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By A. Tom. Smith Chapel Bible College. 2019.

Mourning may include religious traditions honoring the dead or gathering with friends and family to share your loss purchase 200mg aciclovir mastercard. Your grief is likely to be expressed physically purchase aciclovir 200mg with amex, emotionally, and psychologically. For instance, crying is a physical expression, while depression is a psychological expression. It is very important to allow yourself to express these feelings. Often, death is a subject that is avoided, ignored or denied. At first it may seem helpful to separate yourself from the pain, but you cannot avoid grieving forever. Someday those feelings will need to be resolved or they may cause physical or emotional illness. Many people report physical symptoms that accompany grief. Stomach pain, loss of appetite, intestinal upsets, sleep disturbances and loss of energy are all common symptoms of acute grief. Existing illnesses may worsen or new conditions may develop. These reactions include anxiety attacks, chronic fatigue, depression and thoughts of suicide. An obsession with the deceased is also a common reaction to death. Your reactions are influenced by the circumstances of a death, particularly when it is sudden or accidental. Your reactions are also influenced by your relationship with the person who died. Parents may also feel that they have lost a vital part of their own identity. The death may necessitate major social adjustments requiring the surviving spouse to parent alone, adjust to single life and maybe even return to work. Elderly people may be especially vulnerable when they lose a spouse because it means losing a lifetime of shared experiences. At this time, feelings of loneliness may be compounded by the death of close friends. A loss due to suicide can be among the most difficult losses to bear. They may leave the survivors with a tremendous burden of guilt, anger and shame. Seeking counseling during the first weeks after the suicide is particularly beneficial and advisable. It is only natural to experience grief when a loved one dies. The best thing you can do is allow yourself to grieve. There are many ways to cope effectively with your pain. Find relatives and friends who can understand your feelings of loss. Join support groups with others who are experiencing similar losses. Tell others how you are feeling; it will help you to work through the grieving process. Maintain regular contact with your family physician and be sure to eat well and get plenty of rest. Be aware of the danger of developing a dependence on medication or alcohol to deal with your grief. It takes effort to begin to live again in the present and not dwell on the past. Try to hold off on making any major changes, such as moving, remarrying, changing jobs or having another child. You should give yourself time to adjust to your loss. It can take months or even years to absorb a major loss and accept your changed life. If your grief seems like it is too much to bear, seek professional assistance to help work through your grief.

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NOTE: This section on Diabetes and Mental Health includes information from interviews with:Dr generic 200mg aciclovir otc. Professor of Psychiatry and Director 800 mg aciclovir visa, Inpatient Psychiatric Services Oregon Health and Science UniversityDr. Andrew Ahmann, Director of the Harold Schnitzer Diabetes Health Center at Oregon Health and Science Universityand the research of Dr. John Newcomer, Department of Psychiatry, Washington University and Dr. Peter Weiden, Department of Psychiatry, University of Illinois at Chicago. It may seem that the solution is to put everyone with psychosis on Geodon and Abilify at first and then move to the more risky antipsychotics if needed. Some may get a great deal of relief from a drug with a low diabetes risk, while it may be ineffective for others. What if an antipsychotic drug with a high diabetes risk is truly the best drug for someone? In contrast, Abilify has no known diabetes risk and yet it can be agitating and take time to work in the system. Thus, dealing with the psychosis must come first and the risk of diabetes may have to come second. But if a person is already on a high risk antipsychotic and has gained weight around the stomach, what are the solutions? Diet and exercise are always the first step in treating weight gain associated with an antipsychotic. It may be possible to get the weight, especially around the stomach to a reasonable level so that a person can continue a medication that works for them. However, since this is not always possible, there are two options that a person can try along with weight management and exercise changes:Talk with your prescriber about Metformin (glucophage), a drug used to help monitor type 2 diabetes blood sugar levels. Recent research has shown a connection between starting Metformin along with a high risk antipsychotic in order to minimize weight gain. This is still in the beginning stages, but is definitely something to discuss with your healthcare professional. Switching Antipsychotic Medications: The most effective way to reduce weight gain and thus metabolic syndrome risk from a high risk antipsychotic is by switching to a less risky antipsychotic. Peter Weiden, Professor of Psychiatry, University of Illinois at Chicago, writes, "Switching to Geodon or Abilify is the most direct and effective way to reverse weight gain induced by other second generation antipsychotics (atypicals). Switching takes time and careful monitoring until the person is stabilized on the new drug. It takes a commitment that may not always be possible if the person is psychotic or they are in social services. Not everyone is a candidate for switching, but it should always be explored if antipsychotic weight gain puts a person at risk for diabetes. Type 1 diabetes is treated with insulin, diet and exercise. The good news is that those who lose weight have a much better chance of reversing, managing, and hopefully preventing diabetes. If the person you care about is unable to take care of themselves effectively, the first place to start is somehow getting them in for the tests. It can be hard if a person is on social security or is too ill to see the reason for the tests, but do keep trying. If your loved one is in the hospital, this is a good time to ask to see the test results and ask about metabolic syndrome. If your loved one has extra weight around the middle and you are able to make more nutritious meals for the person, this can make a large difference. How do you feel after reading all of this information? Instead, the goal of this article is for you to know the risks of diabetes and then recognize if you show the signs of pre-diabetes or insulin resistance so that you can stop their progress before they turn into something more serious. If you want a quick review of the basic diabetes information, take our " Understanding Diabetes Test. For specific details on the Relationship Between Diabetes and Mental Illness, including in-depth information on antipsychotic medications and diabetes, please continue on. This article gave you the tools needed to learn about yourself and your risk of diabetes so that you can then ask educated questions of your healthcare professionals regarding tests for diabetes and metabolic syndrome, the risk of any antipsychotics you may be taking and finally, ideas for how you can exercise and manage your weight more effectively. What you do next with these tools can change your life and improve your health forever. What is your first step towards diabetes prevention? Diabetes and mental health concerns are close related, since 1 out of 5 people with a mental illness also ends up with type 2 diabetes as a result of lack of exercise, poor eating choices, and antipsychotic medications that can cause serious weight gain. Additionally, people with diabetes may develop depression and anxiety as a result of coping with a chronic illness.

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