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Mental Health

CBT as Treatment for Bipolar Disorder

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Bipolar disorder, known by many as manic depression, is a mental illness caused by a combination of factors, including neurological, biological, emotional, and environmental factors. It is most commonly described as mood cycling or mood swings, in which the patient cycles through moods of depression, mania, and normal behavior.

There are many treatment options for bipolar disorder. The most common treatment for bipolar disorder includes a combination of medication and therapy. However, some patients are not candidates for medication treatment. Patients that have a history of drug abuse, for instance, should in most cases not be placed on medication for bipolar disorder, as the risk for abuse is too great. Additionally, patients may not have a case of bipolar disorder severe enough to warrant medication. Other patients may choose to avoid the route of medication until it becomes absolutely necessary.

In response to these special cases in which medication treatment is not a viable option for bipolar disorder, that Cognitive Behavioral Therapy, or CBT, was developed. CBT is a type of therapy that assists patients in recognizing triggers and causes for their manic and depressive states. The patient can then learn techniques to avoid these triggers, and cope with symptoms during episodes. Seventy percent of bipolar disorder type one patients that undergo CBT experience one or fewer episodes within four years of starting the CBT treatment.

There are two main goals that are met by using CBT as treatment for bipolar disorder. The first goal is to recognize manic episodes before they become uncontrollable, and consciously change how they react to the episode. The second goal is to learn techniques, reactions, thoughts, and behaviors that can help to offset depression. These goals are realized through various techniques and activities prescribed by the therapist. With CBT, the treatment of bipolar disorder rests with the patient, who is given homework in the form of exercises and reading, which helps them to understand their condition and learn methods to cope with it.

The first step to successful treatment of bipolar disorder through CBT is to develop a treatment contract with the patient. This is a treatment plan that the patient agrees to follow, and also involves the patient’s promise to complete all homework assignments and take any prescribed medication as directed. Because the success of CBT depends largely on the patient’s responsibility and desire to cope with bipolar disorder, this is an important first step to successful treatment.

The second step to successful treatment of bipolar disorder through CBT is to monitor and grade moods. This is done with various worksheets that the therapist gives the patient. The patient may record their mood for the day, how many hours they have slept, their level of anxiety, and their level of irritability. Those with type two bipolar disorder may need to record their mood two or more times per day, as their moods cycle more often.

Understanding the pattern to mood cycling can help the patient then undergo the next step to CBT treatment for bipolar disorder. This step of CBT for treatment of bipolar disorder requires the patient to do homework in the form of worksheets and reading that will help the patient to understand how their thoughts effect their emotions. By understanding these things, the patient will be able to then practice altering their thoughts in a rational way to make emotions more rational as well, decreasing the number and severity of depressive and manic episodes.

The next step to CBT treatment for bipolar disorder is to learn how to recognize triggers. Triggers are the thoughts, emotions, situations, times of year, events, or environments that set off a depressive or manic episode. By learning how to understand and recognize their triggers, the patient can then learn to avoid the triggers entirely, thereby decreasing the number and severity of depressive and manic episodes.

Overall, CBT is a viable and quite successful treatment for bipolar disorder, and can be a healthy alternative to medication in some cases. If you feel you may be a candidate for CBT, you should contact your doctor or therapist to discuss this and other bipolar disorder treatment options.

General Health

Thai Massage Therapy at a Closer Look

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Massage is said to be therapeutic. It is the science of healing that involves the human touch, so to speak. For several decades now, people have been making use of this option to treat their physical and emotional dilemmas. A lot of them even attest to how beneficial the massage has been to them. Although on the contrary there are likewise a bunch of individuals who believe and emphatically stress out its danger on those who suffer from serious medical issues, no one is able to deny how relaxing the technique can be. One of the most popular types is the Thai massage therapy.

A Bit of a Background
Thai massage is one of the types that has been practiced for a long time. Its existence can be traced to more than a thousand years now. The therapy itself forms part of the well-known area of Thai medicine. It comprises of manipulation, medicinal treatment, ritual, and diet. It is rooted from the belief that each and every disease is caused by a particular imbalance in the energy system within the body. It is geared at the promotion of balance which hence aids in the complete healing and rejuvenation of an individual.

The Techniques Unraveled
To be able to do the overall process of Thai massage, several techniques need to be applied. The pressure involved is actually gentler as compared to the rest of the types of massage therapy. It works well like the Shiatsu. In this kind of therapy, the pressure is applied on the energy channels and they are being treated using two directions.

One more technique is known as blood stopping. It is done by means of applying the pressure on the arteries in the leg or arm for about a minute. The theory that works behind is that of the importance of cutting out the principal source of the circulation that will lead to a heightened pressure. This will then lead to the slowing down of the heart muscle contractions that will eventually tone down the pressure. As the pressure applied on the artery has been let go, a supply of blood goes into the area so that brings the organ to a more relaxed state. This technique is not recommended for use on someone who has diabetes and other heart related issues.

Passive refers to the kind of stretching employed on the patient but he doesn’t move. Only the therapist does. The stretching is done in several stages and at a slow pace. Other techniques involved are hatha yoga and postures.

The Involvement of Reflexology
Reflexology or that which is otherwise known as foot massage is also a part of Thai massage. Reflexology is based on the belief that the points contained on the feet are useful enough to cure the body because every point is somehow related to a specific organ. When the energies are enhanced, the person will be able to establish a deeper connection to the Earth.

Thai massage therapy employs techniques that are to be performed for a longer duration of time. It can usually last up to three hours. It is important to engage a licensed therapist to ensure that everything is done properly. However, you should consult your doctor prior to taking any of these techniques to further avoid the dangers to your health.

General Health

THE KOREAN MARTIAL THERAPY

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The Korean Martial Therapy, also well known by its acronym KMT, had been recognized for its effectiveness in keeping warriors in their topmost forms after as well as before battles. The Korean Martial Therapy, therefore, became widely used and closely associated with the numerous Korean martial arts since the 17th century.

A newly developed Korean martial art, combining several old Korean martial arts and the Japanese Aikido discipline, was introduced in Korea in the latter part of the 19th century as Hapkido. Today, Hapkido is one of the most popular martial arts in Korea as well as elsewhere around the world and has become closely linked to the Korean Martial Therapy.

The Korean Martial Therapy made its way into the United State via Jae Kwon Yun, a master in Korean martial arts specializing in Hapkido for many years, who opened a school of Korean Martial Therapy where he integrated the combative aspect of Hapkido with the therapeutic aspect of the Korean Martial Therapy. This, in his opinion, formed a perfectly balanced modality.

Now that we have covered some of its background history, let us look at the Korean Martial Therapy itself and its technique of deep tissue massage as it is performed in either a sitting position or reclining flat on a massage table. The fundamental principle of the Korean Martial Therapy is to utilize a variety of sinuous movements performed by the client to promote the therapeutic effects on the body and the spirit. Traditionally, the Korean Martial Therapy was facilitated by a trained therapist or a practitioner who guided the clients body into the correct movements and positions. However, the Korean Martial Therapy can be just as easily accomplished as a self-directed therapy without losing any of its curative values.

Another crucially important principle of the Korean Martial Therapy is the notion that the same movements that can lead to pain, damage and destruction on the battle field can also be used to provide healing in a peaceful arena. In other words, the Korean Martial Therapy works on the premise that anything that can hurt can also do the opposite; it can cure. And in fact, many of the pressure points along the gi meridians used in Korean Martial Therapy for promoting positive energy for restoring health are likewise used in Hapkido as points for promoting negative energy and agony.

Initially having been created for the battlefield to relieve combatants of their pain and suffering, the Korean Martial Therapy primarily strives for instant curative results. And that is in direct opposition to other alternative healing techniques which aspire for long term effects of weeks or months or even years into the future. The Korean Martial Therapy is made up of a varied combination of techniques and the most frequently used among them are the conventional massaging strokes, ballistic stretching, applying deliberate pressure to specific points along the body, the yin yang therapy and the Korean energy work. Since the Korean Martial Therapy makes the most of the body movements used in martial arts, it relieves the therapist from doing much of the work and it has, therefore, been favored by many practitioners.

Perhaps the Korean Martial Therapy has not had must use on the modern-day battle fields as it had in the past, but it certainly is great for treating the more contemporary conditions such as repetitive motion syndromes, stress and muscle strain as well as depression, anxiety, migraine headaches, and sport injuries.

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General Health

THE HEALTH BENEFITS OF MASSAGE THERAPY

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In an attempt to understand how and why massage therapy is as effective as it seems to be, scientists and medical researchers from around the world have been studying it for decades. Some characteristics of massage therapy have been conclusively resolved with apparent consensus among the learned scholars, while other characteristics remain as inexplicably mysterious as ever. For instance, they all agree that when a certain amount of pressure is applied to a soft tissue such as a muscle, some changes occur within the affected muscles. They also all tend to agree that massage therapy promotes relaxation and reduces the stress which often leads to deterioration or worsening of certain physiological conditions.

Those characteristics of massage therapy which have not yet been explained by conventional science, gave rise to a number of theories and postulates. You will note that they are all prefaced with the word might to indicate uncertainty as they described possible health benefits of massage therapy:

* Might provide stimulation that may help block pain signals transmitted to the brain and this is called the gate control theory of decreasing or alleviating pain.

* Might promote better health by stimulating the lymphatic system to increase the flow of lymph, which is the secretion that carries disease fighting cells through the body.

* Might re-route the clients nervous system away from the sympathetic to the parasympathetic. In doing so, the fight-or-flight reaction of the sympathetic nervous system with its increased heart and breathing rates along with tightened muscles of distress are shunned in favor of the rest-and-digest reaction of the parasympathetic nervous system with its lowered heart rate, slowed breathing and relaxed muscles.

* Might be instrumental in effecting beneficial changes in the body by preventing fibrosis through the process of breaking up scar-like tissue

* Might arouse the body to discharge chemicals such as serotonin or endorphins which area known to give people the feelings of wellbeing.

* Might improve sleep patterns which is essential to pain control and healing processes.

* Might contribute to the overall mental and physiological health by the intimate interaction between the client and the therapist.

The following are specific cases and their reported benefits whether they are understood or merely observed with bewilderment:

* Students at a New Jersey Medical School who were given massage therapy before an exam displayed less anxiety, lower respiratory rates, a substantial increase in white blood cells and an enhanced immune system.

* Cancer patients at the James Cancer Hospital and Research Institute in Columbus, Ohio experienced less pain and decreased anxiety after receiving massage therapies than those who did not get such treatments.

* Studies at the University of South Carolina show that women who recently lost a child were less depressed after massage therapy.

* The National Institutes of Health (NIH) found that massage therapy improved weight gain in infants who were premature or those who were exposed to HIV. They also determined that massage therapy expedites recovery in patients who had abdominal surgery.

* Researchers at the University of the Miami School of Medicines Touch Research Institute discovered that massage therapy decreases high blood pressure, relieves migraine headaches, and generally increases alertness and performance in the workforce.

* Many additional studies confirm that massage therapy reduces heart rates, lowers blood pressure; increases blood circulation and lymph flow; relaxes stiffened and tense muscles while stimulating weak and inactive muscles to compensate for lack of movement due to an illness or an injury; speeds up the healing process after surgeries, disease and injuries; improves the range of vision; increases endorphins; reduces anxiety, tension, depression, pain and itching in burn patients; and Autistic children exhibit calmer and more predictable behavior.

So, is massage therapy beneficial? Yes! Massage therapy is beneficial on, oh, so many levels. The mechanics of the process may not be clear just yet, but the outcomes are undeniable by anyones standards.

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