Showing posts with label Mental Health. Show all posts
Showing posts with label Mental Health. Show all posts

This content has been sourced by ndtv.com under their RSS syndication rules. The copyright of the content below remains their property


 


Actress Mila Kunis has been alerted by police after her stalker escaped from a mental health facility.


 


The Jupiter Ascending actress, who has seven-month-old daughter Wyatt with Ashton Kutcher, has been alerted by police after 27-year-old Stuart Lynn Dunn made an ‘unauthorised departure’ from a psychiatric clinic in Pomona, California on the night of May 30. A hunt for the man is ‘in progress and ongoing’, Los Angeles County sheriff’s Lt. Martin Rodriguez has confirmed, reports femalefirst.co.uk.


 


Stuart Dunn was ordered to undergo treatment in the clinic after pleading no contest to felony stalking in January 2013.


 


The man was arrested in February 2012 when he was found living in an empty house owned by the actress and was subsequently made the subject of a restraining order.


 


However, he was arrested again in May that year for breaching the order after he showed up at Mila’s gym three days in a row.


 


Apart from being ordered to seek rehabilitation treatment, Stuart Dunn was also told to stay away from 31-year-old actress, her agents, managers and assistants for 10 years under the terms of his plea deal, and also placed on probation for five years.


 

 


To understand an addict, you need to look beyond behaviors or the source of addiction. Substance abuse goes far below the surface, and actually causes a transformation in the brain. When an addict says they can’t quit, it’s the truth. The brain has been altered through addiction and prompts a compulsion to get more of the drug of choice in order to function. It’s a Catch-22. More of the drug is needed to get through each day, the more abusive substance is used, and the more damage is done to the brain until it gets to the point of no return. Only professional help at an outpatient drug rehab facility can turn an addict’s life around.


 


How the Brain Changes through Drug Addiction


You can identify an addict when you see someone who has an intense need for the source of an addiction to the point that living revolves around that drug. A victim of addiction no longer has any control over substance abuse and will do anything to get more, regardless of the consequences. All of these behaviors are due to changes that have taken place in the brain. It begins with how the brain registers the feeling of pleasure. Dopamine is a neurotransmitter that is released in the brain when positive feelings are experienced. It makes a person feel good, and that is the key to addiction. Drugs cause a surge of dopamine to be released, providing intense pleasure. Through repeated use of a drug, the brain is trained to like the drug and want more of it until it becomes a need to feel those same chemicals.


 


The Psychosis of Addiction

As the brain becomes altered through addiction, psychosis is common as well. Those who are under the influence of any form of drug over a prolonged period of time may experience a gamut of psychological issues. Changes in personality, intense anxiety, the inability to focus, and gaps in memory are par for the course for victims of addiction. When the brain is changed in any way, it will be exhibited through behaviors and alterations in thought processes. In order to address these problems with addiction, it is necessary to get professional help in a medical facility. Drug rehab assists an individual in breaking free from the source of addiction and retraining the brain to function normally once again.


 


Changes in the brain pull victims of addiction back in for more abuse time after time. It is important to understand that substance abuse is beyond the control of the individual. Drug rehab can establish new patterns in the brain and assist an addict in finding the path to sobriety once again.


 

 


While most of us have heard of common eating disorders such as anorexia and bulimia, another similar condition that has been around for decades is only just now beginning to gain recognition, and it can be as destructive as its more well-known counterparts. While it has yet to be included in the DSM-IV (the Diagnostic and Statistical Manual used by mental health practitioners to diagnose mental health issues), orthorexia was coined by physician Steven Bratman back in 1979.  And as the world we live in becomes one that is more and more obsessed with searching for the “right” type of diet, this type of condition becomes more commonly found amongst those who suffer.


 


How does orthorexia differ from anorexia and bulimia?


 


Unlike anorexia nervosa, where the sufferer wants to eat as little as possible, and bulimia nervosa, where the sufferer binges and purges their food in order to prevent gaining weight, with orthorexia those suffering become obsessed with what they believe to be (but what may not be) “healthy eating”.


 


According to Emmy Gilmour, Clinical Director at London-based eating disorder recovery clinic The Recover Clinic, “Orthorexia is when a way of eating shifts from being a choice and temporary measure to becoming part of who you are and how you live”.


 


In the past this condition has been confused with both anorexia nervosa and bulimia, seen as just a slightly different version of the two. But while all three are characterized by an obsession with food, it is the nuances of orthorexia that set it apart. Take for instance, a run of the mill vegan or gluten-free diet. The eater in question does need a certain amount of diligence and focus to be sure that the food they ingest is in keeping with their lifestyle diet of choice. But when it comes to orthorexia, that diligence and focus takes a dangerous turn and becomes a fixation on the purity and so-called properness of the food itself. This fixation allows them to assert authority and power in an area of their lives that they have complete control over, unlike, potentially, many other areas of life.


 


The line between being mindful of what you eat and being obsessed with it, to one’s own detriment, is a very thin one indeed, and one that can make recognition of orthorexia difficult. Like with other obsessive conditions, those who suffer from orthorexia often isolate themselves in order to make space for the planning and preparing of meals. They may avoid eating out or eating with others, avoiding the temptation by bringing their own food everywhere they go. Orthorexic eating has even been described as being “like a religion” where “it becomes a position and not a preference”. So while there is nothing wrong with trying to eat “clean”, the extreme side of the single-mindedness involved with healthy eating can potentially come full circle to a very dangerous place.


 


What is the treatment for orthorexia?


It is important to get treatment for orthorexia as one would for any other type of obsessive condition and/or eating disorder. Specialist centers can help those who can no longer help themselves but are ready to make a change.


 


 

 


Road accidents claim the lives of thousands of people per year and leave many more injured. For those suffering from an automobile accident, getting back into a pain-free, healthy lifestyle is imperative to future happiness and longevity. Here are some tips to overcome auto accident injuries and regain wellness.


 


Pay Attention to Your Diet


Our bodies require enormous energy reserves to heal injuries. Talk to your doctor about your increased caloric needs during your recovery. If you’re not comfortable with meal planning, ask for a referral to a dietitian.


 


Take Your Medications as Directed


Many pain medications need to ‘build up’ in your system in order to work properly. Don’t wait until you are in agonizing pain to take pain meds, as this can increase your blood pressure and make pain control more difficult. As you heal up, your doctor will advise you as to when you should move from taking medication on a schedule to as-needed.


 


Talk to a Personal Injury Attorney


If your injuries are the result of someone else’s negligence, you may be entitled to a settlement. Talk to a lawyer as soon as possible to explore all of your options. There are time limits on legal proceedings, so you don’t want to delay. This is especially important with motorcycle accidents. Visit http://fanninlaw.com/spokane-personal-injury-attorneys-facts/motorcycle-accidents/ for more information about the legal help you need to get the compensation you deserve.


 


Do All of Your Physical Therapy


Physical therapy can be the difference between a full recovery and being in discomfort for the rest of your life. Even though PT can be very painful, it’s integral to rebuild your strength, balance and overall health. If you’re given exercises to do at home, stick to a schedule and make sure you do them.


Seek Mental Health Services, if Needed


It’s not unusual for those who’ve been in a serious accident to have flashbacks or panic attacks. This is not a sign of weakness, and you shouldn’t be ashamed to seek help. Mental health is linked to physical health, so don’t neglect it. You can ask your doctor for a referral to a therapist trained in trauma.


 


Don’t Push Yourself Too Hard


Some people, in a fit of impatience and stubbornness, try to do far too much far too soon. If you’ve been given permission to walk half a mile on a flat road, don’t do three miles up and down hills. If you’ve been told to get help bathing, don’t try to do it alone. You could compound your injuries and slow your healing process.


 


Recovering from auto accident injuries can take time. By following these tips, you can get yourself back on the road to a healthy and pain-free life.


 

 


Mental Health is a special category within health, but this was not the case until rather recently. Thanks to many developments in not only the field of psychology, but also in the realm of science, most people across the world, and especially students, are now focusing on mental health and giving it the proper attention and concern that it deserves.


 


No Longer a Soft Science

Sadly it took many centuries for philosophers to penetrate the overall acceptance of mental health as a verifiable science meriting research and funding. Thanks to many famous scientists, like Sigmund Freud, most students today recognize the importance of tracking up on their own and other’s mental health. It is being taught more in schools and more people are able to be educated on the different types.


The Stigma is Fading


Students fight hard against an unfair stigma that still lingers in not only the academic world, but also in the minds of powerful members of the media. For some reason, many continue to discount the needs for all humans, not just students, to focus on their mental health in order to prevent physical and mental diseases, but also to combat stress and to increase productivity, happiness, and brain functioning.


More students are getting involved in the media and trying to raise awareness about common and even lesser known mental illnesses. Stigmas surrounding schizophrenia and bi-polar disorder are among just a few that have a certain stigma in popular media. Students are also concerned about the portrayal of depression in our culture. Many see labels like lazy and just sad attached to the disease, when in reality it can be far more crippling than a case of the blues. The more education about these subjects are helping to relieve the popular ideas about them.


 


Efforts Within the Campus

There have been numerous movements championing mental health awareness, and the removal of the stigma that plagues it. One such movement is a men’s mental health awareness event called Movember which occurs each November. At this time, men grow mustaches to silently show their solidarity and recognition of how mental illness can affect men.


 


Silent Marches

Another popular movement on European and American campuses is the silent march, in which advocates mental health and those who have lost loved ones to mental health related illnesses and deaths. Students silently march with peaceful signs that declare their dedication to removing the stigma and increasing the awareness of mental health. This movement has encouraged advocates to dig deeper into the trenches of mental health causes, including Mindset Consulting Group which offers legal recidivism assessments, and other groups.


 


Until There is a Cure

We don’t know how or when society will solve mental illness, but we do know that important changes are on the horizon, and these changes are necessary for the overall development and success of humanity as a whole. The first and most necessary obstacle to overcome is combatting the unfair stigma against mental health, especially at the University.


 


“Brooke Chaplan is a freelance writer and blogger. She lives and works out of her home in Los Lunas, New Mexico. She loves the outdoors and spends most her time hiking, biking and gardening. For more information about legal recidivism assessment or Mindset Consulting Group, contact Brooke via Twitter @BrookeChaplan.”


 


Image source:Flikr Creative Commons www.ruffrootcreative.com


 

A shocking new report in the news this week has indicated that the mental wellness and wellbeing of child patients is being put at extreme risk due to lack of appropriate facilities. The report shows that an ever-increasing number of children under the age of 18 who are suffering from mental health problems are being sent for treatment in adult psychiatric wards.


 


For this to take place, many children are having to travel away from family and friends to units hundreds of miles across the country.


 


This problem has been highlighted before, and the Department of Health had previously promised that the practice would be stopped by 2010. It is well-known that young people should not be treated in adult psychiatric wards apart from in exceptional circumstances.


 


It is shocking, then, to find that the report this week states that the number of children under the age of 18 who are currently being treated in adult units runs into hundreds, and that the number is actually on the increase.


 


So far in the 2013 – 2014 period, data shows that 350 under 18s have been admitted to adult mental health wards. This compares starkly with 242 – the number of children who were treated in adult facilities just two years previously.


 


Narrowing down the group to under 16s, it was found that 12 children of this age were admitted to adult psychiatric wards in the past year, as opposed to just three in this age group a couple of years ago.


 


The health authorities contacted for the study also confirmed that children are being sent a long way for treatment. The data confirmed that 10 children were sent over 150 miles away to receive care. The furthest distance that a child was sent was from Sussex to Greater Manchester, a distance of 275 miles, as there were no beds available in facilities closer to home.

Mental health disorders cost the healthcare system in the United States more than any other area of wellness. Many adults in the States, as well as other countries across the globe, find their wellbeing affected by mental health conditions including depression and anxiety; these sorts of conditions are now becoming as common as bacterial infections.


 


Some people, however, are at greater risk of developing serious mental health problems, despite any treatment they may be on. As the age of the population continues to increase over the next decade, more and more people are going to experience the trauma of their spouse dying. This can leave them with conditions such as post-traumatic stress disorder (PTSD), depression and anxiety.


 


Losing a spouse is a major, life-changing event. Many couples are married for decades, and so the loss of a spouse (especially when it is sudden) can result in serious shock and a variety of related mental health conditions.


 


Many who suffer this kind of loss will recover from the bereavement in time and with a bit of counselling or medical help, but for others there remains a long-term psychological impairment. Many who suffer this kind of long-term psychological impairment find that they have difficulty managing their day to day life and managing general tasks.


 


If you have recently suffered the death of a spouse, it is important that you realise that the psychological complications of bereavement are completely normal. The bereavement process varies in length and will have varying effects, but the quality of life that you are left with should not deteriorate substantially.


 


It is important to recognise the risk that you are at, and to then surround yourself with a support network to help you manage your bereavement. There is a tendency to become isolated, and this actually increases the likelihood of mental health conditions, so actively work to engage with activities outside of your home. You may even be able to find a support group to attend.

A mental health issue – such as depression, bipolar disorder, or anxiety – is hard enough on your wellness, but when this coincides with a substance abuse problem, your wellbeing really is at risk. The same can be said if this co-occurring disorder or dual diagnosis starts with addiction, and incurs a mental health problem, but the good news is that there are treatments that can help.


 


With a dual diagnosis, your mental health issue and substance abuse problem have their own unique symptoms that interfere with your ability to handle life’s difficulties, interact with others and basically function. On top of this, the co-occurring disorders intermingle and affect each other, which further compounds the problem. When one issue increases, the other one usually increases also, and if one problem goes untreated, this will ultimately make the other problem worse too. According to research published in the Journal of the American Medical Association, roughly half of people with severe mental disorders are affected by substance abuse, while 37% of alcohol abusers and 53% of drug abusers also have at least one serious mental illness. Of all people diagnosed as mentally ill, 29% abuse either alcohol or drugs.


 


While it’s common for people with mental health problems to experience addiction, but one issue does not directly cause the other. If you have depression or anxiety, you might turn to alcohol or drugs as a means of self-medication. However, the unfortunate side of this is that substance abuse causes side effects and eventually stops helping your symptoms and actually makes them worse. On the other hand, alcohol and drug abuse can increase your underlying risk for mental disorders, a complex interplay of genetics, the environment, and other outside factors. This can make it difficult to recognise or diagnose a co-occurring disorder.


 


Determining what might be a mental disorder and what might be a drug or alcohol problem can take time to tease out, especially because denial often clouds and complicates the issue. Denial is a common occurrence in substance abuse, as it’s difficult to admit to yourself – and those around you – how much alcohol or drugs affect your life and how dependent on them you have become. As the symptoms of depression or anxiety can be frightening, denial is also common in mental health problems, and you may choose to ignore them and hope they go away. Those who suffer from mental health issues often fear stigma, discrimination, or being viewed as week.


 


The important thing to take away from this is that substance abuse problems and mental health issues don’t get better when they’re ignored; they get much worse. You need to admit you have a problem before you can move on with your life and live it to the fullest. Start by taking a look at your family history – has someone related to you grappled with either a mental disorder such as depression or alcohol abuse or drug addiction? Genes and family history do play a role in your risk for developing these problems, so if a family member has suffered a mental health or substance abuse problem, it may help to open your mind to the possibility that you may likewise be affected.


 


Take a look at your own life: Are you highly sensitive to the effects of alcohol or drugs, and have you noticed a relationship between your substance use and your mental health? Getting depressed when you drink is an example of this. Moreover, while it’s normal to experience a small amount of depression or anxiety after you’ve stopped drinking or doing drugs, if the symptoms are still there once you’ve sobered up, you may be dealing with a mental health problem.

The reason why mental health and wellness experts are adamant about defining depression as a medical issue – rather than a feeling – is that this means you can treat it. Seeing depression as an emotional problem means that it can keep you from living the life you want to, but you should not hesitate in seeking help, as there is a way out. There are plenty of treatment options if your wellbeing is affected by depression, so which will you pick to overcome the mental problem and reclaim your life?


 


1. Lifestyle changes: There are multiple steps you can take in your own life to reduce and even get rid of depression. These include:


 


  • Exercise – Getting active triggers the growth of new brain cells and connections – just like antidepressants – as well as boosting your serotonin, endorphins, and other feel-good brain chemicals. The best news is even just a half-hour walk a day can make all the difference.

  • Diet – To keep your energy up and minimise mood swings, try to eat small, well-balanced meals throughout the day and choose complex carbohydrates over sugary foods.

  • Sleep – Sleep deprivation exacerbates irritability, moodiness, sadness, and fatigue, so make sure you get somewhere between seven and nine hours of sleep every night.

  • Social support – It’s important to have strong social networks, as isolation is a key risk factor for depression. Keep in regular contact with friends and family, consider joining a class or try volunteering for a wonderful way to get social support and help others while also helping yourself.

  • Stress reduction – While this is easier said than done, reducing the things in your life that cause you stress – such as unsupportive relationships or work overload – can do your mental and physical health a world of good.

 


2. Psychotherapy: As talk therapy gives you tools to treat problems from a variety of angles, it’s an extremely effective treatment for depression. Often, a blend of approaches is used to help you to move forward and prevent depression from returning. This blend includes cognitive behavioural therapy, interpersonal therapy, and psychodynamic therapy. Through these practises, you can work through the root of your depression, and understand why you feel a certain way, what your triggers are for depression, and what you can do to stay healthy.


 


3. Medication: While medication may help relieve some of the symptoms of moderate and severe depression, it doesn’t cure the underlying problem, and it’s usually not a long-term solution. There are also side effects and withdrawal concerns surrounding antidepressant medications, so learning all the facts can help you make an informed decision as to whether this is the right choice for you. Your GP can prescribe antidepressants, but it’s wise to first explore your options with other mental health professionals who specialize in depression, so ask for a referral.


 


4. Vitamins and supplements: There is little evidence that proves how well herbal remedies, vitamins, or supplements work in treating depression. However, if a nutritional deficiency is partly to blame for your depression symptoms, you may benefit from vitamin supplements. If this is an avenue you choose to pursue, only take supplements on the advice of your healthcare professional and remember that they can have side effects and drug or food interactions. Make sure your doctor or therapist knows what you are taking.


 


5. Acupuncture:  Again, we’re still waiting on absolute scientific confirmation here, but some research studies are showing positive results for acupuncture being used as a treatment for depression. The key here is to make sure that you find a licensed qualified professional.

If your teenager spends all his time playing video games on his computer, you may be concerned for his mental wellness, but a bit of fantasy gaming could be just what the doctor ordered. This is according to a new study, published online in British Medical Journal, which has found that, for adolescents whose wellbeing has been affected by depression, specialised fantasy computer therapy is just as effective as face-to-face counselling with a clinician.


 


Created by researchers from the University of Auckland, New Zealand, the novel computerised cognitive behavioural therapy SPARX is based on an interactive 3D fantasy game containing seven modules. Your teenager completes the game over a period of four to seven weeks, during which time he or she is required to restore balance in a virtual world that has become overrun by GNATS (Gloomy Negative Automatic Thoughts), by undergoing a series of challenges.


 


For the study, the researchers undertook a randomised controlled trial with a three-month follow-up. The study participants – which was composed of 187 teenagers aged 12 to 19 years with mild to moderate depression in 24 primary healthcare sites across New Zealand – were split into two groups. The first group completed one-to-one counselling with a trained clinician, while the other played SPARX over a four to seven week period. The researchers then assessed the teens using several commonly used mental health and quality of life scales.


 


The results of the study revealed that the SPARX game was just as effective as standard treatment, as it reduced symptoms of depression and anxiety by at least a third. Of the 69 participants who completed at least four homework modules in the SPARX group, 44% or 31 teenagers completely recovered, whereas only 26% (19/83) of the group assigned to standard treatment did likewise. Both of the groups reported high satisfaction with their treatments, but in the SPARX groups 76 out of the 80 participants (95%) said that the programme would appeal to other teenagers and 81% (64) would recommend it to friends.


 


According to the study authors, SPARX is an ‘effective resource for help seeking adolescents with depression at primary healthcare sites. Use of the programme resulted in a clinically significant reduction in depression, anxiety, and hopelessness and an improvement in quality of life.’ They added that as your teenager can play SPARX at home, the computer game-based treatment could be cost effective, increase access to treatment, and serves as a potential choice for adolescents who are hesitant to seek conventional therapy.

How do you spot someone who is mentally healthy? Researchers state that those who are emotionally healthy are in control of their emotions and behaviour, able to face the challenges of life, maintain and build strong relationships and recover easily from setbacks. Your mental health isn’t a given though – it requires as much effort and work as your physical health. There are many benefits to good mental health, such as a lowered risk of depression, a contented outlook and the ability to cope with the ups and downs of life. It will also boost your overall mood and well-being, build up resilience and lead to a more contented life overall. The term mental health refers to our overall psychological well-being, including your self esteem, the quality of your relationships, and how you cope with your feelings and any difficulties in your life. There’s more to good mental health that just being free of mental health problems – it encapsulates far more than people realise. Depression, anxiety and other mental health concerns all come under the umbrella term ‘mental health problems’, but just because you don’t have these doesn’t necessarily mean that you have good mental health.


 


So how do you know if you’re mentally well? People who have good emotional and mental health generally have a sense of contentment, a zest for life and the ability to have fun. They are able to deal well with adversity and stress, rather than succumbing to anger and upset easily. They have a healthy balance between work and play, finding equal time for activity and rest. These people are able to maintain good, fulfilling relationships, and have a strong sense of confidence in their bodies and actions. They find it easy to adapt to change, learn new things and take up new routines without worry or difficulty. While generalised, these features are common in people who have a sound, healthy mental health. All in all, positive mental health helps you to make the most of life and all it offers, enabling you to lead a full lifestyle with strong relationships, fulfilling activities and a productive work life. Life can be difficult, angering and stressful, but if you’re mentally fit and agile, you can bounce back and learn from it.


There are a number of ways of improving how you live your life and the effects your lifestyle has on your mental health. For example, connecting with others is a great way to do this. Why not volunteer and help someone out just for the pleasure of making life easier for them? Spend time with friends and family, rather than spending time at home on your own. Join groups and clubs in your local area, learn a new skill and make friends with new people – these are all things that can help you to feel more fulfilled. You can also make positive changes to your lifestyle, such as limiting alcohol, quitting drugs and smoking, and getting plenty of exercise. Taking better care of yourself isn’t just a change you make when you want physical adaptations – it can do wonders for how you feel as well. It will also help you to manage your stress levels, something that can have a negative impact on your mental health. Staying calm, relaxing more often, and doing things that make you happy will all have a positive effect. If you’re worried about your mental health, speak to your GP who can advise you of ways you can make a positive impact on how you feel.

As well as being a fun activity, sex is good for your physical health. According to award-winning wellness writer Hope Gillette, ‘The act of engaging in sexual contact with a partner can lead to the production of a number of hormonal and other biological changes, which can in turn ease pain, boost immunity, offset menopausal symptoms, and even reduce the risk for certain cancers.’ However, beyond this, there is a link between your sexual health and a number of mental health benefits.


 


Laurie Mintz, Professor of Psychology at the University of Florida and the author of the self-help book A Tired Woman’s Guide to Passionate Sex, explains, ‘Sex has very potent emotional health benefits. Sex has important mood boosting properties and it also enhances relationship health and satisfaction, which itself is related to mental wellbeing.’ Sex helps you to sleep better, connect more deeply with your partner, develop a more positive outlook and zest for life and be more serene, patient and happy.


 


Another mental health benefit of sex is that it can boost your self-esteem. Sex, marriage, and family therapist, Gina Ogden, notes, ‘One of the reasons people say they have sex is to feel good about themselves. Great sex begins with self-esteem. If the sex is loving, connected, and what you want, it raises it.’ Sex also enhances the trust and intimacy you have with your partner, giving you a special way to express love and create shared memories and special secrets. However, that is not to say that you and your partner approach sex in the same way.


 


Gillette details, ‘Research indicates that men have stronger sex drives when compared to women, and they also have more straight-forward inclinations. Men are driven by the physical desire to have sex whereas women tend to have sex to increase relationship status and the emotions which go along with it.’ Mintz agrees, ‘Research consistently shows that women’s sexuality is strongly linked to a close relationship, with an important goal of sex being intimacy and the best context for pleasurable sex being in a committed relationship. This is less true for men.’


 


However, regardless of the reason for it, both men and women experience mental health rewards due to the chemical release of dopamine and oxytocin during sex, which are the same chemicals responsible for linking two people in “love.” Deborah Anapol, PhD, a seminar leader and relationship coach who offers training in Pelvic Heart Integration, clarifies, ‘The physiology of love depends upon what kind of love we’re talking about. When we first “fall in love” with a romantic partner our brains release endorphins – natural opiates that create a feeling of euphoria. What exactly triggers this response is a bit of a mystery but theories range from detecting a match with the personality of parental figures to identifying someone carrying DNA, which would combine with ours to make the best babies.’


 


Gillette points out, ‘A 2012 study reported by The Atlantic found men experiencing frequent oxytocin release were more likely to remain monogamous during a relationship. What’s more, oxytocin boosts feelings of generosity toward a significant other, another relationship-strengthening benefit of sex. Overall, past research links sexual satisfaction in a relationship to that of general happiness, suggesting that people with healthy sex lives feel more fulfilled in other areas of their lives as well.’ Debby Herbenick, PhD, MPH, sexual health educator at the Kinsey Institute and author of Because It Feels Good: A Woman’s Guide to Sexual Pleasure and Satisfaction, adds, ‘Sexual satisfaction and relationship satisfaction are closely linked. When people feel happy and satisfied in their relationships, that may in some ways protect them from depression, anxiety or other health risks.’

It’s not hard to see how being the victim of a stalker can wreak havoc on your mental wellness, but a new study has now proven this to be the case. The study, released online in advance of print publication in an upcoming issue of Social Science Quarterly, has confirmed that women who are the victims of stalkers are up to three times more likely than their peers to experience psychological distress. As a result of their findings, the researchers at Washington and Lee University in Lexington, Virginia, have urged policy makers not only to guard people’s wellbeing against these criminal offences, but also to provide the victims of stalking better access to support services for help coping with any resulting mental health issues.


 


In a university news release, Timothy Diette, assistant professor of economics at Washington and Lee, commented, ‘I think the major implication of our findings is that while not everyone takes stalking seriously because in most cases nothing physical happened, the detrimental impact is clear. This study helps raise awareness that in many cases it’s a really scarring event that causes real-life psychological outcomes for victims’ mental health and their ability to function in society.’ As well as the mental health outcomes for victims of stalking, the study also pointed out that nearly 8% of the 8,100 women surveyed had been stalked by the age of 45.


 


For the study, the researchers compiled information from three major surveys that examined the women’s life experiences. The women’s lives were divided into four different stages based on their age: adolescence (ages 12 to 17); early emerging adulthood (ages 18 to 22); late emerging adulthood (ages 23 to 29); and early middle age (ages 30 to 45). The findings revealed that those in the early emerging adulthood category who were stalked but not sexually assaulted were estimated to have a 113% greater chance of experiencing psychological distress than other women their own age who were not stalked.


 


While this is a shocking finding, the psychological effects were found to be even more profound for women who were stalked when they were older. Those who were in the emerging adulthood category (23 to 29) when they were first stalked were 265% or nearly three times more likely to have mental health problems. For women aged 30 to 45 there was a 138% greater chance of psychological distress among victims compared with their non-victimised counterparts. The researchers surmised that younger women who are stalked may not be as frightened of this type of behaviour, and so, as a result, it may not significantly affect their emotional health. As the physical strength and sexual urges of their stalkers increase with age, however, women may find their anxiety levels increase. Women who are working or have family responsibilities were also found to be more vulnerable to the psychological consequences of stalking.


 


Stalking is often seen as less damaging as a physical assault, but the researchers found they actually come close. According to Diette, ‘The large negative effect on the mental health of victims was actually surprising to me. In many cases where you have a gut reaction that of course there should be an effect, you may find that, after controlling for various elements, those effects are actually smaller than you had expected. That is not the case in this study. In the age range 23 to 29, for example, the effects of stalking starts to approach the same level of negative psychological impact on the victim as sexual trauma. My understanding is that stalking is not viewed nearly as seriously by the general public as sexual assault.’

There are many well-known phrases that make bigger implications than we realise – such as boys will be boys – but what happens when boys want to be girls, or vice versa? Gender Identity Disorder (GID) can play a huge role in an individual’s sexual health, and overall wellbeing, with people feeling that their body does not match who they are on the inside. Also known as gender identity confusion, gender dysphoria, transgenderism and transsexualism, the condition can cause some people to use clothing and cosmetics to explore this identity, while others may choose to change their appearance with hormones or even surgery.


 


According to noted wellness writer Maria Trimarchi, ‘Mental health professionals believe there are three components that make up our gender identity: our sexual orientation, behaviour and mannerism preferences, and core gender identity (that gut feeling we have about the gender we identify with). In most of us, these three components and our anatomy align as male or female. For some, however, these components don’t all match up. The cause of gender identity disorder is still being debated. Theories suggest it is caused by genetic abnormalities, endocrine problems like a testosterone or oestrogen imbalance in the womb, social factors like parenting or some combination of issues.’ But at what age do parents begin to see symptoms of GID in children?


 


There are five steps to diagnosing GID: diagnostic assessment, psychotherapy, real-life experience, hormone therapy and surgery. Trimarchi explains, ‘The process begins when a person consults a mental health professional, who performs sessions of psychotherapy and formulates a diagnosis. To become a candidate for gender reassignment surgery, a person must first be diagnosed with Gender Identity Disorder (GID) or gender dysphoria. The International Classification of Diseases-10 (ICD-10) lists gender identity disorder as a disorder and the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-V) lists gender dysphoria.’


 


The reason why diagnosis is important is because there is a wide range of variables that fall under the GID umbrella, and prospective candidates for gender reassignment surgery must work with a mental health professional for the right diagnosis. Once the diagnosis is complete, there are three phases left for patients who wish to undergo surgery:


 


1. Hormone therapy


 


2. Real-Life Experience, or the Real-Life Test


 


3. Surgery to change genitalia and other sex characteristics


 


Trimarchi notes, ‘Not all transgender people need all three phases of therapy; each path to gender reassignment is tailored to the person…Before a patient can begin hormone therapy or breast surgery, a mental health professional must write a letter of recommendation to the physician providing medical treatment. In addition to the letter, the World Professional Association for Transgender Health’s Standards of Care require several eligibility and readiness criteria for hormone therapy.’ To undergo hormone therapy, you must:


 


  • Be 18 years of age

  • Understand what the medical ability of hormones, as well as their social benefits and risks

  • Have either a minimum of three months of psychotherapy or a documented three month real-life experience

  • Show stable or improved mental health

  • Demonstrate ability to take hormones in a responsible manner

 


Trimarchi details, ‘The Real-Life Experience immerses the individual into life as his or her preferred gender. The candidate is required to maintain full or part-time employment (or attend school full or part-time), legally change his or her first name to one that is gender appropriate and prove that people other than the therapist and doctor know his or her desired gender. After 12 months of continuous and successful hormone therapy and Real-Life Experience, the individual is eligible for genital surgery. Two letters of recommendation, usually one from the mental health professional and one from the hormone-prescribing physician, are required for surgery.’

While sex seems to be on everybody’s mind these days, there are those for whom sex and sexual health are the last things they want to think about. Sexual guilt or shame plagues their mental wellness, causing these individuals to feel grave responsibility and deep remorse over participation in or even thoughts about sexual activity. Those whose wellbeing is affected by sexual guilt generally are so affected because they believe that sex (or a specific sex act) is immoral, sinful or unclean. But how does sexual guilt develop?


 


According to the Sinclair Intimacy Institute, ‘From birth, a child receives messages from its parents about what are and are not acceptable ways of expressing sexual desire, as well as messages about approved or disapproved attitudes toward sexual issues. These social hindrances on the free and open expression of basic desires contribute to the formation of three distinct aspects of the human personality, according to Freud.’ These three distinct aspects are:


 


1. The Id: Your most primitive drives and the psychic energy needed to initiate actions designed to satisfy these desires, including the desire for sex.


 


2. The Ego: An executive function in your mind that takes in information from your sense organs about the external world and directs the day-to-day fulfilment of sexual and other desires in socially acceptable and achievable ways.


 


3. The Superego: The learned and internalised social standards of behaviour you have received from your parents and others, including an understanding of “wrong” behaviours.


 


‘The superego is our conscience,’ the Sinclair Intimacy Institute explains. ‘It consists of internally held values about what is right and commendable, on the one hand, and what is wrong and condemnable on the other. Transgression of superego standards leads to guilt feelings as well as to a sense of remorse, anger directed at oneself, and a loss of self-esteem. These transgressions need not be actual behaviours, such as participation in banned sexual activities. They may occur in dreams or fantasies as well.’


 


As well as the obvious impact that sexual guilt has on your mental health, other negative outcomes have also been found to be associated with sexual guilt. Sex and relationship expert Dr. Drew Pinsky notes, ‘Guilt and shame may further impair people’s ability to prepare for the sexual behaviours, particularly in young people. If they feel guilty or ashamed that they are sexually active, they might not be prepared to prevent the potential of sexually transmitted diseases or pregnancy.’ That said, sexual guilt is by no means on the rise. ‘In my work I rarely see guilt and shame about being sexual or having sexual thoughts,’ says Dr. Drew. ‘That seems to be something of a historical anachronism perhaps still present in the older population,’ and young people from extremely religious upbringings.


 


However, for Dr. Drew it’s not uncommon to see this sexual guilt tied up in excessive, bizarre or addictive sexual behaviours. He points out, ‘Even then guilt is not the predominant feeling. There is the sense of guilt that somehow if they were to be found out by others, they would be disappointed or embarrassed. The overriding experience is that of shame, that because of these actions these people start to feel as though there is something deeply wrong with them.’ Still, the ironic thing about this is that the shame often causes them to increase the very behaviour that causes them to feel this way in the first place. ‘It actually accelerates their desire to lose themselves in their preoccupations,’ Dr. Drew details. ‘This is the so-called shame spiral that is so often experienced in sex addicts or sexual compulsives.’

Mental health concerns can significantly affect your corporate wellness, having an impact on your job performance and attendance, as well as your wellbeing in general. This may cause you to lose your job, while not having a job at all can make mental health problems worse. According to Kristin Tinker (PGCPPP, PGDPsyc, BSc, BCom), Manager of Rehabilitation Services at Resilia, Research supports the fact that employment is generally the most important means of obtaining adequate economic resources, which are essential for wellbeing and participation in today’s society; work is central to individual identity, social roles and social status.’ At the other end of that scale, there has been a strong link shown between  worklessness and poor mental and physical health.


 


Tinker explains, ‘Overall, there is a growing awareness that long-term work absence, work disability and unemployment are harmful to mental health and wellbeing. The Australasian Faculty of Occupational and Environmental Medicine (AFOEM) and the RoyalAustralasianCollege of Physicians (RACP) recently released a Consensus Statement on the Health Benefits of Work. They identified that work, in general, is good for health and wellbeing and long term work absence, work disability and unemployment have, in general, a negative impact on health and wellbeing.’ It is a well-documented fact that not having a job comes with significant financial pressures, and strains your family and relationships.


 


‘Research has shown that being out of the workforce for an extended period can lead to an increase in mental health difficulties, as well as physical health issues,’ Tinker points out. ‘Physical health issues caused by being out of the workforce include an increased risk of cardiovascular disease, diabetes, obesity and high blood pressure. Finally, being out of the workforce has been shown to play a significant part in establishing long-term patterns of unhealthy behaviour, such as lack of exercise and increased drinking and smoking. Therefore, the sooner an injured worker is able to return to work, the less likely further difficulties will arise.’


 


If you have left work due to a psychological injury, you are less likely to return to work than those who leave due to a physical injury. However, there is a strong correlation between returning early to work and mental health. Tinker adds, ‘Work absence perpetuates itself; the longer someone is off work, the less likely it will be that they will return to work.’ You should go back to work as soon as possible, not only for financial reasons, but for your wellbeing. Once a health professional gives you the go-ahead, you should return to work for many reasons. Returning to work as soon as possible:


 


  • offers therapeutic benefits

  • helps to promote recovery and rehabilitation

  • leads to better health outcomes

  • minimises the harmful physical, mental and social effects of long-term sickness absence

  • reduces your risk of long-term incapacity

  • promotes full participation in society, independence and human rights

  • reduces poverty

  • improves your quality of life and wellbeing

 


So what’s getting in the way of you returning to work? Tinker details, ‘Research has identified that there are a number of barriers that may exist that can prevent a person from returning to work and treatment needs to specifically target these issues. Where flags are identified, communicated to stakeholders and actively managed, return to work prospects are improved. Identifying and being aware of the specific flags relevant to an individual can assist in treatment and referral options.’ So, if you’ve had to take time off work due to mental health concerns, speak to your GP and employer about potential barriers to your returning.

It’s now commonly accepted that mental health issues are a concern. Therefore, as an employer you cannot keep your head in the sand; you need to take note of your employees’ mental wellbeing. Mental health issues have an impact on corporate wellness, not only affecting your employees on a personal level, but also your company’s success.


 


However, workplaces are still trying to minimise the issues relating to mental health of an individual as a strategy in order to delay action. According to a recent survey of ASX Top 300 companies, ‘over 40% of participants did not perceive mental illness as a potential risk to their organisation, and of those that did, close to half, said their organisation did not have policies in place to manage this risk. In addition, nearly 70% of those surveyed reported that they did not have a dedicated and properly trained resource to identify and manage an employee suffering from mental illness.’


 


According to Debra Brodowski, Manager of the Psychological Assessments Centre for Corporate Health, ‘From a broader workplace perspective, it is acknowledged that mental health issues do not only affect the actual individual in question. To this end, it is noted that there is a wider impact of the team members to consider when there is an employee with mental health issues. Team members may be supporting their colleague with a mental health issue, and as such this may take a toll on the team in relation to wellbeing, team workload, organisational morale, and workplace productivity.’


 


Therefore, it is vital that you address mental health issues in the workplace. In order to this effectively, you need to follow the five-step assessment process recommended by the WHS:


 


1. Identify the Risk: Brodowski explains, ‘An employer must identify any foreseeable hazard (read: perceived stressor) that may arise from the conduct of the employer’s undertaking and that has the potential to harm the health and safety of an employee or other person.’


 


2. Assess the Risk: ‘An employer must assess the risk arising from any hazard (perceived stressor) that is identified at the time the risk arises,’ says Brodowski. ‘Or before changes to work practices/ systems are made.’


 


3. Review the Risk: Brodowski urges, ‘An employer must review the risk when injury or illness arises (i.e. when stress due to work is highlighted) or when significant changes are proposed to work practises/ systems of work.’


 


4. Eliminate the Risk: ‘An employer must aim to eliminate the risk,’ Brodowski notes. ‘Or if not practical, control the risk.’


 


5. Control the Risk: ‘An employer must make attempts to control the risk,’ Brodowski asserts. You can do this in a number of ways. Firstly, you can isolate the person from the hazard or perceived stressor. Then, you could minimise the risk itself. Finally, you can take administrative steps, such as training, to reduce the risk.


 


Brodowski argues, ‘Under this risk assessment process, the duty of care for the employer shifts the focus from a reaction/ intervention model to one that is adopts a prevention/ elimination of risk stance. As an employer, to act appropriately to an individual who is presenting with mental health issue in the workplace, and therefore meet corporate responsibility under duty of care, there is a need to develop an appropriate framework to recognise, respond, and review each individual with a mental health issue as it arises.’ Indeed, there is a certain financial cost in doing so, but Brodowski urges, ‘The wider impact on workplace relationships, organisational culture and workplace productivity are much broader in nature and are considered to be more significant. As such, nowadays, effectively identifying and responding to mental health issues needs to be considered as a standard workplace health and safety practice for an e

There is generally a negative undertone to the word “porn”. However, much of this negativity comes from a moral perspective, or even from people who are just grossed out by the idea. But what amount the impact porn has on your wellbeing. Does watching porn have a negative influence on your mental or sexual health? And does this influence change between teenagers and adults? Let’s take a closer look at the health impacts of watching porn.


 


According to award-winning wellness writer Hope Gillette, ‘Despite the rumours, pornography is not just for the sexually depraved as some would believe. Many healthy individuals and couples indulge in internet or video porn. To understand who is watching porn, it is important to first understand what it is, as everyone has a slightly different opinion on the topic. By definition, pornography is “the depiction of erotic behaviour (as in pictures or writing) intended to cause sexual excitement.” That being said, many things can be classified as pornography, especially certain genres of books, movies, cartoons, and photographs. And just as there are many different forms of porn, it can affect men, women and young adults all differently.’


 


The main group people often associate with watching porn is teenagers, especially as the internet has made it so easy to access pornographic images and videos. In Australia, a study recently found that teenagers who watched porn were more likely to engage in similar, real-life sexual behaviours. The researchers found that teens who watched pornography ‘were more likely to have higher numbers of sexual partners, engage in a wider diversity of sexual practices, and use alcohol or drugs in association with sexual encounters.’ As you might expect, these teenagers were also more likely to have a high occurrence of sexually transmitted infections (STIs).


 


However, Gillette comments, ‘Though the research indicated exposure to sexually explicit images may result in earlier sexual experiences, it did not prove that watching porn causes any harm to teens, but rather only exposes them to the risks associated with being sexually active.’ Moreover, Psychology Today points out that, contrary to some social conservative statements, watching porn does not result in higher rates of rape or sexual irresponsibility among teens. In fact, there are fewer instances of such behaviours, and teenage use of condoms is on the rise. Psychology Today adds that, in a Swedish study, the teenage participants were able to easily distinguish between fantasies online and real relationships.


 


So what about adults? ‘The first major issue when it comes to adults and pornography is that of addiction,’ says Gillette. ‘Like many feel-good activities and drugs, addiction to porn is entirely possible. The Sexual Recovery Institute states porn addicts behave in the same manner as people who have chemical addictions; they replace their meaningful relationships and activities with their addiction. Porn addicts are usually isolated and can spend hours or even days locked away from social contact while they feed their addiction. Just like alcoholics or drug abusers, porn addicts often need professional assistance to overcome their issue.’


 


As well as this, being addicted to porn can lead to problems in the bedroom, as men who watch too much porn seem to have a lower sex drive. Marnia Robinson, co-author of Cupid’s Poisoned Arrow: From Habits to Harmony in Sexual Relationships, explains, ‘There are young guys who have grown up wired to high-speed Internet porn. [A recent] survey matches up with what we have been seeing for years—that that these guys are having addiction symptoms. The experts were telling them, “Take a Viagra” and “You just have performance anxiety.” Well you obviously don’t have performance anxiety with your own hand.’

Sexual health experts have debated the existence of sex addiction for many years, in large part because, when it comes to identifying and diagnosing true forms of the condition, there has been a distinct lack of methodology. According to Rory Reid, an assistant professor and research psychologist at UCLA, sex addiction may still affect your wellbeing, and his study may have found a way to identify it using specific guidelines. In a statement, Reid commented, ‘The criteria for hypersexual disorder that have been proposed, and now tested, will allow researchers and clinicians to study, treat and develop prevention strategies for individuals at risk for developing hypersexual behaviour.’ So how do you identify sex addiction?


 


‘Identifying characteristics of sex addiction disorder is an important step in creating a definition for the condition, says award-winning wellness writer Hope Gillette, who points out the definition ‘entails more than just the desire to have sex frequently. The inability to break away from sexual activity may be one of the defining characteristics of sex addiction.’ However, the study researchers were keen to avoid turning common behaviours – such as watching porn or having sex often – into classifications of a disorder. For Reid, individuals with hypersexual disorder, ‘might consider the consequences momentarily, but somehow feel their need for sex is more important, and choose sex even in situations where such choices might cause significant problems or harm.’


 


For the study, 207 individuals who had been referred to a mental health clinic –152 of whom had been referred for a sexual behaviour problem, 35 had other psychiatric issues, and 20 individuals were referred for substance abuse – were interviewed. The researchers defined hypersexual disorder as ‘recurrent and intense sexual fantasies, sexual urges, and sexual behaviour’ and noted that patients were required to be under distress or unable to maintain aspects of a normal life because of these sexual urges, in order for a diagnosis to occur. The participants were asked about their frequency of participating in sexual behaviours, such as going to strip clubs, engaging in telephone or cybersex, having sex with other consenting adults, masturbating, and watching pornography.


 


‘Using the established criteria, Reid’s team identified 134 of the patients with sexual behaviour issues established as hypersexual disorder,’ Gillette details. ‘Eighteen of the original 152 patients with sexual disorders were found to have a different mental health issue or no issue at all. The majority of other patients in the study not originally there for a sexual behaviour issue were diagnosed with their original condition or a condition other than sexual addiction. In addition to being able to positively identify hypersexual disorder, researchers found study participants who were diagnosed with sex addiction disorder also indicated masturbation and pornography viewing was considered problematic, so much that some individuals had lost their jobs because of the behaviours.’


 


Moreover, if you have a sex addiction disorder, you’re more likely to perform disruptive sexual behaviours despite knowing the consequences. Reid explained, ‘It’s not that a lot of people don’t take sexual risks from time to time or use sex on occasion to cope with stress or just escape, but for these patients, it’s a constant pattern that escalates until their desire for sex is controlling every aspect of their lives and they feel powerless in their efforts to change.’ If you’re concerned that you may have a sex addiction, you need to identify with a number of the following factors outlined in the study:


 


  • Recurring pattern of sexual fantasies

  • Urges and behaviours lasting a period of six months or longer, that is not caused by other issues or disorders.

  • Pattern of sexual activity in response to unpleasant mood states or to cope with stress

  • Failure to reduce or stop sexual behaviour even when known as problematic. Reid added, ‘As with many other mental health disorders, there must also be evidence of personal distress caused by the sexual behaviours that interfere with relationships, work or other important aspects of life.’

Anxiety over that looming interview or a stressful situation is normal, but when you suffer with anxiety for no reason and regularly it can be very debilitating. If you find that your anxiety interferes with your everyday life, you could well be suffering with an anxiety disorder. There are a number of different types of anxiety disorder, as well as a number of treatments and self-help strategies. The first step to combating your problem is to identify the type of anxiety disorder you have, then you can find the right kind of treatment for you. You don’t need to fear that having an anxiety disorder is something you’ll need to cope with for the rest of your life – there are ways to overcome them so that you can lead a normal happy life.


Anxiety is a natural response to fear or danger, which automatically occurs in the body when you’re stressed or worried. It isn’t always a bad thing but it can begin to overtake your life if you’re not aware of it – when this happens, a disorder can develop. If you’re constantly worried or tense; if you find that your anxiety interferes with your work, school or social life; if you’re plagued by irrational fears that you can’t stop worrying about; if you avoid everyday situations because of your anxiety or if you believe that things need to be done in a certain way to avoid bad things happening, you could be suffering with an anxiety disorder. Anxiety disorders vary from person to person, so it can be difficult to attribute symptoms to each person. Some people suffer attacks of anxiety suddenly and without warning, whilst others get panicky with certain situations and events. Some have constant feelings or worry or tension, whilst others worry at certain times of the day, such as on the way to work or when they’re driving. The most common feelings surrounding anxiety include feelings of apprehension, irritability, feelings of restlessness, trouble concentrating, watching for signs of danger all the time, feeling tense or anticipating the worst. There are also physical signs, such as muscle tension, pounding heart, sweating, fatigue, stomach upset or dizziness, headaches and tremors.


Panic or anxiety attacks usually peak within ten minutes and it’s very rare for them to last longer than thirty minutes. You will feel very frightened, as it feels as though you’re going to lose control completely, but anxiety attacks aren’t usually physically harmful or damaging. When an attack is over, you may worry that you’ll have another one straight away – especially if you’re in a place where you can’t easily escape or find help. There are six types of anxiety disorder, which each have their own profiles and list of attributing symptoms. These are generalised anxiety disorders, obsessive-compulsive disorder, panic disorders, phobias, post-traumatic stress disorders and social anxiety disorders. If you’re concerned that you’re suffering with anxiety, you should speak to your GP as soon as possible.


 


There are a number of ways to treat anxiety, from stress relief to therapy, and your GP will be able to help you find the right treatment for your specific disorder. In order to help yourself, you can also get plenty of rest, avoid smoking and alcohol as these increase anxiety rather than soothe it, get plenty of exercise as this has a calming effect on the mind and body, and try relaxation techniques which can help to calm you down – yoga and meditation, and deep breathing exercises can be useful.