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Diabetes and Depression


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Diabetes and Depression

  1. 1. ==== ====Get all the answers you need from here ====Discussed in this article:1) The Quiet Crisis Within Diabetes.2) A Hidden Danger of Diabetes.3) Are Physicians Aware Of This Danger?4) Does Depression Cause Diabetes?5) The Formation of Depression Post-Hypnotic Suggestions.6) Summary5) Next Issue Highlights.The Quiet Crisis Within DiabetesDepression is a quiet crisis facing diabetics, their families and their health care providers.Financially and emotionally this crisis is exacting a terrible cost.The purpose of this and following articles is to share important information about depression andhow a hypnotist can responsibly and effectively help a diabetic with depression. This assistancewill help to improve a diabetics life by (a) reducing the suffering from this painful state of mind andbeing and (b) thus enhance their diabetes management skills which will therefore result in a stateof enhanced health.Bear in mind the importance of your contribution as a hypnotist. You can make an incredibledifference because even a small reduction in a diabetics long term blood sugar levels can result ina marked decrease in the likelihood of diabetic complications.A Hidden Danger of DiabetesA largely unknown hence, hidden danger of diabetes is that diabetics have twice the risk of non-diabetics for becoming depressed. Dr. Richard Surwit of Duke University states that: "Diabetesmore than doubles the odds of suffering from depression at some point. One third of people withdiabetes have been diagnosed with significant depression and 11 percent with major depression--twice the rate in the non-diabetic population (1)."
  2. 2. What is obvious and yet, not really obvious about the preceding statement is that being diagnosedwith a major disease is traumatic. This, in and of itself, can lead to depression--never mind all theother contributing factors that are related to diabetes and depression.For example, a contributing factor to depression in a diabetic can be their physiological state. Asnoted by Dr. Surwit, there is research indicating that high blood sugars cause biochemicalchanges in the brain that can lead to depression. (2)Are Physicians Aware Of This Danger?Physicians by and large, are extremely busy and the demands on them are greater than most canimagine. It is no wonder that many of them are simply not aware that their diabetic clients are twotimes more likely to suffer from depression. If they knew this, they would probably be more likelyto refer their diabetic clients with poor blood sugar control to someone who could help.When appropriate, a hypnotist can help in key ways because a hypnotist is trained to be amotivational coach and stress management consultant. One way a trained hypnotist can help adepressed person with diabetes will be explained later in this article. But first, lets look at animportant question.Does Depression Cause Diabetes?This is an important question for many reasons. Probably one of the more compelling reasons todeeply consider this idea is because, if true to some degree, then it begs this question: Wouldntthe validity of this concept make the majority of treatment efforts inappropriate and/or ineffective tosome degree? Consider the plight of many frustrated nurses and doctors who will attest that nomatter what they do for their patients, nothing seems to work.This statement is not meant to denigrate in any way the efforts of so many. It is meant to highlightthe importance of timely consideration of the depression-diabetes connection before the cost forall concerned becomes not only debilitating, but also tragically unnecessary.Consider this: Evidence, that will be discussed shortly, shows there is a strong connectionbetween depression and diabetes. This is important because, unless diabetes treatmentprograms are sculpted to target a largely unaddressed cause and exacerbating feature ofdiabetes, many of those at risk will only become worse. Those at risk include persons with pre-diabetes as well as those with diabetes.This pragmatic approach also prompts one to think about the idea that perhaps with re-targetedtreatment methods, many of those with diabetes may actually experience a remission ofsymptoms. And, dwell on the idea of how many may be able to avoid developing diabetes.Bear with me a moment while I explain. Untreated depression in those with diabetes is a personaltragedy for all family members but most especially children. I state this because children have nocoping skills to handle the emotional burden of a depressed and diabetic parent.Imagine being a child helplessly watching your mother (as in my case) being slowly, inexorably,taken apart emotionally and physically by the deadly combination of poorly controlled diabetes and
  3. 3. untreated depression.It is because of this searing pain that I am driven to reach whomever I can with my DiabetesMotivational Coaching TM training so that perhaps some little boy somewhere doesnt have towatch his mother go blind emotionally and physically.I realize this may sound disingenuous or dramatic to some and I understand but I make noapologies because it is true. In fact, my feelings go far deeper than what I have communicatedhere. You see, the apple doesnt fall far from the tree and now that hypnosis has helped me to putmy life on a previously undreamed of healthy course, my motivation is intensified because I thinkso many times: "What if my mother had been able to have access to these methods? How muchbetter would her life be now?"Now, to tie all this in to my point that perhaps an innovative approach can actually preventdiabetes: The challenge with current diabetic treatments is that no amount of chemicalmanagement (including anti-depressants as well as insulin, etc.) will ever ameliorate thissignificant cause of diabetes. (Depression) This is because these treatments do not address theroot of the problem. Furthermore, no amount of medication given to one individual will everprevent another from developing diabetes.The last point seems odd until you consider a landmark Swedish study (3) in which it wasdiscovered that there is a disturbingly high correlation between traumatic childhood life events (4)and diabetes-related auto-immune activity. This study involved 17,000 children born between1997 and 1999. One of many conclusions in this study is that: "Experiences of serious life events(e.g., parental separation, serious illness, or death in the family) has been suggested to triggertype 1 diabetes(5) or the auto-immune process behind the disease.(6)"An additional interesting point to take away from the preceding considerations is that currenttreatment programs treat one person. Limited efficacy and high cost. However, if a patient wereto receive Diabetes Motivational Coaching TM then more than one person can receive thepositive benefits because a healthier, non-depressed diabetic parent is less likely to have aprecipitating influence on their child. Two for the price of one. A win-win situation from so manyangles. Obviously more study is required but the premise is intriguing and the evidence it is basedon is reasonably sound.Another win-win benefit of appropriate, innovative treatment is that the exacerbating (andultimately very costly) effects of depression on those with diabetes can likely be reduced oreliminated.So, what can a properly trained hypnotist do? One key way a properly trained hypnotist can helpis to reduce or eliminate depression in an individual (diabetic or not) by helping them to eliminatedepression activating post-hypnotic suggestions.The Formation of Depression Activating Post-Hypnotic SuggestionsA post-hypnotic response is a cause-effect belief program that powerfully dictates behavior.Another way to look at this is that when a specific stimulus becomes uniquely associated with astrong internal state, you have a post-hypnotic suggestion and effect. (stimulus/response)
  4. 4. For example, the physical lethargy and mental apathy that accompanies very high (or low) bloodsugars can be a contributing factor to inappropriate cause-effect belief formation. To illustrate, letme share with this case: Shortly before I was diagnosed with diabetes, my cognitive functionswere significantly reduced and my affect was severely depressed.In laymans terms this means I felt like garbage due primarily to out of control blood sugar levelsthat were causing me to lose my vision as well as feel awful. (What is interesting to note is thatdiabetes and its attendant emotional/physical affects can go undiagnosed or misdiagnosed foryears.)Now, when a person has a strong emotional feeling, that affect state can then become associatedwith whatever situation and/or thoughts they are currently experiencing. I.E., uncontrolled diabeticconsequences coupling with a relationship break-up, a job loss or any other stressful situation.These are common events but note that even a small, insignificant incident can also be implicated.This confluence of events is called an I.S.E. or Initial Sensitizing Event. (Please note that, as in thecase of many phobias, some initial sensitizing events can have a profound post-hypnotic impactafter only one learning event.)The next stage in deepening the power of this erroneous belief programming occurs when aperson is next exposed to the same stimuli that were initially associated with a powerful, negativestate of mind.The result? Generally, with enough repetition and enough time, feelings can become factscognitively and physically. And then, a pseudo-depression cycle is perpetuated.As a quick illustration imagine a large spider near your foot. Now, if you are a person whobecomes upset when big, hairy spiders with lots of eyes and big fangs are near you, then yourbody will respond to some degree.Now, imagine being unconsciously reminded (triggered or post-hypnotically influenced) to thinkingand therefore feeling, many times a day that there is a nasty spider about to crawl up your leg.Ultimately, this could become a panic disorder that can even attach itself to unrelated objectsand/or events. In fact, this is not uncommon.Hopefully, this example will help to illustrate why I call it pseudo-depression. I do this because thebelief syllogism is: "I feel depressed (like garbage) therefore there must be reasons."And, when feelings happen, a person must make sense out of their world. So, they justify thisunconscious, powerful, emotional experience with a conscious understanding that usually takesthe form of inappropriate cause-effect associations. I.E., "I am feeling depressed because of myjob--spouse--life--" or whatever seemingly reasonable explanation is available.In other words, ones feelings of depression can be in part or whole, built on erroneous beliefs or,post-hypnotic suggestions. Therefore, all a depressed person may need are the tools andcoaching in order to be able to disable erroneous cause-effect belief programs.To finalize this point, please consider a quote from Breaking The Patterns of Depression, byMichael D. Yapko, Ph.D.:
  5. 5. "For most people, depression is the product of a hurtful way of interpreting and responding to lifeexperiences."SummaryIn this article I have attempted to share information that will raise awareness on a number ofdifferent levels. If you are a person with diabetes and you are hitting a wall, consult with yourphysician to discover whether or not you have depression.If you are a nurse or physician and you have patients who dont seem to want to take care ofthemselves, then perhaps there are hidden forces at work. And, there are alternatives that youmay not have been aware of before now.If you are a hypnotist and you wish to help those with diabetes, please remember four things:1) You must always obtain a fully informed referral from your clients doctor. If you suspect yourclient is depressed, never diagnose. In fact, if you think they are depressed, it is incumbent uponyou that you suggest they see their physician for an official assessment before you can help themfurther. Be sure to obtain an additional referral so that you can help them appropriately with theirdepression if your help is suitable. If you feel you cannot help, dont.2) Should a physician or nurse, have time to chat with you, please remind them that if you are onlyallowed one approach to helping their patient, stress management alone can produce incredibleblood sugar lowering benefits over time. This is attested to by an article in a January, 2002 issueof Diabetes Care in which a study done by Dr. Surwit shows that: "stress management techniques,when added to standard care, helped reduce glucose levels". Surwit notes also that: "Thechange is nearly as large as you would expect to see from some diabetes-control drugs".3) By acting in a responsible manner as part of your clients health care team, you can in yourway, make a big difference, even if only by reducing stress. Please note that stress is acontributing factor to depression. Therefore, as your client is reducing their stress levels they mayalso experience a reduction in depression. This will in turn create a need for your client to reducetheir diabetic medication needs . This is because there is evidence that a reduction in depressivesymptoms correlates with a reduction in blood sugar. This was demonstrated in a studyconducted by Patrick Lustman, a psychologist at Washington State University School of Medicinein St. Louis.4) Finally, before helping a person with diabetes or depression, you really need to know a greatdeal about both subjects.In the next article, we will discuss several things:1) More Ways A Hypnotist Can Responsibly Help.2) When A Hypnotist Should Never Help.3) The Depression-Diabetes-Pain Connection.
  6. 6. 4) Additional Interesting Ideas and Studies.Thank you for reading this article. It is greatly appreciated and I welcome comments.Warm Regards,Devin HastingsREFERENCES AND AUTHOR INFORMATION BELOW1. The Mind/Body Diabetes Revolution, Richard S. Surwit, Ph.D. Page 432. Ibid. Page 443. Psychological Stress May Induce Diabetes-Related Autoimmunity in Infancy --Anneli Sepa,PhD; Jeanette Wahlberg, MD; Outi Vaarala, MD, PHD; Ann Frodi, PhD; Johnny Ludvigsson, MD,PHD4. Ed. Note: It is fascinating to note that in 1684, English physician and anatomist, Thomas Williswrote that diabetes was the result of "sadness, or long sorrow." Apparently like DaVinci, he wasahead of his time.5. Hägglöf B, Blom L, Dahlquist G, Lönnberg G, Sahlin B: The Swedishchildhood diabetes study: indications of severe psychological stress as a risk factor for type 1(insulin-dependent) diabetes mellitus in childhood. Diabetologia 34:579-583, 19916. Thernlund GM, Dahlquist G, Hansson K, Ivarsson SA, Ludvigsson J, Sjöblad S,Hägglöf B: Psychological stress and the onset of IDDM in children. Diabetes Care18:1323-1329, 1995AUTHOR INFORMATION:Devin Hastings is the owner of MindBody Hypnosis and the founder of the Diabetes ResearchAssociation of America.Devin was going blind from diabetes in 1992. He has since regained 20/20 vision using hypnosisand other mind/body methods.To learn more please visit either: or http://www.draa.NETThank youArticle Source:
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