This document provides information and guidance for parents of children with chronic illnesses on managing stress and mental health. It discusses the high rates of pediatric chronic illnesses and common parental responses like guilt, anger, and grief. Parents of children with conditions like Juvenile Idiopathic Arthritis are at heightened risk for depression and anxiety. The document recommends stress reduction strategies for parents like relaxation techniques, social support, and self-care. It provides guidance on identifying signs of poor mental health and obtaining help through counseling, support groups or self-help books.
Energy Medicine
The following simple techniques can benefit nearly anyone living in the stress-producing, polluted, naturealien,
energy-scrambling environments that mark our technological progress. I also suggest that you combine
these methods into a “daily energy routine,” and that you use it every day. The daily routine builds positive
habits into your energy field. The techniques are simple yet potent, and they are cumulative.
Why Meditation? - Meditation can positively impact
mental and physical health. Self-compassion
Self-compassion: Give attention and respect to yourself and your feeling.
Mood: Meditation can improve key components of mood, including
happiness, and irritability.
Sleep: Meditation helps you to relax your body and reduce
stress, That helps to improve sleep quality
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
One of the most overlooked interventions for depression and anxiety. This presentation examines how insufficient sleep or too much sleep can contribute to depression and irritability.
Designed for parents with children who have special needs, but is a good primer for all parents looking for ways to increase regulation and decrease stress.
Energy Medicine
The following simple techniques can benefit nearly anyone living in the stress-producing, polluted, naturealien,
energy-scrambling environments that mark our technological progress. I also suggest that you combine
these methods into a “daily energy routine,” and that you use it every day. The daily routine builds positive
habits into your energy field. The techniques are simple yet potent, and they are cumulative.
Why Meditation? - Meditation can positively impact
mental and physical health. Self-compassion
Self-compassion: Give attention and respect to yourself and your feeling.
Mood: Meditation can improve key components of mood, including
happiness, and irritability.
Sleep: Meditation helps you to relax your body and reduce
stress, That helps to improve sleep quality
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
One of the most overlooked interventions for depression and anxiety. This presentation examines how insufficient sleep or too much sleep can contribute to depression and irritability.
Designed for parents with children who have special needs, but is a good primer for all parents looking for ways to increase regulation and decrease stress.
How Fight Or Flight Responses Are Killing Your Seduction EffortsGeorge Hutton
http://mindpersuasion.com/products/
Whenever you come up against a potential conflict, your caveman brain responds as if the threat was real, present, and physical. This is how to understand how to avoid that, and get more girls. To learn more, please visit http://mindpersuasion.com
What is the fight or flight response finalGodschild24
A quick powerpoint explaining what the fight or flight response is. There is also a simple diagram showing the after-effects of the fight or flight response.
This Stress Management presentation is based on the basics of "Stress Management" explained by several Stress management Specialists in the world and I used my own & unique examples to explain some important points in detail
Stress Management PowerPoint Presentation Content slides include topics such as: understanding the dynamics of stress, quickly and effectively managing stress, symptoms of stress, identifying sources of stress, negative and positive effects of stress, the five step system to tackle stress, 6 strategies to minimize burn-out, from distress to eustress, specific problems and associated treatments, 15 ways to make work less stressful, how to's and much more.
We cannot always change a stressful situation, but we can change how we perceive it. Learn healthy coping skills and strategies that can help you to better tolerate the discomfort of stressful situations.
How should i handle my stress and anxietyfaiqa khurram
Stress is a very common thing in today's world. Almost everyone has experienced it. There
are millions of people around the world who are dealing with stress, and some of them even
suffer from it because of their job. If you're one of these people and your job is causing too
much stress for you, then it's time for you to search for an alternative way to deal with stress.
I hope you found the blog post useful and that you learned a thing or two about the causes
of stress and how to manage those things. One thing I'd like to point out is that it's never a
good idea to allow other things to distract you from your goals. Your biggest priority should
always be setting yourself up with the tools and skills necessary to reach your goals, both
long-term ones and even short-term ones
Immunityplaysavitalroleinfightinganydisease.ItistruewithCoronaaswell.
Theimmunesystemsisdesignedtofightoffsicknessesandviruses.Butunfortunately,theimmunesystemcangetaffectedbymanythings.Thispreventsourbodiesfromeffectivelyfightingsickness
Yourphysicalfitnesslevelsalonedon’tdefineyourimmunity,thoughitdoesplayamajorroleinbuildingitup.
it's about food, excercise and medicines
Control you anxiety quickly and easily with invaluable tips and suggestions including, breathing exercises, meditation, relaxation techniques and more so that you can finally overcome this debilitating condition.
Dustin P. Wallace, PhD, Licensed Psychologist, Integrative Pain Management Clinic, Children’s Mercy Hospitals and Clinics, Assistant Professor of Pediatrics, School of Medicine, University of Missouri-Kansas City
Pain Management Beyond the Pills and Procedures
Juvenile Spondyloarthritis and Fever Syndromes by Reema Syed,MD, Assistant Professor of Internal Medicine and Pediatrics, Division of Adult and Pediatric Rheumatology, Saint Louis University
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Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Taking Care of Yourself: A Parents Guide to Mental Health, Stress Reduction & Parental Guilt
1. Taking Care of Yourself: A Parents
Guide to Mental Health, Stress
Reduction & Parental Guilt
Tina Drossos, Ph.D.
Assistant Professor
Department of Psychiatry and
Behavioral Neuroscience
University of Chicago
2. Rates for pediatric chronic illness
20 million children suffering from
one chronic health problem
3 in every 10 children in the US
For JIA:294,000 children under the age of
18
It is important to know that you are
not alone
3. Response to pediatric chronic illness
Initial diagnosis
Overwhelmed/fear/worry
ANGER
Denial (“This cannot be happening to me, to
my child, to my family.”)
Grief
Feel that you do not have all/enough
information
Confusion
Feelings of isolation
Powerlessness
Blame/guilt*
4. Blame/Guilt
“Did I do something to cause this?”
“ Am I being punished for
something I have done?”
“Did I take care of myself when I
was pregnant?”
Can transform into religious or
spiritual blame
It is normal but you must find a way
to let go of the blame
5. Long-term consequences
Long-term consequences
Financial problems
Marital problems
Work problems
Continued uncertainty and fear/worry
Hospitalizations etc.
“Rollercoaster”
6. Responses (cont’d)
“You can’t make it better. I think that’s the
hardest thing I found: that Mommy couldn’t make
it better.”
Struggle for control over their lives
Strain of not being able to help a child in pain
Changed life (unplanned and unexpected)
Burden of needing to follow a treatment regimen
Increased parental distress
Increased negative affect
Most of these responses are NORMAL
7. Taking care of a chronically ill child
is one of the most draining and
difficult tasks a parent can face
8. Effects of parental mental health on
children
Greater emotional distress (in mothers)
-> higher levels of reported pain
More psychological distress -> greater
pain related disability in youth
Parental reports of mental and physical
health is related to the psychological
adjustment and functional status of
children
9. What to look out for
Depressed mood
Diminished interest or pleasure in activities you used to
enjoy
Decreased appetite/weight loss
Sleep problems
Fatigue/loss of energy
Increased tearfulness
Feeling hopeless and helpless
Problems with attention/concentration
Excessive worry/nervousness
Intrusive thoughts/worries
Increased irritability
*thoughts of death
10. Rates of mental health problems
Lifetime Prevalence rates for adults
(in the general population)
10%-20% depression
16%-20% for anxiety
Lifetime Prevalence rates for adults
with chronically ill children
Approx 30% for depression
Up to 55% for anxiety
11. Mental health in parents of children
with JIA
Parents (specifically mothers) are at
heightened risk for mental health
problems
Association between perceived
impact of JIA on the family and
mothers’ mental health
Association with medications the
child is prescribed
12. Our working model
• Biology cannot
be separated
from other
experiences
• Social context
is essential to
consider
• Change is part
of each level of
experience
13. What can you do?
Educate yourself
Talk openly with your child
Do NOT neglect your relationship with
your significant other
Set aside time to spend together
Communicate openly with your partner
Respect your partners’ opinions
Have a “game plan” for working together
Be on the same page as much as you can
Counseling, if necessary
14. What can you do? (cont’d)
Identify positive coping strategies
Respect individual differences in coping
Social support
VERY IMPORTANT
“In order to receive help, you have to ask for
it.”
Friends and family
Parent-to-parent support groups
JIA professionally led peer support groups
Internet based support groups
Religious support groups
15. What can you do? (cont’d)
Focus on the joys and accomplishments of today—a
smile, interest in a favorite toy, contagious laughter
—not on what tomorrow may or may not bring.
Your feelings are valid, so be easy on yourself to not
feel guilty when you have had a bad day. Find a
way to release your anger, sadness, jealousy and
elation.
18. Deep Breathing
Lie down or sit in a comfortable chair, maintaining good posture. Your body should
be as relaxed as possible. Close your eyes. Scan your body for tension.
Pay attention to your breathing. Place one hand on the part of your chest or abdomen
that seems to rise and fall the most with each breath. If this spot is in your chest you
are not utilizing the lower part of your lungs.
Place both hands on your abdomen and follow your breathing, noticing how your
abdomen rises and falls.
Breathe through your nose.
Notice if your chest is moving in harmony with your abdomen.
Now place one hand on your abdomen and one on your chest.
Inhale deeply and slowly through your nose into your abdomen. You should feel
your abdomen rise with this inhalation and your chest should move only a little.
Exhale through your mouth, keeping your mouth, tongue, and jaw relaxed.
Relax as you focus on the sound and feeling of long, slow, deep breaths.
19. Deep Breathing (cont’d)
Complete Natural Breathing
Sit or stand with good posture.
Breathe through your nose.
Inhale, filling first the lower part of your lungs then the middle part, then
the upper part.
Hold your breath for a few seconds.
Exhale slowly. Relax your abdomen and chest.
Practice these two exercises, in whatever combination feels best for you, for
ten minutes, twice a day.
(Taken from Davis, Eshelman, and McKay; The Relaxation and Stress
Reduction Workbook, 2nd edition; New Harbringer Publications, 1982.)
20. Progressive Muscle Relaxation (PMR)
Progressive muscle relaxation is an exercise that relaxes
your mind and body by progressively tensing and
relaxation muscle groups throughout your entire body.
You will tense each muscle group vigorously, but without
straining, and then suddenly release the tension and feel
the muscle relax. You will tense each muscle for about 5
seconds. If you have any pain or discomfort at any of the
targeted muscle groups feel free to omit that step.
Throughout this exercise you may visualize the muscles
tensing and a wave of relaxation flowing over them as you
release that tension. It is important that you keep
breathing throughout the exercise.
21. PMR (Cont’d)
Begin by finding a comfortable position either sitting or lying
down in a location where you will not be interrupted.
Allow your attention to focus only on your body. If you begin to
notice your mind wandering, bring it back to the muscle you are
working on.
Take a deep breath through your abdomen, hold for a few
second, and exhale slowly. Again, as you breathe notice your
stomach rising and your lungs filling with air.
As you exhale, imagine the tension in your body being released
and flowing out of your body.
And again inhale…..and exhale. Feel your body already relaxing.
As you go through each step, remember to keep breathing .
Now let’s begin. Tighten the muscles in your forehead by raising
your eyebrows as high as you can. Hold for about five seconds.
And abruptly release feeling that tension fall away.
Pause for about 10 seconds.
22. PMR (cont’d)
Now smile widely, feeling your mouth and cheeks tense. Hold for
about 5 seconds, and release, appreciating the softness in your
face.
Pause for about 10 seconds.
Next, tighten your eye muscles by squinting your eyelids tightly
shut. Hold for about 5 seconds, and release.
Pause for about 10 seconds.
Gently pull your head back as if to look at the ceiling. Hold for
about 5 seconds, and release, feeling the tension melting away.
Pause for about 10 seconds.
Now feel the weight of your relaxed head and neck sink.
Breath in…and out.
23. PMR (cont’d)
In…and out.
Let go of all the stress
In…and out.
Now, tightly, but without straining, clench your fists and hold this
position until I say stop. Hold for about 5 seconds, and release.
Pause for about 10 seconds.
Now, flex your biceps. Feel that buildup of tension. You may even
visualize that muscle tightening. Hold for about 5 seconds, and
release, enjoying that feeling of limpness.
Breath in...and out.
Now tighten your triceps by extending your arms out and locking
your elbows. Hold for about 5 seconds, and release.
Pause for about 10 seconds.
24. PMR (cont’d)
Now lift your shoulders up as if they could touch your
ears. Hold for about 5 seconds, and quickly release,
feeling their heaviness.
Pause for about 10 seconds.
Tense your upper back by pulling your shoulders back
trying to make your shoulder blades touch. Hold for about
5 seconds, and release.
Pause for about 10 seconds.
Tighten your chest by taking a deep breath in, hold for
about 5 seconds, and exhale, blowing out all the tension.
Now tighten the muscles in your stomach by sucking in.
Hold for about 5 seconds, and release.
Pause for about 10 seconds.
Gently arch your lower back. Hold for about 5 seconds,
relax.
Pause for about 10 seconds.
25. Guided Visual Imagery
Visual imagery is a process that affects every aspect
of your body. During guided imagery, you control
your breathing and relax your muscles. You focus on
something specific – such as a therapist’s voice or
the instructions on a DVD or audio tape. You enter
into a state of deep relaxation, success, and
wholeness – similar to meditation.
26. Hypnosis
Hypnosis is the induction of a deeply relaxed state, with
increased suggestibility and suspension of critical
faculties. Once in this state, sometimes called a hypnotic
trance, patients are given therapeutic suggestions to
encourage changes in behavior or relief of symptoms.
Hypnosis for a patient with arthritis might include a
suggestion that the pain can be turned down like the
volume of a radio.
27. Self Help Books
Depression
Burns, D.D. (1999) The feeling good
handbook: New York, NY: Penguin Group
(USA)
Pettit, J., Joiner Jr., T.E., & Rehm, L.P. (2005).
The interpersonal solution to depression.
Oakland, CA: New Harbinger
Addis, M.E. & Martell, C.R. (2004) Overcoming
depression one step at a time. Oakland, CA:
New Harbinger
Strosahl, K.D. & Robinson, P.J. (2008) The
mindfulness and acceptance workbook for
depression. Oakland, CA: New Harbinger
28. Self Help Books (cont’d)
Anxiety
Zeurcher-White, E. (2998). An end to panic.
Oakland, CA: New Harbinger
Greenberger, D. & Padesky, C.A. (1995)Mind
over mood. New York, NY: Guilford Press
Insomnia
Hauri, P. & Linde, S. (2996). No more sleepless
nights, Revised Edition. Hoboken, NJ: Wiley
29. Self Help Books (cont’d)
Stress
Davis, M., Eshelmen, E.R. & McKay, M.
(2008). The relaxation and stress
reduction workbook. Oakland, CA: New
Harbinger
30. Quote
“I have learned, and grown, more
since Johnny’s birth than any other
time in my life. You learn
patience, and you get to witness
miracles that you otherwise
would have been too busy to have
noticed... You learn acceptance,
you realize you have been wrong
to judge, and you learn that there
is a thing called unconditional
love.”
31. Thank you
Contact Information
Tina Drossos, Ph.D.
University of Chicago
773.702.5887
tdrossos@yoda.bsd.uchicago.edu
Editor's Notes
Chronic illness define here as a condition of non-psychiatric nature that has a serious impact on functioning and general lifestyle
Reactions to initial diagnosis: varied, depending on illness factors, prognosis, severity and then personal factors such as number of other stressors, available coping strategies etc. Blame/guilt: worry that others are blaming you then you may start to blame yourself or wonder how you are handling the situation.
Did my wife take care of herself when she was pregnant Not all
Many poepl describe the experience of living with a child with a chronic illness as a rollercoaster. The rollercoaster can also express how your emotions change over time
Burden of needing to follow a treatment regimen: this includes doctors visits and taking meds etc. Parental distress in these situations is constructed as a NORMAL response to the stress of a child’s chronic medical condition rather than a indication of a mental health problem. However, even subclinical levels of parental distress can affect the child and thei ability to fucntion and adjust.
Not all parents go through all of these feelings/stages but its important to identify with all of the potentially troublesome feelings that can arise so you know you are not alone
Overall, there are not many studies looking at how parental functioning impacts children’s functioning but this was actually a study with families of children diagnosed with JRA 3. The quality of parent’s functioning is interwoven with his or her child’s functioning
Sleep problems: here are higher rates of sleep problems in parents of children with chronic illness overall regardless of depression or anxiety due to caregiving at night etc. However, what we do know is that poor sleep can lead to anxiety /depression If you start to experience these symptoms, it may be worth talking to your physician initially as a starting point to see what they recommend. If you feel you need to talk with a therpaist/counselor but don’t know where to turn, typically if you call your insurance company and ask for providers in your area, they are able to provide that information and this way you know the services will be covered.
Lifetime rates of (particularly mothers of children with chronic illness): What we are seeing is that 30 percent of [mothers] meet the clinical criteria for depression … double the rate of a regular sample,” says Quittner, principal investigator for the study, known as the TIDES International Depression/Anxiety Epidemiological Study. The study also found that more than 55 percent of the children’s primary caregivers were anxious. These parents feel isolated and stressed by such challenges as obtaining insurance when a child has a pre-existing condition and the financial strain of co-payments for doctors’ visits and medications.
Mothers who think that JIA impacts the family more are more likely to have mental health problems. Basically, saying that if parents feels that the condition is greatly restricting their child from have a “normal” life then they have more mental health problems Meds: there also seems to be an association between the type of meds taken by children (ie. steroidals) and greater mental health problems. This is likely related to severity of illness so they are on stronger meds so this is impacting parents more
Educate yourself: the more you know about what is going on with your child, the more in control you will feel when speaking with doctors and making decisions. Basically, the more you know the more empowered you will feel and this will make you a better advocate for your child, your family and yourself. Talk openly with child: developemtally appropriate; this may seem uncomfortable or overwheling so take your time with it. Yu can ask for help/support from peers/doctors/teachers etc who are involved with your child. You not only want to talk openly about the illness/consequences etc but also about your feelings. Kids are very observant and perceptive (they know when you’ve been crying or upset even if you have done your best to try and hide it) so when appropriate be open about how you are feeling. Your child will appreciate this and in the end you will feel better. For example, if you are anxious about a situation or result your child will pick up on your anxiety and end up being even more anxious Do not neglect your relationship: IN addition to disruption in your home, the illness may cause marital strain and lifestyle changes. It is so imperative to work on your relationship as much as you can. When parents are “stressed” it is very easy to take it out on each other and/or simply neglect each other
Coping: mothers and fathers may have different wasy of dealing with the situation at hand, and each parent is likely to struggle with the situation in their own way. Typically fathers like to distract themselves/distance themselves from the situation in order to cope, while mothers typically try to control the illness or keep routine/talk with doctors in order to cope. Mothers typically show a wider range of coping strategies than fathers but neither way is wrong. I have often seen mothers become upset at their husbands for “not keeping up with the ilnness” but its often necessary for father to step away from the situation in order to cope Social support: You need to aks for help but often people are reluctant. They don’t want ot be a burden or perceived that they can’t handle it.or they don’t want to acknowledge that the illness has changed their lives etc. but it is very important that you seek/ask for help one thing to know is that research shows that fathers are more likely to rely on their wives as their main source of support, while mothers are more likely to use both their spouses and other formal and informal sources of support. There have been studies that have been completed looking at the impact of a social support group on parental stress/psychological distress and they have found that it helps. Talk about my support groups at U of C.
Think about what makes you feel relaxed and put aside time to do that. It may seem impossible to try and find time but its important to create a space for yourself. Taking time for yourself may seen self-indulgent but actually it will recharge you and make you a better parent and will help prevent burn-out.
The important things here is that typically, you are using all 5 senses. In the context of this relaxing setting, patients can also choose to imagine themselves coping more effectively with the stressors in their lives.