tag:blogger.com,1999:blog-57534443475688119612023-11-15T08:10:49.964-08:00privateaddictionclinicprivateaddictionclinichttp://www.blogger.com/profile/02123821291400393494noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-5753444347568811961.post-89431266773248269002015-08-20T07:45:00.001-07:002015-08-20T07:45:52.250-07:00Synthetic cannabis<header class="headline" data-beacon="{"p":{"mnid":"headline"}}" style="box-sizing: inherit; margin-top: 15px; margin-bottom: 15px;"><div class="headline__title-container" style="box-sizing: inherit; margin: 0px auto; padding: 0px; max-width: 580px;"><h1 class="headline__title" style="box-sizing: inherit; margin: 0px 10px 0px 0px; padding: 0px; visibility: visible; display: inline; word-wrap: break-word; font-size: 17px; -webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Synthetic Cannabis: It's Not the Real Thing. Buyers, Beware!</h1></div><div class="timestamp" style="box-sizing: inherit; margin: 10px auto 15px; padding: 0px; max-width: 580px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"> <span class="timestamp__date--published" style="box-sizing: inherit;">Nov 20, 2014</span> | <span class="timestamp__date--modified" style="box-sizing: inherit;"><strong style="box-sizing: inherit;">Updated</strong> Jan 19, 2015</span></span></div><ul class="author-list" style="box-sizing: inherit; margin: 15px auto; padding: 15px 0px 0px; max-width: 580px; border-top-width: 1px; border-top-style: dotted; border-top-color: rgb(153, 153, 153); list-style: none;"><li class="author-card" style="box-sizing: inherit; margin: 0px; padding: 0px; display: -webkit-inline-flex; -webkit-box-orient: horizontal; -webkit-box-direction: normal; -webkit-flex-direction: row; -webkit-box-pack: center; -webkit-justify-content: center; -webkit-align-content: stretch; -webkit-box-align: center; -webkit-align-items: center; width: 345px; text-align: left; -webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><div class="author-card__headshot" style="box-sizing: inherit; margin: 0px 15px 0px 0px; padding: 0px; background-size: cover; -webkit-box-flex: 0; -webkit-flex: 0 0 auto; border-top-left-radius: 50%; border-top-right-radius: 50%; border-bottom-right-radius: 50%; border-bottom-left-radius: 50%; border: 1px solid rgb(229, 229, 229); background-clip: content-box; height: 50px; width: 50px; background-image: url(http://s.huffpost.com/contributors/adam-winstock/headshot_color.jpg), url(http://s.huffpost.com/contributors/adam-winstock/headshot.jpg); background-position: 50% 50%, 50% 50%; background-repeat: no-repeat no-repeat;"></div><div class="author-card__details" style="box-sizing: inherit; margin: 0px; padding: 0px 15px 0px 0px; -webkit-box-flex: 1; -webkit-flex: 1 1 auto;"><a class="author-card__details__name" data-beacon="{"p":{"lnid":"author"}}" href="http://m.huffpost.com/us/author/adam-winstock" style="box-sizing: inherit; font-weight: bold; text-decoration: none;">Adam Winstock</a> Founder, Global Drug Survey, Consultant Psychiatrist & Addiction Medicine Specialist</div></li></ul></header><div class="entry-text" style="box-sizing: inherit; margin: 15px 0px 0px; padding: 0px; word-wrap: break-word;"><p style="box-sizing: inherit; margin: 0px auto; padding: 0px 0px 5px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Global Drug Survey (GDS) has been researching synthetic cannabis products for the last four years. We've published the largest studies of their use in the world. The overall findings are that synthetic cannabis (SCs) products are far less desirable, with 93 percent stating a preference for the real thing and more risky with more unwanted effects than natural high potency weed (<em style="box-sizing: inherit;">Winstock and Barrat 2013 -- Drug and Alcohol Dependence</em>). </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">I initially thought the very high rate of those seeking emergency medical treatment after their use (about 1 in 30-40 last year users -- <em style="box-sizing: inherit;">Winstock and Barratt 2013 Human Psychopharmacology</em>) was simply a reflection of the fact that these compounds, unlike THC, are full receptor agonists (meaning that there is not a ceiling on how stoned you get) and were not manufactured with much care or precision when it came to the amount of active product being sprayed onto each gram of inert herbal material. Many SCs are much more potent (sometimes hundreds of times more) than THC and SC products contain no counterbalance such as CBD. A colleague suggested the reason for higher rates of adverse effects might be that these products were unregulated and therefore there was little quality control and this explained the increased risk. That suggestion lost some validity to my mind last year, when the findings from GDS2014 revealed that the highest rates seeking emergency medical treatment after using SC products was seen in the one country in the world where there was a regulated market for them, New Zealand. In as yet unpublished research by GDS, 3.8 percent of 345 last year users of SC products in New Zealand reported seeking emergency medical treatment. That's almost one in 25 users. That's huge. And one in four were admitted to hospital. Was it a surprise? Not really, given that new regulations only applied to new products in New Zealand so less potent products that have been used prior to the change in laws were forced to be removed from the market and replaced by less familiar and often more potent synthetic cannabis products. To date, based on our analysis of several thousand users, we estimate that compared to natural cannabis the risk of seeking emergency medical treatment is at least 30 times higher than with natural weed (<em style="box-sizing: inherit;">Winstock</em> et al paper in press and as reported at Stuff.Co.NZ). </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">The laws of common sense and basic economic theory (there's lots of natural weed supply in the world) would therefore suggest that the market for SC products should be dying. And yet, they represent the fastest growing group of novel psychoactive drugs reported to international monitoring agencies like the EMCDDA. One reason is that when one set of synthetic cannabinoids are regulated for -- there's a whole truck full waiting to be dissolved in acetone and sprayed on damiana and lettuce leaf, dried, packaged and sold for a hefty profit (really huge profits with no need for elegant hydro set-ups, electricity and water). Now of course just because new SC are being reported to monitoring agencies and are being sold online and in shops does not equal widespread use. And at least in most countries we surveyed last year as part GDS2014 (with almost 80,000 people taking part), only rarely did SC products make it into the top 20 drugs being used in the last year (by a group with higher drug use experience than the general population) with prevalence rates sitting between 0.5-2 percent. I think this is what we would expect however when there is easy access to good quality weed or other natural cannabis preparations in most countries. Even in New Zealand the last year prevalence of use only reached 6.8 percent, compared to 35 percent for natural cannabis. So it's not like there was huge supply deficit in the global cannabis market as there was when mephedrone (a now illegal synthetic cathinone) arrived to fill the tanks of European and especially British clubbers fed up with poor quality MDMA and expensive even poorer quality cocaine. So to be honest I am a bit surprised that SC products have hung around. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">So why is there still demand? Why use a less desirable product when a more preferable one is usually available? Well at least in some cases (GDS data suggests only a minority) it will be to avoid workplace drug screens. I work in a prison and know at times these products have had real currency for some people and the same could be said for those in transport, mining and other risk critical areas. But it's not just avoidance of detection which I suspect is an issue for only a fraction of users. It's also price, potency and the bang for the buck. Because the truth is that over the last decade high potency weed has increased in price relative to other drugs in many parts of the world. At a mean price of around €10/gram and most people getting 3-4 joints out of gram, for many people, pot smoking has become an expensive habit (pity the Irish, home to the most expensive weed in the world with a gram costing €20-25). And for some people, using a more potent but less desirable product might just be function of economy. I bumped into a guy the other day in a head shop in London. He was buying a 3gm deal of Cherry Bomb for £25. I asked, "wouldn't you rather smoke some nice weed?" </span></p><div class="advertisement mobileweb_transporter_mid" data-beacon="{"p":{"mnid":"ad","lnid":"mobileweb_transporter_mid"}}" label="Advertisement" style="box-sizing: inherit; margin: 0px; padding: 0px; display: inherit; width: 345px; text-align: center;"><div id="adsDiv2" style="box-sizing: inherit; margin: auto; padding: 0px;"></div></div><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">"Yeah," he said, "I'm a weed man but I only get 3 spliffs from a gram; I can get 25 spliffs out of this -- I use it to sleep, saves on my use of nice weed." </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">I replied, "But the high you get from the synthetic stuff is not as nice, why use it?"</span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">"Money bro, it's all about money, and I know I need more of this stuff now to get to sleep than I used to so I know my argument is rubbish." </span></p></div>privateaddictionclinichttp://www.blogger.com/profile/02123821291400393494noreply@blogger.com0tag:blogger.com,1999:blog-5753444347568811961.post-31491249889603718022015-07-21T16:16:00.001-07:002015-07-21T16:16:10.521-07:00Dr Dhandayudham talks to the Huffington Post<div class="header-container" style="box-sizing: inherit; margin: 0px; padding: 0px; width: 375px; top: 0px; left: 0px; right: 0px; height: 50px; -webkit-backface-visibility: hidden; -webkit-transform: translateZ(0px); -webkit-transition: -webkit-transform 0.33s; transition: -webkit-transform 0.33s; z-index: 5000001; position: fixed;"><div class="header" data-beacon="{"p":{"mlid":"navbar"}}" style="box-sizing: inherit; margin: 0px; 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margin: 0px; padding: 15px 15px 0px;"><header class="headline" data-beacon="{"p":{"mnid":"headline"}}" style="box-sizing: inherit; margin-top: 15px; margin-bottom: 15px;"><span class="entry-eyebrow" style="box-sizing: inherit; max-width: 580px; margin-left: auto; margin-right: auto; margin-bottom: 5px; display: block;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">THE BLOG</span></span><div class="headline__title-container" style="box-sizing: inherit; margin: 0px auto; padding: 0px; max-width: 580px;"><span style="font-size: 17px; -webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><h1 class="headline__title" style="box-sizing: inherit; margin: 0px; padding: 0px; visibility: visible; display: inline; word-wrap: break-word;">Not Another Anxiety Article</h1><div class="share-bar share-bar--instream" data-beacon="{"p":{"lnid":"share_tumblr"}}" style="box-sizing: inherit; margin: 0px 0px 0px 5px; padding: 0px; display: inline-block; overflow: hidden; vertical-align: top; position: relative;"><div class="share-bar__item tumblr" type="tumblr" style="box-sizing: inherit; margin: 0px; padding: 0px;"><a class="share-bar__item-link" href="" target="_blank" style="box-sizing: inherit; display: block; margin: auto; padding-top: 6px; height: 30px; width: 30px; text-decoration: none; border-top-left-radius: 4px; border-top-right-radius: 4px; border-bottom-right-radius: 4px; border-bottom-left-radius: 4px;"></a></div></div></span></div><div class="timestamp" style="box-sizing: inherit; margin: 10px auto 15px; padding: 0px; max-width: 580px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"> <span class="timestamp__date--published" style="box-sizing: inherit;">5 days ago</span> | <span class="timestamp__date--modified" style="box-sizing: inherit;"><strong style="box-sizing: inherit;">Updated</strong> 5 days ago</span></span></div><ul class="author-list" style="box-sizing: inherit; margin: 15px auto; padding: 15px 0px 0px; max-width: 580px; border-top-width: 1px; border-top-style: dotted; border-top-color: rgb(153, 153, 153); list-style: none;"><li class="author-card" style="box-sizing: inherit; margin: 0px; padding: 0px; display: -webkit-inline-flex; -webkit-box-orient: horizontal; -webkit-box-direction: normal; -webkit-flex-direction: row; -webkit-box-pack: center; -webkit-justify-content: center; -webkit-align-content: stretch; -webkit-box-align: center; -webkit-align-items: center; width: 345px; text-align: left; -webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><div class="author-card__headshot" style="box-sizing: inherit; margin: 0px 15px 0px 0px; padding: 0px; background-size: cover; -webkit-box-flex: 0; -webkit-flex: 0 0 auto; border-top-left-radius: 50%; border-top-right-radius: 50%; border-bottom-right-radius: 50%; border-bottom-left-radius: 50%; border: 1px solid rgb(229, 229, 229); background-clip: content-box; height: 50px; width: 50px; background-image: url(http://s.huffpost.com/contributors/kirsty-lemare/headshot_color.jpg), url(http://s.huffpost.com/contributors/kirsty-lemare/headshot.jpg); background-position: 50% 50%, 50% 50%; background-repeat: no-repeat no-repeat;"></div><div class="author-card__details" style="box-sizing: inherit; margin: 0px; padding: 0px 15px 0px 0px; -webkit-box-flex: 1; -webkit-flex: 1 1 auto;"><a class="author-card__details__name" data-beacon="{"p":{"lnid":"author"}}" href="http://m.huffpost.com/uk/author/kirsty-lemare" style="box-sizing: inherit; font-weight: bold; text-decoration: none;">Kirsty Lemare</a> Digital Brand Strategist and Writer: Expert in Social Media, Digital Marketing and Talking Too Much</div></li></ul></header><div class="entry-text" style="box-sizing: inherit; margin: 15px 0px 0px; padding: 0px; word-wrap: break-word;"><p style="box-sizing: inherit; margin: 0px auto; padding: 0px 0px 5px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">My heart hammers in my chest. My breath comes in laboured gasps. Every noise stabs at my consciousness like a hive of angry wasps, irritating me to the point of rage. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Panic floods my system, my sweating hands shake uncontrollably. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Am I under attack? Facing sudden death, or a major exam?</span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">No. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"></p><center style="box-sizing: inherit; max-width: 100%; margin-left: auto; margin-right: auto;"><div style="text-align: start;"><a href="http://images.huffingtonpost.com/2015-07-14-1436900249-3877395-shutterstock_162936569.jpg" data-beacon="{"p":{"mnid":"entry_text","lnid":"citation","mpid":0}}" style="box-sizing: inherit; -webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><font color="#000000"><img alt="2015-07-14-1436900249-3877395-shutterstock_162936569.jpg" src="http://images.huffingtonpost.com/2015-07-14-1436900249-3877395-shutterstock_162936569-thumb.jpg" width="610" height="420" style="box-sizing: inherit; max-width: 100%; height: auto;"></font></a></div><em style="box-sizing: inherit;"><div style="text-align: start;"><em style="box-sizing: inherit; 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padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">This terror - and it is terror, not panic, anxiety or stress - is caused by getting in my car. Any car. Ever. And it isn't just driving triggering the 'anxiety' I have been plagued with since my early twenties.</span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">I've always struggled with what people think of me socially, which was exacerbated when I found myself parenting a child with ADHD; a child with absolutely no filter. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"> My favourite example of this was his interest in the general election, where he took a particular shine to Nigel Farage (N.B. he is ten). This led to him contributing to a discussion about politics with 'well, really all the Polish should just be sent back'. Loudly. In a park full of Polish people. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">It was quite innocent I hasten to add. Once I explained why this was not ok, he was mortified, but it did lead to me wonder that given I spend around 80% of every day thinking: 'Jesus, will the floor not just swallow me up already,' I should probably be over it by now. I should be able to laugh it off. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">I'm not. Instead I smile at people who are rude to me. I shun any person or situation that causes my mind to become overwhelmed by negative internal messaging. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Except I can't shun my son, or gag him, mores the pity. Instead I do the maternal smile of death (gritted teeth, manic eyes, twitching jaw) and kick him under the table. In my head. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Client relations are especially fun. 'Can you change this Kirsty' sounds like: 'Call yourself a professional, you illiterate primate? I'm hiring a competitor RIGHT NOW!' </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">I am not alone. The number of women experiencing the same is shocking. The ADAA suggests up to 18 percent of the population struggle with anxiety at the moderate to debilitating level. A scan of my social groups put the figure closer to 25%.</span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"> These aren't neurotic types, with shaky hands and nervous dispositions. They are smart, outwardly confident women with successful lives. They are tortured by panic, fear and extreme self-doubt daily. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Googling 'women and anxiety' reveals 155,000,000 listings. On the Huffington Post alone there are over 37,000 mentions of the subject. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">You could be forgiven for thinking that the topic has been done to death and yet every day a new piece of advice, or statistic is given to highlight how serious and ingrained this issue has become. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">It isn't an understatement to suggest that fear and worry is epidemic amongst western women. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Why? </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Dr Arun Dhandayudham, Medical Director of the <a href="http://www.wdp.org.uk/" target="_hplink" data-beacon="{"p":{"mnid":"entry_text","lnid":"citation","mpid":1}}" style="box-sizing: inherit;">Westminster Drug Project</a> and a specialist in treating anxiety and panic disorders, suggests that although we all have anxiety to some degree. This fear was bred in to us by biological necessity as a survival instinct but usually lies fairly dormant. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">It is modern diets and lifestyles ramping up the tension to a level unexperienced by previous generations. He says:</span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">"I think it's a mix of stress, pressure, overwork, fatigue, lack of sleep, unrealistic expectations of oneself and others thrown at what people expect their lives to be like. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">"Our "always on" lifestyle does not really help."</span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Charles Linden, founder of <a href="http://charleslindenmethodreviews.com/2013/01/28/lindenmethodreviews/" target="_hplink" data-beacon="{"p":{"mnid":"entry_text","lnid":"citation","mpid":2}}" style="box-sizing: inherit;">The Linden Method,</a> which helps anxiety sufferers treat themselves without medication believes creative minds are often behind the issue. His research suggests that the creative mind is often the cause, due to its ability to visualise negative scenarios so easily. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Part of the issue is that there seems to be no consistent solution to the problem. Doctors refer to it as a mental health issue, and often prescribe drugs, instead of the more effective CBT which has a longer waiting list and a higher cost to the NHS. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Charles Linden's Nine Pillar Method has considerable success. In it, Linden explains that you are not anxious about driving, or seeing your friends. You were once, and your body naturally primed itself for feeling anxious the next time. Over time this grew leading to you feeling anxious about feeling anxious. The trick is to break the cycle. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Working similarly is ACT, or 'acceptance and commitment therapy', introduced to me by my talented friend and fellow anxiety sufferer, writer Rebecca Summits. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><font color="#000000"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><a href="http://www.actmindfully.com.au/" target="_hplink" data-beacon="{"p":{"mnid":"entry_text","lnid":"citation","mpid":3}}" style="box-sizing: inherit;">ACT,</a> championed by Russ Harris reflects Dr Dhandayudham's belief that anxiety is a natural state of being for human beings. Instead of fighting against it, the trick is to listen to what your anxiety is telling you about yourself or your life. </span></font></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Something all experts in the field point to is diet. Caffeine (be it in fizzy pop, coffee or chocolate), Nicotine, Alcohol - all have experienced a huge rise in consumption in the last 30-years. All contribute to an acceleration in the base line of anxiety. Ditch the chemicals, ditch the fear. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Meditation offers proven clinical benefits. Dr Dhandayudham's recommends 20-minutes a day. If you are in full panic cycle though it can be hard to sit for one minute, so apps like Headspace, offering mindfulness training in short bursts. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">The key thing to remember seems to be not to give in. No matter how bad it feels, you are unlikely to die. You are afraid. It WON'T last forever. So breathe. Breathe again. Talk to someone. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">We will be ok. Even if it's really hard to believe right now.</span></p><div class="tag-cloud" data-beacon="{"p":{"mnid":"more"}}" style="box-sizing: inherit; margin: 15px auto; padding: 0px; max-width: 100%;"><h2 style="box-sizing: inherit; margin: 0px; padding: 0px; visibility: visible; font-weight: bold;"><span style="font-size: 17px; -webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">More:</span></h2><font color="#000000"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><a class="tag" data-beacon="{"p":{"mpid":0}}" href="http://m.huffpost.com/uk/news/health" style="box-sizing: inherit; position: relative; padding: 10px; margin: 5px 5px 5px 0px; text-decoration: none; border-top-left-radius: 5px; border-top-right-radius: 5px; border-bottom-right-radius: 5px; border-bottom-left-radius: 5px; display: inline-block; font-weight: bold;">#Health</a> <a class="tag" data-beacon="{"p":{"mpid":1}}" href="http://m.huffpost.com/uk/news/mental-health" style="box-sizing: inherit; position: relative; padding: 10px; margin: 5px 5px 5px 0px; text-decoration: none; border-top-left-radius: 5px; border-top-right-radius: 5px; border-bottom-right-radius: 5px; border-bottom-left-radius: 5px; display: inline-block; font-weight: bold;">#Mental Health</a> <a class="tag" data-beacon="{"p":{"mpid":2}}" href="http://m.huffpost.com/uk/news/stress" style="box-sizing: inherit; position: relative; padding: 10px; margin: 5px 5px 5px 0px; text-decoration: none; border-top-left-radius: 5px; border-top-right-radius: 5px; border-bottom-right-radius: 5px; border-bottom-left-radius: 5px; display: inline-block; font-weight: bold;">#Stress</a></span></font></div><div class="comment-button" data-beacon="{"p":{"mnid":"comments","lnid":"open"}}" data-headline="Not Another Anxiety Article" data-id="7796042" data-timestamp-modified-date="Updated 5 days ago" data-timestamp-published-date="5 days ago" data-url="http://www.huffingtonpost.co.uk/kirsty-lemare/not-another-anxiety-article_b_7796042.html" style="text-align: start; 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margin: 0px; padding: 0px 0px 4px; -webkit-box-flex: 0; -webkit-flex: 0 0 auto; -webkit-align-self: flex-end; width: 55px; font-size: 18px; font-family: Helvetica, Roboto, Arial, sans-serif; -webkit-text-size-adjust: 100%;"></div></div>privateaddictionclinichttp://www.blogger.com/profile/02123821291400393494noreply@blogger.com0tag:blogger.com,1999:blog-5753444347568811961.post-10001349947749231172015-07-17T14:27:00.001-07:002015-07-17T14:27:27.224-07:00The 7 day NHS- a Joke<div><br></div><div><header class="headline" data-beacon="{"p":{"mnid":"headline"}}" style="box-sizing: inherit; margin-top: 15px; margin-bottom: 15px;"><div class="headline__title-container" style="box-sizing: inherit; margin: 0px auto; padding: 0px; max-width: 580px;"><span style="font-size: 17px; -webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><h1 class="headline__title" style="box-sizing: inherit; margin: 0px; padding: 0px; visibility: visible; display: inline; word-wrap: break-word;">Why I Don't Want a Seven Day NHS Treating My Family</h1><div class="share-bar share-bar--instream" data-beacon="{"p":{"lnid":"share_tumblr"}}" style="box-sizing: inherit; margin: 0px 0px 0px 5px; padding: 0px; display: inline-block; overflow: hidden; vertical-align: top; position: relative;"><div class="share-bar__item tumblr" type="tumblr" style="box-sizing: inherit; margin: 0px; padding: 0px;"><a class="share-bar__item-link" href="" target="_blank" style="box-sizing: inherit; display: block; margin: auto; padding-top: 6px; height: 30px; width: 30px; text-decoration: none; border-top-left-radius: 4px; border-top-right-radius: 4px; border-bottom-right-radius: 4px; border-bottom-left-radius: 4px;"></a></div></div></span></div><div class="timestamp" style="box-sizing: inherit; margin: 10px auto 15px; padding: 0px; max-width: 580px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"> <span class="timestamp__date--published" style="box-sizing: inherit;">1 day ago</span> | <span class="timestamp__date--modified" style="box-sizing: inherit;"><strong style="box-sizing: inherit;">Updated</strong> 23 hours ago</span></span></div><ul class="author-list" style="box-sizing: inherit; margin: 15px auto; padding: 15px 0px 0px; max-width: 580px; border-top-width: 1px; border-top-style: dotted; border-top-color: rgb(153, 153, 153); list-style: none;"><li class="author-card" style="box-sizing: inherit; margin: 0px; padding: 0px; display: -webkit-inline-flex; -webkit-box-orient: horizontal; -webkit-box-direction: normal; -webkit-flex-direction: row; -webkit-box-pack: center; -webkit-justify-content: center; -webkit-align-content: stretch; -webkit-box-align: center; -webkit-align-items: center; width: 345px; text-align: left; -webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><div class="author-card__headshot" style="box-sizing: inherit; margin: 0px 15px 0px 0px; padding: 0px; background-size: cover; -webkit-box-flex: 0; -webkit-flex: 0 0 auto; border-top-left-radius: 50%; border-top-right-radius: 50%; border-bottom-right-radius: 50%; border-bottom-left-radius: 50%; border: 1px solid rgb(229, 229, 229); background-clip: content-box; height: 50px; width: 50px; background-image: url(http://s.huffpost.com/contributors/dr-zoe-norris/headshot_color.jpg), url(http://s.huffpost.com/contributors/dr-zoe-norris/headshot.jpg); background-position: 50% 50%, 50% 50%; background-repeat: no-repeat no-repeat;"></div><div class="author-card__details" style="box-sizing: inherit; margin: 0px; padding: 0px 15px 0px 0px; -webkit-box-flex: 1; -webkit-flex: 1 1 auto;"><a class="author-card__details__name" data-beacon="{"p":{"lnid":"author"}}" href="http://m.huffpost.com/uk/author/dr-zoe-norris" style="box-sizing: inherit; font-weight: bold; text-decoration: none;">Dr Zoe Norris</a> GP working in the NHS</div></li></ul></header><div class="entry-text" style="box-sizing: inherit; margin: 15px 0px 0px; padding: 0px; word-wrap: break-word;"><p style="box-sizing: inherit; margin: 0px auto; padding: 0px 0px 5px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Jeremy Hunt has announced with a not insignificant amount of aggression, that he intends to force through seven day working for NHS hospital consultants, regardless of whether a contract can be agreed at the negotiating table with the British Medical Association (BMA). There is inevitably a lot of anger about this, but I was met with the usual derisory comments when I tweeted my thoughts. That some careers in medicine are now a lifestyle choice. That it's good for patients. That thousands of patients die at weekends and its the doctors' fault. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Anyone in their right mind knows by now that the Department of Health and Jeremy Hunt are lying through their teeth about the NHS. Those extra doctors in the Conservative manifesto? No, they're not coming. He admitted this and the fact that there was "flexibility" in the figures because it turns out it's hard to recruit GPs at the moment. (Gasps from the entire medical profession - who knew??!) Instead you're getting the new role of Physician Assistants straight from the American model of healthcare which is universally accepted as being top notch for everyone in the population there... They will train for only two years, and are intended to replace doctors in taking histories from patients and examining them. They can't prescribe yet, but plans are underway to allow them to. Clearly we have been overdoing it as a nation with a reputation for the best medical schools in the world, with our wasteful five years at University, two years junior doctor training, and five-10 years minimum to specialise as a GP or hospital doctor. I wish I'd known this before I had to take out those tuition fee loans. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Now he wants to unilaterally impose contract change as the monopoly employer of hospital consultants, to force seven-day-a-week routine working. That annual review for the cancer you had four years ago, can now be done on Saturday at 4pm. You can bring your elderly relative through the reduced public transport system to have their pre-op assessment on a Sunday at 6pm. You can enjoy your colonoscopy at 9am on a Bank Holiday. This is not URGENT care, it is routine care. Do not fall into Mr Hunt's trap of thinking there are no consultants in hospitals from 5pm on a Friday, till 9am on a Monday morning. He wants you to think that. It is a lie. I have a few problems with his latest ridiculous idea. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">1) Like the rest of the NHS, there is a massive shortage of consultants. Key specialities like A&E and psychiatry cannot recruit, much like general practice. Enforced changes to the consultant training is happening, as the government try to rush through new doctors, with all grades of hospital doctor expressing huge concerns that this will lead to consultants qualifying without having the chance to spend enough time training as they want to. If you push routine cover onto a depleted workforce, you either cause dangerous working conditions in the form of excessively long hours (hands up who wants the over-tired 68-year-old consultant operating on them at the end of an 80 hour week?), or you sacrifice mid-week care and create the same situation on another two days a week.</span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">2) Consultants are amazing. They work incredibly hard and I have massive respect for them. But filling the hospital with these highly trained, skilled professionals on a Saturday and Sunday will be useless, because they do not work alone. Mr Hunt needs to unilaterally alter the contracts of all junior doctors, all nurses, nurse practitioners, phlebotomists, theatre staff, receptionists, secretaries, administrators, managers, catering staff, and I am sure many others. He also needs to employ all of social services to work a full seven days as they too currently have a duty team on call at evenings, nights and weekends. There's a lot of these groups that have unions. I wonder if he's considered that. Until he looks beyond the simplistic idea of more consultants = more patients seen, imposing his seven day contract is absurd. And guess what? This will cost money. That thing the NHS doesn't have and the government aren't prepared to invest. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">3) The government is about to change the law on strike action. This isn't a coincidence. In future, more than 40% of union members will have to take part in a vote to strike, with over 50% voting in favour of the action for it to pass. Considering the current government was elected to rule the country on 36.9% of the national vote, and they have found the money to just give themselves a 10% pay rise, it's a bitter pill to swallow. They have ignored the recommendations of the independent pay bodies for NHS staff, but have acceded to those for Westminster. NHS staff have always been held to ransom as any talk of strike action leads to rapid allegations of patient harm. To be crystal clear, no one wants patients to come to any harm. We are all patients too, with loved ones treated by the NHS. But that is why we are trying to kick up a fuss. Ultimately this plan of Mr Hunt's, implemented as he proposes, will harm patients. There will be no continuity in secondary care, and it is almost lost entirely in primary care now. Running stretched medical teams on a full shift-based rota means a literal handover of patients, with key decisions made by different staff several times a day. These are the sickest most complex patients. They need the care of a firm of their own doctors. </span></p><p style="box-sizing: inherit; margin: 0px auto; padding: 5px 0px; max-width: 100%;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">A truly seven day NHS is something we should aspire towards. I don't disagree with that. But as with everything else, it is the timescale and funding which is wholly unrealistic and will inevitably lead to harm to patients. Can he not remember the waiting time breaches of last winter? Is he ignoring the GP practices closing across the country? This is not doctors wanting a lifestyle choice. Our first role is to act in our patients best interests, as an advocate for them. Why does Mr Hunt refuse to listen to the profession, both at national and grass roots level? Why is he hell bent on chasing headlines and not on improving care and patient safety? He bangs on about not repeating events at Mid-Staffs, but patient care IS being compromised and will only be more so, if common sense continues to be so hugely ignored in the decision making process. The NHS can be better, if he takes a second to stop this headlong rush towards disaster. </span></p></div></div>privateaddictionclinichttp://www.blogger.com/profile/02123821291400393494noreply@blogger.com0tag:blogger.com,1999:blog-5753444347568811961.post-5474937274593218232015-07-08T01:53:00.001-07:002015-07-08T01:53:54.273-07:00Cigarettes and Plain Packaging: Does it actually matter?<p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><span class="s3" style="font-weight: bold;">Cigarettes and plain packaging</span><span class="s3" style="font-weight: bold;">; Does it actually matter?</span></span></p><p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span class="s2" style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Brands do have an appeal. That’s why Tobacco companies spend millions promoting a brand and defending the right to keep the brand prominent on retailer shelves.</span></p><p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span class="s2" style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><br></span></p><p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span class="s2" style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Brands create expectations in the mind of the user and the mind of the person watching the user. Brands create and exploit the “emotional connect”. Using a brand makes people feel good about themselves and has prestige appeal.</span></p><p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span class="s2" style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Branding is especially significant where young people are involved. In the UK about 600 children start smoking every single day. This equates to 200000 children per year. In a declining smoking market like the UK, it is vitally important for the tobacco companies to attract the next generation of paying customers before they kill off their current customers. Young people are far more likely to be affected by branding than the older long term smoker who may be happy with roll ups.</span></p><p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span class="s2" style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><br></span></p><p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span class="s2" style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">In the UK, the packaging will most likely just have a brand name and make along with a stark health warning. This already has been in force in Australia for a few years and has been recently adopted in Ireland too.</span></p><p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span class="s2" style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><br></span></p><p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><span class="s2">The tobacco companies feel that this brand masking will lead to increased smuggling, possibly more illegal activity and will affect struggling retailers. They feel people may use more rollups. </span><span class="s2">THIS IS </span><span class="s2">RUBBISH</span><span class="s2"> and has all been proved wrong.</span></span></p><p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><span class="s2"><br></span></span></p><p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span class="s4" style="text-decoration: underline; -webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">So what happens when you use plain packaging for cigarettes?</span></p><p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><span class="s2">Firstly it makes the packet less appealing. Young people associate colours like drab brown or olive with more </span><span class="s2">harms</span><span class="s2">.</span></span></p><p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><span class="s2"><br></span></span></p><p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span class="s2" style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Secondly consumers think it tastes worse. This is akin to coffee tasting better in white cups than takeaway cups.</span></p><p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span class="s2" style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><br></span></p><p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span class="s2" style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Thirdly plain packaging increases negative feelings and perception and people have more thoughts of quitting</span></p><p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span class="s2" style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><br></span></p><p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span class="s2" style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Financially, excise and customs duty from sales of cigarettes fell 3.4% in Australia. This proves that plain packaging did affect cigarette sales. EVEN A 2% REDUCTION IN SMOKING INITIATION FOR YOUNG PEOPLE MEANS 4000 FEWER NEW SMOKERS EACH YEAR. This is a goal worth aspiring to.</span></p><p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span class="s2" style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><br></span></p><p class="s2" style="margin-top: 0px; margin-bottom: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><span class="s2">It is also easy to see why food companies are worried. High refined sugar products may be next on the hit list</span><a name="_GoBack"></a><span class="s2">.</span></span></p>privateaddictionclinichttp://www.blogger.com/profile/02123821291400393494noreply@blogger.com0tag:blogger.com,1999:blog-5753444347568811961.post-60961968064967192432015-06-19T21:16:00.001-07:002015-06-19T21:16:22.288-07:00Midlife satisfaction and sleep quality<div id="articleHead" style="margin-bottom: 10px;"><h1 style="margin: 0px 10px 0px 0px; padding: 0px; font-weight: normal;"><span style="font-size: 17px; -webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Life Satisfaction Affects Sleep in Midlife</span></h1><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><p id="authors" style="margin: 0px 0px 5px; padding: 0px 7px 0px 0px; position: relative; display: inline; border-right-width: 1px; border-right-style: solid; border-right-color: rgb(136, 136, 136);">Megan Brooks</p><span id="authorComments"></span></span><span id="authorDate" style="margin: 4px 0px 0px; padding: 0px; display: block;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">June 15, 2015</span></span></div><div class="spacer" style="clear: both;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"> </span></div><div id="articleSidebar"><div id="relatedlinks"></div></div><div id="articleContent"><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">SEATTLE, Washington — Middle-aged adults who are more satisfied with their life are apt to fall asleep faster than their less satisfied peers, a new study hints.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">In analyzing survey data from 3950 adults who took part of the Midlife in the United States II (MIDUS-II) study, researchers found that those with higher life satisfaction reported shorter sleep-onset latency (SOL).</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">"Life satisfaction is interlinked with many measures of sleep and sleep quality, suggesting that improving one of these variables might result in improvement in the other," lead author Hayley O'Hara, recent graduate of Ohio Northern University in Ada, told <em>Medscape Medical News</em>.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">She presented her research, conducted under the supervision of Megan Clegg-Kraynok, PhD, at Ohio Northern, here at SLEEP 2015: the Annual Meeting of the Associated Professional Sleep Societies.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><b style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">A Hectic Time</b></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">In the MIDUS-II study, a 6-item life satisfaction survey was used to group participants as having low, medium, and high levels of satisfaction, and a subjective measure of minutes it takes to fall asleep was used to measure SOL. Participants had a mean age of 57 years, and 55% were women.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">"I was interested in the midlife in the MIDUS-II dataset as they managed to collect a great amount of data from a population that is not as well studied," O'Hara said in an interview. "Midlife is a busy time in one's life with family, jobs and other responsibilities that make it difficult to recruit for any kind of research."</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">A review of the literature suggests there is a lot of research on well-being and sleep deprivation, she noted, "but not much within the facet of life satisfaction. Life satisfaction is one of many factors that are contained within well-being."</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">A one-way analysis of variance showed that the effect of satisfaction on SOL was significant (<em>P</em> < .001), with low life satisfaction related to delayed sleep onset during midlife, she reported.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Respondents with higher life satisfaction reported shorter SOL, and only those with high life satisfaction were within the normal range of SOL. "Sleep-onset delay among those with low life satisfaction could be the result of worry and anxiety," O'Hara said.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">"This poster is fantastic. It's simple but it has a lot to say," Christopher Winter, MD, medical director of the Martha Jefferson Hospital Sleep Medicine Center in Charlottesville, Virginia, and member of the American Academy of Sleep Medicine, noted in an interview with <em>Medscape Medical News</em>. "It shows that how happy you are with your life correlates with how long it takes you to fall asleep," he said.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">"If your house is being foreclosed on or your wife is cheating on you and you have a lot of things on your mind, it may take you a little while to fall asleep and but that's okay. The problem is that often these people will go to bed not when they are sleepy, but when they want to be done with the day," Dr Winter said.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">He also said having some trouble falling asleep is not a reason to turn to sleeping pills. "People want to be able to control their sleep like a switch. When they get in bed at night at 11 pm, they want to fall asleep immediately. If they're awake for more than 5 minutes thinking about their life, they get depressed," Dr Winter commented.</span></p><div class="incontentAdUnit"></div><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">"Some people get a powerful negative feeling when it takes them an hour or so to fall asleep," he added. "They think it's a problem, so much so that wanting to escape that negative feeling can easily make people commit to taking sleep pills for the rest of their lives. That's why a lot of people drink themselves to sleep, they want to check out quickly. If they don't, they see it as a failure," Dr Winter said.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">A "key" message for these people: "worry less about it," he concludes.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><em style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">The MIDUS II study is funded by the National Institute on Aging. The authors and Dr Winter have disclosed no relevant financial relationships. </em></p><div class="incontentAdUnit"></div><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">SLEEP 2015: Annual Meeting of the Associated Professional Sleep Societies. Poster 84. Presented June 8, 2015.</span></p></div>privateaddictionclinichttp://www.blogger.com/profile/02123821291400393494noreply@blogger.com0tag:blogger.com,1999:blog-5753444347568811961.post-40419400550474231252015-06-19T14:27:00.001-07:002015-06-19T14:27:34.281-07:00Fermented foods and anxiety<div id="articleHead" style="margin-bottom: 10px;"><h1 style="margin: 0px 10px 0px 0px; padding: 0px; font-weight: normal;"><span style="font-size: 17px; -webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Social Anxiety? Fermented Foods May Help</span></h1><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><p id="authors" style="margin: 0px 0px 5px; padding: 0px 7px 0px 0px; position: relative; display: inline; border-right-width: 1px; border-right-style: solid; border-right-color: rgb(136, 136, 136);">Megan Brooks</p><span id="authorComments"></span></span><span id="authorDate" style="margin: 4px 0px 0px; padding: 0px; display: block;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">June 15, 2015</span></span></div><div class="spacer" style="clear: both;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"> </span></div><div id="articleSidebar"><div id="relatedlinks"></div></div><div id="articleContent"><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">A diet rich in fermented foods and beverages likely to contain probiotics may help curb social anxiety in young adults, especially those who are highly neurotic, new research suggests.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">"While our study cannot definitely determine a causal relationship between fermented food consumption and social anxiety, in combination with the preclinical and clinical studies, our findings suggest that eating more fermented foods can decrease social anxiety," Matthew Hilimire, PhD, an assistant professor in the Department of Psychology, College of William and Mary, Williamsburg, Virginia, told <i>Medscape Medical News.</i></span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">"Future studies could test potential applications, such as supplementing drug or cognitive-behavioral therapy with fermented foods," he said.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">The study was published in the August 15 issue of <i>Psychiatry Research </i>and is available <a href="http://www.psy-journal.com/article/S0165-1781(15)00214-0/abstract" style="text-decoration: none;">online</a>.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><b style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Gut-Brain Interaction</b></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">The study included 710 students enrolled in introductory courses in psychology at the College of William and Mary. The participants completed questionnaires about fermented food consumption, neuroticism, and social anxiety.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">The questionnaire asked about a variety of foods, including yogurt; kefir or food or beverages that contain yogurt; soy milk; miso soup; sauerkraut; dark chocolate; juices that contain microalgae; pickles; tempeh; and kimchi.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">"Not all of these foods necessarily had active cultures, but they have the potential to contain probiotics and bioactive peptides," Dr Hilimire said.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">In an interaction model that controlled for demographics, general consumption of healthful foods, and frequency of exercise frequency, the researchers found that exercise frequency, neuroticism, and fermented food consumption significantly and independently predicted social anxiety.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Fermented food consumption also interacted with neuroticism in predicting social anxiety. That is, in students with high degrees of neuroticism, a higher frequency of fermented food consumption correlated with fewer symptoms of social anxiety.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">These observations are in line with previous preclinical and clinical trials suggesting that probiotics can have an anxiolytic effect, the researchers say. However, this is the first study to examine the relationship between probiotics and social anxiety, they point out.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">"Our study was not able to address the mechanisms because it was a survey of normal eating patterns, social anxiety, and personality. However, previous preclinical studies have suggested potential mechanisms," Dr Hilimire told <i>Medscape Medical News.</i></span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">"For example, probiotics reduce the permeability of the gut, so harmful substances don't leak out. Probiotics also reduce inflammation of the gut. Because anxiety is often accompanied by gastrointestinal symptoms, reducing gut inflammation helps alleviate those symptoms," he explained.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">"Probiotics have also been shown to modify the body's response to stress, and stress response is highly linked to mental health disorders, such as social anxiety. In addition, consumption of fermented milk has been shown to reduce the brain's response to negative facial expressions. By reducing the brain's response to negative social stimuli, social anxiety symptoms might be reduced," Dr Hilimire noted.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><b style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Public Health Implications</b></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">Commenting on the findings for <i>Medscape Medical News</i>, Bonnie J. Kaplan, PhD, who studies nutrition and mood at the University of Calgary, in Alberta, Canada, said research on the gut microbiome is expanding enormously, as is research on genetic influences on mental disorders.</span></p><div class="incontentAdUnit"></div><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">"This study is interesting in how it ties together several relevant threads of personality, food intake, and exercise ― specifically, personality traits presumed to reflect genetic predisposition, such as neuroticism, a measure of social phobia and anxiety, reported exercise levels, and dietary intake of fermented foods as well as fruits and vegetables."</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">"Also of interest is the fact that the information was not collected from a clinical sample of people with diagnosed anxiety disorders...participants were first-year psychology students in an American liberal arts university. This means the results have implications for broad, population health," said Dr Kaplan.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">"The authors interpret their results as indirect evidence that probiotics (assumed to be in the fermented foods) are combating anxiety. This final point is an inference that will need further research," she added.</span></p><div class="incontentAdUnit"></div><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">As <a href="http://www.medscape.com/viewarticle/760540" style="text-decoration: none;">reported previously</a> by <i>Medscape Medical News</i>, Dr Kaplan's own research has shown a strong link between higher levels of nutrient intake and better mental health ― adding to the growing body of evidence demonstrating the critical role of diet in mood disorders.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">The authors and Dr Kaplan report no relevant financial relationships.</span></p><p style="margin: 0px 0px 12px; padding: 0px;"><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);"><i>Psychiatry Res.</i> 2015;228:203-208. <a href="http://www.psy-journal.com/article/S0165-1781(15)00214-0/abstract" style="text-decoration: none;">Abstract</a></span></p></div>privateaddictionclinichttp://www.blogger.com/profile/02123821291400393494noreply@blogger.com0tag:blogger.com,1999:blog-5753444347568811961.post-56389900091488054042015-04-21T02:39:00.000-07:002015-04-21T02:39:00.502-07:00Methadone Script<div dir="ltr" style="text-align: left;" trbidi="on">
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