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HealthyPlace.com NewsletterThis Week - May 12, 2003
Depression: A Hidden Childhood IllnessMore than 10 percent of kids struggle with the problem
Yet, therapists say, many parents remain unaware that children can be depressed. Why is that and what can you do if you suspect your child is depressed? Find out here.
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Viagra Shows Promise in Women on AntidepressantsPeople who take antidepressants commonly report sexual problems as a side effect, and new findings suggest that, for some women, these problems could be helped by the impotence drug Viagra. More than 80 percent who took part in a study said their sexual problems were "much" or "very much improved." More details here. How to Help a Friend With an Eating DisorderMany people have friends with eating disorders whom they would like to help, but they aren't sure of what to do. In a continuing series of articles, here are some tips to increase the chance that your efforts to help will be seen by your friend as the caring gestures that they are meant to be. Read on. Sponsor Message: REMUDA RANCH - Help for your eating disorderThe caring and compassionate team at Remuda Ranch can help you or a loved one overcome an eating disorder. Our highly professional treatment team and biblically- based individualized programs have worked for hundreds of our patients. Take the first step toward living a life that is not controlled by fear and food. Call us now at 1-800-445-1900. We'll be happy to answer your questions. or visit our site. Disgust, not fear, may be factor in mental disorder
Apparently, fear is not a factor in the behavior of some patients with obsessive-compulsive disorder. Although it has long been held that obsessive people driven to behaviors such as continual hand washing were acting out of fear of infection or other contamination, the real motivator may be disgust, according to researchers at the University of Florida's McKnight Brain Institute. UF psychiatrists have found that a group of healthy volunteers and people with obsessive-compulsive disorders responded in much the same way to a threatening image of a snake with bared fangs. But when the subject matter changed to views of roaches nibbling pizza, flies on pumpkin pie or a bathroom stall no one would dare use, obsessive-compulsive disorder patients responded much more profoundly to the disgusting images. Perhaps, the psychiatrists suggest, the popular NBC show "Fear Factor" should be renamed "Disgust Factor." "We are all familiar with what disgust feels like," said Dr. Wayne Goodman, chairman of psychiatry in UF's College of Medicine. "It's the yuck reaction, the feeling that you want to vomit." The UF team suspects disgust may be an important component in obsessive-compulsive disorder, which in any given year, affects about 3.3 million people between 18 and 54 in the United States. Obsessive-compulsive disorder is classified as an anxiety disorder, which Goodman said is really another word for fear. "When you are afraid of something, you are going to freeze, fight or take flight," he said. But that's not the same as disgust. "If you find something disgusting, you are not going to put it in your mouth, and the next time you see or smell it, you won't go near it," he added. As the disgust factor gains credibility, it could change traditional views of obsessive-compulsive disorder. "We may see a paradigm shift, saying a subgroup of (obsessive-compulsive disorder) patients who have contamination concerns have these unwanted thoughts not because of fear or anxiety, but because of an overreaction to disgust," said Dr. Nathan Shapira, assistant professor of psychiatry and the lead author of the UF study, which appears in the current online issue of the journal Biological Psychiatry. Researchers compared five women and three men who had contamination-centered obsessive-compulsive disorder with a matched group of healthy volunteers. Study participants observed 30 pictures that had been rated as threatening, disgusting or emotionally neutral in content. At the same time, functional magnetic resonance images of the brain recorded their reactions. In the obsessive-compulsive disorder patients, one area of the brain involved with taste and smell appeared to be more activated in response to disgusting stimuli. Shapira noted that there are different types of obsessive-compulsive disorder symptoms, and some are more associated with the fear response. "Contamination concerns are the most common, but intrusive thoughts and safety issues are close behind," he said. "In future studies, we'd like to better define which types of individuals with (obsessive-compulsive disorder) have which brain response." Depending on the outcome of those studies, Shapira said, it might be possible to develop more practical diagnostic procedures for this fairly common, often disabling illness. Sponsor Message:
Newer Antipsychotic Drugs May Not Be Better After AllNewer drugs used to treat psychosis are thought
to have fewer side effects, but now a new study challenges that thinking. Treatment Quiets Voices Plaguing SchizophrenicsAuditory hallucinations are a hallmark of schizophrenia. Aided by new brain-imaging techniques, researchers have begun tracking hallucinations back to abnormalities in the brain, finding that magnetic stimulation significantly reduces the voices. Here's how it works. U.S. Lags in Treating Mental IllnessOnly 1 in 3 with serious emotional problems gets help
The study, which compared five nations in the Americas and Europe, found the United States had the highest prevalence of people who report some form of emotional trouble, at nearly 30 percent. Although most of these were mild disorders, only a third of people in the United States with serious mental illness received treatment, the worst rate among the countries studied. The findings appear in the May/June issue of the journal Health Affairs. David Duncan, a Kentucky psychologist familiar with the research, says the results aren't surprising, given that the other four countries have national health insurance programs while the United States does not. "It shows the ways in which different health-care systems can have an impact" on treatment for mental disorders, Duncan says. However, no nation in the study can claim to be doing an excellent job with their mentally ill, Duncan says. At best, only two-thirds of people with serious disorders got help for their problems. "All the countries have pretty bad under-treatment," he says. What's more, patients often see general practice doctors instead of mental health experts, a situation that can result in inadequate care. Sponsor Message:
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