Acupuncture Connections

Acupuncture and Cardiovascular Health

Tuesday: 9:00 – 7:00 pm

(508) 393-0000

Did you know that Acupuncture and Traditional Chinese Herbal Medicine have a lot to offer to boost your immune system?  This is so important this time of year as a strong immune system can help l…

Acupuncture is a proven safe and effective medical therapy that has been practiced for thousands of years. We provide the highest quality acupuncture at the most affordable prices. Your appointment begins with a private consultation followed by treatment in a traditional  group setting. Come find out how we can better your health!

Get Relief With Acupuncture! Repetitive Stress Injuries and Carpal Tunnel Syndrome  Repetitive stress injuries (RSI) are the most common job-related injuries and are resp…

Saturday: 9:00 – 2:00 pm

Northborough MA 01532

Thursday: 9:00 – 7:00 pm

(508) 405-2881

Friday: 9:00 – 5:00 pm

Back to School Stress? The new school year is just beginning and with it brings a return to the daily grind, and for many….. increased stress. Stress can manifest in many ways,…

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Wednesday: 10:00 – 7:00 pm

Click here to view map and directions

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chronic illnesses including auto-immune diseases, arthritis, acute or chronic pain, digestive issues, stress, tigue, and many others. Click here for more.

5 Simple Tips for Good HAcupunctureealth in Winter

Saturday: 10:00 – 3:00 pm.

The Spice Cabinet: Cinnamon

Be Prepared for the Flu Season!

Cinnamon is one of the oldest spices on record, mentioned as the immortal spice in the Bible.  Cinnamon was used in ancient Egypt as a medicine and in Chinese herbal medicine thousands of yea…

Friday: 7:30 – 6:00 pm

Carpal Tunnel Syndrome – Relief with Acupuncture!

Back to School Stress?

Wednesday: 7:00 – 6:00 pm

Tuesday: 7:00 – 7:00 pm

Westborough Tennis & Swim Expo 1/5/13

Framingham MA 01702

We truly look forward to meeting you, and being part of your health care and serving the communities of Metrowest Boston and Central Massachusetts:  Ashland, Boylston, Bolton, Grafton, Hopkinton, Hudson, Natick, Northborough,New York Asian escort Marlboro, Franklin, Framingham, Lancaster, Medway, Shrewsbury, Southborough, Stow,Acupuncture Sudbury, Wayland, Wellesley, Westborough, Weston and Worcester!

Thursday: 10:00 – 7:00 pm

In Traditional Chinese Medicine, human beings should live in harmony with the natural cycles of their environment. So, this is the time of year to reflect on our health, replenish our energy, an…

Acupuncture CAcupuncture Connectionsonnections attends Westborough Tennis & Swim Clubs Fitness & Health Expo on Saturday January 5th, 2013 Providing customers with free mini acupuncture treatments, we were able …

The Acupuncture Newsletter via Qi MailTM Nurture Your Cardiovascular Health Acupuncture for Cholesterol Management Heart Healthy Foods Having a healthy diet is one of the best ways to support…


The Beauty Brains

Were not sure how stimulating muscles in the ce will help since the cause of wrinkles has less to do with muscles and more to do with collapse of collagen and other skin supportive tissues. If vibrational muscle stimulation really was a cure for wrinkles, every dermatologist would be offering this as an in office treatment!

BC saysI read this statement on another beauty blog: Notorious for their hallucinogenic properties, mushrooms are more than just a mind-alerting substance. They also have powerful beautifying benefits! This sounds like an urban myth to me whats the scoop? The Beauty Brains respond: Scoop-wise we agree this does sound r-fetched but, even though the details []

Moulin Rouge saysI just saw this Deep Bronzing Mineral Bronzer by Divine Cosmetics on Its cheap,Beauty it says its comparable to MAC makeup and its FREE of harmful ingredients. Should I buy it?  The Beauty Brains respond: It depends on whether or not youre Canadian. One of the ingredients in the formula, Ferric Ferrocyanide, []

This BB cream is a top seller on but it seems to suffer from lack of proper information. Lets look at the lThe Beauty Brainsabel to see why. This is another in a long list of products for which Amazon has decided not to include ingredients. If I were you, Id refuse to buy this product []

The claims regarding reduction in appearance of wrinkles and increased skin firmness are very standard claims and can be achieved with regular lotions and supported by consumer testing. Its also less than impressive to note that this is apparently based on a single study with a very small base size (n = 30.)

Without  a lot more disclosure on their formula and test data,Escort Asian NY wed have to call this a gimmick. Its certainly not the scientific breakthrough of the year!

The dual action technology in the Lift Away the Years wand forms the perfect combination in reducing the appearance of ageing skin.

Read the full article

Read the full article

The wand uses gentle vibrations to stimulate the muscles in the ce while Crystal Clears Intense Anti Ageing serum is massaged deeply into the skin.

Read the full article

EverythingBeauty old is new againThats the beauty science lesson we learn from todays vintage video. Clairols Hair So New spray-on cream rinse (aka conditioner) was clearly ahead of its time. Now we have a plethora of spray on products including conditioners, dry shampoos, even sunscreens. But back in the 1950s this was a true innovation. []

Lift Away the Years produces an instant anti-ageing effect. Used morning and night as part of your daily moisturising routine, the results will get better and better.

Read the full article

Fructis Triple Nutrition Nutrient Spray has 3 layers. Have you ever wondered how that works and what each layer does for your hair? How do the layers work? The trick is there are three immiscible fluids that have different specific gravities (SPG). That means that the liquids wont mix together and will separate into different []

They dont fully disclose ingredients on their website but they do call out the following special ingredients:

The Lift Away the Years wand has been designed to create skin that appears younger, firmer and more toned. In a recent study with 30 women, consumers reported a 27% reduction in the appearance of fine lines and wrinkles and a 45% increase in skin firmness.

Jonathon needs helpHi my names Jonathan and I have relaxed hair. The problem is now that I over processed it. It is now dry and really really stiff. (I can change my hairstyle in seconds like I would have a wax in the hair.) My question: I know I need Moisture that it weighed down []

Image credit: 

Its time for more beauty science news stories That Face-Lift May Buy You Only Three Years Of Youth  Are Your Windows Aging You?: Sun Exposure in the Great Indoors  The politics of pretty: Lush supports anti-fracking campaign.  A Patch Designed To Make You Invisible To Mosquitoes  Researchers make sunscreen breakthrough with microorganisms 

BrittasbitsI just read an article on mail online that states a new device called Lift Away the Years wand and serum by Crystal Clear is the new scientific breakthrough of the year! Claiming to erase saggy skin and wrinkles So my question is does this device actually work ? Or is it yet another gimmick?

The Beauty Brains respond:

Read the full article

Scatter Perm was a break through back in the 1960s because it allowed for targeted delivery of a perm solution. Most perms of the time were applied all over hair and then the rollers were used to hold the hair in place. Scatter Perm Rollers had absorbent sheets so the perm solution could be applied to just to areas of the hair that you wanted to curl. In that sense its not unlike modern highlighting technology that uses an aluminum foil shield to protect the rest of the hair while you treat just the pieces that you want lightened.

Here are the basic claims for this product according to their website:

While, as with many other anti-aging ingredients, there is some data on in vitro cell cultures which indicate these are functional, there is little or no data proving they work when applied topically to skin.

Read the full article .

Read the full article

Its scatter-logical!


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Ears Hearing Your Ears

When you stop spinning or step off the ride, the fluid in your semicircular canals is still moving. The hairs inside the canals are sensing movement even though youre standing still. Thats why you might feel dizzy your brain is getting two different messages and is confused about the position of your head. Once the fluid in the semicircular canals stops moving, your brain gets the right message and you regain your balance.

Your ears are in charge of collecting sounds, processing them, and sending sound signals to your brain. And thats not all your ears also help you keep your balance. So if you bend over to pick up your cat, you wont ll down or even worse ll on your cat. Meow!

the stapes (say: stay-peez), the smallest bone in the body, which is attached to the incus and means stirrup in Latin

The ear is made up of three different sections: the outer ear, the middle ear, and the inner ear. These parts all work together so you can hear and process sounds.

Your ears take care of you, so take care of them. Protect your hearing by wearing earplugs at loud music concerts and around noisy machinery, like in wood or metal shop at school. Keep the volume down on your stereo,Ears Hearing especially if youre in the car or wearing headphones.

Reviewed by: Steven Dowshen, MD

The outer ear is called the pinna or auricle (say: or-ih-kul). This is the part of the ear that people can see. Its what people pierce to wear earrings and what your friend whispers into when its time for a secret. The main job of the outer ear is to collect sounds, whether theyre your friends whispers or a barking dog.

The eardrum separates the outer ear from the middle ear and the ossicles (say: ah-sih-kulz). What are ossicles? They are the three tiniest, most delicate bones in your body. They include:

Date reviewed: June 2011.

The outer ear also includes the ear canal, where wax is produced. Earwax is that gunky stuff that protects the canal. Earwax contains chemicals that fight off infections that could hurt the skin inside the ear canal. It also collects dirt to help keep the ear canal clean. So earwax isnt just gross. Its gross and useful.

And one last thing dont go poking around in your ears, even with cotton swabs. As you probably know, theres only one thing thats safe to put in your ear. Your elbow, of course.

When sound waves reach the eardrum, they cause the eardrum to vibrate. When the eardrum vibrates, it moves the tiny ossicles from the hammer to the anvil and then to the stirrup. These bones help sound move along on its journey into the inner ear.

Sometimes the liquid in your semicircular canals keeps moving after youve stopped moving. To understand this,Nyc Asian escorts fill a cup halfway with water. Now move the cup around in a circle in front of you and then stop. Notice how the water keeps swishing around, even after the cup is still? Thats what happens in your semicircular canals when you spin in circles or go on the Tilt-A-Whirl at the amusement park.

Did you hear something? Maybe the sound you heard was as quiet as your cat licking her paws. Or maybe it was loud, like a siren going by. Sounds are everywhere, and you have two cool parts on your body that let you hear them all: your ears!

Ears do more than hear. They keep you balanced, too. In the inner ear, there are three small loops above the cochlea called semicircular canals. Like the cochlea, they are also filled with liquid and have thousands of microscopic hairs.

When you move your head, the liquid in the semicircular canals moves, too. The liquid moves the tiny hairs, which send a nerve message to your brain about the position of your head. In less than a second, your brain sends messages to the right muscles so that you keep your balance.

After sound waves enter the outer ear, they travel through the ear canal and make their way to the middle ear. The middle ears main job is to take those sound waves and turn them into vibrations that are delivered to the inner ear. To do this, it needs the eardrum, which is a thin piece of skin stretched tight like a drum.

The cochlea is also lined with tiny cells covered in tiny hairs that are so small you would need a microscope to see them. They may be small, but theyre awfully important. When sound reaches the cochlea, the vibrations (sound) cause the hairs on the cells to move, creating nerve signals that the brain understands as sound. The brain puts it together and hooray! You hear your vorite song on the radio.

Sound comes into the inner ear as vibrations and enters the cochlea (say: ko-klee-uh), a small, curled tube in the inner ear. The cochlea is filEars Hearing Your Earsled with liquid, which is set into motion, like a wave, when the ossicles vibrate.


China Acupuncture Herbal Clinic

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Dr.Zhu and Dr.Mai have more than 30 years experience ! Our acupuncture clinics have served Coquitlam,Acupuncture Port Moody, Langley, Burnaby, Richmond, Vancouver for more than 15 years.

Modern studies have shown good results of acupuncture on depression Let the depression patient tell you her experience in the acupunture treatment!

Acupressure unblocks the obstruction at the channels, and re-establish the regular Qi flow through the meridians. After the blockage removed, the pain will be relieved. .

SAD affects over ten million people each year, Acupuncture and other modalities of TCM,NYC Escort can indeed be helpful for those who suffer from seasonal depression as they can bring the body to a more balanced state.

China Acupuncture &i balance, set up an individual treatment plan for you to achieve optimal health by awakening your bodys healing power to heal yourself. Patients who come to our acupuncture clinic learn that through TCM – acupuncture and Chinese herbs – they not only relieve themselves of their symptoms, but they also reduce stress; improve energy; and receive a huge boost to their immune system.

Chinese acupuncture has a long history. There is clear evidence that acupuncture is effective for pains and other general health problems

Chinese herbs can be used either for cure or healthe maintanance Our acupuncture clinic provides herbal treatment to patients in Coquitlam, port moody, port coquitlam etc since 1997

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I have been coming to Nancy Zhu for acupuncture over four years. Here attention to detail and human compassion is second to none. I always feel cChina Acupuncture Herbal Clinicomfortable Acupuncturewith her suggestions and her care is something I work into my lifestyle.

If you want to get benefit from this ancient natural healing art, you are very welcome to contact us at:

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Modern Western studies have confirmed the efficacy of Acupuncture! Patients from Coquitlam, Burnaby, Richmond, Vancouver have a taste of its magic!

Acupuncture can help Infertility! Nearly 10 years of research have confirmed that acupuncture can improve the chance of pregnancy and childbirth!

SAD affects over ten million people in the United States each year, two-thirds of which are female.

604 464 6523 (Port Coquitlam Clinic)


Anxiety Crashing Fatigue

Without a doubt, crashing tigue can be a startling development for the menopausal woman. It is important to recognize; however, that crashing tigue is a normal symptom of menopause that is caused by temporary hormonal imbalance. This primary underlying cause can be made worse by complicating ctors such as lack of sleep, stress, and irritability.

5. Vaginal Dryness

3. Irregular Periods

2. Night Sweats

19. Irregular Heartbeat

13. Weight Gain


21. Anxiety

Trouble concentratingLack of sleep or other sleep disorders, which may lead to feelings of crashing tigue Anxiety, can also manifest as irritability or difficulty concentrating on tasks at hand, leading to problems in the workplace or within relationships.

Memory lapses

There is also an important distinction between crashing tiguAnxietye as a menopause symptom and chronic tigue syndrome, which is a more serious and complicated disorder. Chronic tigue syndrome includes periods of extreme tigue that do not improve with bed rest, may worsen with physical or mental activity, and is often tied to other illnesses.

18. Changes in Odor

14. Incontinence

Muscle tigue

17. Brittle Nails

26. Joint Pain

22. Irritability


33. Tingling Extremities.

11. Memory Lapses

25. Headaches

30. Gum Problems

29. Digestive Problems

27. Burning Tongue

7. 8. Hair Loss

9. Sleep Disorders

Sudden crashing tigue

28. Electric Shocks

To learn more about how to treat crashing tigue during menopause, please refer to the general tigue treatments page, which covers the best ways to approach drastic bouts of tigue during menopause as well as more general and persistent tigue.

20. Depression

23. Panic Disorder

Walking is a low-impact, low-stress, inexpensive exercise that has been proven to alleviatAnxiety Crashing Fatiguee some symptoms of menopause. This basic exercise is particularly useful in combating menopausal tigue. According to recent research, walking helps increase blood flow around the body and also elevates the heart rate,New York Asian escort thereby increasing overall energy and well-being.

Decreased wakefulness

10. Difficulty Concentrating

The restorative energy gained from a proper night of sleep is essential to a womans health and ability to function during the day. During menopause, many women find that their energy levels arent what they used to be, even if it seems that they are getting enough sleep. The most basic underlying cause of crashing tigue during menopause is hormonal imbalance. However, crashing tigue is a complex symptom of menopause as its causes and lifestyle triggers can be numerous. For example, extra work stresses and mily strains can worsen crashing tigue during menopause.

16. Allergies

Crashing tigue is defined as a sudden and overwhelming feeling of weakness, exhaustion, and reduced energy, which can strike at any moment of the day. Crashing tigue is different than drowsiness, which implies an actual urge to sleep.

31. Muscle Tension

4. Loss of Libido

15. Bloating

Though tigue can be a major drain on daily life, there are , effective ways to treat it without using expensive and risky drugs. Lists practical advice on managing tigue during menopause, such as following a healthy diet, incorporating exercise into the daily routine and using herbal remedies and supplements. Provides safe, effective, viable methods for alleviating menopausal tigue.


6. Mood Swings

1. Hot Flashes

24. Breast Pain

Read on to learn more about the crashing tigue that is common during the menopausal transition.

12. Dizziness

Crashing tigue after eating

32. Itchy Skin

Crashing tigue can have both mental and physical symptoms. In many cases, these symptoms are experienced in tandem.

Decreased attention


Anxiety Menopause Weight Gain

Androgen. The amount of this hormone increases at the onset of menopause. Its responsible for sending new weight to the mid-section instead of to the hips, which many women are accustomed to. Some women even have a nickname for the menopause years based on the mid-section weight gain: the middle-age spread.

Breast cancer

20. Depression

26. Joint Pain

8. Hair Loss

28. Electric Shocks

High cholesterol

2. Night Sweats

Click on the following link to learn more about the causes of weight gain during menopause, or continue reading below to find out some of the best treatment options for weight gain associated with menopause.

As years progress the metabolism slows, setting the physiological stage for weight gain. Although age itself can lead to plumped midsections, women approaching menopause have particular cause for concern. As a womans hormones fluctuate prior to menopause and preparing for a permanently reduced hormonal level, they are likely to experience weight gain.

Medication use

10. Difficulty Concentrating

Finally, if a woman is still experiencing weight gain, there are different prescription mAnxiety Menopause Weight Gainedications and surgeries that can be explored, such as diet pills or liposuction. This final option comes with the most risk and side effects and should be considered a last result. A healthcare professional should be consulted before undergoing one of these options.

Sleep apnea

Kidney disease

Weight gain in the stomach region is common during menopause, though can cause many women great upset. This problem can be serious if weight gain is excessive, causing health problems such as type two diabetes. To shift excess t gained in the stomach area, it is important for women to follow a healthy diet and exercise regime.

18. Changes in Odor

The hell of menopause is over, now you can go back to your normal life, or not, as the case may be. The transition is finished, but…

Click on the following link to leAnxietyarn all the specifics about treatments for weight gain during menopause, which begin with lifestyle changes, move onto alternative medicines, and finally, if those options dont seem to help, medications and surgery.

of alcohol

Weight gain during menopause entails more than just aesthetic concerns. Although no one enjoys looking in the mirror and seeing a softer, plumper body looking back, weight gain can lead to very serious health conditions that transcend visual displeasure. Several diseases and other conditions can spawn as a result of a body burdened with excess pounds. Here is a list of conditions weight gain can lead to:

Weight gain does not have to be an inevitable part of aging and menopause. Instead, it is possible to identify common reasons for weight gain during this period, so that the issue can be addressed. Find information on these five reasons, which include lack of sleep, increased stress and bad eating habits. Examples of additional reasons for weight gain are also given.

16. Allergies

Insulin Resistance. Insulin resistance can occur during the menopausal years. This is when a womans body mistakenly turns every calorie taken in into t. Over time, processed and refined foods may make a womans body resistant to insulin produced in the blood stream.

Insulin resistance (increasing diabetes risks)

25. Headaches

Typically, combining lifestyle changes and alternative medicines will produce the best results. When seeking out alternative medicines, keep in mind that because weight gain during menopause is associated with hormonal imbalance, look for herbal supplements that bring a natural balance to hormonal levels, for this will go a long way to grappling with weight gain at the core of the issue.

4. Loss of Libido

21. Anxiety

Change in eating habit

When looking for treatments for weight gain, its important to begin with methods that are the least obtrusive, with the least likelihood of side effects, and progress from there.

Quitting smoking

There is no single type of exercise which will result in weight loss for menopausal women. Instead, it is important to take regular, full body exercise to shift any excess weight gained during menopause. Find information on a number of exercises. These include: aerobic exercise and resistance training.

We at believe in an ongoing dialogue with our readers and value their feedback.

5. Vaginal Dryness

19. Irregular Heartbeat

22. Irritability


Beginning at about age 30, an individuals physical abilities begin to decrease and continue deteriorating until about age 60 or 70. The bodys abilities then level off and decline at a slower rate. The rate of decline depends largely on an individuals physical activity and particular lifestyle. This decreasing physical ability affects weight because a person becomes less able to engage in physical activities that help to maintain a stable weight by burning calories. To compound the potential for weight gain with age, the metabolic rate begins to slow after age 30, which also leads to weight gain.

9. Sleep Disorders

23. Panic Disorder

Women who gain in excess of 20 pounds after menopause increase their breast cancer risk by nearly 20%, but those who lose 20 pounds after menopause reduce their breast cancer risk by as much as 23%.

27. Burning Tongue

Click on the following link to learn more about weight gain, or continue reading below to learn what causes weight gain during menopause.

Reduced physical activity

Hutchinson, Susan M.D. The Stages of a Womans Life: Menstruation, Pregnancy, Nursing,New york Asian escorts Perimenopause, Menopause. November 2007.

Although hormones are largely responsible for weight gain during menopause, there are other ctors that can play a role as well. They are separated into two categories: age and lifestyle ctors.

Updated on June 24st, 2013What You Should and Shouldnt Drink to Control Your Weight during Menopause

24. Breast Pain

Drinking excess amounts

Testosterone. Testosterone helps a womans body create lean muscle mass out of the calories consumed. Muscle cells burn more calories than t cells do, increasing metabolic rate. As testosterone levels drop, fewer calories are transformed into lean muscle mass, thus a womans metabolism winds down.

32. Itchy Skin

On average, women gain between 12 and 15 pounds between the ages of 45 and 55, the stage in life when menopause typically occurs. This extra weight generally does not evenly distribute itself throughout a womans body. The weight tends instead to accumulate around the abdomen, and women often notice the shape of their bodies slowly lose their hour-glass figure and begin to take on a rounded shape. Read below to learn the common symptoms associated with weight gain during menopause.

Even though physical changes are an unavoidable part of getting older that leads to weight gain, a womans lifestyle is also a hugely important variable that can either tip the scale in vor of extra pounds or fend off weight gain. Below are some lifestyle ctors that can lead to weight gain:

This means that lifestyle changes are the best place to begin. For example, obviously the tried and true way to cope with weight gain is to get regular exercise and eat a healthy diet high in nutrients but not overboard in portion.

More severe menopausal symptoms

Weight gain takes place when an individual increases her body mass, whether as a result of t deposits, additional muscle tissue, or excess fluid. However, weight gain associated with menopause typically involves increased amounts of t around the abdomen.

Women with an underactive thyroid often experience weight gain because their metabolic rate slows down as a result of the condition. In some cases, hyperthyroidism can also cause weight gain, but that is rare. Thyroid hormones essentially regulate calorie consumption in the body. With an underactive thyroid, fewer calories are burned and converted into energy. Instead they are stored in the body.

29. Digestive Problems

7. Fatigue

31. Muscle Tension

To leave a comment, concern, tip, or experience about weight gain, please leave your comment below..

High blood pressure

Most women experience a 5% decrease in metabolic rate per decade. Because metabolism slows as women approach menopause, they need about 200 fewer calories a day to maintain their weight as they enter their mid to late 40s.

3. Irregular Periods

It is important when embarking on a healthy eating and diet regime during menopause to be aware of common weight loss myths. Find information on ten of these untruths. Diet trends, for example, may not help sustained weight loss and st food, commonly viewed negatively Anxiety, may form part of a healthy eating plan.

Women generally know when they have gained weight and dont need to learn how to identify this menopausal symptom. Some of the indicators, however, are unique to weight gain associated with menopause. At the right there is a list of symptoms of weight gain during menopause.

Heart disease, stroke

A drop in estrogen and progesterone can increase a womans appetite and cause her to eat up to 67% more, according to one study. An increase in appetite coupled with a slower metabolism with the onset of menopause can cause weight gain in women. This could, perhaps, account for the 12% jump in the number of women who are overweight in midlife compared to women in their 20s and 30s.

If youre not into exercise, but really into the throes of menopause, going to the gym probably ….

1. Hot Flashes

17. Brittle Nails

30. Gum Problems

33. Tingling Extremities

Yoga provides an inexpensive and effective means of aiding weight loss during menopause. There are a number of positions which can be tried and improved at home, such as the Bitilasana and Utkatasana; these poses help to tone the abdomen. Yoga classes may provide an additional motivation for weight loss.

13. 14. Incontinence

A womans hormones have complex functions in her body, including weight control. Heres a list of the different hormones that can affect weight gain and how:

15. Bloating

Estrogen. As a womans ovaries produce less estrogen, her body attempts to find the hormone in places other than the ovaries. Fat cells can produce estrogen, so her body works harder to convert calories into t to increase estrogen levels. Unfortunately, t cells dont burn calories the way muscle cells do, which causes weight gain.

12. Dizziness

Progesterone. Water retention is often linked to menopause because water weight and bloating decreases progesterone levels. Though this doesnt actually result in weight gain, clothes can feel a bit tighter and a woman may feel as though shes heavier.

6. Mood Swings

Cravings for unhealthy foods may increase during menopause as a womans stress levels increase and she seeks ways to manage this problem. Find information on techniques to beat your food cravings. Advice includes: keeping your mind occupied, grocery shopping sensibly, and replacing common cravings with healthy foods.


11. Memory Lapses


Ears Hearing Hearing Aids – Hearing in Both Ears

To download a Free Hearing Aid Buyers Guide, click here. For more information about hearing loss and hearing aid help, please contact us at 1- or email us..

Better speech comprehension

Localization, or the ability to detect the direction and distance of sound, can only be achieved with two ears. The sound of a truck, for example,Ears Hearing will reach the ear it is closest to a few micro-seconds earlier, and at a higher intensity, than the opposite ear. These minute difference in the signal transmitted to the brain by each ear enable you to identify the direction from which the truck is coming. If you are only hearing correctly with one ear, information will not be accurately transmitted to the brain.

Hearing with both ears may provide you with more natural sound quality,Queens asian escorts helping you to hear correctly and respond appropriately to the world around you. With both ears providing even input, less amplification may be required to achieve a comfortable listening level. And you dont need to worry about always getting your good ear turned towards sounds.

Balanced hearing

These are the advantages when you hear with both ears:

Auditory deprivation means that further deterioration of hearing, when hearing loss already exists, occurs at a ster rate in an ear without stimulation that it occurs in an ear with stimulation (usage of a hearing aid). In other words, the lack of stimulation to those frequencies with hearing loss actually allows hearing to further decrease. This is best understood by the theory Use it or lose it.

Localized sound Ears Hearing Hearing Aids – Hearing in Both Ears

Binaural hearing (hearing with both ears) allows you to make fine judgments about sound and to listen selectively to one of several sounds. Most Hearing Professionals agree that because gradual hearing loss typically occurs in both ears, it makes sense to fit both ears with hearing aids. Think of it this way to correct a vision problem in both eyes, would you wear eyeglasses with only one lens?

Auditory deprivation

Hearing with two ears may help you more accurately and confidently respond to sounds (like conversation) on your left or right side. This balanced hearing helps you relax, enjoy listening to a full range of sound in stereo, and reduces the stress that would occur with just listening with one ear.

Balanced hearing with both ears may improve your ability to disregard background sounds and more clearly understand close-up speech. When the brain receives sounds from both ears, it is able to choose specific sounds to focus on (speech) while paying less attention to others (noise). With only one good ear, the brain has to work harder to focus on speech and this can lead to misunderstandings and tigue.

Improved sound quality


Anxiety Disorders

SSRIs have fewer side effects than older antidepressants, but they sometimes produce slight nausea or jitters when people first start to take them. These symptoms de with time. Some people also experience ual dysfunction with SSRIs, which may be helped by adjusting the dosage or switching to another SSRI.

Effective therapies for anxiety disorders are available, and research is uncovering new treatments that can help most people with anxiety disorders lead productive, fulfilling lives. If you think you have an anxiety disorder, you should seek information and treatment right away.

® Medicine. Volume 3. New York: Healtheon/WebMD Corp., 2000, Sect. 13, Subsect. VIII.

, 1997; 33(3): 381-90.

The disorder develops gradually and can begin at any point in the life cycle, although the years of highest risk are between childhood and middle age.

People with obsessive-compulsive disorder (OCD) have persistent, upsetting thoughts (obsessions) and use rituals (compulsions) to control the anxiety these thoughts produce. Most of the time, the rituals end up controlling them.

; 152: 973-81.

Remember that once you start on medication, it is important not to stop taking it abruptly. Certain drugs must be tapered off under the supervision of a doctor or bad reactions can occur. Make sure you talk to the doctor who prescribed your medication before you stop taking it. If you are having trouble with side effects, its possible that they can be eliminated by adjusting how much medication you take and when you take it.

Most people with PTSD repeatedly relive the trauma in their thoughts during the day and in nightmares when they sleep. These are called flashbacks. Flashbacks may consist of images, sounds, smells, or feelings, and are often triggered by ordinary occurrences, such as a door slamming or a car backfiring on the street. A person having a flashback may lose touch with reality and believe that the traumatic incident is happening all over again.

, 821. New York: The New York Academy of Sciences, 1997.

For example, if people are obsessed with germs or dirt, they may develop a compulsion to wash their hands over and over again. If they develop an obsession with intruders, they may lock and relock their doors many times before going to bed. Being afraid of social embarrassment may prompt people with OCD to comb their hair compulsively in front of a mirror-sometimes they get caught in the mirror and cant move away from it. Performing such rituals is not pleasurable. At best, it produces temporary relief from the anxiety created by obsessive thoughts.

People with GAD cant seem to get rid of their concerns, even though they usually realize that their anxiety is more intense than the situation warrants. They cant relax, startle easily, and have difficulty concentrating. Often they have trouble lling asleep or staying asleep. Physical symptoms that often accompany the anxiety include tigue, headaches, muscle tension, muscle aches, difficulty swallowing, trembling, twitching, irritability, sweating, nausea, lightheadedness, having to go to the bathroom frequently, feeling out of breath, and hot flashes.

When my problems were at their worst, Id miss work and feel just terrible about it. Then I worried that Id lose my job. My life was miserable until I got treatment.

Physical symptoms that often accompany social phobia include blushing, profuse sweating, trembling, nausea, and difficulty talking. When these symptoms occur, people with social phobia feel as though all eyes are focused on them.

9. Yehuda R. Biological ctors associated with susceptibility to posttraumatic stress disorder.

Be aware that some medications are effective only if they are taken regularly and that symptoms may recur if the medication is stopped.

Specific phobias respond very well to carefully targeted psychotherapy.

People with PTSD may startle easily, become emotionally numb (especially in relation to people with whom they used to be close), lose interest in things they used to enjoy, have trouble feeling affectionate, be irritable, become more aggressive, or even become violent. They avoid situations that remind them of the original incident, and anniversaries of the incident are often very difficult. PTSD symptoms seem to be worse if the event that triggered them was deliberately initiated by another person, as in a mugging or a kidnapping.

I always thought I was just a worrier. Id feel keyed up and unable to relax. At times it would come and go, and at times it would be constant. It could go on for days. Id worry about what I was going to fix for a dinner party, or what would be a great present for somebody. I just couldnt let something go.

Antidepressants were developed to treat depression but are also effective for anxiety disorders. Although these medications begin to alter brain chemistry after the very first dose, their full effect requires a series of changes to occur; it is usually about 4 to 6 weeks before symptoms start to de. It is important to continue taking these medications long enough to let them work.

The amygdala is an almond-shaped structure deep in the brain that is believed to be a communications hub between the parts of the brain that process incoming sensory signals and the parts that interpret these signals. It can alert the rest of the brain that a threat is present and trigger a fear or anxiety response. It appears that emotional memories are stored in the central part of the amygdala and may play a role in anxiety disorders involving very distinct fears, such as fears of dogs, spiders, or flying.

18. Molavi DW. The Washington University School of Medicine Neuroscience Tutorial for First-Year Medical Students. (1997) Washington University Program in Neuroscience. Retrieved November 16, 2005, from

7. Margolin G, Gordis EB. The effects of mily and community violence on children.

Treatment choices depend on the problem and the persons preference. Before treatment begins, a doctor must conduct a careful diagnostic evaluation to determine whether a persons symptoms are caused by an anxiety disorder or a physical problem. If an anxiety disorder is diagnosed, the type of disorder or the combination of disorders that are present must be identified, as well as any coexisting conditions, such as depression or substance abuse. Sometimes alcoholism, depression, or other coexisting conditions have such a strong effect on the individual that treating the anxiety disorder must wait until the coexisting conditions are brought under control.

Tricyclics include imipramine (Tofranil®), which is prescribed for panic disorder and GAD, and clomipramine (Anafranil®), which is the only tricyclic antidepressant useful for treating OCD.

One-third of adults with OCD develop symptoms as children, and research indicates that OCD might run in milies.

PTSD is often accompanied by depression, substance abuse, or one or more of the other anxiety disorders.

Some people experience withdrawal symptoms if they stop taking benzodiazepines abruptly instead of tapering off, and anxiety can return once the medication is stopped. These potential problems have led some physicians to shy away from using these drugs or to use them in inadequate doses.

Some of the newest antidepressants are called selective serotonin reuptake inhibitors, or SSRIs. SSRIs alter the levels of the neurotransmitter serotonin in the brain, which, like other neurotransmitters, helps brain cells communicate with one another.

Monoamine oxidase inhibitors (MAOIs) are the oldest class of antidepressant medications. The MAOIs most commonly prescribed for anxiety disorders are phenelzine (Nardil®), followed by tranylcypromine (Parnate®), and isocarboxazid (Marplan®), which are useful in treating panic disorder and social phobia. People who take MAOIs cannot eat a variety of foods and beverages (including cheese and red wine) that contain tyramine or take certain medications, including some types of birth control pills, pain relievers (such as Advil®, Motrin®, or Tylenol®), cold and allergy medications, and herbal supplements; these substances can interact with MAOIs to cause dangerous increases in blood pressure. The development of a new MAOI skin patch may help lessen these risks. MAOIs can also react with SSRIs to produce a serious condition called serotonin syndrome, which can cause confusion, hallucinations, increased sweating, muscle stiffness, seizures, changes in blood pressure or heart rhythm, and other potentially life-threatening conditions.

CBT is undertaken when people decide they are ready for it and with their permission and cooperation. To be effective, the therapy must be directed at the persons specific anxieties and must be tailored to his or her needs. There are no side effects other than the discomfort of temporarily increased anxiety.

People with OCD who fear dirt and germs are encouraged to get their hands dirty and wait increasing amounts of time before washing them. The therapist helps the person cope with the anxiety that waiting produces; after the exercise has been repeated a number of times, the anxiety diminishes. People with social phobia may be encouraged to spend time in feared social situations without giving in to the temptation to flee and to make small social blunders and observe how people respond to them. Since the response is usually r less harsh than the person fears, these anxieties are lessened. People with PTSD may be supported through recalling their traumatic event in a safe situation, which helps reduce the fear it produces. CBT therapists also teach deep breathing and other types of exercises to relieve anxiety and encourage relaxation.

6. Wonderlich SA, Mitchell JE. Eating disorders and comorbidity: empirical, conceptual, and clinical implications.

When I would walk into a room full of people, Id turn red and it would feel like everybodys eyes were on me. I was embarrassed to stand off in a corner by myself, but I couldnt think of anything to say to anybody. It was humiliating. I felt so clumsy, I couldnt wait to get out.

Scientists currently think that, like heart disease and type 1 diabetes, mental illnesses are complex and probably result from a combination of genetic, environmental, psychological, and developmental ctors. For instance, although NIMH-sponsored studies of twins and milies suggest that genetics play a role in the development of some anxiety disorders, problems such as PTSD are triggered by trauma. Genetic studies may help explain why some people exposed to trauma develop PTSD and others do not.

People who have full-blown, repeated panic attacks can become very disabled by their condition and should seek treatment before they start to avoid places or situations where panic attacks have occurred. For example, if a panic attack happened in an elevator, someone with panic disorder may develop a fear of elevators that could affect the choice of a job or an apartment, and restrict where that person can seek medical attention or enjoy entertainment.

The causes of specific phobias are not well understood, but there is some evidence that the tendency to develop them may run in milies.

15. LeDoux J. Fear and the brain: where have we been, and where are we going?

Not every traumatized person develops full-blown or even minor PTSD. Symptoms usually begin within 3 months of the incident but occasionally emerge years afterward. They must last more than a month to be considered PTSD. The course of the illness varies. Some people recover within 6 months, while others have symptoms that last much longer. In some people, the condition becomes chronic.

Healthy people also have rituals, such as checking to see if the stove is off several times before leaving the house. The difference is that people with OCD perform their rituals even though doing so interferes with daily life and they find the repetition distressing. Although most adults with OCD recognize that what they are doing is senseless, some adults and most children may not realize that their behavior is out of the ordinary.

1. Kessler RC, Chiu WT, Demler O, Walters EE. Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R).

Research will determine what causes this reduction in size and what role it plays in the flashbacks, deficits in explicit memory, and fragmented memories of the traumatic event that are common in PTSD.

Many people with anxiety disorders benefit from joining a self-help or support group and sharing their problems and achievements with others. Internet chat rooms can also be useful in this regard, but any advice received over the Internet should be used with caution, as Internet acquaintances have usually never seen each other and lse identities are common. Talking with a trusted friend or member of the clergy can also provide support, but it is not a substitute for care from a mental health professional.

Psychotherapy involves talking with a trained mental health professional, such as a psychiatrist, psychologist, social worker, or counselor, to discover what caused an anxiety disorder and how to deal with its symptoms.

Ask your doctor when and how the medication should be stopped. Some drugs cant be stopped abruptly Anxietybut must be tapered off slowly under a doctors supervision.

Stress management techniques and meditation can help people with anxiety disorders calm themselves and may enhance the effects of therapy. There is preliminary evidence that aerobic exercise may have a calming effect. Since caffeine, certain illicit drugs, and even some over-the-counter cold medications can aggravate the symptoms of anxiety disorders, they should be avoided. Check with your physician or pharmacist before taking any additional medications.

Panic attacks can occur at any time, even during sleep. An attack usually peaks within 10 minutes, but some symptoms may last much longer.

, 1988; 2: 227-41.

OCD usually responds well to treatment with certain medications and/or exposure-based psychotherapy, in which people ce situations that cause fear or anxiety and become less sensitive (desensitized) to them. NIMH is supporting research into new treatment approaches for people whose OCD does not respond well to the usual therapies. These approaches include combination and augmentation (add-on) treatments, as well as modern techniques such as deep brain stimulation.

Im scared to death of flying, and I never do it anymore. I used to start dreading a plane trip a month before I was due to leave. It was an awful feeling when that airplane door closed and I felt trapped. My heart would pound, and I would sweat bullets. When the airplane would start to ascend, it just reinforced the feeling that I couldnt get out. When I think about flying, I picture myself losing control, freaking out, and climbing the walls, but of course I never did that. Im not afraid of crashing or hitting turbulence. Its just that feeling of being trapped. Whenever Ive thought about changing jobs, Ive had to think, Would I be under pressure to fly? These days I only go places where I can drive or take a train. My friends always point out that I couldnt get off a train traveling at high speeds either, so why dont trains bother me? I just tell them it isnt a rational fear.

causing them to be filled with fearfulness and uncertainty. Unlike the relatively mild, brief anxiety caused by a stressful event (such as speaking in public or a first date), anxiety disorders last at least 6 months and can get worse if they are not treated. Anxiety disorders commonly occur along with other mental or physical illnesses, including alcohol or substance abuse, which may mask anxiety symptoms or make them worse. In some cases, these other illnesses need to be treated before a person will respond to treatment for the anxiety disorder.

In between attacks there is this dread and anxiety that its going to happen again. Im afraid to go back to places where Ive had an attack. Unless I get help, there soon wont be anyplace where I can go and feel safe from panic.

Medication will not cure anxiety disorders, but it can keep them under control while the person receives psychotherapy. Medication must be prescribed by physicians, usually psychiatrists, who can either offer psychotherapy themselves or work as a team with psychologists, social workers, or counselors who provide psychotherapy. The principal medications used for anxiety disorders are antidepressants, anti-anxiety drugs, and beta-blockers to control some of the physical symptoms. With proper treatment, many people with anxiety disorders can lead normal, fulfilling lives.

Most insurance plans, including health maintenance organizations (HMOs), will cover treatment for anxiety disorders. Check with your insurance company and find out. If you dont have insurance, the Health and Human Services division of your county government may offer mental health care at a public mental health center that charges people according to how much they are able to pay. If you are on public assistance, you may be able to get care through your state Medicaid plan.

GAD affects about 6.8 million American adults,

The hippocampus is the part of the brain that encodes threatening events into memories. Studies have shown that the hippocampus appears to be smaller in some people who were victims of child abuse or who served in military combat.

NIMH supports research into the causes, diagnosis, prevention, and treatment of anxiety disorders and other mental illnesses. Scientists are looking at what role genes play in the development of these disorders and are also investigating the effects of environmental ctors such as pollution, physical and psychological stress, and diet. In addition, studies are being conducted on the natural history (what course the illness takes without treatment) of a variety of individual anxiety disorders, combinations of anxiety disorders, and anxiety disorders that are accompanied by other mental illnesses such as depression.

11. Kendler KS, Walters EE, Truett KR, et al. A twin-mily study of self-report symptoms of panic-phobia and somatization.

often accompany GAD, which rarely occurs alone. GAD is commonly treated with medication or cognitive-behavioral therapy, but co-occurring conditions must also be treated using the appropriate therapies.

Clonazepam (Klonopin®) is used for social phobia and GAD, lorazepam (Ativan®) is helpful for panic disorder, and alprazolam (Xanax®) is useful for both panic disorder and GAD.

GAD is diagnosed when a person worries excessively about a variety of everyday problems for at least 6 months.

While many people with social phobia realize that their fears about being with people are excessive or unreasonable, they are unable to overcome them. Even if they manage to confront their fears and be around others, they are usually very anxious beforehand, are intensely uncomfortable throughout the encounter, and worry about how they were judged for hours afterward.

Other organizations offer various publications on mental health. Links on our website to other organizations do not constitute an endorsement of their policies or products.

Social phobia, also called social anxiety disorder, is diagnosed when people become overwhelmingly anxious and excessively self-conscious in everyday social situations. People with social phobia have an intense, persistent, and chronic fear of being watched and judged by others and of doing things that will embarrass them. They can worry for days or weeks before a dreaded situation. This fear may become so severe that it interferes with work, school, and other ordinary activities,New York Asian escort and can make it hard to make and keep friends.

PTSD affects about 7.7 million American adults,

Some peoples lives become so restricted that they avoid normal activities, such as grocery shopping or driving. About one-third become housebound or are able to confront a feared situation only when accompanied by a spouse or other trusted person.

Panic disorder is often accompanied by other serious problems, such as depression, drug abuse, or alcoholism.

Several parts of the brain are key actors in the production of fear and anxiety.

OCD affects about 2.2 million American adults,

It strikes men and women in roughly equal numbers and usually appears in childhood, adolescence, or early adulthood.

This booklet will

16. Bremner JD, Randall P, Scott TM, et al. MRI-based measurement of hippocampal volume in combat-related posttraumatic stress disorder.

The mily is very important in the recovery of a person with an anxiety disorder. Ideally, the mily should be supportive but not help perpetuate their loved ones symptoms. Family members should not trivialize the disorder or demand improvement without treatment. If your mily is doing either of these things, you may want to show them this booklet so they can become educated allies and help you succeed in therapy.

PTSD was first brought to public attention in relation to war veterans, but it can result from a variety of traumatic incidents, such as mugging, rape, torture, being kidnapped or held captive, child abuse, car accidents, train wrecks, plane crashes, bombings, or natural disasters such as floods or earthquakes.

Social phobia affects about 15 million American adults.

I couldnt do anything without rituals. They invaded every aspect of my life. Counting really bogged me down. I would wash my hair three times as opposed to once because three was a good luck number and one wasnt. It took me longer to read because Id count the lines in a paragraph. When I set my alarm at night, I had to set it to a number that wouldnt add up to a bad number.

If you think you have an anxiety disorder, the first person you should see is your mily doctor. A physician can determine whether the symptoms that alarm you are due to an anxiety disorder, another medical condition, or both.

, 1998; 44(12): 1229-38.

Often people believe that they have iled at treatment or that the treatment didnt work for them when, in ct, it was not given for an adequate length of time or was administered incorrectly. Sometimes people must try several different treatments or combinations of treatment before they find the one that works for them.

Current research at NIMH on anxiety disorders includes studies that address how well medication and behavioral therapies work in the treatment of OCD, and the safety and effectiveness of medications for children and adolescents who have a combination of anxiety disorders and attention deficit hyperactivity disorder.

Other common rituals are a need to repeatedly check things, touch things (especially in a particular sequence), or count things. Some common obsessions include having frequent thoughts of violence and harming loved ones, persistently thinking about performing ual acts the person dislikes, or having thoughts that are prohibited by religious beliefs. People with OCD may also be preoccupied with order and symmetry, have difficulty throwing things out (so they accumulate), or hoard unneeded items.

Post-traumatic stress disorder (PTSD) develops after a terrifying ordeal that involved physical harm or the threat of physical harm. The person who developAnxiety Disorderss PTSD may have been the one who was harmed, the harm may have happened to a loved one, or the person may have witnessed a harmful event that happened to loved ones or strangers.

Panic disorder is a real illness that can be successfully treated. It is characterized by sudden attacks of terror, usually accompanied by a pounding heart, sweatiness, weakness, intness, or dizziness. During these attacks, people with panic disorder may flush or feel chilled; their hands may tingle or feel numb; and they may experience nausea, chest pain, or smothering sensations. Panic attacks usually produce a sense of unreality, a fear of impending doom, or a fear of losing control.

If an anxiety disorder is diagnosed, the next step is usually seeing a mental health professional. The practitioners who are most helpful with anxiety disorders are those who have training in cognitive-behavioral therapy and/or behavioral therapy, and who are open to using medication if it is needed.

The rape happened the week before Thanksgiving, and I cant believe the anxiety and fear I feel every year around the anniversary date. Its as though Ive seen a werewolf. I cant relax, cant sleep, dont want to be with anyone. I wonder whether Ill ever be free of this terrible problem.

When the condition progresses this r, it is called agoraphobia, or fear of open spaces.

, 1990; 147(6): 685-95.

The course of the disease is quite varied. Symptoms may come and go, ease over time, or get worse. If OCD becomes severe, it can keep a person from working or carrying out normal responsibilities at home. People with OCD may try to help themselves by avoiding situations that trigger their obsessions, or they may use alcohol or drugs to calm themselves.

For example, CBT can help people with panic disorder learn that their panic attacks are not really heart attacks and help people with social phobia learn how to overcome the belief that others are always watching and judging them. When people are ready to confront their fears, they are shown how to use exposure techniques to desensitize themselves to situations that trigger their anxieties.

These conditions need to be treated separately. Symptoms of depression include feelings of sadness or hopelessness, changes in appetite or sleep patterns, low energy, and difficulty concentrating. Most people with depression can be effectively treated with antidepressant medications, certain types of psychotherapy, or a combination of the two.

CBT or behavioral therapy often lasts about 12 weeks. It may be conducted individually or with a group of people who have similar problems. Group therapy is particularly effective for social phobia. Often homework is assigned for participants to complete between sessions. There is some evidence that the benefits of CBT last longer than those of medication for people with panic disorder, and the same may be true for OCD, PTSD, and social phobia. If a disorder recurs at a later date, the same therapy can be used to treat it successfully a second time.

High-potency benzodiazepines combat anxiety and have few side effects other than drowsiness. Because people can get used to them and may need higher and higher doses to get the same effect, benzodiazepines are generally prescribed for short periods of time, especially for people who have abused drugs or alcohol and who become dependent on medication easily. One exception to this rule is people with panic disorder, who can take benzodiazepines for up to a year without harm.

Buspirone (Buspar®), an azapirone, is a newer anti-anxiety medication used to treat GAD. Possible side effects include dizziness, headaches, and nausea. Unlike benzodiazepines, buspirone must be taken consistently for at least 2 weeks to achieve an anti-anxiety effect.

5. Kushner MG, Sher KJ, Beitman BD. The relation between alcohol problems and the anxiety disorders.

Exposure-based behavioral therapy has been used for many years to treat specific phobias. The person gradually encounters the object or situation that is feared, perhaps at first only through pictures or tapes, then later ce-to-ce. Often the therapist will accompany the person to a feared situation to provide support and guidance.

Using brain imaging technology and neurochemical techniques, scientists have discovered that the amygdala and the hippocampus play significant roles in most anxiety disorders.

When their anxiety level is mild, people with GAD can function socially and hold down a job. Although they dont avoid certain situations as a result of their disorder, people with GAD can have difficulty carrying out the st daily activities if their anxiety is severe.

Social phobia can be limited to one situation (such as talking to people, eating or drinking, or writing on a blackboard in front of others) or may be so broad (such as in generalized social phobia) that the person experiences anxiety around almost anyone other than the mily.

, 1998; (34): 24-8.

I was raped when I was 25 years old. For a long time, I spoke about the rape as though it was something that happened to someone else. I was very aware that it had happened to me, but there was just no feeling.

, 1990; 25(6): 314-23.

People with generalized anxiety disorder (GAD) go through the day filled with exaggerated worry and tension, even though there is little or nothing to provoke it. They anticipate disaster and are overly concerned about health issues, money, mily problems, or difficulties at work. Sometimes just the thought of getting through the day produces anxiety.

Anxiety Disorders affect about 40 million American adults age 18 years and older (about 18%) in a given year,

but not everyone who experiences panic attacks will develop panic disorder. Many people have just one attack and never have another. The tendency to develop panic attacks appears to be inherited.

Getting dressed in the morning was tough, because I had a routine, and if I didnt follow the routine, Id get anxious and would have to get dressed again. I always worried that if I didnt do something, my parents were going to die. Id have these terrible thoughts of harming my parents. That was completely irrational, but the thoughts triggered more anxiety and more senseless behavior. Because of the time I spent on rituals, I was unable to do a lot of things that were important to me.

17. Stein MB, Hanna C, Koverola C, et al. Structural brain changes in PTSD: does trauma alter neuroanatomy? In: Yehuda R, McFarlane AC Anxiety, eds.

In any social situation, I felt fear. I would be anxious before I even left the house, and it would escalate as I got closer to a college class, a party, or whatever. I would feel sick in my stomach-it almost felt like I had the flu. My heart would pound, my palms would get sweaty, and I would get this feeling of being removed from myself and from everybody else.

Fluoxetine (Prozac®), sertraline (Zoloft®), escitalopram (Lexapro®), paroxetine (Paxil®), and citalopram (Celexa®) are some of the SSRIs commonly prescribed for panic disorder, OCD, PTSD, and social phobia. SSRIs are also used to treat panic disorder when it occurs in combination with OCD, social phobia, or depression. Venlaxine (Effexor®), a drug closely related to the SSRIs, is used to treat GAD. These medications are started at low doses and gradually increased until they have a beneficial effect.

Early treatment can often prevent agoraphobia, but people with panic disorder may sometimes go from doctor to doctor for years and visit the emergency room repeatedly before someone correctly diagnoses their condition. This is unfortunate, because panic disorder is one of the most treatable of all the anxiety disorders, responding in most cases to certain kinds of medication or certain kinds of cognitive psychotherapy, which help change thinking patterns that lead to fear and anxiety.

It started 10 years ago, when I had just graduated from college and started a new job. I was sitting in a business seminar in a hotel and this thing came out of the blue. I felt like I was dying.

A specific phobia is an intense, irrational fear of something that poses little or no actual danger. Some of the more common specific phobias are centered around closed-in places, heights, escalators, tunnels, highway driving, water, flying, dogs, and injuries involving blood. Such phobias arent just extreme fear; they are irrational fear of a particular thing. You may be able to ski the worlds tallest mountains with ease but be unable to go above the 5th floor of an office building. While adults with phobias realize that these fears are irrational, they often find that cing, or even thinking about cing, the feared object or situation brings on a panic attack or severe anxiety.

13. Kendler KS, Neale MC, Kessler RC, et al. Generalized anxiety disorder in women. A population-based twin study.

For me, a panic attack is almost a violent experience. I feel disconnected from reality. I feel like Im losing control in a very extreme way. My heart pounds really hard, I feel like I cant get my breath, and theres an overwhelming feeling that things are crashing in on me.

The National Institute of Mental Health (NIMH) is part of the National Institutes of Health (NIH), a component of the U.S. Department of Health and Human Services..

, 2000; 14(2 Suppl 1): S5-S12.

Tricyclics are older than SSRIs and work as well as SSRIs for anxiety disorders other than OCD. They are also started at low doses that are gradually increased. They sometimes cause dizziness, drowsiness, dry mouth, and weight gain, which can usually be corrected by changing the dosage or switching to another tricyclic medication.

Then I started having flashbacks. They kind of came over me like a splash of water. I would be terrified. Suddenly I was reliving the rape. Every instant was startling. I wasnt aware of anything around me, I was in a bubble, just kind of floating. And it was scary. Having a flashback can wring you out.

Specific phobias affect an estimated 19.2 million adult Americans

Each anxiety disorder has different symptoms, but all the symptoms cluster around excessive, irrational fear and dread.

A fear of ones own unexplained physical symptoms is also a symptom of panic disorder. People having panic attacks sometimes believe they are having heart attacks, losing their minds, or on the verge of death. They cant predict when or where an attack will occur, and between episodes many worry intensely and dread the next attack.

Panic disorder affects about 6 million American adults

Beta-blockers, such as propranolol (Inderal®), which is used to treat heart conditions, can prevent the physical symptoms that accompany certain anxiety disorders, particularly social phobia. When a feared situation can be predicted (such as giving a speech), a doctor may prescribe a beta-blocker to keep physical symptoms of anxiety under control.

Cognitive-behavioral therapy (CBT) is very useful in treating anxiety disorders. The cognitive part helps people change the thinking patterns that support their fears, and the behavioral part helps people change the way they react to anxiety-provoking situations.

Id have terrible sleeping problems. There were times Id wake up wired in the middle of the night. I had trouble concentrating, even reading the news or a novel. Sometimes Id feel a little lightheaded. My heart would race or pound. And that would make me worry more. I was always imagining things were worse than they really were. When I got a stomachache, Id think it was an ulcer.

People with anxiety disorders who have already received treatment should tell their current doctor about that treatment in detail. If they received medication, they should tell their doctor what medication was used, what the dosage was at the beginning of treatment, whether the dosage was increased or decreased while they were under treatment, what side effects occurred, and whether the treatment helped them become less anxious. If they received psychotherapy, they should describe the type of therapy, how often they attended sessions, and whether the therapy was useful.

I knew the rituals didnt make sense, and I was deeply ashamed of them, but I couldnt seem to overcome them until I had therapy.

If the feared situation or feared object is easy to avoid, people with specific phobias may not seek help; but if avoidance interferes with their careers or their personal lives, it can become disabling and treatment is usually pursued.

10. Bourdon KH, Boyd JH, Rae DS, et al. Gender differences in phobias: results of the ECA community survey.

Medication can be combined with psychotherapy for specific anxiety disorders, and this is the best treatment approach for many people.

Certain kinds of medication and certain kinds of psychotherapy usually treat the symptoms of PTSD very effectively.

, 1995; 25(6): 499-515.

, 1999; 44(1): 34-9.

4. Regier DA, Rae DS, Narrow WE, et al. Prevalence of anxiety disorders and their comorbidity with mood and addictive disorders.

12. Boyd JH, Rae DS, Thompson JW, et al. Phobia: prevalence and risk ctors.

. NIH Publication No. 98-4268. Rockville, MD: National Institute of Mental Health, 1998.

You should feel comfortable talking with the mental health professional you choose. If you do not, you should seek help elsewhere. Once you find a mental health professional with whom you are comfortable, the two of you should work as a team and make a plan to treat your anxiety disorder together.

By learning more about how the brain creates fear and anxiety, scientists may be able to devise better treatments for anxiety disorders. For example, if specific neurotransmitters are found to play an important role in fear, drugs may be developed that will block them and decrease fear responses; if enough is learned about how the brain generates new cells throughout the lifecycle, it may be possible to stimulate the growth of new neurons in the hippocampus in people with PTSD.


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