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Nightmares And Night Terrors In Bipolar Disorder

Nightmares

Bipolar disorder is listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) as a chronic mental health illness and is classified as a mood disorder. The National Institute of Mental Health explains that bipolar disorder “causes unusual shifts in mood, energy, activity levels, concentration, and the ability to carry out day-to-day tasks.” It is characterized by noticeable, unprovoked, sometimes extreme, changes in mood and behavior, that typically present as severe episodic mood swings, shifting between emotional highs (manias) to emotional lows (depressions) with intervals of stable, neutral moods.

Nightmares & Night Terrors

A nightmare is defined as “a terrifying dream in which the dreamer experiences feelings of helplessness, extreme anxiety, sorrow, etc.” They are disturbing, well-remembered dreams. In those with bipolar disorder, researchers believe that nightmares may predict upcoming mood swings. People with bipolar disorder also commonly face night terrors. A night terror is not a dream, but rather an abrupt awakening accompanied by physical symptoms. The American Academy of Sleep Medicine explains that a person experiencing a night terror will suddenly begin to exhibit signs of panic and terror while sleeping (e.g., screaming, flailing, kicking, etc.) as well as other symptoms such as rapid heart rate and breathing, flushing of the skin, sweating, dilation of the pupils, and tensing of the muscles. During a night terror, an individual awakes in a state of confused and inconsolable terror, which they may or may recall in the morning.

Signs and Symptoms 

According to the diagnostic criteria outlined in the DSM-5, bipolar disorder is diagnosed when a person experiences three or more manic symptoms and five or more depressive symptoms. Examples of signs and symptoms of bipolar disorder could include, but are not limited to, any combination of the following, provided by the Mayo Clinic:

  • Signs and symptoms during a mania or hypomania state:
      • Increased energy
      • Euphoria
      • Agitation
      • Easily distractible
      • Decreased need for sleep
      • Excessive talkativeness
      • Lack of judgment
      • Atypically upbeat
      • Difficulties at work
      • Shift in social activities
      • Psychosis
      • Relationship challenges
  • Signs and symptoms of a major depressive episode:
  • Inability to experience pleasure or loss of interest in social activities
  • Irritability
  • Crying spells (frequent and random crying throughout the day)
  • Depressed mood
  • Feelings of hopelessness
  • Loss of energy
  • Shift in sleeping habits (either sleeping too much or experiencing insomnia)
  • Slowed behavior
  • Restlessness
  • Feelings of excessive guilt
  • Inability to think clearly
  • Indecisiveness
  • Suicidal ideations
  • Lack of energy
  • Shift in appetite resulting in drastic weight loss or weight gain

As is noted in both manic symptoms and depressive symptoms, is clear that disturbed sleep is common in people who have bipolar disorder. Still, the type of sleep disturbances that may occur typically depends on whether an individual is experiencing a manic or depressive episode.

Treatment In Calabasas

Calabasas is a city in California. It is a well-known suburb of Los Angeles, located west of the San Fernando Valley and north of the Santa Monica Mountains. Over the past decade, the city of Calabasas has grown in its reputation for luxury as well as for privacy which makes it a hidden gem for residential living for society’s elite, and one of the most desirable destinations in Los Angeles County. It is also home to a plethora of highly qualified mental health clinicians providing an array of therapeutic services and treatment options.

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

Is DBT Good For Complex Trauma?

Trauma

The Centers for Disease Control and Prevention (CDC), describes trauma as “an event, or series of events, that causes moderate to severe stress reactions… [that are] characterized by a sense of horror, helplessness, serious injury, or the threat of serious injury or death.” Post-traumatic stress disorder (PTSD) is listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). It is defined by the Mayo Clinic as “a mental health condition that’s triggered by a terrifying event—either experiencing it or witnessing it.” Unlike PTSD that is caused by a single traumatic event or isolated incidents, complex trauma refers to a series of traumatic events that take place over time. Many symptoms of complex trauma overlap with symptoms of PTSD, some of which include:

  • Anxiousness
  • Flashbacks
  • Avoiding circumstances that are reminders of traumatic events
  • Distorted sense of self
  • Difficulty controlling emotions
  • Relationships challenges

Somatic symptoms (e.g., fatigue, nausea, diarrhea, constipation, joint or muscle pain, headaches, etc.) are also common with complex trauma. More than an estimated 3% of people in America meet the criteria for complex trauma. If complex trauma is left untreated, its symptoms can be pervasively disruptive and interfere with one’s ability to function in his or her daily life.

Dialectical Behavior Therapy

Psychologist Marsha M. Linehan developed dialectical behavior therapy (DBT) in the late 1980s as a means to more effectively treat chronically suicidal individuals diagnosed with borderline personality disorder (BPD). It is founded on the principals of cognitive behavioral therapy (CBT), utilizing standard CBT techniques for emotional regulation and reality testing, and combines concepts derived from Buddhist meditative practice such as awareness, mindfulness, and attentiveness to current situations and emotional experiences.

Psychology Today emphasizes the notion that complex trauma requires multifaceted and sequenced treatment, which involves different components that target the various symptoms that present on the road to recovery. According to the U.S. Department of Veterans Affairs, due to the fact that DBT does not necessarily involve any form of trauma processing, it is not and should not be considered a stand-alone treatment for trauma. However, some studies do indicate that DBT can be used to effectively treat the symptoms of complex trauma. DBT remains the only empirically supported treatment for BPD, and current evidence also recognizes DBT as an applicable and effective treatment method for many other mental health conditions.

Treatment In Calabasas

Calabasas is a city in California. It is a well-known suburb of Los Angeles, located west of the San Fernando Valley and north of the Santa Monica Mountains. Over the past decade, the city of Calabasas has grown in its reputation for luxury as well as for privacy which makes it a hidden gem for residential living for society’s elite, and one of the most desirable destinations in Los Angeles County. It is also home to a plethora of highly qualified mental health clinicians providing an array of therapeutic services and treatment options.

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

What Type Of Behavior Is The Highest And First Priority Of DBT?

Dialectical behavior therapy

Dialectical behavior therapy (DBT) is an evidence-based psychotherapy treatment that was originally developed by Psychologist Marsha M. Linehan, in the late 1980s, to help better treat chronically suicidal individuals diagnosed with borderline personality disorder (BPD). It is founded on the principals of cognitive behavioral therapy (CBT), but places greater emphasis on the psychosocial aspects of treatment. DBT remains the gold-standard form of treatment for individuals with BPD and according to the National Alliance on Mental Illness (NAMI), has since been recognized as an effective method of treatment for a wide range of other mental health disorders, such as depression, anxiety, post-traumatic stress disorder (PTSD), substance use disorder (SUD), eating disorders, and more. As explained by Behavioral Tech, DBT focuses on teaching four sets or modules of behavioral skills, which include:

  • Core mindfulness: the practice of being completely present and aware in any given moment
  • Distress tolerance: increasing an individual’s tolerance of negative emotions as opposed to attempting to avoid or escape them
  • Emotion regulation: decreasing emotional impulsivity, learning to manage and shift intense, problematic emotions
  • Interpersonal effectiveness: authentically advocating for one’s own wants and needs in a relationship in a way that is both self-respecting and non-damaging

The therapeutic approach is comprised of three different therapy settings, including weekly individual psychotherapy sessions, weekly DBT skills training group therapy sessions, and as-needed phone coaching to provide additional support between the weekly individual and group sessions.

DBT Treatment Targets

DBT relies on a hierarchy of treatment targets to help the therapist determine the order in which problems should be addressed. The first and highest priority target behavior is any life-threatening behaviors, (e.g., suicide communications, suicidal ideation, and all forms of suicidal, non-suicidal self-injury, etc.). The subsequent treatment targets, in order of priority, according to the University of Washington, are:

  1. Therapy-interfering behaviors: This includes any behavior by the client and/ or therapist that interferes with the client receiving effective treatment (e.g., arriving late to sessions, cancelling appointments, etc.).
  2. Quality of life behaviors: This category includes any other type of behavior that interferes with clients having a reasonable quality of life (e.g., disorders, relationship problems, financial or housing crises, etc.).
  3. Skills acquisition: This refers to the need for clients to learn new skillful behaviors to replace ineffective behaviors and help them achieve their goals.

Clients who receive DBT typically have multiple problems that require treatment, which is why the hierarchy of treatment targets is so deeply embedded in the DBT framework.

Treatment In Calabasas

Calabasas is a city in California. It is a well-known suburb of Los Angeles, located west of the San Fernando Valley and north of the Santa Monica Mountains. Over the past decade, the city of Calabasas has grown in its reputation for luxury as well as for privacy which makes it a hidden gem for residential living for society’s elite, and one of the most desirable destinations in Los Angeles County. It is also home to a plethora of highly qualified mental health clinicians providing an array of therapeutic services and treatment options.

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

What Does The Term ‘High-Functioning’ Bipolar Disorder Mean?

bipolar disorder

Bipolar disorder, formerly known as manic-depressive disorder or manic depression, is listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) as a chronic mental health illness. Bipolar disorder is a mood disorder that is characterized by noticeable, unprovoked, sometimes extreme, changes in mood and behavior, that typically present as severe episodic mood swings, shifting between emotional highs (manias) to emotional lows (depressions) with intervals of stable moods. According to the diagnostic criteria outlined in the DSM-5, bipolar disorder is diagnosed when a person experiences three or more manic symptoms and five or more depressive symptoms. Bipolar disorder can develop at any age, but it is most diagnosed in individuals younger than age twenty-five. Bipolar disorder affects nearly 4.4% adults in America. A 2020 study suggests that nearly 23% of those with bipolar disorder could be considered high functioning.

High Functioning Bipolar Disorder

High functioning bipolar disorder (HFBD) is not an official clinical diagnosis. Further, there is no technical definition for the term “high-functioning” bipolar disorder, but HFBD generally refers to how well a person can deal with bipolar disorder and, in large part, mask its symptoms. Since people with bipolar disorder can experience both depression and mania simultaneously or consecutively, the same individual may appear highly productive (mania) as well as unproductive (depression) at different points in their lives.

It is important to note that although people with HFBD are able live their lives with less interference from the symptoms than a lot of other people with the same diagnosis, being labeled as high functioning has no bearing on the severity of their condition. The main difference between bipolar disorder and high functioning bipolar disorder is the person’s ability to perform under the demands of their symptoms. Most people with HFBD are highly adept at concealing their symptoms, contributing to the fact that it is not uncommon for their condition to go overlooked, undiagnosed, or untreated. The name “high functioning bipolar disorder” is both misleading and stigmatizing, which is why many now use the term “bipolar disorder with low support needs” in its place.

Treatment In Calabasas

Calabasas is a city in California. It is a well-known suburb of Los Angeles, located west of the San Fernando Valley and north of the Santa Monica Mountains. Over the past decade, the city of Calabasas has grown in its reputation for luxury as well as for privacy which makes it a hidden gem for residential living for society’s elite, and one of the most desirable destinations in Los Angeles County. It is also home to a plethora of highly qualified mental health clinicians providing an array of therapeutic services and treatment options.

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

Eating Disorders Are On The Rise In USA

Eating Disorders in USA

Eating disorders are complex psychological conditions that are broadly characterized by abnormal, irregular eating habits, and an extreme concern with one’s body weight or shape. They are specifically defined by the National Institute of Mental Health (NIH) as “serious medical illnesses marked by severe disturbances to a person’s eating behavior.” There are several different types and each are recognized as chronic mental health disorders listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) under the Disorder Class: Feeding and Eating Disorders. The pervasive symptoms associated with any type of eating disorder can cause adverse physiological consequences and interfere with one’s ability to function optimally in daily life.

According to Proclamation 10340 of February 18, 2022, which is a presidential document by the Executive Office of the President, “nearly 1 in 10 Americans are expected to develop an eating disorder in their lifetime.” Recent data estimates up to 24 million people of all ages and genders currently suffer from an eating disorder in the U.S., and 95% of those who have eating disorders are between the ages of 12 and 25. Experts assert that 13% of adolescents will develop an eating disorder by the age of 20. Eating disorders have the highest mortality rate of any mental illness.

Is Covid-19 To Blame?

The novel coronavirus, also referred to as Covid-19, traveled rampantly through the world, affecting millions of individuals in a variety of ways. In efforts to slow the spread of the virus, states all across America instituted social distancing guidelines, implemented sporadic stay-at-home orders for all non-essential workers, closures of restaurants, schools, entertainment venues and more. Although the demand for mental health services significantly increased, according to the World Health Organization (WHO), the Covid-19 pandemic disrupted critical mental health services in 93% of countries worldwide. The WHO further reported that 72% of mental health services for adolescents were halted between June and August 2020, and within this population a surge in the prevalence of eating disorders occurred that was said to be exacerbated by the Covid-19 pandemic.

A study published in JAMA Pediatrics explained that across America, inpatient admissions for young adults and adolescents with eating disorders rose by a rate of approximately 0.7% per month in the two years leading up to the pandemic. In 2020, the first year of the pandemic, that growth increased to an average of 7.2% per month. The pandemic may be partially to blame for the rise in eating disorders, but more importantly it unmasked a global eating disorder public health crisis and simultaneously highlighted the urgent need to raise awareness of these disorders.

Treatment In Calabasas

Calabasas is a city in California. It is a well-known suburb of Los Angeles, located west of the San Fernando Valley and north of the Santa Monica Mountains. Over the past decade, the city of Calabasas has grown in its reputation for luxury as well as for privacy which makes it a hidden gem for residential living for society’s elite, and one of the most desirable destinations in Los Angeles County. It is also home to a plethora of highly qualified mental health clinicians providing an array of therapeutic services and treatment options.

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

Are Dangers Associated With ADHD Stimulant Use During Pregnancy Small?

Attention-deficit hyperactivity disorder (ADHD) is listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) as a chronic, neurological disorder. It is characterized by pervasive and impairing symptoms of inattention, hyperactivity, and impulsivity, which can significantly impact many aspects of behavior as well as performance in a variety of settings. Typically, ADHD is most effectively treated with a combination of behavior therapy and medication. The overall prevalence of current adult ADHD is 4.4%, and with many being of childbearing age, it is perplexing that there are no guidelines to inform the treatment of ADHD across pregnancy and the postpartum period.

The United States Drug Enforcement Administration (DEA) classifies various types of drugs as Schedule I, II, III, and V controlled substances under the Controlled Substance Act (CSA). The CSA provides a mechanism for substances to be controlled, categorized, and regulated as each substance is sorted into one of the five schedules, whose placement is based on the substance’s medical use, potential for abuse, and dependence liability. Similarly, the Centers for Disease Control and Prevention (CDC) compiled a list of safe medications for use during pregnancy, and stimulants are not listed. Even with the several systematic reviews that have assessed the literature on stimulant use during pregnancy, the lack of comprehensive data on use or misuse and associated variables greatly constrains any ability to derive a reproductive safety profile for stimulants. As such, according to the U.S. Federal Drug Administration (FDA), none of the medications used to treat ADHD (e.g., Adderall, Vyvanse, Ritalin, etc.) are proven to be safe for use during pregnancy, but they are also not proven to be harmful. Therefore, the decision to include the use of stimulants in one’s treatment plan while pregnant will be determined on a case-by-case basis.

Yes, the dangers associated with ADHD stimulant use while pregnant are relatively small when the medication is used exactly as directed by one’s prescribing physician. However, the National Institute on Drug Abuse (NIDA) warns that substance abuse while pregnant, including the abuse of prescription stimulant medications, may result in miscarriage, stillbirth, infant withdrawal syndrome, birth defects, premature birth, low birth weights, gastroschisis, omphalocele, transverse limb deficiency, and sudden infant death syndrome (SIDS). Every day and week in gestation significant fetal growth and physical developments occur. Depending on the woman, pregnancy can be a dangerous and complicated medical condition. There are many factors that contribute to a woman’s ability or inability to successfully conceive, carry, and deliver a baby. While there are natural complications that can arise during pregnancy, the longer a pregnant woman abuses stimulants, the more she increases her and her fetus’s risk for developing complications.

Treatment In Calabasas

Calabasas is a city in California. It is a well-known suburb of Los Angeles, located west of the San Fernando Valley and north of the Santa Monica Mountains. Over the past decade, the city of Calabasas has grown in its reputation for luxury as well as for privacy which makes it a hidden gem for residential living for society’s elite, and one of the most desirable destinations in Los Angeles County. It is also home to a plethora of highly qualified mental health clinicians providing an array of therapeutic services and treatment options.

 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

Postpartum Anxiety Is Invisible, But Common And Treatable

Postpartum anxiety

Anxiety is defined as “a feeling of worry, nervousness, or unease, typically about an imminent event or something with an uncertain outcome.” It is the body’s natural response to stress and will manifest differently in everyone. Experiencing feelings of worry, fear, sadness, overwhelm, etc. after becoming a parent is to be expected, but when these symptoms persist and become debilitating it could be indicative of postpartum anxiety. Research findings indicate that anxiety disorders in pregnancy and the postpartum period are more prevalent than previously thought, with about 20.7% of women meeting diagnostic criteria for at least 1 anxiety disorder and 5.5% meeting criteria for at least 2 anxiety disorders. Therefore, it should come as no surprise that postpartum anxiety is reported to affect about 1 in 5 new or new again mothers, making it highly common. 

Signs and Symptoms

The timeframe for postpartum anxiety is longer than many assume, as it can occur at any time within the first 12 months following childbirth. The Cleveland Clinic provide examples of common signs and symptoms of postpartum anxiety some of which include:

  • Physical symptoms:
  • Disrupted sleep.
  • Increased heart rate or heart palpitations.
  • Nausea or stomach aches.
  • Being unable to breathe or feeling short of breath.
  • Loss of appetite.
  • Trouble sitting still.
  • Muscle tension.
  • Emotional symptoms:
  • Inability to relax or keep calm.
  • Racing thoughts, especially about worse-case scenarios.
  • Obsessing over irrational fears or things that are unlikely to happen.
  • Difficulty focusing or forgetfulness.
  • Irritability.
  • Feeling on edge or fearful.
  • Behavioral symptoms:
  • Avoiding certain activities, people, or places.
  • Being overly cautious about situations that are not dangerous.
  • Checking things repeatedly.
  • Being controlling.

Postpartum anxiety may interfere with a person’s ability to bond with their baby, which can negatively impact a baby’s mental and physical development. If left untreated, postpartum anxiety may lead to severe consequences such as infant neglect and, in extreme cases, infant death.

Treatment

The treatment options for postpartum anxiety reflect those used for other types of anxiety disorders. Medical News Today explains that the two main treatments for anxiety disorders include psychotherapy and medication. Further, it is becoming increasingly common to integrate traditional psychotherapeutic methods, such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), psychodynamic psychotherapy, interpersonal therapy (IPT), and more, along with holistic treatment modalities (e.g., meditation, aromatherapy, etc.) into postpartum mental health recovery plans. For some, integrating a combination of psychotherapy and medication may be recommended. The different types of medications prescribed for anxiety disorders include selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs) and norepinephrine and dopamine reuptake inhibitors (NDRIs). However, medication is not always needed, and for those breastfeeding it is prescribed with caution as medication can cross over from the bloodstream into breast milk and potentially harm a child who is breastfed. Anyone struggling with postpartum anxiety will require a nuanced treatment plan that carefully incorporates the best possible treatment methods specifically geared to each person’s distinct needs.

Treatment In Calabasas

Calabasas is a city in California. It is a well-known suburb of Los Angeles, located west of the San Fernando Valley and north of the Santa Monica Mountains. Over the past decade, the city of Calabasas has grown in its reputation for luxury as well as for privacy which makes it a hidden gem for residential living for society’s elite, and one of the most desirable destinations in Los Angeles County. It is also home to a plethora of highly qualified mental health clinicians providing an array of therapeutic services and treatment options. 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

What’s The Relationship Between Memory Loss And Driving?

driving

Driving is a complicated skill that can be easily impaired. People that drive are expected to be in good physical health as this skill relies on and requires the combined use of many brain systems. Harvard Medical School explains how the different areas of the brain are active and engaged while driving:

  • The visual-object system in your occipital and temporal lobes processes the images coming in from your eyes to enable you to distinguish cars, bicycles, and pedestrians.
  • The visual-spatial system in your occipital and parietal lobes determines where cars, bicycles, and pedestrians are in the road, how fast they are moving, and anticipates where they will be in a few seconds.
  • The attention system in your parietal lobes and the auditory system in your superior temporal lobe keeps you alert to car horns and other signs of danger.
  • The decision-making system in your frontal lobes uses this visual, auditory, spatial, and motion information to determine how fast you should be going and whether you need to turn.
  • The motor system in your frontal lobes then translates these decisions into how hard your foot is pressing the pedals and whether your hands are turning the steering wheel.

The typical cognitive changes that occur with ageing can directly impact driving safety, and those with age-related ailments such as dementia can be particularly dangerous. Dementia is an umbrella term used to describe the loss of cognitive functioning to such an extent that it interferes with one’s daily life. The National Institute on Aging asserts that the signs and symptoms of dementia occur as a result of healthy neurons in one’s brain ceasing to function properly, which prohibits them from connecting with other brain cells and subsequently die. In the most recent nationally representative study of cognitive impairment prevalence, researchers at Columbia University found that nearly 10% of U.S. adults ages 65 and older have dementia.

Alzheimer’s Disease

Alzheimer’s disease is the most common cause of dementia. The Mayo Clinic explains that “Alzheimer’s disease is a progressive neurological disorder that causes the brain to shrink (atrophy) and brain cells to die.” According to the Alzheimer’s Association, an estimated 6.5 million Americans aged 65 and older are living with Alzheimer’s in 2022.

It is natural for people to lose neurons as they age, but those with Alzheimer’s disease experience a far greater loss that occurs more rapidly. One study that focused on driving and Alzheimer’s disease found that people with Alzheimer’s had an average of 0.09 car crashes per year, compared to 0.04 crashes in age-matched healthy adults. Another study found that individuals in the mild stages of dementia or those with mild cognitive impairment due to Alzheimer’s disease had driving impairments like 16-to 20-year-old drivers. Therefore, the American Academy of Neurology developed and published guidelines to help clinicians distinguish at what point individuals with Alzheimer’s and other dementias should stop driving.

Treatment In Calabasas

Calabasas is a city in California. It is a well-known suburb of Los Angeles, located west of the San Fernando Valley and north of the Santa Monica Mountains. Over the past decade, the city of Calabasas has grown in its reputation for luxury as well as for privacy which makes it a hidden gem for residential living for society’s elite, and one of the most desirable destinations in Los Angeles County. It is also home to a plethora of highly qualified mental health clinicians providing an array of therapeutic services and treatment options.

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

What Are The Limitations Of DBT?

dbt

Dialectical behavior therapy (DBT) is an evidence-based, rigidly structured form of psychotherapy. It was developed by psychologist Marsha M. Linehan in the late 1980s as a means to better treat individuals diagnosed with borderline personality disorder (BPD), suffering from chronic suicidal ideation. DBT combines techniques from western cognitive behavioral therapy (CBT), psycho-educational modules, and eastern mindfulness-based practices to foster the systematic learning of new emotional coping skills. It is carried out in three therapeutic settings, including weekly individual psychotherapy (one-on-one therapy) sessions; weekly DBT skills training group therapy sessions, and access to twenty-four-hour support between sessions via phone coaching. Dialectical behavior therapy focuses on teaching skills in four primary areas, which are known as the four modules of DBT. Each module highlights distinct and specific skills that build upon each other and are individually and collectively integral to the success of DBT. Nevertheless, as is true with any mental health intervention, DBT has its fair share of limitations, some of which include:

  • May be ineffective in treating trauma: According to the U.S. Department of Veterans Affairs, due to the fact that DBT does not necessarily involve any form of trauma processing, it is not and should not be considered a stand-alone treatment for trauma.
  • The format and duration of DBT may be a deterrent: The different layers of treatment required for DBT including the amount of time allocated to each of the four modules, the three different therapeutic settings, etc. may be perceived by some as overwhelming and discouraging. As a result, some individuals that could benefit greatly from dialectical behavior therapy view it as overly complex to the point that they are unwilling to try the treatment.
  • DBT is religiously integrated: The foundation of DBT is rooted in mindfulness practice based on Zen Buddhist teachings, therefore some clients (e.g., conservative or orthodox Jews, Christians, Muslims, etc.) may object to certain facets of DBT that are derived from eastern religious philosophies.
  • Large-scale research is lacking: Critics argue that additional research is required to determine if DBT works for those with varied or complex mental health concerns, as most of the available research on the efficacy of DBT includes small sample sizes and focuses on a specific sector of the mental health population.
  • The availability of comprehensive training for providers is insufficient: DBT relies on a detailed manual and demands an intensive amount of training to deliver the services as designed. In many of the research studies where DBT was found to be effective, the providers implementing the DBT treatment were doctoral-level students or higher, which the minimizes the availability of providers.

Treatment In Calabasas

Calabasas is a city in California. It is a well-known suburb of Los Angeles, located west of the San Fernando Valley and north of the Santa Monica Mountains. Over the past decade, the city of Calabasas has grown in its reputation for luxury as well as for privacy which makes it a hidden gem for residential living for society’s elite, and one of the most desirable destinations in Los Angeles County. It is also home to a plethora of highly qualified mental health clinicians providing an array of therapeutic services and treatment options.

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

Everything You Need To Know About Eating Disorders

eating disorder

Eating disorders are defined by the American Psychiatric Association as “behavioral conditions characterized by severe and persistent disturbance in eating behaviors and associated distressing thoughts and emotions.” There is no single, identifiable cause as to why an individual develops an eating disorder. Research has, however, indicated certain biological, psychological, interpersonal, and social risk factors that have been noted to increase a person’s susceptibility for developing an eating disorder. According to the National Eating Disorders Association (NEDA), an estimated 30 million U.S. adults will have an eating disorder at some point in their lives.

Types Of Eating Disorders

There are several different types of eating disorders listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), all of which are categorized under the Disorder Class: Feeding and Eating Disorders. They include:

    • Anorexia nervosa: is an eating disorder characterized by weight loss and/ or lack of appropriate weight gain in growing children, an inability to maintain an appropriate body weight for one’s age, height, stature, intense fear of gaining weight and a distorted perception of body image (weight and/ or shape). People struggling with anorexia will employ extreme efforts to control their weight and/ or shape.
    • Bulimia nervosa: is an eating disorder characterized by a cycle of overeating (bingeing) and compensatory behaviors (purging) in attempts to undo the effects of the binge eating episodes. Purging could include self-induced vomiting, excessively over exercising, and/ or abusing diuretics.
    • Binge-eating disorder (BED): is an eating disorder characterized by recurrent episodes of compulsively eating abnormally large quantities of food (often quickly) to the point of physical discomfort, without engaging in compensatory behaviors.
  • Rumination syndrome: is a feeding and eating disorder characterized by repeatedly and unintentionally regurgitating (spitting up) undigested or partially digested food from the stomach, chewing it again and either swallowing it or spitting it out.
  • Avoidant/ restrictive food intake disorder (ARFID): is an eating disorder characterized by restricting food intake (e.g., eating smaller amounts) and/ or eliminating certain food groups to the point of infringing on one’s exposure to and ability to absorb needed nutrients derived from food.

Eating disorders can be debilitating and can adversely affect a person’s emotions, health, and interfere with one’s ability to adequately function in his or her daily life.

Signs and Symptoms

Every person is unique and will exhibit a distinct set of signs and symptoms as they relate to the presence of an eating disorder. Additionally, the type of eating disorder will influence which signs and symptoms present. The Mayo Clinic provides a list of examples of behaviors that could be indicative of an eating disorder, some of which include the following:

  • Obsessively focusing on healthy eating
  • Skipping meals
  • Withdrawing from social activities
  • Making excuses to avoid eating
  • Adhering to an overly restrictive diet
  • Preparing separate meals when eating in a group instead of eating what everyone else is eating
  • Excessive exercise
  • Constantly checking the mirror and/ or pointing out perceived flaws
  • Using laxatives, herbal weight loss products, and/ or dietary supplements
  • Regularly excusing oneself during meals to use the restroom
  • Eating in secret
  • Expressing disgust, shame, and/ or guilt about one’s eating habits

The continued malnutrition that occurs with an untreated eating disorder can lead to severe short and long-term consequences. Although eating disorders are life-long conditions, with proper treatment and support, a person can learn to effectively manage its symptoms.

Treatment In Calabasas

Calabasas is a city in California. It is a well-known suburb of Los Angeles, located west of the San Fernando Valley and north of the Santa Monica Mountains. Over the past decade, the city of Calabasas has grown in its reputation for luxury as well as for privacy which makes it a hidden gem for residential living for society’s elite, and one of the most desirable destinations in Los Angeles County. It is also home to a plethora of highly qualified mental health clinicians providing an array of therapeutic services and treatment options.

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

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