May 19, 2012

Emotions and Stress

Mind and body are two parts of a complex organism controlled by the nervous system, which acts on information received from the senses. The way a person perceives and reacts depends on his mood, his state of health, his diet, his body temperature and his level of consciousness.

There is considerable evidence that every thought or emotion has some related physical effect, and that every change within the nervous system should have some psychological effect.

Although the precise nature of these correlations is not always known, the view that body and mind are constantly interacting in some way is now accepted by most psychologists.

The relationship between mind and body is particularly apparent in emotional states, especially those of fear and anger. When a person is in the grip of a powerful emotion his body undergoes changes, just as it does when he is asleep, ill or under the influence of drugs or alcohol. Most people are familiar with such sensations as a dry mouth when they are nervous, or a racing heart when they are afraid or excited. Such physical changes can be measured – for instance, by recording pulse rate and breathing, or by measuring the dilation of the pupils of the eyes.

An emerging trend in this area of research is that different individuals have different physiological ways of responding to the same emotional situation.

The fact that these physiological responses are not automatic in the same manner as simple reflexes such as the knee jerk has some intriguing implications and applications. It is possible that these responses may be subject to voluntary control. This is a rather heretical suggestion, since it has long been held that physiological responses such as heart-rate and blood pressure are involuntary reflexes that are beyond the province of learning. But if these responses can be modified by learning, then a whole new range of therapeutic possibilities is opened up. For example, if it is possible to teach people to lower their blood pressure, it is likely that we can dramatically reduce premature death due to heart attacks.

The key concept in whether involuntary responses are subject to learning involves knowledge of the state of a particular system in the body. We do not, for example, generally know whether our blood pressure is high, low or normal. However it is now quite easy to provide an individual with electronic ‘feed-back’ to indicate blood pressure – perhaps in the form of an instrument that sounds a tune when the blood pressure drops below a certain value. This procedure is commonly referred to as biofeedback.

It is by now abundantly clear that a variety of emotional and stressful events can influence the body. These influences can be beneficial and adaptive in the short term; however, prolonged stress can lead to headaches, asthma, ulcers and heart disease. Furthermore, even when obvious stress-induced diseases do not occur , stress can complicate many other disease processes.

This area of the study of the interactions between emotional stress and disease is referred to as psychosomatic medicine. It has been estimated that from 50-80% of medical problems have a significant psychosomatic component.

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What is Food Energy?

Food energy is measured in units called large, or kilogram, calories. One calorie is equal to the amount of heat needed to raise the temperature of 1 kilogram (2.2 pounds) of water from 14° C to 15° C (59° F to 60.8° F).

To determine the calories in a food a dry sample of the food is burned in a bomb calorimeter; the heat given off by the food in burning is measured by noting the change in the temperature of a known weight of water surrounding the bomb. Calories furnished by foods are also determined indirectly by measuring the volume of oxygen needed to burn a dry sample of the food in an oxycalorimeter.

For example, one average egg, two large heads of lettuce, one and one-third cups of tomato juice, three lumps of sugar, and one square of butter (3/8 inch thick) each furnishes about 75 calories. Lettuce is made up largely of cellulose, which does not furnish calories and therefore has few calories per unit of weight. Tomato juice is low in calories because it contains a high percentage of water. Water does not furnish calories. Butter, however, is high in calories because it is mostly fat.

The energy or food requirement of an individual is determined in one of the following ways: (1) careful observation of the diet to determine the amount of food consumed, (2) measurement of the energy expenditure directly in a respiration calorimeter or indirectly by means of other types of respiration apparatus, or (3) determining the balance of intake and output through carbon and nitrogen balance experiments.

In determining the energy expenditure directly, the amount of heat given off by the body in performing a given activity is measured by means of a respiration calorimeter. This instrument consists of a chamber that is insulated and can be made airtight. The heat is measured by noting the change in the temperature of the water that circulates through coils in the chamber. The respiration calorimeter is also equipped for the measurement of oxygen used or carbon dioxide produced.

In determining the energy expenditure indirectly, the amount of oxygen consumed or carbon dioxide produced in performing a given activity is measured by means of any one of a number of types of respiration apparatus.

Whether the heat produced by the body is measured or the oxygen used in respiration or the carbon dioxide given off by the lungs makes little difference because each is proportional to the amount of combustion taking place within the body.

The basal metabolism determination is made by measuring the oxygen consumption in the morning when the subject is in a resting position, relaxed, comfortable, awake, and before any food is taken. Under these conditions the energy needed just to support the internal work of the body is determined.

 

Photo by Zsuzsanna Kilian

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Refuse to Regain | Keep the Weight Off That You Have Lost Through Dieting

Dr. Barbara Berkeley

refuse to regain 194x300 Refuse to Regain | Keep the Weight Off That You Have Lost Through DietingRefuse to Regain!: 12 Tough Rules to Maintain the Body You’ve Earned! is a book by Dr. Barbara Berkeley from Cleveland, Ohio. Barbara Berkeley has a weight management practice in Cleveland that has shown remarkable success over her many years of practice.  Barbara Berkeley does not want you to just lose weight.  She wants you to lose weight, understand why you have gained it in the first place, and keep it off for life.

If you are a person like me, you have been on many diet plans.  And if you look up weight loss online, you will find hundreds of thousands of diet centers across the world that show you how to lose weight.  What is different about Barbara Berkeley is that she wants to teach you how to keep the weight off, so that once you get healthy, you will stay healthy.

So what is the reason that so many of us gain weight?  Why do we find it so hard to maintain weight loss after we work so hard to get the weight off in the first place?  The answer for many of us is metabolic syndrome, a syndrome caused by our culture and lifestyle.

Metabolic Syndrome

Metabolic syndrome is defined as “a syndrome marked by the presence of usually three or more of a group of factors, such as high blood pressure, abdominal obesity, high triglyceride levels, low HDL levels, and insulin resistance, that are linked to increased risk of cardiovascular disease and type 2 diabetes; also called insulin resistance syndrome.” (from dictionary.com)

What metabolic syndrome means in plain English is that our bodies are designed to digest food in a certain manner which is predetermined.  The body has triggers which tell it to either digest food as energy for now (sending it to the muscles to burn) or later (sending it to the fat cells for storage).  Over time, these triggers can become damaged or broken completely which results in an overabundance of insulin levels, and the body storing all energy as fat instead of burning it.  This damage is often caused by a lifetime of overeating carbohydrates and undereating protein and vegetables.

Barbara Berkeley says that our bodies were designed to be hunter gatherers, eating primarily meat and vegetables.  We have not evolved that much genetically since then, and cultivated foods like grains can overwhelm our bodies over time.

Changing Our Lifestyle

It is not surprising that Barbara Berkeley thinks that we all need to change our lifestyles in order to stay healthy. In her practice, she starts all new patients with a thorough physical workup before she will treat them for weight loss.

Once she has determined that you are physically fit to start a weight loss, she and her staff monitor a patient through the entire weight loss program and a year of maintenance.  Her program relies on a very low carbohydrate diet including proteins, a lot of vegetables, a small amount of dairy, and some meal supplements.  She wants to reteach the body how to release and burn the fat from storage.

Once the weight is gone, patients cannot go back to eating the way that they were before.  The insulin system, once broken, cannot be fixed, so only a lifetime of change will keep the weight off.

For More Information

If you would like more information about metabolic syndrome, Barbara Berkeley, or her program, the best place to look is her book, Refuse to Regain!: 12 Tough Rules to Maintain the Body You’ve Earned! If you have struggled your entire life with weight, then you should definitely take a look.

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Theories of Emotion

Although stressful emotions can sometimes have a damaging effect on the body, the ability to experience emotions is one of the characteristics of a normal human being. Defective emotional experience or behavior is central to virtually every mental illness. Schizophrenia, depression, mania and homicide all have a striking emotional component.

It is quite clear, however, that these all involve different types of emotion, each with its own psychology and physiology. This leads to the suggestion that perhaps emotions should be studied individually rather than as a unified dimension of human behavior.

The first comprehensive theory of emotion was developed in the late 19th century by the American philosopher William James and the Danish neurologist Carl Lange. It states that emotion is the perception of physiological changes caused by the body’s reaction to an ‘exciting fact’.

The James-Lange theory can be illustrated by describing a typical emotional situation in common-sense terms: Being badly frightened by a near-miss automobile accident causes one’s heart to beat faster, one’s breathing to quicken, and a variety of other physiological changes to take place. On the surface, it appears that these physiological changes are caused by the fear.

James and Lange, however, claimed the reverse. They believed that the physiological changes caused the emotions, rather than that the emotions caused the changes. To James and Lange, an emotion is nothing more than the perception of the body overreacting.

A simple prediction from this theory is that if the perception of these physical disturbances were disrupted, then the subject would not experience emotions. Since these perceptions are largely dependent on nerves which course through the spinal cord, it would be expected that breaking the spinal cord should reduce emotional experiences.

Critics of the James-Lange theory were quick to point out that humans who have suffered spinal-cord breaks (quadriplegics and paraplegics) do not appear to show any marked reduction of emotional experience. For decades this has stood as the principle argument against the James-Lange theory. However, some recent research has indicated that this criticism is not entirely valid.

Research has shown that the James-Lange theory is neither completely right nor completely wrong. At the very least it has performed an important service by calling attention to the fact that the way the body responds influences the way we feel.

Another influential theory of emotions focuses on the interaction between two parts of the brain, the cortex and the thalamus. This is the Cannon-Bard theory, which is considered to be the forerunner of contemporary neurologically-oriented approaches to emotion.

When events in the environment are detected by the body’s peripheral receptors – eyes, ears, nose and so on – signals are transmitted to the brain. These signals pass through the thalamus on their way to the cortex. All sensory information is processed in approximately this way. Cannon and Bard saw the thalamus as being chronically inhibited by the cortex, and speculated that what distinguishes an emotional signal from other sensory signals is its ability to break the inhibition that the cortex exerts on the thalamus. They maintained that it is feedback from the disinhibited thalamus that constitutes an emotion.

Both these theories of emotion have made a contribution to our understanding of the problem. The James-Lange theory called attention to the importance of peripheral physiological events, and the Cannon-Bard theory stressed the importance of the brain.

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Winter Blues | Seasonal Affective Disorder

Seasonal Depression

depression Winter Blues | Seasonal Affective DisorderIf you are a person who suffers from chronic depression, the onset of the winter season can be a real challenge, especially after the Christmas holiday season.  Seasonal affective disorder or the winter blues affects many people to various extents, but for people who are already suffering from chronic depression like me, the winter season is a real struggle to get through.

I was diagnosed with chronic low level depression in my teen years, long before there were any medications that could help.  In my adult years, I have learned to manage my dysthymia with medication, and by knowing the triggers for depression.  However, even years after I have been able to manage my chronic depression, every winter I struggle more than I do the rest of the year to stay on an even keel tempermentally.

The winter blues are the most severe when the holidays are over with their excitement and lights, and we get into January and February.  Cold affects me more than it does other people, and the added hours of darkness also make things worse.

For me, the combination of the shorter days, and the severe cold added together create a depression trigger which makes me struggle to get out of bed every single day, and once I am out of bed, struggle to get anything done.

How to Combat the Winter Blues

Once you admit that you have the winter blues, and this is a struggle that you will have to deal with, the first thing you need to do is watch for triggers.

There are certain things that always make me more affected that I watch for:

  • Time of day:  early morning and late afternoon and evening are the worst
  • Hunger
  • Severe cold weather
  • Poor sleep or excessive tiredness

During the winter, I try very hard to get enough sleep, keep a regular schedule for eating and sleeping, and wear enough clothes to stay warm.

However, there are other ways that can help to combat the sleepy, depressed feeling you get from time to time.

  • Exercise–vigorous exercise will wake you up and warm you up, giving you more energy to combat depression.
  • Getting out of your house or office even just for a few minutes.  Sometimes fresh air will snap you out of it.
  • Taking a warm or hot shower.
  • Friendly conversation in person or on the phone.
  • Light therapy–I do not use this but I know that it can be quite helpful.

Allowing Yourself to Be Imperfect

The older I get, the more I understand that the imperfections of being human are what make us unique and interesting people.  Each one of us goes through life with some kind of struggles that make us who we are.

I have learned that I am a completely imperfect human being, and my struggles with chronic depression, and seasonal affective disorder are part of who I am.  Sometimes I do not win the struggle and the depression takes over, but with the knowledge of who I am and accepting my faults and imperfections, I am able to come back from these depressive episodes faster, and more completely than I ever did before.

This is an ongoing battle that I will have for the rest of my life.  Just knowing how to deal with depression, and that I can succeed most of the time, has made each challenge easier.

Seek Help for Depression

Depression is not in your mind, many times it is caused by physical imbalances in your body.  If you find yourself battling depression during the winter or anytime during the year to the extent that it stops you from feeling normal emotions, or incapacitates you in any way, then you need to seek help from a qualified professional.

There are many people who suffer from depression and lead totally normal lives with the proper care.  Seasonal affective disorder is real, and you should not have to suffer from it all winter long.

 

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My Personal Experience with Teen Depression

I Have Suffered from Chronic Depression Since I Was a Teenager

sad 300x199 My Personal Experience with Teen DepressionI decided to tell this story in the hopes that by doing so, other teenagers and adults who suffer from depression would be treated sooner than I was. My story is very typical of a person who suffers dysthymia–chronic depression–and much of my own suffering could have been avoided.

But an even better lesson is that when I was a teenager, the treatment options for depression, anxiety and dysthymia were not available that are available now. And I would like to urge you to take depression seriously, and seek treatment.

Depression hurts is a catch phrase that we often see in television commercials. Depression really does hurt the person who is depressed and their friends and family. And in order to treat depression and anxiety, you must recognize it first. Here is my story:

Teenage Depression

I grew up in a “normal” household with a mother and father, and two younger siblings. My father was the breadwinner, and my mother stayed at home with us kids as was normal when I was a child. We had enough money to live on, got regular health checks, and I did well in school.

As far as I know there was nothing wrong with me during my childhood. I had one broken arm, chicken pox, and did not need braces, had no unusual diseases.

I started high school in ninth grade, and during the first year did not have any problems. When I was sixteen, I joined a youth group through my synagogue, and was very active in the group. Between the summer of tenth grade, and eleventh grade, I went to Israel with a group for six weeks.

As I look back on my high school years for symptoms of the onset of depression, I believe that I started having symptoms my sophomore year of high school. But of course, teenagers are often moody, so they were missed.

One of the most frustrating things about my own dysthymia, is that my father is a physician, and my parents are both highly educated, yet no one realized that I was suffering more than the usual amount of teenage depression.

I met a boyfriend on my Israel trip, and he was very special. Leaving him behind was very difficult for me. And the following year, I started to have more symptoms of depression.

Cycles of Depression

The type of depression that I suffer from is called dysthymia or dysthymic disorder. It is a chronic ongoing depression that never goes away. It is with me every day whether I feel it strongly or not. I will suffer from dysthymia the rest of my life, and I will struggle with the symptoms.

My depression symptoms have a repeating pattern. The depressed feelings creep up on me without my knowing until I feel sad, tired, want to be left alone, and sleep a lot. I want to shut the world out. Then if untreated, I will spend a period of time huddled, sleeping as much as possible for days, until I start to come out of it, and want to rejoin the world.

Dysthymia mimics regular tiredness and anxiety, so it is often not recognized at first. Teenagers often sleep a lot because they are growing and changing so rapidly, so extra sleeping on its own is not necessarily a problem.

In my case, if untreated, my cycles of depression get longer and longer, with less time in between. Earlier in my life, I have had times where I went weeks on end, in a depressed state.

My Parents Did Not Recognize That I Was Depressed

My parents, who were both highly educated, did not recognize that I had a problem.  Or if they did, they never talked to me about it.

When I was a teenager, there were no drugs that could be administered to someone like me.  The only drugs available were for patients that were so mentally unstable that without drugs they couldn’t function.

I did finish high school, and managed to do well.  Having the structure of school was helpful in keeping me going. Then I did what most of the kids in my school did. I went to college.

Depression is a Physical Disorder

Depression is a physical disorder than can be passed on genetically to your children.  As a much more experienced adult, I think that my dysthymia comes from my mother.  She has many anxiety symptoms that showed up in me as I grew older in my late 30′s and 40′s.  I will be watching my daughters as they grow older to see if they show any of the symptoms that I did.

When I finally realized in my 30′s that my dysthymia was a function of something missing or not right with my brain, I was relieved.  I finally figured out that there was something wrong with me, and now it was a matter of treating it.

The drugs that are available now to treat mental illness including depression and anxiety did not exist when I was a teenager.   Taking medicine to combat my own depression has worked miracles in my life.

Going to College Brought My Depression into the Open

I did not finish college right after high school. I went to college in Michigan, and was completely on my own. I stayed in dorms, with roommates, but did not make any real friends. I started having more and more depression symptoms, which ended up in my skipping many classes. I did well in the classes that I liked, and failed the ones I didn’t like. I think that I was just more motivated to go to the ones I liked.

Finally my parents came and took me home.

It wasn’t until this point in my life that my parents recognized that I had a real problem. They did not really understand what was wrong, but my father did make some appointments for me with a psychologist.

I am not going to tell you my entire life story, but other than seeing a psychologist a few times, I did not get any treatment for my depression at this time. I did cycle out of the depression cycle that I was in at that time, and between that time and the time I was diagnosed with dysthymia, I went through many cycles of depression that affected me in different ways.  In between, I got married, had jobs, and raised children.

Depression Does Not Stop People From Living

Most people who suffer from depression live relatively normal lives. They go to school, they have families, they have regular jobs. However, due to their type of depression, they may have difficulty with school, family, and jobs.

My behavior, reactions, and anxiety attacks have all changed since I have been treated for dysthymia. It has changed my success, my perseverance, and my relationships with my family. But I was able to have two children, get a college degree, and hold down two jobs for a total of 17 years each all before I got any treatment for depression.

However, getting my dysthymia treated has changed the quality of my life. Much of my life was muted, and gray before treatment. Now it is so much more colorful. My treatment has not changed the way I feel about things. I still feel sad, happy, angry, and other emotiions. But I do not go into my depression cycles nearly as much as I did before. And I can recognize and stop them much more quickly.

Depression in Teenagers and Adults is a Medical Issue

Depression is a medical issue, and whatever treatment is best for you is covered by medical insurance. Whether you seek the care of a psychologist or psychiatrist or both, your insurance will pay for it.

If you or your teenager is suffering from depression or anxiety, do not wait. You do not need to live this way anymore.

It is common for depression and other mental illness to begin during puberty, when our bodies go through so many changes. Watch for signs in your teenagers and preteens. If you wait too long, it will severely impact all of your lives.

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Types of Prescription Glasses

Glasses are a device worn to correct certain kinds of defects in vision or to protect the eyes from injury. Glasses are used to correct visual defects that result from improper refraction, or bending, of the light rays that enter the eye. These defects usually occur because of abnormalities in the lens or the cornea, which is the area through which light enters the eye.

The most common visual defects are farsightedness (hyperopia), nearsightedness (myopia), astigmatism, and presbyopia, a condition that occurs in older people because the lens loses its elasticity with age. Although glasses can correct these visual defects, they cannot cure the cause of the defect. Glasses cannot correct other kinds of visual defects, such as color blindness.

Kinds of Glasses

Most glasses consist of two glass or plastic lenses supported in a frame. The frame rests on the bridge of the nose and hooks behind the ears by sidepieces. Different lenses are used to correct different types of visual defects. The kinds of lenses most Widely used are convex, concave, cylindrical, and prismatic, or wedgeshaped.

A combination of lenses may also be used.

Convex Lenses

Glasses with convex lenses are used to correct farsightedness, a condition in which distant vision is normal, but the ability to see nearby objects is impaired. Farsightedness occurs because light rays coming from nearby objects focus behind the retina. Convex lenses bend light rays more sharply as they enter the eye. As a result, the light rays focus on the retina instead of behind it.

Concave Lenses

Glasses with concave lenses are used to correct nearsightedness, a condition in which near vision is normal but distant vision is impaired. Nearsightedness occurs because light rays coming from distant objects focus in front of the retina. Concave lenses cause light rays to diverge, or spread out, as they enter the eye. The eye then brings the spread-out rays to a focus on the retina instead of in front of it.

Cylindrical Lenses

Cylindrical lenses are used to correct astigmatism. Astigmatism is usually caused by an abnormal curvature of the cornea, the area of the eye through which light enters. Because of the abnormal curvature, light rays entering the eye are not bent equally. Some rays are focused on the retina, some in front of the retina, and others in back of it. This results in blurred vision. The blurring affects either objects that are vertical to the field of vision or objects that are horizontal to the field of vision. The appropriate kind of cylindrical lenses correct the abnormal bending of the light rays, bringing them to a single focus on the retina.

Prismatic Lenses

Glasses with prismatic lenses are sometimes used to correct double vision. Double vision occurs when there is weakness or imbalance of one or more muscles that control the eye movements. As a result, the two eyes have difficulty in focusing on the same object at the same time. Prismatic lenses displace one or both of the images so that they overlap and a single object is seen.

Bifocals and Trifocals

Often, particularly in elderly people, there is difficulty in focusing in both near and far vision because the lens loses its elasticity. This problem can be solved by using one pair of glasses for reading and other close work and a second pair of glasses for general use. However, bifocal or trifocal glasses, which may be more convenient, are often used. In bifocals, the lens for each eye is divided into two distinct parts. The top half of the lens is used for far vision and the bottom half for near vision. In trifocals, each lens is divided into three parts. The top part is used for distant vision, the middle part to see objects at about arm’s length, and the bottom part for close vision.

Telescopic Glasses

Telescopic glasses are used for improving extremely weak eyesight. They are composed of double lenses arranged one in front of the other. Telescopic glasses result in a very high degree of magnification. The double lenses are necessary because a single lens that produces a magnification of a similar high degree would result in a very distorted image.

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