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History Generalised anxiety disorder is a relatively recent diagnosis. Before 1980 it was subsumed under the label of anxiety neurosis, a disorder first delineated by Freud in 1894 1 and characterised by persistent feelings of unattached fearfulness described as free-floating anxiety. 1 However, the disorder described by Freud also included the symptom of panic, and when panic disorder was subsequently identified as a separate illness by Klein, 2 the part of anxiety neurosis that did not include panic became known as generalised anxiety disorder.
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Anxiety is a bodily response to a perceived threat or danger. It is triggered by a combination of biochemical changes in the body, the patient''s personal history and memory, and the social situation.It is important to distinguish between anxiety a...
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Systematic desensitization is a technique used to treat phobias and other extreme or erroneous fears based on principles of behavior modification.Systematic desensitization is used to help the client cope with phobias and other fears, and to induc...
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The source of this uneasiness is not always known or recognized, which can add to the distress you feel.Anxiety; Feeling uptight; Stress; Tension; Jitters; Apprehension.Stress is a normal part of life. In small quantities, stress is good-- it can ...
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Anxiety is familiar to everyone due to the many stresses and complexities of modern life.
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This report features up-to-date information on the signs, causes, and treatments of many common phobias and anxiety disorders.
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Anxiety is normally a helpful emotion that rouses the individual to action and alerts the individual to danger. Everyone has anxiety; it is common to feel anxiety before a ?first date,? when beginning a new job, or before an examination.
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Anxiety is a multisystem response to a perceived threat or danger. It reflects a combination of biochemical changes in the body, the patient''s personal history and memory, and the social situation.
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Unlike the relatively mild, brief anxiety caused by a stressful event such as a business presentation or a first date, anxiety disorders are chronic, relentless, and can grow progressively worse if not treated.
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Everybody experiences fear at some time or another. Fear is a powerful emotion that arises in situations that are interpreted as dangerous. The purpose of fear is to alert you to take protective action—usually to fight, flee, or seek assistance. For example, if you were hiking in the woods and encountered a snake, you would naturally interpret this situation as dangerous which would produce the emotion of fear, which, in turn, would motivate some self-preserving behavior—probably an attempt to escape. If, however, you recognize that the snake is harmless, your interpretation of the situation as dangerous and the ensuing emotion of fear would have been erroneous. Notice how important the cognitive act of interpretation is in experiencing fear.
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Anxiety is a multisystem response to a perceived threat or danger. It reflects a combination of biochemical changes in the body, the patient''s personal history and memory, and the social situation at hand.
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Anxiety disorders are a group of disorders that can affect adults, adolescents and children. They overwhelm people with chronic feelings of anxiety and fear.
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This guide is designed to help you learn about anxiety disorders. Knowing more, you may feel more comfortable talking with a health professional about your experience and your symptoms.
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Anxiety is a condition of persistent and uncontrollable nervousness, stress, and worry that is triggered by anticipation of future events, memories of past events, or ruminations over day-to-day events, both trivial and major, with disproportionat...
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Some researchers believe anxiety is synonymous with fear, occurring in varying degrees and in situations in which people feel threatened by some danger. Others describe anxiety as an unpleasant emotion caused by unidentifiable dangers or dangers t...
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You may suffer from generalized anxiety disorder if you go through the day worried, tense or anxious about your family, health or work, even when you know there are no signs of trouble.
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Anxiety—feeling frightened, tense, uneasy—is a normal response to a threat. Anxiety can disrupt your life, but it's nothing to be ashamed of. Don't suffer in silence. Anxiety disorders are covered by most health plans. Check what's covered under your plan. Then ask your doctor or another mental health professional for help.
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Discussion of the effect of anxiety disorders on children and how they can be treated.
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Despite their age, benzodiazepines still provide unique benefits and are unlikely to be entirely superseded by newer medications. Includes a comparison chart of newer and older drugs for insomnia, anxiety, and depression.
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A common disorder infrequently diagnosed Generalized anxiety disorder (GAD) is a common and often chronic disorder, with an estimated lifetime prevalence rate of 5.7% in the general population, but it is often overlooked and undertreated. 1 Why should this be so? Comorbid disorders motivate help-seeking The core symptoms of GAD are chronic worry and tension.
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You have to give a presentation next week. Just thinking about it makes your heart race. Your throat gets tight, and you can hardly breathe. Sometimes, you even feel faint. Speaking in front of a group makes most people nervous, but your fear is beyond reason. This is nothing to be ashamed of. You may have an anxiety disorder known as social phobia. Talk to your doctor or mental health professional. They can offer treatment and support.
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It is common to feel stress or anxiety when you have cancer. Anxiety can be a vague or uneasy feeling of distress. There are many things that can bring on these feelings, such as trips to your doctor's office, treatments for your cancer, or fears about your cancer.
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Separation anxiety is common in children, but most grow out of it. However, in a small percentage of children (and more rarely, in adults) it becomes a disorder. Typical treatment methods include cognitive and behavioral therapy.
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Research suggests that for patients who are starting treatment for depression, their type of attachment anxiety should be taken into consideration as a factor in determining the best course of treatment.
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There is evidence that certain herbs and supplements may be effective in treating certain types of anxiety disorders.
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When I get nervous, I get a tic that affects the left side of my face, including my eye. What can I do about this? Is there anything I can take for it?
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Depression, also known as depressive disorders or unipolar depression, is a mental illness characterized by a profound and persistent feeling of sadness or despair and/or a loss of interest in things that once were pleasurable. Disturbance in slee...
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Depression may be described as feeling sad, blue, unhappy, miserable, or down in the dumps. Most of us feel this way at one time or another for short periods.True clinical depression is a mood disorder in which feelings of sadness, loss, anger, or...
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This report offers in-depth information on the causes of depression and the treatments and medications that can lift your mood.
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People who are depressed have a cluster of symptoms characterized by sadness and a profound lack of energy and well-being.
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Detailed information on depression and depression in women, including types, symptoms, diagnosis, and treatment
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It's important not to underestimate the dangers associated with depression, especially if you've had multiple episodes or lingering symptoms. For example, people who don't get treated for their depression have a higher risk for suicide.
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Depression is a complicated and common mental health condition that affects about 10 to 15 percent of Americans. The following questions and answers can help you recognize and get effective treatment for depression.
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The analysis of more than 15,000 young people in the United States found about a third of the cases of depression and obesity among those teens could be attributed to being from families with low incomes.
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Men suffer from depression in smaller numbers than women do, but their treatment needs differ due to responses to medication, especially in older men. Additional medication may be necessary to treat the sexual side effects.
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In general, only about three percent of the elderly living independently in the community will experience depression. That figure increases to around 20 to 30 percent of persons in nursing homes or with chronic illnesses like emphysema, heart disease or diabetes.
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Learning more about this illness will allow you to understand what your symptoms may mean and make it easier for you to seek help.
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A woman's unique biological, social, and cultural factors may increase her risk for depression.
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In elderly patients, symptoms of depression can be mistaken for symptoms of another medical problem, so it is important for clinicians to consider all physical problems and medications of elderly patients before making a diagnosis.
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Many people with depression do not receive adequate medical treatment, and even if they are treated, doctors may not be paying enough attention to their patients' needs.
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Too often, parents miss the signs of depression. Or, they believe their teen will "snap out of it” eventually.
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Everyone feels down at times, but diabetics are especially prone to depression. An unhappy period that's intense or lasts for more than a couple of weeks can be a sign of depression. Depression is a serious illness.
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Depression is not "all in your head." It is a real illness that saps your energy. It can leave you feeling sad, hopeless, lonely and guilty. It is related to a chemical imbalance in the brain and to certain traits such as low self-esteem and pessimism. Some kinds of depression may be inherited.
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The mind and the body are intimately connected, and our overall health depends on both working well. This is most evident in depression: Research shows that people who suffer from clinical depression face a higher risk of contracting one of the stress-linked illnesses than the rest of the population.
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Depression can often develop as a result of a heart attack or cardiac surgery, and has more serious effects on heart health and overall health than depression that was present before a heart attack.
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Studies suggest mental health care following a heart attack can improve patient health and mortality.
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Studies of a link between depression and osteoporosis suggest the bone deterioration could be a result of the depression, or may be caused by taking antidepressant medications for a long period of time.
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Seasonal affective disorder is thought to be caused by decreased exposure to sunlight during the winter months. Light therapy helps some people, and the FDA has approved the antidepressant bupropion for treatment as well.
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Depressed patients are more likely to respond to medical treatment if their doctors practice empathy and effective communication skills.
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Discussing the definition and treatment of a contested psychological diagnosis???atypical depression.
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A roundup of studies exploring the beneficial effects of exercise on depression, anxiety, and insomnia. Is it a case of the chicken and the egg?
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Exposure to the right kind of light may go a long way toward reducing seasonal affective disorder symptoms.
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Two studies examine the correlation between depression in adults and its prevalence in their children, and the effect of adults' treatment on the children's mental health.
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Teen depression is a serious illness. The benefits of getting help, including taking medications if needed, far outweigh the potential risks.
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A study claims that obese people are more likely to suffer from anxiety and depression, but the findings do not prove that the conditions are causally related to each other.
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Behavioral activation therapy is a variation of cognitive therapy that encourages patients to fight depression by examining their feelings and experiences and focusing on their positive accomplishments.
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Folate, a B vitamin, breaks down homocysteine, which may be associated with depression. Because of this it has been tested as a possible treatment, but the results have been mixed and more research is needed.
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Researchers in China found that Chinese citizens were more likely to express symptoms of depression as having a physical component as well as an emotional one, due to the way their culture interprets such feelings.
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Concern about antidepressants increasing the risk of suicide in children could have the unintended effect that children suffering from depression may not receive needed treatment.
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Hypotheses explaining how depression manifests itself. The American Psychiatric Association requires any five of nine symptoms for a diagnosis of major depression. As the definition implies, these symptoms do not all appear in everyone who is depressed. Two studies explore the consequences for the understanding of depression and come to contrasting conclusions. One study suggests that an individual patient's symptoms are not consistent, but change more or less unpredictably from one episode of depression to the next. The other study suggests that there are several sets of depressive symptoms that are distinguishable genetically and therefore likely to persist in a given individual.
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An explanation of the two-way relationship between depression and stroke. Depressed people are at higher risk for a stroke, but depression often precedes as well as follows a stroke.
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A Harvard Medical School physician answers your question about whether Accutane, a powerful acne medication, has been linked to depression or suicide.
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People who suffer from depression are more likely to have a sleep-related breathing problem such as apnea. Treating the sleep problem may help alleviate the depression in some people.
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Discusses options for treatment of seasonal affective disorder.The treatment of seasonal affective disorder throws light on dark moods.
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My mother has advanced lung cancer and is receiving chemo. I live with her and am also her caregiver. We have been very close all of our lives, and I am having a hard time adjusting well. Sometimes I even get angry with her and then I feel guilty. The next step is I get depressed and have thought about a way out, but have not attempted anything. Can you suggest anything to help me cope?
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During the dark days of winter, many people develop signs of depression that are tied to the changing amount of daylight.
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Depression is sometimes referred to as the common cold of mental illness. It is a debilitating disease with significant societal costs.
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A combination of factors causes depression. Some cases are triggered by a stressful experience, such as the death of a spouse or loss of a job. Some illnesses, such as cancer, also can cause depression, as can alcohol and drug abuse.
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Chances are you know the difference between occasional sadness and depression. But here's a fact you may not know: Hypothyroidism, a common thyroid disorder, can cause depression.
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When recommending treatment for clinical depression, physicians typically prescribe a tried-and-true regimen: anti-depressant medication and "talk" therapy. In the future, however, health professionals may be advocating a healthy dose of exercise.
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Take action if you suspect a friend and/or family member suffers from depression. It's a condition that can cloud thinking and make people believe they aren't worth helping, so they often can't help themselves.
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The unrealistic expectations of the season, time and financial pressures, missing loved ones and reflecting on past events as the year comes to an end all contribute to the blues.
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The medical community once thought depression affected only adults. The risk for the condition begins in the early teens, however, and increases steadily through the mid-20s.
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Although anyone can suffer from depression, it is particularly common among older adults. Depression affects 15 out of every 100 adults older than 65.
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Because depression isn't a normal part of growing older, it's important to learn the signs of this condition and seek help if you or a loved one could be suffering from it.
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Everyone gets down in the dumps from time to time. But you may have clinical depression if a feeling of sadness or loss of interest in life and friends lingers for two weeks or more.
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Instead of asking for help, men who are depressed are likely to drink alcohol to excess, take drugs, or become frustrated, discouraged, and irritable.
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Although sadness touches all our lives, true depression is different in its intensity and persistence.
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What's the difference between a bad case of the blues and the painful mental disorder known as depression? According to the experts, impaired functioning is usually a clear-cut indication of clinical depression.
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Primary care physicians should be asking their patients questions about five "warning flag" symptoms to determine whether they should be screened for depression or other mood disorders, researchers say.
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Having a chronic condition such as COPD can lead to depression. You can get help. Talk with your doctor about your symptoms.
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Living with diabetes may increase the likelihood of depression. The connection may be go both ways: information from a diabetes trial suggests the possibility of a link between antidepressant use and diabetes.
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A recent study offers evidence that selective serotonin reuptake inhibitors may help those who develop depression after a heart attack.
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Most people, most of the time, overestimate themselves. It is pervasive and powerful, but is not the same in all people or in all circumstances.
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A discussion of the social impact of depression in the elderly and the benefits of treatment.
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According to two studies, women going through menopause are much more likely to develop symptoms of depression, due in part to changes in hormone production. Hormone replacement may provide temporary relief from severe depression.
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Reports of risky side effects may have dampened enthusiasm for selective serotonin reuptake inhibitors, which are among the world's most widely prescribed medications. A review of concerns and benefits associated with SSRIs.
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Mental health among Americans may have declined during the 1990s.
Revealing information on the mental health of Americans appears in data from three random telephone surveys of the adult population by the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System.
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While there is a very small risk of suicide in adolescents who take antidepressants, they are also beneficial to many teenagers with depression. All factors should be weighed in treatment decisions, and patients should be monitored carefully.
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Discussion of whether the new antidepressant Cymbalta (duloxetine) has any advantage over other antidepressants on the market.
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DHEA may not be an anti-aging panacea, as some suggest, but a new study suggests that it may be able to temporarily lift mood.
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Older people with macular degeneration are more likely to experience depression, but those who received problem-solving therapy to help them adapt to and cope with their condition were less likely to develop depression.
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A study shows that interaction with animals can be a path to recovery from depression.
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Age-related macular degeneration is the most common cause of severe vision loss in people over 55. A recent trial shows that education may help relieve disability and depression in those with the condition.
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Is there a link between depression and migraines?
Michael Craig Miller, M.D., is editor-in-chief of the Harvard Mental Health Letter and an assistant professor of psychiatry at Harvard Medical School. Dr. Miller has an active clinical practice and has been on staff at Beth Israel Deaconess Medical Center for more than 25 years.
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Stress is defined as an organism''s total response to environmental demands or pressures. When stress was first studied in the 1950s, the term was used to denote both the causes and the experienced effects of these pressures.
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In this report you'll learn about a multitude of techniques that can help reduce stress, including breath focus, progressive muscle relaxation, meditation, yoga, massage, and more.
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Everyone feels stress from time to time. It's a fact of daily life. Stress has its upside, but too much of it can leave you feeling out of control. And chronic stress can have negative consequences on your health.
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Among psychologists and psychiatrists, stress refers to a psychological reaction within the person to events that generate strong emotion that cannot be easily regulated; for other social scientists, the term stress is used to describe a disturban...
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Knowing the causes of your stress will help you find ways to manage it.Things that cause stress (stressors) can be everyday events, major life changes, or a combination of things. They can be either happy or sad events. Knowing your stressors will help you find ways to manage your stress.
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Sometimes no matter how hard and fast you work, you miss your deadline, adding to your physical and emotional stress.
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Stress is defined as an organism''s total response to environmental demands or pressures. When stress was first studied in the 1950s, the term was used to denote both the causes and the experienced effects of these pressures.
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Ways to manage stress: Get enough sleep, follow a healthy diet and make time for yourself.
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When you're faced with a highly stressful event in your life, the strategies outlined here will help you cope.
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By consciously learning to be present and mindful, you can transform your inattention to attention and your stress into solutions.
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Many people believe stress is all in the mind. But dealing with stressful situations can have physiological consequences.
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Detailed information on women and managing stress Many women face difficult challenges and responsibilities that may overlap or conflict, causing stress that can affect their health. Stress can arise out of difficulties at home, in relationships, and in the workplace. Family "well-being" includes stable relationships, and family members' ability to fulfill essential roles in the home, child rearing values and practices, and the mental and physical health and development of every family member. Researchers are also trying to determine which workplace conditions influence employees' experiences of conflict between work and family roles; they are studying the effects of job stress on spouses and on marriage; and they are studying how parents' working conditions may affect their parenting and their children.
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Some stress is inevitable, but as you grow older, the key is to minimize stress while maximizing happiness and enjoyment.
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If you take a healthy attitude toward stress in your travel plans, the payoffs include improved physical well-being, mental alertness and better job performance.
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Lower your risk: Control stress. When you're stressed, your heartbeat speeds up and your blood pressure skyrockets. The next time you feel tension taking over, sit back and look at what's bothering you.
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Recent studies are changing our notion about why men develop impotence. While it was once believed that psychological problems were the main cause, we now understand that medical factors -- such as poor blood flow, nerve damage, and medication side effects -- play an important role in most cases of impotence.
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Yoga is one of the few stress-relief tools that has a positive effect on all the body systems involved.
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Practicing deep, focused breathing is a relaxation technique that can help alleviate stress, which in turn will likely have positive effects on general health and well-being.
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As a working parent, do you need some relief from the stress of managing a career and a family?
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Your wedding day can be one of the best days of your life, it can also be one of the most stressful.
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By understanding what is causing you stress, you may be able to make changes to help you feel more in control.
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New research shows that prolonged stress can accelerate the aging of body cells.
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A British study suggests a link between increased stress and a rise in cholesterol level, and a follow-up several years later showed the trend continued over time.
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Over the course of evolution, the human mind and body have developed means of handling stressful situations. Over the short term, such stress response pathways are highly adaptive, allowing a person to manage his or her resources in order to navig...
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Stress is a term that refers to the sum of the physical, mental, and emotional strains or tensions on a person. Feelings of stress in humans result from interactions between persons and their environment that are perceived as straining or exceedin...
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Stress is an individual''s physical and mental reaction to environmental demands or pressures.When stress was first studied, the term was used to denote both the causes and the experienced effects of these pressures. More recently, however, the wor...
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Women experience symptoms of stress 30 percent more often than men, research has shown.
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No one can avoid all stress -- and a certain amount actually is good for you. But it's always best to keep unhealthy levels in check when possible.
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Mental stress does more than diminish your sense of well-being. It also can increase your risk for heart disease.
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During stressful times, your body produces various chemicals, including cortisol, an immune-suppressing hormone. The more cortisol produced, the weaker your immune cells become and the more susceptible you are to illness.
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You're familiar with the symptoms of stress -- a pounding heart, increased perspiration, tight neck and shoulder muscles, anxiety and fear. But you may not know how to prevent or relieve these symptoms.
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The formula for success at work is not only hard work, but also frequent breaks for mental and physical rest.
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Here are suggestions on how to better deal with the stress in your life.We live in tense and stressful times.
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Whether your credit card balances are soaring, or you and your partner are arguing constantly over nickels and dimes, there are things you can do to relieve financial stress.
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The more you learn about the pressure times and triggers at your workplace, the better you'll be able to plan for them.
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No matter the source of your stress, it can produce physical, mental, and emotional symptoms that can affect any part of the body.
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Stress is a powerful force for good and for ill. It can help us cope with life's challenges, but it can also affect our health by making pre-existing conditions worse or even bringing on new ones.
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To manage your stress, you must first learn to recognize when you are under stress. Every one reacts to stress differently; find out how you respond to stressful situations.
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Anything that brings on feelings of stress is called a stressor. Today, we often face many stressors.
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Stress tests are not recommended unless you experience chest pain or tightness during exercise or other activities that stress the heart.
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Guidelines from the American Heart Association and the American College of Cardiology offer advice on protecting the heart during noncardiac surgery.
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Resilience is the ability to handle stressful events and remain mentally strong and healthy. The presence of a certain form of neurochemical may be one explanation for why some people are more resilient than others.
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In experiments on mice, suppressing a chemical linked to stress and appetite prevented the formation of abdominal fat cells, which could lead to new possibilities for weight loss drugs.
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What is the relationship between stress and infertility?
Joan Bengtson, M.D., is assistant professor of obstetrics, gynecology and reproductive biology at Harvard Medical School and a member of the Department of Obstetrics, Gynecology & Reproduction at Brigham and Women's Hospital.
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My fingertips have recently started peeling. I have been under a considerable amount of stress lately. Could there be any correlation?
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Evidence is emerging that attention deficit disorder may be a genetic brain malfunction. A review of recent clinical research and recommendations for the disorder.
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ADD can have a significant social impact on a person's life, affecting relationships in the family and on the job.
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If left untreated, ADHD can wreak havoc on a child's life. Children who are inattentive seem unable to focus on anything for long. Schoolwork is often hard for them, and the results are usually incomplete or sloppy.
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You've always had trouble concentrating. Your mind wanders, and it's hard to finish tasks. As a result, you didn't do well in school. And now, you often struggle with your job. Sometimes this makes you moody or depressed. These may be symptoms of attention deficit disorder (ADD). To find out more, talk to your healthcare provider. He or she can offer guidance and support.
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Attention deficit disorder (ADD) begins in childhood. It may continue throughout your life. When it does, it may affect your job and even your relationships. Fortunately, with help, you can manage ADD.
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ADHD is no longer just a children's disease. Many adults are being diagnosed and treated for the condition. How ADHD is identified, diagnosed, and treated.
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Studies examine on the potential risks of ADHD medications: cardiac problems (for both children and adults), growth suppression, and abuse of the drugs.
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ADHD has become the most common mental health issue in preschool children. Some study has been done on giving medication to preschoolers with ADHD, but training parents to change their responses to their child's behavior is believed to be more effective.
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Are children with ADD more likely to be depressed?
Claire McCarthy, M.D., is a senior medical editor for Harvard Health Publications. She is an instructor in pediatrics at Harvard Medical School, an attending physician at Children's Hospital of Boston, and co-director of the pediatrics department at Martha Eliot Health Center, a neighborhood health service of Children's Hospital. The author of two books, "Learning How the Heart Beats" and "Everyone's Children", Dr. McCarthy was a regular columnist for "Sesame Street Parents Magazine" from 1995 to 1998 and is currently a contributing editor for "Parenting Magazine".
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Peer pressure is the influence of a social group on an individual.Children and teenagers feel social pressure to conform to the group of peers with whom they socialize. This peer pressure can influence how children dress, what kind of music they l...
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The influence of the social group on an individual.Peers are the individuals with whom a child or adolescent identifies, who are usually but not always of the same age-group. Peer pressure occurs when the individual experiences implicit or explici...
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Peer pressure can get the best of children and push them to do things that they don't really want to do. Parents can counter it, if they're ready to help.
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