Using HARS to assess your anxiety
The Hamilton anxiety rating scale (HARS) was created as a tool to be used by doctors and psychologists to determine the severity of a patient’s anxiety. The system used is a 14 point questionnaire that covers each of the possible symptoms a patient may experience. The questions are mostly answered by the person suffering from anxiety. The last question though is answered by the counsellor or therapist.
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In 1959, there was no other test that was able to measure the psychic and somatic or physical levels of an anxiety sufferer. As a result Max Hamilton developed the HARS test. The test can be used on people of all age groups with recent evidence to show that it is particularly suitable for older people The questions are based upon a list of symptoms that Hamilton created by using mathematical statistics.
The patient is questioned by a therapist or doctor and his or her answers are then graded from 0-4, with 4 representing the highest level of anxiety. When the test is finished, the doctor or therapist tots up the scores and uses the total to make a determination of the patients anxiety levels. The questions are equally divided between physical and mental with the intention of providing a a balanced view of the two types of symptom.
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After adding up the results, it is felt that if a person has a score of less than 17 that this person only has mild anxiety which can be easily addressed through therapy. However this is not necessarily the case. Many people will try to mask their true feeling out of embarressment. This is where the skill and training of the therapist or doctor can come into play. Scores from 18-24 show a moderate level of anxiety, this degree of anxiety can be handled by teaching the patient coping techniques such as meditation and breathing exercises. Any patient that scores more than 25 is experiencing severe anxiety. Patients that are severely anxious may need to control their anxiety with medications first. This can then be followed by psychotherapy before the medications are discontinued.
While the test is useful to help therapists to understand a patient’s level of anxiety, it is only as good as the skills of the therapist and the answers are very much subject to interpretation. The questions themselves are designed not only to reflect the answers from the patient but also how the therapist feels about the answers. Although not perfect, the evidence suggests that the test is a reasonably good indicator of a patients anxiety. One area of weakness though is the tendency for patients suffering from depression to score highly on the HARS test.
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Although not perfect, the HARS test is still the most commonly used method for assessing a patients anxiety. The reality is that over very many years HARS has demonstrated that it is accurate and consistent. Combined with the correct type and degree of treatment, many people are able to cure themselves of this debilitating condition.
Symptoms of Manic Depressive Disorder
Manic depressive disorder is a serious condition: Often, people make lite of the fact that they feel depressed or unhappy, but to suffer from manic depressive disorder it is no laughing matter this is a true medical condition and if left untreated can result in death.
If you really do have manic depression, then you may not be able to hold down a job for more than a few weeks and will have a hard time maintaining friendships and sticking with things like school or even with hobbies.
The condition can bring a person to a really bad place. Folks with manic depression often feel as if no one understands them, and thus, when they are in a particularly bad place, they even have suicidal thoughts and may play with self-destructive behaviors. If you can some manic depression symptoms early on, then you can help a person get the treatment they need. The following are some signs that you or someone you love is suffering from manic depressive disorder and needs help as soon as possible.
Extreme Mood Changes
If you have manic depressive disorder, then it is common for you to experience incredibly quick changes in mood. One moment you may feel full of hope and as if the world is amazing, and the next, you may feel as if no one gets you and no one will and that the world will end soon. These shifts in mood can happen at a snap of a finger.
One minute you are happy and the next you are not, and you may not even be able to explain this. Someone with manic depressive disorder has a hard time keeping friends because of this condition: they may lash out from time to time and then revert back into being a sweet and loving friend.
Thus, if you are not ever sure what mood you or someone you love will be in, then this is a sign that you have manic depressive disorder.
Trouble Maintaining a Consistent Sleep Pattern
Another symptom of manic depressive disorder is trouble sleeping ether to much or too little. There may be times when the suffer has trouble sleeping staying up for two days in a row, and then there are times when the suffer is listless and feeling tired all of the time. This inability to maintain consistent sleep patterns can result in the suffer losing there job, and can even affect their health if they are not getting the sleep they need.
Depression and ways to deal with it
In this lifetime there will be many happy times and joys a person shall experience.But on the other side of that coin, what can occur as well is many heartbreaks and sadness.Of course the emotions like joy does not need to be talked about. But negative emotions such as sadness or heartbreaks can
lead to depression.
Well in this article I am going to share some advice I have learned through education and practice as a family counselor San Diego.
Simple and plain, depression is one of the toughest human emotions to deal with. Once a person starts becoming depressed because of things that happen in life, it takes professional depression counseling to deal with it.
Now there are a few different types of depression.Severe types of depression could be some sort of clinical depression.Often times, through medication is going to be the only way to treat that. This can be caused not necessarily all from circumstances. But it could be caused by a chemical imbalance within the body of the person depressed.
But if the depression is not caused by some sort of chemical imbalance, but due more to circumstances, counseling may be the best option to take.
The causes of depression varies among people. What could hardly affect one person, could trigger depression in another.What make it difficult in trying to deal with someone who has depression is the fact that they are already fragile emotionally. It is going to take very compassionate counseling to deal with it.
Not knowing how to address depression could be devasting.Extreme instances where there is a good chance of suicide happening. Or even depression causing a person to not be able to function socially could be a result.
It is during those times that depression has to be dealt with through a depression counselor.It is a delicate balance you have to use to determine if a perons is just feeling depressed temporarily or is it a sign of a severe case.
Communicating with someone and checking to see if it goes on for a few weeks will be a good indicator. If it does go several weeks, you may need to seek professional help.
With what is on the line in terms of how a severe case of depression can lead to, it is one of the emotions you don’t want to leave untreated.
It can also happen to adolescents, and if that is the case you may want to seek some San Diego adolescent counseling.
Is My Adolescent Child A Bipolar Victim?
Bipolar in children can start showing its symptoms very early in the childs life. Some have their first symptoms of this illness identified during childhood, and others develop them later in life. This illness can be genetic, especially for those children s parents who have the illness compared with those whose parents are not with the disease.
Some Symptoms to Look out for
The common signs of this disorder in children are the severe mood swings from high to low in a few minutes. They can experience high followed straight after by low, calm then extreme anger in a matter of a short time. Children with severe mania symptoms are bad tempered and liable to destructive tantrums than to be very happy. When compliant to their drugs, they can be terrific children but without their prescribed drug they become extremely angry and irritable very easily.
Some Other Signs
Because other problems and emotional changes are occurring within these age groups, this disorder in young ones is not easy to diagnose. Irritability and aggressiveness can indicate bipolar illness but they can also be signs of other mental health illness like attention deficit, oppositional conduct, defiant disorder and even hyperactivity disorder. Depression or schizophrenia is also found in this age groups. Those on illicit drug abuse can lead to symptoms close to that of bipolar. Older adolescents has a much closer link to the adult-type episodes and its symptoms than those younger adolescent.
Other physical Signs
This illness has seen some children use bad language to their parents, tend to run away from school, are dishonest and disobedient. It is usual for those with this disease to be moody irritable and get angry more often than normal. When they are going through symptoms of depression their self-esteem, confidence and ambition can take a turn for the worse.
Final Words
A proper diagnosis for adolescent bipolar disorder victims is needed for an effective treatment of this mental disease. Bipolar disorder is a long-term illness that must be carefully managed throughout a patients whole life. Let them be evaluated by a mental health professional if your child is showing emotional and behavioral symptoms. And if they start talking about suicide or become suicidal, be serious with them and refer them to a mental health doctor near you.
Simple Ways to Stop Panic Attacks
Anyone can feel stress on occasion. If you are not able to handle stress properly, you might begin to have endless feelings of anxiety and stress. Often you have a panic attack when this occurs.
If you are in a stressful or dangerous predicament, it is natural for your body to go into an anxious state. Occasionally, a panic attack happens even if there is no danger.
In order to stop panic attack perform the following – listed below:
- Slow breathing
– Reduce/stop intake of caffeine
– Regular exercise
– Think more positively
You can stop a panic attack from becoming worse or even starting in the first place. Firstly, take some slow and unhurried, long, deep breaths to relax your mind and body. Next, think about the things you are grateful for, changing your focus from your anxiety to more empowering thoughts. It may be a good idea to practice deep diaphramatic breaths when you aren’t having a panic attack. This practice will come in handy when you actually need to try to stop a panic attack.
Try your utmost to stay away from any products that contain caffeine. This is one of the simplest ways to stop a panic attack. When a panic attack occurs, your body becomes extremely alert and aware of everything and the presence of stimulants within your body only worsens this effect. Do not eat or drink anything that has caffeine. If you follow this rule, then your chances of suffering from a panic attack will dramatically decrease.
Regular exercise is important if you suffer from panic attacks. Your adrenaline levels are kept under control by exercising regularly. This helps stop panic attacks as anxiety increases the level of adrenaline in the body. Regular exercise helps you manage your thoughts and actions effectively because of reduced levels of adrenaline.
If you begin to feel anxious, focusing on positive things will help reduce the anxiety. In order to minimize the feelings of anxiety, you can focus on the joyous occasions in your life and think about the people who you love. Improved focus on the positive things helps alot in stopping a panic attack.
As you can see these are some anxiety treatments that are simple but extremeliy effective. Make sure that you incorporate these into your daily routine and you will see a noticable difference over time.
Keeping your mind and body in a healthy, positive state helps tremendously when managing anxiety. There is no one magic treatment for anxiety and not a single way to stop a panic attack. Combining some of the methods suggested in this article may help you handle and ultimately learn how to stop panic attacks.
Choosing ADHD Meds
ADHD meds are not miracle drugs that instantly get rid of all ADHD symptoms. The meds may not work properly and also cause side effects. To find the right levels and types of meds can take time in order to get good results. Here are five tips on how to best work with doctor in order to obtain the finest from ADHD meds.
Tip #1: Find a Good Doctor
You need to find a doctor who is willing to monitor the medication and your child on a regular basis. You may need to find a doctor who specializes in treating ADHD or other mental health disorders so you can ensure that the treatment given is appropriate and that you find the right type of treatment or ADHD meds.
Second thing to do is to commence with lowest does and adjust as needed.
ADHD meds are prescribed in doses that are not based upon age or weight. A good doctor will start out at the lowest dose possible and then adjust it up if needed. Doctors will usually allow three to seven days to elapse between adjusting doses and run an adhd test.
The reason for giving the lowest possible dose is that side effects get more common and more severe with increased doses. Plus there is no need to over medicate as this can often lead to a zombie-like state that is one of the top reasons parents top giving their child the medication.
Tip #3: Use the medication every day, consistently.
There are some parents who give ADHD meds irregularly to their child such as only during the week and then do not give it to them on the weekend. The accurate results will not be gained by this way of dosing.
The latest research suggests that the giving of the medication inconsistently can cause the medication to not work as efficiently. Since the children have to take the meds they can get problems resent going to school.
Tip #4: Involve everyone is watching for side effects and other effects of the meds.
Most children are diagnosed with ADHD as a result of combined efforts of people around them such as teachers, doctors and parent. It only makes sense in giving medical treatment as a group effort. The medication effects of the child should be watched by everyone. To improve the chances of ensuring the right meds are found and used, the existence of teachers, doctors and parents on the lookout is very important.
Fifth thing to do is to comprehend the effects of diet on ADHD meds.
What your child eats effects some meds given for ADHD. The effectiveness of medications can be lessened by high fat diets such as Adderall and Ritalin. By drinking acidic or a lot of vitamin C drinks makes Ritalin to not be absorbed into the body properly. You should also watch on any add symptoms with other possible interactions.
Most Noticeable Depressions
So, what is depression? Depression is an illness that affects the entire body as well as your thoughts and mood. It will affect the way that you eat and sleep as well as the way you ponder things, and also how you view yourself too.
One cannot get a hold of himself or herself during depression, nor will it away with a strong will. But the good thing is that one can be treated to overcome any depressions, even though those depressions have been plaguing for many years.
Symptoms vary intensely from person to person, depending on the type of depression it is and what occasioned it as well as how long it has been allowed to progress. A person with depression may have troubles concerning decision-making and concentration. Many people joined depression quiz to find out their type of depressions.
Many depressed people usually have problems with short term memory. Mostly always think negative. Some may be said to suffer from poor self esteem and pessimism. People with a very serious depressions may even have self destructive thoughts.
They may feel very tired and very irritable. Many people who are depressed often feel helpless and hopeless, and they suffer greatly from any work productivity, in other words they often feel uncomfortable with daily activities.
Many people who are depressed usually either over-eat or do not eat enough, also have sleeping problems, where some oversleep and others not at all. They also suffer a plethora of pains and restless, which is bad for their health.
Depression Treatments: The very best advice is if you feel as if you may be depressed, then at least go to a psychiatrist once.
Be sure to tell the psychiatrist all the symptoms you have so that you will receive the correct diagnosis, don’t omit anything even if you feel it may be not important at all.
Facts To Be Remembered While Treating Anxiety
If you know of anyone in your day to day life that suffers with anxiety, there will be times that you know you just want to slap the person silly for thinking the way they do. This is not the way of treating anxiety by yourself, and no, you do not make the person feeling more anxiety than they already are. This solves nothing. The most common point or fact about treating anxietyis to let the person know that most of their anxieties will never ever happen, and it is the same with fears. This is a proven fact that ninety nine percent of your worries and anxieties never happen. So don’t worry? Be happy, even if it is for a short while.
Treating Anxiety: Moving On
While most people if they have been in a hostile situation, treating anxiety and depression with them would have to be more intense with the help of a clinical psychologist and medication, if they feel they cannot move on until it is dealt with.
Treating Anxiety Is Not Always A Quick And Simple Process
Treating anxiety is not just a quick and simple process, countless sessions have to be attended to get to the root of the problem if the person tends to be over dramatic with every little thing that could possibly happen to them, and finding out the reason why they are continually anxious is a good thing to be treated to.
Were these people who continually needing therapy taught this way of thinking? In most cases treating anxiety means learning not to pass the anxiousness onto others, especially children. Some people don’t take lightly to others having panic attacks or anxiety attacks, as it is difficult for them to see what all the fuss is about. While these other people see what the immediate problem is, they get in and sort it out as if they were a bomb squad force, they don’t have time to worry about what doesn’t need attention, only the immediate, and then step back. Focus is what it is all about.
For others to learn this method would be quite difficult if they are continually treating anxiety attacks by themselves, as they have learned over the years how to have an anxiety attack by literally seeing it happening, therefore proper guidance should be sought.
You And Self Control Is The Basic Step For Treating Anxiety
Self control is the first basic step, for treating anxiety attacks, breathe and focus on things that need to be done, not what could happen. Don’t allow anxiety to get the better of you by feeling anxious.
Help For Depression Symptoms Through Nutrition
Some types of depression are severe and dysfunctional. This means you don’t have the energy or willpower to go to work or even get out of bed. If you are having severe symptoms, see a doctor immediately, there is good help available. You can get Depression Help here.
But most common forms of depression are not severe. You can function, you just may feel “bad” emotionally and physically at times. Hopeless, tired, unhappy, socially isolated. These types of symptoms are more normal for depression.
There are several things you can do to cure common depression symptoms, sometimes within 24 to 72 hours. Some of the cures are nutritional, and some are emotional, and some are physical.
To beat depression, one thing you can do is to make a few simple nutritional changes to your diet. The first nutritional change to make is to stop consuming refined white sugar.
White sugar causes sugar blues. You get a rush of good feeling from eating something like a doughnut, then within 60 minutes your system releases lots of insulin to get the sugar out of the blood stream. All this insulin then causes low blood sugar for another few hours. The insulin is so effective it gets rid of too much glucose from the blood stream. You can learn more about Depression Symptoms Support here.
Now here’s the surprising fact: low blood sugar causes many common depression symptoms. It makes us feel tired and low energy. It makes us feel irritable and disinterested. And it can even cause dark mood swings. Low blood sugar affects the brain and nervous system negatively.
Now, low blood sugar is caused most often by refined white sugar. Refined white sugar hits the bloodstream with so much glucose that it is like an attack, we overproduce insulin to counter it, and the insulin we produce actually clears too much glucose out of the blood stream, and then we don’t have enough to properly fuel the brain, causing the common symptoms of depression.
So to cure depression symptoms, try cutting out refined white sugar. You can still sweeten your foods with stevia, which doesn’t cause blood sugar spikes. Simply try cutting out sugar for a few days and see how you start to feel, you can prove this to yourself. There are other nutritional ways to heal depression, but this do it yourself method is a good beginning. Get {Depression Symptoms Help} here.
How to fight Depression
Depression is one of most powerful human emotions. It is an emotion if left untreated, could lead to more serious consequences for those suffering from it severely.
Everyone has moments of feeling unhappy.That is normal. But clinical depression goes beyond that.It is a disease.But you can treat it.
I would like to offer some advice and tips that I have gained from my experience as a therapist in San Diego.
So what makes depression, clinical depression?
First off, the person may feel as if they are hopelessly sad.This when someone feels like everything is pointless. Or life is not worth living. Which might lead to suicidal thoughts and feelings.
This can last for 2 weeks or more. When you have depression that lasts that long, you are moving into the clinical depression state.
And it is when you start hitting that point, you need to see a therapist.Don’t hit that point and leave this condition untreated.Take my word for it, I have learned this from my experience in depression counseling.
So once you find yourself at that point, there are several things you have to do. Because chemistry in your brain or imbalances in your body can cause depression, you might have to go the medical route to treat it. You would treat it with antidepressant drugs.
Of course as a counselor, I prefer to treat it through depression counseling. A counselor can help a person get to grips with the root of their depression.
They can use another form of therapy such as cognitive behavior therapy which addresses how you think.The objective is to confront those negative thoughts and turn them around to a positive.
A therapist can also help you use relaxation techniques.If the depression is stress related, a good way to fight stress is relaxation.
Most of all a depression counselor will be the most effective person to find out what is causing the depression.
They are good at looking and seeing if a circumstance like a loss in the family is the cause.They can look and see if there is something in the past that is causing this.Or they can try to see if something is going in your body that is causing it. Whether it is some physiological change.
Depression is a treatable condition.But when you don’t know what caused it, you will not be able to treat it. That is where finding a good therapist or counselor can help tremendously.