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Archive for the ‘Anti Depressants-Sleeping Aid’ Category

Dec
15

ANXIETY IN THE BODY: NERVOUS DIARRHOEA

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The self-regulating mechanisms of the body may come into action in an attempt to restore equilibrium from the overactivity of that part of the nervous system which prepares the body for action. In these circumstances it is quite common for the self-regulating mechanisms to overcompensate as it were. When this happens there is increased mobility of the bowel, and diarrhoea results instead of constipation.

A woman of thirty-four years had always been somewhat tense and was inclined to be rather fussy and perfectionistic. Although not unintelligent, she had always had difficulty in coping with things which better-endowed people would have been able to take in their stride. As a result she was very dependent on her husband, who was kind and considerate. On a number of occasions when under additional stress, she had suffered from bouts of severe diarrhoea. She was very anxious to have a family, but on each occasion on which she had become pregnant she had had a miscarriage. Over the years she had had a great deal of psychiatric

treatment— psychotherapy, all manner of drags, and electric shock treatment.

When she came to me, nothing would stop her diarrhoea, which had started some three months after her last miscarriage. She did the relaxing mental exercises. The diarrhoea soon stopped. She has become easier in herself, and better able to cope with things, but still remains the rather ineffectual woman that she is.

Jokes about loss of control due to nervous diarrhoea are so common that all must be familiar with this symptom of acute anxiety. It is common enough in less acute form with soldiers when they are about to enter the battle area, or even with students when confronted with an important examination. Anxiety is also a significant factor in the chronic forms of diarrhoea known as ulcerative colitis.

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Dec
15

ANXIETY IN THE BODY: PAIN IN THE REGION OF THE HEART

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Anxiety frequently produces pain in the left side of the chest which we immediately suspect to be due to some disease of the heart. However, the pain of anxiety is usually situated well to the left side in the area where we can normally feel the heart beat. On the other hand the pain from organic disease of the heart is situated more centrally, under the breast bone. Furthermore, we experience heart pain due to anxiety at any time, even lying down and resting, while organic cardiac pain is typically brought on by physical effort and stops when we rest. Organic cardiac pain also tends to radiate down the left arm in a way which does not usually occur when the pain is of functional origin.

Only a few days ago a doctor brought his twenty-two-year-old son to me. He was a big lad of fine physique and was a successful athlete. In a pleasant extrovert manner he told me that for the past five months he had had continuous pain over his heart and down his left arm. The pain had come on when he was under a lot of stress studying for exams at a time when his girl friend was also demanding his attention, and he felt he could not cope with both. He had recently seen a cardiologist who found him normal and who had suggested a visit to me.

I have mentioned that pain over the heart due to anxiety rarely extends down the left arm. This lad was convinced that there was something wrong with his heart. He is the son of a doctor; and when I questioned him, he said that he knew quite well that pain from heart disease goes down the left arm. This serves to illustrate the way in which the symptoms of anxiety can be modified by our knowledge of our body and its functions.

*18/57/2*

Dec
15

CHILDREN’S SLEEP:WHEN IS THE RIGHT TIME?

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Friends are saying, “That child is running your life.” Others are saying, “She will start sleeping better soon—just be patient.” Then you hear the dreaded “My child is three years old and still doesn’t sleep.” You think, that can’t happen to me! That won’t happen to me!

You are ready to make some changes. But you wonder…when is the best time to start working on it? When can I realistically expect my child to make some changes? The answer to the question “when” is a complex one and mu be examined on two levels: a child’s readiness and the parents’ readiness.

Child’s Readiness. Before you decide to change your child’s sleep behavior review her readiness. There are a few factors to consider.

Check developmental stage. Be certain that your expectations a appropriate for your child’s developmental level. Know what is considers “average” for your child’s age. For example, when you learn that most two year olds need a nap, you will feel more confident in expecting one. Although you can take preliminary, stage-setting steps beforehand, a child might not have the neurological maturity to sleep all night until he is six months old. Do not feel burdened by norms, but use them as guideposts.

Consider temperament. Personality or temperament should also be taken into consideration—especially during developmental upheaval, when getting through a typical day is a feat. Generally, this would not be a logical time to introduce new expectations.

Other factors. Never begin a new program when a child is ill or is dealing with other changes—for example, a new house or a new sibling. Try to consider the whole situation, but if there never seems to be a “right” time, ? may be making too many allowances. There will never be the perfect time; ? may just have to plunge in. Children are incredibly resilient and adaptable.

*8/67/8*