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Erasing the Stigma of Mental Illness
As a physician specializing in psychiatry, I know that many emotional conditions such as depression and anxiety disorders are true medical illnesses with a biologic (physical) origin. Psychiatry has become more and more "biological" in its diagnosis and treatment approaches during recent years, but a very significant stigma still exists against those who are seeing a therapist. This has become increasingly difficult to understand, but it is a social stigma that is so very important to eliminate. Why does an embarrassment or stigma still exist associated with those who are seeking psychiatric treatment? Why do people wait so long before come for help - to the point of becoming nearly non-functional with their families, children and work environment? First, many people have a picture in their mind of movies in which psychiatrists are ineffective listeners of problems of patients who are lying on psychoanalytic couches. It is important to remember that psychoanalysis preceded our modern treatment approaches which now have a much higher success rate. We currently have many safe and effective medications, which when used with or without psychotherapy, help many people fully recover. Another reason for the stigma is in the use of the term "mental illness". The field of psychiatry has undergone many changes in the past twenty years. Research into the functioning of the brain and nervous system has led to the concept of a "chemical imbalance" as the cause of illnesses such as Major Depression and Panic Attacks. In addition, Obsessive Compulsive Disorder, a condition portrayed so well by Jack Nicholson in the 1997 movie "As Good As It Gets," is also caused by a chemical imbalance. Medications were used to help treat the "Obsessive Compulsive" character being played by Nicholson. Many psychiatric illnesses are not "mental" or "emotional," but are now understood to be "neurochemical illnesses". Many people are told, "You can do this on your own, be strong," as if a person can easily will themselves out of depression or anxiety. Can someone "Be Strong" and make their diabetes or bronchitis just go away? These types of suggestions only result in a delay in seeking treatment or feelings of failure in the individual who finally does seek help. The stigma of psychiatric treatment also leads many people to seek help at the health food store, or other types of self-diagnosis and self-medications. Men in particular have to overcome an additional obstacle. It may seem "Un-Macho Like" to seek professional psychiatric help when one fails to understand or see their condition as an illness, and instead view it as a weakness in their character. Thus, injury to a man's ego often contributes to their long delays in seeking treatment. My hope is that the shame and secrecy associated with obtaining professional psychiatric help will gradually diminish and eventually cease to exist. If we understand how the social stigma was established in the first place - the media lack of medical knowledge, societies' understanding or ignorance, etc., then we should realize there is no need to "stay in the closet." Let's wipe out the term "mental illness" and view many of these conditions as "neurochemical illness," with the same non-prejudicial attitude as we do toward diseases such as diabetes or hypertension. Debra S. Gorin, M.D. received her medical degree from the University of Miami School of Medicine. She is a diplomate of the American Board of Psychiatry and Neurology. She has been in private practice as a Psychiatrist for the past sixteen years in the Fort Lauderdale area. Dr. Gorin treats all types of stress-related, emotional and psychiatric problems of children, adolescents, and adults. She is also a trained hypnotherapist. Visit her website (http://www.doctorgorin.com) to view her growing library of psychiatric and health-related articles. Dr. Gorin's weblog can be viewed at http://debragorinmd.blogspot.com She can be contacted at couchdoctor415@yahoo.com
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But the person telling me this was overweight, had borderline high blood pressure, and never worked out. I wondered if this friend realized by living a sedentary lifestyle, the odds of developing heart disease, osteoporosis, diabetes and some cancers had substantially increased. Not to mention that being overweight actually placed this person at a higher risk than me for developing knee pain from osteoarthritis and heel pain as a result of plantar fasciitis. Increasing Patient Care and Reducing Liability in Seven Simple Steps When an unconscious patient arrives in the ED, every hospital agrees that timely next of kin notification is vital. Not only is it important to have a family member present to comfort the patient, but to make informed decisions for his care and provide the medical history that can make the difference between life and death. 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You are competing with other credit grantors that supplied a tangible product, or something they really enjoy like cable or their cell phone and therefore your medical collections problem is more difficult. Chronic Headaches and Pain Often Can Be Eliminated By A Special Dentist DENVER Sometimes as Freud once said a good cigar is just a smoke. A headache, on the other hand, occasionally can be a sign of something much more serious than just a headache. Another Cold Sore! Why Me? An estimated 85 million Americans have acquired the herpes simplex (cold sore) virus. And the majority had received the virus before the age of 3.
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