Tag: eating disorders

Diabetes in adolescents

Diabetes is a rapidly growing, serious health problem among youngster today. Above thirteen thousand adolescents are diagnosed for type 1 diabetes, every year in America. There has also been an increase in the number of teenagers with type 2 diabetes, which was more common among adults above forty and who were overweight. Clinics are reporting that nearly half of the new childhood diabetes cases are of type 2. Adolescents, who are obese and had type 2 diabetes in the family history, are at a greater risk of developing diabetes.

Diabetes is a disease where the human body is incapable of producing or utilizing insulin. Insulin is a hormone produced by the body in order to get energy by converting starches, sugar and other items. Since the insulin isnt used properly in diabetic people, the blood sugar level increases. This glucose buildup is found in blood and is then passed onto the urine and comes out of the body and the major source of body energy is lost.

Diabetes is a serious chronic disease and should be handled at proper time; otherwise it can create serious problems. It can pose a risk and can damage parts of the human body such as eyes, teeth, gums, blood vessels, nerves, and kidneys. This is the reason why diabetes is responsible in most of the cases of adult blindness, kidney failure and lower limb amputations. And if left untreated, it can cause stroke, heart disease and eventually, death. These problems are not only faced by adults, but also adolescents who get diabetes in their childhood. The important factor in treatment of diabetes is to keep the blood sugar level normal at all times.

There are basically two types of diabetes that will affect an adolescent. It is type 1 diabetes and type 2 diabetes. Type 1 diabetes affects the immune systems function as the systems attacks the pancreas insulin producing cells, also known as the beta cells. Because of this, the pancreas loses the ability to manufacture insulin. This is the reason why people with type 1 diabetes take insulin everyday. The symptoms are weight loss, increase in urination & thirst, blurred vision, tiredness and constant hunger. And if the adolescent isnt treated at the right time, he/she can slip in to diabetic coma which can endanger his/her life. In type2 diabetes, the body is incapable of properly using the insulin produced by the body and requires insulin from an external source, too. The symptoms of type 2 diabetes are similar to type 1 diabetes. The teenager feels sick, tired, nauseated, and thirsty. The wounds will recover very slowly; he/she will get infections frequently, will develop blurred vision and will experience weight loss.

Parents play a vital role in determining the problem. They should constantly observe their child for eating disorders or signs of depression. Although cigarette, drugs and alcohol should be avoided by all adolescents and children, it is even more important that youngster with diabetes should stay away from these things as they can worsen the situation. A person with diabetes, who switches to smoking, is at risk of developing cardiovascular diseases and circulatory problems. Consumption of alcohol can cause hypoglycemia or low blood sugar. It is the duty of the parents to make their child aware of the possible risk they would face if they start to smoke, drink alcohol or take drugs.

Children and adolescents, who have diabetes, face many challenges while trying to lead a normal life. They have to think twice before doing simple things as going to a party, playing sports and even when staying over with friends. This is because they require to intake oral medication or insulin. Their blood sugar level must be checked many times through out the day. Also, at gatherings, they have to avoid many food items. Because of this they will feel different from the crowd and can feel left out. Not only does diabetes pose behavioral challenges, but also emotional challenges.

Along with doctor consultation, a psychologist must also be consulted who can deal with the emotional challenges of the adolescent. The family should also play an active role in making the youngster feel better. The family should work in collaboration with physician, dietitian and diabetes educators. Teachers, counselors, school nurses, day care providers, and other community members can provide extended support and guidance. They can provide help with transportation, mental health counseling, health education, social services and financial services.

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Depression in Adolescents

Depression in adolescents is a disorder which occurs due to persistent sadness, loss of interest, loss of self worth and discouragement. Depression is normally a temporary reaction towards situations of stress. Depression is a normal part of the maturation process of adolescents. It is even induced due to production of sex hormones. Adolescent females are depressed twice more than adolescent boys according to a study.

Adolescent behavior is normally marked with good and bad moods. The transition from a good mood to bad mood and vice-versa, can take minutes, hours and even days. That is the reason why true depression is very difficult to find out. Depression in adolescents can be caused due to bad school performance, break up with boyfriend or girlfriend, and failing relations with friends and family. These causes can lead to persistent depression. Other serious causes are chronic illness, obesity, child abuse, stressful lifestyle, poor social skills, unstable care giving and depression in family history.

Symptoms of depression in adolescents are eating disorders, weight change, irritable mood, excessive sleeping in daytime, excessive temper, criminal behavior, memory loss, fatigue, self preoccupation, sadness, difficulty in concentrating, worthlessness feelings, loss of interest, self hatred, obsession with death and thought & attempts of suicides. When these symptoms are being noticed for more than two weeks, it is important to get treatment for the adolescent. Depression not only affects interpersonal relationships, but school performance as well. Depressed adolescents are more prone to take onto drugs and alcohol as an attempt to overcome their depression. Such problems require intensive treatment.

The doctor will take blood test and perform physical examination to determine the cause of depression. The adolescent can also be tested for substance abuse such as smoking, heavy alcohol consumption, marijuana smoking, and usage of other drugs. After the physical examination, psychiatric evaluation is also done to understand the cause of sadness, loss of interest and irritability. Depression can also lead to the development of other psychiatric disorders such as schizophrenia, mania and anxiety. It is also important to determine whether the adolescent poses a risk for himself/herself and others. Family and school personnel can provide valuable information about the adolescent to the doctor.

Treatment for depression for adolescent is similar to the treatment of depression for adults. Along with the treatment, the adolescent are given antidepressant medication and psychotherapy. Antidepressant medications include tricyclics, Prozac, selective serotonin reuptake inhibitors or SSRI. Some of the medicines increase the risk, so it is a good idea that parents discuss the possible risks with the doctor. Only some of the antidepressant medications are meant for children and adolescents. Adolescents with severe depression need to be hospitalized as they are more prone to kill themselves.

Family and school support is necessary to tackle the depression of the adolescent. Parents can get their children admitted in emotional growth schools, boot camps or wilderness programs, to solve the behavioral problems. These programs consist of non medical staff and confrontational therapies. But care must be taken as some of the programs can in turn harm children who are depressed and sensitive. Adolescents, who get caught due to criminal offense, should be taken special care of by their parents. It is best that the child face the consequences and learn a lesson from it. Depressed adolescents respond well to treatment if they are treated comprehensively and early. More than half of the adults are known to have depression when they were in their teens.

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Support Groups for People with Bad Habits

There are support groups all over the world for people with bad habits. These groups provide a framework by which the person with bad habits can get better. They are available to anyone who wants to attend.

Alcoholics Anonymous is the gold standard for support groups. There people with bad habits relating to alcohol can meet and discuss their bad habits. They can talk about their experiences and share their hopes. They can gain strength by spending time with people whose goal is also to banish their bad habits.

Alcoholics Anonymous practices the Twelve-Step program for those whose bad habits have brought them to seek help. The system is designed to guide alcoholics through their despair and into sobriety. It is a rigorous program, but it is worth the work if you come out on the other side without your bad habits.

Another group the uses the Twelve-Step program for gaining control over bad habits is Overeaters Anonymous. Contrary to what the name implies, it is not just for people who eat too much. The largest number of members of any one group is those who overeat. However, it is also for those with bulimia or anorexia. It is for anyone who is “powerless over food.”

This group holds meetings as AA does. It also uses tests and other tools to help people evaluate the extent of their bad habits and depression. The Twelve-Step program leads them to work on their bad habits from perspectives that are physical, emotional, and spiritual. It has helped many people to gain control over their eating disorders.

Yet another group is based on the Twelve-Step program of Alcoholics Anonymous. This is Narcotics Anonymous. It is for people with bad habits with all kinds of drugs. You can be involved in the program no matter what kind(s) of drugs you used.

It does not matter if you used a few times or you used constantly for years. The important thing is what you want to do about it. Narcotics Anonymous provides you with a way to deal with these destructive bad habits in your life if you will do the work.

There are all kinds of smoking cessation support groups to help people quit their bad habits with smoking. There are groups at medical centers. There are groups at colleges. Some groups meet at community centers.

There are even smoking cessation groups that meet online. The websites give quite a bit of helpful information about your bad habits. They often will have a blog where people can compare notes about how their recovery from nicotine is going. Then, there are live chat support groups.

There are not support groups for all the bad habits that people have. No one is going to go around smacking your hand and saying,”Do not drum your fingers!” At least, they will not do it as a support group. Yet, for many serious bad habits, there is help. In some cases, you will have to drive across town. In other cases, it is as near as your computer.

Nocturnal Eating Syndrome – A Food Related Sleep Disorder

Nocturnal eating syndrome is a sleep disorder that is more common in women than men. It is one of two eating disorders that are related to sleep. The other is called sleep-related food disorder. Nocturnal eating syndrome and sleep-related food disorder are parasomnias

Nocturnal eating syndrome is a sleep disorder that is characterized by compulsive raids on the refrigerator at night. Usually people with this sleep disorder are very light sleepers. When they awake during the night they have an overly compulsive feeling that they will not be able to fall back to sleep unless they eat something. Once out of bed and at the refrigerator, the compulsion to eat makes them gobble down food. People with nocturnal eating syndrome are fully awake and remember eating the food the next day. This syndrome is a combination of a sleep disorder and an eating disorder. Insomnia is also a factor in nocturnal eating syndrome. Treatment for this disorder is usually received from a mental health professional that specializes in people with eating disorders. Improving sleep hygiene can also help with this disorder.

Sleep-related eating disorder also affects more women then men and is a variation of sleepwalking. During an episode of this sleep disorder, a person will eat during partial arousal form a deep sleep. Often they will eat very unhealthy or strange foods that they normally would not eat when awake. During an episode of sleep-related eating disorder, a person might eat frozen pizza, raw cookie dough, peanut butter on fish and even dog food.

Often they are very careless and sloppy and may get burns or cuts while preparing the food. It is very difficult to wake a person during an episode and they have no memory of it in the morning. There does not seem to be a correlation to hunger during a sleep-related eating disorder episode, even if the person has eaten just before bed, an episode can still occur.

Although the cause of food related sleep disorder is not known, several triggers have been identified. Medications such as lithium, a mood stabilizer, and the benzodiazepine receptor zolpidem are two of those triggers. People with mood and personality disorders or psychological problems such as bulimia are at higher risk of developing one of these food related sleep disorders. People suffering from other sleep disorders including insomnia, sleep apnea, periodic limb movement disorder or narcolepsy are also at higher risk

People with sleep-related eating disorder usually have a history of sleepwalking. Because of this, people suffering from this parasomnina are considered having more of a sleep disorder then an eating disorder. Treatment with prescription medication is often very effective. Antidepressants, dopimine agents, anticonvulsants and opiates are often prescribed. Once sleepwalking is stopped so are the trips to the refrigerator.

Sleep eaters often are overweight because of the high caloric intake at night. The weight gain can lead to other sleep disorders such as obstructive sleep apnea. Seeking treatment, either from a medical or mental health professional is essential for good health in the treatment of sleep eating disorders.