Showing posts with label Medical. Show all posts
Showing posts with label Medical. Show all posts

Monday, September 26, 2011

Find The Right Physician To Help Depression

The sensibly therapist can make all the difference in getting the most suitable depression treatment. Do some homework forward of you choose one, and don't be afraid to interview potential therapists to assign the person you're most comfortable with. Psychotherapy can be an leading part of your depression treatment. If you suffer from indentation, a therapist can teach you how to deal with your feelings, metamorphose the way you think, and change the way you behave to help mollify your symptoms.
Some people will-power improve with psychotherapy alone; others may exigency both therapy and a prescription antidepressant to the buy Diazepam online. Conclusion a therapist you are comfortable with is essential. You transfer need to talk openly and honestly with your psychoanalyst about your thoughts and feelings, so it is outstanding to find the right therapist for you.
Depression Treatment: Finding a Therapist
Different types of mental health professionals can serve as a therapist for the person with depression:
  • Psychiatrists are medical doctors (MD or DO degree) who have completed specialized training in mental and emotional disorders. They can diagnose, treat, and prescribe medications for depression. They may also provide individual or group therapy.
  • Psychologists have a doctoral degree (PhD or PsyD) in psychology. They are skilled in the diagnosis of emotional disorders and spend most of their time providing individual or group psychotherapy, but do not prescribe medications.
  • Social workers usually have a master’s degree in social work (MSW) and have training in providing individual or group therapy.
  • Licensed professional counselors have a master’s degree in psychology (or a related area) and are trained to diagnose and counsel individuals or groups.
  • Psychiatric nurses are registered nurses (RNs) with training in psychiatric nursing. 
How do you go far finding the right shrink for you? “I would start with your [get ready care] doctor,” says Julie Walther Scheibel, MEd, a counselor at Concordia Broadcast Counseling and Resource Center in St. Louis. “Doctors should have planned a number of therapists or counselors that they counsel.” Walther Scheibel also recommends dispiriting to get personal references for therapists.
You can get a disparaging reference by asking about to see if your friends or next of kin members know of a assets c incriminating evidence therapist who has experience in treating cavity. Other resources to relief you find a therapist for indentation treatment include shire hospitals, universities, punctilious leaders, health surety companies, and acquaintances in the medical fan. 
Depression Treatment: Interviewing Potential Therapists

Once you have a list of at least two or three potential therapists, it is time to find which therapist is best for you. Call each one to get some key information before making an appointment. Questions to ask include:
  • Is the therapist taking new patients?
  • What kind of experience does the therapist have in treating patients who have depression?
  • Where do the therapy sessions take place?
  • How much does the therapy cost? You may have to also call your health insurer to find out if you are covered and up to what amount.
  • Can I meet with the therapist before committing to a therapy session?
If you are able to make a consultation appointment before a therapy session, ask the therapist more specific preliminary questions such as:
  • What type of therapy would you recommend for my depression symptoms?
  • What will this type of therapy involve?
  • What are the benefits and the primary goals of my depression treatment?
  • Are you willing to work with other members of my medical team to coordinate my depression treatment? This is especially important if you have a non-MD therapist who will rely on your primary care doctor to prescribe medications.
  • How often would I need therapy sessions? 
After tryst with the potential therapist, take some often to decide whether you are comfortable with him or her. If you aren’t, maintain looking until you find one you like and buy diazepam generic valium. Once you start therapy for your unhappiness, be patient.
Psychotherapy for depression can sometimes be disquieting, and you may find yourself doing most of the talking during the prime few sessions. Your therapist will alter ego with you to ease your depression symptoms and update your life. 

Wednesday, December 22, 2010

Antidepressant Found To Extend Lifespan In C. Elegans

A team of scientists led by Howard Hughes Medical Institute (HHMI) investigator Linda B. Buck has found that a drug used to treat depression can extend the lifespan of adult roundworms.
Buck and colleagues Michael Petrascheck and Xiaolan Ye report in the November 22, 2007, issue of the journal Nature, that the antidepressant drug mianserin can extend the lifespan of the nematode Caenorhabditis elegans by about 30 percent.
Intriguingly, the drug may act by mimicking the effects of caloric restriction, which has been shown to retard the effects of aging in a variety of animals ranging from worms and flies to mammals.
“Our studies indicate that lifespan extension by mianserin involves mechanisms associated with lifespan extension by dietary restriction,” said Buck, a member of the Basic Sciences Division of the Fred Hutchinson Cancer Research Center in Seattle. “We don’t have an explanation for this. All we can say is that if we give the drug to caloric restricted animals, it doesn’t increase their lifespan any further. That suggests the same mechanism may be involved.”
Researchers don’t yet understand exactly how mianserin staves off the effects of aging. But the drug appears to act the same way in both C. elegans and humans: by blocking certain receptors for the neurotransmitter serotonin. Serotonin is a chemical that cells use to communicate, helping them regulate many functions, including mood, appetite, and sensory perception.
As an antidepressant, mianserin is marketed under different trade names in countries outside the United States, including Bolvidon, Norval, and Tolvon. Buck said it was a surprise to find that a drug used to treat depression in humans could extend lifespan in worms. The researchers in Buck’s lab found that in addition to inhibiting certain serotonin receptors in the worm, it also blocked receptors for another neurotransmitter, octopamine.
A number of observations support the idea that serotonin and octopamine may complement one another in a physiological context, Buck explained, with serotonin signaling the presence of food and octopamine signaling its absence or a state of starvation. C. elegans, for instance, usually only lays eggs when food is on hand. But serotonin stimulates egg laying in the absence of food, while octopamine inhibits egg laying even when food is nearby. Another example of interplay between the two chemicals is that pharyngeal pumping, the mechanism by which worms ingest food, is jump-started by serotonin and thwarted by octopamine.
“In our studies, mianserin had a much greater inhibitory effect on the serotonin receptor than the octopamine receptor,” she said. “One possibility is that there is a dynamic equilibrium between serotonin and octopamine signaling and the drug tips the balance in the direction of octopamine signaling, producing a perceived, though not real, state of starvation that activates aging mechanisms downstream of dietary restriction.”
Buck and her colleagues chose to focus on the effects of mianserin based on the results of a search through 88,000 chemicals for agents that extended the lifespan of nematodes. They found 115 such chemicals. In follow-up studies of one chemical, they found four additional compounds, including mianserin, that extended lifespan by 20-33 percent. All four compounds inhibit certain types of serotonin receptors in humans.
“We screened a wide variety of chemicals without knowing anything about them except that they were small molecules,” Buck noted. “By screening adult animals with this extremely varied panel of compounds, we hoped to identify drugs that could increase lifespan in adults, even though some might have a deleterious effect on the developing animal.”
By identifying drugs that influence lifespan, Buck added, it may be possible to home in on how those drugs act and contribute to a growing body of knowledge about the genetic mechanisms of aging.
“Other researchers have done beautiful work using molecular genetic approaches to identify genes involved in aging,” she said. “We decided to take a chemical approach. By finding chemicals that enhance longevity, and then finding the targets of those chemicals, it may be possible to identify additional genes important in aging. In addition, the chemical approach could point to drugs suitable for testing in mammals.”
Buck said that her group has yet to identify what kinds of cells are affected by the drug, because while the serotonin receptors involved are only found on neurons, many types of cells–not just cells of the nervous system–have receptors for octopamine.

Wednesday, December 15, 2010

If You Have Depression Watch For Alzheimer’s Risk

Although individuals with depression may be more likely to develop Alzheimer’s disease, symptoms of depression do not appear to increase in the years before a diagnosis is made, according to a report in the April issue of Archives of General Psychiatry, one of the JAMA/Archives journals. This suggests that depression is not a consequence of developing Alzheimer’s disease but may instead be a risk factor for dementia.
Previous studies have found higher levels of depressive symptoms (such as feeling sad) among patients with Alzheimer’s disease and its precursor, mild cognitive impairment, according to background information in the article. “The basis of this association is uncertain, however,” the authors write. “A leading hypothesis is that depressive symptoms do not constitute a true risk factor but rather a consequence of the disease.” If this were the case, symptoms of depression would likely increase during the early stages of Alzheimer’s disease.
Robert S. Wilson, Ph.D., of Rush University Medical Center, Chicago, and colleagues studied 917 older Catholic nuns, priests and monks who did not have dementia beginning in 1994. Participants had a yearly clinical evaluation that included a neurological examination, cognitive (thinking, learning and memory) testing and classification of Alzheimer’s disease or mild cognitive impairment. They also completed a 10-item scale assessing their symptoms of depression.
At the beginning of the study, 53.6 percent of participants reported no symptoms of depression, 23.9 percent reported one symptom, 9.7 percent reported two, 6.1 percent reported three and 6.8 percent reported four or more. During follow-up, 190 individuals developed Alzheimer’s disease. Those with more symptoms of depression at the beginning of the study were more likely to develop Alzheimer’s disease.
However, “those who developed Alzheimer’s disease showed no increase in depressive symptoms before the diagnosis was made, and this finding was not modified by age, sex, education, memory complaints, vascular burden or personality,” the authors write. “Among those without cognitive impairment at baseline, depressive symptoms did not increase in those who subsequently developed mild cognitive impairment.”
Symptoms of depression may be associated with changes in the brain that reduce its resistance to dementia, the authors write. “Understanding the mechanisms linking depressive symptoms with dementia could suggest novel approaches to delaying dementia onset because animal research suggests diverse means by which the adverse effects of chronic stress may be modified.”
Read more about the study linking Depression and Alzheimer’s Disease at HULIQ.

Friday, December 10, 2010

Selective Eating Disorder: Extreme Picky Eating Becomes a Medical Diagnosis

Children are often called “picky eaters” because of a hesitance to try new foods and seemingly surviving on little more than chicken nuggets and French fries. Most kids, as they get older, overcome the tendency to severely limit their diet; however, sometimes they grow into adults who continue extreme selective eating. The American Psychiatric Association is proposing a new medical diagnosis for this condition called “Selective Eating Disorder” or SED.
The British Journal of Clinical Child Psychology and Psychiatry describes selective eating disorder as a “little studied phenomenon of eating a highly limited range of foods, associated with an unwillingness to try new foods. When this happens social avoidance, anxiety and conflict can result.”
Read: Picky Eating Common in Autistic Children
SED is common in those with autism spectrum disorders.
Researchers at Duke University’s Center for Eating Disorders have initiated an online national public registry of selective eating. In less than five months, 7,500 people have fully registered for the Food FAD Study (Finicky Eating in Adults) with more who have started the survey but have not completed it. The registry offers a place for patients to report on their unusual eating preferences and habits, giving researchers an insight into the disorder.
Director Nancy Zucker stresses that “people who are picky aren’t doing this to be stubborn” but actually experience food differently than the rest of us. Researchers aren’t sure if biology or psychology is the driving force – both are likely involved. Zucker believes that SED patients may be “super tasters”, meaning they taste certain flavors more acutely than other people. Other theories suggest an early negative experience with food, such as childhood gastrointestinal issues.