Health and Wellness

CBT is an effective treatment for many mental health issues – but here’s why it may not suit everyone

Published

3 months ago

September 6, 2024

IAM

Imagine searching for help for anxiety, only to find that the treatment makes you are feeling worse. That is cause for concern. some people who undergo cognitive behavioral therapy (CBT).

CBT is probably the most revolutionary approaches to treating mental health problems. It is a widely used and effective treatment for many mental health conditions, including anxiety and stress disorders.

In many patients, therapy results in significant improvements in mental health. But evidence also suggests it could worsen symptoms of some patients.

CBT focuses on changing negative thought patterns and behaviors. It does this by helping patients discover and challenge distorted or unhelpful thoughts and beliefs, replacing them with more realistic and positive ones.

Additionally, cognitive behavioral therapy involves practicing latest behaviors and coping strategies in real-life situations to bolster positive changes and reduce symptoms of tension, depression, or other mental health problems.

In England and Wales, National Institute for Healthcare Excellence medical guidelines recommend cognitive behavioural therapy for a big selection of mental health conditions and long-term physical conditions, from anxiety and depression to chronic pain, irritable bowel syndrome, and tinnitus (ringing in ears).

This big selection of applications makes it look like CBT can fix absolutely anything. As a clinical psychologist who uses CBT with my patients, I can attest to its effectiveness. But I’ve also seen that it doesn’t work for everyone.

So why and when might this occur?

Expertise is every part

CBT is a structured therapy that relies heavily on knowledge therapist to guide the patient through the method. If the therapist is not experienced or is not a superb fit for the patient, the therapy may not be as effective. Worse, it can result in misunderstandings and frustrationwhich could potentially worsen the patient’s condition.

However, there is an necessary difference between the negative and undesirable effects brought on by poorly conducted therapy, on the one hand, and the unwanted side effects that may occur even when the therapy is conducted appropriately, however.

For example, 2018 study found that 100 CBT therapists reported 372 adversarial effects in 98 patients and unwanted side effects in 43 patients. In the case of adversarial effects, insufficient practice Cognitive behavioral therapy may not bring any improvement and even cause psychological harm.

Some therapists realize that their work may have negative consequences for their patients to simply accept. This can result in hesitancy to confess when it happens, potentially attributing blame to the patient. However, even in cases where CBT is done appropriately, unwanted side effects reminiscent of worsening symptoms and increased stress, are sometimes reported by each patients and therapists.

One possible reason is that CBT requires patients to confront negative thoughts and feelings head-on. This might be difficult and, in some cases, overwhelming. Consider, for example, individuals who have experienced complex trauma. Simply changing thought patterns does not address the deep-seated emotional pain and relational issues that underlie their symptoms, often rooted in early childhood.

In fact, some cognitive behavioral therapy strategies reminiscent of: exposure therapy through imagery – recalling painful thoughts in a controlled technique to reduce their current impact – can sometimes intensify these symptoms.

Some patients also report that cognitive behavioral therapy can feel invalidatingFocusing therapy on rational pondering and evidence-based beliefs may seem to disregard emotions.

For example, amongst people who find themselves experiencing mourning or other events life changing traumacritique of CBT by some patients Is this it? may mark incorrectly suffering brought on by traumatic events reminiscent of “maladaptive”This refers to behaviors or emotional responses which might be counterproductive to effectively coping with stress or trauma.

They can potentially reduce the validity of patients’ emotional reactions. In such cases, other approaches, reminiscent of Acceptance and Commitment Therapy (ACT), may be more appropriate.

ACT, a variety of talk therapy, focuses on accepting difficult emotions somewhat than questioning them, emphasizing mindfulness and committed motion consistent with personal values. Mindfulness techniques, often utilized in ACT and other therapies, help patients observe and accept their thoughts and feelings without judgment, fostering a way of calm and presence.

Not suitable for everyone

The cognitive aspect of cognitive behavioral therapy has been met with further criticism, especially in relation to potential to induce contemplation. This tendency to dwell excessively on painful past events is a standard feature of depression, and focusing intensely on why one’s pondering may be maladaptive can exacerbate the issue.

Research suggests that cognitive behavioral therapy can: in some casesincrease worries and lower mood by promoting rumination, especially in individuals with obsessive traits.

CBT interventions typically require solid cognitive resources, including memory, attention, and the flexibility to create abstract concepts. Elderly patients, individuals with dementia, people scuffling with anxiety after stroke or traumatic brain injury, or patients with lower intellectual functioning Cognitive behavioral therapy generally is a challenge. Research suggests that intact cognitive functions, as measured by psychological assessments, can significantly influence the effectiveness of cognitive behavioral therapy.

Despite all these issues, it is necessary to acknowledge how effective CBT is in many cases. Even in cases where there is an initial increase in stress, these effects are often temporary, not everlasting. Tests showed that significant improvements in mental health might be observed after completing cognitive behavioral therapy – even amongst individuals who initially reported worsening symptoms.

Strategies including screening for the appropriateness of CBT, educating patients about CBT before starting therapy, tailoring the approach to individual needs, and ensuring appropriate training and supervision of therapists are likely to reduce unwanted side effects and maximize the advantages of CBT.

This article was originally published on : theconversation.com

Health and Wellness

Women are less likely to undergo cardiopulmonary resuscitation than men. Training on breast mannequins could be helpful

Published

30 mins ago

November 22, 2024

IAM

If someone’s heart suddenly stops beating, this may increasingly have happened minutes of life. Performing cardiopulmonary resuscitation may increase their probabilities of survival. Cardiopulmonary resuscitation keeps blood pumping, delivering oxygen to the brain and vital organs until specialized treatment arrives.

However, research shows that bystanders are less likely to intervene to perform cardiopulmonary resuscitation if the person is a girl. AND latest Australian study analyzed 4,491 cardiac arrest cases between 2017 and 2019 and located that bystanders were more likely to perform CPR on men (74%) than on women (65%).

Could this be partly because CPR training mannequins (so-called dummies) shouldn’t have breasts? Our recent research we checked out mannequins available all over the world to train people to perform CPR and located that 95% of them were flat-chested.

Anatomically, breasts don’t change the cardiopulmonary resuscitation technique. However, they’ll influence whether people try to accomplish that – and hesitation at these key moments could mean the difference between life and death.

Differences in heart health

Cardiovascular diseases – including heart disease, stroke and cardiac arrest – are probably the most common diseases important reason behind death for ladies all over the world.

But if a girl goes into cardiac arrest outside the hospital (meaning her heart stops pumping air properly), that is actually what happens. 10% less likely receive cardiopulmonary resuscitation than a person. Women too less likely survive cardiopulmonary resuscitation and are at greater risk of brain damage following cardiac arrest.

Bystanders are less likely to intervene if a girl needs cardiopulmonary resuscitation compared to a person.
Doublelee/Shutterstock

These are just among the many health inequalities experienced by women, in addition to transgender and non-binary people. Compared to men, their symptoms they are more likely to be rejected or misdiagnosed, or it could take longer to receive a diagnosis.

Reluctance of the witness

There can also be growth evidence women are less likely to start cardiopulmonary resuscitation compared to men.

This may be partly due to the concerns of those being accused of sexual harassmentworry may cause damage (in some cases based on the assumption that ladies are more “fragile”) and discomfort related to touching women’s breasts.

Bystanders may also get into trouble recognition the lady has a cardiac arrest.

Even in simulated scenarios, researchers found that interveners were less likely to remove women’s clothing prepare for resuscitationcompared to men. And there have been women less likely to receive Cardiopulmonary resuscitation or defibrillation (an electrical charge to restart the center) – even when the training was in the shape of a web based game that didn’t require touching anyone.

There is evidence of how people behave in resuscitation training scenarios reflects what they do in real emergency situations. This means it is amazingly vital to train people to recognize cardiac arrest and prepare for intervention, no matter gender or body type.

Attached to men’s bodies

Very Cardiopulmonary resuscitation training resources depict male bodies or don’t specify gender. If bodies shouldn’t have breasts, it’s a male default.

For example, the 12 months 2022 test taking a look at CPR training in North, Central, and South America, it was found that nearly all of available mannequins were white (88%), male (94%), and slim (99%).

The woman's hands press the torso of a mannequin wearing a blue jacket. — It is amazingly rare for a mannequin to have breasts or a bigger body.
M Isolation photo/Shutterstock

This research reflects what we see in our work once we train other healthcare professionals to perform cardiopulmonary resuscitation. We noticed that every one the mannequins available for training are flat chested. One of us (Rebecca) had difficulty finding training mannequins with breasts.

Single mannequin with breasts

Our recent research we checked what cardiopulmonary resuscitation mannequins are available and the way diverse they are. In 2023, we identified 20 cardiopulmonary resuscitation mannequins in the worldwide market. Mannequins are often torsos with no head and without arms.

Of the 20 available, five (25%) were sold as “female”, but only considered one of them had breasts. This implies that 95% of obtainable CPR training mannequins were flat-chested.

We also checked out other diversity characteristics, including skin tone and bigger bodies. We found that 65% had more than one skin tone available, but just one had a bigger body. Further research is required on the impact of those elements on bystanders when performing CPR.

Breasts don’t change cardiopulmonary resuscitation technique

Cardiopulmonary resuscitation technique doesn’t change when someone has breasts. The barriers are cultural. And although you could feel uncomfortable, starting cardiopulmonary resuscitation as soon as possible can save your life.

Signs that somebody may have cardiopulmonary resuscitation include not respiration properly or completely or not responding to you.

Perform effective cardiopulmonary resuscitationit’s best to:

place the heel of your hand in the middle of your chest
place your second hand on top of the primary and interlace your fingers (keep your arms straight)
press firmly to a depth of about 5 cm before releasing
press your chest with a frequency of 100-120 beats per minute (you may sing a song) in your head to show you how to keep time!)

An example of performing cardiopulmonary resuscitation – using a flat-chest manikin.

What a couple of defibrillator?

You haven’t got to remove someone’s bra to perform CPR. But you could need to accomplish that if a defibrillator is required.

AND defibrillator is a tool that uses an electrical charge to restart the center. An underwired bra may cause minor skin burns when the debrillator pads apply an electrical charge. However, in case you cannot take your bra off, don’t let it delay your care.

What should change?

Our research highlights the necessity for a big selection of breast CPR training mannequins, in addition to a wide range of body sizes.

Training resources need to higher prepare people to intervene and perform CPR on individuals with breasts. We also need greater education on the chance of developing and dying from heart disease in women.

This article was originally published on : theconversation.com

Health and Wellness

Ant stings can be painful. Here’s how to avoid getting stung this summer (and what to do if it happens)

Published

8 hours ago

November 22, 2024

IAM

The starting of summer is just a couple of days away, and plenty of of us will be looking forward to long, sunny days spent on the beach, by the pool, camping or having a picnic within the park.

Insects love summer too. Most of them right then grow and feed. However, this shared appreciation of the season can sometimes lead to conflict.

Insects have long been preyed upon by many species, including birds, mammals, amphibians, and other insects. Accordingly, quite a lot of defense mechanisms have evolved – perhaps none more familiar to humans than the sting.

Many ants have a stinger on their rear end which they use to deliver venom. It will not be the sting itself that causes pain, but relatively venom. Ant venom accommodates a mix of various chemicals, a few of which have evolved specifically to manipulate the nerve endings in our skin to cause pain.

Let’s take a have a look at the several ant stings chances are you’ll experience this summer in Australia and how to respond.

Bull ants

Bull ants (also often called bulldog ants, jumper ants, or jumper ants) are large for an ant. Some species can grow to length 4 centimeters. They are easily identified by their large eyes, long mandibles (jaws), and aggressive nature.

Their sting is immediate, hot, sharp and unambiguous, similar to that of a honey bee. The intense pain will only last a couple of minutes before being replaced by redness and swelling across the sting site.

There are many differing kinds of bull ants in Australia.
Sam Robinson

Green-headed ants

Green-headed ants are also called green ants (but not to be confused with green ants). green tree ants northern Australia, which do not sting). Green-headed ants are common and love our lawns.

About Length 6 millimetersthey’re much smaller than bull ants. They can be recognized by their shiny green-purple exoskeleton.

Green-headed ants are frequently less aggressive than bull ants, but they can still deliver a big sting. The pain from a green ant sting can construct up step by step and cause intense, sticky pain.

Fire ants

Fire ants (or imported red fire ants) are native to South America. They were detected first in Brisbane in 2001it probably moved in containers and has since spread across south-east Queensland.

Fire ants are reddish brown and black and range in size from Length 2–6 millimeters.

You will almost certainly encounter fire ants of their nests, which appear like a pile of loose dirt. A hearth ant nest has no obvious entrance, which is way to distinguish it from other similar ant nests.

Disturbing a hearth ant nest will awaken an offended mass of a whole bunch of ants and expose you to being stung.

The initial pain from a single sting seems like an intense, hot itch, although it can be controlled. However, fire ant stings rarely occur in the only digits. One ant can sting multiple times, and plenty of ants can sting one person, which can lead to a whole bunch of stings. A hearth ant sting can cause pus-filled ulcers and scarring in the next days.

If you reside in an area where fire ants are present, it’s price taking a couple of minutes to learn how to do this recognize and report their.

Electric ants

Electric ants is one other nasty random import, coming from Central and South America. Currently limited to Cairns and surroundingsthese are tiny (1.5 millimeters long) yellow ants.

Like fire ants, these ants are frequently defensive, so lots of them will sting without delay. Their sting is more painful than you’ll expect from such a tiny creature. I compare it to being showered with red, hot sparks.

If you think that you see electric ants, please report it Biosecurity in Queensland.

Australian ants should not the worst

You may be surprised to hear that Australian ants don’t even make it to the rostrum when it comes to essentially the most painful ant stings. The winners include: harvester ants (North and South America), which cause severe, sticky pain, comparable to a drill slowly rotating in a muscle – for up to 12 hours.

The gold medal goes to the sting of the South and Central American bullet ant, which has been described How:

Pure, intense, sensible pain. It’s like walking on burning charcoal with a 3-inch nail stuck in your heel.

How to avoid getting stung (and what to do if you do)

Fortunately, the answer is frequently quite simple. Look around before you sit on the bottom or unfolded a picnic blanket, avoiding places where you see ant nests or a lot of foraging ants.

The selection of footwear might also be necessary. In my experience, most stings occur on the feet of those wearing thongs.

If you get stung, generally the situation will improve by itself. The pain often subsides after a couple of minutes (sometimes slightly longer within the case of a green ant sting). The redness, swelling and itching that sometimes follows may last for several days.

In the meantime, if mandatory, ice pack it will help with the pain. If it’s particularly bad, a topical numbing cream containing lidocaine may provide temporary relief. You can get it over-the-counter at a pharmacy.

A small proportion of individuals may experience an allergic response to ant stings. In very severe cases this may include respiratory problems or ingestion. If you or a loved one experiences these symptoms after an ant sting, you need to seek urgent medical attention.

This article was originally published on : theconversation.com

Health and Wellness

Health matters: WNBA star Napheesa Collier on her commitment to women’s reproductive health

Published

14 hours ago

November 21, 2024

Minnesota lynx

Napheesa Collier will not be only a WNBA superstar for the Minnesota Lynx and a two-time Olympic gold medalist, but additionally the mother of her daughter Mila and an advocate for women’s reproductive health rights.

It recently decided to partner with Opill®, the primary and only every day contraceptive pill available over-the-counter within the United States. This breakthrough represents a major step forward in women’s health care by providing a convenient and accessible contraceptive option. With Opill, women not need to visit health care facilities for prescriptions, making it easier than ever to take control of their reproductive health.

The collaboration relies on Opill®’s long-standing partnership with the Women’s National Basketball Association (WNBA). “One of the reasons Opill® partnered with the WNBA is the great passion of players who use their platform to support causes they believe in,” said Leila Bahbah, leading women’s health brand at Perrigo within the US. “Napheesa exudes this passion, and together we plan to educate and empower people to take control of their reproductive health.”

Collier advocates for girls and says she is willing to have conversations, even in the event that they are difficult. “I just truly believe in everything they do at Opill®. I believe it’s important to talk to people who may become pregnant and to women about the reproductive health and contraceptive options available to them,” Collier tells ESSENCE.

He continues: “I want people to know that if they want contraception, Opill® is a great option. It is the first over-the-counter drug approved by the FDA. It is inexpensive, available. You don’t need a prescription to get it. I think that’s a key thing in today’s climate.”

Collier notes that within the off-season, he tries to travel to various colleges to talk to students about their reproductive freedoms. “Talking about this topic is essential to remove the stigma as it should not be considered a shameful topic or something that should not be discussed openly. My mother was a nurse, so it was casual to talk about it in our house, and I want to pass it on to other people too, so I’m very excited about it,” she says.

In the present political climate, many ladies with daughters are concerned about their future and reproductive health. Collier, included. “Especially because I am the mother of a young girl, it is very important to me to be able to raise her in an atmosphere where she knows her reproductive rights and health, that she has access to affordable health care and contraception if she wants it and that she can ask me these questions and have open conversations.”

Collier continues: “It’s back to education. Again, I think it’s harmful that we can’t have open conversations about birth control and other issues that are usually taboo. I think it’s harmful. I think this does a lot of harm to women. It hurts. This is harmful to our society. Being able to talk about these issues and empowering women to learn about their rights and bodies creates a safer and healthier society.”

This article was originally published on : www.essence.com