By P. Rasarus. Texas Southern University. 2018.

David: You also maintain that 12-steppers have lost their sense of what "normal" really means order prednisolone 40mg on-line allergy symptoms milk. David: So discount prednisolone 20 mg without a prescription allergy symptoms weed pollen, to clarify for everyone here tonight, you believe 12-step programs have a lot to offer. David: Thank you, Anne, for being our guest tonight and for sharing this information with us. And to those in the audience, thank you for coming and participating. We have a very large and active community here at HealthyPlace. You will always find people in the chatrooms and interacting with various sites. We discussed addiction and recovery, his beliefs about why people become addicted and the addiction treatment process including the AA (Alcoholics Anonymous) 12-step approach to treatment for addictions. Our topic tonight is "An Alternative View of Addiction and Recovery. Peele has some strong and non-mainstream beliefs about addictions and the addiction treatment process. Much of the mainstream medical world believes that addictions have some sort of genetic and/or biological component. You have a different viewpoint on why people become addicted to substances and destructive behaviors. Peele: Even those engaged in genetic research recognize that claims commonly made on behalf of genetics -- e. That is, the most optimistic claims are that people have some sensitivity to alcohol which influences the overall equation of addiction. David: What, then, is your theory behind why people become addicted to certain substances and behaviors? Peele: People utilize the effects of alcohol like they utilize other experiences: for the purposes of satisfying internal and environmental demands with which they are otherwise unable to cope. The best example was the Vietnam experience, where soldiers took narcotics but largely desisted at home -- in other words, they used drugs as a way of adapting to an uncomfortable experience, but they rectified that in other circumstances. Peele: Yes, and they often shift in their reliance on drugs, alcohol, et al. One of the things most wrong -- and wrongheaded -- about disease theories of addiction is that they predict a one-way trip downhill. In fact, all data shows that the majority of people reverse addictions over time, even without treatment. David: What are your thoughts about treatment for addictions? We allow virtually only one type of treatment -- 12 step treatment -- which has been shown to be highly limited in its applicability. That is, we face this great contradiction -- people claim we have an unmatched and successful way of coping with addiction -- only, despite its popularity and imposition on so many people, we have increasing levels of addiction and alcoholism. David: And what do you feel is wrong about the 12-step approach? Peele: Other than this clear evidence that it has a limited positive impact on our society, I personally feel its model of human behavior is limited for most people ( especially the young) in its emphasis on powerlessness and self-sacrifice. I feel that for most people in most situations -- a belief in self and emphasis on enhanced skills and opportunity are the best keys to positive outcomes. David: So for someone who is addicted to alcohol or cocaine, for instance, what would you suggest to them to help them overcome their addiction? People are struggling to improve their lives and to combat addiction all the time. I seek to help them develop the resources with which they may succeed. You know, people try to quit addictions -- like smoking -- for years. David: So are you essentially saying: "if you have an addiction problem, figure out what works best for you and do it? Of course, people seek help from me and others when they are discouraged, or we see recalcitrant individuals. In these cases, my job is like an interior explorer, to help examine their motivations, skills, opportunities, and deficiencies with them in order to develop a path out of the thicket. Again, I am a helper -- people escape their own addictions. But I have seen how people summon their resources to do so, and I have some idea of which resources and ways of coping -- with stress, for example -- often accompany remission. In one colossal survey by the government of 45,000 people who had ever been alcohol dependent, and three quarters of whom had never sought treatment or AA (Alcoholics Anonymous), about two thirds of the untreated were no longer dependent.

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The articles here deal with different aspects of abuse and depression order prednisolone 5mg on line allergy forecast okc. There is a growing controversy over whether child sexual abuse (under age 18) is related to adult depression or adjustment purchase 5 mg prednisolone amex allergy under eye. Numerous studies have reported that child sexual abuse is related to adult mental health problems including depression. Meanwhile, a 2003 study on domestic violence indicated that increased risk of depression appears to be a consequence of spouse or partner abuse rather than a character trait of victims. Evidence of that comes from the study of 397 women in Seattle who had reported abuse during a 14-month period from 1997 to 1998, the researchers say. They monitored the women for symptoms of depression, checking in three months, nine months and two years after the initial report of abuse, and they also surveyed them on subsequent physical, psychological and sexual abuse. It dropped 35 percent when abuse ceased altogether and 27 percent when physical or sexual abuse stopped but psychological abuse continued. The findings appear in the June 2003 issue of Violence and Victims. For the most comprehensive information about Depression and Treatment, visit our Depression Community Center here at HealthyPlace. Self-injury is known by many names, including self-harm, self-mutilation and self-abuse. It may be referred to by specific ways of self-harm, such as cutting, burning, or banging. Self-Injury transcends gender, age, religion, educational and income level. It may be accompanied by depression, and/or a range of psychiatric problems such as bipolar disorder, obsessive-compulsive disorder, addictions, eating disorders or psychotic disorders. Treating the depression and other mental health issues may be a big step in stopping self-harm behaviors. When someone has been raped or sexually assaulted, they obviously need a great deal of support from the people around them as well as from people like counselors, the police, doctors and so on. Many people simply do not know how to help somebody through the trauma of rape or sexual assault, and so they become frustrated and bewildered and feel that they are in some way failing the person they care about. These feelings can sometimes be transmitted to that person, making it even harder for them to cope with their experiences and often leaving them with even more feelings of guilt and confusion. Every person responds differently to abuse, although there are certain feelings that are common, such as fear, distress, humiliation, anger, confusion, numbness and guilt. The feelings a person has may vary from week-to-week, day-to-day - even minute-to-minute. What is important is that someone who has been attacked is allowed to experience their feelings without fear of having them invalidated or dismissed. It is important that they feel they have people who will allow them to talk and will try to understand their needs rather than assuming that others know best and rushing them to "get over it". It is essential that they know they are believed, and that they be allowed to begin to rebuild their life at their own pace. People who have been raped or sexually abused need to rebuild feelings of safety, trust, control and self-worth, all things which are often lost through an assault. The responses of those near to a survivor can occasionally make things more difficult for him or her, and that is something nobody wants. Also try to remember that you need support too, in order to continue supporting the survivor. Counseling is available for secondary survivors too. This information is taken from a leaflet provided by the Sheffield Rape and Sexual Abuse Counselling Service, UK. Anybody, anywhere, can be a victim of abuse, regardless of age, gender, looks, dress and so on. Regardless of circumstances "no" means "no," and nobody deserves to be raped. Myths about women "asking for it" or men being "unable to help themselves" create a burden of guilt on the survivor in the first place, and they may already feel partly responsible. Any criticism of their handling of the situation, either during the attack or afterwards, simply adds to that guilt, and it is important that the blame is placed firmly where it belongs - with the person who committed the assault. Listen and try to understand why they were unable to prevent it from happening. They may have been frozen by fear, or have been unsuspecting and trusting, or they may have been threatened or physically attacked and may have realistically feared worse would happen if they resisted. They may have been scared of your reaction, they may have felt ashamed or embarrassed to tell you, they may have been trying to protect you from the upset of knowing, they may have chosen to think it through first, or to talk to people less personally involved. Everyone has a basic human right to be free from threat, harassment or attack. Let them say exactly how they feel and allow them to work through it in their own time.

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They may seek treatment for depression when romantic relationships end quality prednisolone 5mg allergy medicine for mold. They often fail to see their own situation realistically 10 mg prednisolone sale allergy forecast dc, instead tending to overdramatize and exaggerate. Responsibility for failure or disappointment is usually blamed on others. Because they tend to crave novelty and excitement, they may place themselves in risky situations. All of these factors may lead to greater risk of developing depression. What risk factors are associated with Histrionic Personality Disorder? Individuals who have experienced pervasive trauma during childhood have been shown to be at a greater risk for developing HPD as well as for developing other personality disorders. The diagnosis of Histrionic Personality Disorder is complicated because it may seem like many other disorders, and also because it commonly occurs simultaneously with other personality disorders. The 1994 version of the DSM introduced the criterion of suggestibility and the criterion of overestimation of intimacy in relationships to further refine the diagnostic criteria set of HPD, so that it could be more easily recognizable. Prior to assigning a diagnosis of HPD, clinicians need to evaluate whether the traits evident of HPD cause significant distress. An individual with HPD displays five or more of the following criteria:Is uncomfortable in situations in which he or she is not the center of attentionInteraction with others is often characterized by inappropriate sexually seductive or provocative behaviorDisplays rapidly shifting and shallow expression of emotionsConsistently uses physical appearance to draw attention to selfHas a style of speech that is excessively impressionistic and lacking in detailShows self-dramatization, theatricality and exaggerated expression of emotionIs suggestible, that is, easily influenced by others or circumstancesConsiders relationships to be more intimate than they actually are. In addition to the interviews mentioned previously, self-report inventories and projective tests can also be used to help the clinician diagnose HPD. The Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and the Millon Clinical Mutiaxial Inventory-III (MCMI-III) are self-report inventories with a lot of empirical support. Results of intelligence examinations for individuals with HPD may indicate a lack of perseverance on arithmetic or on tasks that require concentration. Differential diagnosis is the process of distinguishing one mental disorder from other similar disorders. For example, at times, it is difficult to distinguish between HPD and borderline personality disorder. Suicide attempts, identity diffusion, and numerous chaotic relationships occur less frequently, however, with a diagnosis of HPD. Another example of overlap can occur between HPD and dependent personality disorder. Patients with HPD and dependent personality disorder share high dependency needs, but only dependent personality disorder is linked to high levels of self-attributed dependency needs. Whereas patients with HPD tend to be active and seductive, individuals with dependent personality disorder tend to be subservient in their demeanor. In general, people with histrionic personality disorder do not believe they need therapy. They also tend to exaggerate their feelings and to dislike routine, which makes following a treatment plan difficult. However, they might seek help if depression -possibly associated with a loss or a failed relationship- or another problem caused by their thinking and behavior causes them distress. Psychotherapy is generally the treatment of choice for histrionic personality disorder. The goal of treatment is to help the individual uncover the motivations and fears associated with his or her thoughts and behavior, and to help the person learn to relate to others in a more positive way. Medication might be used to treat the distressing symptoms -such as depression and anxiety- that might co-occur with this disorder. Many people with this disorder are able to function well socially and at work. Those with severe cases, however, might experience significant problems in their daily lives. Problems often arise in more intimate relationships, where deeper involvements are required. Suicidal behavior is often apparent in a person who suffers from histrionic personality disorder. Suicidality should be assessed on a regular basis and suicidal threats should not be ignored or dismissed. Suicide sometimes occurs when all that was intended was a gesture, so all such thoughts and plans should be taken with the same seriousness as with any other disorder. A suicide contract should be established to specify under what conditions the therapist may be contacted in case the client feels like hurting him or herself. Self-mutilation behavior may also be present in this disorder and should also be taken seriously as an issue of importance to discuss within therapy.

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May sure you have a support system ready for these times buy 40 mg prednisolone with amex allergy symptoms to msg. Put safety measures into place before the actual breakup discount 40mg prednisolone overnight delivery allergy symptoms lungs. Breaking up is never easy but if it is what will keep you safe, it is the right thing to do. If you think you have a reason to be afraid, you probably do. It may seem cruel to break up over the phone or through an email, but that may be the best way to stay safe. If you break up in person, make sure to do it in public and have your support system nearby in case you need them. Take a cell phone with you in case you need to call for help. It is likely nothing you can say will make your ex happy. Let your friends and family know you are breaking up especially if your ex is likely to visit them. Ask for help from a professional such as a counselor, doctor or anti-violence organization. Once you have broken up with your abuser, keep in mind, you still may not be safe. Keep friends or family close in places where your ex might hang out. Save any threatening or harassing messages your ex sends. This national program provides a hotline, live chat, texting and other services: 1-866-331-9474The National Domestic Violence Hotline provides crisis intervention, information and referrals to anyone touched by domestic violence, including professionals. Call: 1-800-799-SAFE (7233)The Rape, Abuse and Incest National Network (RAINN) is an anti-sexual assault organization. Call: 1-800-656-HOPE (4673)Sexual assault treatment, including therapy for trauma, is critical following this violent crime. After reporting the sexual assault to the authorities and obtaining medical attention that includes a forensic examination and preventive treatments, all victims of sexual assault should seek therapy for trauma. The health care provider that performs your medical examination and law enforcement officials you speak to during the reporting process can give you a list of nearby sexual assault treatment centers. When seeking therapy for trauma after sexual assault, look for a facility with licensed counselors who have experience treating sexual assault victims. The counseling center should provide a safe and supportive environment to augment the process of healing from the sexual assaultMost of these centers have professional counselors that can offer therapy for trauma received from childhood sexual assault or adult survivors of sexual violence. Many even offer services that aim to help friends and family cope with the sexual assault of a loved one. Various types of psychotherapy and cognitive processing therapies are offered to assist the victim in the trauma healing process. If you need medication to assist in trauma healing, certain licensed providers may have the ability to prescribe it for you. Others may need to refer you to a psychiatrist or other physician with prescribing rights. They may prescribe antidepressants for the first six to 12 months after the occurrence of the sexual assault. These medicines can help with intrusive thoughts, sleep problems, flashbacks, and anxiety. Some counseling techniques involve role-playing, group sharing (moderated by a licensed therapist), and individual sexual assault treatment sessions. Your counselor may ask you to keep a thought and dream journal where you record any thoughts that come up about the sexual assault during your everyday activities. He or she may also want you to record:what you were doing at the timeany television shows you watched or music you heardThis is because certain environmental triggers can set off the negative thought patterns associated with the trauma of sexual assault. By reviewing your journal, the therapist can gain insight into these triggers and develop a strategy to remove their detrimental effect on your thought patterns. Many sexual assault treatment counselors and therapists were once victims of sexual assault themselves. Many people believe that sexual assault is only committed by men against women. Learn about the perpetrators of male sexual assault. At least 10% of men in our country have suffered from trauma as a result of sexual assault. Like women, men who experience sexual assault may suffer from depression, PTSD, and other emotional problems as a result. However, because men and women have different life experiences due to their different gender roles, emotional symptoms following trauma can look different in men than they do in women. Those who sexually assault men or boys differ in a number of ways from those who assault only females.

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