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Solutions
Following is some
helpful information regarding several conditions that tend to impair
professionals, and can have far-reaching consequences, if left
untreated. This section is designed to help you determine if you, or
someone you know, might need treatment. Click on a link for a further
description of each condition.
Alcoholism
Depression
Compulsive Gambling
Anxiety
Eating Disorders
ALCOHOLISM/DRUG ABUSE
Alcohol is a
depressant drug that slows the activity of the brain and Spinal Cord.
It is a colorless liquid with a sharp, burning taste known chemically
as ethyl alcohol.
What is Alcoholism/Drug Addiction?
Alcoholism and
either prescription or illicit drug addiction are characterized by the uncontrolled use of alcohol
or drugs. Few families
or friends of alcoholics are, on their own, able to understand why the
person "just can't stop drinking." The alcoholic can't stop drinking
because he or she depends on alcohol to function. The alcoholic is
addicted to alcohol.
Definition:
Continued use of alcohol and/or drugs in spite of negative
consequences--can be fatal if left untreated.
Four Characteristics of Alcoholism/Drug
Addiction
- Alcoholism/drug
addiction
carries an overwhelming urge to repeat the experience of getting
high on alcohol. At times, this urge will go beyond the risk that
seems to be involved.
- The urge to
drink/use drugs becomes the number one priority in the alcoholic's
and addict's life.
- The urge to
get high with alcohol and/or drugs becomes linked to all other aspects of life.
- An alcoholic/drug
addict has this incurable disease for life. As time passes with
sobriety, the urge reduces in intensity and often leaves completely.
What Causes Alcoholism/Drug Addiction?
Experts believe that
genetic factors make certain people more vulnerable to alcoholism.
Environmental, cultural and psychological factors can also contribute
to the development of the disease.
What Can An Alcoholic/Addict Do?
Although alcoholism/drug
addiction
cannot be cured, alcoholics/addicts can recover and can return to a normal way
of life. Recovery depends on total abstinence from alcohol and drugs.
See this
printable screening test:
Michigan
Alcoholism Screening Test
Treatment:
Treatment for
alcoholism/drug addiction is available in many forms depending on individual needs.
Most common are detoxification, inpatient/residential, and outpatient.
Effective treatment should include individual, group and family
counseling. Also essential to the process are twelve-step group
involvement (e.g., Alcoholics Anonymous or Narcotics Anonymous) and education about
alcoholism to address the person's physical, mental and emotional
needs (which are all affected by addiction).
Warning Signs:
- Increased
difficulty at home - conflicts, absences - "Disappearances,
Disappointments and Discrepancies"
- Wide Mood
Swings - anger, depression, nervousness
- Significant
emotional and behavioral changes - family and friends concerned
about behavior
- Unexplained
absenteeism at work - isolates and withdraws from community and
colleagues
- Frequent
illness - need for medication - over prescribing
- Blackouts -
Not remembering
- Alterations in
lifestyle to accommodate chemical use - lies about use
- Decreased
career satisfaction - avoidance of continuing education courses
- Legal and
financial problems - DUIs, lawsuits, debts, etc.
- Continued use
of chemicals with elaborate justification for need
- Problems at
office with staff and patient complaints
If you, your spouse, family member or a
professional associate need help, call 800-230-3934.
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DEPRESSION
Did You Know:
- Depression is
one of the most common mental disorders affecting 340 million people
in the world today, accounting for a full 10% of productive years
lost throughout the world
- No one is
immune from depression - it occurs in people of all social classes,
all countries and all cultural settings.
- One in four
women and one in ten men can expect to develop depression during
their lifetime, but it is not just adults who suffer...
- ...depression
affects at least one in 50 children under 12, and one in 20
teenagers.
- About half of
all depression is unrecognized and untreated.
- About 10 - 15
percent of depressed people take their own lives.
- Depression
costs, for example, the United States an estimated $53 billion each
year.
- The World
Health Organization predicts that by the year 2020 depression will
be the greatest burden of ill-health to people in the developing
world, and that by then severe depression will be the second largest
cause of death and disability.
- BUT DEPRESSION
IS ONE OF THE MOST TREATABLE MENTAL ILLNESSES.
Symptoms of Depression
A Major
Depression is marked by a combination of symptoms that occur
together, and last for at least two weeks without significant
improvement. Symptoms from at least five of the following categories
must be present for a major depression, although even a few of the
symptom clusters are indicators of a depression, but perhaps not a
major depression.
- Persistent
depressed, sad, anxious, or empty mood
- Feeling
worthless, helpless, or experiencing excessive or inappropriate
guilt
- Hopeless about
the future, excessive pessimistic feelings
- Loss of
interest and pleasure in your usual activities
- Decreased
energy and chronic fatigue
- Loss of
memory, difficulty making decisions or concentrating
- Irritability
or restlessness or agitation
- Sleep
disturbances, either difficulty sleeping, or sleeping too much
- Loss of
appetite and interest in food, or overeating, with weight gain
- Recurring
thoughts of death, or suicidal thoughts or actions.
This list is a
guide to help you understand depression. It is not offered for you to
diagnose yourself. If you have some of these symptoms, don't focus on
how many symptoms you have. Instead, call the North Carolina Caring
Dental Professionals for
help.
If you, your spouse, family member or a
professional associate need help, call 800-230-3934.
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COMPULSIVE
GAMBLINGPathological
Gambling
has often been thought of as immoral, decadent, criminal, insane,
weak-willed, and irresponsible behavior. Today most authorities and
several agencies are teaching a different view of this problem.
Gambling is now considered a pathological addictive disorder, similar
to addiction to alcohol and other drugs. In fact, the addictions can
coexist, or one can develop during recovery from another. Gambling can
take the form of cards, sporting events, slots, internet gambling,
races, lotto or bingo . . . just to name a few.
In short, a
person may be diagnosed as a compulsive gambler if he or she has been
unable to control chronic gambling; if the gambling has continued
despite harm to the family and personal problems; and if the
characteristics defined by the Diagnostic Standards Manual are
present.
What to Look For
- Time spent
gambling: A person may have a gambling problem when the time
spent gambling is excessive by the standards of the community, or
when the time spent gambling is out of proportion with the person's
other activities.
- Focus on
gambling: When the person shows a special excitement in going to
new gambling spots or rearranges his or her schedule to permit more
time for gambling activities, he or she may have a problem. When the
person gives the impression that a change in gambling activities
will bring him or her good luck, the person could be in trouble.
- Size of
Bets Increases: This is often a sign of chasing lost bets and
trying to catch up by placing larger and more frequent bets.
- Special
Occasions: A person may have a problem if he or she insists on a
honeymoon or vacation where gambling is available, or if he or she
invents reasons to travel to gambling spas.
- Bragging:
Boasting of winning and minimizing losses are prime signs of
compulsive gambling. The need for recognition and displays of power
often drive compulsive gamblers to flaunt possessions or large
amounts of money.
- Crisis
Resolution: A compulsive gambler will often gamble to feel good
when he or she is faced with a crisis. Gambling is sometimes used to
celebrate good fortune, birth of children, job promotions, or pay
raises, and to mourn deaths, bad luck, or lost jobs.
- Excessive
Absences: Frequent, unexplained absences from work or home are
characteristics of a gambling problem, particularly if the person is
concealing how the time is spent.
- Mood
Swings: Addictive behavior is characterized by severe mood
swings in most people. Compulsive gamblers experience highs when
they win and lows when they lose. When gambling is discussed the
compulsive gambler will often display hostility; the gambler is
under constant pressure for action and can rarely find peace, even
when winning.
- Hidden
Funds: Secret loans, withdrawal from family bank accounts, and
hidden deals are signs of betting to catch up. When caught at one of
these actions, the gambler will lie and minimize the importance of
the event. While a social gambler will work to make up lost funds,
an addicted gambler will scheme to acquire funds.
If you, your spouse, family member or a
professional associate need help, call 800-230-3934.
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ANXIETY
How Common are Anxiety Disorders?
- Anxiety
disorders are the most common mental illnesses in America.
- More than 19
million people are affected by these debilitating illnesses each
year.
- Anxiety
disorders cost the United States $46.6 billion in 1990 in direct in
indirect costs, nearly one-third of the nation's total mental health
bill of $148 billion.
What are the Different Kinds of Anxiety
Disorders?
- Panic
Disorder - Repeated episodes of intense fear that strike often
and without warning. Physical symptoms include chest pain, heart
palpitations, shortness of breath, dizziness, abdominal distress,
feelings of unreality, and fear of dying.
-
Obsessive-Compulsive Disorder - Repeated, unwanted thoughts or
compulsive behaviors that seem impossible to stop or control.
-
Post-Traumatic Stress Disorder - Persistent symptoms that occur
after experiencing a traumatic event such as rape or other criminal
assault, war, child abuse, natural disasters or crashes. Nightmares,
flashbacks, numbing of emotions, depression and feeling angry,
irritable, distracted and being easily startled are common.
- Phobias
- Two major types of phobias are specific phobia and social phobia.
- Specific
Phobia - People with specific phobias experience extreme,
disabling, and irrational fear of something that poses little or
no actual danger; the fear leads to avoidance of objects or
situations and can cause people to limit their lives.
- Social
Phobia - People with social phobia have an overwhelming and
disabling fear of scrutiny, embarrassment, or humiliation in
social situations, which leads to avoidance of many potential
pleasurable and meaningful activities.
- Generalized
Anxiety Disorder - Constant, exaggerated worrisome thoughts and
tension about everyday routine life events and activities, lasting
at least six months. Almost always anticipating the worst even
though there is a little reason to expect it; accompanied by
physical symptoms such as fatigue, trembling, muscle tension,
headache, or nausea.
Is it Possible for Anxiety Disorders to
Coexist With Other Physical or Mental Disorders?
It is
common for an anxiety disorder to accompany another anxiety disorder,
or in some cases depression, eating disorders or substance abuse.
Anxiety disorders can also coexist with physical disorders. In such
instances, these disorders will also need to be treated. Before
undergoing any treatment, it is possible to have a thorough medical
exam to rule out other possible causes.
This
information is a guide to help you understand anxiety. It is not
offered for you to diagnose yourself. If you have some of these
symptoms, don't focus on how many symptoms you have. Instead, call
North Carolina Caring Dental Professionals to talk about how you have been feeling.
If you, your spouse, family member or a
professional associate need help, call 800-230-3934.
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EATING DISORDERS
Food Addiction Self-Diagnosis Checklist
For many, food addiction is a self-diagnosed disease. See how you
score on these questions:
- Has anyone
ever told you that you have a problem with food?
- Do you think
food is a problem for you?
- Do you eat
large amounts of high calorie food in a short period of time?
- Do you eat to
overcome shyness?
- Do you eat
when you are disappointed, tense or anxious?
- Can you stop
eating without a struggle after one or two sweets?
- Has your
eating ever interfered with any part of your life?
- Has being
overweight ever affected any part of your life?
- Do you weigh
yourself once or twice (or more) a day?
- Do you eat
more than you planned to eat?
- Have you
hidden food so that you would have it just for yourself?
- Have you felt
angry when someone ate food you saved for yourself?
- Do you worry
that you can't control how much you eat?
- Have you ever
felt frantic about your size, shape or weight?
- How many of
these methods of weight loss have you tried in the past:
-
self-induced vomiting
- laxatives
- diuretics
- fasting
- compulsive
exercise
-
amphetamines
- cocaine
-
over-the-counter diet pills, gum and caramels
- sorbitol
(for laxative effect)
- chewing
and spitting food
-
acupuncture, acupressure
- hypnosis
- urine
shots
- special
food, drinks and supplements
- weight
loss programs: how many? how often?
- Have you ever
felt so ashamed of the amount you eat that you hide your eating?
- Have you been
so upset about the way you eat that you wished you would die?
- Do you overeat
more than twice a week?
- Do you invent
plans in order to be alone to eat?
- Do you seek
out companions who eat the way you do?
This
information is a guide to help you understand Eating Disorders. If you
have some of these symptoms, don't focus on how many symptoms you
have. Instead, call the North Carolina Caring Dental Professionals to
talk about how you have
been feeling.
If you, your spouse, family member or a
professional associate need help, call 800-230-3934.
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