going on and how you’re feeling. Practice Self-Care Don’t Forget Self-Care When an airplane loses cabin pressure, you’re told to strap on your own oxygen mask before helping others. (If you’re incapacitated, you can’t assist your loved ones, or so the reasoning goes.) The same applies for BD-I. It’s not selfish to follow these self-care tips to help keep bipolar symptoms in check—for you and your family:

Get the right treatment—then follow your Rx closely. “The most important piece with bipolar disorder is medicating it properly,” says Solomon. “The right medication cuts down on the cycling between depression and mania.” Taking your meds consistently is important, too, she adds, since skipping doses can cause a relapse in symptoms or even medication withdrawal. “It is very dangerous to stop any bipolar disorder medication cold turkey,” she adds. And don’t forget talk therapy, says Green. “Regular check-ins with a mental health professional are crucial,” she says.
Stick to a routine. “Consistency in daily routines can provide stability for people with bipolar disorder,” Green says. A routine can give you a sense of control and reduce stress. It also helps keep your body clock, or circadian rhythm, steady—an important piece of managing bipolar I, according to research in Current Psychiatry Reports.
Make you time. Taking care of yourself is important for preventing manic or depressive episodes, Dr. Lam says. Part of that means making space to pursue personal hobbies, exercise regularly, and follow relaxation techniques, Green adds. This can be easier said than done when a partner and children are involved, and you may even feel guilty for taking the time for yourself, but remember: Prioritizing your well-being is essential and will ultimately benefit everyone you love, she adds.
Track your moods. Green recommends mood-tracking (keeping a log) and mood-reporting (going over it with a therapist or someone else you trust) as a key coping skill for BD-I. “This gives you a way to learn your mood patterns that you can then speak to your partner about,” she explains. “By being able to understand your patterns, bipolar disorder becomes more recognizable and predictable.”

Family Harmony Family Harmony With BD-I Yes, BD-I can sometimes be disruptive to your life. But your relationships and family dynamics do not have to be defined by it. “Remember, BD-I is a journey, not a destination. It’s about finding balance, understanding personal triggers, and building a supportive network,” Green says. “With patience, understanding, and the right tools, managing family life and bipolar disorder is not just possible—it can be a pathway to a deeply fulfilling life.” This article was originally published December 6, 2023 and most recently updated December 7, 2023. https://www.healthcentral.com/condition/bipolar-disorder/raising-a-family-when-you-have-bipolar-1-disorder

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Cold Water Therapy: How It Works, Types And Benefits – Forbes Health

Gustavo Moro — Sun, 01 Oct 2023 06:39:01 +0000

By Caroline Thomason Contributor Medically Reviewed Myles Spar, M.D., M.P.H. Integrative Medicine / Men’s Health From social media influencers posting pictures of themselves taking ice baths to a documentary about Wim Hof, a cold water therapy retreat host and guide, cold water therapy is emerging as a popular health trend. A growing body of research suggests cold water therapy may have various health benefits, including mood enhancement, stress reduction and metabolic and heart health support. What Is Cold Water Therapy? “Cold water therapy, also known as cold hydrotherapy, is the practice of using water around 59 degrees Fahrenheit to treat health conditions or stimulate health benefits,” says Wan Na Chun, an Indianapolis-based registered dietitian and personal trainer who recommends cold water therapy in her practice. “Studies show that cold water immersion [can] lead to decreased stress levels after a one-hour session and induce significant physiological and biochemical changes in the body, such as improved blood pressure, metabolism and peripheral blood flow,” she adds. These changes may have secondary effects on metabolism and heart disease by reducing body fat and improving insulin resistance, two factors associated with chronic conditions like diabetes and cardiovascular disease. Cold water therapy is performed in a variety of ways, from topical skin exposure to full-body ice baths. Types of Cold Water Therapy The origins of using cold water therapy for health and muscle recovery may date back to ancient Greece, according to research. Types of cold water therapy range from a quick spray or rinse to full-body immersion in icy water. Cold water therapy is a form of cryotherapy, a broad field that encompasses using cold therapies to attain health and wellness benefits. Examples of cryotherapy include cold water immersion, applying ice/cold to the skin and other general uses of cold for therapeutic needs. “Cold water immersion and cryotherapy chambers are generally considered the most effective forms of cold therapy, as they provide the most significant benefits,” says Chun. Below are the most common types of cold water therapy. Cold water immersion, such as the Wim Hof Method, involves an individual submerging their entire body from the neck down in water no warmer than 59 degrees Fahrenheit for up to 15 minutes. The Wim Hof Method is known for combining breath work and cold water immersion often in natural, scenic environments. Cold showers: One small study found that a 15-minute cold shower after cycling improved heart rate recovery among nine cyclists. However, more research is needed to draw definitive conclusions about this benefit. Contrast bath therapy: Similar to cold water therapy, contrast water therapy involves switching limbs from cold water to warm water for varying amounts of time (30 minutes total). Potential Benefits of Cold Water Therapy While more research is needed to make conclusive claims about cold water therapy, preliminary studies demonstrate compelling potential mental and physical health benefits. May Aid Muscle Recovery and Decrease Pain In a 2016 study in Medicine, participants who performed a set amount of exercise and then immersed themselves in a cold water pool (no warmer than 59 degrees Fahrenheit) afterward reported experiencing less muscle soreness compared to those who didn’t undergo hydrotherapy[1]. The body regulates temperature through the same nerve pathways that signal pain, which is why icing injuries helps moderate pain, says Joseph Bunn, a personal trainer and physical therapist assistant in Warrenton, Virginia. Alternatively, using cold showers or cold water immersion techniques may decrease pain and improve muscle recovery. Cold water therapy works to alleviate pain by constricting blood vessels and reducing blood flow to peripheral body parts. Research suggests this blood flow redistribution improves oxygenation of muscles and may enhance exercise performance. May Help Regulate the Nervous System Exposure to cold water—including splashing it on your face or plunging into a cold lake—stimulates the vagus nerve. The vagus nerve is the main nerve of the autonomic nervous system responsible for regulating breathing and heart rate. For example, an ice bath helps one learn how to regulate intense emotion and essentially breathe through it, says Renee Solomon, Ph.D., a licensed psychologist and CEO and clinical director of Forward Recovery, a counseling practice focusing on the treatment of anxiety, depression, addiction and more. Dr. Solomon uses cold water therapy in her practice. May Decrease Stress and Improve Mood “[While] no randomized controlled trials exist, case reports and anecdotal evidence suggest cold water therapy can be beneficial for mood, treat depression, increase libido, reduce stress and improve stress regulation,” says Sid Khurana, M.D., a board-certified adult, child and adolescent psychiatrist and medical director of outpatient services at Nevada Mental Health. According to research, immersing oneself in cold water is linked to reduced cortisol levels, indicating it may offer stress relief, says Chun. Research of cold water therapy’s effect on mood is in its preliminary stages, but there’s compelling evidence that people may experience a mood boost within days of trying cold water exposure. Similarly, adults in a small 2023 study in Biology noted feeling more alert, inspired and attentive after a single five-minute session in a 68-degree bath. In the study, brain scans taken before and after cold water therapy revealed an increased connection between the regions of the brain controlling attention, emotion and self-regulation after cold water immersion[2]. “Cold exposure [is thought to increase] the production of the hormone and neurotransmitter norepinephrine,“ says Dr. Solomon. “Norepinephrine is associated with focus, attention, natural high [feelings] and improved mood. Cold water therapy [may produce] feelings of calmness and happiness and generally [may improve] well-being,” she adds. However, additional research suggests that high levels of norepinephrine can also be associated with depression, anxiety, panic attacks and hyperactivity (in spite of a brief period of potential euphoria). More research is needed regarding the long-term effects cold water therapy may have on mood and focus. May Have a Metabolism-Boosting Effect Researchers at the Arctic University of Norway observe a metabolic increase in individuals after they experience cold water immersion. However, this type of research is often carried out among small sample sizes, and further studies are needed to understand cold water therapy’s effect on metabolism, including body fat percentages and weight loss. The potential metabolism-boosting effect is credited to brown adipose tissue, a type of fat in the body that can produce heat when exposed to cold, burning more calories. This metabolism increase appears to be small, and research is inconclusive regarding whether cold water therapy supports long-term, significant weight loss. Is Cold Water Therapy Safe? Before attempting cold water therapy of any kind, it’s best to speak with a health care provider about any unique individual risks that may arise. Cold water therapy is safe, although the American Heart Association cautions that the most dangerous time is within the first 60 seconds until breathing regulates. Speak with a trusted health care provider prior to practicing cold water therapy to ensure it’s a safe and beneficial option for your unique goals. Who to Speak With About Cold Water Therapy Physical therapists often use topical ice application and cold water immersion for muscle recovery and pain reduction, and many other types of health care providers, such as dietitians, personal trainers, athletic trainers and mental health professionals, also utilize cryotherapy and cold water exposure as part of their treatment plans. Speak with a trusted provider for reliable guidance on how to incorporate this modality into a daily wellness routine. Discover Quick Muscle Recovery And Enhanced Performance Torrobath is a portable, foldable, lightweight, and leakproof ice bath tub that helps expedite muscle recovery, improve blood circulation and enhance immune system. Enjoy the benefits of an ice bath at home or anywhere else! Shop Now On Torroband’s Website Sources Footnotes Yeung SS, Ting KH, Hon M, et al. Effects of Cold Water Immersion on Muscle Oxygenation During Repeated Bouts of Fatiguing Exercise: A Randomized Controlled Study. Medicine (Baltimore). 2016;95(1):e2455. Yankouskaya A, Williamson R, Stacey C, Totman JJ, Massey H. Short-Term Head-Out Whole-Body Cold-Water Immersion Facilitates Positive Affect and Increases Interaction between Large-Scale Brain Networks. Biology. 2023;12(2):211. References Esperland D, de Weerd L, Mercer JB. Health effects of voluntary exposure to cold water – a continuing subject of debate. International Journal of Circumpolar Health. 2022;81(1):2111789. Peake JM, Roberts LA, Figueiredo VC, et al. The effects of cold water immersion and active recovery on inflammation and cell stress responses in human skeletal muscle after resistance exercise. Journal of Physiology. 2017;595(3):695-711. Faid T, Van Gordon W, Taylor EC. Breathing Exercises, Cold-Water Immersion, and Meditation: Mind-Body Practices Lead to Reduced Stress and Enhanced Well-Being. Advanced Mind Body Medicine. 2022;36(3):12-20. Yankouskaya A, Williamson R, Stacey C, Totman JJ, Massey H. Short-Term Head-Out Whole-Body Cold-Water Immersion Facilitates Positive Affect and Increases Interaction between Large-Scale Brain Networks. Biology. 2023;12(2):211. Taking the Plunge: Is Cold Exposure Worthwhile?. Cedars-Sinai. Accessed 7/28/2023. Jungmann M, Vencatachellum S, Van Ryckeghem D, Vögele C. Effects of Cold Stimulation on Cardiac-Vagal Activation in Healthy Participants: Randomized Controlled Trial. JMIR Form Res. 2018;2(2):e10257. Allan R, Malone J, Alexander J, et al. Cold for centuries: a brief history of cryotherapies to improve health, injury and post-exercise recovery. Eur J Appl Physiol. 2022;122(5):1153-1162. Lombardi G, Ziemann E, Banfi G. Whole-Body Cryotherapy in Athletes: From Therapy to Stimulation. An Updated Review of the Literature. Front Physiol. 2017;8:258. Malanga GA, Yan N, Stark J. Mechanisms and efficacy of heat and cold therapies for musculoskeletal injury. Postgrad Med. 2015;127(1):57-65. You’re not a polar bear: The plunge into cold water comes with risks. American Heart Association. Accessed 8/11/2023. Esperland D, de Weerd L, Mercer JB. Health effects of voluntary exposure to cold water – a continuing subject of debate. Int J Circumpolar Health. 2022;81(1):2111789. Shadgan B, Pakravan AH, Hoens A, et al. Contrast Baths, Intramuscular Hemodynamics, and Oxygenation as Monitored by Near-Infrared Spectroscopy. J Athl Train. 2018;53(8):782-787. Buijze GA, Sierevelt IN, van der Heijden BC, et al. The Effect of Cold Showering on Health and Work: A Randomized Controlled Trial. PLoS One. 2016;11(9):e0161749. Ajjimaporn A, Chaunchaiyakul R, Pitsamai S, et al. Effect of Cold Shower on Recovery From High-Intensity Cycling in the Heat. J Strength Cond Res. 2019;33(8):2233-2240. Breit S, Kupferberg A, Rogler G, et al. Vagus Nerve as Modulator of the Brain-Gut Axis in Psychiatric and Inflammatory Disorders. Front Psychiatry. 2018;9:44. Adrenal Hormones. Endocrine Society. Accessed 9/27/2023. https://www.forbes.com/health/mind/what-are-control-issues/

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What Are Control Issues? Causes, Signs And Treatments

Gustavo Moro — Mon, 13 Mar 2023 00:00:19 +0000

By Leoni Jesner (Contributor) Medically Reviewed Rufus Tony Spann, Ph.D., L.C.P.C., L.P.C. Mental Health / Holistic Health An individual with controlling behavior may exhibit jealousy, possessiveness and even use threats or insults to exert power over someone—for example, a partner who tells you how to dress or a friend who peer pressures you into doing something bad for your health. People who are controlling may try to take advantage of another person or dominate romantic relationships, friendships and other social situations to get their way. Living in a controlling environment can be exhausting and often damaging to your mental health. Here’s what you need to know about spotting controlling behaviors, and how to get help for yourself or a loved one.An individual with controlling behavior may exhibit jealousy, possessiveness and even use threats or insults to exert power over someone—for example, a partner who tells you how to dress or a friend who peer pressures you into doing something bad for your health. People who are controlling may try to take advantage of another person or dominate romantic relationships, friendships and other social situations to get their way. Living in a controlling environment can be exhausting and often damaging to your mental health. Here’s what you need to know about spotting controlling behaviors, and how to get help for yourself or a loved one. What Are Control Issues? A person who exhibits controlling behavior may meddle in the lives of others, exert dominance or try to remain in charge of all decision-making. This may look like depriving an acquaintance of their independence by deciding who they can be friends with, or one partner regulating their other half’s weekend plans. Controlling people may come across as intimidating, overbearing and use manipulative techniques. People with control issues may “often come across as rigid, believing their way is better than others, have a need to be praised, are critical of others’ ideas and have a hard time respecting boundaries,” explains Sid Khurana, M.D., a clinical assistant professor at the University of Nevada, Las Vegas, who is double board-certified in adult, child and adolescent psychiatry. Control issues can come to light in many different scenarios, such as in the workplace, where a micromanaging boss leaves colleagues feeling exploited, says Dr. Khurana. In a romantic partnership, your significant other may control what family members you see and when, and in friendships, controlling behavior can manifest in the form of a friend growing cold if you resist their recommendations or plans. What Causes Control Issues? Desiring a sense of control is natural in humans, but when the tendency to control becomes persistent and pervasive, it’s problematic, says Dr. Khurana. “It often has origin in childhood, where the basic attunement and attachment process with primary caregivers was not quite right,” he says, explaining that this can lead to adults craving control. According to Dr. Khurana, possible causes can include: Lack of unconditional love from caregivers Lack of adequate nurture from caregivers Household abuse and neglect Households with mental health and substance abuse issues Children who are not adequately supported in their early years are at a higher risk of developmental and mental health outcomes later in life. A person with a history of trauma, such as child abuse or domestic abuse, may later feel compelled to dominate later in life, says Deena Manion Psy.D., a licensed clinical social worker in the Los Angeles area and the executive director and chief clinical officer at Westwind Recovery. “It may also be a need to feel ‘above’ someone else, which comes across as controlling, but more often than not, it’s fear-based or anxiety from past experiences,” she says. Acting in a controlling manner might also be consequential as a fear of failure, the need to strive for perfection or dreading specific emotions. Quite often, controlling people seek praise from others as a means of reassurance and boosting their own self-esteem. Control issues may also result from: Learned behavior: Often people shadow controlling behaviors of those in their immediate family or community, which can lead them to crave power. Disorders: Controlling behavior can result from several mental health disorders, such as obsessive-compulsive disorder (OCD), which cause intrusive or uncontrolled thoughts, pushing a person to spiral in a controlling manner. Anxiety: Generalized anxiety disorder can cause a person to obsessively worry and develop a need to exert control as a coping mechanism. How to Spot Controlling Behaviors Controlling behavior can present itself in many forms, such as an individual refusing to accept blame for a mistake, or a friend who seems to be annoyed with you for no obvious reason. Because of its wide-ranging forms, it’s not always easy to spot. Control issues are not a medical disorder, explains Renee Solomon, M.D., a clinical psychologist and head of the drug and alcohol addiction treatment center Forward Recovery in Los Angeles. They can, however, be pinpointed by a qualified professional in the mental health space, such as a psychologist or a licensed therapist. Telltale signs that a person may be exhibiting controlling behaviors toward you include the following, according to Dr. Solomon: A partner or friend telling you who you can or can’t spend time with One partner telling the other how to dress Someone speaking for you, without asking your opinion first In a marriage, one partner controls all of the finances, including the other partner’s money A colleague not letting you arrange the office furniture or decor unless they approve it A friend who insists on which restaurant you eat at and will usually resist any change of plans A sibling deciding how the family reunion or vacation is planned depending on what works best for them The Impact Control Issues Can Have On Relationships Having controlling tendencies doesn’t make a person “bad,” says Dr. Khurana, rather it means they struggle with factors that have contributed to them exerting certain behaviors. Nonetheless, controlling behavior can be destructive to relationships when it results in emotional and mental abuse toward the person being controlled. When persistent and pervasive controlling behavior is used to dismiss, humiliate or gaslight another person, it may not be possible to resolve the conflict through cooperation, says Dr. Khurana. In fact, when this type of behavior escalates past a certain point, it is considered abuse, says Dr. Manion. This type of abuse can often look like: Intimidation Coercion Ridicule Harassment Treating an adult like a child Isolating an adult from family, friends or regular activity Using silence to control behavior Yelling or swearing According to Dr. Solomon, a worst-case scenario is when a controlling person in an intimate relationship acts out physically with violence, which is referred to as intimate partner violence (IPV). If you are at risk of, or think you may be experiencing, IPV, it is important to get help and support from a trusted source. Resources include the National Domestic Violence Helpline and / or a local domestic violence organization. Treatments for Control Issues Processing control issues and emotions in therapy can help you to stay present and avoid negative repercussions, says Dr. Manion. “Clients actually are able to free themselves of their anxieties and gain more control over their lives when they embrace this truth.” If you’re looking to manage your own controlling behavior, cognitive behavioral therapy (CBT) can be a helpful tool and a good place to start. In addition to CBT, Dr. Manion recommends other integrative therapies like mindfulness, meditation and yoga. Such mindful and spiritual practices have been found effective at calming one’s mental state, allowing for better self-regulation and reduced anxiety. For example, if you find yourself wanting to control a moment, practice mindful breathing to help dial down your response to the situation, suggests Dr. Manion. On the other hand, if you feel someone is trying to control you, advocate for yourself (if you can do so safely) to address a person during a situation in which you feel controlled. If the situation is volatile or unsafe, however, it may be wise to seek help from a mediator, or leave the situation. References Walker K, Sleath E, Tramontano C. The prevalence and typologies of controlling behaviors in a general population sample. J Interpers Violence. 2021;36(1-2):NP474-NP503. Petersen, A. C., Joseph, J., & Feit, M. N. (2014). Consequences of Child Abuse and Neglect. In New Directions in child abuse and neglect research. essay, National Academies Press. Why Do People Abuse?. Strong Hearts Native Helpline. Accessed 09/09/2022. Obsessive-Compulsive Disorder. National Institute of Mental Health. Accessed 09/09/2022. Generalized Anxiety Disorder. Anxiety & Depression Association of America. Accessed 09/09/2022. Types of Mental Health Professionals. National Alliance on Mental Health. Accessed 02/09/2022. Verkuil B, Atasayi S, Molendijk ML. Workplace bullying and mental health: a meta-analysis on cross-sectional and longitudinal data. 2015;10(8):e0135225. Mindfulness meditation: A research-proven way to reduce stress. American Psychological Association. Accessed 09/09/2022. Karakurt G, Silver KE. Emotional abuse in intimate relationships: The role of gender and age. Violence Vict. 2013;28(5):804-821. https://www.forbes.com/health/mind/what-are-control-issues/

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Religious Fasting and Mental Health: What You Need to Know

admin — Wed, 05 Oct 2022 18:50:51 +0000

If you have an active eating disorder or have recovered from one, it’s wise not to fast, experts say. Here’s why. By Julia Métraux Medically Reviewed by Chester Wu, MD People of various faiths, such as Judaism, Islam, Christianity, or Hinduism, participate in fasts — temporarily abstaining from eating and sometimes drinking — as part of their religious practice as a means of repentance, purification, or self-discipline. In addition to the religious and cultural significance of fasting, some people experience mental health benefits from it, too. “Some observational studies have suggested fasting to improve mood and reduce stress levels,” says Ketan Parmar, MD, a psychiatrist based in Mumbai, India, who identifies as Hindu. For example, a study published in the Iranian Journal of Nursing and Midwifery Research showed that fasting during Ramadan, a monthlong Muslim holiday that happens each spring, was associated with a drop in depressive symptoms and stress levels afterward among nurses. Although religious fasting is safe for most people, there are exceptions. For example, during Ramadan, Muslim people who are sick, pregnant, or breastfeeding are advised not to fast, according to another article in the Iranian Journal of Nursing and Midwifery Research. And even though fasting may have mental health benefits for some, it can be detrimental to the mental health of others. That’s why some experts believe there should be mental health-related exceptions for religious fasting. In fact, many religious practices emphasize the importance of personal well-being. As Shira Rosenbluth, LCSW, who is Jewish and in recovery from an eating disorder, posted on Twitter in September 2021, “Let’s remember that the Torah [Jewish religious texts] tells us we need to put our health first, [and] that includes mental [and] physical health.” Here, experts offer three reasons why it may be important to abstain from religious fasting to protect your mental health. 1. You Have a History of an Eating Disorder An estimated 20 million American women and 10 million American men have an eating disorder, according to the National Eating Disorders Association (NEDA). What’s more, eating disorders appear to be more common in certain religious communities, such as among Jewish women, than in the general population, NEDA experts say. As with other chronic health conditions, people with eating disorders may never completely reach remission, or they may need to undergo treatment more than once, per NEDA. For people in recovery from anorexia nervosa and similar conditions, religious fasting may trigger disordered thoughts about food or even a relapse, which can be dangerous and even life-threatening. Eating disorders are the second most fatal type of mental illness, surpassed only by opioid addiction, according to NEDA. For these reasons, it’s typically not safe for religious people with eating disorders to fast, says Renee Solomon, PsyD, a licensed clinical psychologist and the CEO of Forward Recovery in Los Angeles, who identifies as Jewish. “This reinforces the idea that it is a good thing for them not to feed themselves. They work so hard to force their minds to accept the idea that they need to eat and that they deserve to eat. Fasting for the day completely goes against all the work they have done,” Dr. Solomon warns. Dr. Parmar agrees. “It is generally advisable for people in recovery to avoid fasting, as it can trigger unhealthy behaviors and thoughts,” he says. 2. You Have Another Mental Health Condition While not all people with mental health conditions have a hard time with religious fasting, many others find it more challenging to manage their condition while fasting. For example, a small study published in World Psychiatry found that among Muslim patients with bipolar disorder, fasting during Ramadan was associated with relapses (meaning they had a manic or depressive episode) for 33 percent of patients who fasted, whereas only 15 percent of those who did not fast had a relapse. It’s also not uncommon for people with obsessive-compulsive disorder (OCD) to struggle while fasting. One reason? For some with this condition, fasting may exacerbate their OCD symptoms. According to experts at OCD Massachusetts, a mental health clinic in Belmont, the obsessions and compulsions that happen among people with this condition can sometimes “center on food and meals,” and as with many eating disorders, they may “involve recurring ritualistic behaviors.” For instance, some people have a form of OCD called “scrupulosity,” meaning their obsessions are related to religion or morality and their compulsions may involve repeated cleansing and purifying rituals (such as fasting), according to the International OCD Foundation. 3. In General, You Feel Very Negative When You Fast Some people who participate in religious fasting have a harder time than others, and fasting for longer periods, such as during Ramadan, may be too much for them. During Ramadan, many Muslim people who follow traditional practices do not eat or drink from sunrise to sunset. A small preliminary study published in May 2021 in Frontiers in Psychology found that people with no fasting experience who fasted for the first time had a more negative mood and were more stressed than people who did have experience fasting. Alternatives to Fasting if You Can’t Participate Religious fasting is not the only way to express your faith on holidays. If you decide not to fast for mental health reasons, this does not make you any less a part of your religious community. For instance, “Even though [a Jewish person with an eating disorder] should not fast on Yom Kippur, they are still part of the Jewish community,” Solomon said. Both Parmar and Solomon recommend that you talk to your doctor or another mental health professional about whether fasting might be helpful or harmful to your mental health. If you decide fasting isn’t a healthy option for you right now, you might ask a religious leader in your community about other ways to participate in religious holidays without putting your well-being at risk. Some potential options to consider: Focus during the holiday on prayer or reflection at home or at your place of worship. Attend religious services either virtually or in-person. Watch movies, documentaries, or other forms of media to learn more about the history behind the religious holiday you’re celebrating or your faith in general. https://www.everydayhealth.com/emotional-health/religious-fasting-and-mental-health-what-you-need-to-know/

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Kendall Jenner says a brain scan proves she ‘100% has anxiety’ in a new episode of ‘The Kardashians’

admin — Fri, 30 Sep 2022 00:08:12 +0000

By Anna Medaris Kendall Jenner said a brain scan showed she “100% has anxiety” on “The Kardashians.” She said she wanted her sisters to get one too. “It’s really interesting,” she said. Brain scans can detect anxiety, but they’re not necessary for a diagnosis — and can even be harmful. Kendall Jenner said a brain scan showed she “100% has anxiety,” the model and reality star said on an upcoming episode of “The Kardashians.” In the preview, Jenner told her sister Khloe Kardashian that the doctor “scans your brain and he tells you, like he sees where it’s like firing. Like he said, ‘You 100% have anxiety. I can see it all in your brain.’ It’s really interesting.” Jenner said she wanted Kardashian to get a scan too, especially given her ex’s cheating scandal. “I think you would really like it. I’m actually so interested to see how your brain works,” said Jenner, adding that she’d like to see how all her siblings’ brains operate. Jenner has been open about her anxiety in the past. In an August Vogue article, she said she combats it by drinking tea, reading, or writing in a journal. “I have struggled with anxiety for years and it can have good and bad days,” she said. “If I need to wind down, I really make a point to take 15 minutes to meditate to settle my anxiety so I can get a good night’s rest.” Brain scans can help diagnose various conditions Jenner presumably received a scan from controversial celebrity psychiatrist Dr. Daniel Amen, who has worked with stars including Justin Bieber, Bella Hadid, Meghan Trainor, and plenty of former NFL players and high-profile entrepreneurs. Amen is a proponent of SPECT scans, which measures blood flow to different areas of the brain. It first involves getting an IV of a radioactive substance. They’re typically used for diagnosing and monitoring brain diseases like Alzheimer’s, stroke, and seizures, according to the Mayo Clinic. But Amen uses them to better understand all manner of conditions, from obesity and performance anxiety to substance abuse and ADHD, and to demonstrate to patients that their symptoms aren’t all in their heads. “SPECT is invaluable to decrease stigma and increase compliance, as people see their problems as medical and not moral,” he previously told Insider. A brain scan isn’t necessary to diagnose anxiety — and can even be harmful Other types of brain scans are better-known ways to detect anxiety, Dr. Renee Solomon, a clinical psychologist and owner of Forward Recovery. “There is a great deal of literature that shows that brain scans can detect anxiety,” she told Insider. For example, she said, one study showed CT scans can reveal damage to the frontal lobe in anxious people, and other research has shown MRIs can pick up on anxiety. “We need a lot more research in this area,” Solomon said. But there’s no evidence brain imaging should be used to diagnose anxiety, Dr. Sid Khurana, a psychiatrist and the medical director at Nevada Mental Health, told Insider. In fact, he said, scans “can be rather harmful, as it can delay treatment, can be expensive, and potentially expose patients to radiation/exposure which they never needed to be exposed to.” Rather, clinicians can make an official diagnosis when patients meet various criteria laid out in the DSM 5, like being excessively anxious or worried most days about a variety of events. Khurana said routine blood work can also help rule out other conditions. Solomon recommends getting “a comprehensive evaluation” from a psychiatrist or a psychologist, which may or may not include a brain scan. The results probably won’t shock you: “People typically know when they are anxious,” she said. https://www.insider.com/kendall-jenner-says-brain-scan-proves-she-100-has-anxiety-2022-9

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