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Anxiety and Depression:
What You Should Know

An Overview of Anxiety and Depression

Late Life Depression

Successful Strategies for Overcoming Test Anxiety

Treatment of Anxiety Disorders






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Title: Research Links Television Viewing and Attention Problems in Children
Abstract:

Heather Lauria

 

Americans live in an over-stimulated environment. Television, video games and other electronic devices are the culprits. According to an A.C. Nielsen Co. study conducted in 2007, the average American will watch over four hours of television per day. That statistic translates to nine years of television watching for a person who lives to 65 years old or 250 billion hours a year watched in America alone. A.C. Nielsen Co. also reports that children average 1,680 minutes of television per week versus the three and a half minutes they spend per week in meaningful conversation with their parents.

 

Over the course of a year, a child will spend over 1,000 hours in school and approximately 1,500 hours sitting in front of the television. With 99 percent of households owning one television set and 66 percent with three or more sets, its no wonder that a parents natural instinct has become putting their child in front of the television from a very early age. But have parents seriously thought or understood what effect this television watching will have on their children?

 

Researchers agree that the unsuspectingly harmless television set sitting in the living room may lead to increased aggression in children, but research has also found that television watching is connected to Attention-Deficit Hyperactivity Disorder (ADHD) cases in children. ADHD is a neurobehavioral developmental disorder. It is usually diagnosed during childhood, but may also reveal its symptoms in adolescence and adulthood. Symptoms can include, but are not limited to, inattention and concentration problems, hyperactivity, forgetfulness and short-term memory loss, procrastination, and poor impulse control. People with ADHD do not necessarily exhibit all symptoms.

 

 A study, done at Childrens Hospital and Regional Medical Center in Seattle, on more than 2,000 children revealed that for every hour watched at ages one and three, the children had an almost 10 percent higher chance of developing attention problems that could become ADHD by the time the child reached seven years old. Toddlers who watched three hours daily tripled their risk to 30 percent more likely to be diagnosed with ADHD.

 

Children between the ages of one and three are developing neural pathways in their brains in a completely unique way. When babies and toddlers are exposed to the over stimulation of television, the forming of these pathways is interfered with. These babies minds are wired differently than a normal babys mind. TV can cause the developing mind to experience unnatural levels of stimulation, says Dr. Dimitri Christakis, lead researcher and director of the Child Health Institute at Childrens Hospital and Regional Medical Center and associate professor at the University of Washington School of Medicine. The quick scene shifts of video images seem normal to TV tots. Such a fast-paced world is not reality. As these children grow they expect the same rapidity from school as they found earlier in life from the television.

 

In a world where parents are constantly over-stressed and overworked, sitting a child in front of a television for a couple hours a day can almost seem like a vacation for mommy and daddy, but at what cost? Baby Einstein and Teletubbies do their jobs at keeping children occupied but thats about it. Not even these shows and videos, produced solely for entertaining and educating young children, are safe. Each hour has an additional risk. You might say theres no safe level since theres a small but increased risk with each hour, says Frederick Zimmerman of the University of Washington, Seattle.

 

Researchers agree television for babies and toddlers may be detrimental to their development but for now, the decision as to whether or not these young children will sit in front of a TV screen remains with their parents. Things are a trade-off. Some parents might want to take that risk. We didnt find a safe level in that sense, says Zimmerman.

 

 

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Title: When Does Hoarding Cross Line into an Anxiety Disorder?
Abstract:

Aaron Levin

 

Hoarding may be a psychiatric symptom, but is it just one part of obsessive-compulsive disorder or does it stand alone?

Since the dawn of hunting and gathering, some people have always gathered more than others and just couldn't bear to part with it.

 

When such behavior crosses the line from the eccentric into the DSM-IV realm, it becomes a symptomhoardingthe compulsion to acquire objects coupled with an unwillingness to discard them.

 

Hoarding may occur in connection with a number of psychiatric disorders, but it is most commonly associated with obsessive-compulsive disorder (OCD). Perhaps 30 percent to 40 percent of people with OCD have hoarding symptoms. Specialists argue over the relationship between OCD and hoarding. Is the latter merely a symptom of the former, or should the two be considered separate syndromes?

 

"There's a real discussion in the field about where hoarding goes," said Jack Samuels, Ph.D., a psychiatric epidemiologist and an assistant professor of psychiatry at Johns Hopkins, in an interview with Psychiatric News. "People with OCD and hoarding have more severe symptoms, show more symmetry or ordering obsessions, and respond less well to treatment than those who hoard but do not have OCD."

 

Recent studies have sought answers from several directions. In the March 2007 American Journal of Psychiatry, Samuels and colleagues from five other sites published a genetic study of 219 families with OCD-affected sibling pairs and their first- and second-degree relatives. They found a significant linkage on chromosome 14 to compulsive hoarding behavior when they compared families with at least two hoarding relatives with families with only one or no hoarders. Other researchers have found linkages on chromosome 9 and chromosome 3.

 

Neuroimaging shows varying results too. "Obsessive-compulsive hoarding may be a neurobiologically distinct subgroup or variant of OCD whose symptoms and poor response to antiobsessional treatment are mediated by lower activity in the cingulate cortex," wrote Sanjaya Saxena, M.D., and colleagues in the June 2004 American Journal of Psychiatry.

 

A more recent study, in the January 8 Molecular Psychiatry, by David Mataix-Cols, M.D., and colleagues found that when challenged, OCD patients with prominent hoarding symptoms showed greater activation in the bilateral anterior ventromedial prefrontal cortex than did patients without hoarding symptoms and healthy controls.

 

Now a group of researchers from Spain and the United Kingdom reports on a study of 163 individuals who exhibited hoarding behavior with and without OCD, OCD without hoarding, plus control subjects with anxiety but without either hoarding or OCD and healthy controls. An initial group of severe hoarders was divided into two groups, those with and those without OCD.

 

Patients who had "OCD plus hoarding," "hoarding minus OCD," or "OCD minus hoarding" were more likely to have relatives with OCD than were the anxiety and healthy control groups, wrote Alberto Pertusa, M.D., of the Division of Psychological Medicine at King's College London, Institute of Psychiatry, and colleagues (including Mataix-Cols) in the May 15 AJP in Advance. It is scheduled to appear in the print edition of the American Journal of Psychiatry in September.

 

Hoarding seemed to run in families, wrote Pertusa. "More than half of the participants in each of the two hoarding groups reported having at least one relative with significant hoarding behavior."

 

Hoarders with OCD were more likely to collect "bizarre" items, like feces, urine, hair, or rotten food than were hoarders without OCD. Between 70 percent and 74 percent of both groups reported that clutter filled most living spaces in their homes. The two groups said they started hoarding at about age 20, often after some traumatic event.

 

Hoarders without OCD said they collected items because they were valuable, might come in handy later, or had sentimental value. However, 28 percent of hoarders with OCD said they feared that something catastrophic would happen to them if they discarded an item.

 

Social phobia was more common in the two hoarding groups than in the "OCD minus hoarding" group, and the two OCD groups had more generalized anxiety disorder than did hoarders without OCD.

"In most cases, compulsive hoarding appears to be a separate syndrome from OCD, which is associated with substantial levels of disability and social isolation," concluded Pertusa. "[Our findings] support the idea of compulsive hoarding being a distinct clinical syndrome, which is highly comorbid with OCD as well as with other forms of psychopathology, like social phobia."

 

As preparations get under way for DSM-V, due to be published by APA in 2012, researchers in the field hope to define the boundaries between OCD and hoarding to better diagnose patients with either or both sets of symptoms.

 

"Now is the time to revisit diagnoses that are uncertain," said Samuels. "These studies all have implications not only for clarifying diagnosis but eventually for treatment as well."

 

 

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Title: Listen to Dr. Rollin Gallagher M.D. Talk about Depression and Pain
Abstract:
Dr. Rollin Gallagher, M.D. discusses the effect depression has on pain receptors in the brain.

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Title: Chronic Depression (Dysthymia): The Signs, Symptoms and Treatment
Abstract:

What Causes Dysthymia?

Experts are not sure what causes dysthymia. This form of chronic depression is thought to be related to brain changes that involve serotonin, a chemical or neurotransmitter that aids your brain in coping with emotions. Major life stressors, chronic illness, medications, and relationship or work problems may also increase the chances of dysthymia.

What Are the Signs and Symptoms of Dysthymia?

The symptoms of dysthymia are the same as those of major depression but not as intense and include the following:

                                 Persistent sad or empty feeling

                                 Difficulty sleeping (sleeping too much or too little)

                                 Insomnia (early morning awakening)

                                 Feelings of helplessness, hopelessness, and worthlessness

                                 Feelings of guilt

                                 Loss of interest or the ability to enjoy oneself

                                 Loss of energy or fatigue

                                 Difficulty concentrating, thinking or making decisions

                                 Changes in appetite (overeating or loss of appetite)

                                 Observable mental and physical sluggishness

                                 Persistent aches or pains, headaches, cramps, or digestive problems that do not ease                    even with treatment

                                 Thoughts of death or suicide

Is Dysthymia Common in the U.S.?

According to the National Institute of Mental Health, approximately 10.9 million Americans aged 18 and older are affected by dysthymia. While not disabling like major depression, dysthymia can keep you from feeling your best and functioning optimally. Dysthymia can begin in childhood or in adulthood and seems to be more common in women.

How Is Dysthymia Diagnosed?

A mental health specialist generally makes the diagnosis based on the person's symptoms. In the case of dysthymia, these symptoms will have lasted for a longer period of time and be less severe than in patients with major depression.

With dysthymia, your doctor will want to make sure that the symptoms are not a result of substance abuse or a medical condition, such as hypothyroidism. Also, the depression and other symptoms should cause clinically significant distress or impairment in social, occupational, or other important areas of your life.

If you are depressed and have had depressive symptoms for more than two weeks, see your doctor or a psychiatrist. Your provider will perform a thorough medical evaluation, paying particular attention to your personal and family psychiatric history.

There is no blood, X-ray or other laboratory test that can be used to diagnose dysthymia.

How Is Dysthymia Treated?

While dysthymia is a serious illness, its also very treatable. As with any chronic illness, early diagnosis and medical treatment may reduce the intensity and duration of depression symptoms and also reduce the likelihood of a relapse.

To treat dysthymia, doctors may use psychotherapy (counseling), medications such as antidepressants, or a combination of these therapies. Often, dysthymia can be treated by a primary care physician.

What Is Psychotherapy?

Psychotherapy (or talk therapy) is used in dysthymia and other mood disorders to help the person develop appropriate coping skills to deal with everyday life. Psychotherapy can also help increase compliance to medication and healthy lifestyle habits, as well as help the patient and family understand the mood disorder. You may benefit from one-on-one therapy, family therapy, group therapy, or a support group with others who suffer with chronic depression.

How Do Antidepressants Help Ease Dysthymia?

There are different classes of antidepressants available to treat dysthymia. Your doctor will assess your physical and mental health, including any other medical condition, and then find the antidepressant that is most effective with the least side effects.

Antidepressants may take several weeks to work optimally. They should be taken for at least six to nine months after an episode of chronic depression. In addition, it takes several weeks to go off an antidepressant, so let your doctor guide you if you choose to stop the drug.

Some commonly used antidepressants include:

                                 Selective serotonin reuptake inhibitors (SSRIs) -- Celexa, Lexapro, Prozac, Luvox, Paxil, Zoloft

                                 Serotonin norepinephrine reuptake inhibitors Effexor, Cymbalta

                                 Tricyclic antidepressants Elavil, Asendin, Anafranil, Norpramin, Adapin, Sinequan, Tofranil

                                 Monoamine oxidase (MAO) inhibitors Marplan, Nardil, Parnate,EMSAM

                                 Trazodone Desyrel

                                 Other antidepressants - Mirtazapine, Bupropion

Sometimes antidepressants have uncomfortable side effects. As an example, the SSRIs may cause mild insomnia and reduced sex drive. Thats why you have to work closely with your doctor to find the antidepressant that gives you the most benefit with the least side effects.

Are There Other Treatments Available for Dysthymia?

Your doctor can explain other treatments for dysthymia and major depression. Some people with seasonal depression find good relief with light therapy. Electroconvulsant therapy (ECT) is another treatment that may be used if major depression isn't responding to antidepressant medications. If you are experiencing manic (highly elated) episodes along with the chronic depression, your doctor may want to try a mood-stabilizing drug, such as lithium, or an anticonvulsant.

What Else Can I Do to Feel Better?

Getting an accurate diagnosis and effective treatment is a major step in feeling better with chronic depression. In addition, ask your doctor about the benefits of healthy lifestyle habits such as eating a well-balanced diet, getting regular exercise, avoiding alcohol and smoking, and being with close friends and family members for strong social support. These positive habits are also important in improving mood and well-being.

Can Dysthymia Worsen?

Its not uncommon for a person with dysthymia to also experience major depression at the same time -- swinging into a major depressive episode and then back to a more mild state of dysthymia. This is called double depression. Thats why its so important to seek an early and accurate medical diagnosis. Your doctor can then recommend the most effective treatment to help you feel yourself again.

 

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Title: Freedom From Fear''s film, "The Pain of Depression: A Journey through the Darkness" Receives 2008 Voice Awards Honorable Mention
Abstract:

The Voice Awards honor writers and producers who have given a voice to people with mental health problems by incorporating dignified, respectful, and accurate portrayals of these people into film and television productions.

Sponsored by the Substance Abuse and Mental Health Services Administration, the Voice Awards also acknowledge the tireless efforts of advocates who are working to reduce the stigma and discrimination associated with mental illnesses.

The Pain of Depression: A Journey through the Darkness explores the physical and psychological challenges of depression, whose symptoms range from insomnia to debilitating fatigue. Compelling stories from depression sufferers capture the illness devastating impact on their families, friends and communities.

This informative documentary was produced and written by Mary Guardino, Founder and Executive Director of Freedom From Fear and sponsored by the organization. It has aired on over 250 television stations nationwide and takes viewers on a journey to understand depression through the first-hand experiences of three people. Their family members and friends express their early misconceptions about the illness and recall how their loved ones fought depression with counseling, medication and lifestyle changes.

 

Throughout the film, nationally recognized experts from the University of Pennsylvania, Columbia University, New York States Psychiatric Institute and the Hispanic Treatment Program at New York States Psychiatric Institute discuss the cutting-edge research and theories about depression: its neurophysiology, symptoms, treatments and the role of family and friends in an individual's recovery. The documentary also touches upon the stigma of mental illness within various ethnic communities, including Latinos, and details the need for a customized treatment plans for these populations.

For more information and to view clips from the film, please visit http://w ww.painofdepression.org

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Title: Listen to Real People Talk about Anxiety - Post Traumatic Stress Disorder
Abstract:

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Title: Listen to Real People Talk about Anxiety - Social Phobia
Abstract:

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Title: Listen to Real People Talk about Anxiety - Panic Disorder
Abstract:

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Title: Listen to Real People Talk about Anxiety - Generalized Anxiety Disorder
Abstract:

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Title: Listen to Real People Talk about Anxiety - Obsessive Compulsive Disorder
Abstract:

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Title: Case of Nerves or is it more?
Abstract:

Do you experience.....

 

        Sudden feelings of dread

        Heart palpitations

        Shortness of breath

        Fear of losing control

      You may have Panic Disorder

 

        Fear of public speaking

        Afraid to meet new people

        Fear of being scrutinized

        Fear of social situations

You may have Social Anxiety Disorder

 

  Persistent unwanted thoughts

  Rigid routines and rituals

  Fear of germs

  Checking things repeatedly

You may have Obsessive Compulsive Disorder

 

  Flashbacks

  Nightmares

  Inability to trust or feel

  Avoiding reminders of the ordeal

You may have Post-traumatic Stress Disorder

 

        Chronic worrying

        Inability to trust or feel

        Difficulty sleeping and headaches

        Persistent sense that something is wrong

You may have Generalized Anxiety Disorder

To learn if you may be suffering from an anxiety disorder you can screen yourself at http://www.freedomfromfear.org/screenrm.asp.

To find a referral in your area visit our referral foom http://www.freedomfromfear.org/refroom.asp .

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Title: Your Body May Know You Are Depressed Before You Do
Abstract:

Often people dont understand the physical symptoms of depression. Knowing all the signs and symptoms can greatly improve your health.

 

Do you suffer from any of the following physical symptoms?

  • Headaches
  • Back Pain
  • Trouble Concentrating
  • Restlessness, Irritability
  • Sleeplessness, Fatigue
  • Joint or Muscle Pains
  • Digestive Problems
  • Feeling Sad or Blue

 Did you know?

  • Anxiety disorders and depression manifest themselves in individuals with symptoms of pain. The most common symptoms are joint and back pain, fatigue, insomnia, headaches and dizziness.
  • 80% of people suffering from anxiety or depression complain of physical symptoms.
  • The mind and body work together, when they are not in sync difficulties can develop.
  • When seeking help it is important to inform your healthcare provider about your emotional state.
  • Often x-rays, blood work or diagnostic procedures cannot diagnose some types of pain. But the pain is real, impairing and distressing to both body and mind.

To learn if you may be suffering from symptoms of depression screen yourself at http://www.freedomfromfear.org/screenrm.asp or to find a referral in your area visit our referral room http://www.freedomfromfear.org/refroom.asp .

 

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Title: Listen to Men Talk about Their Depression
Abstract:

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Title: Cut Stress by Anticipating Laughter? A Quick Feel Good Article
Abstract:

Researchers Say Merely Anticipating a Laugh Can Jump-Start Healthy Changes in Body

By Kelley Colihan
WebMD Medical News

OK, take a deep breath. Now put your hand on your belly. Imagine your stomach jiggling, as if you were starting to laugh. You may have just taken a step toward reducing stress hormone levels.

The findings come from a small study, made up of 16 healthy men. The men were divided into two groups. The experimental group was told to anticipate something funny. The other group was used as a comparison.

Researchers then tested the levels of three stress hormones participants had in their blood and compared that to the control group, which did not expect a laugh was on the way.

Researchers found that the group anticipating the laughs had reduced levels of three stress hormones compared to the other group.

Here's the breakdown from the experimental group.

Cortisol levels dipped 39%. Cortisol is known as a major stress hormone.

Adrenaline levels dropped 70%. Adrenaline is also known as epinephrine.

Dopac levels dropped 38%. Dopac is a chemical related to the "feel-good" chemical known as dopamine.

Persistently elevated stress hormone levels in the blood, as happens under chronic stressful situations, has been linked to a weakened immune system.

"Our findings lead us to believe that by seeking out positive experiences that make us laugh we can do a lot with our physiology to stay well," says researcher Lee Berk in a news release.

The researchers were following up on a similar study they did two years ago in which they found that anticipating laughter led to an increase in healthful chemicals such as beta-endorphins.

Visit our bookstore to order a copy of Healing Through Humor: a book containing fabulous jokes, anecdotes, and mind twisters to speed healing to your heart and soul.

http://www.freedomfromfear.org/ftp/BOOKSTORE/amazon%20books%20inspirational.html

 

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Title: Cut Stress by Anticipating Laughter? A Quick Feel Good Article
Abstract:
Researchers Say Merely Anticipating a Laugh Can Jump-Start Healthy Changes in the Body
By Kelley Colihan
WebMD Medical News

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Title:What is Body Dysmorphic Disorder (BDD) ?
Author:Massachusetts General Hospital
Abstract:
-WHAT IS BDD?

Body Dysmorphic Disorder (BDD) is a mental disorder characterized by a severe preoccupation with a perceived defect in ones appearance. Any body part can be the focus of ones concern. Individuals with BDD frequently have face-related preoccupations (e.g., their nose is too big or their eyes are too small). Some patients may worry about their hair or skin (e.g., that their hair is thinning or that their skin is scarred). Often, people with facial or skin concerns pick at their skin. Some BDD sufferers have concerns involving body symmetry. Others have muscle dysmorphia, where they worry that they are not muscular enough or that they are small and weak. Most of these concerns are imaginary, but if a slight defect is in fact present the concern is regarded as overly excessive.
Individuals with BDD spend a great deal of time at least one hour a day - thinking about their perceived appearance flaws. Commonly, BDD patients will repetitively check their minor or imagined flaw in mirrors. In other cases, patients will often go to great lengths to avoid mirrors. Individuals with BDD may attempt to gain reassurance from others or try to convince them of their imperfections. They often have difficulty controlling the negative thoughts about their appearance and often have poor insight or awareness of their problem. Individuals with BDD frequently try to hide their defect with make-up, sunglasses, clothing, etc. Some engage in excessive grooming behaviors (e.g., combing hair or picking at their skin) to remove imperfections. These rituals may take several hours per day and usually only provide temporary relief. Some BDD patients will seek cosmetic surgery or dermatological treatment for their perceived defects but will usually find only temporary relief, as BDD patients are typically dissatisfied with the outcome of their procedures.
BDD can result in significant distress (e.g., anxiety or depression) and impairment in ones social life, relationships, employment, schoolwork, and overall functioning. People with BDD often avoid dating, miss school or work, and feel overly self-conscious in social situations. Though the severity of BDD varies, in general, patients have a very poor quality of life. While some BDD sufferers experience manageable distress, others find the disorder to be tormenting. Left untreated, such torment can lead to hospitalizations and suicide.
-HOW TO DETERMINE IF YOU HAVE BDD?

If you answer yes to several of the following questions you may have BDD. Please note that the questions cannot provide you with a final diagnosis of BDD.

Do you worry a lot about your appearance?
Do you consider any part or parts of your body especially unattractive?
Do you spend a lot of time thinking about your defect(s)? At least one hour per day?
Do your appearance concerns interfere with your work or social life?
Do you repetitively check your appearance in mirrors or go to great lengths to avoid mirrors?
Do you often ask people for reassurance about how you look?
Do you spend a lot of money on make-up, cosmetics, etc., to camouflage your flaws?
Do you often compare your appearance to that of others?
Do you pick at your skin?
Have you had repeated cosmetic surgeries?

BDD usually begins during adolescence and tends to be chronic. Though the disorder is currently diagnosed equally among men and women, it is frequently misdiagnosed or undiagnosed for a number of reasons. Many BDD sufferers are embarrassed by and ashamed of their symptoms and, therefore, have difficulty revealing them to others. There is also a lack of familiarity with BDD among healthcare professionals. The majority of physicians are unaware of the disorder. Misdiagnosis can also occur because BDD produces symptoms similar to those of a number of other psychiatric problems, including anorexia, obsessive-compulsive disorder, trichotillomania (compulsive hair pulling), social phobia, and others. In addition, several BDD patients see dermatologists, plastic surgeons, and other physicians rather than mental health professionals and, therefore, do not receive proper treatment.

-HOPE
There is hope for BDD sufferers. Studies have shown that when treated with cognitive-behavioral therapy and/or medication patients have shown a significant improvement in symptoms and overall functioning.

Source: Massachusetts General Hospital, Link: http://www.massgeneral.org/bdd/pages/bddInfo.htm

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Title: What is Body Dysmorphic Disorder (BDD)?
Abstract:

-WHAT IS BDD?

    Body Dysmorphic Disorder (BDD) is a mental disorder characterized by a severe preoccupation with a perceived defect in ones appearance. Any body part can be the focus of ones concern. Individuals with BDD frequently have face-related preoccupations (e.g., their nose is too big or their eyes are too small). Some patients may worry about their hair or skin (e.g., that their hair is thinning or that their skin is scarred). Often, people with facial or skin concerns pick at their skin. Some BDD sufferers have concerns involving body symmetry. Others have muscle dysmorphia, where they worry that they are not muscular enough or that they are small and weak. Most of these concerns are imaginary, but if a slight defect is in fact present the concern is regarded as overly excessive.
    Individuals with BDD spend a great deal of time at least one hour a day - thinking about their perceived appearance flaws. Commonly, BDD patients will repetitively check their minor or imagined flaw in mirrors. In other cases, patients will often go to great lengths to avoid mirrors. Individuals with BDD may attempt to gain reassurance from others or try to convince them of their imperfections. They often have difficulty controlling the negative thoughts about their appearance and often have poor insight or awareness of their problem. Individuals with BDD frequently try to hide their defect with make-up, sunglasses, clothing, etc. Some engage in excessive grooming behaviors (e.g., combing hair or picking at their skin) to remove imperfections. These rituals may take several hours per day and usually only provide temporary relief. Some BDD patients will seek cosmetic surgery or dermatological treatment for their perceived defects but will usually find only temporary relief, as BDD patients are typically dissatisfied with the outcome of their procedures.
    BDD can result in significant distress (e.g., anxiety or depression) and impairment in ones social life, relationships, employment, schoolwork, and overall functioning. People with BDD often avoid dating, miss school or work, and feel overly self-conscious in social situations. Though the severity of BDD varies, in general, patients have a very poor quality of life. While some BDD sufferers experience manageable distress, others find the disorder to be tormenting. Left untreated, such torment can lead to hospitalizations and suicide.

-HOW TO DETERMINE IF YOU HAVE BDD?
 
    If you answer yes to several of the following questions you may have BDD. Please note that the questions cannot provide you with a final diagnosis of BDD.
 
Do you worry a lot about your appearance?
Do you consider any part or parts of your body especially unattractive?
Do you spend a lot of time thinking about your defect(s)? At least one hour per day?
Do your appearance concerns interfere with your work or social life?
Do you repetitively check your appearance in mirrors or go to great lengths to avoid mirrors?
Do you often ask people for reassurance about how you look?
Do you spend a lot of money on make-up, cosmetics, etc., to camouflage your flaws?
Do you often compare your appearance to that of others?
Do you pick at your skin?
Have you had repeated cosmetic surgeries?
 
    BDD usually begins during adolescence and tends to be chronic. Though the disorder is currently diagnosed equally among men and women, it is frequently misdiagnosed or undiagnosed for a number of reasons. Many BDD sufferers are embarrassed by and ashamed of their symptoms and, therefore, have difficulty revealing them to others. There is also a lack of familiarity with BDD among healthcare professionals. The majority of physicians are unaware of the disorder. Misdiagnosis can also occur because BDD produces symptoms similar to those of a number of other psychiatric problems, including anorexia, obsessive-compulsive disorder, trichotillomania (compulsive hair pulling), social phobia, and others. In addition, several BDD patients see dermatologists, plastic surgeons, and other physicians rather than mental health professionals and, therefore, do not receive proper treatment.
 
-HOPE

    There is hope for BDD sufferers. Studies have shown that when treated with cognitive-behavioral therapy and/or medication patients have shown a significant improvement in symptoms and overall functioning.

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Title:What is Body Dysmorphic Disorder (BDD) ?
Abstract:

From Website of Massachusettes General Hospital, Link: http://www.massgeneral.org/bdd/pages/bddInfo.htm

-WHAT IS BDD?

     Body Dysmorphic Disorder (BDD) is a mental disorder characterized by a severe preoccupation with a perceived defect in ones appearance. Any body part can be the focus of ones concern. Individuals with BDD frequently have face-related preoccupations (e.g., their nose is too big or their eyes are too small). Some patients may worry about their hair or skin (e.g., that their hair is thinning or that their skin is scarred). Often, people with facial or skin concerns pick at their skin. Some BDD sufferers have concerns involving body symmetry. Others have muscle dysmorphia, where they worry that they are not muscular enough or that they are small and weak. Most of these concerns are imaginary, but if a slight defect is in fact present the concern is regarded as overly excessive.
     Individuals with BDD spend a great deal of time at least one hour a day - thinking about their perceived appearance flaws. Commonly, BDD patients will repetitively check their minor or imagined flaw in mirrors. In other cases, patients will often go to great lengths to avoid mirrors. Individuals with BDD may attempt to