Monday, July 31, 2017

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Beating back the Pain


How much longer do I have to wait for these meds to start working? The pain is more than I can handle at the moment, and I am trying all the time to distract myself so I won't start feeling sorry for myself.

That is my huge fear. Wallowing in self pity doesn't do anything to help. In actual fact I believe that it will make everything seem worse. We all have stress in our lives, and we all have things that need to be done on a daily basis. It doesn't matter if you have children to care for or plants to water, we with Trigeminal Neuralgia need to keep focusing on everyday activities so that the pain won't be so hard to bear. Don't misunderstand me, this pain is worse than I could have ever imagined, and for me it is constant.

There are days that it takes colossal effort to run a brush through my hair and brush my teeth. The point is that these things need to be done. It hurts like a bitch, but unless we warriors keep fighting, this pain will win.

When you suffer from Chronic Pain, a lot of the time your life changes. My life certainly has. Some things that I enjoyed before are gone.. I worry sometimes for my mental health, and I am trying to beat back the pain.

So I am waiting for these medications to take some of my pain away, trying all the time to push myself all the time to make an effort, complete necessary tasks on a daily basis. It is not easy and I fail sometimes, but I don't beat myself up about it because it's ok to fail at times. The fact that I try is the important thing.

It is vital that everyone with Trigeminal Neuralgia  tries their best to think positively, pushes themselves constantly and try to avoid wallowing. I know the pain is demonic, believe me I know.

Until there is more awareness and a cure, we need to fight, educate everyone around us and have compassion for those of us who are having a tough time. Lend a hand, even if it is a get well message. It makes all the difference. 


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Therapy in the digital age



"Recalibrating Therapy for Our Wired World" is one psychiatrist's take on the changes forced on the practice by 21st century digital connectivity:
For some, the new technology is clearly a boon. Let’s say you have the common anxiety disorder social phobia. You avoid speaking up in class or at work, fearful you’ll embarrass yourself, and the prospect of going to a party inspires dread. You will do anything to avoid social interactions. 
You see a therapist who sensibly recommends cognitive-behavioral therapy, which will challenge your dysfunctional thoughts about how people see you and as a result lower your social anxiety. You find that this treatment involves a fair amount of homework: You typically have to keep a written log of your thoughts and feelings to examine them. And since you see your therapist weekly, most of the work is done solo. 
As it turns out, there is a smartphone app that will prompt you at various times during the day to record these social interactions and your emotional response to them. You can take the record to your therapist, and you are off and running... 
When it comes to collecting and organizing data, software is hard to beat. But information has a tendency to spread, especially digital information. To wit, electronic medical data containing sensitive personal information can be released, either accidentally or deliberately, and disseminated. Anyone who has followed the hacking of supposedly secure and encrypted financial databases knows this is not a remote possibility.
Interesting.

Should being Happy be the Most Important Thing in our Life


When I went to teachers’ college, our psychology teacher handed us a questionnaire on priorities. It went something like this:

Priorities Questionnaire

Below is a list of common priorities. Completing this questionnaire will help us to see what the most important things in our life are. Please number them from 1 to 12, ‘1’ assigning the number 1 to the priority which means the most to you at the moment, and 12 to the one which means the least. Note that there are no right or wrong answers.

__Job Security
__Financial Prosperity
__Being Happy
__Excitement/Adventure
__Famous
__Health
__God
__Great Food
__Recreational Hobbies & Interests
__Positive Self-Concept
__Romance
__Family

Of the twenty-five students in my class, twenty-three of them chose ‘Being Happy’ as their highest priority. One other student and I, both Christians, chose ‘God’ instead.

Western society has become obsessed with the pursuit of happiness. You only need to browse online booksellers such as Amazon.com to see that a staggering number of books have been written about how to be happy. Yet hand-in-hand with this obsession with happiness is an increase in the number of people suffering from depression. Billboards and radio-advertisements claim that one in four people have suffered or will suffer from depression.

Why can the goal of being happy as highest priority cause problems?

Happiness is a wonderful emotion and I treasure it as much as anyone does. However, happiness was never meant to be our highest priority. Why? Because happiness is completely dependent upon our circumstances. When things go our way, when we feel in control of our lives, when intense or prolonged suffering is absent, we feel happy. Yet when things spiral out of control, when things do not go our way, when persistent trials afflict us, happiness vanishes. Suddenly we are faced with the ugly situation of having a life goal that is constantly being frustrated.

So what should our highest priority be?

But seek first his kingdom and his righteousness, and all these things will be given to you as well. Matthew 6:33 ‘These things’ refers to health, food and clothes, that is, the things we need.

Seeking first God, His Kingdom and His righteousness, should be our highest priority.

Let us take a moment to examine the fruit of the Holy Spirit, which He seeks to develop within the lives of Christians.

But the fruit of the Spirit is love, joy, peace, patience, kindness, goodness, faithfulness, gentleness and self-control. Galatians 5:22-23.

As we can see, happiness is not listed as one of the nine fruits of the Holy Spirit, whereas joy is. Unlike happiness, joy is not dependent upon our circumstances.

Joy runs much deeper than happiness, and springs forth from our relationship with God, from the knowledge that through Christ, God has saved us from sin so that we can spend eternity with Him in heaven.

Restore to me the joy of your salvation and grant me a willing spirit, to sustain me. Psalm 51:12

Come, let us sing for joy to the LORD; let us shout aloud to the Rock of our salvation. Psalm 95:1

We also need to keep things in perspective. This human life is not all we have - it is not all about eating, drinking, and material possessions. It is not about, “Let us eat, drink and be merry, for tomorrow we die.”

For the kingdom of God is not a matter of eating and drinking, but of righteousness, peace and joy in the Holy Spirit, Romans 14:17


The fact is that Christians are travellers passing through this world on the way to eternal life in heaven.

But our citizenship is in heaven. And we eagerly await a Savior from there, the Lord Jesus Christ, Philippians 3:20

They are not of the world, even as I am not of it. John 17:16

Dear friends, I urge you, as aliens and strangers in the world, to abstain from sinful desires, which war against your soul. 1 Peter 2:11

The knowledge that my trials, such as epilepsy and deafness, are only temporary fills me with joy. What a wondrous hope those who trust in Jesus have – that one day we shall spend eternity in heaven, where we can see the face of God and Jesus everyday, a perfect place filled with love, joy and peace. We shall also have a brand new body that is perfect in every way.

When I consider the unimaginable, eternal riches that await us in heaven, the temporary trials we endure on the earth fade into insignificance.

'Now if we are children, then we are heirs—heirs of God and co-heirs with Christ, if indeed we share in his sufferings in order that we may also share in his glory. I consider that our present sufferings are not worth comparing with the glory that will be revealed in us.' Romans 8:17-18

Let us look at Christ’s example. He willing endured the shame and agony of the cross because of the joy that was set before Him. That joy was to spend eternity with those who would believe in Him and follow Him as Lord.

Let us fix our eyes on Jesus, the author and perfecter of our faith, who for the joy set before him endured the cross, scorning its shame, and sat down at the right hand of the throne of God. Hebrews 12:2

He died for us so that, whether we are awake (on earth) or asleep (in heaven), we may live together with him. 1 Thessalonians 5:10

Through Christ’s strength and the power of the Holy Spirit, we can do the same. We too can endure trials because of the joy that is set before us - eternity in heaven with Him.

Rather than lamenting when things do not go our way, the Bible says to praise God in all and every circumstance.

Be joyful always; pray continually; give thanks in all circumstances, for this is God's will for you in Christ Jesus. 1 Thessalonians 5:16-18

The Bible also says to consider it pure joy when undergoing trials of many kinds, as these trials help us to mature and grow in our faith.

Consider it pure joy, my brothers, whenever you face trials of many kinds, because you know that the testing of your faith develops perseverance. Perseverance must finish its work so that you may be mature and complete, not lacking anything.’ James 1:2-4

Paul tells us of the many trials he endured.

I have worked much harder, been in prison more frequently, been flogged more severely, and been exposed to death again and again. Five times I received from the Jews the forty lashes minus one. Three times I was beaten with rods, once I was stoned, three times I was shipwrecked, I spent a night and a day in the open sea, I have been constantly on the move. I have been in danger from rivers, in danger from bandits, in danger from my own countrymen, in danger from Gentiles; in danger in the city, in danger in the country, in danger at sea; and in danger from false brothers. I have labored and toiled and have often gone without sleep; I have known hunger and thirst and have often gone without food; I have been cold and naked. 2 Corinthians 11:23-27

How did Paul respond to these trials? Did he worry, grumble, or blame God?

No, he relied upon Christ’s strength instead of upon his own. Therefore I will boast all the more gladly about my weaknesses, so that Christ's power may rest on me. 2 Corinthians 12:9

He learned to be content whatever his circumstances.

Philippians 4:12-13 ‘I know what it is to be in need, and I know what it is to have plenty. I have learned the secret of being content in any and every situation, whether well fed or hungry, whether living in plenty or in want. I can do everything through him who gives me strength.’


More Bible Verses about Joy

We receive joy from meditating upon God’s word and His wonderful promises. The precepts of the LORD are right, giving joy to the heart. The commands of the LORD are radiant, giving light to the eyes. Psalm 19:8

Being able to take refuge in the Lord during the storms of life also gives us joy. But let all who take refuge in you be glad; let them ever sing for joy. Spread your protection over them, that those who love your name may rejoice in you. Psalm 5:11

Knowing that the Lord gives us strength fills us with joy. The LORD is my strength and my shield; my heart trusts in him, and I am helped. My heart leaps for joy and I will give thanks to him in song. Psalm 28:7

Whereas happiness flees when the going gets tough, the joy of the Lord sustains us during difficult times. Do not grieve, for the joy of the LORD is your strength." Nehemiah 8:10

Contemplating the work of God’s hands, His amazing creation, gives us joy. For you make me glad by your deeds, O LORD; I sing for joy at the works of your hands. Psalm 92:4


In conclusion, happiness is wonderful but as it is dependent upon our circumstances, it must not be our highest priority or life goal. When our highest priority is to seek first the Kingdom of God and His righteousness, we can experience a deep joy that is not dependent upon our circumstances – it comes from our relationship with Him, from our salvation - the anticipation of eternity with Him.

All verses from the NIV.


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  • WSJ Redux Lets Talk Research


    I need to apologize right now for the length of this post. And maybe the topic. I really didn't intend to respond to Meghan Cox Gurdon's most recent opinion piece in the Wall Street Journal. I responded to her first one, and, in general, I am truly uninterested in debates in which the opposing parties repeat the same arguments, only louder.

    But then I read the thing (and was asked about it on Twitter), and ... oh, she (sort of) cited some research:
    There are real-world reasons for caution. For years, federal researchers could not understand why drug- and tobacco-prevention programs seemed to be associated with greater drug and tobacco use. It turned out that children, while grasping the idea that drugs were bad, also absorbed the meta-message that adults expected teens to take drugs. Well-intentioned messages, in other words, can have the unintended consequence of opening the door to expectations and behaviors that might otherwise remain closed.
    Wow. That is a mighty strong claim. Allow me to unpack it for you. If you're wondering (I know I was, since she didn't cite any specific studies), I believe she's referring to research on Drug Abuse and Resistance Education (DARE) and a few similar programs.

    A few bits of contextual information:
    1. DARE is a zero-tolerance program that involves police officers teaching the anti-drug curriculum to kids--starting when they're in elementary school. Researchers' explanations of why DARE isn't effective include limited opportunity to practice social skills involved in drug refusal, as well as presenting material and concepts to kids who are too young to understand it (the Surgeon General's report is here).
    2. Although Mrs. Gurdon makes it sound like prevention programs definitely lead to an increase in substance use in kids, and there are a few studies that found increased risk for substance use associated with DARE, the bulk of the evidence suggests DARE is mostly just ineffective. It has some positive effects that decay over time, and overall, results show that kids who've gone through the program are no less likely to use substances than kids who haven't had DARE.
    3. Numerous other substance abuse prevention programs have been found to be effective, specifically, those that involve practicing social skills related to refusal, making the interventions developmentally appropriate, and dissemination of accurate information regarding social norms related to drug and alcohol use. If you're curious, go to this incredibly useful site and click "substance abuse prevention" to find a comprehensive listing of evidence-based programs.

    This is your brain on YA.
    That social norm bit up there is the link. In her attempt to support her point about YA books "normalizing" stuff like self-mutilation, drug use, killing reapers with Khopesh swords, and kissing vampires, I *think* Mrs. Gurdon is alluding to the research on social norms that indicates that, if you give people information about how their peers behave, they're more likely to conform to that standard. That's the social learning theory I mentioned in my response to her first opinion piece. And you know what? That shouldn't be dismissed. Peer pressure is not just a kid standing next to you, whispering "do it do it do it ..." If you believe everyone around you is doing something, you're more likely to do it, even if no one tells you to do it.

    This is what fuels the bandwagon effect. It's real. If YA books make teens believe that nearly everybody's engaging in self-harm, that could be a problem. Perhaps we could actually do some research before we assume that's how teens think when they read a book like Cheryl Rainfield's SCARS, though?

    In addition, Gurdon's argument about YA is strikingly narrow. It doesn't hold up for other mental illnesses, trauma, and membership in minority cultural/ethnic/sexual/gender-identity groups. Reading about someone with OCD won't give you OCD, for example. Reading about this stuff *might*, however, help you see individuals who are different from you as worthy of respect, kindness, and equality. But if her concern is that kids will understand that one in five of their classmates is struggling with a mental illness, or if it helps them avoid assumptions about the preferences and backgrounds of their peers, or if it helps them realize they're not the only one having those feelings ... er, wait. Is that a problem?

    Please consider a few other things as well. First, inaccurate social norming is not the primary criticism of those substance abuse prevention programs. It's one of them, but note it's not the only one. My concern about Mrs. Gurdon's quote is that she seems to be saying that substance abuse prevention programs are BAD because adults are talking about these issues with kids, or, at least, providing them with information, and OMG THAT'S SO WRONG.

    We have a decent amount of evidence to suggest that when adults take a ZERO-tolerance, highly restrictive approach to just about anything, kids are not going to automatically fall into line. There's research to show that using scare tactics to keep kids on the straight and narrow does NOT work. And--withholding information from kids might be harmful. That's certainly what one study seemed to indicate when it showed that kids who received abstinence-only sex education were just as likely to have sex as their peers--but they were less likely to use protection. That's in contrast to the kids who received comprehensive sex education (which includes abstinence). To read a review of research on both types of programs (from the Journal of Adolescent Health), go here.

    Second, is the information kids get through music, video games, television programs, movies, and social networking sites the same as information delivered via literature? I'm not sure, but IF you were to do a survey of where and how kids get their information about self-mutilation, substance use, and sexual behaviors, my guess is ... it isn't from a YA book.

    Third, and just for fun, the idea of books as therapeutic is far from new. And also: more time spent reading is associated with lower levels of depression (note I'm not claiming reading causes those lower levels, but interestingly, the opposite is true of time spent listening to music).

    And finally, let me tell you, the mechanisms surrounding the emergence of mental illness in young people are complex, varied, and far more fundamental roots than the YA books kids read (for those who do read ...).

    The big-bang-for-your-buck variables (apart from genetics)? Parenting. Social environment. Trauma.

    Part of me sort of wants to scream WHY ARE WE WASTING TIME TALKING ABOUT THIS instead of supporting parents to really engage with their kids, become educated and empowered consumers of both research and literature, and make good decisions about how to guide their teens? How about we talk about how to get more teens to read? Oh, heck, why don't we all go and work on our WIPs?

    Once again, I'm done. Your turn.

    Did you bother to read Mrs. Gurdon's second opinion piece? Did you find it more convincing than the first? Are you swayed when people cite research results? How do you judge the accuracy of that information and whether it is being used appropriately? [If anyone's ever interested, I have tons of information on this subject and would be happy to do a blog post--I've taught a short course for mental health professionals on how to be smart consumers of research.]

    Sunday, July 30, 2017

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    The Waters of the Afterlife Are Filled with Man Killing Fish


    I recently had a conversation with Littlest Son, now age 6. Somehow we got on to speaking of the meaning of life, and where he might have been before he graced us with his presence on the planet.

    Mom: Where were you before you got here?

    Son: In the Before Place. It's just grass. Grass and lots of darkness, and people talking in the darkness.

    Mom: Babies about to be born—they're the ones who are talking?

    Son: No, there are no ages in the Before Place. Well, actually, everyone is five years old.

    Mom: What about life after you die—do you think there is an afterlife? What's it like there?

    Son: How would I know?! I am not dead yet!

    Mom: But what do you think it might be like there?

    Son: Oh, it is all trees and grass and flowers! Everything is very beautiful. And peaceful. Half of the world is grass and trees, and the other half of the world is water. The water is blue. It's all beautiful!

    Mom: And?

    Son: And the part of the world that is water is totally filled with sharks.



    Mom: Sharks?

    Son: Oh yeah, sharks.

    Mom: So, in the afterlife, you can't even swim because the water is completely shark-infested?

    Son: Yes, but this is only including those sharks who have died. Not all sharks.

    Mom: So, a reduced number of sharks?

    Son: Yes.

    Mom: What about the bunnies? Aren't there any bunnies in the afterlife? Butterflies? Nice things like that?

    Son: Nope, only sharks!

    In the category of "Where on Earth did we come from?" you might also like The Oeuf Room.


    Performance versus Ability Another Issue Frequently Ignored in Psychiatry Research






    In previous posts, I have discussed some bizarre assumptions made in psychiatry research papers when the data is analyzed. I wrote about how, for example, differences in brain area size and functioning between different groups on fMRI scans are automatically interpreted as abnormalities.

    Nassir Ghaemi, a blogger on Medscape with whom I have had some strong disagreements about borderline personality disorder and bipolar disorder, nonetheless had a great quote on this with which I wholeheartedly agree:
                 
    "All things biological are not disease, even though we can define disease in such a way that all diseases are biological. This matter is obvious once pointed out. A few assumptions,  which seem either patently true or very likely: all human psychological experience is mediated by the brain; each person only has one brain; therefore the brain will always be biologically changing as we have psychological experiences. Reading a blog post about the brain is a psychological experience. Having delusions from schizophrenia is a psychological experience. The first brain change does not reflect disease; the second does. So showing MRI changes with adult ADHD or borderline personality does nothing to demonstrate that those conditions are diseases. If you watch TV and play video games inordinately, you will have changes in your brain, and you might also develop clinical symptoms of ADHD. If you are repeatedly sexually abused, you will have changes in the brain, and you might also develop clinical symptoms of borderline personality. But those changes in the brain do not have the same causal role as the neuronal atrophy that happens with trisomy 21, or with schizophrenia, or bipolar illness..."

    Another major nonsensical assumption that litters the psychiatric literature (the literature littering alliteration?) is that one can totally disregard the motivations of research subjects as well their past experiences and the environmental context in which they live when evaluating their performance on psychological tests. 

    I mentioned an example of how this is utter nonsense in a previous post: The performance of African-Americans on IQ tests just might be related to the fact that for several generations Blacks who looked too smart were at high risk of being lynched. Do you think they are just as motivated as other folks to want to look smart on an IQ test which is being administered by White researchers?

    What I have seen more and more lately, particular in the personality disorders literature, are studies that look at differences between various diagnostic groups on such issues as how much "impulsive aggression" they show, or how and how well they read the emotional state of ambiguous faces of strangers in photographs. When differences are found, once again the "lower" performing groups are just assumed to be "impaired" or "abnormal."

    This, of course, confuses performance with ability. Without knowing anything about what the subjects in the experiments are motivated to do in their daily lives on any particular dimension for whatever reason, or what environmental contingencies they are worried about that may relate to the task at hand, it is literally impossible to say for sure whether any difference in their performance is related to what they would be able to do if those other issues were not operative.

    Patients with borderline personality disorder, for example, grow up in families in which double messages are flying in all directions, and with parents who can switch from being over-involved to neglectful at the drop of hat. They are bound to have a higher index of suspicion about what facial expressions on strangers might mean than someone who grew up in a more consistent and predictable environment. If they did not, they would be morons.

    Another major issue ignored in the literature is the difference between a research subject's real self versus their persona or false self in certain social situations. We all present different "faces" to the outside world depending on social context. Researchers who do not consider this must think that men, for example, present themselves exactly the same way around their children, their bosses, and their mistresses. Really?

    With personality disorders, as I described in several previous posts, people play social roles designed to stabilize family homeostasis. These roles are merely a much more pervasive version of the different roles played by the above "normal" man interacting with different people. So someone with antisocial tendencies, for example, which are part of the role of avenger, are motivated to show more impulsive aggression than other people - on purpose - and have literally trained themselves to be like that. They do so habitually, automatically, and without thinking. Of course they will show more impulsive aggression in the experiment! Why wouldn't they? 

    In fact, showing a lot of impulsive aggression might be considered to be part of the definition of antisocial behavior. The experiments therefore do nothing more than prove that anti-social people act habitually in an anti-social manner. Like, duh!

    These types of results in no way indicate any "deficits," "deficiencies," or "abnormalities." One wonders how people who make these ludicrous assumptions ever manage to get through medical or graduate school.

    Saturday, July 29, 2017

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    Emotional Eating


                               Emotional Eating


                     How to Recognize and Stop Emotional Eating

    Healthy Eating: Guide to New Food Pyramids and Tips for a Healthy Diet
    We don’t always eat simply to satisfy hunger. We also turn to food for comfort, stress relief, or as a reward. Unfortunately, emotional eating doesn’t fix emotional problems. It usually makes you feel worse. Afterward, not only does the original emotional issue remain, but you also feel guilty for overeating. Learning to recognize your emotional eating triggers is the first step to breaking free from food cravings and compulsive overeating, and changing the habits that have sabotaged your diets in the past.

    If you’ve ever make room for dessert even though you’re already full or dove into a pint of ice cream when you’re feeling down, you’ve experienced emotional eating. Emotional eating is using food to make yourself feel better—eating to fill emotional needs, rather than to fill your stomach.
    Using food from time to time as a pick me up, a reward, or to celebrate isn’t necessarily a bad thing. But when eating is your primary emotional coping mechanism—when your first impulse is to open the refrigerator whenever you’re upset, angry, lonely, stressed, exhausted, or bored—you get stuck in an unhealthy cycle where the real feeling or problem is never addressed.
    Emotional hunger can’t be filled with food. Eating may feel good in the moment, but the feelings that triggered the eating are still there. And you often feel worse than you did before because of the unnecessary calories you consumed. You beat yourself for messing up and not having more willpower. Compounding the problem, you stop learning healthier ways to deal with your emotions, you have a harder and harder time controlling your weight, and you feel increasingly powerless over both food and your feelings.

    Are you an emotional eater?

    • Do you eat more when you’re feeling stressed?
    • Do you eat when you’re not hungry or when you’re full?
    • Do you eat to feel better (to calm and soothe yourself when you’re sad, mad, bored, anxious, etc.)?
    • Do you reward yourself with food?
    • Do you regularly eat until you’ve stuffed yourself?
    • Does food make you feel safe? Do you feel like food is a friend?
    • Do you feel powerless or out of control around food?

    The difference between emotional hunger and physical hunger

    Before you can break free from the cycle of emotional eating, you first need to learn how to distinguish between emotional and physical hunger. This can be trickier than it sounds, especially if you regularly use food to deal with your feelings.
    Emotional hunger can be powerful. As a result, it’s easy to mistake it for physical hunger. But there are clues you can look for that can help you tell physical and emotional hunger apart.
    • Emotional hunger comes on suddenly. It hits you in an instant and feels overwhelming and urgent. Physical hunger, on the other hand, comes on more gradually. The urge to eat doesn’t feel as dire or demand instant satisfaction (unless you haven’t eaten for a very long time).
    • Emotional hunger craves specific comfort foods. When you’re physically hungry, almost anything sounds good—including healthy stuff like vegetables. But emotional hunger craves fatty foods or sugary snacks that provide an instant rush. You feel like you need cheesecake or pizza, and nothing else will do.
    • Emotional hunger often leads to mindless eating. Before you know it, you’ve eaten a whole bag of chips or an entire pint of ice cream without really paying attention or fully enjoying it. When you’re eating in response to physical hunger, you’re typically more aware of what you’re doing.
    • Emotional hunger isn’t satisfied once you’re full. You keep wanting more and more, often eating until you’re uncomfortably stuffed. Physical hunger, on the other hand, doesn't need to be stuffed. You feel satisfied when your stomach is full.
    • Emotional hunger isn’t located in the stomach. Rather than a growling belly or a pang in your stomach, you feel your hunger as a craving you can’t get out of your head. You’re focused on specific textures, tastes, and smells.
    • Emotional hunger often leads to regret, guilt, or shame. When you eat to satisfy physical hunger, you’re unlikely to feel guilty or ashamed because you’re simply giving your body what it needs. If you feel guilty after you eat, it's likely because you know deep down that you’re not eating for nutritional reasons.
    Emotional hunger vs. Physical hunger
    Emotional hunger comes on suddenly.
    Physical hunger comes on gradually.
    Emotional hunger feels like it needs to be satisfied instantly.
    Physical hunger can wait.
    Emotional hunger craves specific comfort foods.
    Physical hunger is open to options–lots of things sound good.
    Emotional hunger isn't satisfied with a full stomach.
    Physical hunger stops when you're full.
    Emotional eating triggers feelings of guilt, powerlessness, and shame.
    Eating to satisfy physical hunger doesn't make you feel bad about yourself.

    Stop emotional eating tip 1: Identify your triggers

    People eat for many different reasons. The first step in putting a stop to emotional eating is identifying your personal triggers. What situations, places, or feelings make you reach for the comfort of food?
    Keep in mind that while most emotional eating is linked to unpleasant feelings, it can also be triggered by positive emotions, such as rewarding yourself for achieving a goal or celebrating a holiday or happy event.

    Common causes of emotional eating

    • Stress – Ever notice how stress makes you hungry? It’s not just in your mind. When stress is chronic, as it so often is in our chaotic, fast-paced world, it leads to high levels of the stress hormone, cortisol. Cortisol triggers cravings for salty, sweet, and high-fat foods—foods that give you a burst of energy and pleasure. The more uncontrolled stress in your life, the more likely you are to turn to food for emotional relief.
    • Stuffing emotions – Eating can be a way to temporarily silence or “stuff down” uncomfortable emotions, including anger, fear, sadness, anxiety, loneliness, resentment, and shame. While you’re numbing yourself with food, you can avoid the emotions you’d rather not feel.
    • Boredom or feelings of emptiness – Do you ever eat simply to give yourself something to do, to relieve boredom, or as a way to fill a void in your life? You feel unfulfilled and empty, and food is a way to occupy your mouth and your time. In the moment, it fills you up and distracts you from underlying feelings of purposelessness and dissatisfaction with your life.
    • Childhood habits – Think back to your childhood memories of food. Did your parents reward good behavior with ice cream, take you out for pizza when you got a good report card, or serve you sweets when you were feeling sad? These emotionally-based childhood eating habits often carry over into adulthood. Or perhaps some of your eating is driven by nostalgia—for cherishes memories of grilling burgers in the backyard with your dad, baking and eating cookies with your mom, or gathering around the table with your extended family for a home-cooked pasta dinner.
    • Social influences – Getting together with other people for a meal is a great way to relieve stress, but it can also lead to overeating. It’s easy to overindulge simply because the food is there or because everyone else is eating. You may also overeat in social situations out of nervousness. Or perhaps your family or circle of friends encourages you to overeat, and it’s easier to go along with the group.

    Keep an emotional eating diary

    You probably recognized yourself in at least a few of the previous descriptions. But even so, you’ll want to get even more specific. One of the best ways to identify the patterns behind your emotional eating is to keep track with a food and mood diary.
    Every time you overeat or feel compelled to reach for your version of comfort food Kryptonite, take a moment to figure out what triggered the urge. If you backtrack, you’ll usually find an upsetting event that kicked of the emotional eating cycle. Write it all down in your food and mood diary: what you ate (or wanted to eat), what happened to upset you, how you felt before you ate, what you felt as you were eating, and how you felt afterward.
    Over time, you’ll see a pattern emerge. Maybe you always end up gorging yourself after spending time with a critical friend. Or perhaps you stress eat whenever you’re on a deadline or when you attend family functions. Once you identify your emotional eating triggers, the next step is identifying healthier ways to feed your feelings.

    Stop emotional eating tip 2: Find other ways to feed your feelings

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    If you don’t know how to manage your emotions in a way that doesn’t involve food, you won’t be able to control your eating habits for very long. Diets so often fail because they offer logical nutritional advice, as if the only thing keeping you from eating right is knowledge. But that kind of advice only works if you have conscious control over your eating habits. It doesn’t work when emotions hijack the process, demanding an immediate payoff with food.
    In order to stop emotional eating, you have to find other ways to fulfill yourself emotionally. It’s not enough to understand the cycle of emotional eating or even to understand your triggers, although that’s a huge first step. You need alternatives to food that you can turn to for emotional fulfillment.

    Alternatives to emotional eating

    • If you’re depressed or lonely, call someone who always makes you feel better, play with your dog or cat, or look at a favorite photo or cherished memento.
    • If you’re anxious, expend your nervous energy by dancing to your favorite song, squeezing a stress ball, or taking a brisk walk.
    • If you’re exhausted, treat yourself with a hot cup of tea, take a bath, light some scented candles, or wrap yourself in a warm blanket.
    • If you’re bored, read a good book, watch a comedy show, explore the outdoors, or turn to an activity you enjoy (woodworking, playing the guitar, shooting hoops, scrapbooking, etc.).

    Stop emotional eating tip 3: Pause when cravings hit

    Most emotional eaters feel powerless over their food cravings. When the urge to eat hits, it’s all you can think about. You feel an almost unbearable tension that demands to be fed, right now! Because you’ve tried to resist in the past and failed, you believe that your willpower just isn’t up to snuff. But the truth is that you have more power over your cravings than you think.

    Take 5 before you give in to a craving

    As mentioned earlier, emotional eating tends to be automatic and virtually mindless. Before you even realize what you’re doing, you’ve reached for a tub of ice cream and polished off half of it. But if you can take a moment to pause and reflect when you’re hit with a craving, you give yourself the opportunity to make a different decision.
    All you have to do is put off eating for five minutes, or if five minutes seems unmanageable, start with one minute. Don’t tell yourself you can’t give in to the craving; remember, the forbidden is extremely tempting. Just tell yourself to wait. While you’re waiting, check in with yourself. How are you feeling? What’s going on emotionally? Even if you end up eating, you’ll have a better understanding of why you did it. This can help you set yourself up for a different response next time.

    Learn to accept your feelings—even the bad ones

    While it may seem that the core problem is that you’re powerless over food, emotional eating actually stems from feeling powerless over your emotions. You don’t feel capable of dealing with your feelings head on, so you avoid them with food.
    Allowing yourself to feel uncomfortable emotions can be scary. You may fear that, like Pandora’s box, once you open the door you won’t be able to shut it. But the truth is that when we don’t obsess over or suppress our emotions, even the most painful and difficult feelings subside relatively quickly and lose their power to control our attention. To do this you need to become mindful and learn how to stay connected to your moment-to-moment emotional experience. This can enable you to rein in stress and repair emotional problems that often trigger emotional eating.
    What’s more, your life will be richer when you open yourself up emotionally. Our feelings are a window into our interior world. They help us understand and discover our deepest desires and fears, our current frustrations, and the things that will make us happy.

    Stop emotional eating tip 4: Support yourself with healthy lifestyle habits

    When you’re physically strong, relaxed, and well rested, you’re better able to handle the curveballs that life inevitably throws your way. But when you’re already exhausted and overwhelmed, any little hiccup has the potential to send you off the rails and straight toward the refrigerator. Exercise, sleep, and other healthy lifestyle habits will help you get through difficult times without emotional eating.
    • Make daily exercise a priority. Physical activity does wonders for your mood and your energy levels, and it’s also a powerful stress reducer.
    • Make time for relaxation. Give yourself permission to take at least 30 minutes every day to relax, decompress, and unwind. This is your time to take a break from your responsibilities and recharge your batteries.
    • Connect with others. Don’t underestimate the importance of close relationships and social activities. Spending time with positive people who enhance your life will help protect you from the negative effects of stress
      .

    Fighting phobia formation by blocking scary memories from forming




    This past weekend, I came across this, an article on the Science website about NYU researchers' efforts to extinguish fearful aspects of memories during the "reconsolidation" phase of the memory-recall process. Here's how it worked:

    The scientists started by creating a scary memory of a blue square. They flashed blue or yellow squares on a computer screen and gave subjects a slight shock on the wrist when only the blue square appeared. After this training session, just flashing the blue square without a shock put people on edge, which the researchers measured by recording tiny currents that pass through their skin. One day later, the scientists performed extinction training by flashing the blue square repeatedly without any shocks. To trigger reconsolidation, one-third of the subjects got a reminder--a quick flash of the blue square--10 minutes before extinction training. (Reconsolidation normally starts about 3 minutes after a memory gets recalled.) Another third received a reminder 6 hours beforehand--which meant that the extinction training began well past the time when reconsolidation ended--and the final third weren't reminded at all.

    When the scientists tested the subjects' response to the blue square a day later, those who received the 10-minute reminder showed no fear, while the other two groups were still freaked out by the shape. Even 1 year later, those subjects who underwent extinction training during reconsolidation still showed no response to the blue squares, while their counterparts retained the fear memory, the scientists report online today in Nature. "Because extinction training happened during [reconsolidation], we think that ... the nature of the memory changed," Phelps says.

    Imagine how helpful it would be if you could make it so that a location where you experienced a panic attack does not make you fearful or want to avoid it moving forward. Heck, my career would probably be completely different (and probably more lucrative) if I hadn't had to endure periods of being unable to commute by train or highway. The potential benefits of this research in fighting agoraphobia are exciting.

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    Curse of knowledge and other cognitive biases that lead to wrong decision making



    A person may be consciously biased towards or against an ideology, a political party, a religion, a creed, a caste, a country, an ethnic group etc. But a cognitive bias is different from such conscious partisanship. Cognitive bias is an unconscious psychological process which guides the individual in decision making without the individual’s conscious awareness. It is the result of perceptual distortion, inaccurate judgment, or illogical interpretation of facts. A conglomeration of these is called irrationality.
    Cognitive biases are the result of distortions in the human mind that always lead to the same pattern of poor judgment, often triggered by a particular situation. But how can one person decide the judgment of another person poor? In order to decide the judgment to be poor there should a standard of “good judgment”.  In scientific investigations of cognitive bias, the source of “good judgment” is that of people outside the situation which is presumed to cause the poor judgment or a set of independently verifiable facts.
    Positive side of cognitive biases
    According to the evolutionary psychology some cognitive biases are adaptive and beneficial because they lead to more effective actions in given contexts or enable faster decisions when faster decisions are of greater value for survival or reproduction.  
    Some common cognitive biases
    Anchoring
    This common cognitive bias is also called focalism. It refers to a common human tendency to rely too heavily, or “anchor” on one piece of information when making decisions. During normal decision making anchoring occurs when individuals overly rely on a specific piece of information to govern their thought-process. Once the anchor is set, there is a bias toward adjusting or interpreting other information to reflect the “anchored” information. Through this cognitive bias, the first information about a subject can affect future decision making and analysis of new information. For example when a person looks to buy a used car he/she may focus attention excessively on the distance travelled by it as indicated by the odometer rather than considering how well the engine or the transmission is maintained.
    Focusing effect
    Daniel Kahneman 
    It is also called focusing illusion. This cognitive bias occurs when people place too much importance to an event, causing an error in accurately predicting the utility of future outcome.  In economics utility means a measure of satisfaction. People focus on notable differences, excluding those that are less conspicuous, when making predictions about happiness or convenience. For example, a rise in income has only a small and transient effect on happiness and well-being, but people consistently overestimate this effect. Nobel laureate Israeli-American psychologist Daniel Kahneman and associates proposed that this is as a result of a focusing illusion, with which people focusing on conventional measured of achievement rather than on everyday routine. Kahneman writes: “Surveys in many countries conducted over decades indicate that, on average, reported global judgments of life satisfaction or happiness have not changed much over the last four decades, in spite of large increase in real income per capita. While reported life satisfaction and household income are positively correlated in a cross-section of people at a given time, increase in income has found to have mainly transitory effect on individuals’ reported life satisfaction.” (Would You Be Happier If You Were Richer? By Daniel Kahneman et. al. CEPS Working Paper No. 125 May 2006)
    Confirmation Bias
    The confirmation bias refers to the tendency to selectively search for and consider information that confirms one's beliefs.
    Examples: A student who is going to write a research paper may primarily search for information that would confirm his or her beliefs.  The student may fail to search for or fully consider information that is inconsistent with his or her beliefs.
    A reporter who is writing an article on an important issue may only interview experts that support her or his views on the issue.
    An employer who believes that a job applicant is highly intelligent may pay attention to only information that is consistent with the belief that the job applicant is highly intelligent.
    Curse of knowledge
    Robin Hogarth 
    The curse of knowledge is a cognitive bias according to which better-informed individuals may have the disadvantage that they lose some ability to understand properly the lesser-informed individuals. As such added information may convey some disutility. The term “curse of knowledge” was coined by the film and TV music composer Robin Hogarth. In one experiment, one group of participants "tapped" a well-known song on a table while another group listened and tried to identify the song. Some "tappers" described a rich sensory experience in their heads as they tapped out the melody. Tappers on average estimated that 50% of listeners would identify the specific tune; in reality only 2.5% were able to. This means that the better informed individuals failed to understand properly the lesser informed individuals.  It has been argued that the curse of knowledge could contribute to the difficulty of teaching.
    Conservatism
    It is a cognitive bias. In 1973 British psychologist Glenn Wilson published an influential book providing evidence that a general factor underlying conservative beliefs is “fear of uncertainty.” An analysis of research papers in 2003 established that not only fear of uncertainty but many other psychological factors like intolerance of ambiguity and need for “cognitive closure” contribute to the degree of one’s political conservatism. The term cognitive closure has been defined as “a desire for definite knowledge on some issue and eschewal of confusion and ambiguity.” (European Review of Social Psychology No. 18 pps. 133-173)
    Availability bias
    Availability bias is a cognitive bias that causes many to overestimate probabilities of events associated with memorable or dramatic occurrences. More than a bias, it is a “cognitive illusion.” Since, memorable events are further magnified by coverage in the media; the bias is compounded on the society level. Two well-known examples would be estimations of the probability of plane accidents and the kidnap of children. Both events are quite rare, but the huge majority of the population outrageously overestimates their probability, and behaves accordingly. In reality, one is more likely to die from an automobile accident than from a plane accident, and a child has a higher risk of dying in an accident than the risk of getting kidnapped. Availability bias is at the root of many other human biases.


    Going off your meds Taper dont go cold turkey



    I've discussed the potential problems that come with going off SSRIs in the past. In my experiences, these have included light-headedness, a feeling of going inside your head, a feeling of distance from the world around you -- and, in the case of Paxil, what some call the "zaps," the feeling that there are tiny electrical storms taking place in your brain. (Quite disconcerting, this sensation.) In the past, when I've gone off SSRIs -- and I've discontinued taking several of them over the years, either because I was feeling well and convinced I could do fine without them, or because I was sick and tired of the side effects -- I've had more success at avoiding unpleasantness when I weaned myself slowly rather than stopping suddenly, all at once.

    But it turns out that the downsides of quitting psychiatric medications cold turkey go beyond discomfiting sensations while your brain is adjusting to life without meds. According to a recent study in the American Journal of Psychiatry, cited here, going off your meds quickly can result in your ailment storming back into your life. From the link:
    In patients with major depressive disorder, panic disorder, or bipolar disorder, the risk for illness recurrence is far greater following abrupt or rapid, vs gradual, discontinuation of clinically effective antidepressant treatment....
    "The general point for clinical practice," Dr. [Ross J.] Baldessarini said, "is that it appears that most psychotropic drugs, when discontinued abruptly or rapidly, can lead to early and severe exacerbations of the illnesses being treated.

    "It is my impression that this concept has been widely accepted and that clinical practice has been modified appropriately in many cases to include gradual dose tapering and slow discontinuation when feasible clinically," he added.

    Optimal dose-tapering times and protocols still need to be worked out, Dr. Baldessarini noted. However, in general, he said, it is wise to taper off most psychotropics during at least several weeks.
    Dr. Baldessarini is an MD at Harvard Medical School and Massachusetts' McLean Hospital, so if you're not willing to listen to me when it comes to this stuff, perhaps his voice carries a little more authority to you.

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