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#191 von Health anxiety: cognitive behavioral therapy for anxiety 29.05.2024 - 13:18
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Introduction: Health anxiety, also known as ‘hypochondriasis’, is a common, distressing and costly condition that responds to cognitive behavior therapy(CBT) but evidence pertaining to response and remission rates, treatment in routine care, therapist-guided Internet-delivered CBT (ICBT) and health economics has not been systematically reviewed.

Cognitive behavioral therapy (CBT) can be an effective treatment for health anxiety. It focuses on identifying and challenging negative thought patterns and beliefs related to health concerns. CBT for health anxiety typically involves techniques such as:

Cognitive restructuring: This involves identifying and challenging irrational or unhelpful thoughts about health, and replacing them with more realistic and balanced thoughts.

Behavioral techniques: These may include facing feared situations gradually to reduce avoidance and safety behaviors, as well as practicing relaxation techniques to manage anxiety.

Education and psychoeducation: Learning more about health anxiety and the factors that contribute to its maintenance can help individuals gain a better understanding of their symptoms and reduce anxiety.

If you are struggling with health anxiety, it would be beneficial to seek out a qualified mental health professional who is experienced in CBT. They can work with you to develop a personalized treatment plan to address your specific concerns.
Cognitive Behavioural Therapy (CBT)
will teach you to understand your problem better, and to interpret symptoms and changes in your body in less frightening ways. Special techniques are used to help you identify things which trigger worries about health and the upsetting thoughts you have. Such thoughts lead to changes in behaviour (e.g. checking your body repeatedly and seeking lots of reassurance).

CBT will help you modify these changes in thoughts and behaviour, which is likely to lead to overall reduction in health anxiety. When appropriate, you may also learn techniques that will help to reduce anxiety and the symptoms that are bothering you. You will be offered up to 10 remotely delivered sessions using an internet system called Webex. Each session will last for up to an hour. Here’s what you will need to do.

Elements of Cognitive Behavioural Therapy

1. Diary and record keeping:
To get the most from each CBTsession and keep track of your progress, you may be asked to complete a diary and records of your feelings. These give us important information about your problems. It is important to fill these in as carefully as possible and have them available at your sessions.

2. Agenda setting:

To make the best use of each session, you and your therapist will plan
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3. Session summary

Towards the end of the session you and your therapist will review what has been accomplished during the session. This is important to make sure you have followed all the things to be learned about your problems in that session. You will also be given a recorded copy of the session to listen to each week, to enhance learning and bring back any
questions to your therapist.

4. Working at the treatment

In CBT you and your therapist will be working hard to find out what keeps your health anxiety going, so you can overcome it permanently. It has been shown over and over again that reassurance is a very poor way of tackling health anxiety. This is not surprising, as reassurance is generally intended to show you what is NOT wrong with you. This may work in the short term, but not in the longer term. The best way of dealing with health anxiety long-term is to learn how your symptoms can be caused and to be reminded of the ways in which you can resolve them. This allows you to understand what your problem IS rather than
what it IS NOT, and lets you develop the skills to deal with health anxiety should it return.

5. Homework

Therapy sessions are for one hour each week and there will be lots of things you will want to follow up between sessions. You will be asked to perform homework assignments between
the sessions and this will speed up your progress in learning to completely control your health anxiety. This is essential in building your confidence and making the most of your therapy.

6. Becoming your own therapist

One of the most important goals of cognitive behavioural therapy is for you to learn how to be your own therapist. You will learn to identify thoughts, beliefs about symptoms, and your
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#189 von How long does ketamine pain relief last 29.05.2024 - 11:18
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Introduction
Ketamine therapy is a newer approach to managing chronic pain. While early results are promising, there’s a lot to consider before giving it a try.

Ketamine therapy is a possible treatment for chronic pain, which is pain that lasts longer than 3 months. While ketamine therapy isn’t typically a first-line treatment, it may be an option if other pain management strategies haven’t worked.

Here’s a closer look at what ketamine therapy for pain management involves, the merging research behind it, and potential risks to consider.
What is ketamine?
While ketamine therapy is a relatively new concept, ketamine has been used for decades. The Food and Drug Administration (FDA) approved it as an anesthetic in 1970. However, the FDA has not approved Trusted Source ketamine for any psychiatric disorder.

The medication acts on N-methyl-D-aspartate (NMDA) receptors in the brain. These receptors operate “channels” that are like switches.

Normally, a neurotransmitter called glutamate switches the NMDA receptor to the “on” position. Glutamate has excitatory effects on the brain and body, meaning it makes you feel more alert and awake.

Ketamine is an antagonist of the NMDA receptor. That means it keeps things like glutamate from activating the NMDA receptor.

When ketamine occupies the receptor, you start to feel sleepy, rather than alert and awake. That’s why ketamine has traditionally been used as an anesthetic.

How ketamine therapy might help with pain
In addition to the effects mentioned above, experts have uncovered other ketamine effects that suggest it may help with pain management:

In higher doses, ketamine can work on opioid receptors. Activating these receptors can help reduce pain sensations.
Ketamine can block some sodium and potassium channels, which is similar to what local anesthetics do.
Ketamine can help increase the amount of gamma-aminobutyric acid A (GABA) in the brain. GABA is the opposite of glutamate. It causes the brain to experience relaxed, slowed-down sensations.
While experts are still learning about the potential benefits (and downsides) of using ketamine therapy for chronic pain, it may be recommended if other treatments, like opioids or nonsteroidal anti-inflammatory medications, aren’t working.

Ketamine therapy is most commonly used for the following types of pain:

Neuropathic pain: This refers to pain that affects the nerves, which can cause shooting, tingling, or burning pain.
Complex regional pain syndrome (CRPS), type I: This pain syndrome most commonly occurs after surgery or injury and causes chronic pain.

Ketamine therapy for chronic pain likely won’t work for every person. Finding the right people who experience unique pain types that respond to ketamine therapy is integral to helping people find pain relief.

What does ketamine therapy involve?
Clinics that administer ketamine for chronic pain will usually give the medication via an intravenous (IV) line. Usually, treatment begins with a low dose, and clinicians may increase the dose over time.

Ketamine infusion dosages are usually 0.5 to 2 milligrams per kilogram of body weight over the course of 1 hour when administered for chronic pain.

However, ketamine can be given via injection or even inhaled. The options available to you will depend on your location and what your care team thinks will be most beneficial for your symptoms.


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#187 von Therapy for Anxiety: Generalized Anxiety disorder 24.05.2024 - 11:10
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Though talk therapy and medication are first-line treatments for GAD, you may also find relief with certain home remedies and lifestyle changes.
Generalized anxiety disorder (GAD) is a type of anxiety disorder that’s treatable, often with a combination of medical and lifestyle tools.

But it can be hard to live with excessive, hard to control, and stubborn worry.

Maybe your symptoms keep you up at night. Maybe the worry arises first thing in the morning as you wake up. Or maybe it feels like you’re rarely worry-free.

People with GAD experience excessive worry more days than not, sometimes worrying from 3 to 10 hours a day.

But you’re not alone — even though you might sometimes feel like it. According to data from the Centers for Disease Control and Prevention (CDC), more than 15%Trusted Source of people experienced symptoms of GAD in 2019 over a 2-week period.

Whatever the causes of anxiety may be, there are many GAD treatments available, along with coping tools that can help you prepare for your next doctor’s appointment.

Diagnosis
To help diagnose generalized anxiety disorder, your doctor or mental health professional may:

Do a physical exam to look for signs that your anxiety might be linked to medications or an underlying medical condition
Order blood or urine tests or other tests, if a medical condition is suspected
Ask detailed questions about your symptoms and medical history
Use psychological questionnaires to help determine a diagnosis
Use the criteria listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association

Symptoms of generalized anxiety disorder
According to the DSM-5 criteriaTrusted Source, to be diagnosed with GAD you must experience your symptoms for most days over a 6-month period. You must have 3 or more of the following 6 symptoms in this period:

feeling restless, keyed up, or on edge
having difficulty concentrating or feeling like your mind is “blank”
being irritable
fatiguing easily
feeling tension in your muscles
experiencing sleep issues such as difficulty falling or staying asleep, or restless unsatisfying sleep
Children don’t need to meet as many criteria to be diagnosed with GAD. Only one symptom — rather than three — is required to be diagnosed.

However, symptoms of GAD can go beyond the diagnostic symptoms outlined above, and can include:

feeling a general sense of nervousness
being easily startled
experiencing headaches, muscle aches, or stomachaches, or other unexplained pains
having difficulty swallowing or feeling a lump in your throat
twitching or trembling
sweating a lot or experiencing hot flashes
feeling lightheaded or out of breath
feeling nauseated
having to use the bathroom a lot
These symptoms can be better or worse at different times and are often worse when you’re stressed.

GAD may come on gradually, with many people reporting feeling at least mild anxiety symptoms for their entire lives. An anxiety disorder can begin at any time — in childhood, adolescence, or even late adulthood.

GAD is reportedly more common in women than in men and often occurs in relatives of people with anxiety disorders, meaning there may be a genetic component.

Treatment
Treatment decisions are based on how significantly generalized anxiety disorder is affecting your ability to function in your daily life. The two main treatments for generalized anxiety disorder are psychotherapy and medications. You may benefit most from a combination of the two. It may take some trial and error to discover which treatments work best for you.

Psychotherapy
Also known as talk therapy or psychological counseling, psychotherapy involves working with a therapist to reduce your anxiety symptoms. Cognitive behavioral therapy is the most effective form of psychotherapy for generalized anxiety disorder.

Generally a short-term treatment, cognitive behavioral therapy focuses on teaching you specific skills to directly manage your worries and help you gradually return to the activities you've avoided because of anxiety. Through this process, your symptoms improve as you build on your initial success.

Medications
Several types of medications are used to treat generalized anxiety disorder, including those below. Talk with your doctor about benefits, risks and possible side effects.

Antidepressants. Antidepressants, including medications in the selective serotonin reuptake inhibitor (SSRI) and serotonin and norepinephrine reuptake inhibitor (SNRI) classes, are the first line medication treatments. Examples of antidepressants used to treat generalized anxiety disorder include escitalopram (Lexapro), duloxetine (Cymbalta), venlafaxine (Effexor XR) and paroxetine (Paxil, Pexeva). Your doctor also may recommend other antidepressants.
Buspirone. An anti-anxiety medication called buspirone may be used on an ongoing basis. As with most antidepressants, it typically takes up to several weeks to become fully effective.
Benzodiazepines. In limited circumstances, your doctor may prescribe a benzodiazepine for relief of anxiety symptoms. These sedatives are generally used only for relieving acute anxiety on a short-term basis. Because they can be habit-forming, these medications aren't a good choice if you have or had problems with alcohol or drug abuse.
Alternative medicine
Several herbal remedies have been studied as treatments for anxiety. Results tend to be mixed, and in several studies people report no benefits from their use. More research is needed to fully understand the risks and benefits.

Some herbal supplements, such as kava and valerian, increase the risk of serious liver damage. Other supplements, such as passionflower or theanine, may have a calming effect, but they're often combined with other products so it's hard to tell whether they help with symptoms of anxiety.

Before taking any herbal remedies or supplements, talk with your doctor to make sure they're safe and won't interact with any medications you take.

#186 von adelheidallis 07.05.2024 - 20:10
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Köp äkta och registrerat körkort utan att du går på provet.
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#185 von adelheidallis 07.05.2024 - 20:09
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Koop een echt en geregistreerd rijbewijs.
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#184 von adelheidallis 07.05.2024 - 20:09
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Kaufen Sie einen echten Führerschein online.
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