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They are afraid to take the next steps toward recovery because it is scary to give up what is familiar cheap generic fluticasone canada asthmatic bronchitis mayo. Becca: I have a friend that is showing some signs of an eating disorder order fluticasone now asthmatic bronchitis japanese, but how can I be sure? Brandt: Becca purchase fluticasone 100mcg visa asthma definition 7, it is hard to know what your friend is doing when you are not around. We have had patients who were actually able to conceal their eating disorder symptoms from friends and family for years! The fact that she is so dissatisfied with herself is a sign of a problem. Bob M: So, how, as a friend or family member, do you confront the person suspected of having an eating disorder? Brandt: I think a direct and honest approach is the best method. For example, "I see some things about you that are changing and have me very very concerned. Perhaps we need some help to sort out the reasons that you seem so unhappy with yourself. Brandt: Unfortunately, anger comes up a lot in people dealing with these illnesses, and in their friends, families, significant others as well. When angry feelings are flaring up a lot, we often find that objective, outside input from a therapist is needed. Bob M: And so how do you get the person to go to see a therapist, if they are in denial? Brandt: This is an excellent question and a real life problem. If you think you are healthy, why not get that checked out by a professional? Your unwillingness to get checked out makes me think that you recognize you have a problem. Tiggs2: If you were diagnosed with anorexia nervosa and gained the weight needed, are you still anorexic? Brandt: Gaining weight is an important part of recovering from anorexia, but unfortunately, recovery requires more than weight gain. Dealing with the underlying thoughts, feelings, and ideas that led to the starvation is a critical component of recovery. What are some other intensive methods of treatment or is there a way to deal with insurance companies when the situation gets severe? Brandt: We work with insurance companies on a daily basis, explaining to them our rationale for treating our patients. We have found that, in many cases, we are able to help them understand the critical need for appropriate treatment. Bob M: In addition, I believe, the hospital can outline other medical reasons for admission and not the eating disorder specifically as the cause. There are ways to work with insurance companies and the financial counselors at St. Brandt -- saying this is all very well, but often it is the parents who are the problem and will not acknowledge therapists as it is shame-based to see a therapist. Brandt: Yes, at times family conflict, or issues between parents and children are central. We spend a lot of time trying to convince parents about the need for intensive treatment. But often we have been able to help them "see the light. Finally, Debbie faced her food addiction and the feelings of being ashamed and lonely. At one point in her life, she says: "I hated myself. Read about her addiction to sugar and flour (her trigger foods), and how her attraction to food, coupled with low self-esteem and depression, led to her life as a food addict. Then Debbie outlines the steps that brought her to overcoming food addiction and recovery from food addiction. Our topic tonight is "Food Addiction, Food Cravings. Recognizing, Understanding and Overcoming Food Addiction. She has maintained a weight loss of 150 pounds for more than ten years. A nationally renowned speaker, she is an instructor of media studies at Sacred Heart University in Fairfield, CT. Being a food addict is similar to being an alcoholic: everything revolves around the substance and life is miserable. David: What were the reasons behind your food addiction? Debbie Danowski: The reasons are a physical and emotional addiction to sugar and flour that is passed down in families. For instance, both of my grandfathers were alcoholics but I turned to food instead. David: At what age did you begin to develop an addiction / attraction to food? Debbie Danowski: I believe that I was born a food addict. I weighed over 300 pounds when I was in my late teens. David: Did you suffer from depression or some other psychological disorder that lead to the food addiction? Debbie Danowski: I believe that the depression was a result of the food addiction. Sugar and flour are depressants in the same way that alcohol is. Once I got these substances out of my body, I did not have the awful depression that I lived with for years. It was a depression that made it almost impossible to get out of bed each day. David: Could you be specific about the impact that food had in your life before you started recovery? I spent each and every minute thinking about how I could get food (look under binge eating disorder, compulsive overeating). At my weight, it was difficult to move and my whole body ached.

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An investigation of dating aggression and the features of college peer groups (Gwartney-Gibbs & Stockard buy fluticasone 100mcg overnight delivery asthma definition 8 parts, in Pirog-Good and Stets order fluticasone with a visa asthma uptodate, 1989) supports this idea discount 250mcg fluticasone mastercard asthma symptoms 7 weeks. The results indicate that those women who characterized the men in their mixed-sex social group as occasionally displaying forceful behavior towards women were significantly more likely themselves to be victims of sexual aggression. Being in familiar surroundings does not provide security. Just as with the victim, it is not possible to clearly identify individual men who will be participants in acquaintance rape. As a body of research begins to accumulate, however, there are certain characteristics which increase the risk factors. Acquaintance rape is not typically committed by psychopaths who are deviant from mainstream society. It is often expressed that direct and indirect messages given to boys and young men by our culture about what it means to male (dominant, aggressive, uncompromising) contribute to creating a mindset which is accepting of sexually aggressive behavior. Such messages are constantly sent via television and film when sex is portrayed as a commodity whose attainment is the ultimate male challenge. Buying into stereotypical attitudes regarding sex roles tends to be associated with justification of intercourse under any circumstances. Other characteristics of the individual seem to facilitate sexual aggression. Research designed to determine traits of sexually aggressive males (Malamuth, in Pirog-Good and Stets, 1989) indicated that high scores on scales measuring dominance as a sexual motive, hostile attitudes towards women, condoning the use of force in sexual relationships, and the amount of prior sexual experience were all significantly related to self-reports of sexually aggressive behavior. Furthermore, the interaction of several of these variables increased the chance that an individual had reported sexually aggressive behavior. The inability to appraise social interactions, as well as prior parental neglect or sexual or physical abuse early in life may also be linked with acquaintance rape (Hall & Hirschman, in Wiehe and Richards, 1995). Finally, taking drugs or alcohol is commonly associated with sexual aggression. Of the men who were identified as having committed acquaintance rape, 75 percent had taken drugs or alcohol just prior to the rape (Koss, 1988). The consequences of acquaintance rape are often far-reaching. Once the actual rape has occurred and has been identified as rape by the survivor, she is faced with the decision of whether to disclose to anyone what has happened. In a study of acquaintance rape survivors (Wiehe & Richards, 1995), 97 percent informed at least one close confidant. The percentage of women who informed the police was drastically lower, at 28 percent. A still smaller number (twenty percent) decided to prosecute. Koss (1988) reports that only two percent of acquaintance rape survivors report their experiences to the police. This compared with the 21 percent who reported rape by a stranger to the police. The percentage of survivors reporting the rape is so low for several reasons. Self-blame is a recurring response which prevents disclosure. Even if the act has been conceived as rape by the survivor, there is often an accompanying guilt about not seeing the sexual assault coming before it was too late. People normally relied upon for support by the survivor are not immune to subtly blaming the victim. Another factor which inhibits reporting is the anticipated response of the authorities. Fear that the victim will again be blamed adds to apprehension about interrogation. The duress of reexperiencing the attack and testifying at a trial, and a low conviction rate for acquaintance rapists, are considerations as well. The percentage of survivors who seek medical assistance after an attack is comparable to the percentage reporting to police (Wiehe & Richards, 1995). Serious physical consequences often emerge and are usually attended to before the emotional consequences. Seeking medical help can also be a traumatic experience, as many survivors feel like they are being violated all over again during the examination. More often than not, attentive and supportive medical staff can make a difference. Survivors may report being more at ease with a female physician. The presence of a rape-crisis counselor during the examination and the long periods of waiting that are often involved with it can be tremendously helpful. Internal and external injury, pregnancy, and abortion are some of the more common physical aftereffects of acquaintance rape. Research has indicated that the survivors of acquaintance rape report similar levels of depression, anxiety, complications in subsequent relationships, and difficulty attaining pre-rape levels of sexual satisfaction to what survivors of stranger rape report (Koss & Dinero, 1988). What may make coping more difficult for victims of acquaintance rape is a failure of others to recognize that the emotional impact is just as serious. The degree to which individuals experience these and other emotional consequences varies based on factors such as the amount of emotional support available, prior experiences, and personal coping style. Some may become very withdrawn and uncommunicative, others may act out sexually and become promiscuous. Those survivors who tend to deal the most effectively with their experiences take an active role in acknowledging the rape, disclosing the incident to appropriate others, finding the right help, and educating themselves about acquaintance rape and prevention strategies. One of the most serious psychological disorders which can develop as the result of acquaintance rape is Posttraumatic Stress Disorder (PTSD). Rape is just one of many possible causes of PTSD, but it (along with other forms of sexual assault) is the most common cause of PTSD in American women (McFarlane & De Girolamo, in van der Kolk, McFarlane, & Weisaeth, 1996). Symptoms which are part of the criteria for PTSD include persistent reexperiencing of the event,persistent avoidance of stimuli associated with the event, and persistent symptoms of increased arousal. This pattern of reexperiencing, avoidance, and arousal must be present for at least one month. There must also be an accompanying impairment in social, occupational, or other important realm of functioning (DSM-IV, APA, 1994). If one takes note of the causes and symptoms of PTSD and compares them to thoughts and emotions which might be evoked by acquaintance rape, it is not difficult to see a direct connection. Intense fear and helplessness are likely to be the core reactions to any sexual assault. Perhaps no other consequence is more devastating and cruel than the fear, mistrust, and doubt triggered by the simple encounters and communication with men which are a part of everyday living. Prior to the assault, the rapist had been indistinguishable from non rapists.

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Binge eating videos can be of help in overcoming compulsive overeating as they offer hope buy fluticasone 500mcg with mastercard asthma symptoms at night, support and they let the binge eater know that they are not alone order discount fluticasone on line asthma symptoms 89. Compulsive overeaters may feel like they are the only one with an obsession with food and that to stop overeating is impossible order 100mcg fluticasone otc asthma definition 1st, but videos on binge eating disorder can show overeaters that others have learned how to control binge eating and they can stop overeating too. Videos on binge eating disorder often use the terms overeating and binge eating, sometimes synonymously. This binge eating video by TV360, expertly explains the difference between binge eating and overeating. This binge eating video outlines how critical professional binge eating treatment is to stopping overeating. Ann Kulze also talks about what drives an average person to binge eat and how to control binge eating. Kulze strongly recommends exercise as a way to reduce or stop overeating. What Causes Compulsive Binge Eating and What are the Symptoms? This binge eating video outlines stress as a binge eating cause and describes the symptoms seen in compulsive overeaters. This is one of many binge eating videos that outline the primary symptoms of binge eating disorder. The three primary compulsive binge eating symptoms are: eating past the point of being satisfied, eating until there is discomfort and being out of control while eating. Videos on binge eating disorder often relate obesity and binge eating disorder directly. In other words, if a person is obese, they must have binge eating disorder and if a person has binge eating disorder then they must be obese. This video on binge eating disorder discusses the link between obesity and binge eating. The primary long-term effect of binge eating disorder is obesity. This video on binge eating disorder outlines the health hazards associated with binge eating and obesity. Effects of binge eating include mental, physical and public health problems. This binge eating video details health concerns including:The psychological effects of self-medication with compulsive binge eatingA nation becoming more obese and needing binge eating helpAn increase in juvenile diabetesPsychotherapist Joanna Poppink, M. Poppink emphasizes preparing ahead of time for how to control binge eating before the urge to binge strikes. Poppink focuses on calm breathing and waiting for the urge to binge to pass. She explains the concept of "being the ocean and not the wave". She also talks about writing down feelings to help stop overeating. This video is in a series of videos on binge eating disorder created by TV360. Arnold Anderson, an eating disorder center director, explains the key to binge eating help: identifying the triggers for compulsive binge eating. Arnold challenges the binge eater to ask themselves why they want to binge. We have 2466 guests and 4 members online Mental Health ExperiencesSimple overeating may occur on an infrequent basis and the overeater feels in control of their eating behaviors. Overeating symptoms include eating too much at holidays or special occasions or because of a missed meal. On the other hand, binge eating disorder symptoms include frequent episodes of uncontrolled eating, or bingeing, during which the person may not feel "in control" or in command of their own actions. Another key difference between the two is that some symptoms of binge eating disorder are hidden due to the shame binge eaters feel about their behavior. It is important to recognize the external symptoms of binge eating disorder though, as early intervention brings the greatest chance of successful recovery. Obesity is the most obvious compulsive eating symptom. Most compulsive overeaters are obese (more than 20% above a healthy body weight), but not all. Binge eating disorder symptoms include:as well as several cycles of weight loss and gainThere are many psychological symptoms of binge eating disorder as well. The binge eater often feels shame around eating and may express regret over having eaten so much. The binge eater also may develop low self-esteem both due to the disgust of their own eating habits and possibly due to their feelings about their own body image. So depression is another key symptom and this can sometimes be noticed by others. While most binges are done in secret, sometimes overeating symptoms include visible overeating at meal times or eating throughout the day with no preset meal times. While some binge eating symptoms are visible to others, the defining symptoms are only truly known by the binge eater. Only that person knows whether their overeating symptoms are due to a lack of control. Recognizing compulsive eating symptoms is the first step in recognizing this mental illness and getting the professional help required. This means the person will diet, sometimes with a severely restricted calorie intake, to lose weight. Overcoming binge eating, however, is about much more than the number on a scale. Overcoming binge eating is about learning why the compulsive binge eating is happening and the psychological triggers, then addressing the psychological and environmental causes of the binge eating. Any weight-loss plans for compulsive overeaters needs to include therapy for binge eating as part of the treatment plan. Obese compulsive overeaters need to create a diet plan and stay on it to lose weight. In overcoming binge eating, they should then adopt healthy eating patterns to keep the weight off. However, research has shown that long-term weight loss is much more likely when a person has control over their binge eating behaviors. Compulsive binge eating behaviors are grounded in, and surrounded by, psychological issues; so compulsive overeaters should always seek additional therapeutic treatment, along with a medically supervised weight loss program. Compulsive overeaters who are not overweight are warned not to diet as dieting can worsen compulsive binge eating behavior.

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