Posts Tagged ‘medicines’

Flight 3407 Anniversary Likely to Trigger Anxiety and Grief

Friday, March 5th, 2010

Friday’s one-year anniversary of the crash of Continental Flight 3407 will almost certainly trigger anxiety and fear among those personally affected by the tragedy. And a University at Buffalo expert on trauma and loss says those with a less-immediate, but still important connection to the tragedy can also expect a recurrence of anxiety or grief.

“The first-year anniversary after a tragedy is always difficult,” says Nancy J. Smyth, dean of UB’s School of Social Work and a national expert on trauma and post-traumatic stress disorder. “In this situation, it’s particularly difficult because certain aspects and qualities of the tragedy make it complicated.

“Safety practices were not what they should have been,” says Smyth. “The deaths might have been prevented. Family members of the victims may well have been stuck in feelings of anger and helplessness. And those feelings can make the grieving process that much harder and the anniversary date that much more painful.”

But the trauma, anxiety and depression surrounding the Feb. 12 anniversary date will be felt by others who somehow made a painful but meaningful connection to the crash, a tragedy that killed all 49 passengers and one person in the Clarence Center neighborhood where the plane came down. According to Smyth, these people, as well, need to prepare for what could be a reawakening of the pain and ordeal they experienced because they found something about the crash disturbingly relevant to their own lives.

“If they found something personal in this situation they connected to — maybe they strongly related to one of the victims or they often took a flight similar to this one — the anniversary of the crash may make them feel less safe in the world. This is much more likely if they have their own history of trauma, such as childhood abuse or growing up in a violent neighborhood,” Smyth explains. “Feeling anxiety on the anniversary of this crash will probably be puzzling to them, and it might only make sense when they can figure out that this current tragedy is resonating with their own past experiences.”

Smyth, who has written and lectured extensively on how people react to stress and the coping mechanisms that can make it easier to manage this anxiety, urges both groups at risk of feeling deep sorrow to “plan, expect that this will happen” as the anniversary of the crash approaches.

“Don’t fight it,” she says. “Dedicate some time and mental space to how you’re feeling. Don’t try to go through this week as if nothing happened. Recognize it and decide what you need to do to commemorate this event in your life.

“Death of a loved one is very personal. This could be a time to write a letter to the person who died. People who have done this say this can be a helpful thing to do. Or it can be a religious service, or gathering with a group of people that have gone through a similar experience.

“It’s more a point of taking the time to ask yourself, ‘What do I need to do?’ rather than a matter of something being right or wrong.”

Everyone expects the families of those killed in the crash to re-experience their sorrow and loss. But others — whether they are the people who saw the crash in their neighborhood, or the first responders, or the volunteers who helped look for remains of the victims, or people who lived through a frightening airline experience or through other traumatic events — these people should also expect the one-year anniversary will probably awaken painful feelings they thought had been resolved, according to Smyth.

“The most healing way to use this anniversary date is often to honor the person who died in whatever way is most useful and appropriate to that person experiencing that grief,” Smyth says. “However, if you find yourself getting anxious or depressed when this anniversary comes, and it’s not making any sense because you’re thinking, ‘I didn’t live through this,’ it’s a good time to seek out a therapist familiar with trauma. Those therapists can quickly help you understand how this tragedy relates to your life and your experiences, and then work with you so that these feelings get resolved.”

The University at Buffalo is a premier research-intensive public university, a flagship institution in the State University of New York system and its largest and most comprehensive campus. UB’s more than 28,000 students pursue their academic interests through more than 300 undergraduate, graduate and professional degree programs. Founded in 1846, the University at Buffalo is a member of the Association of American Universities.

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Children Anxiety

Wednesday, March 3rd, 2010

Our Daughter is Suffering From Anxiety But We Don’t Know Why!

Our daughter is nine years old. She has always been shy but still has a core group of friends she plays with regularly. Lately she seems to have developed an anxiety that we can’t put our finger on. She’s doing very well in school and seems to look forward to going. She has after-school activities such as ballet and swimming which she enjoys. We have brought her to the doctor and she doesn’t seem to have any medical problem, but recently she has been crying and complaining of abdominal pains.

If there is anything bothering her she seems unable to tell us what it is. We regularly give her reassurance and let her know she can talk to us if anything is wrong. Her grandmother died 10 months ago and, although she was very close to her, we are unsure whether this is bothering her now, as she has not been particularly upset in recent months. Apart from that there have been no other major changes in her life.

Her teacher assures us she is doing fine, although she is still shy in class and never initiates conversations. We have no idea what can be causing the anxiety and would be grateful if you have any thoughts on the issue.

A: I don’t have any great insights into why your daughter may be experiencing the anxiety that you describe. However, I do have some ideas that may help you to explore the area with her even though she has seemed “unable” to tell you so far.

Children feel unable to discuss their feelings – or what is causing them to feel the way they do – with their parents for several reasons. Sometimes they simply don’t know the words or don’t understand the feeling and can’t articulate the difficulties that they are having. Sometimes they are afraid that they will disappoint their parents if they tell them (for example, they fear their parents will think they are stupid or incapable of explaining). Sometimes they are too ashamed or embarrassed by their feelings or the source of their feelings. Sometimes they fear that they will make a bad situation worse if they tell their parents (for example, if they have been threatened not to tell by a bully). Finally, sometimes younger children assume that their parents already magically know the reasons and so there is no need to explain it.

So bear this in mind when talking to your daughter. Start by suggesting to her that tummy pains often come from being worried about things and that we can get the pains even when we don’t know what we are worried about. This gives her permission to “not know” why she feels as she does.

Then talk to her about some reasons that you know about why other children have been worried. Within this you can list a whole range of anxiety-provoking things like fear of failure (not doing well in school), feeling overwhelmed by homework, missing someone who is dead, being bullied or picked upon, feeling that school work is too hard, not knowing how to be comfortable in a big group of children, and so on.

Providing multiple choice options like this can allow children to choose the best fit for them. If she does identify that any of the suggested reasons make sense to her then you just continue to explore the issue in an empathic way. Don’t judge her feelings (for example, avoid statements like “that’s a silly reason to be afraid”), just acknowledge that they are there. Try not to rush into solving a problem that she might identify. Often children just want their problem to be understood by someone else initially, and then later work out a solution themselves or look for the help to do so.

After listing a range of anxiety-provoking situations it is possible that she will identify that none of the suggested reasons seems to fit. However, if none fit and you then ask, “Mmmm, I wonder what else it might be then?” in a genuinely open and inquisitive way, many children will have a go at naming the anxieties they have because they are encouraged by the level of understanding their parents have already shown, or because they can get one up on us because we didn’t guess the right reason.

If, even then, she still has not been able to identify the reason, you can take the pressure off her by saying, “Okay, well if you feel worried and we don’t know why then it must be because it is a tricky worry and we’ll just have to wait until we understand it better. But I have confidence that together we can sort it out; it might just take time.” You can even suggest some of the reasons why worries are hard to talk about and to understand, from the list I gave earlier.

In this way you leave the door wide open to continue to explore the source of the anxiety, but you also give her a very clear message that you are simply on her side, supportive of her and willing to go at her pace.

As you then wait over the next days or even weeks you may find that the seeds of exploration you have sown can unconsciously prompt your daughter to be more alert to her real feelings and the source of them or that other, third-party information comes to light which may illuminate a cause.

Whatever happens, be mindful of the fact that, as parents, we can’t solve all of our children’s problems. Struggling through worries, fears, difficulties and upsets is a normal and important part of every child’s development. Overcoming those situations, alone or with support, can give a child a great sense of confidence and self-belief.

While I can absolutely understand your desire to help and to eradicate the anxiety, it is good enough to simply be available. As long as you stand beside her and give her the clear message as you do that you are always willing to help then it may be as much as you can do and as much as you need to do.

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Broken Elevator Triggers Anxiety

Monday, March 1st, 2010

Joyce Morrison has a doctor appointment today. But she may have to reschedule because with a broken leg, it will take a herculean effort to get her from her fourth-floor condominium to the car. The building elevator is out of order.  It’s been out of order for 12 days.

And it isn’t expected to be repaired until Thursday at the earliest. That is if the parts are available.

“I’m going to have to get help in getting my wife down the stairs,” said Kyle Morrison.

The Morrisons and some of their neighbors in the 55-and-older community have been trying to get answers to why it’s taking so long for the elevator repair company to fix the only elevator that services the 80-unit building at the Bayshore on the Lake Condominium complex, on Lake Bayshore Drive off 38th Avenue West.

“We’re trying to get assistance to get the elevator repaired or replaced,” said Richard Jones, 72, who lives about four doors down from the Morrisons and uses an electric wheelchair to get around.

“The condo association says they don’t know when it will be fixed,” Jones said. “Every time I talk to someone, I get a different story.”

He said he has been depending on friends to bring him food and supplies, but he also has a doctor’s appointment that he doesn’t know how he’ll keep.

In an e-mail response to the Bradenton Herald, Scott Bole, of C&S Condominium Management Services Inc., wrote that Schindler Elevator, a national firm with offices in Tampa, was working on the problem.

“An attempt to rebuild the motor has failed and a new motor is to be installed as well as a pump, unfortunately it has been difficult for Schindler Elevator to secure all the necessary parts and a new motor,” Bole wrote in the e-mail.

“On behalf of the Board of Directors, we have been in contact with the elevator company three to five times a day regarding the elevator outage,” the e-mail states. “It has been a constant evolving and time consuming trouble shooting process that has continued to grow.”

A telephone message left with Dave Freeman at Schindler Elevator’s Tampa office was not returned.

Bole wrote in the e-mail, “According to Schindler Elevator, the work on the elevator should be completed by Thursday of this week unless the new parts do not arrive as scheduled.”

But a hand-written notice posted next to the elevator door said the repairs were expected to be finished by “Wednesday by noon,” which was crossed out, and “Hopefully Thursday,” was written, and then crossed out, and “Til further notice” was scribbled in.

“In the time frame it’s been broken down it should have been repaired by now,” said Charlie Gardner, who also lives on the fourth floor of the five-story building.

“If it takes any longer it would be a serious problem,” Gardner said.

“If the fire department had to evacuate it would be difficult.”

Neither the fire department nor Manatee County Code Enforcement Office has any jurisdiction over elevators being out of order.

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Financial Woes Add Anxiety to Breast Cancer Diagnosis

Friday, February 26th, 2010

Financial pressure puts low- and medium-income women at particularly high risk for anxiety and depression after being diagnosed with the noninvasive breast cancer ductal carcinoma in situ (DCIS), a U.S. study has found.

The study included 487 women with newly diagnosed DCIS who completed questionnaires about their financial, mental and physical health at the start of the study and again nine months after diagnosis.

At the nine-month follow-up, women with financial difficulties reported higher levels of anxiety and depression than those with no financial problems. In addition, women with financial difficulties said their feelings of anxiety and depression grew during the study period, while financially secure women reported a decrease in those feelings.

A woman’s education level didn’t appear to affect her risk for anxiety or depression, and social support didn’t ease the negative impact of financial problems on a patient’s mental health, the study authors noted.

“Women with medium or low socioeconomic status are forced to manage competing stressors: the stress of financial hardship and the stress of a major health event,” study author Janet de Moor, of the Ohio State University College of Public Health, said in a news release. “Because these concomitant stressors leave women vulnerable to escalating distress after their DCIS diagnosis, women with medium or low financial status may benefit from psychosocial interventions.”

The study was published online Feb. 8 in the journal Cancer.

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Accident Raises Parents’ Traffic Anxiety

Friday, February 19th, 2010

Parents in the Sanford Avenue School area say some of their worst fears were realized yesterday morning when an 11-year-old girl was hit and trapped under the front of a minivan as she raced across the street in front of the school.

The child was pinned under the front of the van just before 9 a.m. as she crossed from the east side of Sanford Avenue heading toward the school. She was walking with her older sister.

She was freed by firefighters who quickly raised the front of the van using portable airbags. She suffered only minor injuries but was taken to Hamilton General Hospital.

Police Sergeant Terri-Lynn Collings said the girl was hit in a “low impact” collision, which is still under investigation.

Melissa Webster, whose five- and seven-year-old children attend Sanford school, said the girl was crossing the street with her older sister when she was struck by a van turning out of the Pinky Lewis Recreation Centre parking lot.

Webster, who will not allow her seven year old to walk to school by himself “even though he thinks he’s old enough,” said morning traffic on Sanford worries parents.

“In the morning, they get going pretty good between Cannon and Barton,” she said, “and the school’s smack in the middle of the stretch.”

“I live nearby,” she said, “and when you hear the fire and ambulance and police sirens stop close, you know it’s a child.”

Albert Wetherald, of Stirton Street, said in an e-mail he has been asking for a crossing guard at the intersection of Huron Street and Sanford since late 2007. He said he was told a review of crossings in the area done in 2006 recommended Cannon Street East and Barton Street East as the best locations for crossings.

Neighbours say traffic in the school zone is very busy, and that many morning commuters use the Pinky Lewis parking lot as a shortcut between Wentworth Street North and Sanford Avenue.

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Buspar Possible Concerns

Wednesday, February 17th, 2010

Buspar Possible Concerns Related to Buspirone’s Binding to Dopamine Receptors

Because buspirone can bind to central dopamine receptors, a question has been raised about its potential to cause acute and chronic changes in dopamine-mediated neurological function (eg, dystonia, pseudo-parkinsonism, akathisia, and tardive dyskinesia). Clinical experience in controlled trials has failed to identify any significant neuroleptic-like activity; however, a syndrome of restlessness, appearing shortly after initiation of treatment, has been reported in some small fraction of buspirone-treated patients. The syndrome may be explained in several ways. For example, buspirone may increase central noradrenergic activity; alternatively, the effect may be attributable to dopaminergic effects (ie, represent akathisia).

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Buspar Information For Patients

Friday, February 12th, 2010

To assure safe and effective use of BuSpar, the following information and instructions should be given to patients:

1. Inform your physician about any medications, prescription or non-prescription, alcohol, or drugs that you are now taking or plan to take during your treatment with BuSpar.
2. Inform your physician if you are pregnant, or if you are planning to become pregnant, or if you become pregnant while you are taking BuSpar.
3. Inform your physician if you are breast-feeding an infant.
4. Until you experience how this medication affects you, do not drive a car or operate potentially dangerous machinery.
5. You should take BuSpar (buspirone hydrochloride) consistently, either always with or always without food.
6. During your treatment with BuSpar, avoid drinking large amounts of grapefruit juice.

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Buspar General Precautions

Wednesday, February 10th, 2010

Buspar Interference with Cognitive and Motor Performance

Studies indicate that BuSpar is less sedating than other anxiolytics and that it does not produce significant functional impairment. However, its CNS effects in any individual patient may not be predictable. Therefore, patients should be cautioned about operating an automobile or using complex machinery until they are reasonably certain that buspirone treatment does not affect them adversely.

While formal studies of the interaction of BuSpar (buspirone hydrochloride) with alcohol indicate that buspirone does not increase alcohol-induced impairment in motor and mental performance, it is prudent to avoid concomitant use of alcohol and buspirone.

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Hormones and Panic Attacks

Monday, February 8th, 2010

Many of my female clients initially write to me to ask whether hormone imbalances which are present pre menstruation and during the menopause can influence anxiety and panic attacks. The simple answer is yes but it is a little more complicated than giving blame and living with it.

Yes, hormone imbalances during your period or the menopause can create the environment where you are more susceptible to anxiety disorders, but, not everyone develops anxiety or panic attacks so other factors must come into play.

You do not have to take medication or hormone supplements in order to eliminate the anxiety or panic attacks!

Although hormones may be the catalyst for your anxiety or panic attacks, they aren’t the cause and certainly doesn’t mean that you have to live with your symptoms. Anxiety and panic attacks are caused by a small organ in the brain called the Amygdala which is responsible for the anxiety reaction, even when hormone imbalances during menstruation or the menopause may have ’sparked’ the initial problem, you can quickly eliminate them again.

The Amygdala becomes ‘re-set’ at a higher than normal level creating anxiety and panic attacks.

Anxiety and panic attacks are not a symptom of the menopause or of hormone fluctuations, they are the spin off affect of those conditions. They may be the initial catalyst for the anxiety and panic attacks but they do not drive those conditions. Rather like a person who takes a drug, experiences a panic attack and then thinks that they have permanently changed their brain chemistry… it just isn’t true.

Anxiety and panic attacks need very little coaxing to get started. Once sparked, they are self perpetuating.

By correcting the imbalance in the Amygdala anxiety levels are returned to normal. This won’t, of course, affect your hormone imbalance but it will take away the anxiety and panic attacks making the situation a whole lot more comfortable and less distressing.

Anxiety and panic attacks are not a ‘normal’, or acceptable, symptoms of the menstrual cycle or menopause. I promise you that they can be reduced and eliminated quickly and simply using the correct method.

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Stopping Panic Attacks

Monday, February 1st, 2010

I’m going to share with you a few tips on how to stop your panic attacks. I’ve had them for almost 30 years so I believe I have some information that will help you out….

This is how to stop your panic attacks

Tell yourself in your mind that you have gone through a panic attack before and you lived, and this attack is no different. Laugh out loud at it and do reverse psychology on it. When you lapse, immediately get involved in something to keep your mind instantly busy to take your mind off the immediate thoughts until your manifested thoughts subside.

Force yourself to get your mind involved in a funny television show. If you can’t sit for obvious reasons stand up and watch it and pace around until your mind eases. Take a few deep breaths.

Start drinking a bunch of water telling yourself in your mind that it cools you down and makes you feel better. Drinking water Is like an IV the hospital gives you. It works!

Stand by your computer and go to YouTube and watch funny videos until your thoughts subside

Start talking to someone about anything if you can stand still and not look like your freaked out. (Depends on the level) until your mind eases.

Don’t fight it. Let it come and take its course and assure yourself that you will live because you have had them before. Also remember that as the author of these tips I’m sharing with you, that I’ve had severe panic disorder of the worst kind and if I can live this long with this disorder than so can you….

The more you beat your panic attack away from the places that make you feel comfortable the more will power you will get at beating the panic attack next time in places that normally make you feel uncomfortable and keep you from lapsing when your out and about.

Those were some of the techniques I’ve used over the last 30 years to help stop my panic attacks when I was having them.

After nearly 30 years, I do not get panic attacks anymore. But I use to have severe panic attacks where my heart would actually start skipping beats while I was having an attack along with all the other panic attack symptoms that are so typical but very terrifying. Like an intense feeling of unreality like I was going to die of a heart attack or stop breathing any second as my chest was hurting and the palms of my hands were sweating.

Well…. I don’t want to get into to much more detail as I know this can also stress you out and possibly lead into your own panic attack. Just remember this… you will not die from your panic attack.

I also want to tell you something extremely important about your panic disorder that you may or may not know….

The couple of techniques I shared with you above will only help you while your actually having a panic attack. To stop your panic attacks forever you need to get to the root of your disorder which is breaking your perpetual loop of being afraid to have your next panic attack, which leads to you obsessing when your next panic attack will come.

Its a vicious circle and it all sounds crazy, but your afraid of being afraid.

If you don’t stop worrying and obsessing about when your next panic attack will come they will just keep compounding daily, weekly, monthly and yearly and can have significant negative affects on your personality that can lead to avoidence of certain places or things. You will also develop poor relationships with people as you start withdrawling and become more introverted, which can also not only affect your relationships, but your job performance, your quality of life, and your overall health.

Since your panic attacks are triggered by fearing fear itself, then Your probably wondering how do you stop worrying about when your next panic attack will come if it completely scares the hell out of you each time that you have a panic attack?

How Do you break your perpetual loop of fear that causes you to constantly think about when your next panic attack will come, which then triggers yet more panic attacks inside you?

How do you stop your panic attacks forever? Is it even possible?

Honestly after 30 years I had no clue it was even possible to stop my panic attacks forever since my constant fear over the years had deeply damaged my thought process from all the panic attacks I had.

Maybe you’ve only had one panic attack before? Maybe you’ve had panic attacks only a few times? Maybe you have panic attacks all the time like I use to?

Whatever your case, I can tell you that based not only on my first hand experiences having panic attacks myself for years and years, but also being highly educated about panic disorder, that your panic attacks are not over. They will only continue to get worse over time and eventually haunt you for the rest of your life unless you find out how to stop your panic attacks forever.

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