Monday, July 27, 2020

Effects of Premenstrual Symptoms on Bipolar Disorder

Effects of Premenstrual Symptoms on Bipolar Disorder Bipolar Disorder Print Effects of Premenstrual Symptoms on Bipolar By Marcia Purse Marcia Purse is a mental health writer and bipolar disorder advocate who brings strong research skills and personal experiences to her writing. Learn about our editorial policy Marcia Purse Medically reviewed by Medically reviewed by Daniel B. Block, MD on November 23, 2019 twitter linkedin Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Daniel B. Block, MD Updated on February 21, 2020 Bipolar Disorder Overview Symptoms & Diagnosis Causes Treatment Living With In Children Your Rights eclipseimages/E/Getty Images In This Article Table of Contents Expand Effects Occurrence Premenstrual Symptoms vs. PMDD Can Bipolar Disorder Be Misdiagnosed as PMDD? Accessing the Role of PMS in Bipolar Disorder Treatment and Management View All What are the effects of premenstrual symptoms (PMS) or premenstrual dysphoric disorder (PMDD) on bipolar disorder? Lets take a look at what studies tell us about premenstrual symptoms superimposed on bipolar disorder, how these symptoms can be distinguished from one another, some testimonies from women who have experienced this dreaded double duo of symptoms, and what can be done to manage the symptoms. As a final question, is the diagnosis of bipolar disorder ever missed, and the symptoms mistakenly attributed to premenstrual dysphoric disorder? Effects Living with bipolar disorder alone should be enough, yet studies tell us that many women with bipolar disorder have a worsening of symptoms during the premenstrual period.?? While it may seem obvious that the irritability of premenstrual tension would accentuate the symptoms of bipolar disorder, researchers have been able to demonstrate specific ways in which these monthly symptoms may exacerbate bipolar disorder. Women who report significant premenstrual symptoms: Have more episodes related to their bipolar disorder, most commonly depressive episodesExperience less time between episodesHave episodes which are more severe (including depressive, manic,?? and hypomanic episodes) Women who have premenstrual symptoms which exacerbate their symptoms of bipolar disorder have a worse course of illness, a shorter time to relapse, and more severe bipolar symptoms. Occurrence A large meta-analysis (a study that compares the results of several different studies) found that 44 to 68 percent of the women with bipolar disorder had some premenstrual-related mood changes, 22 to 77 percent of women with bipolar disorder met the criteria for premenstrual dysphoria, and 15 to 27 percent met the criteria for premenstrual dysphoric disorder (PMDD). Premenstrual Symptoms vs. PMDD Premenstrual symptoms, when they occur, usually occur during the luteal phase of a womans menstrual cycle. This usually corresponds to the two week period between ovulation (which generally occurs mid-cycle) and the time menstruation begins. The different terms used to describe these symptoms are based primarily on the severity of symptoms. Premenstrual syndrome (PMS) is used to describe the very common irritability and emotional lability in women before their periods. Premenstrual dysphoric disorder has specific criteria, and is more likely to be diagnosed when premenstrual symptoms significantly affect your quality of life.?? Its important to note that there may be overlap as a womans premenstrual symptoms can vary month to month. Can Bipolar Disorder Be Misdiagnosed as PMDD? The answer to whether or not someone can be erroneously be diagnosed with PMDD when they really have bipolar disorder is yes.?? This is one reason it is important for women with PMDD to track their symptoms (see below). Accessing the Role of PMS in Bipolar Disorder It can clearly be helpful to determine if PMS or PMDD are exacerbating your bipolar disorder, but unfortunately, this isnt very easy. There are no blood tests or hormonal tests, and the only way to figure this out is to track your symptoms daily for at least two months.?? Some women keep a journal, making a note each day. A somewhat objective way is to write down symptoms such as irritability and energy level, giving each of these symptoms a number between one and ten. For example, you could rate your irritability level as one, meaning you barely feel irritable, or a ten, referring to irritability that is as bad as it ever gets. There are other tools which can help you follow your symptoms such as PMDD symptom tracker, or one of the phone apps available such as Clue Connect. Tracking periods can also be helpful for those who have been diagnosed with PMDD but are concerned that they may actually have bipolar disorder. Treatment and Management Since premenstrual symptoms and PMDD can significantly worsen bipolar disorder, its important to control PMDD symptoms as well as possible. Treatment options for PMS/PMDD include: Lifestyle changes - Avoiding alcohol and caffeine can be helpful, and exercise is critical.?? Dietary changes can make a difference and include eliminating high glycemic index carbohydrates as much as possible. A glycemic index chart can be helpful to figure out which foods this includes.Alternative treatments - It is important to talk to your psychiatrist before trying any alternative therapies, though nutritional supplements such as chasteberry?? and calcium carbonate may help some people.Relaxation therapy including activities such as meditation and yoga may help some people and have a low risk of side effects.Birth control pills may help some people, though this approach is most effective for those with mild symptoms and can sometimes worsen symptoms. Estrogen patches, oral progesterone, and gonadotropin-releasing hormones are second-line treatments that may offer some relief. Selective serotonin reuptake inhibitors (SSRIs) such as Prozac (fluoxetine) are often used for women without bipolar disorder but should be avoided for those with bipolar disorder (due to the risk of precipitating a manic episode.) If these medications are used they should most often be used along with a mood stabilizer or antipsychotic medications, and then only with extreme caution. Since SSRIs are used very commonly for people with PMS/PMDD, this is an important reason why its important to distinguish between PMDD and bipolar disorder.

Friday, May 22, 2020

Health Promotion An Effective Tool for Global Health Free Essay Example, 2000 words

The definition of health as espoused by the World Health Organization is more attuned to modern times because of its totality. People not only have physical, emotional and mental requirements as discussed earlier but also social and sexual needs that need to be taken into account, which is why the WHO approach is better in this regard compared to the Western model that looks at health in a very narrow sense in a negative manner instead of positively. A common failure among many health promotion programs is the lack of a common metric that will exactly measure how the programs achieved the stated aims as discussed by Rohrer et al. Most Appealing the positive definition of health as conceptualized by the WHO is a more useful concept because it stresses on the positive aspects of health as wellness instead of the negative view which is the absence of disease or illness. Health promotion that is a more appealing prospect to me entails the newer definition of active interventions design ed to have a healthier general population instead of the earlier preventive approach using psychology as it implies a coercive approach to changing human behavior with regard to health matters. We will write a custom essay sample on Health Promotion: An Effective Tool for Global Health or any topic specifically for you Only $17.96 $11.86/page In my area of nursing practice which is acute care, the idea of health and health promotion is highlighted in the way health promotion could have prevented various diseases I saw in most of the patients.

Saturday, May 9, 2020

The Opening of Dickens Great Expectations as Compelling...

The Opening of Dickens Great Expectations as Compelling Charles Dickenss Great Expectations contains one of the most famous opening chapters of a novel ever written. It is very effective in making the reader want to read on. He uses many techniques which makes each paragraph flow into the next. The novel was a very popular literary form in the Victorian period, in a time before the invention of modern forms of entertainment such as television and video. As the nineteenth century progressed increasing numbers of people could read. At the time books were very expensive for the lower class people making it hard for them to afford many books. So Charles Dickens decided to publish his novel in†¦show more content†¦Dickens also has quite a lot of sadness in the novel. After being caned by his sisters I have only been to the churchyard said I crying and rubbing myself This shows how nasty Mrs Joe is and what Pip has to go through in his early years. Charles Dickens also uses the setting very well. He uses interesting settings, he uses places like the grave yard to make an interesting setting and this helps to create pictures in peoples minds. Through out the opening Dickens uses setting and description to create a vivid picture in your mind and this helps you to be embedded into the novel and keep reading. Dickens uses very good description and he also uses similes which help to describe the setting. As if some goblin had been crying there all night and using the window as a pocket handkerchief This creates an excellent picture of the setting and you can see exactly how Dickens wanted the scene to look. Dickens uses very good descriptors the marsh mist was so thick creates a picture of extremely thick and dirty mist which is what Dickens wanted you to see. Colour is also used in the novel this enhances the atmosphere. In these chapters Dickens only uses selected colours mostly red and black. He describes his sister as having a prevailing redness of skin I sometimes wondered if she washed herself with a nutmeg grater This shows that Mrs Joe is a harsh person andShow MoreRelated Vivid Images of Character and Place in the Opening Chapter To Dickens Great Expectations1146 Words   |  5 PagesVivid Images of Character and Place in the Opening Chapter To Dickens Great Expectations The opening chapter to Great Expectations introduces Pip who is the main protagonist in the story. He is an orphan and lives with his sister Mrs Joe Gargery and her husband who is a blacksmith. The story is set in the graveyard in the time of the Industrial Revolution. In the opening chapter we also see Pip being introduced to a convict who is very poor but very rude to the child. TheRead MorePip’s Character Change in Charles Dickens Great Expectations1173 Words   |  5 PagesPip’s Character Change in Charles Dickens Great Expectations Great Expectations, by Charles Dickens is a compelling story rich in friendship, love and fortune. The main character, Pip, is a dynamic character that undergoes many changes through the course of the book and throughout this analysis, the character Pip, will be identified and his gradual change through the story will be quoted and explained. The main character, Pip, is a gentle character. His traits include Read MoreCrossing the Chasm76808 Words   |  308 Pagesto any number of high-tech enterprises. Seeing the problem externalized in print has a sort of redemptive effect on people who have fallen prey to it in the past—it wasn’t all my fault! Moreover, like a good book on golf, its prescriptions give great hope that just by making this or that minor adjustment perfect results are bound to follow— this time we’ll make it work! 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Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesPerformance Appraisal Around the World 558 An Ethical Choice Recruiting the Unemployed 561 Self-Assessment Library How Good Am I at Giving Performance Feedback? 563 Myth or Science? â€Å"Work Is Making Us Fat† 564 Point/Counterpoint Social Media Is a Great Source of New Hires 567 Questions for Review 568 Experiential Exercise Evaluating Performance and Providing Feedback 568 Ethical Dilemma Credit Checking 568 Case Incident 1 The End of the Performance Appraisal? 569 Case Incident 2 Job Candidates WithoutRead MoreOrganisational Theory230255 Words   |  922 Pagescontribute to our understanding of organizations. Professor Tomas Mà ¼llern, Jà ¶nkà ¶ping International Business School, Sweden . McAuley, Duberley and Johnson’s Organizational Theory takes you on a joyful ride through the developments of one of the great enigmas of our time – How should we understand the organization? Jan Ole Similà ¤, Assistant Professor, Nord-Trà ¸ndelag University College, Norway I really enjoyed this new text and I am sure my students will enjoy it, too. It combines rigorous theoretical

Wednesday, May 6, 2020

Advertising Images of Elderly Free Essays

Advertising Images of Elderly The attitudes younger generations have of the elderly and the relationships they share, as well as perceptions older people have of themselves, are directly affected by stereotypes portrayed in television advertisements (Hillier Barrow, 2011, p. 35). When the elderly are visible in advertising, it is typically in life insurance and emergency catastrophe product commercials. We will write a custom essay sample on Advertising Images of Elderly or any similar topic only for you Order Now These ads implied that the elderly are feeble, stubborn, grouchy, lonely, ugly, helpless, mentally declined, and isolated (â€Å"Life Call Commercial,† n. d. ). As a group, they suffered from immobility, illness, and frailness (â€Å"August 2004 Commercials part 9,† n. d. ). By portraying the elderly in a negative aspect in advertising, younger audiences and senior citizens began to accept the stereotypical and an unrealistic portrait of aging (Hillier Barrow, 2011,p 39-41). All too many advertisements that use the elderly perpetuate negative aging stereotypes. These television ads often try to generate media attention that overemphasis the vulnerability of older people (Hillier Barrow, 2011, p 47). One clear example of this, when Lifecall began running an overly dramatic advertisement in the late 1980’s. Typically, these older actors in these commercials were force to portray characters that were either deathly ill or sprawled across the bathroom floor clutched to a walker, crying â€Å"Help! I’ve fallen and I can’t get up! † The ad gave younger viewers the impression that the elderly were all of a sudden incapable of being alone at home, unable to get help, perhaps for hours or even days. They must rely on their medical alert pendent if they were ever going to call an ambulance, a next door neighbor, family, or a doctor (â€Å"Life Call Commercial,† n. d. ). Running head: ADVERTISING IMAGES OF ELDERLY 4 In other ads, the elderly were repeatedly reminded of negative stereotypes associated with aging (Hillier Barrow, 2011, p. 7). As the older spokeswoman dropped change into the parking meter, she described to a group of listeners that Colonial Penn Life Insurance helped make sure that her money problems did not become a burden to her family. The commercial continued to communicate with the elderly that the average cost of a funeral was over six thousand dollars (â€Å"August 2004 Commercials part 9,† n. d. ). These advertisements conveyed the idea to the elderly that their departure will place significant financial burdens to their family members. They would more likely be remembered for putting their families into extensive debt. By repeatedly exposing negative portrayals of elderly in Lifecall and Colonial Penn Life Insurance television ads, many children and young adults have lost their respect for the elderly. They believe in wrong or emphasize fictional messages of older people. They see the elderly as defenseless and burdens. Also, the negative stereotypes in television ads have a serious effect on older people’s self-esteem. They take on the negative stereotypes generated on television ads. How to cite Advertising Images of Elderly, Essay examples

Tuesday, April 28, 2020

SPIDE System Essay Example

SPIDE System Paper The S stands for search, it means to look 20-30 seconds ahead for information to help you travel. The P in SPIDER is to predict. You predict the actions or changes on or near the road that could increase risks. The l, stands for identify, it means that you identify objects or conditions ahead that could help you interfere with your path. The D means to decide, you decide what action to take at least 4-5 seconds ahead of time to control or decrease risks. Lastly, the E in SPIDER, stands for execute, which means to perform the actions needed. The first risk was on a Sunday morning, when me and my mom were heading to MAC Donaldson to get breakfast. We were on the corner of our street ready to turn left, when suddenly a car going like 35 miles per hour , comes out of nowhere. I thought that he was going to crash us, and that we were going to get hurt. But lucky my mom stopped the car in time, and the car didnt crash us I would of done the same as my mom to prevent an accident. We will write a custom essay sample on SPIDE System specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on SPIDE System specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on SPIDE System specifically for you FOR ONLY $16.38 $13.9/page Hire Writer The second risk I had, was on a Tuesday, in the afternoon. My dad had come to pick us up because we missed the bus. We were in the street, and from like 2 blocks away, you could see that the light was green. But all of a sudden, the light turned yellow, and we were t going to be able to pass the light before it turned red, but lucky my dad stopped quickly. On the side next to us though, the truck accelerated because he didnt want to wait, but when the other lane s turned green, the cars went and so the truck got crashed by 2 cars, Just because he didnt want to wait. I was really proud of dad because he stopped instead of going. Im pretty sure I would of done the same. The third risk I had, was on Friday, when all of my family, including me, were going to my aunts house because she had cooked us dinner. So we were on a long street that had a speed limit of 20 miles per hour. My dad was following the speed limit, but the car in front of us was t. I guess that he or she was really inpatient because that person had decided to go faster, even though he or she knew that there were uniqueness if you went faster. At the end of that street there was a police officer checking the speed limit of each car with some type of gun. When the officer saw that the car in front of us was speeding, he stopped the car and gave that person a ticket. It was really good that my dad had decided to keep the limit because first, we decreased many chances of an accident. Second, we didnt get a ticket. I would have done the same as my dad, or even went a little bit slower, Just to make sure. SPIDER System By Malaysia

Friday, March 20, 2020

Best Informational Writing Tips

Best Informational Writing Tips Informative Writing The aim of an essay is to inform the reader about something. By your writing, you convey some information from you to other people, as a rule, to your professor, colleagues, or classmates. Even if you work on the personal essay, you convey some information which has to be clear and accurate. How to receive the best grades on your informational writing assignment? Following the conventions is your first task, while it shows your respect to your reader. You should adhere to your structure, formatting, and standards. Â  Your title has to tell the reader exactly what your essay is about. Beware that your essay has to stand out from the others! When coming to structure, you have to be especially careful, while you have to adhere to the structure of sentences, the structure of paragraphs, and the structure of the essay itself. Sometimes, when it comes to the thesis, you have to mind off the structure of certain sections. Structure of sentences If you want to let your reader know about something, you have to deliver the information in an explicit and understandable way. Lots of students worry about their style. However, what exactly a writing style is? In fact, it is the way of controlling the description of ideas and information in your writing. Your aim is to make the length of sentences different. Readers get a good impression when they read from two to four short sentences and then a long one. So, try to alternate between your sentences. Think well on the word choices, because your vocabulary has to fit the topic. Avoid repeating or overusing expressions and words. Remember that clarity is your goal. Structure of paragraphs A paragraph is a group of sentences separated from other sentences. All these sentences in a paragraph are about a particular thing, so it is necessary to define the topic sentence of the paragraph. As a rule, it is the first, sometimes the second sentence of your paragraph. The aim of the remaining sentences is to only maintain the topic sentence statement. And the concluding sentence has to lead the reader to the idea of the next paragraph. Structure of the essay As a rule, your essay should have a beginning (introduction), middle (body), and the end (conclusion). In the introduction, you have to tell your reader about what you are going to say, then tell them what you need to tell in your body paragraphs, and the conclusion is to summarize what you have told your readers. The structure is not that complicated. This structure is the best for the reader to make it understandable. Even if your content is qualitative, but the structure is poor, it won’t inform your readers effectively. Some more tips from our experts Now you know that in order to be informative enough, your essay must have a good structure. However, here are some more tips to follow which will help you with tour essay writing. Stay focused Remember that your thoughts have to be logical. Do not go too deep into the history of the subject you are writing about. Yes, the background of your topic might be really informative, however, it doesn’t relate to your topic at all. Always stay focused on your topic, do not deviate from it. Your approach has to be balanced enough if your task is to provide some general information. Objectivity is one of the main things you have to strive for. You have to be neutral, factual, and clear. Stay informative All the information you provide has to be understandable and accessible. So, there has to be a proper and pretty short introduction relating the topic. After that, all the information has to be conveyed in a clear and ordered way and must include only the most important facts, with no deviations. Try to be as tight as possible. Stick to the G.A.P. G.A.P. means Genre, Audience, and Purpose. The Genre is the informational writing you do. Explaining how something works and describing how it works are often different things. So, you should stick to the genre in which you are writing from the very beginning of your essay. Include a lot of facts to your essay instead of opinions and arguments. It is difficult for students to think about the Audience. However, think whether you write for a general audience or just for one instructor. Anyone who reads your essay has to understand it well. The Purpose is also a bit complicated to think of for students. Your purpose, of course, is to get a good grade. However, conveying information to a reader and informing him is your purpose as well. Think of yourself as of an information provider, and then your informative writing will be effective.

Tuesday, March 3, 2020

19 of the Best Project Management Training Opportunities for Marketers

19 of the Best Project Management Training Opportunities for Marketers Like it or not†¦ Project management is a skill a lot  of marketers need. From campaign planning  to budgeting and tracking, marketing managers need to have acute project management skills to get their projects off the ground. Problem is, many marketing managers are so bogged down wrangling tasks and chasing down status updates that they have little or no time to do *real* work that moves the ball forward. Having a clear project management process is an important element for both your sanity AND your marketing ROI†¦ Why? You ask For starters, a clear project management process ensures everyone knows what they’re doing and when. So you’re not stuck herding cats all day. AND Having an organized process means your marketing campaigns are more likely to be successful. In fact, 86% of employees  and managers  cite ineffective communication as the main contributor to project failures. Better project management = better communication. Thing is†¦ Many marketing managers don’t have any formal project management training. Fear not, trusty marketers. This post breaks down (almost) every type of project management style and the best training opportunities to help you make sure your PM skills are up to snuff.