Friday, February 26, 2010
I wanted to start a boycott like this today. I am outraged that they are still going to show this Killer Whale. If you don't have a facebook page I ask you to get one just for this cause so you can Join the group, the more that join the better the chances of reaching our goal of removing that killer whale. It is very easy to sign up. You will also find some good friends and family are on there and it is a fun way to keep in touch with them. What a disgrace to the legacy of Animal trainer Dawn Brancheau. And what kind of message does that send out about what and who they value more, sea life or human life? Obviously sea life. How many people are going to have to die because of this whale until something is done. I know personally if I got the opportunity today to go there I would not, even if they remove the whale, in my eyes they have changed my perception of what they truly are about. If you join this group I want you to know I deeply appreciate it and Thank you. Here is the link to the group.
Thank you for visiting my blog,
Tuesday, February 23, 2010
Hi Everyone, I hope your doing well. I am doing good. I have decided to start this series on Anxiety Disorder. I personally suffered from it until I started taking medication for it. It can be both genetic and a result of the environment around you. My daughter has it as well. I hope this information helps you or anyone you know who may be experiencing these attacks. The good news is they are easily treated and the person should not feel ashamed to ask for help. Thanks for visiting my blog, Take Care, Janet :)
Anxiety Disorders affect about 40 million American adults age 18 years and older (about 18%) in a given year, causing them to be filled with fearfulness and uncertainty. Unlike the relatively mild, brief anxiety caused by a stressful event (such as speaking in public or a first date), anxiety disorders last at least 6 months and can get worse if they are not treated. Anxiety disorders commonly occur along with other mental or physical illnesses, including alcohol or substance abuse, which may mask anxiety symptoms or make them worse. In some cases, these other illnesses need to be treated before a person will respond to treatment for the anxiety disorder. Effective therapies for anxiety disorders are available, and research is uncovering new treatments that can help most people with anxiety disorders lead productive, fulfilling lives
“For me, a panic attack is almost a violent experience. I feel disconnected from reality. I feel like I’m losing control in a very extreme way. My heart pounds really hard, I feel like I can’t get my breath, and there’s an overwhelming feeling that things are crashing in on me.”
“It started 10 years ago, when I had just graduated from college and started a new job. I was sitting in a business seminar in a hotel and this thing came out of the blue. I felt like I was dying.”
“In between attacks there is this dread and anxiety that it’s going to happen again. I’m afraid to go back to places where I’ve had an attack. Unless I get help, there soon won’t be anyplace where I can go and feel safe from panic.”
Panic disorder is a real illness that can be successfully treated. It is characterized by sudden attacks of terror, usually accompanied by a pounding heart, sweatiness, weakness, faintness, or dizziness. During these attacks, people with panic disorder may flush or feel chilled; their hands may tingle or feel numb; and they may experience nausea, chest pain, or smothering sensations. Panic attacks usually produce a sense of unreality, a fear of impending doom, or a fear of losing control.
A fear of one’s own unexplained physical symptoms is also a symptom of panic disorder. People having panic attacks sometimes believe they are having heart attacks, losing their minds, or on the verge of death. They can’t predict when or where an attack will occur, and between episodes many worry intensely and dread the next attack. Panic attacks can occur at any time, even during sleep. An attack usually peaks within 10 minutes, but some symptoms may last much longer. Panic disorder affects about 6 million American adults1 and is twice as common in women as men.2 Panic attacks often begin in late adolescence or early adulthood,2 but not everyone who experiences panic attacks will develop panic disorder. Many people have just one attack and never have another. The tendency to develop panic attacks appears to be inherited.
People who have full-blown, repeated panic attacks can become very disabled by their condition and should seek treatment before they start to avoid places or situations where panic attacks have occurred. For example, if a panic attack happened in an elevator, someone with panic disorder may develop a fear of elevators that could affect the choice of a job or an apartment, and restrict where that person can seek medical attention or enjoy entertainment. Some people’s lives become so restricted that they avoid normal activities, such as grocery shopping or driving. About one-third become housebound or are able to confront a feared situation only when accompanied by a spouse or other trusted person. When the condition progresses this far, it is called agoraphobia, or fear of open spaces.
Early treatment can often prevent agoraphobia, but people with panic disorder may sometimes go from doctor to doctor for years and visit the emergency room repeatedly before someone correctly diagnoses their condition. This is unfortunate, because panic disorder is one of the most treatable of all the anxiety disorders, responding in most cases to certain kinds of medication or certain kinds of cognitive psychotherapy, which help change thinking patterns that lead to fear and anxiety. Panic disorder is often accompanied by other serious problems, such as depression, drug abuse, or alcoholism. These conditions need to be treated separately. Symptoms of depression include feelings of sadness or hopelessness, changes in appetite or sleep patterns, low energy, and difficulty concentrating. Most people with depression can be effectively treated with antidepressant medications, certain types of psychotherapy, or a combination of the two.
Wednesday, February 17, 2010
Hi Everyone, I hope you are doing well, I am doing ok today. Today I had my monthly visit with my counselor like I have too to get my medicine. During our visit we got talking about some of my family members. She went back to my intake notes that you have to do at first to get your medicine and read my family history. She was not my first counselor so she did not know I suffered abuse from my mother when I was a child and it has never come up. So when she asked me about the abuse it stirred up much pain and tears. When my mother got psychotic she would do things like lock me down the cellar, lock me outside. It was always like walking on eggshells around her. I was always afraid to go home because I did not know what I would experience. She flipped out at one of my birthday parties and my friends all had to leave. My Dad comforted me that day though. Once she chased me with a hammer but I was a teenager with a car and I got in it and sat at the end of my street all night because my Dad was at work. One of the worst memories I have is her trying to commit suicide in front of me when I was ten years old. My father was at work that day, and she was in her room drinking whiskey and then decided to take some pills. My sister called an ambulance and they pumped her stomach right in front of all of us. As I spoke about these memories my counselor was showing pain on her face. I told her I was even on a local talk show here in Boston about the abuse with Tom Burgeron. My friend had written him a letter about all that I had been through and they called me to be on a show about Schizophrenia. I did alright but I was still young and naive about Mental Illness. I have been so happy lately living in my forties that those memories have been buried so deep. I never cried about them before until today. The mind is kind and only gives you what you can handle. She said something kept you strong. I said I know it was my Dad. He lost his father at the age of 11 and had to leave school and support his family. Then he served in the Korean War. Then married a women who became very sick and he was left to care for six children on his own. He did such a good job of being both mother and father, we were all well taken care of by him. You can read more about him on my DDD blog. He was once offered a position from the Boston Globe where he worked to have a job where he could travel and have an expense account. He told my brother Jim that he wanted to take it and give up us children for adoption. But he did not, he stayed and survived everyday with us. I miss him so much, he was gone to soon. I am grateful though to have had such a wonderful man as a father. I am also grateful that my mother got better and we were all able to forgive and have a loving relationship. My Anxiety attacks started when I first lived with Pete, it was because I was in a safe place and it was like my mind finally had a place to release all the damage from the trauma. My counselor also said most families don't survive through things like this. I am so glad we all have. As I walked out the door she said "Janet be proud of yourself everyday". I said I will be even more now as the tears were still flowing. They are flowing as I write this but it is good to face that pain and get it out in order to heal. I chose this song because my strength is that of the tiger. It also reminds me of my friend Gina and how we danced to this song the night her and her boyfriend were in a car accident. He died and once again I had to survive a painful experience. My counselor shared with me a book she uses to help trauma clients. It is called Trauma and Recovery. I am going to buy it and share it with all of you. I forgot about the trauma of living with a person with Mental Illness and that should be apart of what this blog is about. I know it will give you some tools on how to heal after experiencing trauma. May you all find the strength of a tiger when life hands you more than you can bear. I am going to go to bed now and finish crying as I listen to my mp3 player and wake up refreshed. Thanks for visiting my blog, Take Care, Janet
Saturday, February 13, 2010
Hi Everyone, I hope you are doing well. I am so happy to see that the mental health system is doing this program. Most of the homeless people who live on the streets are mentally ill. They have no family that wants to care for them. Especially the lower income families. If I could I would take them all in. Thanks for visiting my blog, Take Care, Janet :)Concept Clearance
January 15, 2010
Implementation Science for the Mental Health Gap Action Program
Pamela Y. Collins, M.D., M.P.H.
Associate Director, Office for Special Populations, and Director, Office of Global Mental Health
Office of the NIMH Director
To conduct comparative research on the implementation and scale-up of evidence-based mental health interventions in low- and middle-income settings.
Worldwide, community-based epidemiological studies estimate that the lifetime prevalence of mental disorders in adults ranges from 12.2 percent to 48.6 percent, accounting for approximately 30 percent of the total burden of non-communicable diseases. In Sub-Saharan Africa, the disability-adjusted life years attributable to psychiatric conditions surpass the proportion attributable to nutritional deficiencies, tuberculosis, or maternal complications from childbirth. Yet, insufficient attention and resources address the diagnosis, treatment, and care of people with mental disorders in low- and middle-income countries (LMICs).
This initiative aims to support research on the implementation of evidenced-based care for designated mental disorders developed through the World Health Organization’s (WHO) Mental Health Gap Action Programme (mhGAP). The mhGAP initiative aims to deliver an integrated package of evidence-based treatment interventions, taking into account existing and possible barriers for scaling up care. The interventions focus on eight high–disease-burden and high-cost conditions, including depression, schizophrenia and other psychotic disorders, suicide, and mental disorders in children. This program of multidisciplinary research on implementation of effective interventions and comparative studies in multi-country settings stands to make a significant impact on the treatment and course of mental disorders in LMICs.
The intent of the initiative is to 1) develop protocols for a situational analysis, based on data from the WHO-Assessment Instrument for Mental Health Systems (WHO-AIMS) study, for implementation of mhGAP; 2) conduct a situational analysis of the mental health system in 3-5 selected LMICs; 3) based on the situational analyses, develop protocols for implementation research on mhGAP; and 4) conduct an evaluation of the implementation process in selected LMICs.
Scientific areas of interest include:
- Understanding the social and policy environments that facilitate scale-up of mental health interventions, particularly in low- and middle-income countries;
- Studying cultural barriers and facilitators of scale-up;
- Assessment of the acceptability and social validity of individual and combined packages of care across settings as well as across populations at risk of exclusion from services
- Refinement of methods to assess the efficacy of multilevel intervention implementation.
Research findings will also have implications for mental health services research in varied settings across the United States and its territories.
Friday, February 5, 2010
I hope you are doing well. I am doing great. I was so happy to read about this new research. Prevention is the best medicine as they say. I can't help but feel sad for the loved ones I have lost to suicide that we didn't think of it sooner. If you know someone at risk please share this information with them or their family. Hope you all have a great weekend. Thanks for visiting my blog, Take Care Janet :)
January 13, 2010
New Grant Aims to Identify and Reduce Suicide Among Emergency Department Patients
hospital room scene with patient and doctors
A new NIMH-funded grant aims to increase suicide detection and prevention efforts among patients who present with suicide risk factors in hospital emergency departments.
The Emergency Department Safety Assessment and Follow-up Evaluation (EDSAFE) trial will be coordinated by the Emergency Medicine Network (EMNet), which is based at Massachusetts General Hospital. The team of researchers will be led by Edwin D. Boudreaux, Ph.D., of the University of Massachusetts, Carlos A. Camargo, Jr., M.D., DrPH, of Massachusetts General Hospital and Harvard Medical School, and Ivan Miller, Ph.D., of Butler Hospital in Providence, RI. The project is expected to enroll nearly 1,420 participants over five years.
EDSAFE will be conducted in three phases. The first phase will assess treatment as usual (TAU) for patients. TAU typically consists of evaluating suicidal risk only among those emergency department patients who have psychiatric risk factors such as depression, suicidal thinking or behavior (ideation), or substance abuse. Often these patients are put under observation while at the hospital and are evaluated by a mental health provider. They also may be referred to a mental health professional outside the hospital, but few receive adequate follow-up care after they are discharged. During the second phase, a universal screening process will be tested in which all patients, regardless of whether they exhibit typical risk factors for suicide, will be screened for suicidal ideation. The researchers will compare universal screening with TAU to determine how well each detects suicidal patients.
During the third phase, a more intensive intervention that includes screening, brief counseling, an evaluation by a mental health provider, referral to outpatient care and other components will be implemented. Patients will then receive follow-up phone counseling. The intensive intervention will be compared to TAU and to universal screening.
The study will be conducted at eight sites throughout the nation and is set to begin in June 2010.