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The symptoms experienced by people with SAD are similar to some of those experienced by depressed people in general: change in appetite, weight gain or loss, fatigue, reduced energy, irritability, and avoidance of social situations. To meet the di...
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One variation on this idea is that, during winter, people's internal clocks may become out of sync with the light-dark cycle, leading to a long-term disruption in melatonin release.Seasonal affective disorder, while not an official category of men...
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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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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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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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Too often, parents miss the signs of depression. Or, they believe their teen will "snap out of it” eventually.
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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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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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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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Studies suggest mental health care following a heart attack can improve patient health and mortality.
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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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Exposure to the right kind of light may go a long way toward reducing seasonal affective disorder symptoms.
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Discussing the definition and treatment of a contested psychological diagnosis???atypical depression.
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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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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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Depressed patients are more likely to respond to medical treatment if their doctors practice empathy and effective communication skills.
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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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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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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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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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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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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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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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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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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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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 familiar to everyone due to the many stresses and complexities of modern life.
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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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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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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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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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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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Fatigue is a feeling of weariness, tiredness, or lack of energy.Fatigue is different from drowsiness. In general, drowsiness is feeling the need to sleep, while fatigue is a lack of energy and motivation.
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Fatigue is physical and/or mental exhaustion that can be triggered by stress, medication, overwork, or mental and physical illness or disease.Everyone experiences fatigue occasionally. It is the body''s way of signaling its need for rest and sleep.
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Boosting Your Energy provides information on the causes and treatments of persistent fatigue. Includes information on aging and energy, eating for energy, and boosting your energy.
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Fatigue may be defined as a subjective state in which one feels tired or exhausted, and in which the capacity for normal work or activity is reduced. There is, however, no commonly accepted definition of fatigue when it is considered in the contex...
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If you regularly feel weary after waking from a good night's sleep or for no apparent reason, it's time to find out why.
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If the fatigue is related to a decrease in hemoglobin, or oxygen-carrying capacity of the blood, then replacing the red blood cells by transfusion or taking erythropoietin can help reduce fatigue. If the fatigue is not related to this, then it is important that the person with cancer learn ways to conserve energy. Energy is like money, and people only have a limited amount of it. Think carefully about how to spend it. What activities are most important? What activities help restore energy? These are the activities that people with cancer should spend their energy on. They need to ask for help to do the rest of the activities.
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Fatigue is physical and/or mental exhaustion that can be triggered by stress, medication, overwork, or mental and physical illness or disease.Everyone experiences fatigue occasionally. It is the body''s way of signaling its need for rest and sleep.
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Fatigue may be defined as a subjective state in which one feels tired or exhausted, and in which the capacity for normal work or activity is reduced. There is, however, no commonly accepted definition of fatigue when it is considered in the contex...
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Fatigue is a feeling of exhaustion or loss of strength. The duration of fatigue for a patient with cancer has been found to last from one to two times the length of time between diagnosis and completion of treatment, so it is common for fatigue to...
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If the person on chemotherapy has decreased hemoglobin, or oxygen-carrying capacity of the blood, and it seems like the low hemoglobin level will last for a while, then a medicine called PROCRIT® (Epoetin alfa) may be prescribed. This medicine is given as an injection to keep the hemoglobin at a higher level. This can sometimes manage fatigue. PROCRIT is for anemic chemotherapy patients with most types of cancer.
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We currently understand some of the causes of fatigue but not all of them. Fatigue may be related to physical changes caused by cancer or its treatment (chemotherapy, biotherapy, radiotherapy, or surgery). It is reported that the fatigue people get when receiving cancer treatment is more severe than the fatigue healthy people get. In addition, this fatigue lasts longer and is not relieved by sleep. Studies have shown that low hemoglobin is also related to fatigue. Hemoglobin carries oxygen in the blood, so if it is low, the body cells do not get as much oxygen as they need. Also, people who are not well nourished, who don't drink enough fluid and are dehydrated, or who are not able to move around much tend to have fatigue more easily. Finally, the way a person handles stress, thinks, or behaves can influence fatigue.
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Fatigue is a vague feeling of being tired, weak, or exhausted. It is often a symptom of cancer, when cancer is first diagnosed, or when cancer progresses (Ferrell et al, 1996). It is also the most common side effect of cancer treatment. Some people with cancer have described fatigue as being "tired to the bones” or "hitting a wall.” Others say it is the most distressing side effect of cancer treatment. Fatigue is different for everyone, so it is important that the person who is experiencing it describe how he or she feels. Fatigue may cause decreased ability to work or do physical activity. If the person with cancer is easily distracted and unable to concentrate on mental work or activity, then he or she may have attentional fatigue (Winningham and Barton-Burke, 2000). Depending upon its cause, fatigue can come and go or stay constant for a while. Fatigue from chemotherapy tends to occur a few days after the treatment, peaks, and then gets better before the next treatment. Fatigue from radiation doesn't happen right away. It develops over the first two to three weeks of treatment and then increases as the treatment continues. It may last three months or more after the treatment is finished. Attentional fatigue can last up until two or three years after treatment is completed.
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Many people experience late-in-the-day energy lags, but you can take steps to prevent them.
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Fatigue is a common side effect of chemotherapy and radiation therapy. It can be caused by worry, lack of sleep, and poor appetite. Fatigue can also be a sign of anemia (a shortage of red blood cells). This could require medical treatment. The tips below can help you feel better.
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Being tired is the familiar aftermath of physical exertion, prolonged labor or lack of sleep. When does being tired become a symptom of a condition? Fatigue, malaise, lassitude, exhaustion are all subtle variations of the same subjective feelings of not having enough energy to meet the demands of one's life.
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Weakness is a reduction in the strength of one or more muscles.Weakness may be generalized(total body weakness) or localized to only one area, side of the body, limb, or muscle. Weakness is more notable when it is localized.
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It is normal to have periods of low energy when one needs to rest and recuperate. However, if low energy persists and a person continually feels sluggish, disinterested in life, and has low energy, the situation should be investigated by a physician.
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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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Detailed information on depression and depression in women, including types, symptoms, diagnosis, and treatment
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Depression or depressive disorders(unipolar depression) are mental illnesses characterized by a profound and persistent feeling of sadness or despair and/or a loss of interest in things that were once pleasurable. Disturbance in sleep, appetite, a...
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Depression or depressive disorders(unipolar depression) are mental illnesses characterized by a profound and persistent feeling of sadness or despair and/or a loss of interest in things that were once pleasurable. Disturbance in sleep, appetite, a...
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A depressive disorder is defined by the National Institute of Mental Health(NIMH) as an illness that involves the body, mood and thoughts. It encompasses feelings of overwhelming sadness and despair that persist or intensify over time.Occasional f...
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Depression is the general name for a family of illnesses known as depressive disorders. Depression is an illness that affects not only the mood and thoughts, but also the physical functions of affected individuals.
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Depression and depressive disorders(unipolar depression) are mental illnesses 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 sleep, appetite, ...
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Depression is the general name for a family of illnesses known as depressive disorders. Depression is an illness that affects not only the mood and thoughts, but also the physical functions of affected individuals.
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An emotional state or mood characterized by one or more of these symptoms: sad mood, low energy, poor concentration,.sleep or appetite changes, feelings of worthlessness or hopelessness, and thoughts of suicide.Until recently, it was thought that ...
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Everybody feels sad sometimes, but to be clinically depressed is not just a matter of feeling sad. A patient with cancer is diagnosed as having major depression only if certain symptoms, such as loss of pleasure or thoughts of death, are present f...
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Increased appetite means you have an excess desire for food.Hyperphagia; Increased appetite; Hunger; Excessive hunger; Polyphagia.An increased appetite can be a symptom of different diseases. For example, it may be due to certain mental conditions...
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America has a weight problem. More than half of us are classified as overweight, say officials at the federal Centers for Disease Control and Prevention (CDC).
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Narcolepsy is a sleep disorder that causes excessive sleepiness and frequent daytime sleep attacks.Narcolepsy is a neurological disorder, not a mental illness. The exact cause is unknown.
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When drowsiness occurs most of the time or causes a person to fall asleep at inappropriate times, quality of life and performance can be affected.
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Narcolepsy is a disorder marked by excessive daytime sleepiness, uncontrollable sleep attacks, and cataplexy(a sudden loss of muscle tone, usually lasting up to half an hour).Narcolepsy is the second-leading cause of excessive daytime sleepiness(a...
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Narcolepsy is a disorder marked by excessive daytime sleepiness, uncontrollable sleep attacks, and cataplexy(a sudden loss of muscle tone, usually lasting up to half an hour).Narcolepsy is the second-leading cause of excessive daytime sleepiness(a...
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Narcolepsy is a disorder marked by excessive daytime sleepiness, uncontrollable sleep attacks, and cataplexy(a sudden loss of muscle tone, usually lasting up to half an hour).Narcolepsy is the second-leading cause of excessive daytime sleepiness(a...
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Narcolepsy is a disorder of the nervous system marked by excessive daytime sleepiness, uncontrollable sleep attacks, and cataplexy(a sudden loss of muscle tone, usually lasting up to half an hour). The American Psychiatric Association(APA) classif...
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Narcolepsy is a disorder marked by excessive daytime sleepiness, uncontrollable sleep attacks, and cataplexy(a sudden loss of muscle tone, usually lasting up to half an hour).Narcolepsy is the second-leading cause of excessive daytime sleepiness(a...
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Narcolepsy is a neurological disorder characterized by uncontrollable episodes of sleepiness during the day. Episodes can last from a few seconds to more than an hour and can significantly interfere with daily activities.People with narcolepsy oft...
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Narcolepsy is a disorder marked by excessive daytime sleepiness, uncontrollable sleep attacks, and cataplexy(a sudden loss of muscle tone, usually lasting up to half an hour).Narcolepsy is the second-leading cause of excessive daytime sleepiness(a...
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Malaise is a generalized feeling of discomfort, illness, or lack of well-being.Malaise is a symptom that can occur with almost any significant health condition. It may start slowly or quickly, depending on the type of disease.Fatigue occurs with m...
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Unintentional weight gain is an increase in body weight that occurs when a person takes in more calories than the body needs or uses.Almost 40% of all Americans are overweight. As we age, our metabolism slows, which can cause weight gain unless we...
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The term overweight is used to describe an excess amount of total body weight including all tissues(fat, bone, muscle, etc.) and water. Obesity, in contrast, is an excess amount of body fat.
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Whether you've already gained a few extra pounds or have yet to reach perimenopause, here are strategies to help you maintain a healthy weight in midlife and beyond.
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When weight gain occurs suddenly or can't be explained by your eating and exercise habits, it's worth taking a closer look.
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Between the late 30s and late 40s, it's not uncommon for both men and women to gain 10 pounds.
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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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A Harvard Medical School physician discusses how to avoid holiday weight gain.
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Most people who gain weight are taking in more calories per day than they are using. If you are gaining weight despite eating fewer calories and maintaining your usual amount of physical activity, this guide is for you.
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The most common prescription medications to cause weight gain include drugs that treat depression, heartburn, bipolar disorder, high blood pressure, and diabetes.
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Does insulin cause weight gain? I started taking insulin in July and gained 15 to 20 pounds in three months.
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Fidgeting is usually used to describe someone who is seen as not being able to sit still. Fidgety people move in their seats constantly, move their hands and feet and appear to be in perpetual motion.
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