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By J. Rakus. College of Mount Saint Joseph.

David: I want to touch on one thing you said before we get to some audience questions cheap 300mg lopid amex. Earlier order 300 mg lopid mastercard, you mentioned that we should let the obsessive thoughts pass naturally best lopid 300mg. Of course order lopid 300mg overnight delivery, people with OCD have great trouble with that purchase lopid 300mg visa. So, the problem is not that OCD patients have abnormal thoughts (we all do); it is their interpretation of the thoughts and their holding onto them, as if they have some intrinsic value. GreenYellow4Ever: Sometimes obsessive thoughts literally keep me awake for hours. Do you have any suggestions for how to deal with the "thought train" so that I can get some sleep? I would start with a careful evaluation; both medically and psychiatrically. Depression would be a common reason for sleep problems. Also, one needs to evaluate what medications you are taking, some can interfere with sleep. Often, just changing the time you take the medications may help. If you are laying there at night with little stimulation, that is a fertile time for the mind to get going with obsessive thoughts. The ones shown to be partially effective are, Anafranil (Clomipramine), Luvox (Fluvoxamine), Paxil (Paroxetine), Prozac (Fluoxetine), Celexa (Citalopram), and Zoloft (Sertraline). There is some evidence that Effexor is also helpful, but there are still no good studies. The medications generally need to be used at high dosages for three months, to evaluate if they will help or not. It is important for the patient to know this, since many psychiatrists give up on the medication after a month or so, and they also may be using low dosages. They are used to treating depression more than OCD, and depression often responds faster and with lower dosages. For information on specific medications, including side-effects, you can to go to the medications area. Jenike: If you use standard definitions, ruminations and obsessions are technically different. Ruminations generally make sense to the depressed person; while obsessions are usually experienced as nonsensical to many OCD patients. For example, a depressed patient may ruminate about how he cheated on his taxes twenty-five years ago and what a bad person he is, while a patient with OCD will have thoughts like, " I want to have sex with the Virgin Mary; or I want to kill my mother;" etc. Linlod: I have been struggling with molesting obsessions for awhile. It is a description of what we hope happens when you keep doing what makes you anxious, which is at first get more and more anxious, and after time, get used to whatever you fear. Almost all people with OCD will habituate to the anxiety eventually, and medications help a lot. Cognitive Behavioral Therapy, CBT is actually (in my opinion) the best treatment for OCD. Jenike: The difference between a psychotic thought and an obsession is that the psychotic person believes the thought, while the person with OCD knows that it is nuts, but has very strong feelings about it. With OCD, the person intellectually knows that his or her fear or obsession is not warranted, but the person still has a feeling inside that it is true. Even though, the cognitive part of your brain knows that, some people can be on the edge and occasionally believe that their obsessions are real, but most know the difference. You can click on this link and sign up for the mail list at the top of the page so you can keep up with events like this. Now onto more audience questions:mitcl: Have you ever heard of Eye Movement Desensitization and Reprocessing ( EMDR ) for helping treat OCD. I count everything and I am constantly saying prayers, so nothing "bad" will happen. You need to work with a good cognitive behavior therapist to develop a treatment plan.

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Therapy can take the form of individual or group sessions generic lopid 300mg visa. Different approaches may work better for a particular patient than others generic lopid 300 mg overnight delivery, depending on the underlying causes of anorexia discount lopid 300 mg on line. Adults usually begin with motivational therapies to reward efforts towards achieving a healthy weight purchase lopid 300 mg. One approach is cognitive-behavioral therapy purchase 300mg lopid fast delivery, in which patients record their eating behaviors, as well as the reactions and thoughts accompanying these actions. Their responses are then discussed during sessions with a cognitive therapist, so that patients may realize the false attitudes and perfectionism they hold about body image, replacing them with realistic beliefs. Another method is interpersonal therapy, which deals with the anxiety and depression often underlying eating disorders. With this type of therapy, patients learn how to express feelings, tolerate change and uncertainty, and develop a sense of independence. In motivational enhancement therapy, the therapist uses an empathetic approach to encourage patients to understand and change their food behaviors. Many people with anorexia experience ups and downs for many years. In this case, anorexia treatment is an ongoing process. Because many of the underlying causes of eating disorders are life-long, treatment for anorexia often includes ongoing sessions for many years and can include psychological and nutritional counseling as well as monitoring of your weight and overall health, particularly in cases of chronic anorexia. It is a potentially life-threatening mental illness that is as much about body image as it is about food. Bulimia Nervosa (typically just referred to as bulimia) is an illness that is difficult to detect as it can be brought on by normal behaviors and can initially have no external signs and symptoms. When the family looks at a bulimic, they often see a moody, teenage girl obsessed with her body and her appearance. She seems like many other teenagers - obsessed with looking like the latest pop sensation. The bulimic is working very hard to hide her binge eating and purging behavior. She is hiding severe tooth decay, gum problems and cavities. It hurts for her to swallow because her esophagus has been damaged from all the purging. Her heartbeat is no longer regular and may actually fail resulting in death. They see the problem as merely behavioral and think she could stop if she wanted. But the bulimia definition is that of a mental illness, not a behavior, and just like any other illness it requires recognition and professional treatment for bulimia. Bulimia is a complex disease and information suggests there is not a single cause of bulimia. Both environmental and genetic risk factors have been found to increase the risk of developing bulimia. Vazzana, PhD, Clinical Assistant Professor of Child and Adolescent Psychiatry at New York University explains:"Personality traits, such as perfectionism and impulsivity, and a history of physical or sexual trauma have also been identified as risk factors for developing these disorders. Ballerinas, models, jockeys, and others whose jobs require them to stay in peak physical form are at particular risk of developing eating disorders. Bulimia is more common than anorexia and has been on the rise for about 30 - 40 years. But even as families learn bulimia information, it can be very difficult for them to help during the treatment of an eating disorder. Deanne Pearson, whose doctoral dissertation focused on athletes with eating disorders, explains:is important that parents understand this "monster" [eating disorder]... As parents try to say helpful things, they find that their words are rejected over and over again. Recovery from bulimia is possible but is hard work and relapse is a real possibility. Bulimics need information on bulimia and supportive people around them to keep them on track, explains Asner. The support of people who are there for you is essential.

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