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By P. Kan. Teikyo Marycrest University.

Carolyn Costin: In anorexia nervosa buy plavix 75 mg free shipping prehypertension 37 weeks pregnant, body image disturbance increases as the illness progresses plavix 75 mg with amex can prehypertension kill you. It usually begins when the person feels that their body is too big compared to some standard ideal discount 75mg plavix otc hypertension jnc 7 guidelines. We also think that there may be a genetic predisposition in some individuals which causes them to have perceptual distortion plavix 75 mg line arrhythmia practice tests. Lastly, it seems that nutritional deficiencies may contribute to body image disturbance. It often appears that the thinner these girls get, the fatter they feel. Carolyn Costin: Yes, I agree it is a very abstract concept. What I try to do in my work is to help people to commit to not doing anything destructive in order to have a "better body. Carolyn Costin: The interesting part here is the word: "disgusting". Who told you, or who decides, that one size is disgusting and another size is attractive or ideal? If you want to change your body, and you can do it in a healthy way, for example, increased activity, than that would be fine. Froggle08: Carolyn, you are saying why we feel this way and medical explanations, but how do we stop these things? How is one not to feel negative about their bodies when they hear that they are fat? I will not be able to tell you over the internet, but I can make some suggestions. For example, a very good book is When Women Stop Hating Their Bodies. Also, try to find an activity that you enjoy doing where you use your body. Bob M: Here are a few audience comments: metaphorical eyeball: How can you change the minds of young girls like myself, when the media is always in our face about losing weight and being the thinnest? Con: I am not sure if what I have is poor body image or not. I was abused, sexually, as a child and I hate how my body reacted and it seems that hate is so deep within me. I am anorexic and I seem to always be trying to get rid of my body which betrayed me. JoO: I think what you are telling us is that we have a body. Some of us have become victims of what society tells us is about the kind/shape of body we should have. We have forgotten to look at the people/person we are. What we should be focusing on is the person we are inside and just being the best we can. Keeping up positive attitudes and not going for what everybody else calls normal. BUT -- so saying -- this is hard to do and I would say the problems have to be dealt with first. Joan: Carolyn -- you are talking that anorexia body image increases as the illness progresses.... I sincerely believe that ALL eating disorders increase, whether it be a perceived weight problem or an actual weight problem. When your jeans are not the size that they want for them to be. Carolyn Costin: I tell all my clients not to buy fashion magazines or any other magazine that only shows thin bodies. Please write to television shows and magazines and tell them how you are affected by seeing only thin bodies. Body image dissatisfaction is rampant in our society. We have 80% of fourth grade girls going on diets and about 11% have used self-induced vomiting. We need to focus on their souls and spirits, not their bodies. We need to help children and each other to focus on internal instead of external qualities. This is why I wrote the book, Your Dieting Daughter. Bob M: But what about professional that what it takes to correct a poor body image, or can someone work through that on their own? Carolyn Costin: Depending on how severe the body image disturbance is, professional help may or may not be required ( eating disorders treatment ). If it is affecting your behavior, for example, inadequate nutritional intake, vomiting, taking laxatives, or other self-destructive behaviors, you should seek professional help. In some cases, self-help books, participating in sports, and increasing self-esteem in other areas might be enough. Bob M: Here are a few audience comments, then more questions:Fazz: Feeling this hate towards the body is so ingrained by our system that it becomes a reflex action. Freestyle: I think a person can work through it a lot on his/her own. The truth sets you free, no matter where you find it or who points it out. There are some really good books on the market now too to help. Carolyn Costin: Time is too limited to tell you everything to say, and I want to be helpful, so Ill refer you to some very good books on the subject. Making Peace with Food , by Susan Kano, How to Get Your Kid to Eat But Not too Much , by Ellen Satter, Father Hunger , by Margo Maine, and my book, Your Dieting Daughter , will also help. I do not think parents should keep scales in their homes. If a child seems to have a problem with being overweight, make sure to focus on health, not looks. Point out to children role models in all shapes and sizes. Freestyle: I tell my daughters that so much of what society teaches is just plain false. I try to point them in the direction that will get them these things: being kind and fun-loving and getting an education and caring about others. I also feel she used to stare at my body as I developed. EDSites: Do you feel that the "all or nothing" thinking plays a part in how a person will view themselves? For me, if I fail at something it tends to turn into how I feel about myself physically. Carolyn Costin: People often turn real feelings into feelings about their body because the body seems easier to control. I ask people to write about any feelings they have prior to engaging in any disordered eating behavior.

I eat _____ ounces of meat and meat substitutes each day purchase plavix 75mg without a prescription arrhythmia when lying down. I will eat _____ ounces of meat and meat substitutes each day plavix 75 mg amex arterivirus. I will eat this many ounces of meat and meat substitutes atWhat are healthy ways to eat meat and meat substitutes? Buy cuts of beef purchase plavix 75mg visa hypertension statistics, pork plavix 75mg online prehypertension chart, ham, and lamb that have only a little fat on them. Cook meat and meat substitutes in low-fat ways:To add more flavor, use vinegars, lemon juice, soy sauce, salsa, ketchup, barbecue sauce, herbs, and spices. Limit the amount of nuts, peanut butter, and fried foods you eat. Fats and sweets are not as nutritious as other foods. Some contain saturated fats, trans fats, and cholesterol that increase your risk of heart disease. Limiting these foods will help you lose weight and keep your blood glucose and blood fats under control. Examples of fats includeExamples of sweets includeTry having sugar-free popsicles, diet soda, fat-free ice cream or frozen yogurt, or sugar-free hot cocoa mix. Order small or child-size servings of ice cream or frozen yogurt. Divide homemade desserts into small servings and wrap each individually. Remember, fat-free and low-sugar foods still have calories. Talk with your diabetes teacher about how to fit sweets into your meal plan. If you have alcoholic drinks on an empty stomach, they can make your blood glucose level go too low. If you want to have alcoholic drinks, talk with your doctor or diabetes teacher about how much to have. To make sure your food servings are the right size, you can useOr you can use the guide below. Also, the Nutrition Facts label on food packages tells you how much of that food is in one serving. Tips on what to do include the following:Check your blood glucose level every 4 hours. Eat or drink something with sugar in it if you have trouble keeping food down, because you still need calories. In people with type 1 diabetes, when blood glucose is high, the body produces ketones. Glucose monitoring helps people with diabetes manage the disease and avoid its associated problems. A person can use the results of glucose monitoring to make decisions about food, physical activity, and medications. People with diabetes typically use a lancing device to obtain a blood sample and a glucose meter to measure the glucose level in the sample. Many types of glucose meters are available, and all are accurate and reliable if used properly. Some meters use a blood sample from a less sensitive area than the fingertip, such as the upper arm, forearm, or thigh. Continuous glucose monitoring (CGM) systems use a tiny sensor inserted under the skin to check glucose levels in tissue fluid. The sensor stays in place for several days to a week and then must be replaced. A transmitter sends information about glucose levels via radio waves from the sensor to a pagerlike wireless monitor. The user must check blood samples with a glucose meter to program the devices. Because currently approved continuous glucose monitoring devices are not as accurate and reliable as standard blood glucose meters, users should confirm glucose levels with a meter before making a change in treatment. CGM systems provide glucose measurements as often as once per minute. The measurements are transmitted to a wireless monitor. CGM systems are more expensive than conventional glucose monitoring, but they may enable better glucose control. CGM devices produced by Abbott, DexCom, and Medtronic have been approved by the U. Food and Drug Administration (FDA) and are available by prescription. These devices provide real-time measurements of glucose levels, with glucose levels displayed at 5-minute or 1-minute intervals. Users can set alarms to alert them when glucose levels are too low or too high. Special software is available to download data from the devices to a computer for tracking and analysis of patterns and trends, and the systems can display trend graphs on the monitor screen. Additional CGM devices are being developed and tested. To overcome the limitations of current insulin therapy, researchers have long sought to link glucose monitoring and insulin delivery by developing an artificial pancreas. An artificial pancreas is a system that will mimic, as closely as possible, the way a healthy pancreas detects changes in blood glucose levels and responds automatically to secrete appropriate amounts of insulin. Although not a cure, an artificial pancreas has the potential to significantly improve diabetes care and management and to reduce the burden of monitoring and managing blood glucose. An artificial pancreas based on mechanical devices requires at least three components:an insulin delivery systema computer program that "closes the loop" by adjusting insulin delivery based on changes in glucose levelsWith recent technological advances, the first steps have been taken toward closing the loop. The first pairing of a CGM system with an insulin pump?the MiniMed Paradigm REAL-Time System?is not an artificial pancreas, but it does represent the first step in joining glucose monitoring and insulin delivery systems using the most advanced technology available. Glucose monitoring helps people with diabetes manage the disease and avoid its associated problems. The most common way to check glucose levels involves pricking a fingertip to obtain a blood sample and using a glucose meter to measure the glucose level in the sample. Continuous glucose monitoring (CGM) systems use a tiny sensor inserted under the skin to check glucose levels in tissue fluid. A transmitter sends glucose measurements to a wireless monitor. An artificial pancreas based on mechanical devices will consist of a CGM system, an insulin delivery system, and a computer program to adjust insulin delivery based on changes in glucose levels. Learn about the connection between schizophrenia, bipolar disorder, depression and diabetes. Diabetes is on the rise in the United States as a direct result of poor dietary choices andsedentary lifestyles. The Centers for Disease Control estimates that one in three people born in the year 2000 and one in two minorities will develop diabetes in their lifetime.

Short-term administration of Tolbutamide tablets may be sufficient during periods of transient loss of control in patients usually controlled well on diet 75mg plavix free shipping heart attack lyrics demi. This may be increased or decreased quality plavix 75 mg blood pressure diary, depending on individual patient response buy plavix 75 mg on-line hypertension warning signs. Failure to follow an appropriate dosage regimen may precipitate hypoglycemia order 75mg plavix free shipping heart attack left or right. Patients who do not adhere to their prescribed dietary regimens are more prone to exhibit unsatisfactory response to drug therapy. Patients Receiving Other Antidiabetic TherapyTransfer of patients from other oral antidiabetes regimens to Tolbutamide tablets should be done conservatively. When transferring patients from oral hypoglycemic agents other than chlorpropamide to Tolbutamide, no transition period and no initial or priming doses are necessary. When transferring patients from chlorpropamide, however, particular care should be exercised during the first 2 weeks because of the prolonged retention of chlorpropamide, in the body and the possibility that subsequent overlapping drug effects might provoke hypoglycemia. Patients requiring 20 units or less of insulin daily may be placed directly on Tolbutamide tablets and insulin abruptly discontinued. Patients whose insulin requirement is between 20 and 40 units daily may be started on therapy with Tolbutamide tablets with a concurrent 30% to 50% reduction in insulin dose, with further daily reduction of the insulin when response to Tolbutamide tablets is observed. In patients requiring more than 40 units of insulin daily, therapy with Tolbutamide tablets may be initiated in conjunction with a 20% reduction in insulin dose the first day, with further careful reduction of insulin as response is observed. Occasionally, conversion to Tolbutamide tablets in the hospital may be advisable in candidates who require more than 40 units of insulin daily. During this conversion period when both insulin and Tolbutamide tablets are being used hypoglycemia may rarely occur. During insulin withdrawal, patients should test their urine for glucose and acetone at least 3 times daily and report results to their physician. The appearance of persistent acetonuria with glycosuria indicates that the patient is type I diabetic who requires insulin therapy. Daily doses of greater than 3 grams are not recommended. Maintenance doses above 2 grams are seldom required. The total daily dose may be taken either in the morning or in divided doses through the day. While either schedule is usually effective, the divided dose system is preferred by some clinicians from the standpoint of digestive tolerance. In elderly patients, debilitated or malnourished patients, and patients with impaired renal or hepatic function, the initial and maintenance dosing should be conservative to avoid hypoglycemic reactions (see PRECAUTIONS ). Tolbutamide Tablets, USP are available containing 500 mg of Tolbutamide, USP. The tablets are white to off-white round, scored tablets debossed with M to the left of the score and 13 to the right of the score on one side of the tablet and blank on the other side. They are available as follows:Store at 20? to 25?C (68? to 77?F). Generic Name: TolbutamideOrinase is an oral antidiabetic medication used to treat type 2 (non-insulin-dependent) diabetes. Diabetes occurs when the body does not make enough insulin, or when the insulin that is produced no longer works properly. There are two forms of diabetes: type 1 (insulin-dependent) and type 2 (non-insulin-dependent). Type 1 diabetes usually requires taking insulin injections for life, while type 2 diabetes can usually be treated by dietary changes, exercise, and/or oral antidiabetic medications such as Orinase. Orinase controls diabetes by stimulating the pancreas to secrete more insulin and by helping insulin work better. Occasionally, type 2 diabetics must take insulin injections temporarily during stressful periods or times of illness. When diet, exercise, and an oral antidiabetic medication fail to reduce symptoms and/or blood sugar levels, a person with type 2 diabetes may require long-term insulin injections. To help prevent low blood sugar levels (hypoglycemia) you should:Understand the symptoms of hypoglycemia. Keep a product containing quick-acting sugar with you at all times. If you drink alcohol, it may cause breathlessness and facial flushing. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Orinase. Side effects from Orinase are rare and seldom require discontinuation of Orinase. Orinase, like all oral antidiabetics, may cause hypoglycemia (low blood sugar). The risk of hypoglycemia can be increased by missed meals, alcohol, other medications, fever, trauma, infection, surgery, or excessive exercise. To avoid hypoglycemia, you should closely follow the dietary and exercise plan suggested by your physician. Symptoms of mild hypoglycemia may include:Cold sweat, drowsiness, fast heartbeat, headache, nausea, nervousness. Symptoms of more severe hypoglycemia may include:Coma, pale skin, seizures, shallow breathing. Ask your doctor what you should do if you experience mild hypoglycemia. Severe hypoglycemia should be considered a medical emergency, and prompt medical attention is essential. You should not take Orinase if you have had an allergic reaction to it. Orinase should not be taken if you are suffering from diabetic ketoacidosis (a life-threatening medical emergency caused by insufficient insulin and marked by excessive thirst, nausea, fatigue, pain below the breastbone, and fruity breath). In addition, Orinase should not be used as the sole therapy in treating type 1 (insulin-dependent) diabetes. If you have a heart condition, you may want to discuss this with your doctor. If you are taking Orinase, you should check your blood or urine periodically for abnormal sugar (glucose) levels. Even people with well-controlled diabetes may find that stress, illness, surgery, or fever results in a loss of control over their diabetes. In these cases, your physician may recommend that you temporarily stop taking Orinase and use injected insulin instead. In addition, the effectiveness of any oral antidiabetic, including Orinase, may decrease with time. This may occur because of either a diminished responsiveness to Orinase or a worsening of the diabetes. Like other antidiabetic drugs, Orinase may produce severe low blood sugar if the dosage is wrong. While taking Orinase, you are particularly susceptible to episodes of low blood sugar if:You suffer from a kidney or liver problem;You have a lack of adrenal or pituitary hormone;You are elderly, run-down, malnourished, hungry, exercising heavily, drinking alcohol, or using more than one glucose-lowering drug.

Placebo target dosages were as follows: Protocol Y1 cheap 75 mg plavix with amex blood pressure cuff size, 4 tablets/day discount 75 mg plavix free shipping heart attack 40; Protocols YD and Y2 order 75mg plavix supine blood pressure normal value, 6 tablets/day discount plavix 75mg with mastercard arrhythmia of the heart; Protocol Y3 and 119, 8 tablets/day; Protocol YE, 10 tablets/day. Dose-response studies were not conducted for other indications or pediatric partial onset seizures. In all add-on trials, the reduction in seizure rate from baseline during the entire double-blind phase was measured. The median percent reductions in seizure rates and the responder rates (fraction of patients with at least a 50% reduction) by treatment group for each study are shown below in Table 2. As described above, a global improvement in seizure severity was also assessed in the Lennox-Gastaut trial. Table 2: Efficacy Results in Double-Blind, Placebo-Controlled, Add-On TrialsProtocol Efficacy ResultsPartial Onset Seizures Studies in AdultsPrimary Generalized Tonic-ClonicLennox-Gastaut SyndromeImprvmnt. The results of 2 multicenter, randomized, double-blind, placebo-controlled, parallel-group clinical trials established the effectiveness of TOPAMAX^ in the prophylactic treatment of migraine headache. The design of both trials (one study was conducted in the U. Patients with a history of cluster headaches or basilar, ophthalmoplegic, hemiplegic, or transformed migraine headaches were excluded from the trials. Patients were required to have completed up to a 2 week washout of any prior migraine preventive medications before starting the baseline phase. Patients who experienced 3 to 12 migraine headaches over the 4-weeks in the baseline phase were equally randomized to either TOPAMAX^ 50 mg/day, 100 mg/day, 200 mg/day, or placebo and treated for a total of 26 weeks (8-week titration period and 18-week maintenance period). Treatment was initiated at 25 mg/day for one week, and then the daily dosage was increased by 25-mg increments each week until reaching the assigned target dose or maximum tolerated dose (administered twice daily). Effectiveness of treatment was assessed by the reduction in migraine headache frequency, as measured by the change in 4-week migraine rate from the baseline phase to double-blind treatment period in each TOPAMAX^ treatment group compared to placebo in the intent to treat (ITT) population. In the first study a total of 469 patients (416 females, 53 males), ranging in age from 13 to 70 years, were randomized and provided efficacy data. Two hundred sixty five patients completed the entire 26-week double-blind phase. The mean migraine headache frequency rate at baseline was approximately 5. The change in the mean 4-week migraine headache frequency from baseline to the double-blind phase was -1. The differences between the TOPAMAX^ 100 and 200 mg/day groups versus placebo were statistically significant (p<0. In the second study a total of 468 patients (406 females, 62 males), ranging in age from 12 to 65 years, were randomized and provided efficacy data. Two hundred fifty five patients completed the entire 26-week double-blind phase. The mean migraine headache frequency rate at baseline was approximately 5. The change in the mean 4-week migraine headache period frequency from baseline to the double-blind phase was -1. The differences between the TOPAMAX^ 100 and 200 mg/day groups versus placebo were statistically significant (p=0. In both studies, there were no apparent differences in treatment effect within age, or gender, subgroups. Because most patients were Caucasian, there were insufficient numbers of patients from different races to make a meaningful comparison of race. TOPAMAX^ (topiramate) Tablets and TOPAMAX^ (topiramate capsules) Sprinkle Capsules are indicated as initial monotherapy in patients 10 years of age and older with partial onset or primary generalized tonic-clonic seizures. Effectiveness was demonstrated in a controlled trial in patients with epilepsy who had no more than 2 seizures in the 3 months prior to enrollment. Safety and effectiveness in patients who were converted to monotherapy from a previous regimen of other anticonvulsant drugs have not been established in controlled trials. TOPAMAX^ (topiramate) Tablets and TOPAMAX^ (topiramate capsules) Sprinkle Capsules are indicated as adjunctive therapy for adults and pediatric patients ages 2 - 16 years with partial onset seizures, or primary generalized tonic-clonic seizures, and in patients 2 years of age and older with seizures associated with Lennox-Gastaut syndrome. TOPAMAX^ (topiramate) Tablets and TOPAMAX^ (topiramate capsules) Sprinkle Capsules are indicated for adults for the prophylaxis of migraine headache. The usefulness of TOPAMAX^ in the acute treatment of migraine headache has not been studied. TOPAMAX^ is contraindicated in patients with a history of hypersensitivity to any component of this product. Hyperchloremic, non-anion gap, metabolic acidosis (i. This metabolic acidosis is caused by renal bicarbonate loss due to the inhibitory effect of topiramate on carbonic anhydrase. Such electrolyte imbalance has been observed with the use of topiramate in placebo-controlled clinical trials and in the post-marketing period. Generally, topiramate-induced metabolic acidosis occurs early in treatment although cases can occur at any time during treatment. Bicarbonate decrements are usually mild-moderate (average decrease of 4 mEq/L at daily doses of 400 mg in adults and at approximately 6 mg/kg/day in pediatric patients); rarely, patients can experience severe decrements to values below 10 mEq/L. Conditions or therapies that predispose to acidosis (such as renal disease, severe respiratory disorders, status epilepticus, diarrhea, surgery, ketogenic diet, or drugs) may be additive to the bicarbonate lowering effects of topiramate. In adults, the incidence of persistent treatment-emergent decreases in serum bicarbonate (levels of <20 mEq/L at two consecutive visits or at the final visit) in controlled clinical trials for adjunctive treatment of epilepsy was 32% for 400 mg/day, and 1% for placebo. Metabolic acidosis has been observed at doses as low as 50 mg/day. The incidence of persistent treatment-emergent decreases in serum bicarbonate in adults in the epilepsy controlled clinical trial for monotherapy was 15% for 50 mg/day and 25% for 400 mg/day. The incidence of a markedly abnormally low serum bicarbonate (i. Serum bicarbonate levels have not been systematically evaluated at daily doses greater than 400 mg/day. In pediatric patients (<16 years of age), the incidence of persistent treatment-emergent decreases in serum bicarbonate in placebo-controlled trials for adjunctive treatment of Lennox-Gastaut syndrome or refractory partial onset seizures was 67% for TOPAMAX (at approximately 6 mg/kg/day), and 10% for placebo. The incidence of a markedly abnormally low serum bicarbonate (i. Cases of moderately severe metabolic acidosis have been reported in patients as young as 5 months old, especially at daily doses above 5 mg/kg/day. In pediatric patients (10 years up to 16 years of age), the incidence of persistent treatment-emergent decreases in serum bicarbonate in the epilepsy controlled clinical trial for monotherapy was 7% for 50 mg/day and 20% for 400 mg/day. The incidence of a markedly abnormally low serum bicarbonate (i. The incidence of persistent treatment-emergent decreases in serum bicarbonate in placebo-controlled trials for adults for prophylaxis of migraine was 44% for 200 mg/day, 39% for 100 mg/day, 23% for 50 mg/day, and 7% for placebo. The incidence of a markedly abnormally low serum bicarbonate (i. Some manifestations of acute or chronic metabolic acidosis may include hyperventilation, nonspecific symptoms such as fatigue and anorexia, or more severe sequelae including cardiac arrhythmias or stupor. Chronic, untreated metabolic acidosis may increase the risk for nephrolithiasis or nephrocalcinosis, and may also result in osteomalacia (referred to as rickets in pediatric patients) and/or osteoporosis with an increased risk for fractures. Chronic metabolic acidosis in pediatric patients may also reduce growth rates. A reduction in growth rate may eventually decrease the maximal height achieved. The effect of topiramate on growth and bone-related sequelae has not been systematically investigated.

More days than not purchase plavix 75 mg otc blood pressure testing, do you feel disinterested in life? More days than not plavix 75 mg otc blood pressure control, do you feel worthless or guilty? During the last year buy cheap plavix 75mg online arteria3d unity, has the use of alcohol or drugs plavix 75 mg generic hypertension quiz questions... The more times you answered yes on the anxiety disorder quiz, the more likely it is you may suffer from an anxiety disorder. Sections one and two of the anxiety disorder test are designed to indicate an anxiety disorder, while sections three and four screen for conditions that may complicate anxiety disorders - such as depression or substance use. If you answered mostly yes in any one section, or in the anxiety disorder quiz overall, you should print this page with your answers and discuss them with a mental health or healthcare professional. Remember, only a trained, mental health professional like your family doctor, a psychiatrist or psychologist can diagnose a mental illness. Everyone knows what it feels like to experience a rush of anxiety symptoms. Your stomach twists and turns and sweat begins to bead on your forehead before getting in front of your entire management team to give a presentation. Or you begin to tremble before approaching your boss to ask for a promotion or raise. Almost everyone has felt the icy fingers of fear creeping up his or her spine when caught in a dark parking lot or street after dark. Recognizing signs of anxiety before your nervousness and other symptoms of anxiety get out of hand can help you reduce their intensity. Physical symptoms of anxiety include physical reactions to the stress that others could notice. Emotional anxiety symptoms would include reactions to stress or a challenging situation that people on the outside usually cannot detect. Frequent need to urinateDiarrhea not caused by illnessRapid heartbeat and breathingDifficulty concentratingFeeling tense and jitteryAnticipating the worst outcomeOver-alertness for signs of dangerFeelings of apprehensionFeeling as if your mind has gone blankFor some, the level of anxiety escalates to the point where they have an anxiety attack. One way to treat anxiety is to face your worries and apprehension associated with upcoming challenges in advance to reduce anxiety symptoms. You may not feel anxious about the event yet, so this is the perfect time to face the nervousness and fears that you know will come as the big date approaches. Think about an upcoming event that you know will stir up anxious feelings and negative thoughts. Write down any negative thoughts, worries, and fears that crop up as a result of thinking about the event. Include your fears about what could go wrong, worst outcomes, and physical symptoms that occur just prior to challenges that result in anxiety for you. Writing feelings and worries down is harder work than simply thinking about them. As you write them down, these negative thought patterns lose some of their power to control you. Look over your daily schedule and pick two 10 to 15 minute worry periods for each day. For example, you can set aside 10 minutes each morning at 7:00 a. During this time, you can focus on your fears and worries without trying to "fix" them. If you feel anxious during the day, or if negative thoughts invade, record them in a notebook and put off thinking about them until your next worry period. Learn to enjoy the here and now ??? the good things going on in your life right now. Learning to accept uncertainty will help you overcome many of your anxiety symptoms. Fear, a very common symptom of anxiety, dissipates and loses its power when faced head-on. The other signs of anxiety, listed above will follow suit when addressed prior to your upcoming challenges or stress-inducing event. What causes anxiety in one person may not cause anxious feelings in another. Experiencing anxiety during a divorce, before a public performance, or giving a speech is normal, but some people tend to feel anxious about these events and other challenges more intensely than the typical person. Experts believe that these people may have a genetic predisposition toward anxiety, or perhaps have learned to feel anxious from a parent or other caregiver. Maybe you know someone who likes to talk about and worry about the worst possible outcomes. While environmental and other factors may contribute to the behavior of nervous nellies, these people tend to view anxiety, and talking about worries, in the same way those who enjoy gossiping view participating in talking about others flaws and activities -- enjoyable. Environmental factors represent a major cause of anxiety for everyone ??? not just those prone to worry. Several environmental challenges and experiences contribute to anxiety:Physical or emotional abuseStress surrounding financial burdens and moneyStress in a personal friendship or family relationshipCertain medical conditions and the stress associated with them have long been a known anxiety cause. Some medical conditions that may cause anxiety include:Serious medical problem or illnessMedication side effectsMedical illness symptoms (some physical illnesses include anxiety as a symptom)Lack of oxygen caused by a medical condition, such as emphysema or a blood clot in the lung (pulmonary embolism). Illicit drug use represents a major cause of anxiety. Using cocaine or illegal amphetamines can cause anxious feelings as can withdrawal from certain prescription drugs like benzodiazepines, oxycodone, barbiturates, and others. Strong evidence exists linking anxiety and genetics. In other words, children with at least one anxious parent, or other first degree relative with anxiety, tend to develop an inclination for it as well. Some studies indicate that people with abnormal levels of certain brain neurotransmitters may have a higher tendency to experience anxiety. When the neurotransmitter levels are not normal, the brain may react inappropriately at times, causing anxiety. The first step to controlling fear and worry is learning what causes anxiety in you specifically. Even if genetics predisposes you to feel anxious, external and environmental factors, such as medical conditions, substance abuse, or divorce and financial problems, can exacerbate your anxiety. Once you know what triggers your anxiety, you can then take steps to face it and stop it from having a negative impact on your life. Anxiety treatment, using anxiety self-help strategies, works very well for those with mild to moderate anxiety. Living a healthy lifestyle represents your best defense against anxiety. Why not try to live a healthier lifestyle as a form of anxiety treatment, so you can avoid costly medications and doctor visits? This type of activity requires that you reach out to others, rather than wallowing in your own fears and anxieties. You can use this opportunity to help others through their issues, which will reduce your own anxious feelings and negative thoughts, in time. Treating anxiety with exercise can provide relief for symptoms and has the added bonus of increasing your physical fitness (read about anxiety and high blood pressure ).

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