Build a New Life
After you complete the exercises in the preceding sections, you should know which life-lenses cause you problems. In this section, we give you three techniques for regrinding your life-lenses. It would be nice if you could toss the old lenses in the trash or throw them on the ground and stomp on them. But these lenses consist of almost shatterproof material after all, they're cast from the emotional turmoil of childhood (see The origins of life-lenses ). Thus, you need to proceed slowly and cautiously. You may find the task of changing your life-lenses more challenging than you expected. Even if you put a lot of time and work into it, when you're tired or stressed, you may find yourself looking through your outdated prescription. That's okay. Your new prescription takes a while to break in. You're bound to use the old one out of habit. Your goal is simply to use the new lenses more often than the old ones (until you can't even find the old ones). If you find the task too difficult,...
Medications can help you fall asleep and sleep peacefully through the night (I discuss drugs in the next section, Slipping into Slumber Using Medications and Other Remedies ). But you can also make simple changes in your life that will often help carry you off into the wonderful world of sleep. The following are some good lifestyle options
Goal setting never stops - it's an ongoing process. In truth, there never really is an ultimate goal because if there were, and you reached it, what then When the day arrives that you no longer have any goals, your life ceases to have meaning. Success is traveling towards the goal, not the goal itself. Anthony Robbins wrote in Unleash the Power Within, The only true security in life comes from knowing that every single day you are improving yourself in some way - that you are increasing the caliber of who you are. I don't ever worry about maintaining the quality of my life, because every day I work on improving it.
Bipolar disorder is an episodic, recurrent illness. This means that throughout your life, you might experience symptoms of mania or depression, and then these symptoms will clear and you will experience periods of wellness. Often, this pattern tends to repeat itself. Relapse refers to a new episode after your first episode of mania or depression. Remission or euthymia refers to periods without manic or depressive symptoms.
The event record special greetings for the person who was unable to make it. If you move to a new home, and your loved one cannot visit, make home videos of your new house, the neighborhood, the kids' school, soccer field, library, and other places you frequent and might talk about. When you deliver the video, give a running narration of the scenes shown on the screen. It can be a great way to spend time together and keep the person involved in your life. f
Just a few years ago, people with MS who had cognitive deficits were rarely offered help. Poor memory was regarded as the fate of those with the disease. But many strategies can be adopted that are extremely helpful to those with MS-related cognitive changes. Many of them can be incorporated into your life with little or no money or outside expertise required. But first, you need to acknowledge the problems you are having.
As you work through this chapter, you should become more aware of how your body reacts to events in your life. And thanks to the Daily Unpleasant Emotions Checklist in the previous section, you have feeling words to label your mental and physical states. It's time to connect these body sensations and feeling words to the events that trigger them.
It is important that you develop a habit of taking your pills regularly Taking your medications at regular times during the day and using common daily events to remind you to take your pills are useful strategies to help keep your medication plan on track. For example, you may place your morning dose in the bathroom so that when you are brushing your teeth in the morning you see and remember to take your pills. Because midday doses are particularly hard to remember, you will want to develop a way to link taking your medication with another well-established habit in your life such as eating lunch. With repeated practice, taking the lunch time dose becomes as automatic as eating your meal. Finally, remember to keep track of the amount of pills that you have left in your bottle. This way you can ask your doctor for refills or you can pick up your refills before you run out of medication. Remember that medications are a useful tool to help you maintain your mood within the range you want...
At times, you may miss some of the highs that go with a hypo-manic mood. However, remember that the goal of taking the pills is to keep you in control of your life. Manic episodes take away that control and the ability for you to plan your life the way you want. Be careful of sacrificing your life goals for a desire to feel high. First, use medications to help you stay in control, and then figure out how to make life as fun and fulfilling as possible.
Ercised regularly, or if you have decreased your activity level during or following treatment, you might think it will be difficult to fit exercise into your life. We can forgive Twain for denouncing exercise because he didn't have the perspective that a cancer survivor has, nor did he have access to the knowledge we have today regarding the importance of exercise in general. Perhaps if he had known all that we know, he would have started exercising even at 70 he could still have reaped the benefits.
On a more serious note, the habit of missing meals and then bingeing on huge meals of processed carbohydrates and fatty foods can lead to the development of Type-II diabetes in those with the genetic predisposition. It even gets worse This condition often progresses into deterioration of the cardiovascular system and atherosclerotic disease. It has also been associated with increased LDL cholesterol in the bloodstream. Obesity, diabetes and heart disease are no laughing matters. This isn't just about getting lean -frequent eating can save your health and possibly your life.
When you give in to PD, you become its victim, suffering embarrassment and loneliness. When you accept that PD is a reality in your life, you can find ways of coping, thus regaining a sense of control and getting on with living your life. Remaining active with social events, going to church, going to the theater or concerts, and entertaining at home may take a bit more effort, but are worth it. It is important to interact with others and to share your thoughts and your hopes and dreams. Join a gym and exercise regularly it will help you to stay in shape as well as get you out with other people. Take up yoga it will calm your mind as it stretches and keeps your muscles limber. Members of a support group offer camaraderie and will share their own methods of coping. It is also important to be on top of the newest information try www.Parkinson.org.
Leaves of the chervil are nearly always used fresh, but can be preserved by deep freezing or by making a pesto-like preparation. The plant contains only a small amount of essential oil (0.3 in the fresh herb, 0.9 in the seeds) with methyl chavicol (estragol) as the main constituent and is popular in Central and Western Europe. Because of its resemblance to the myrrh given to Jesus and as well as the way it symbolized new life, it became traditional to serve chervil soup on Holy Thursday.
A second set of skills in IPSRT involves identifying key stressors and social difficulties and working to improve those areas of your life. In IPSRT, you might choose one or two central sources of stress and work with your therapist to come up with a game plan for addressing them.
Some people simply feel uncomfortable about seeking therapy. They worry that it's a sign of weakness, or that somehow they should be able to conquer mental health issues on their own. However, mania and depression are very hard experiences to come to terms with, and restoring your sense of confidence in yourself after an episode can be a challenge. Having a therapist is like having a coach who offers support in that process and helps you rebuild parts of your life that might have been damaged by symptoms. Therefore, it isn't surprising that people who seek
It is tempting to pin the blame for hopelessness and despair on the external events that can be triggered by alcoholism, such as the deterioration of a marriage or the loss of employment. To be sure, some of the depression alcoholics report is a result of the negative course life can take when you drink too much. You will be relieved to learn that this type of situational depression is self-limiting and will pass when your life begins to improve. Counseling or group therapy can be of enormous value here. But depression among alcoholics usually runs much deeper than the situational variety I have just described.
But we recognize that it's also easy at the start because it's human nature to be gung-ho at the beginning of any new health regimen. You're feeling motivated, and so you're optimistic and full of resolve and determination to get your life and your looks back on track. Before you know it, you're watching the pounds begin to melt away. You see the numbers on your scale descend, and you dig out garments that were once uncomfortably snug or maybe even impossibly tight and suddenly they begin to seem possible again. Sticking with the program is easy with so much positive reinforcement.
If you answered yes to 10 or more questions, then you are probably depressed. If you answered yes to 15 or more questions, then you are depressed. Discuss this with your spouse, family, minister, and doctor. If you have thought of ending your life, seek help immediately.
Vide you and your treatment providers a chance to evaluate the role these substances play in your life. Use other pleasant events (see previous list) to increase your enjoyment, and keep your treatment team aware of any substances that you use. Your doctor and therapist will provide additional strategies if necessary to help you manage substance use. Remember that you are a core member of your treatment team make sure you keep the rest of your treatment team informed about triggers for your mood episodes.
Whether you will have to fight for your life. Suddenl , one of the persons calls out your name. You realize it is your friend, who has come with his roommate to look for you between the train station and the apartment. You breathe a sigh of relief, and quickly your state of fear subsides, your body calms, your mind clears, and you greet your friend with an enthusiastic, Am I glad to see you
In this chapter, we tell you how much exercise you need to get those endorphins going, and we tell you about all the known benefits of exercise. You pick your top ten reasons for beginning or sticking with an exercise program and then figure out an exercise plan that fits your lifestyle. We also offer some tips for finding the motivation to keep exercise going in your life.
Particular types of dissociative disorder are amnesia and fugue. In dissociative amnesia a person suddenly loses all recall of events that occurred during and after a particularly traumatic event. Although being able to live fairly normally in the world, the person might also have forgotten his or her name and address and the relevant details of other family members. After anything from a few hours to a few years, the person suddenly snaps back into full memory. With dissociative fugue, the person responds to a traumatic event by suddenly beginning an entirely new life, new identity, new job, new relationships, everything, with absolutely no memory of what went before.
Working through the preceding section gives you some pretty good reasons for exercising (ten, in fact ). And hopefully you've found a few types of exercise that just may fit into your life and have tried them out. Your intentions may be good, but what happens when your initial enthusiasm and commitment to do something positive for yourself fade Or, how do you get started if you haven't found that initial enthusiasm
Introducing pleasure back into your life Staying away from trouble Overcoming obstacles to pleasure t's hard to be anxious or depressed when you're having fun. Laughter, enjoyment, and pleasure interfere with feelings of sadness or worry, and pleasure actually causes your body to release endorphins, brain chemicals that increase a sense of well-being. Unfortunately, when you suffer from anxiety or depression, you tend to withdraw from pleasurable activities. Thus, we recommend that you bring pleasure back into your life as part of your healing process.
Another reason mood disorders might become a problem during the post-treatment phase is that during active therapy people feel as though they are doing something to get rid of the cancer. After treatment there is more of a watch and wait plan. Although I didn't become clinically depressed after I stopped chemotherapy, I did feel let down and had a strong desire to be proactive about my health. I was not comfortable with just watching and waiting. That is why I decided to do the things that I talk about in this book. End-of-treatment emotional distress may or may not result in clinical depression, but it is a well-known phenomenon among cancer survivors and is important to consider as you begin to rebuild your life.
A popular tale in Japan tells the story of a fisherman who decided one day to visit a dragon palace at the bottom of the sea. His name was Urashima Taro. He was a daydreamer, one of those who are happy just to spend the day gazing at the sky, the shoreline, and the beautiful sea. For him the most wonderful thing was to go out fishing with his boat and spend the entire afternoon admiring the water and imagining what it would be like to be in the middle of the deep blue sea. He did not care about fishing and whenever he caught something, he brought it back home at the end of the day to share it with his old mother. One evening, when he was walking home, he saw a group of boys standing in a circle, shouting and poking at something with a stick. Taro approached them and saw that they were teasing a baby tortoise. With an act of great courage and generosity he saved the baby tortoise and returned it to the sea. A few years after, when he was on his boat, he looked down at the water and saw...
Your daily habit patterns create the state of the environment and fruit in your life. I treat many children who have behavioral and emotional issues that are categorized as Attention Deficit Hyperactivity Disorder (ADHD), Attention Deficit Disorder (ADD) or Hyperactivity. I have noticed a number of these children have parents with similar patterns. Sometimes I have to be firm with parents, helping them see that their choices and habits are mimicked by the fruit of their womb their children. A common eating pattern is soda consumption. Soda is loaded with ingredients that stress the liver and nervous system. Sodium benzoate which is used as a preservative can be a cause of chronic allergies and ADHD or ADD. Grazing on partially hydrogenated snack foods impairs the body's ability to make essential brain fat. You may need to tend to your own garden more effectively.
Few of us are prepared for the diagnosis of a serious chronic illness like Parkinson's disease. However, as the reality of the diagnosis begins to take hold, you quickly learn that healthcare providers and medical professionals will now be a part of your life. Dealing with doctors, pharmacists, and therapists not to mention all the new medical terminology, procedures, and tests can be a real challenge. Keeping organized and taking an active role in managing your healthcare will give you back some control over your illness and assure family members that you are coping well with your new reality.
As discussed in chapter 5, triggers are things that happen in your life that may make it more likely that your mood will become imbalanced. Even positive events, like starting a new job or going on an exciting vacation, can be triggers. This doesn't mean you should avoid taking part in life's experiences and adventures, but it does mean it's worthwhile to identify your personal triggers. This can go a long way toward helping you know when you need to put extra effort into taking care of yourself. Once you've identified your triggers, there are things you can do to prevent them from leading to an increase in symptoms, including some of the strategies we've discussed in this chapter. The first step is to make sure you have support and resources available to manage symptoms if they do occur. You should also consult with your treatment team whenever you experience changes in your life that may act as triggers, or ask trusted friends and family members to help provide support when you're...
Most likely, when you heard you had cancer, your world seemed to tilt off kilter, and everything seemed different. It can be very strange to realize that other aspects of your life progress as if nothing has changed. You should certainly take time coming to grips with your diagnosis and allow yourself leeway to feel sad or even to cry seemingly out of the blue on some days. However, re-engaging in normal life activities is not only necessary, it can make you feel better and more like yourself again. Scheduling and going to each follow-up appointment may be stressful because you are worried that the doctor will find evidence of a recurrence, and it may bring back a rush of emotions and memories from when you were first diagnosed. However, it is very important to have follow-ups with your gynecologic oncologist for the rest of your life. It is also important to note that recurrences found early are more likely to be treatable so keep your follow-up appointments your own mortality can...
The transition to parenthood is a life-changing event that takes some getting used to. Becoming a parent is a new and exciting phase in your life and brings a lot of change some for the better and some for the worse. During your pregnancy, you have time to think about how your new baby will affect your life, and acknowledge that as well as gains you may face losses, including
Have your patterns of exercise, diet, smoking and drinking, etc., changed over the course of your life If so, what has led to those changes What are the main causes of stress in your life What are the main causes of stress in the lives of your family and friends Have these stressors changed over time What are the main daily hassles in your life What can you do about them Do you think that anything that you do might be causing a daily hassle for anybody else
Babies have an amazing capacity to recover from a rough start in life and the specialised care that's available for newborns in Australia is exceptional, so chances are your baby will soon get better and come home so that you can get on with the rest of your life as a family.
This four-week fat-loss program is meant to serve as a guide to help you get a strong start making the lifestyle changes described in this book. Following this program will help you create healthier routines and make them a part of your daily life. You should begin to see changes in your life such as more energy, a tighter and leaner body, increased strength and aerobic capacity, and greater peace of mind.
First you might feel angry with God, and then you may feel angry with yourself for being angry with God. It might feel as though all of your faith in a Higher Power must surely have been a mistake. There are no good explanations for why this seeming unfairness descended on your life, and then, just when you think that you have it figured out, the pain and worry of PD are reinforced. Still, many people find their strength in spirituality. In their despair, they turn to God and find help through their faith. Their faith grows, although their body fails nevertheless, they find tranquility and the strength to accept the things that they cannot explain. Do not neglect your spiritual nature. Seek the wisdom of your sacred texts speak to the holy, wherever you find it, as it may be your best weapon as you fight against your disease. Find pleasure in small wonders a flower, a pet, a child's laughter even the sunshine after the rain.
The transition to parenthood is one of the most challenging times in your adult life. Life as you knew it is gone forever and at first you may have trouble grasping how your new life will shape up it all just feels so chaotic. As with any major change, it takes time to get used to. Most parents agree that the first three months with a new baby are the toughest. During this time everything revolves around the baby and you have very little time or energy for anything else. But there's light at the end of the tunnel By about three months of age most babies settle into some sort of routine and your life starts to feel more predictable.
First, we want you to be vigilant to the overly critical and self-defeating thinking patterns that were reviewed in Chapter 8. Be mindful of these patterns especially relative to how you talk to yourself about your life goals. In particular we want you to avoid I should have statements like, I should have a better house, car, lover, job, retirement fund, etc. . These should statements tend to direct attention away from some of the larger goals people talk about wanting to achieve something in life, wanting a human connection, and wanting to have some fun along the way and over-focus attention on specific markers that are only indirectly linked to As a second strategy, we want you to acknowledge that bipolar disorder may change the pacing by which you go after life goals. In short, we encourage you to plan your life goals in relation to strategies that most reduce the likelihood of a new episode. All of the previous chapters include attention to...
The truth is that you will always make time for whatever is most important to you in your life. If it's important for you to spend three hours at the bars every night, you'll make the time. If watching a TV show every night is important to you, you'll make the time. If reading a book a week is important to you, you'll make the time. If playing a game of hoops twice a week is important to you, you'll make the time. If being with a You have to make training a top priority in your life. You're being honest with yourself if you say, Training isn't that important to me, or I'm not motivated right now, or I choose not to spend that much time training, but you can NEVER honestly say, I don't have time, because that's never a valid reason for missing workouts.
If you find yourself thinking, when you're in pain from your fibromyalgia, that maybe having a few drinks would help you feel dramatically better, then think again. The risks can be very severe with alcohol or drug dependence. You could lose your driver's license, your spouse or partner, your children, and even your life, such as in a car crash or other accident. If you think you may have a problem with substance abuse, get an evaluation and get some help now.
The technique we explain in this section, the Satisfaction Tracker, is designed to track satisfying activities. Paying close attention to satisfying activities highlights what's going right in your life, and increasing your focus on your well-being improves your odds of preventing relapse. Using Cindy's Satisfaction Tracker as a guide, complete your own Tracker in Worksheet 17-8 in order to keep track of the good stuff going on in your life. Remember to include major as well as minor events.
Eating healthfully requires making overall smart food selections throughout your life. Choosing a food that is less nutritious every once in awhile does not mean your diet is bad just make those foods the exception in your diet, not the rule.
What do you value How much of your time to you devote to activities that are meaningful and consistent with your values And do you live your life according to those values If not, you're probably not as happy as you could be. The following Values Clarification Quiz can help you focus on what's really important to you. After you fill it out, you can use the results to redirect your life plan in a more meaningful way.
You probably think that your funeral would be a rather odd place to find meaning in your life, and you may wonder why a book purporting to provide help with emotional distress is asking you to think about dying. Well, give us a minute here, okay Let us explain. Finding meaning and purpose in life is about connecting with ideas and concepts that are larger and deeper than yourself. For many, religion and spirituality are the primary channels for finding such meaning. But regardless of your spiritual beliefs, giving serious consideration to what you want your life to be about, in other words, the legacy you want to leave behind, can be an enlightening exercise. In this section, we ask you to think about your funeral or memorial service and the thoughts and feelings that those in attendance may experience when contemplating your life. What do you want people to remember about your life The following exercise helps you discover the traits, characteristics, and values you hold most dearly....
Baby care is relentless and many new mothers find the job much harder than they thought. Your life is dictated by your baby's needs, leaving little, if any, time for you. Until your baby is settled into a routine and that can take many months your day is pretty unpredictable and you usually find you achieve little apart from caring for baby and getting through (some) household chores. You may even feel a bit lonely after the rush of visitors is over. And you certainly need more sleep than you get. Considering the workload, feeling worn out is normal. But if you feel really low, irritable and worthless, have trouble enjoying your baby (or anything else), can't sleep even when your baby sleeps and your appetite changes, you may be suffering postnatal depression (PND).
Identity has an element of continuity because many of its aspects, such as gender and ethnicity, are constant. People are recognized as being the same from day to day, week to week, and year to year . If you were asked for your identifica tion, you might produce a passport or a driver' s license. These documents contain socially available facts about you, such as your height, weight, age, and eye color. They also contain your family name and your address. All of these pieces of information are aspects of your identity , and they provide others with a brief sketch of who you are. Contrast means that your social identity dif ferentiates you from other people. An identity is what makes you unique in the eyes of others. The combination of characteristics that make up your identity dif ferentiates you from everyone else. For example, there may be other students who speak the way you do and work where you do, but you are the only one who likes a particular type of music and has your ethnic...
Although it's clearly not necessary to write down the calorie amounts of every crumb that goes in your mouth every day for the rest of your life, it's important that you understand the law of calorie balance and you always have at least a ballpark figure of your current daily intake. If you're just guessing and you don't have the slightest clue how much you're eating, you could be way off in either direction. If you're not making any progress, this lack of attention to detail might be the only thing holding you back. Do you really want to take that chance
A final unfolding of the self-concept, during th teen years, involves perspective taking the ability to take the perspectives of others, or to see oneself as others do, to step outside of oneself and imagine how one appears to other people. This is why many teenagers go through a period of extreme self-consciousness during this time, focusing much of their energy on how they appear to others. You might vividly recall this period of your life, the strong emotions involved in episodes of objective self-awareness, of seeing oneself as an object of others' attention. Remember going to gym class in your funny gym uniform, or that first trip to the beach in your new swim ming suit Often, objective self-awareness is experienced as shyness, and for some people this is a chronic problem.
Finally, social identity is the self that is shown to other people. This is the relatively enduring part of ourselves that we use to create an impression, to let other people know who we are and what can be expected from us. For instance, your driver' s license, which is often used for social identification purposes, contains informatio about your social identity your family name, your first name, your date of birth, you address, your physical description, such as height, weight, and eye color , and whether or not you smoke in public. These characteristics differentiate you from other people and form some of the more visible and socially available aspects of your identity . Other, less available aspects of your social identity include how you like to be perceived by others and the impression that you want others to have of your personality. Maybe you are the kind of person who wants to be taken seriously , so it is important to you to have a very businesslike social identity . Maybe...
You may think you don't have memories. . . . To say, I was abused, you don t need the kind of r ecall that would stand up in a court of law . Often the knowledge that you wer e abused starts with a tiny feeling, an intuition. . . . Assume your feelings ar e valid. . . . If you think you wer e abused and your life shows the symptoms, then you wer e. (p. 22)
As nice as it would be if this were true, the reality is that fibromyalgia isn't a quickie one-time explanation. For people to understand what your problem is, especially the people with whom you share your home and your life, helping them get a clue about what you're going through and what you need takes a lot of work.
The heart is a muscle that is required to contract continuously throughout your life to deliver oxygen to all organs in the body. Your lungs breathe in oxygen and breathe out carbon dioxide. Blood vessels connect the heart and lungs so that carbon dioxide can be removed from the blood and oxygen can be added to the blood. The heart then pumps this blood throughout the body. During exercise your heart must pump more often and more strongly to supply oxygen to your exercising muscles to make energy. In turn, you Since most daily activities are aerobic in nature, improving the delivery of oxygen to the muscles will improve your work performance. On the other hand, a sedentary lifestyle decreases the heart's ability to circulate blood and oxygen. So, view your heart as an aerobic muscle that must be conditioned for optimum functional health and fitness throughout your life. Even though some people are born with higher aerobic capacities than others, everyone will benefit from aerobic...
Being diagnosed with a chronic progressive illness like Parkinson's disease (PD) changes your life forever. Don't give up or give in to the disease Today is a very hopeful time for people with PD. I hope these thoughts and observations will help you. 7. Try to keep a positive attitude. Even though it can be extremely difficult, as your symptoms change and the effectiveness of medications plays havoc with your life, look for the silver lining. It's perfectly natural to mourn the loss of function and independence for a brief time, but try not to get stuck there, wallow in self-pity, or isolate yourself from friends. 16. Make exercise part of your life. Exercise does not reverse or delay the symptoms of PD, but it does help you make full use of your potential and improve your quality of life. It also helps prevent complications, such as contractures of rigid, poorly moving limbs. Walking, swimming, range-of-motion exercises, and simple stretching regimens offer opportunities to socialize...
Regarding peer involvement, there might be fear of rejection and segregation from peers leading to increased absence from school and other activities and social segregation. As far as identity is concerned, an inferior self-image with lower self-esteem, sometimes depression, may lead to concerns about the future and their emerging sexuality. Of course, both the severity of the condition and personal and family history are major influences. Family becomes then a critical element. Health professionals may also play an important role. They need to understand the family in this new life-cycle stage, how family dynamics may influence the adolescent's development and how they may facilitate communication among the different elements of the family system. Assessment of the adolescent psychosocial maturation and autonomy is a priority when dealing with teenagers and is covered further in Chapters 2 and 4.
Notice how Austin's initial, satisfying thoughts were zapped by his satisfaction-interrupting thoughts. These satisfaction-interrupting thoughts didn't make Austin feel depressed (like the thoughts discussed in Chapters 5, 6, and 7), but they robbed him of his good feelings. When the joy in your life gets stolen in this manner, you're be more susceptible to relapse.
Longevity studies have shown the importance of not only eating the right number of calories to support your metabolism but eating low-glycemic nutrient-dense calories to prolong the length, health, and quality of your life. For some this might indeed mean having to cut back on calories. But for most this won't be the case. think that metabolism slows as you get older. It is not your metabolic processes that are slowing down, however it is your lifestyle and level of activity.
Researchers say that stressful conditions can inhibit the production of growth hormones. (It's not only children who produce growth hormone. All through your life, some levels of growth hormone are produced by the body.) So, perhaps the military veterans who were in a state of heightened stress under war conditions produced less growth hormone, which then led to the development of fibromyalgia. This theory remains unproven, but it's an intriguing possible explanation for the higher-than-normal incidence of chronic pain and fatigue among the military veterans who have served in the Gulf War.
Receiving a diagnosis such as Parkinson's disease can be distressing, and adjusting to the effects of the disease can be difficult, but you can still lead a remarkably unlimited life if you put your mind to it. By adapting your routine, making your home more accessible, and keeping a positive outlook, you have the power to take control of your life and rise above the challenges of PD. This second edition of Parkinson's Disease 300 Tips for Making Life Easier has been updated and expanded to include more tips to help you streamline daily activities, find ways to stay involved and in touch, and discover local, state, and national resources to make your life easier. For easy reference, the book is arranged in categories of daily activities. At the beginning of each chapter, I share some of the insights and observations people with PD have made while living with this disease. At the end of each chapter I have compiled a list of support organizations and providers of unique products that...
Don't get us wrong we want you to feel good most of the time. But as far as we know, the only humans who don't feel some anxiety or sadness are, well . . . dead. Besides, if you don't know sadness, it's difficult to know what happiness is. Without worry, you wouldn't appreciate calm. Accept a certain degree of difficult emotions as part of your life.
To help prepare for this first appointment, spend some time thinking about your experiences with each of the symptoms discussed in chapter 1, both currently and throughout your life. Did any of the symptoms we talked about stand out to you Have your moods, behaviors, or thoughts ever caused you problems or made it more difficult for you to get through the day The mental health professional you meet with will want to hear about these challenges, so write them down or start a list you can bring with you to this first session. You can also talk to family members about concerns they may have or things they've noticed that would be helpful for you to talk about with your treatment provider. If this isn't your first time receiving mental health services, you'll also discuss your previous treatments so your provider can learn more about which medications and treatments have helped in the past. If you have taken medications for mental health issues in the past, bring a list of those...
Once people are diagnosed with bipolar disorder, the focus on symptoms, mood management, and wellness tends to overshadow some of the good that comes with the diagnosis. One key benefit is that it opens the door to setting wellness goals for managing your illness and improving your general well-being. We begin our last chapter with some examples of wellness goals to get you started. We'll also briefly discuss some of the positive traits associated with bipolar disorder, including creativity, ambitiousness, and zest for life. We hope to leave you with a sense of hope, empowerment, and encouragement that will help you play an active role in shaping how this illness impacts your life.
All of these types of treatments share the idea that therapy should be an active process for both the therapist and the patient. These are not therapies where you do all the talking and receive no guidance. In each of these therapies, the therapist is there to share her or his knowledge of the disorder and practical strategies for managing mood episodes and reducing the impact of bipolar disorder on your life and your goals. For this reason, we want you to be very active in talking with a potential new therapist about his or her approach and what can be expected from therapy. Research has provided some guidance on the elements of therapy that can be helpful in changing the course of the disorder, and we want you to be active in trying to seek out these elements of treatment and finding a therapist with whom you feel comfortable and confident.
Can Stress Be Avoided People with MS are often told to reduce or avoid stress in their lives. Avoiding stress is easier said than done, however, because avoiding stress often means avoiding life. Life is full of stress, and the fuller your life, the more likely you are to be exposed to stress. Instead of avoiding stress, you need to learn how to deal with it.
Now it's your turn to fill out a Mood Diary (see Worksheet 4-9). This exercise can provide you with invaluable information about patterns and issues that consistently cause you distress. This knowledge helps you see what needs to change in your life. The exercise also lays a foundation for changing your thinking, which we get into in Part II of this book.
All in all, however, I would suggest that you try to minimize the stress in your life, for it can play havoc not only on your gums but on other organs such as your heart. Although stress may not be considered a disease, it can be the aggravating factor for such conditions as allergies, arthritis, asthma, cancer, colitis, ulcers, heart disease, and various nerve conditions. These conditions can all have an effect on your gum tissue.
What you really need to do is to brace yourself for the longest wait of your life, because during the two weeks there won't be a waking moment when your mind isn't busy thinking about your uterus. Every study about the IVF experience that I'm aware of has found that the hardest part is the wait after embryo transfer to find out whether the treatment has worked. It beats hands down the pain of injections, the intrusiveness of vaginal ultrasound examinations and the disruption of frequent clinic visits. Up until embryo transfer, you're busy with injections, blood tests, ultrasounds, phone calls to the clinic, talking to the nurses and getting over all those early hurdles. Then, after embryo transfer, that last hurdle takes so long to get over and all you can do is wait, wait, wait, and hope that you get over it. It's a nerve-wracking time because, whichever way it goes, the outcome undoubtedly has a profound impact on your life.
Unfortunately, you need to face the fact that it may take you a lot of time, effort and money to reach your goal of parenthood and that getting there will consume a great deal of emotional energy. The best way to handle this is to acknowledge and try to understand your own and your partner's feelings and reactions and to find ways of dealing with negative feelings such as worry, sadness and hopelessness so that these feelings don't take over your life completely. I devote the whole of Chapter 2 to this topic and hope that it helps you on your infertility journey.
Regardless of where you are in terms of your treatment, improving intimacy with your partner is an important goal. Physical intimacy is a significant part of most adult couples' relationships, despite age and illness. But cancer can and does get in the way. As psychologist Leslie Schover writes in Sexuality and Infertility after Cancer, Sex and cancer are two words that do not seem to belong in the same sentence. We think of sexuality as a force for joy and new life, whereas cancer is a death force. Increasingly, however, men and women survive their cancers. . . . Being able to enjoy sex is one important battle in winning the war against cancer.
1 How much support you have You can cope more easily with difficult patches in your life if you have a good support network and don't feel that you're alone. If you want to broaden your support network, refer to Chapter 2, where I talk more about finding various sources of support.
Realising how IVF plays havoc with your emotions Being there for your partner Coping with pregnancy loss Avoiding letting treatment run your life Healing over time A lthough IVF doesn't pose a great risk to your physical health (see Chapter 10), the possible risks to your mental health and general wellbeing from IVF are probably greater than from most other medical procedures. As well as your immediate reactions to the ups and downs of each step in the treatment process (which I describe in Chapter 9), IVF impacts on the way you feel about yourself, your partner and your life in general especially when the treatment doesn't work. In the last few years numerous researchers have studied the ways in which infertility and infertility treatments affect people's feelings and functioning. Evidence shows that such unexpected and unwelcome life events can shake you up in all sorts of ways. In this chapter, I draw on what's known from the research literature to explain how infertility and...
As a partner of someone with PD, you never expected to be in this situation, and you may feel unprepared for your new responsibilities. Frustration, anger, resentment, fear, sadness, and hopelessness may all rush over you, and then you may feel guilty for having these emotions Life seems to be spinning out of control. Like your PD partner, you need to accept this situation because PD is something over which you have no control. When you accept this, you can focus on parts of your life over which you do have control, where you can establish some kind of order and impose some kind of schedule to regain a saner perspective. The
Stress affects all people differently. Each individual's body reacts differently to stress, whether it comes in the form of a new assignment at work or a stressful conversation at home. Stress incorporates itself into your life and must be dealt with daily. If stress always led to GERD, most people would experience heartburn and reflux almost every day But this is not the case.
Some people with chronic diseases, including fibromyalgia, develop the wrong idea that all their medical problems (and sometimes even all their personal problems as well) are caused by their FMS. It's a one-stop shop for blaming everything that has gone wrong. The reality is that although fibromyalgia can cause many distressing symptoms for you, you should not attribute every bad thing that happens in your life to your fibromyalgia.
Before you can stop making the malicious assumption and following it with defensive responses, you need to see how these behaviors play out in your life. Therefore, we suggest you track events in which these behaviors crop up. Use the following instructions as your guide. (After you identify your own defensive behaviors, we give you an alternative to defen-siveness and explain a method for dealing with truly hostile criticism in a way that may lead to better outcomes.)
This is a difficult question to answer, and the decision really is yours. The real issue is how bad your GERD and or regurgitation is. Does medication control your symptoms adequately How difficult or costly is it to take a medication once or twice a day Is your GERD making your life difficult or miserable If the answer to these questions is yes, then surgery may be an option. The goal of anti-reflux surgery is to strengthen the lower esophageal sphincter, which is the barrier to reflux of material from the stomach into the esophagus. First, there are risks to surgery and anesthesia are you a surgical candidate Because GERD can be treated with medication, this is elective surgery, meaning that the surgery is being done to improve your lifestyle, not for a life-and-death condition. Patients with heart disease such as angina, recent heart attacks, and congestive heart failure are at increased risk in surgery and under anesthesia. Those with severe lung disease such as asthma, chronic...
How can I rationalize surgically changing my insides and risking significant complications even death just to lose
Nonetheless, many of these problems may be still very abstract for you. You may feel perfectly well and quite unafflicted by any problems related to your obesity. This is especially likely to be true if you are young. In my experience a person's body is remarkably resilient until around the age of thirty or forty. After forty, the walls start tumbling down. Although there are a few people like my husband's uncle Joe, who lived to be ninety-two even though he was one hundred pounds above his ideal weight for most of his adult life, he was clearly the exception, not the rule.
Passed since her diagnosis and she was cancer-free. One of the things she shared with the audience was that when she was done with treatment, there was still cancer in her body. The doctors had done all that they could, and when she asked them, Now what they replied that there was nothing left for them to do. Unwilling to accept this verdict, she told the audience, she did some research and figured out what she needed to do to heal herself. As I sat there listening to her, I thought about the last conversation I had had with my oncologist, who is truly a terrific doctor. My chemotherapy was over, and I asked him, Now what His response was, You get on with your life. But how Madeline Crivello's story is truly remarkable, and I do not want to imply that the information I present here will help people with endstage cancer find a cure. That is not what the book is about. Rather, it is about getting your strength and your life back after you have finished your treatment. It is about...
Even as you become more aware of your symptoms and how best to resolve them, you still have to deal with the non-fibro world, comprised of your family members who don't have fibromyalgia, your fellow workers, and many others you interact with. You need to develop workable strategies to cope with these varying situations and come up with a winning game plan for your life. I cover these topics in Chapters 17 and 18.
Friends can enrich your life and help you to heal. Maybe they can even help you live longer. In a fascinating study of a group of elderly Australians, researchers found that friends, not family, were the most important factor in survival. This research is not conclusive and does not address friendship in cancer survivors, but it is interesting to consider how one's relationships with others might impact health and healing. One thing that is clear is that people with strong social networks have an improved quality of life.
As soon as possible after diagnosis, call your insurance company and ask who will be handling your claims. Explain that there will be years of bills with frequent hospitalizations, and it would be helpful to always deal with the same person. Insurers may be able to provide a contact person for claim review or special needs. Ask the contact person to answer any questions that you have on benefits. Try to develop a cooperative relationship with your contact person, because he can really make your life easier. Some insurance companies may assign your childs account to a case manager, who will review your childs plan of care in detail and make suggestions designed to make proper use of your policy benefits. Also, your employer may have a benefits person who can operate as a liaison with the insurer.
These clients are at risk of dropping out of therapy quickly and prematurely. So the first therapeutic strategy is drop-out prevention ''How can I help you to stay in therapy long enough to have it make a significant difference in your life '' Fortunately, if therapists match interventions to the client's stage, precontemplators will complete therapy at the same rate as those in preparation.
Answer Just because you have an illness doesn't mean it's the most important thing about you or that you need to share this information as soon as possible. Use the tips we provided earlier to test the waters and determine whether new people in your life are understanding and accepting about mental illness. Because bipolar disorder is a chronic illness, someone who isn't open to learning about it probably won't turn out to be a good fit for a long-term relationship. You'll know when the timing feels right. If
Whether your pregnancy was planned or unplanned, you may have conflicting feelings about it. Even if you're thrilled at being pregnant, you probably have extra emotional stress in your life right now. You may worry about whether your baby will be healthy and how you'll adjust to motherhood. You may also have concerns about the increased financial demands of raising a child. If you work outside the home, you may worry about being able to sustain your productivity throughout pregnancy, especially if your work is very demanding. Don't berate yourself for feeling this way. These concerns are natural and normal.
The specific amounts of foods, fluids and calories you need to support breast-feeding aren't universally agreed on, but you may need fewer calories than was previously thought. The best approach to nutrition while breastfeeding isn't unlike the best approach at other times in your life Eat foods at
Usually, the prescription for your life-lenses is established in your childhood. People don't come into the world seeing themselves as inadequate, undeserving, entitled, or perfectionis-tic. Rather, they learn these patterns through repeated experiences. Life-lenses emerge from abuse, abandonment, betrayal, criticism, natural disasters, loss, rejection, and other emotionally powerful events. On the road to understanding and changing your life-lenses, it helps to reflect on what caused you to acquire the lenses you look through in the first place. When you understand these origins, you can release the notion that you're crazy, weird, or messed up. Self-forgiveness releases energy that you can use for grinding new lenses for better vision.
Deep disappointment can sometimes feel like anger inside. If you're angry with your clinic, your doctor or your lack of success, for example, try talking to an IVF counsellor. Counsellors can help you deal with your anger so you can use this mental energy to get on with the rest of your life.
Enjoying life as much as you normally do can be hard when you're undergoing IVF treatment, especially when the treatment isn't working. The physical and emotional demands of treatment tend to be a bit of a dampener on your spirits. You may feel that your life has lost its gloss and become bleak and gloomy.
I Life goes on, even if you don't have a baby The majority of couples whose IVF treatment doesn't work are able to move on and live satisfying lives. For many, in fact, it's a great relief when IVF is over because they can get on with the rest of their lives. They develop new life plans and goals, their spirits come back and life becomes pleasurable again. The sadness about being childless or having fewer children than planned may not go away completely, but after a while it no longer consumes so much time or mental energy.
After your short stay in hospital it's time to gather your belongings, take your baby home and embark on a new phase in your life. You may suddenly wonder whether you're ready for this challenge, but there's no going back. Many new parents feel quite anxious about taking their baby home from hospital. It's perfectly normal to feel worried about looking after a newborn when you've never done it before. But you can rest assured that no one will do a better job of caring for your baby than you and your partner.
Cervical cancer is staged clinically, not surgically. As it is in younger patients, stage is determined based on evidence of the cancer spreading outside the cervix through an exam, chest X-ray, or kidney scan. Factors, such as the depth of the tumor, the presence or absence of cancer in lymph nodes, or spread (metastasis) to other organs not seen on a chest X-ray are important in determining prognosis, but do not affect the cancer's stage. However, in order to predict the impact of cervical cancer on your life expectancy and quality of life, doctors take into account both the cancer's stage and other evidence of spread outside the cervix, even if it does not alter the stage. 3. know your life expectancy Anticancer treatment should be considered if you are likely to live long enough to experience symptoms or premature death from cervical cancer. If your life expectancy is so short that the cancer will not significantly affect it, there may be no reason to treat your cancer. It is...
Many studies use measures of mood and anxiety to gauge how infertile couples feel throughout their IVF journey. The research clearly shows that keeping your spirits up through the turmoil of IVF is very hard, and couples commonly feel sad and worried while they're on the IVF program. When you feel really sad about something, it's very hard to enjoy anything in life. If you have trouble getting pleasure out of things you normally enjoy, you need to spend time dealing with your feelings and trying to get joy back into your life. Symptoms of depression and anxiety are perfectly normal reactions to the extraordinary circumstances of requiring complex, demanding and invasive medical procedures to help you to have a baby. So, if you feel down, helpless, miserable, powerless, gloomy, unhappy or distressed or all of the above while you're on the IVF program, you're not crazy you're just trying to get through a massive life challenge. But watch out for the chronic sadness that sometimes sets...
Changing a relationship with food is not like changing a relationship to drug addiction. I can't tell a person who is morbidly obese, You'll never be able to eat again for the rest of your life. That's impossible. But in this book I can teach you to transform food from an enemy into an ally by explaining how it works in the body. The food program in The Fat-Burning Bible is not only delicious but will never leave you hungry. This book will give you powerful strategies to deal with fat accumulation as you age. As fat-related health problems spiral out of control in our society, the knowledge I am offering you here can literally save your life. If you are just beginning to put on fat, it can reverse this dangerous trend and keep you from succumbing to diseases prematurely in your thirties and forties.
Chapter 7 shows you how certain core beliefs darken and distort your view of yourself, your world, and your future as surely as eyeglasses with the wrong prescription muddle normal sight. We include tools for regrinding your life-lenses so you see things more clearly. Finally, in Chapter 8, you have the opportunity to practice mindfulness and acceptance more techniques for handling troubling thoughts. Chapter 9 spells out how you take direct action against the natural tendency to avoid what makes you depressed or anxious. In Chapter 10, we get you up and moving by providing workbook-type exercises that encourage physical exercise. When you're depressed or anxious, few activities sound like fun, so Chapter 11 has worksheets for reintroducing pleasure into your life. Finally, Chapter 12 helps you tackle life problems that grow out of your emotional distress.
Depending on how rapidly you have progressed through the first three stages you may be as little as four to five weeks or as long as ten weeks out from your life-changing surgery. At this point you probably feel ready for real food. You are almost there. The average size of a meal will now be a full cup. As in all other stages, and in fact for the rest of your
In addition to asking me to lose weight prior to surgery my doctor has asked me to quit smoking I dont think I can lose
Once again your doctor is not trying to sabotage your surgery. People who smoke do not do as well following any surgery requiring general anesthesia as nonsmokers. If you are a smoker it is likely that it will be more difficult to get you to breathe on your own following surgery than if you were a nonsmoker. Quitting even for a short period of time prior to surgery can make coming off the respirator easier. Quitting smoking on top of losing weight may seem like a major task, but you will be in much better shape for surgery if you do. If you remain off cigarettes long-term following surgery you will dramatically reduce your risk of heart disease, lung disease, and many forms of cancer. A smoke-free you, a lighter you, a healthier you. Think of how you can really change your life in the next six to twelve months.
Before we leave the subject of depression, I want to discuss a painful subject suicide, the final solution to depression. If your life, like mine, has been seared by the suicide of a family member, you may find the answers you have been seeking. And if you have been trying to cope with overwhelming depression and are plagued with thoughts of suicide, you will find a welcome warning that can help you avert tragedy. Over the years, I've learned that alcoholics often conceal the fact that family members have taken their own lives. But if I tell them about my son's suicide, the truth comes rushing out My father shot himself or Several times, my mother took a deliberate overdose of pills or My son hung himself. The pain of these tragic deaths is often compounded by a family code of silence.
A welcome break from the highly charged family situation, and help keep some sort of normality in your life. I went to see Monica, who was not only a very good friend, but also the mum's representative for Joe's class at school. Talking to Monica for the next two hours was akin to having a verbal massage. She reassured me that I was doing all the right things and sympathised with the agony we must be going through. Two cups of tea and much discussion later we were on to much more light hearted topics and I felt normality returning to my mind albeit for a short period of time. I gave Monica a letter to distribute to all the other mums in the class. Monica had been inundated with calls enquiring after Joe. Monica was not sure how much to give away, so the easiest thing was for me to write a letter stating all the facts. It seems that there is still a fear of eating disorders and for some it is a taboo subject.
The key problems that can create the onset of gum disease lie strictly with each individual. Simply speaking, you must develop good oral hygiene habits at an early age. If this hasn't happened yet, then I hope my book will help motivate you to develop good oral hygiene habits. Don't wait till your mouth becomes a serious problem. Gum disease comes on quietly, but like a volcano, it can erupt quickly. Here are some of the causes of gum disease that you should try to eliminate in your life.
Hink back to your days in middle school. Can you remember what you were like then Try to recall what you were most interested in, how you spent your time, what things you valued most and were most important to you at that time of your life. If you are like most people, you probably feel that, in many ways, you are a dif ferent person now than you were in middle school. Your interests have probably changed somewhat. Dif ferent things may be important to you. Your attitudes about school, family , and relationships have probably all changed at least a bit. Perhaps now you are more mature and more articulate and have a more experienced view of the world.
Because there is no cure, the goal of treatment in PD, as in all incurable diseases, is to provide you with the best quality of life that is possible. Successful treatment starts by establishing good working relationships between you, your doctor, and your family. It requires working together to find not only the best drugs but also the best ways to live with PD. To accomplish this, it is important that you know as much as you can about PD and how your drugs work. It is not enough just to take your drugs. You must be willing to change your life to make the most of living with PD.
There is a belief among many experts in fitness and recreation that participating in physical activity is a close second in terms of its importance to eating and breathing. What would your life be like if you weren't able to participate in all sorts of leisure, fitness, and recreational activities In a society filled with many stressful events, the need to release by moving in any way, shape, or form that is comfortable and enjoyable to you is critical for maintaining overall balance in your daily life. For some people, yoga, meditation, and relaxation exercises fit the bill. Others must hop on a stationary bike or go for a jog to feel invigorated. No matter what type of multiple sclerosis (MS) you have or how much you're able to move, exercise, recreation, and physical activity can be adapted to meet your needs. Don't ever underestimate what you're capable of doing. Many experts in engineering, technology, and exercise have found ways to adapt all kinds of physical activity to meet...
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