“When the person with DCA receives the discharge, comes home from his injuries healed, but not rehabilitated, and is the family who has to make daily care, without adequate training or be psychologically ready for it,” said Amalia Dieguez , chair of the Spanish Federation for Brain Injury (FEDACE) and member of the organizing committee and the Brain Injury Family Week takes place this Thursday, March 11 at the Hospital Beata María Ana de Madrid.

Therefore Dieguez stressed that “families require care that is not interrupted, specialized, from the emergency room to the living room of his house.”

This conference organized by the Network Menni Brain Injury Services, FEDACE and the Department of Basic Psychology II, Universidad Complutense de Madrid, intended as a forum for participants to share experiences and reflect on how to improve care for families people with brain damage.

Until these associations reach families with squealed such as isolation, exclusion, mistrust, false expectations, disorientation, “says Dieguez who said that” all these side effects are preventable if they had been treated properly from the beginning. “

In this regard, he stressed that the treatment of families with DCA “requires an approach as early as possible, to avoid consequences and complications that otherwise, the family dragged throughout the rehabilitation process.

This congress is also “recognition of the role of the family as a fundamental support in situations of illness or disability, because unfortunately there has been a historical divide between families and professionals,” says Dieguez.

In addition, Dieguez claimed as necessary “preventive policies to curb the incidence of DCA. It is urgent to work on lines of research and open discussion forums, like the one we find, for the treatment of those affected and their families.”

Moreover, according to Dr. Jose Ignacio Quemada, Menni Network Director of Brain Injury Services and member of the organizing committee of the day, “the professional who receives them may lack global vision and not have to be a person psychologically very sophisticated. Furthermore, experience anxiety about the limits of his knowledge and is not immune to the emotional impact that produced the dramas of other human beings. “

As we noted, the dentist is one of the medical specialists who instills more fear among the population. The dental fear may come because of a bad experience in the past, especially children. In addition, the popular rumor mill further increase this fear. Keep in mind that the techniques and materials have evolved considerably in the recent past and what once could hurt now almost painless. Do not forget that our health is at stake. Any problems we have in the mouth will become worse and the symptoms will become increasingly into a more serious problem that is beginning to affect the entire body if we keep delaying the visit to the dentist.

Disclosure is one of the key factors when addressing issues such as going to the dentist. With knowledge, people lose the fear. And that is precisely what the doctor tries. In recent years have proliferated various types of clinics that coexist with dental visits for a lifetime, the family dentist, but have a different way of acting.

Some Keys to Overcoming Fear

One of the tips to lose their fear of going to the dentist is to ignore the experiences that we have family and friends. Each case is different and therefore each patient must be treated on their problems. Another thing is that we must try not worry more about that fear of the dentist, trying to control the nerves in the days before the appointment with the dentist. All you will achieve will have a hard time and advance the anguish that surely will subside as soon as we attend the dentist.

During pregnancy, a woman must be fed adequately to meet the nutritional needs of infants, but this does not mean eating for two.

Pregnant women should eat a diet rich in all nutrients: protein, fiber, minerals and vitamins. The daily diet should contain meat, milk and eggs with vegetables, fruits, cereals and cereal products.

When there is excessive weight during pregnancy, women should limit their consumption of foods rich in calories, fat and sugar. In this case, the food must display more protein than low-fat milk, meat, eggs, fruits, vegetables, nuts and others.

When planning your menu, be sure to include foods from each food group at every meal. Make sure you always consult your health care professional to ensure that any changes in diet that suits you.

Regular exercise has many benefits for pregnant women. Exercises help control weight and prepare your body for labor jobs. Try to exercise at least thirty minutes a day, three to four days per week. This exercise is safe for most pregnant women. Talk with your doctor to make sure it is safe for you to exercise before starting any routine. Drink plenty of water to stay hydrated before, during and after exercise.

You can be infected with HSV1 or HSV2, either, but the treatment and symptoms are often similar for each virus. The virus remains in the body for life and produce symptoms which may occur at any time. The symptoms of these two types of herpes (HSV1 and HSV2) usually suffer from two males and females.

Oral herpes symptoms uncomfortable and painful, often uncomfortable and not easy to conceal. Irregular herpes can also cause genital pain, vaginal discharge, urinary discomfort, fever, muscle aches and pain in the groin. The symptoms of genital herpes can be seen in the genitals of men and women.

You can be infected with HSV1 or HSV2, either, but the treatment and symptoms are often similar for each virus. The virus remains in the body for life and produce symptoms which may occur at any time. The symptoms of these two types of herpes (HSV1 and HSV2) usually suffer from two males and females.

Some people think of genital herpes can be cured and not as a problem that requires immediate medical attention, the severity of outbreaks and contamination in question can be annoying.

Although there are more and more aware of preventive measures can be adopted to effectively prevent infection by herpes and other STDs, there is every day more people infected with genital herpes, which causes very unfortunate situation and can be fatal. Since most of these symptoms may be associated with other medical problems, it is good if you consult a doctor immediately.

Not a few obese people who have applied the same formula of calories in with calories out, regular exercise, balanced diet which is usually done to maintain ideal weight. But the results are not there.

Health experts suspect there are additional factors that make weight gain. The effect lack of sleep triggers obesity and obesity risk.

An increasing number of obese people are rapidly during the last three decades is expected related to the least number of hours of sleep 2 hours less than the recommended (7-8 hours a day).

“Lack of sleep will trigger the hormone ghrelin, the appetite stimulating hormone and reduced leptin, a hormone that triggers satiety. In essence, short bed will increase hunger and appetite to eat food,” said Dr. James Gangwisch of Columbia University is quoted from Independent, Wednesday (6/1/2010).

Besides lack of sleep, there are some other things that can be obesity factor.

• Side effects of medicines

• Old effect

• Viral effects

• The effect is less mobile

• Quit smoking effects

• The effect of genes in the body

• Room temperature effects

The point is to prevent obesity and getting into shape a lot of things that must be considered. Intention to have a healthy and ideal body will be in vain if only rely on one kind of business. For healthy, a person must be willing to pursue all things, from exercise, eating right to sleep enough. The total concept is simple secrets to get the ideal weight and healthy living.

“Can not we just rely on just one instance of factors constant exercise or consumption of healthy food but lack of sleep for example. To get a good result needed a total concept or the overall concept,” said Dr. L Toruan Phaidon, MM is also the author of Fat Loss Not Weight Loss.

According to him, each person does have a biological clock and the biological factors that vary, but with a good setting nothing is impossible, including maintaining weight loss.

]]> http://www.forumvaledosousa.com/inhibiting-factors-weight-loss.htm/feed 1 http://www.forumvaledosousa.com/more-help-for-anorexia.htm http://www.forumvaledosousa.com/more-help-for-anorexia.htm#comments Thu, 04 Feb 2010 06:00:56 +0000 mzPOTTER http://www.forumvaledosousa.com/?p=238

Importance of self-esteem in anorexia

Low self-esteem is a common feature of different eating disorders as it reflects the patient’s fear that if they “abandon” and shows the world as it is in fact will be rejected immediately.

One of the goals of good therapy eating disorder is getting the patient to appreciate its own intrinsic worth.

Reasons for low self-esteem: how someone develops low self-esteem? Involves several factors:

- Belief that figure determines the value: People with eating disorders have come to believe that they are despicable and unacceptable unless they are thin, and of course, never get to be thin enough to feel satisfied.

- Unit of external factors in determining one’s worth: Instead of loving and valued internally, measure their worth through external signals, eg the qualification of an examination, the mark of a race, the endorsement by friends …

- Thinking of themselves as useless and incompetent: If a person feels helpless about his life or environment, it is clear that it will not be able to develop great respect for herself.Tips for encouraging self-esteem:

- Engaging in something the patient already do well: develop a new activity involves patience and the risk of not having attitudes to it, so make sure that the patient operates low self-esteem or individual, engages in something that knows he does well.

- Find “devil’s advocate” imaginary or ask a friend to be: so someone with low self esteem can begin to understand how negative it is relying on external reinforcement to feel good about herself.

- Asking “Why is it so important to a particular aspect?, Would it change your life a lot if I weighed 4 kilos less?,” Would get better in the job?, Would it be more fun at parties?, “Eleanor Roosevelt have achieved most things if it had been beautiful? “.

- Why not look better without worrying about your weight?. It’s nice to imagine a world where people’s weight was unchanged. “Would you still take half a grapefruit for dessert instead of chocolate cake?.

- Act as if it were thin, as if it were beautiful. Paradoxically, people who act as if they wanted a better start to get reaction from the world, making them easier to love truly.

- Observe the people around them. This is most effective if it belongs to a club or gym, where people walk around in various states of undress. How many bodies are perfect?. In addition to what can be perfect for someone else may not.

- We must learn to accept. It’s great to develop a plan for healthy nutrition and exercise, leaving it clear that we are not looking for a weight loss plan but only guidelines to eat a normal healthy diet. The same goes for an exercise program: we must make it clear that you are exercising to benefit the heart, bones … not to achieve an impossible figure.

- It’s good to join a group of self-help or support. A group of other people experiencing the same, this will help them see that they are not alone.

Suggestions for the family: eating disorders affect the entire family. It is impossible to pretend that all is well, many parents wonder: “Is it my fault?” Have I done something wrong? “. It is important to remember that eating disorders can have many causes but there is no denying that the presence of a condition usually indicates a basic problem in the dynamics of the family, but also understanding that the patient is so influenced by culture overall and by their upbringing.

It is important to know that only in rare cases of eating disorders manage solution without professional help. The family can not blame the lack of activity can only be expected of a trained professional.

If we wanted someone with anorexia, you have to tell you frankly, do not be silent in the hope that it is only one stage, the longer it persists the disease will worsen the patient more and more difficult it is to treat, plus there is always the possibility of that the patient is pleading for help silently, secretly waiting for someone to notice their plight and help to find a solution.

SOME TIPS:

- Compose himself before, not emotion expressing serious concern and understandable way.

- Expect resistance. Anorexics say keep in perfect health.

- It is necessary to stand firm in spite of what the patient says or denied, need help. Make clear that our concern is your health and your life.

- It’s good to make the patient responsible for their conduct.

- Be willing to help ourselves, because eating disorders affect people around too.

- It’s good to make sure their own family’s needs are met. There are support groups for relatives of people affected.

CONCLUSION

When considering a treatment, has taken the first and most important step to recovery: it was understood that there is a problem, it requires great courage.

During an intervention and effective treatment, can help ease the destructive pressure anorexia and other eating disorders have on patients and relatives. A good treatment program does not offer a cure for overnight but it offers hope.

There is no standardized method for treating eating disorders “is the best treatment that gives results.”
The important thing is that the program is comprehensive, combining psychotherapy and nutrition therapy counseling and assistance, if necessary, specialized medical care

1. Individual psychotherapy: perhaps the most important aspect of therapy is to develop a warm relationship between patient and therapist.

People affected often find it difficult to trust others. You need a high degree of confidence by the patient to trust the therapist. The patient must abandon their fears and begin to develop normal eating habits.

2. Traditional psychotherapy: The media in this psychotherapy encourage the patient to reflect on his childhood dreams and unexpressed feelings for, thereby acquiring a new perception of their current behavior.

Recognizing the role of these subliminal influences, the patient will acquire a new perception of their actions and change.

This kind of therapy is better as an accessory to other methods. Today, psychologists know that knowledge about the roots of a person’s behavior, will not you change this behavior unless you change the eating habits of the patient. Many of them spend years in traditional therapy without ever revealing that they have a disorder.

Moreover, as the patient gains control of the diet, traditional psychotherapy can help you identify and manage some of the feelings that contribute to the disorder.

3. Behavior Modification: This form of therapy completely ignores the underlying feelings and focuses only on changing behavior. The behavior modification works on a principle: to reinforce a desired behavior through rewards and punish or ignore unwanted behavior.

This form of therapy works best when the patient is admitted to the hospital, where staff can answer incentives such as TV or excursions, …

When first applied this method gave good results, but unfortunately were only temporarily. The patients found the hospital stay so unpleasant that performed the desired behavior is only enough to be discharged and once out, they returned to their old ways.

4. Cognitive Behavioral Therapy (CBT) combines the best aspects of traditional psychotherapy and behavior modification.

This method requires knowledge and challenge self-destructive behaviors and thoughts, followed by appropriate changes in behavior.

This therapy involves the following steps:

* Reinforce knowledge of the patient, their own thinking patterns.
* Teach him to recognize the connection between certain feelings, self-destructive thoughts and behavior disordered eating.
* Replace the erroneous beliefs more appropriate ideas.
* Gradually changing the fundamental assumptions that underlie the development of eating disorders.

It is often assumed “mistaken beliefs” at one time or another, the difference is that for a patient with anorexia are more extreme these beliefs. Some of these thoughts are typical:

- Thinking black or white / all or nothing: it is the conviction that if everything is not perfect, disaster is just around the corner.

- Errors of attribution: for example, when an anorexic bluntly state that has gained a kilo just by eating a pie last week when in reality this weight gain was because I was at the time of the menstrual period, which always made retain fluids.

- Magical Thinking: the minor food indulgence in the “forbidden” means instant obesity. Some people say, “My body does not tolerate carbohydrates, instantly becomes the fat” or “I’m addicted to sugar,” “I taste something sweet and I lose control.” Such ideas attributed unreal and almost magical properties to food and the human body. In these cases, the best look at a book on nutrition or help from an expert in nutrition programs to explain to the patient as the body metabolizes food, in order to help her understand that there is no food called “bad”.

- Customization: Anne, an anorexic for 15 years, spent the holidays in the treatment of eating disorder when she returned to school and had gained 3 or 4 kilos. Her teacher saw her and said, ‘Anne, you’re great!!, Did you have a good summer? “. During the day Anne lamented: “Have I gained so much that people notice?, Did she know that I was subjected to therapy?”. Anne had taken the polite comment from her teacher as a drama, perhaps a reflection of low self-esteem that characterized his illness.

- Exaggeration: Anne’s reaction to her teacher’s comment is an example of overstatement: the tendency to deorbit things. The comment from the teacher became a belief.

Conclusion: CBT has been practiced successfully in patients with bulimia and has been recommended for treating anorexia nervosa but their long-term effect on the latter is not known with certainty.

- Your general physical and mental state.
- The severity of the condition.
- The possible existence of concurrent disorders.
- Their willingness to change.

For the therapy result, doctors and therapists need more information about the person trying to help.

An eating disorder involves all facets of someone’s life:

- Your self-image.
- Your relationship with family and friends.
- Your ability to enforce their rights and make known their needs.

Most of those affected disorder get much of their own image, that is, through it can be seen as special or thin or heavy. (Just imagine how it feels to develop a trait that anyone is particularly proud, only to be told you have to change it).

This is the task that faced by people who face treatment: Assume that the trait of being so proud, is harmful.

For this reason, the assessment must be as detailed as possible so that the therapist can tailor therapy to each patient.Questionnaires: Questionnaires have been developed several specialized to evaluate patients. They help to assess someone’s attitudes toward weight and shape and clarify the psychological characteristics such as personality traits, the degree of social performance and similar problems. The most commonly used are:

* TAIC: Test of attitudes of food intake. It consists of 26 questions designed to measure the presence of disordered eating patterns and whether the patient suffers from anorexia nervosa.

* ELITIC: Test with 91 questions designed to measure a range of psychological symptoms that are thought to contribute to the development and maintenance of eating disorders such as the tendency to thinness, body dissatisfaction, perfectionism …

These questionnaires can not be used in themselves to diagnose eating disorders, what they can do is say who is more likely to have an eating disorder and what can be some of their own problems.

The interview: The interview should help the doctor or therapist to get a clearer idea of the lifestyle of the patient and their current weight, diet history, eating habits …

Other aspects such as attendance at work or class, with a boyfriend or husband or friends and family and foreign occupations are of interest because they shed light on their performance skills, the degree of independence and the extent of their isolation.

The doctor, during the interview, will have great interest in the past and present attempts to be dieting, bingeing and vomiting, use of laxatives, diuretics and diet pills.

Finally, the interviewer will want to know if the person is ready to change and especially if it is ready to receive therapy.

Moreover, it is also important physical assessment. If a woman has a figure emaciated and unable to think clearly or be restless and / or other signs of imbalance, may require immediate hospitalization. A physical impairment so extreme, affect mental functioning and ability to benefit from therapy.

The intervention: it is often used by those who want to the person concerned and worried about their behavior, is an eating disorder, drug or alcohol abuse or other kinds of self-destructive behaviors. Surgery can be an effective means of communicating their concerns, establish some rules and maybe the person concerned, decide to seek help.

To attempt an intervention is needed these two points:

1 – If possible, the intention is a positive comment to a counselor, clergy or family doctor.

2 – It is necessary to carefully plan the intervention. Who should be there, parents, brothers, boyfriends … In general the right people are closer to patients, who see it more often and those whose lives have been affected by his conduct.

3 – You must know the facts so you can give the offeree reason for his concern: It is inappropriate to criticize and say “you’re destroying this family” is harmful and melodramatic though it may be true -. Instead you could say that it is concerned about his health, perhaps even for his life.4 – We must stand firm. It may not produce a miracle overnight, but that’s no reason to change its view that a problem exists.

5 – It is normal to expect resistance to the anorexic. They get a sense of pride and identity of Being thin and feel attacked when someone tries to change it.

6 – It should be documented. Must read literature on the subject of food intake, see if any support program or camp in your community.

7 – We must always remember the purpose of the intervention. Its goal is to help the affected person. If it fails the first time that, keep trying, we must not give up or lose sight of the goal.

8 – We must recognize the patient’s fears. For an anorexic, the idea of changing habits maintained for months, maybe years, it really scares begin to think or fear that you are trying to turn it into a fat. Do not minimize those concerns even if they seem irrational.

9 – It is advisable to wait. It is very important to intervene early because probably not get instant results. You may be required several days or several weeks to finally accept an anorexic help.

10 – Do not forget your own needs who performed the surgery. An eating disorder has effects on family life. It’s nice sometimes to seek socio-psychological support or find a support group to ensure that you are caring properly.

The success of therapy depends on many factors, including:

- The personality of the patient and her desire for change.

- The duration of their disorder.

- The age at which the disease began.

- Your family history.

- Level of social and vocational skills.

- The occurrence of other disorders such as depression.

It is important to remember that there is no miracle cure for eating disorders. These diseases involve problems against which the patients have fought and continue to fight for the greater part of their lives, but a good treatment program will help build self-confidence and teach patients to face their problems without engaging in self-destructive behavior or . The program will also help restore health and physical strength.

In general, the three main goals of therapy are:

1 .- To mitigate the physical and dangerous or who pose a threat to life.

2 .- Teach the patient to eat normally and enjoy a more relaxed relationship with food.

3 .- To investigate, in the hope of change, destructive thoughts concerning eating, weight and eating.