Saturday, May 17, 2014

Manic Depression Symptoms


In most of the cases of Bipolar Depression, sometimes called Manic Depression, the symptoms are akin to other mental illnesses, therefore, making it difficult to get diagnosed properly. Normally, this manic depression is initially wrongly diagnosed as major depression.

Due to severe mood swings, manic depression is associated to other mood disorders which also confuses the patient. Its not necessary that the patient will describe each and every symptom in full minute details to his/her doctor. And this lack of proper description leads to wrong diagnosis. This is the reason for considering manic depression as incurable or life-threatening in some cases.

So, here I am going to enlist the appropriate manic depression symptoms to prevent you from getting the treatment that is not right for you. But keep one thing in your mind for certain that manic depression symptoms vary from person to person. You will have to see what is there in you.

So, go through the MAJOR depression symptoms first which always makes one confused:

1. Feeling sad like hell or in the blues

2. Losing interest completely in things the person used to enjoy, including sex

3. Feeling of being worthless, hopeless, or guilty for nothing (as a burden on others and on this earth).

4. Lack of sleep or sometimes no sleep at all

5. Drastic weight loss or losing appetite

6. Loss of energy or feeling tired

7. Restlessness

8. Loss of concentration or losing the power to make decisions

9. Suicidal thoughts

Now come the MANIC depression symptoms which you want to know:

1. Energy level highly raised, more than normal

2. Not feeling the need to sleep because of high energy level

3. A wavering mind due to too many racing thoughts in mind and mood swings at peak

4. Easily distracted mind or loss of concentration

5. Getting more talkative than usual or feeling pressurized to talk more and more from within

6. Self-confidence touching great heights than usual

7. Risk-taking factor gets increased rapidly or loss of fear in mind

8. Loss of the determination to complete the tasks in hand

9. Confused mind

These mood swings are very common but if you are a bipolar depression sufferer, then you may have times of mania and depression along with these mood swings. This can really make your life unbearable for yourself or your loved ones. But with a suitable treatment, you can get rid of bipolar depression and you can live a normal life.

An important way for you to manage your bipolar depression on your own is to keep a record of all the symptoms you observe in you. Keep a record of what you feel and at what time. Tracking your symptoms is a great help to your doctor and for a much appropriate treatment for you.

Treat Depression - Do Not Live in Misery


Did you know that women experience depression at a rate of 2:1 as compared to men? The reason for this, at least in part, is the large hormonal fluctuations women have throughout their lives. Men can become depressed, too, but it tends to look differently. Men usually become hostile and angry, not withdrawn and inward. They also are prone to avoiding treatment. Men commit suicide at a rate of 4:1 compared to women. The elderly also fall ill and often fail to get treatment. Well-meaning family members may think that the behavior of their elderly relative is just due to the aging process. This is not necessarily the case.

Some people still think that if a person thinks positively enough they can talk themselves out of being depressed. This myth is patently false. Depression is caused by having a trauma history, a physical illness like low thyroid, certain medications, chronic pain and even grief.

In depression, neurotransmitters are ineffectively passing messages between neurons either because there are not enough neurotransmitters or they are too weak. This chemical malfunction in the brain is similar to talking on a cell phone with a poor connection. Treatment can help strengthen the connection.

Lack of energy, isolation, headaches, digestive problems, generalized pain, inability to concentrate, over-sleeping or not being able to sleep, general restlessness, weight loss or weight gain, feeling hopeless, irritable and having thoughts of death and suicide are all common symptoms of this common illness. Medical attention should be sought out if symptoms last two weeks or more. It is better to begin treatment as soon as possible so you can get back to enjoying life.

Children can become depressed, although they show their depression through behavior, not necessarily through words. This is why changes in the behavior or a child should be paid attention to. Postpartum depression happens to new mothers, probably due to the huge hormone fluctuations following birth. This is one of the more guilt-producing types of depression and women may think that they are the only ones experiencing this feeling. Seasonal affective disorder occurs in winter, mainly in people who live in the northern latitudes. Bipolar disorder, formerly known as manic depression, runs in families and is identified by its extremely moody highs and lows.

Light therapy is used to treat seasonal affective disorder. Cognitive therapy and medication have been found to be most successful at treating depression when used together. It is important to take care of your body - eat right, exercise, take time to play, particularly when you are starting to feel symptoms beginning. Stress management techniques, such as meditation have been shown to help ease symptoms of this illness.

Depression can lead to death by suicide if left untreated. If symptoms are particularly severe or have lasted more than two weeks, see a doctor. There is no need to suffer. Medications and therapy are available to help you. It is a biological issue like type I diabetes and can be treated, but you have to make the first step to get help.

Depression - How to Handle Suicidal Thoughts


Chances are that if you've been depressed for awhile, or you're experiencing ongoing hopelessness, some aspect of yourself has begun to drop not so subtle hints about checking out of life. You've probably even heard that voice beckoning you with the promise of no more pain, and tempting you with the lure of rest from your self-tormenting thoughts.

Is Suicide An Option?

Depression or hopelessness affects your thoughts in such a way that you may not see any solution to the problem. That's because depression leads you to focus on failures, disappointments, and the negative side of the situation. Depression obscures any possibilities of happiness or a good outcome. Depression keeps you trapped in overwhelming pain, hopelessness, worthlessness and shame, and a sense of being powerlessness to change current conditions. Depression leads to believing, "there is no way out," "there's nothing I can do," and, "it will never get better."

When there is no access to joy, no escape from misery, and no hope of things ever changing, it is a natural progression to eventually consider suicide as an alternative. A shift happens when you stop praying to get better and start praying for an end to suffering. It's not so much that you want to die, rather that you want a "real" change, an escape from an ongoing situation that seems impossible to deal with, or a way to regain a sense of being in control over distressing thoughts or feelings. However, suicide is such a taboo subject that hardly anyone tells us that it is OK to feel so bad that you would think about leaving life.

What To Do With Suicidal Thoughts

If you are having thoughts of suicide follow these three suggestions:

1. Talk with Someone

Instead of hiding suicidal thoughts, explore suicidal ideas in a manner that brings them outside of yourself. This means talking about your feelings with someone who can be caring, calm, non-judgmental, and non-confrontational. Don't wait until things get better. Call someone such as a friend, counselor, priest, or suicide crisis center that is capable of listening with acceptance.

Two excellent suicide hotline resources in the U.S. include:

National Suicide Prevention Lifeline

A 24-hour, toll-free suicide prevention service

National HopeLine

A 24-hour, toll-free suicide prevention service

2. Express Depression by Writing or Drawing

If talking with someone isn't an action that you will take, then write extensively in a journal or on a pad of paper. Overcome your resistance to writing, rise above your desire to keep everything inside and write. Write often. Write big, messy, angry, hopeless words. Write about your problems, express your pent up feelings, describe your loneliness. Use dark colors if you want, cuss, scream, and express your despair. If you are feeling lethargic, then write about how that feels. Be "bad," say all the things no one wants to hear, be ugly - be anything but the nice "feeling fine" person you show to the world. Avoid thinking you need to solve your problems when you write. Simply give expression to the thoughts trapped in your head. Write about how you are hurting, how your life sucks, how you can't feel joy anywhere.

If you can't write, grab a pencil, a handful of colored markers, or a box of Crayola crayons and draw pictures of how you feel. Your pictures aren't supposed to be pretty, pleasing, or "good." Instead, they allow you an important avenue of creative expression. What does depression look like to you?

3. Talk to Yourself in the Mirror

If talking to someone seems impossible, if writing or drawing seems overwhelming, then go to a mirror and speak your thoughts aloud. There's no correct form of self-talk but you do want to look at yourself in the mirror, speak truth, and avoid sugar-coated affirmations. There's no point in saying positive affirmations such as "I'm blissful, content, and serene,'" when in fact you're contemplating ending your life. In addition, berating yourself for feeling depressed isn't going to help either.

Instead, speak truth about your current situation, make a choice to continue living, and give yourself some much needed encouragement. You could say something like:

"I'm feeling depressed and suicidal and it's okay to feel this way. A part of me wants to give up and it's showing me how to end my life. But even though I'm feeling this way, I choose to go on with my life today. I don't know how I'm going to overcome this depression, but I am doing the best I can. For right now, all I have to do is get through this hour. And I'm doing that by talking to myself."

What's most important is giving your suicidal thoughts a form of expression. Any form of expression - talking to another person, writing, drawing, or talking aloud to yourself in the mirror - gives you an opportunity to see your situation differently. We are much more able to cope with externalized expression than internalized thoughts.

Doesn't Allowing Suicide As An Option Encourage It?

A conscious exploration of suicide, of an idea that is already circling in your head, doesn't mean that you are encouraging this option. Instead, it opens up a dialog with something that you have already been considering.

Unexpressed, internalized suicidal thoughts tend to dwell on the process of suicide. Meaning thoughts are generally related to planning the act, thinking about when you would do it (today, tomorrow, next week), and the method you would use. Without expression, those types of thoughts gather momentum, growing bigger and stronger, until they obsessively swirl around in your head.

However, when you consciously express suicidal thoughts, you move beyond the best method to kill yourself. Rather then dwell on the final details of your demise, you actively explore your distress. You allow yourself to explore why suicide seems the best option, what problems it is supposed to solve, and how your choice might impact your evolution.

Giving expression to your thoughts doesn't suddenly make everything better, but it does provide opportunity to unburden your troubles and ventilate your feelings. Talking to others, talking aloud to self, or writing allows you to move energy, feel a tiny, tiny (but much needed) sense of relief, and tap into a deeper reserves of creativity and problem solving. Expression means you are taking action and actively bringing new awareness to your situation from new angles and perspectives.

When you keep suicidal thoughts hidden, you become trapped with extremely limited choices. Those choices include:


  • Pretending suicidal thoughts aren't present

  • Doing your best to fight against suicidal thoughts (even though what we fight continues to grow stronger every day)

  • Sleeping, eating, drinking, or medicating as a means to suppress suicidal thoughts

  • Give in to compulsive suicidal thoughts and end your life.

However, when you give yourself permission to explore suicide as an option, you bring those ideas out into the open. These thoughts are no longer frozen in your mind. Instead, expression gives your thoughts the freedom to evolve, and to move beyond noisy, chaotic clatter in your brain.

Allowing Death as an Option Allows Life as an Option

Once you give yourself permission and consciously consider suicide as an option, those thoughts become one option instead of the only option.

As you consciously contemplate your own death, you also contemplate the option of continuing with your life. Maybe for the first time ever you put aside your beliefs of hopelessness, you set aside your obligations to family and friends, and you set aside the belief of suicide being a sin. In your heart, you put yourself first and search for a reason to continue living.

When you explore the possibility of suicide, you open your mind to the most meaningful questions of life itself:


  • Do I wish to continue to live?

  • What would have to change for me to want to continue life?

  • Is it possible to live a life beyond fear and despair?

  • What would give meaning to my life?

  • What could I do today to give meaning to my life?

  • Even though there is no joy to be found right now, do I choose life for myself?

You may not have any answers to these questions, but it is most important that you ask them. Recognition of our ability to affect our own mortality can be a profound experience. When you strip away all ideas of sin, of shame, of obligation to anyone else other than you, would you give yourself life or death?

Many depressed people, when they allow themselves to consciously look at death as an option realize that there is deep important meaning in their depression. It's not a lesson to be learned, it's not a punishment, and it's not a test. Depression is an indicator of a transition or evolution into something new.

Perhaps, this is one purpose of depression all along - to make a conscious choice about deciding to live at this stage in your evolution. As any depressed or hopeless person knows all too well, no higher being has yet come down from heaven to take your depression or suffering away. If a heavenly spirit isn't going to save you, would you choose to save yourself?

Depression Treatment: Electroconvulsive Therapy (ECT) Or Transcranial Magnetic Therapy (TMS)?


Electroconvulsive Therapy. Two words that make up one complete and disturbingly descriptive sentence.

In a nutshell, ECT works by inducing a physical seizure. But, when compared to the emotional/Life Seizure induced by deep depression, ECT may be preferable.

ECT has had some remarkable successes but, like any other therapy, electroconvulsive therapy is not for everyone. And, ECT side effects are also a consideration because they can be disturbing.

Keeping in mind that ECT and TMS treatments use some form of electricity to stimulate the brain, there are very important differences between the two:

- Electroconvulsive Therapy (ECT), also known as electroshock therapy, uses an electric shock to induce a seizure. TMS uses a magnetic field to induce a much smaller electric current in a specific part of the brain without causing seizure or loss of consciousness.

- In many cases, ECT has been very effective in treating severe depression. TMS is not so powerful but, concurrent treatments to TMS such as neuro-feedback and/or hypnosis may actually boost the healing power of TMS. For now, TMS is used to treat milder depression, and it can only be prescribed for patients who have failed to benefit from one, but not two or more, antidepressant treatments. This treatment restriction may change in the future however, a depression sufferer may still benefit from appropriately applied complimentary healing methods such as hypnotherapy or biofeedback.

- TMS is much safer than ECT. Unlike ECT, TMS does not require sedation and is administered on an outpatient basis. TMS patients can drive to and from treatments on their own.

- Electroshock therapy always causes temporary confusion. And it often causes temporary--but sometimes very disturbing--memory problems. Plus, it can have significant effects on the cardiovascular system which can be an issue for some patients. TMS causes none of these problems. Another way of seeing this is that TMS is virtually free of side effects.

A question that many of my patients have needed to answer before seeking help is, are they truly depressed or just going through a normal life sadness event?

For instance, someone once contacted me and, after telling me that they had just lost a loved one, they then asked: "Do I need anti-depressant therapy?"

They asked about antidepressant medication/psychological treatment because their feelings of sadness and loss were overwhelming and seemed to be out of control. And, they did indeed score "yes" on many depression symptoms (listed below.)

However, after speaking with them some more, I determined they did not fit a "depressed" diagnosis but, their levels of pain were such that they did need some support.

Wondering which might be best for them, I asked them how they felt about hypnosis and receiving a positive answer, I then invited them in for a hypnosis session to help them constructively deal with a very difficult issue.

NLP (neuro-linguistic programming) was also a good match for my patient and so I used some very effective NLP methods to help them to be able to better make it through some very difficult days.

Losing a loved one hurts beyond words and it is understandable to want to fade away or die to avoid the pain however, most people truly do not want to die; they just don't have the tools to keep moving on until the pain eventually fades.

With the above in mind, and, after over 20 years in the psychiatry field, it is my firm belief that if proven, complimentary methods such as neuro-feedback, NLP and hypnosis were employed at the onset of truly painful life events, then costly, disabling depression could be avoided.

In other words, those who have suffered terrible losses could be saved a lot of terrible emotional and financial cost such as alcoholism, unemployment and more.

How can someone avoid the emotional/financial bankrupting costs of depression? They can learn how to recognize if they are depressed. This goes for you tough guys (and gals) out there who think you don't need treatment (also known as healing from painful events.)

If you are in pain and you want to feel better and you are curious, check out the possible signs and symptoms of depression listed below.

Note that in general, the below potential depression symptoms have lasted at least two weeks and have filled a significant part of your days.

- Persistent sad mood with feelings of "I can't take it anymore - I just want to die."

- No patience. Not even for little things.

- Little or no interest in things that used to excite you, such as sex.

- Sleep problems. You know if you have them. Waking up often; trouble going back to sleep; racing heart when you wake up; huge heaviness in your stomach when you wake, etc.

- Eating disturbances; either suddenly becoming too much or too little.

- Inability to concentrate and/or sit quietly.

- Your thinking is "different" although you're not sure exactly how. Your body doesn't seem your own.

- Can't make up your mind; even about little things such as what to eat.

- No energy even after sleeping all night - even small tasks are really difficult and require a lot of effort.

- A deep feeling that you are worthless and/or guilty of being deeply inadequate.

- Memory problems that are not normal.

- Intrusive, uninvited thoughts of wanting to die... and agreeing with them.

- Making serious plans on how you are going to "resign from life."

Something that is important to remember is that even if one of the above signs and symptoms of depression is overwhelming, disabling or otherwise having a significant negative impact on your life, then get some help.

Depression can be overcome. There is a rainbow to your personal storm. I'm glad that you took time to read this article. Thank you.

The Dehumanization of the American Worker


I would like to preface this by saying that being a part of the workforce and having a successful career have been of utmost importance in my life. I have always worked hard and been conscientious in an effort to succeed. I have enjoyed the challenges and opportunities afforded to me and have basked in the feeling of satisfaction coming home after a challenging day of work knowing that I have made a difference and accomplished my goals and duties.

It is my belief that at the onset of the Great Recession things started to change dramatically in the workplace. Millions of people lost their jobs and their livelihood was threatened. The aim of this blog is to write about the people who have managed to keep their jobs, with myself being a part of this group.

Now there is no doubt that losing a job is a worse predicament than the fate of those who have managed to remain employed. However, a huge price has been paid and continues to be paid by members in the workplace today.

As I see it, today the dominating factor in the workplace is fear. But this is not your typical everyday fear - This is a permeating, deep seated fear that oozes out into the atmosphere and is palpable. This fear has penetrated our thoughts, actions and emotions. This fear is thick and heavy and debilitating. The causes of this fear comes from multiple thoughts:

Fear of losing one's job

Fear of not being able to perform under the burden of the additional workload

The results of fear in people's behavior and moods then becomes irrational and rightly so. I am not condoning irrational behavior however I can understand how this can happen. Companies are cutting back on personnel which means that each person is now expected and required to do more. But it's not just more, its the work of 3 people. In the short term this is doable but unfortunately it is not sustainable in the long run. Today is the long run. For over 2 years employees have been expected to perform at this level. What has this caused? Exhaustion, insecurity, a sense of not being able to do what is being demanded. Because most people take pride in their work and want to do a good job this situation has caused them to feel a constant overwhelm and even mild depression. At a micro level employees blame managers, managers blame subordinates, and human resources has no viable answers or solutions.

Is this the new normal? For a while everyone felt this was just temporary but as the days go by and the economic recovery is slow in coming the grim reality feels like maybe this is not gonna change any time soon.

How do we keep a sense of sanity in what feels like uncontrollable circumstances? We need to look within for answers-one of my favorite quotes is: "All the answers are inside of us"... Perhaps we just need to quiet the chaos of the mind. Easier said than done. I also keep a gratitude journal which brings my thoughts out of their constant swirl into a more peaceful place. I hold the thought that whatever is happening is for my greater good and that this experience is preparing me for the next phase in my life.

So my dear readers, please tell me how you cope in this environment? What are the things you do to try to maintain balance?

Wishing you purpose filled work in the new and unrelenting workplace...

Depression Fighting Supplements - Natural Diets to Reduce Depression Symptoms


Almost every person on earth has some kind of depression in his life. There are many situations in life when we feel a lot depressed and that is completely normal. There are times when we are not able to achieve our goals or we regret about something. Similarly there are many other occasions when we feel depressed. In this article, we are going to discuss about the natural diets and supplements to reduce depression symptoms.

Anti-Depression supplements can help you a lot in life during the various situations which affect your mood a lot. There are many people who feel depressed for most of the time. That is not normal at all. If you are like that, you need to use some good natural supplements or diets to fight the depression symptoms. These can be very helpful and can help you fight the physiological problems associated with it.

Here are a few supplements or natural diets which can help you a lot:

1. Acai Berry Supplements - This is a wonder fruit which comes from forests in Brazil and other countries in the Americas. It is very helpful to fight the mood swings naturally without any side effects. These also enhance the energy levels in your body.

2. SamE tablets - This is another good method to reduce the depression.

3. Fish oils are known to provide a lot of relief to the patients suffering from depression.

4. Maca is another great supplement found in South America which is very useful to fight the depression naturally without any side effect and with long lasting changes.

Friday, May 16, 2014

Depression Symptom Uncovered - Are You Hard To Love?


Has anyone ever accused you of being hard to love? What in the world does that mean? You know that depression puts a real damper on your emotions and you don't feel very lovable at a time when you probably need to be loved the most. But how does a person determine if they might be pushing others away as a coping strategy? The following partial list, a sort of mini depression test, that will help you decide:


  1. You criticize your family members in front of others.

  2. It is hard for you to accept loving actions from others.

  3. You back away from hugs or appropriate public displays of affection. You rarely ask for a hug or a kiss.

  4. You make fun of or are sarcastic to loved ones.

  5. You always have to be right and you tend to know it all.

  6. You take everything personally except responsibility.

  7. You can be emotionally abusive to loved ones.

  8. You can be dishonest and untrustworthy.

  9. You don't fight in a fair manner and manipulate others with your helplessness.

  10. You refuse to seek help and ignore ongoing problems.

If you can relate to 3 or more of the above statements you could be hard to love.

It is abundantly clear from the above list that most people would be leery of hanging around someone like this for any length of time and would eventually stop offering their hearts and minds. Children could learn to act this way from a parent's example. This will only deepen signs of depression and anxiety and further convince you that you are not lovable.

Being hard to love is fixable. It will require a commitment on your part but you can learn to be a loveable person who will welcome love. You are responsible for your own happiness and learning skills to change yourself is possible. Take tiny steps at first and keep building on them. Reach out and give someone a sincere compliment. Hold your sweetie's hand next time you are out in public and watch what happens. Become a good role model for you kids.

Depression has many facets and some of them are hard to uncover. You have probably heard that depression is just anger turned inward. From the above list it is easy to understand how that might work. In order for you to resist being hard to love you will need to learn to love yourself. It is possible and you are so worth it.

I'm hopeful for you.

Some of the More Common Symptoms of Depression


Depression is a medical condition brought about the chemical imbalance in the brain, as well as other factors such as medication. Although "depression" is commonly described as "feeling low," "decreased mood" or simply feeling sad, it actually pertains to a serious illness that may be treated, but not cured. Depressed individuals are less active in school, home, and work, and the illness is likely to affect their emotions, eating and sleeping habits, and social relationships negatively.

Depression occurs once in some individuals, but may reoccur in others. The illness is usually recognized through its observable symptoms. This article deals with the various symptoms that may indicate a worsening, debilitating mental illness.

Significant emotional changes are observed in depressed individuals. These changes in turn affect everyday activities and social relations. The most common symptom is a feeling of being overwhelmed by sadness or fear, or in some individuals, complete apathy. Depressed individuals may be unable to enjoy activities they used to fine pleasurable, such as conversation with friends, hobbies, or even sex.

Depressed individuals are also content in being alone. They may think badly of themselves, believing they are inadequate, helpless, or hopeless, among other negative labels. They may avoid or refuse dealing with their peers. Strained relationships with friends may cause the mental illness to worsen unchecked.

Marked impatience and irritability are also symptoms of depression. Depressed individuals suffer mood swings and anxiety attacks, and may easily get angry at the slightest provocation. In some cases, this results in aggressive behavior that leads to an addiction to sex, alcohol, or drugs. They also experience difficulty in thinking clearly, hampering their performance in school or work.

Depression also manifests itself through physical changes in a sufferer's body. Depressed individuals may feel a compulsion to overeat - or conversely, lose their appetite - resulting in a sudden increase or decrease in weight. Changes in sleep patterns are also evident, as depressed individuals may either sleep too much or find it hard to fall asleep. There is also a noticeable lack of interest in hygiene and personal grooming.

Unexplained physical pain, such as muscle fatigue, headaches, and abdominal discomfort may also signal the onset of depression. If these discomforts appear without warning, and is accompanied by a change in the individual's disposition as well, it is usually a sign of an underlying depression.

Severe forms of depression may cause the individual to harbor thoughts of death or dying, and may even attempt suicide. Cases of such attempts have been observed throughout history and is a recognized symptom of depression. Consultation and medication is imperative at this point.

While depression mostly hits young adults, cases of depression in children have also been observed. Some children are not as well-equipped as their peers in adapting to changes in their environment, such as going to school for the first time. Symptoms of childhood depression are similar to the symptoms that adult sufferers show. Children with depression may not be aware of their condition, and will have to depend on adults to recognize the condition.

Depression Symptoms - Six Do's And Dont's When You're Feeling Down


Do you or someone you know suffer from depression? It's actually quite common these days, especially for women. Of the 16% of the people that have been diagnosed with depression, there are twice as many women as there are men. This problem was swept under the rug for many years, but has now come to the attention of medical research as a potentially crippling disease. In fact, now there are many individuals that have been diagnosed with depression that qualify for social security benefits because of their inability to maintain employment.

Below I've listed a few "do's and dont's" for those having depressive symptoms.

Things that you should do:

#1. DO Be good to yourself - Take care of your body by getting plenty of exercise. If you have a physical disability then consider working on the parts of your body that you're capable of. If you don't have any physical disabilities, then you need to get off of your rear end and get with the program. Several fitness experts agree that if you start and maintain an exercise program for twenty eight straight days that it will become a habit. You have to take the first steps to get there though.

Also, you need to watch what you eat. To many processed foods are known to have depressing effects, especially candy which gives you a temporary sugar "high" and then brings you crashing down a little while later. Leave it alone and eat lots of fresh fruits and vegetables.

#2. DO Get out of the house regularly - This is especially important for people that stay at home all day. You need fresh air, different scenery and some type of activity that not only keeps you busy, but also, something that you can look forward to on a regular basis. I know that it's tough some days and you really don't want to be around others, but isolating yourself is the worst thing you can do. Take a moment and put on your game face and then get out the door.

#3. Don't drink alcohol - Take it from a recovering alcoholic and leave it alone. You see, alcohol is a terrible depressant. Even people that don't normally have problems with depression can have issues when they drink. If you have problems with any form of depression then alcohol is poison for your mind. Think about it. You're pouring a depressant into an already depressed person. It doesn't make a bit of sense does it? The worst of it is that alcohol is also addictive. If you have anyone in your family that's an alcoholic then there's a possibility that you could have those tendencies too. Leave it alone for yours and your families sake.

#4. Don't do drugs - See #4. Enough said.

#5. DO Pray - Whether you believe in the man upstairs or not (I highly recommend that you do), prayer is very stress relieving. That's one thing that I do on a daily basis. It helps me to get my feelings out in the open and I always feel as if I've "given up" my burden to someone much more able to handle it than I can. I know that God will never betray me or leave me and I never have to worry about waking him up in the middle of the night when I need to talk, for he's always with me. Think what you will, but I'm telling you that it works.

#6. Stay away from the news - Years ago when I was in the military, keeping up with current events was very important, especially if you wanted to be promoted. I didn't really realize it at the time, but I hear the news now and think to myself "what an extraordinary amount of sadness there is in the world". Don't get me wrong, I'm not without compassion, but there are only so many things that we as individuals can do. Find a charity that appeals to your heart and donate time or money, hep the people in your neighborhood in some way, sponsor a child overseas, but don't watch that stuff every day or it will really get to you. I buy the newspaper for the sports section and throw the rest away. Enough said.

Lastly - Try to keep smiling. Good Luck!

Why Are Depression Statistics Important?


How many people suffer from depression? What kind of depression is the most common? Do you wonder if you are alone in your depression?

Depression statistics in the United States

According to the World Health Organization (WHO), depression is the leading cause of disability in the United States for the age group 15 to 44, and is among the leading causes of disability worldwide. By the year 2020, WHO predicts that depression will be the second most common health issue in the world. Most people with depression never seek treatment, although it is considered extremely treatable, with 80% to 90% of people who are treated experiencing improvement in both mental and physical health.

Major depressive disorder and dysthymic disorder are the two most common types of depression.

Major depression affects about 8% of the population of the United States, age 18 or older, or about 15 million people. An episode of major depression may occur only once in a person's lifetime; but more often, someone who has experienced one episode of major depression is likely to experience recurrences throughout their lifetime. The onset of major depression can occur at any age; however, most people are diagnosed in their late 20s or early 30s. The Centers for Disease Control (CDC) report that it is more prevalent in the 45 to 64 years of age. Women are twice as likely as men to be diagnosed with some type of depression.

Dysthymic disorder affects approximately 3.3 American adults (age 18 or older), or about 1.5% of the population. People with dysthymic disorder may also experience episodes of major depression, in conjunction with their dysthymia. This disorder is characterized by long periods (two years or more) of symptoms that are less severe than major depression and typically less debilitating, but which can prevent a person from being fully functional or feeling well. The majority of these patients are first diagnosed in their early 30s.

Bipolar disorder is estimated to affect approximately 5.7 million Americans over the age of 18, and typical onset is in the early to mid 20s. Early onset of symptoms may occur at a much younger age, as young as 9 or 10 years of age, but this is rare.

Depression is also linked to other health problems. People with depression are four times more likely to have a heart attack, and are at increased risk of dying from a second heart attack. Depression is also known to weaken the immune system and lead to other medical illnesses. The costs associated with health care, lost work time and disability are estimated to be near $100 billion dollars a year in the United States alone.

Why are depression statistics important?

As you can see, depression is a debilitating and costly condition that is related to secondary health issues that can be life-threatening. Most people who don't seek treatment either don't realize their problems are due to depression, or they are embarrassed to seek help. Recognizing the symptoms in yourself and others in order to effect treatment is an important factor in living a productive and enjoyable life.

Depression - Can Hypnosis Cure This Condition?


Depression affects 9.5% of the adult American population, around 18.8 million people. Not only does it cause sufferers untold distress. It also destroys families. Sometimes there are reasons for it, but more often than not, it creeps up on you and has you in its clutches without any known trigger whatever.

Catching it in the early stages is ideal, naturally, because a cure is that much faster and more sure, but the problem is that most people just think they're going through a 'down' period and leave it at that. Before they know what's hit them, they have full blown clinical depression. So what to do about it?

Medications, of course. That's the first and most obvious course, but you're stuffing chemicals into your body which, certainly in the long term, won't necessarily do you a great deal of good. If you stop taking them, back comes the depression.

Is there an alternative? Can Hypnosis cure the condition? Yes and relatively quickly.

However, there are caveats. Simply being hypnotized by someone who calls themselves a hypnotist is not only pointless, it could be dangerous. It's most important that anyone with a mental disorder of any kind be treated by a professional with a thorough understanding of that condition.

There are people who suffer mental illness who should never be hypnotized at all. Psychotics, for one. So first of all, make certain you visit a hypnotherapist who is thoroughly conversant with depression. Please remember that hypnotism isn't a catch-all.

The first and most important fact is to like and trust your therapist and this cuts both ways. It almost goes without saying that you must agree with, and wish to undergo, hypnotism. Assuming that all's well in these areas, the basic aim is to focus the mind so that distractions are eliminated and that it's open to suggestions that promote the reasons for the treatment.

It's an interesting point that, when you're depressed, you're in a form of negative self-hypnosis. You're making negative suggestions to yourself all the time, probably without even realizing it, but all the time, these adverse attitudes are being impressed on your subconscious.

Assuming you are clinically depressed, in other words suffering major depression, your mind is unable to move beyond the bars of the mental prison into which you feel locked. Your mind is trapped and cocooned, made devoid of choices. However, a good hypnotherapist, through various hypnotic techniques, will slowly and gently open the door of that prison in order to re-programme your subconscious.

All this, remember, with your full permission and co-operation. Bear in mind that you're by no means asleep nor detached in any way from your surroundings. Indeed, you're in a highly alert state with heightened concentration.

The therapist will then explain four steps that he or she proposes to take and make quite certain you're in agreement with these.

Firstly, change the negative self-suggestions that you've been unconsciously making to yourself throughout your depression.

Secondly, you may well have been feeling guilty and blaming yourself. These must be at least reduced, preferably negated.

Thirdly, help you to begin making positive changes to your thinking.

Fourthly, shift your perspectives about your negative experiences.

In a later article, we'll delve further into this process

Low Thyroid - Why You Still May Have Symptoms Even When Being Treated for Low Thyroid


Are you being treated for low thyroid, but still suffering with thyroid symptoms? This is a surprisingly common occurrence in people with low thyroid conditions and it is extremely frustrating.

Many people with an underactive thyroid (or low thyroid) visit their doctor with complaints of symptoms such as weight gain, persistent fatigue, prolonged or heavy menstrual periods, depression or trouble sleeping. The doctor suspects an underactive thyroid and checks TSH levels, which confirm the patient's thyroid is indeed underactive or low.

Treatment is started and TSH tests continue to be used to check thyroid function. When "normal" levels of TSH are achieved through medication, it is assumed the thyroid is now fine and working properly. Follow up tests confirm TSH has been successfully brought under control.

Problems occur when despite the fact that your TSH is now under control and your thyroid is functioning "fine" you still have symptoms that brought you to the doctor in the first place. You still feel tired or depressed. You're still gaining weight and having trouble losing weight even with a good diet and exercise program. You're still missing a healthy sex drive. Whatever your low thyroid symptoms are...you are still having them!

You doctor insists your thyroid is functioning fine now, and may even suggest your symptoms are a "normal" part of the aging process. Women may even be told their symptoms may be related to the onset of menopause, even if they are years away from the cessation of menstrual periods.

What's going on? How can tests show your thyroid is "fine" based on your TSH levels when your low symptoms are still the same?

Symptoms of an low thyroid that persist even after "successful" treatment are a red flag that something is still going on underneath the surface. If you're still suffering from underactive thyroid symptoms even though you're being treated and told by you doctor your thyroid is fine, there's a high probability that something's been missed in your diagnosis.

The only way to discover what it is that's "missing" with your diagnosis is through reevaluation. Don't expect your low thyroid symptoms that are persisting to go away in time on their own. Make an appointment with a thyroid specialist for a complete and thorough reevaluation - one that goes beyond evaluating TSH levels and labeling them "normal" or "abnormal" as the only means of determining whether or not your treatment is successful. Only then will you be able to fix the real problems of your low thyroid symptoms and problems.

How's Your Self-Esteem? Give Yourself This Simple Test and Watch Your Life Improve


How's your self-esteem?

Give yourself the mirror test.

How do you feel when you look at yourself in the mirror? Is it a pleasure, or a pain, or a bit of both? Is it mostly pain? Would you rather look away?

Your reaction to your image in the mirror is an instant and accurate indicator of your current level of self-esteem.

What is self-esteem?

What is self-esteem?

It's your opinion of yourself.

Basically it's a measure of how you feel about yourself and how you are going. It's high if you are going well, and low if you're not pleased with yourself and how you are performing in your life.

As a presenter of programs on personal wellbeing, I found that most people's opinion of themselves was not very high. Often they set much higher standards for themselves to perform to in their daily lives than for others. They could be quite abusive and hard on themselves, and of course, this typically resulted in low self-esteem. They just couldn't live up to their own demands. They felt like failures.

Perhaps you know exactly what I'm referring to here. You take a long and hard look at yourself. You review recent performance. You find it stressful, of course, to be under review. No-one likes to be judged.

The results are not good. Next comes a promise to yourself to smarten up and perform better and this pressure, of course, causes more stress. It's hard to relax, isn't it, when you are under surveillance all the time and likely to get another bad report?

Life as a Performance Appraisal

I refer to the common lifestyle of constant self-checking as 'life as a performance appraisal'.

In a session on wellbeing I would often ask: 'If you lived with someone else who treated you the way you treat yourself, who was critical of you and called you things like dumb and stupid and hopeless, would you want to keep living with that person? Isn't it likely you'd want to leave?' I used to notice a lot of embarrassed nods and awkward smiles in the audience as they thought on this.

We can't leave ourselves. I believe that our relationship with self is the most significant relationship in our lives because we live with ourselves twenty-four hours a day.

Ideally this lifelong relationship will be harmonious and encouraging. For most people though, it isn't. When they check themselves out, they find themselves lacking. Self-esteem gets lower, the self gets depressed.

Next pressure in this stressful lifestyle will be a push to lift your game and get self-esteem back up again.

Typically then, self-esteem yo-yo's and there's a swing between good days and bad days. On a bad day you find you just can't get anything right with yourself. This is certainly a 'non-human friendly' way to live. You wouldn't wish it on your best buddy.

Things will start to get better when you consciously choose to ease up on yourself and become a bit more relaxed about your self-evaluation. Can you allow yourself a bit of slack? Are you willing to be as understanding with yourself as you usually are with other people you value in your life? Can you be a little self-forgiving? That would be a great start to a more peaceful inner life.

The True Way to Improve Your Life

Ironically it's when you treat yourself with respect and encouragement that your life will improve, not when you keep pushing yourself to smarten up. Pushing yourself is exhausting. You get worn out and your performance drops so you have to push yourself to smarten up again!

When you first push yourself your performance does improve but then you get tired and it slackens off again. That's when your self-esteem starts to drop again. Not good enough! you tell yourself harshly and then of course, you feel bad and hurt inside like someone who's just been spoken to harshly. Make sense?

Do you recognise this vicious cycle? And it really can be quite vicious. It could help you understand why you often feel stressed and sometimes feel depressed.

If you habitually push yourself around, believing that this is the only way you're going to see some self-improvement, it can take a lot of courage to decide to ease up and be kinder to yourself.

You may worry that if you don't keep a watchful eye on your own performance you may slacken off and get nothing done. This concern is understandable. After all, your good opinion of yourself depends on your achievements in your daily life.

When you take the quantum leap to treat yourself kindly and with new respect you will begin to enjoy your own company. Just imagine how good it will feel to live all day everyday with someone who actually likes you and has a good opinion of you as well!

Actually, if you are habitually down on yourself you will find it hard to imagine just how different this will feel. You'd been hard on yourself and your relationship with you has been cold, excluding and rather lifeless. You'll now feel a new warmth inside and a welcome sense of inclusion. A new love for life begins to grow. And it's likely to show.

See the Difference in Your Life

When you live with a warm friendly self, and not a cold hard inner critic, you'll probably be more pleasant for others to live with as well. Other people will feel naturally drawn to your company.

When you look in the mirror you will actually greet yourself as a friend. More and more you will enjoy being you. Going is that awful dread of more failure. You will start to feel excited and self-motivated about achieving more in your life. Your performance will improve and your self-confidence will increase. Your self-esteem will automatically soar.

You'll look in the mirror and see a person who feels happy and more satisfied within. You may well find yourself smiling.

Thursday, May 15, 2014

Depression - Causes And Remedies


Depression can take various forms. Some people lie in bed all day, others weep constantly while many people feel as if a large black cloud hovers overhead. Yet others are affected with physical symptoms and are left feeling exhausted by the simplest of acts and have insufficient energy to take a few steps. There are even reports of depression causing blindness.

Depression is often difficult to diagnose and the usual treatment, on diagnosis, is the prescription of mind altering drugs, some of which have been found to be extremely addictive. Counselling is now a popular treatment, including cognitive behavioural therapy. Such treatment needs to be undertaken on a regular basis which is not always available to some patients due to a lack of funds and counsellors. Private treatment is, of course, always available but at a price.

Counselling can be extremely effective when carried out regularly and has the added benefit of being drug free. A counsellor will listen to the patient's problems without being judgemental. He or she then gently guides the patient to view his/her problems from a different perspective, thus enabling the patient to cope more efficiently. For someone who has experienced a major life changing event such as losing a home, counselling may not always work. Being asked to view that experience from a different perspective is sometimes easier said than done. Losing one's home is a traumatic event and no amount of counselling will help the patient to view it as anything other than disastrous, let alone trivial. The only comfort available from such counselling sessions for the patient may be in the realisation that many others are in the same boat. This knowledge alone can help the patient to understand that he/she is not completely isolated thereby sometimes helping the patient to feel less vulnerable which can be of considerable benefit.

Everyone should be aware of certain symptoms which may indicate depression. You may feel constantly tired, irritable or lack motivation. Loss of energy or changes in sleeping habits such as experiencing difficulty in sleeping, sleeping too much or waking too early can all signal the onset of depression. In addition, feelings of guilt and low self-esteem are particularly common as is the inability to make decisions. Suicidal tendencies and thoughts of death are almost always indicative of depression. `Post Partum depression is a type of depression which sometimes occurs in women who have recently given birth but can take up to a year to manifest itself. The symptoms are typical of most depressive disorders. Often there is no single cause of depression as it often results from several factors. Many people are unable to pinpoint a particular reason for feeling depressed. We know that during depression physical changes take place in the brain which proves that depression is not all in the mind.

Research has established that there is a chemical imbalance which affects the way in which signals are transmitted to the brain and nervous system. The chemicals involved are known as neurotransmitters. We also know that relationships, the death of someone close and financial problems can all contribute to depression. So also can life changing events such as marriage, employment and moving house which is reputed to be one of the most stressful events in life apart from death and divorce. Severe health problems can be another factor which can lead to depression due to stresses and strains which accompany ill-health, thus weakening the immune system.

Depression can strike at anytime and makes no distinction between rich and poor, young and old although women are twice as likely as men to succumb to depression. Hormonal changes in women caused by adolescence, the onset of periods, pregnancy and the change of life are thought to play a large part in the incidence of depression. Men suffer considerably less from depression than women but men often refuse to seek help. Consequently the condition frequently remains undiagnosed. This often leads men to turn to drug or alcohol in an attempt to conceal the condition. It should give us serious pause for reflection to learn that men are 25% more likely to commit suicide than women.

Elderly people are also prone to suffer from depression but they often attribute depressive symptoms to the ageing process. They are therefore at considerable risk of not receiving suitable treatment to alleviate their feelings of depression.

It is important to emphasise that anyone who feels depressed or down for more than a couple of weeks should see a doctor as the symptoms could point to a depressive illness. Many different drugs are available today which can help enormously in the treatment of depression and are free from the addictive effects associated with previous drugs. Overcoming depression can take time and effort and may seem insurmountable at times but please believe me it can be done. I know from personal experience that depression can be conquered so, however low you may be feeling right now you must never give up. There is a light at the end of the tunnel no matter how dark it seems at this moment.

When is Fatigue a Problem?


Today we tend to live life at a faster pace than our ancestors did. This killer pace is often accompanied by tiredness. Sometimes the fatigue lasts for more than two weeks and maybe longer.

There are many reasons for fatigue such as overwork, too many personal demands, the inability to say no, the inability to manage one's time efficiently, and the stress that accompanies all of these. However fatigue can be a symptom of a more serious health problem that requires medical attention.

Some health problems, which cause fatigue, are:
depression, diabetes, hepatitis, iron-deficiency anemia, thyroid disease and sleep deprivation.

Depression is often mis-diagnosed. Also, people often try to hide or deny depression due to shame. Depression is characterized by a feeling of hopelessness, the inability to follow your usual routine, being hyperemotional, tired upon awakening and overwhelmed by tiredness. Depression may be caused by grief, relationship problems, financial problems or many other problems. People with symptoms of depression should not hesitate to seek medical help, as there are many medications available.

Fatigue is a red flag for diabetes but is also accompanied by other symptoms such as more frequent urination, thirst and changes in vision. Physicians can detect diabetes through a blood sugar test. Glucose levels are normal between 70 and 120 mg of glucose per 100 ml of blood. Glucose levels in excess of 300 indicate extreme risk. Although fourteen million Americans have Type II diabetes, fifty percent of them are not aware of this.

Hepatitis also causes fatigue. It is accompanied by loss of appetite, aching muscles and joints, and fever. Hepatitis is often mistaken for flu and while the other symptoms disappear, the fatigue continues.

Iron-deficiency anemia patients are usually pale and often report a craving to chew on ice. Iron-deficiency anemia is easily diagnosed by a simple blood test and easily cured by ingesting daily iron supplements. Iron-deficiency anemia is far more common in women than in men due to the female menstrual cycle.

Sleep deprivation often occurs in people who work rotating shifts. Our bodies have a circadian rhythm with certain times the best for certain activities. Sleep time between 9:00 PM and 9:00 AM is most advantageous for most people. The body needs sleep and will be less efficient if denied proper sleep.

The thyroid gland regulates the body's metabolic system and muscle strength. If the thyroid produces too little hormone, a person has hypothyroidism. Too much hormone production results in hyperthyroidism. Hypothyroidism is the most common of the two and many people are unaware that they have it. Women, especially those over forty years of age, are much more likely to have hypothyroidism than men. A blood test which measures thyroid-stimulating hormone (TSH) will immediately identify thyroid problems even if no symptoms are present.

Sleep deprivation, particularly if due to rotating shifts, can often be solved by installing room darkening drapes, reducing noise factors, and arranging for at least seven hours of sleep.

The other medical problems require testing and diagnosis by a health care provider. All are curable by medication.

Symptoms of Severe Depression - Scary If Not Detected!


We are facing constant problems everyday such as stress, grief, tragedy, lost job and several other factors that can make us miserable. Several symptoms of severe depression are due to factors that you may or may not know of. So, you ask yourself: Is it getting harder to get over my problems? Is this affecting my job performance or studies Do I prefer to stay at home more than interact with my colleagues, neighbors or family members more often?

Most of us can handle daily stressful events and move on. However, there are still some who suffer from depression for whom daily challenges become an ordeal.

Picture yourself living that happy and normal life again. Remember, you're not the only one having this problem. There is a solution to this and the first step is to talk about it. Depression is never embarrassing to open up to a close friend or your a mental health professional. The following steps would reveal to you how you can fight off depression fast and effectively.

There are two types of depression: endogenous and neurotic. Endogenous depression is experienced from within. This type of depression may be hereditary in nature; if not, from unknown origin. Neurotic depression is triggered due to precipitating factors such as death in the family, job loss or other significant events leading to depression. It's important to see if you're experiencing symptoms of severe depression before it gets worse.

Depression is not only a feeling of being sad. However, symptoms of severe depression such as inability to focus on tasks and activities of daily living are some you need to look out for.

This may make it harder for you get through the challenges of every day life. This can be a burden for you and everyone around you. Prolonging depression can lead individuals to try or commit suicide, thus the need to seek professional help before it gets this way.

So, how do you know you're having symptoms of severe depression?

Depression is not only limited to adults. Elderly and children are prone to having depression as well. Depression would last for at least two weeks with five or more of the following indications:


  • Feeling 'down' all the time

  • Frequent crying

  • Loss of appetite

  • Considerable weight gain or weight loss

  • Excessive or lack of sleep

  • Agitation

  • Irritability

  • Exhaustion

  • Low self-esteem

  • Suicidal tendencies

Most individuals suffering from severe depression will have distorted thought patterns such as slow thinking process, crowded, or racing thoughts. Also content related delusions are prevalent such as becoming poor, or feeling guilty. This may lead to disturbed thoughts posing a high risk for suicide.

Individuals with significant changes in appetite, stamina and sleep patterns will usually crave for carbohydrate-rich foods (usually chocolates). This may be a sign that they might be irritated or agitated on top of being depressed.

People with severe depression have a hard time getting back to their normal activities. People in this state would usually require help in activities such as bathing, eating, dressing and other activities of daily living.

Symptoms of severe depression may linger for days to years. People in this state would have a difficulty leading a normal life if not treated immediately. Prevention is the best way to avoid further psychological deterioration. Depression is not a battle you can fight alone. If you're suffering from any of these symptoms, start seeking professional help immediately.

Andrea Yates and Post Partum Depression


Can postpartum depression become so invasive as to cause a mother to kill her children? Since this very rarely happens, many scoff at the prospect. Interestingly enough, postpartum psychosis was first recognized as a disorder as far back as 1850. According to Pregnancy Infonet, (2007), studies on the rates of the disorder have shown that the number of women experiencing postpartum psychosis hasn't changed since the mid 1800s. Expert psychologists, psychiatrists, and behavioral scientists are discovering that postpartum depression can, if not treated promptly and properly over an extended period of time most definitely can escalate to psychosis. Doctor statements and evaluations, insufficient treatment, and failed suicides are things that must be considered in determining Andrea Yates mental defect at the time of her crime.

It has been argued that due to some of Yates' logical and thought out actions that these prove she was sane at the time of the incident. The fact that, on two occasions she refused medication and on another occasion she stopped taking her medication. The fact that she had done a "practice run" of filling up the bathtub and, individually tracked her children down and drug them to their death are all arguments that are being touted as evidence that she had full knowledge of what she was doing.

To understand the concept of Postpartum depression and Postpartum psychosis, one must first realize that the two illnesses are not synonymous. Postpartum depression is described as something that can start at anytime within one year of birth. There is usually sadness, common after such an ordeal as birth, and of course a loss of energy, also a common thing after giving birth. Sometimes there will be a bout with the inability to concentrate, especially for first time mothers and along with that, anxiety about motherhood. All these are symptoms of postpartum depression. Not every woman experiences these and some may experience only a few of them. However, these symptoms are quite different than those of postpartum psychosis. Catherine Roca, (April, 2005)

Dr. Dan Williams, Psy.D., PA-C, "Peace and Healing", (2006), describes post partum psychosis as "very rare". He goes on to say that "It is characterized by homicidal and suicidal impulses, hallucinations, delusions, disorganized and bizarre thinking." Dr. Williams goes on to further describe some of the consistent characteristics of one who suffers postpartum psychosis.

"The dilemma is that these individuals usually refuse treatment. This is a medical emergency situation. If post-partum psychosis is suspected, families need to call 911 as emergency intervention is necessary. Medication most likely will be prescribed. The ultimate goal is to keep the baby and mother safe." "Peace and Healing", (2006)

Yates was first diagnosed July 21, 1999 as having severe major depression by Eileen Starbranch, MD. This diagnoses, came after her attempted suicides. During her week stay at Methodist Hospital Psychiatric Unit, she was diagnosed as having severe major depressive disorder, recurrent with psychotic features. Additional problems diagnosed were social withdrawal and minimal verbal communications. It was during this psychological evaluation that Andrea Yates admitted to having thoughts of hurting herself or someone else.

Eileen Starbranch, MD, Court TV, Psychiatric Evaluation July (1999) On August 5, 1999, Dr. Starbranch along with Dr. Arturo Rics, M.D., had a consultation regarding continued care of Andrea. The findings of this consultation revealed that the onset of her depression began about six week prior along with symptoms of psychosis. Much of the documentation that was reviewed by both physicians indicated that Andrea remained reclusive, guarded and still had a persistent, depressed mood. Eventually Andrea did respond to some degree to her medication but was warned by Dr. Starbranch not to have another child as this could bring on another psychotic episode.

Dr. Arturo Rics, M.D., Dr. Starbranch, MD, Methodist Hospital Psychiatric Center July (1999) Another psychiatrist, Dr. Melissa R. Ferguson, former medical director of psychiatric services at the Harris County Jail, gave testimony that in her opinion, Yates was suffering from psychosis. According to Dr. Ferguson, Yates told her she believed that the cartoon characters on television were telling her how bad she was for giving her children "too much candy and cereal". Ferguson also testified that she believed that Andrea was incapable of understanding the consequences of what she did. Dr. Milissa, Former Director, Harris County Jail.

Andrea Yates had all the classic symptoms of post partum psychosis. Even though medication was administered, there was little supervision to ensure that she followed doctor's orders. Her hospital stays were short and therefore not effective in a medically supervised environment assuring that at best the possibility of her harming herself or others was sufficiently minimized.

There is absolutely do doubt in anyone's mind that Andrea Yates did in fact drown her children in a bathtub. There is no doubt that the "how" was too horrible to fathom. Because of the rarity of this condition and its horrendous results if not treated, many Americans, particular women, will judge women like Andrea Yates without compassion for the suffer or the effort to learn and understand the illness. What those individuals should realize is that by understanding this catastrophic illness, it in no way condones the actions done as a result of that illness.

In conclusion, the state of Texas is to be applauded in its efforts to recognize this rare, yet debilitating and extremely dangerous illness. The Andrea Yates bill became affective September 3, 2003 and it states the following:

"Postpartum depression (PPD) is a serious disorder, each year affecting 10% to 15% of women who have delivered children. This disorder, despite its high prevalence, often goes undetected and untreated. In an attempt to address this public health problem, the State of Texas has enacted legislation, House Bill 341 (also known as the "Andrea Yates Bill"), which went into effect on September 1, 2003. This law requires healthcare providers who treat pregnant women to provide them with resource information regarding counseling for postpartum depression and other emotional traumas associated with pregnancy and parenting."
Blue Corss/Blue Shield of TexasPostpartum Depression and House Bill 341

References:

BlueCross BlueShield of Texas; Postpartum Depression and House Bill 341

(2007) Retrieved on September 9, 2007 from the World Wide Web:
http://www.bcbstx.com/provider/postpartum.htm

Ferguson, Dr. Melissa R. Former

Medical Director of Psychiatric Services at the Harris County Jail. Retrieved on September 8, 2007
from the World Wide Web: http://crime.about.com/b/a/257021.htm

Roca, Catherine , Chief, Women's Programs, (2005) Depression During and After Pregnancy

National Institute of Mental Health, (April 2005). Retrieved on September 7, 2007 from the World
Wide Web: [http://www.4woman.gov/faq/postpartum.htm#5]

The Pregnancy-Info Team, Postpartum Psychosis (2007) Retrieved on September 7, 2007 from the World Wide Web:
http://www.pregnancy-info.net/postpartum_psychosis.html

Starbranch, Eileen, M.D. Court TV

Retrieved on September 9, 2007 from the World Wide Web:
http://www.courttv.com/trials/yates/docs/gifs/psychiatric6.gif

Williams, Dan Psy.D., PA-C, (2006) Peace and Healing.

Retrieved on September 7, 2007 from the World Wide Web:
http://www.peaceandhealing.com/psychosis/postpartum.asp

Bipolar Disorder, Depression - Information and Support For Sufferers, Not a Substitute For Treatment


We all have our good days and our bad days, our "up" days and our "down" days but for anyone suffering from bipolar disorder, these offs and ons are more serious. The symptoms of bipolar can hurt your job and school work performance, spoil your relationships and upset your daily life. Although this disorder is treatable, most people do not recognize the warning signs and therefore do not get the bipolar disorder treatment they really need. As bi polar disorder tends to degenerate without treatment, it's important to know what the symptoms are like. Recognizing the disorder is the first step towards getting it under control.

Bi polar disorder, sometimes known as manic depression, causes serious changes in moods, vitality, and other behaviour going from the heights of mania on one level, to the depths of depression on the other. More than just a momentary good or bad mood, the bi polar disorder cycle last for days, weeks, or even for months and unlike normal mood swings, the mood changes of bi polar disorder are so intense that they affect your ability to function.

During one of their manic episodes, a person might quite easily quit a job, go on a spending spree, charging huge amounts on credit cards, or feel completely refreshed after only sleeping two hours. During a depressive period, the same person might feel too tired to get out of bed and be full of self-loathing and feel utterly hopeless over being out of a job and deeply in debt.

The causes of bi polar disorder are not fully understood, but it may sometimes run in families. The first occurrence of bi polar disorder is usually in the teenage years or in the early years of adulthood. The symptoms of bipolar can be confusing and easily missed which is why so many people with bi polar disorder are misdiagnosed and overlooked resulting in unnecessary suffering but had they been given proper bipolar disorder treatment and support, they could lead a rich and fulfilling life.

Facts And Fiction About Bi-polar Disorder

Fiction: People with bi-polar disorder can't get better and go on to lead a normal life

Fact: A lot of the people with bi-polar disorder have successful careers, lead happy lives, and enjoy satisfying relationships. Living with bi-polar disorder is a big challenge but with proper bipolar disorder treatment and a solid support system, it is possible to live a full life while managing the symptoms.

Fiction: Those people who suffer with bi polar disorder go back and forth between highs and lows

Fact: Some may alternate between extreme periods of mania and depression but more often than not they are depressed more than they are manic. The mania may even be so slight that it can go unrecognised. For some people with bi polar disorder there can be long stretches when they are without any symptoms.

Fiction: Bi-polar disorder only affects ones mood

Fact: Bi-polar disorder can affect energy levels, judgement making, memory recall, awareness, eating, sleeping rhythms, sexual appetite and self-esteem. Additionally, bi-polar disorder has been linked to anxiety attacks, solvent/substance abuse, as well as health problems like diabetes, heart disease, severe headaches and high blood pressure.

Fiction: Apart from taking medication, nothing can be done to control bi-polar disorder

Fact: While taking medication makes up the bulk of bipolar disorder treatment, therapy and self-motivating strategies will also play an important part in the overall treatment. By exercising regularly you can help control your symptoms, getting a good nights sleep, healthy diet, monitoring your moods, minimise stress levels, and having supportive people around.

Signs and symptoms of bipolar disorder mood episodes

Bipolar disorder symptoms can be very different in different people. The symptoms of bipolar vary widely in their pattern, severity, and frequency. Some people are more prone to mania and some are more prone to depression, while others switch equally between the two types. Some may have regular mood changes, while others may experience a few over a lifetime.

There are four types of moods experienced in bipolar disorder:- mania, hypomania, depression and then there are mixed episodes. Each has a unique set of symptoms.

Signs and symptoms of mania

In the manic phase feelings of high energy, creativity, and euphoria are common. During a manic episode people often talk a mile a minute, are hyperactive, and sleep very little. They often feel like they're invincible and destined to do great things.

While mania may feel good at first, it usually ends up spiralling out of control. People behave recklessly during a manic episode, doing things like, gambling away savings, engaging in abnormal sexual activities, or making disastrous business decisions. They can also become angry and aggressive, picking fights or lashing out when other people don't agree with their decisions. They can blame everyone for being against them when their behaviour is criticized. They may even become delusional or start hearing things.

Some common signs and symptoms of mania include:

Unusually "high" feeling and optimism or being extremely irritable Unrealistic, beliefs about one's own abilities or powers Having very little sleep, but still feeling extremely energetic Talking so rapidly that others can't understand what you are saying Racing thoughts; switching quickly from one idea to the next Easily distracted and unable to concentrate Making bad judgements and being impulsive Acting without thinking about the consequences or dangers involved Delusions and hallucinations (in the most severe cases)

Hypomania symptoms

Hypomania is a lesser form of mania. When in a hypomanic state they feel on top of the world, full of energy and prolific but they are still able to carry on with their normal day-to-day lives and they never quite lose touch with reality. Other people may think that people with hypomania are just in a very good mood but hypomania can result in making bad decisions and can harm relationships, work and reputations. In addition, a period of hypomania often turns into full-blown mania or it is followed by major depression.

Signs and symptoms of bipolar depression

Depression is a state of low mood and aversion to activity. There are also strong arguments for seeing depression as an adaptive defence mechanism. A low or depressed mood can increase an individual's ability to cope with situations in which the effort to pursue a major goal could result in danger. In such situations, low motivation may give an advantage by inhibiting certain actions. It is normally accepted that a depressed person can be defined as experiencing feelings of sadness, helplessness and hopelessness. However a growing body of research suggests that there are significant differences between bipolar depression and regular depression, especially when it comes to their recommended treatments. Most people with bipolar depression do not respond well to antidepressants. In fact, there is a risk that bipolar disorder can be made worse by antidepressants, by triggering mania or hypomania and causing rapid swings between moods or by interfering with other stabilizing drugs.

Signs and symptoms of a mixed episode

A mixed episode of bi polar disorder features symptoms of both manic or hypomanic episodes and depression. Common signs are depression combined with agitation, irritability, anxiety, insomnia, easily distracted and racing thoughts. This combination of heightened energy level and depressive mood makes for a particularly high risk of suicide.

Signs and symptoms of bipolar depression

Despite having many similar symptoms, some symptoms are more common in bipolar depression than in normal depression, eg. bipolar depression will more than likely involve signs of irritability, guilt, as well as unpredictable mood swings, and feelings of restlessness. There is also a tendency for people with bipolar depression to move and speak slowly, they would sleep a lot and put on weight. They may even develop a psychotic depression in which they lose contact with reality and find it hard to function well at work and in social contacts.

Common symptoms of bipolar depression include:

Hopelessness, sadness, or feeling empty Feeling irritable Unable to experience pleasure Tired or lacking energy Drained both physically and mentally Loss of appetite Fluctuating weight Poor sleep Unable to concentrate Poor memory Feeling guilty and worthless Thoughts of dying and suicide

The different faces of bipolar disorder

Bipolar I Disorder (mania or a mixed episode) The classic manic-depressive form, consisting of at least one manic episode or mixed episode and sometimes Bipolar I Disorder has at least one attack of depression.

Bipolar II Disorder (hypomania and depression) Bipolar II disorder doesn't involve full-blown manic episodes, instead, it involves episodes of hypomania and deep depression.

Cyclothymia (hypomania and mild depression) Cyclothymia is a less severe form of bipolar disorder. Usually it involves cycles of mood swings, with less severe symptoms than full-blown mania or depression.

At the first signs of bipolar depression in yourself or someone else, get help at once. Pretending it's not happening won't make it go away; in fact, it will almost certainly make things worse. Leaving it untreated can lead to problems in everything part of your life, your career, your relationships, and your health. Early diagnosis and getting treatment can help prevent these complications.

If you put off getting treatment because you like the feeling you get when you're having a manic episode, just remember that these feelings of being energetic and the euphoria have a high price to pay, as they can and often do, turn destructive, hurting yourself and the people you care about the most.

Basics of bipolar disorder treatment

Bipolar disorder needs long-term and continuous treatment. Since it is a chronic, recurring illness, it is vitally important to continue the treatment although you may be feeling better. In most cases people with bipolar disorder will need medication to stave off new episodes and stay symptom-free.

Medication alone for bipolar disorder is usually not enough to fully control the symptoms. The most effective treatments involves a combination of medication, therapy, changes of life style, with family and social support. Diagnosis can be tricky and treatment is often difficult, therefore it's best to work with an experienced psychiatrist. For safety reasons, medication should be closely monitored, and a psychiatrist who is skilled in treatment of bipolar disorder can help you get through the difficult times.

Learn more about treatment

The aim of treatment for bipolar disorder is about more than just the relief of symptoms. It is about getting to the point where it no longer disrupts your life. With the right treatments you can reach this goal. It isn't easy, dealing with bipolar disorder but it doesn't have to control your life and in order to successfully deal with bipolar disorder, smart choices have to be made. Your daily routine has a significant impact on your moods. Learn everything you can about bipolar disorder. The more you know, the better you'll understand how, by persevering with the treatment, you are assisting your own recovery.

Avoid high stressful situations, balance your working time and social life, try some relaxation such as meditation, yoga, or deep breathing. It is important to have friends and family you can turn to for help and encouragement. Try joining a support group. By having healthy sleeping, eating, and exercising routines you can help to stabilize your moods. Having and keeping a regular sleep routine is particularly important. Take note of your symptoms and in particular, watch out for any signs that your moods are getting out of control so you can deal with the problem before it begins. Therefore helping yourself and your loved ones to live with and cope with bipolar disorder.

Bipolar disorder and suicide

Bipolar disorder depression is often very severe and one of the major risk factors is suicide. In fact, some people suffering from bipolar disorder depression are more than likely to attempt suicide than those suffering from normal depression. The more frequent the episodes of bi polar depression, and mixed episodes of depression are occurring, the higher the risk of suicide is. A family history of suicide, a history of alcohol or drug abuse, or the early stages of the disease can also heighten the risk of suicide.

Possible warning signs of suicide include:

Talk of death, self-harming, or suicide Feelings of hopelessness or helplessness Feeling useless and incapable Taking unnecessary risks Acting as if going away and not returning, by getting affairs in order Abnormal interest in weapons and harmful medications

It is important that any talk of suicide is taken seriously. If you have good reason to think that someone is suicidal, always get professional help.

Depression - A Test To Know If You Have One


Self depression test is just like a boon for those who want to know whether they have depression. The test is a great way to analyze the traces of depression in an individual. This is usually known as self-test.

Everyone experiences some amount of depression in one's life. However, for some people, the amount tends to increase with time. When this amount increases to a great extent, it is not normal. The stage affects a lot in a person's mental and physical status.

When it comes to the normal blues, these are sometimes triggered by anything from a particular thing someone had seen, said, thought or feared. Sometimes, these blues occur without any valid reason, warning or explanation. This is the time where one just waits for the bad period to just pass by quietly.

However, if you are keen on knowing whether you have serious depression, it is a wise idea to go for some kind of self tests. These self depression tests will explain you clearly about whether you have a serious depression or plain blues.

Answer the following questions to do self depressions test:

a)

Are you feeling totally withdrawn from pleasures of life? This is actually the most accurate self depression's test. All you require to do is to try out something that you are aware of and used to give a lot of happiness in earlier days.

This may be anything from your favorite movie, hobby, shopping venture etc. in case, you find out that all these things do not have anything to do with your pleasure now, then this is definitely a sign of serious depression.

b)

Have been forgetting a lot of things off late? Remember that depression tends to cause hiccups in your memory and you would come to know that certain things are completely wiped out from the memory. The often leaves you totally baffled. This is another test that works towards providing you exact results.

c)

Is it becoming difficult for you to skip at night? Or have you been sleeping very little during the night? If yes, then it may be due to a lot of coffee or stimulants. Why do you like coffee or stimulants too much? If you don't have an answer for this, than the self depression test is going to provide you a great answer for it.

d)

Have you lost your appetite lately? There are times when one does not feel like eating. This is normal. However, if it becomes a common affair, the self depression test, confirms that it is a 'yes'.

e)

In case, your answer to all the questions mentioned above is in 'yes', then you are definitely suffering from a serious depression. Here, it is really important for you to get some hold or yourself and go for a professional help.

f)

There are some other tests you may go for. One of the most popular tests remains the gold berg test. This test was designed by Dr. Ivan Goldberg. The test consists of some eighteen questions. Each question is supposed to be answered by the individual. The use of a sliding scale of responses is mandatory. This actually shows how they have felt during the week that has just gone by.

As soon as all the questions are answered, scores are added for the final score wherein each score has a specific significance. The final score settles whether you are depressed or not.

Wednesday, May 14, 2014

Trainspotting Analysis


Trainspotting adapted from Irvine Welsh's novel and made by the Shallow Grave team of writer John Hedge, producer Andrew Macdonald, and director Danny Boyle, giving us characters and moments that are unforgettable. Ewan McGregor plays Renton, an on-and-off heroin addict who can't decide whether to clean up or regress in the company of his loser friends in working-class Edinburgh, and later in London. The film was produced in 1996.

Trainspotting in reality refers to a session of dark linear mark or track that is left in the veins after shooting heroin. The first thing is that heroin users mainline along their arms and inject up and down on the main vein. "Station to station," they call it. For addicts, everything narrows down to that one goal of getting drugs. "Trainspotters" are like that, obsessively taking down the numbers of trains.

The five main actors in this film are all males and with a life threatening drug habit. Trainspotting can be classified under four different types of film genre including: drama, comedy, crime and drug culture. "Trainspotting" is classified as drama since it is a serious story due to the drug habit and several scenes that showed the real lives of junkies, and graphic images of injecting heroin. On the other hand it can be classified as comedy especially when Spud goes to an interview high on speed and other funny moments that are there to lighten up the seriousness of the film. This can be classified as black humour. Surely Trainspotting can also be out under the crime and drug culture genre due to the story in itself and the characters This film gives us a very vivid and real picture of a heroin addict's every day routine.'Choose Life...' the film's most famous quote means a lot. Those portrayed in Trainspotting are the ones that need to understand choosing life; they are the ones that this phrase was penned for and who are these people living a life less ordinary? They are addicts in Scotland, living lives that are synchronized around getting what they need. For three of them, heroin is their mode of addiction, for another passivity, and for the last aggression. They are a mad quintet, pissing away lives that could maybe amount to something.

In the beginning as we are introduced to our humble narrator Renton (McGregor). We can see that he is on a road to nowhere, stealing CDs from a shop in hopes of making a little cash to pay for the next hit. His home away from home is a drug dealer's apartment ( Mother Superior) where he is issued a regular platter of needle, spoon, lighter, and heroin beside his best mates Sick Boy (Miller) and Spud (Bremner). They are as troublesome as he is, though Spud is helpless in his addiction while Sick Boy is just there to compare metaphorical sizes.

Movies about drug addiction are certainly nothing new, but this film makes everything look different, almost like it is the first film to deal with the subject. Trainspotting is brave and frequently hilarious; it's dark, smart and stubborn. It's more than one of the best 'drug movies' ever made; it's arguably the finest film to come out of the UK

Ewan McGregor plays the main character; Mark Renton. He introduces the film Trainspotting with an extremely energetic scene, the former scene accompanied by Iggy Pop's 'Lust for Life', along with Renton's sarcastic narration, which rejects our weak, mechanical existence in favour of the joys of heroin. Iggy pop is Renton's hero. He even has a poster of him in his room. When he goes clubbing, we notice that his heroin habit has been going on for a long time as he doesn't recognize any of the new songs at the club. Diane makes him notice this, and Renton starts to realize that heroin has taken so much out of his life.

"People associate it with misery, desperation and death, which is not to be ignored. But what they forget is the pleasure of it, otherwise we wouldn't do it" He is undoubtedly appalled by society and the materialistic satisfactions it offers. He later compares heroin: 'imagine the best orgasm you ever had and multiply it by a thousand and you're not even there' However, after a few minutes into the film he decides to quit heroin. The viewers may conclude that it is time to move on in life, yet he could not live life without heroin as we see through out the film his various unsuccessful trials at quitting his habit

Renton has a serious drug habit, and due to his unemployment must sustain is by shoplifting and petty theft. When he was on methadone, he had his 'last hit' and this resulted in an overdose. This simply shows an effort to avoid being compliant. In fact, it is this determined attitude which possibly explains heroin's over Renton. He states, "We'd inject Vitamin C if they made it illegal"

Even though he manages to kicked his heroin addiction and starts a new life in London, his old circle of friends are not easy to get rid of and Renton ends up getting involved in a drug deal, and sells 4 kilos of heroin with his 'so-called' friends. Towards the end of the film, he betrays the others by escaping with the money. This shows the viewers that he decided to 'choose life', be 'just like us' which is a doubtful aim; the qualities of which the film questions the whole time

Renton is dreamy, sharp, troubled, and calm, seemingly all at the same time, and you never know where you are with him, as he never knows where he is with himself. It's an understated portrayal of an essentially rootless character - yet a magnetic one.

Johnny Lee Miller plays the part of Sick Boy who is portrayed as a handsome guy who has the habit of talking nonsense and bombarding his mates with trivia about Sean Connery. He is a womanizing James Bond wannabe, who is highly intelligent. Sick Boy is the one who seems least affected by his heroin habit. In fact, when Renton tries to quit heroin, Sick boy does the same just to spite him In the film Trainspotting Sick boy is the one who trivializes heroin and seems to have no problems with his addiction contrary to the rest of the crew.

"The film only touches on the question of how far his persona is genuine or just social camouflage" . Sick Boy's behaviour in the final parts of the film show how the death of his baby has affected him and made him more crime prone. He starts to deal in drugs, pimping and becomes an all round con. Renton states that when Sick Boy's child passed away, something inside Sickboy must have died and never came back .

Later in the film, Renton escapes to London to start a new life, while Sick Boy and the rest of his friends remain in the Scottish capital. When he visits Renton unexpectedly, he immediately sells Renton's television without consent and he also offers to sell Renton's passport. Sickboy is so fixated with his new criminal career that he never even bothers to think about Renton's feelings. "He becomes obsessed with developing useful contacts for that elusive 'big deal', and sticks a finger in any pie on offer" He becomes a manipulative pimp and drug-pusher at every opportunity and wouldn't hesitate about taking advantage and manipulating anyone for the purpose of self-advancement. All through out this ordeal Sick boy remains as vain as always.

Tommy, played by Kevin McKidd, contrasts vividly with the other main characters. He is portrayed as athletic, finding pleasure walking in the countryside, weight lifting and watching football rather than making use of drugs. As the film progresses, there is a drastic change in Tommy, turning him into the worst of the bunch with a "rapid and fatal" descent .

Tommy's relationship with his girlfriend Lizzie does not seem to be progressing well. The strain of finding their homemade porn film missing because Renton "borrowed" is the final straw for Lizzie and breaks off the relationship. When his efforts to patch up his relationship fail, Tommy falls in a depression and resorts to drugs. Sadly enough (black comedy), it is Lizzie, the very person whom Tommy loves that causes his death. With the increased use of heroin, Tommy contacts HIV. His initially clean and tidy apartment becomes filthy. His final tentative to regain Lizzie sees him getting her a kitten, which she refuses. Tommy is found dead due to an infection from the kitten's faeces . This has a social connotation as HIV and AIDS due to heroin abuse was on the increase and booming in 1996.

Clarke considers this character's story helps to create an ethical perspective in this film, giving the audience something to think about. Anyone can fall victim to drug abuse, even youths considered as 'good'. Clark states that Tommy is portrayed as free from drugs on film whereas makes use of amphetamines in Irvine Welsh's novel. This could be credited to the fact that certain individuals would prefer watching the film rather than reading the book thus the message has to be harsher to get across. The same can be said of Tommy's behind-the-scene drug use. As the film proceeds, Tommy's health aggravates thus shocking the audience. In the end, without Lizzie, Tommy "chose not to choose life" but heroin and death .

Begbie considers himself better than any of the rest. This is seen clearly when he lectures his friends after Renton narrowly escapes imprisonment , and trys to appear mature in front of Renton's parents and when he claims that never would he "poison" himself with chemicals. Alcohol can also be considered as a harmful chemical to the body, but Begbie doesn't see it as such. Begbie takes a commanding attitude when with his friends, for example in the final pub fight scene when he orders Renton to bring him a cigarette or during the hallucination scenes as well as during his stay with Renton in England.

Spud, the "amiable, childlike loser" as described by Clarke, is played by Ewen Bremner . Clarke considers Spud's life as brimming with wrong choices, including his choice of drugs which is considered unsuitable to his weak character . During his six-week relationship with Gail, they never had sex. On the night she wanted to have sex with him, Spud was too drunk to do anything. On awaking in Gail's bed the following morning, he finds the sheets soiled. Spud's bowel contents end up smeared on Gail and her parents whilst eating breakfast .

Clarke compares other scenes from the film. Spud gets incarcerated for shoplifting while Renton emerges practically scot-free. Similarly, Diane sees Spud lying intoxicated under the pavement during the letter scene whilst the others appear lucid . Also, despite various threats, Spud is the only member of the group to be injured by Begbie. Nonetheless, it is inevitable for everyone to love Spud. The audience sympathise with him. Renton wishes he ended in prison instead of his friend. In the end, he leaves money only for Spud because he pities him.

Kelly Macdonald starring as Diane is young but wise beyond her actual years. This is shown especially when she deals with men. At first, Renton sees her at a nightclub rejecting the advances of a man by drinking both drinks and leaving, and secondly when Renton approaches her outside the club and responds to his weak chat with a coldly cruel speech that leaves him completely dejected. However, when she leaves the taxi door open for Renton to go in, it becomes clear that the negative response may have been purely a tool to create sexual power over him.

Later in the film, after a night of passion with Renton in her bedroom, Renton and the audience are amused and disturbed to see Diane changing from her silver dress into her school uniform. The audience understands the position Renton has found himself in. He ought to escape from this situation or else face the consequences since she is underage. However, Diane has once again the power over Renton in this situation because if she tells the police, Renton will face prison. She knows the law and blackmails him to meet her again . Diane also seems to be more knowledgeable about modern culture. In fact she emphasizes that shooting heroin, listening to Iggy Pop and the fact that Renton and the main protagonists are still in Edinburgh are outdated, "Times are changing, music is changing, even drugs are changing" .

Establishing sexual power over men is also seen in other women in the film. In a nutshell, Trainspotting's male characters are ready to drop their usual secure façade and jeopardize embarrassment to fulfill their sexuality. The women in Trainspotting seem to be more than happy to coerce. For instance Spud's girlfriend refused to sleep with Spud during their six-week relationship but she later admitted to Lizzy that she wants to sleep with Spud yet she loves watching him suffer. Lizzy is also seen as ridiculing and sexually controlling her men. She would not deny herself from having sex with Tommy since it is her only pleasure she gets from him. However, later in the film, when Thomas could not find the highly intimate private video, Lizzy was ashamed. She was so furious with him that she left him .

Alison, played by Susan Vidler, is a typical drug-craving mother. She is self-centred, completely neglecting her daughter. When the baby is found dead in her cot, Renton narrates that they did not know who father her baby. This furthers the belief that she is quite immature and lacking in morals, having sexual contact with all male members of the group. On discovering her daughter's death, one of her initial reactions is to take heroin.

Mother superior is the group's heroin provider. Although he is seen administering the drug to the friends, he himself is never viewed making use of it. Mother superior cannot be considered completely as friend to them because he ultimately wants money for the drugs he provides. However, when Renton overdoses, Mother superior calls for a taxi and provides money for it. This can be interpreted as a friendly gesture but also as helping Renton to avoid getting in trouble. Mother superior knows the different characters of the group. This can indicate that they have all be using drugs for quite a while, thus frequenting Mother superior's place often. During the film, the characters are seen shoplifting to sustain their drug habit. The need to steal might have been initiated by Mother superior demanding hard cash.

The bond Renton has with his friends is just the common goal of shooting the next hit. When he is not on drugs he has to face reality, which is, maintaining relationships, meeting girls and everyday responsibilities. The film portrays what seems to be united group. However, there is a fear of Begbie because of his violence and alcoholic tendencies as well as him being the older of the lot. Sickboy, Renton, Spud and later on in the film Tommy all have a heroin addiction, thus their preferred method to solve problems is taking a hit. Begbie solves his by drinking and fighting. The group share stolen money and tend to shoplift in groups. When they go to the clubs, they party together. Still, in the end Renton calls the rest of the group "so-called friends".

The relationship between Renton and Spud can be thought of the best within the characters. As mentioned before, Renton cannot help liking Spud. Renton is seen giving his friend hints before Spud's job interview. Even though it is considered wrong, Renton offers Spud some speed to put him at easy. When both of them are caught shoplifting, Renton wishes he went to prison instead of Spud. In the same scene, he admits feeling lonely, although being surrounded with family and friends. At the end of the film, Renton felt sorry for Spud because he never harmed anyone or said a bad word about his friends. Thus, he left money only to Spud. This relationship is further supported by the fact that Renton asks Spud if they would take the money and go. Renton could have more easily grabbed the bag and left before Spud would have reacted in any way.

Renton has a good relationship with Tommy as well, thinking of him as one of his best friends. Tommy also considers Renton a friend by confiding with him the problems he had with Lizzie. Renton felt sorry for Tommy when he found his HIV positive friend living in a horrible, filthy apartment. He tried to make amends by giving money to Tommy to pay the rent. This relationship is somewhat ironic because Tommy's downfall is caused by Renton when he stole Tommy and Lizzy's video. From the beginning, Renton and Sickboy's relationship does not seem strong. Renton is slightly jealous of Sickboy. This impression is born by the fact that Sickboy can easily overcome heroin just because Renton is trying to quit. Sickboy does not seem to have any problems dating girls in the disco scene whereas Renton did not like the females around him, except for Diane. Towards the end of the film, Renton states that Sickboy would betray him off as well if he thought about it first. Sickboy himself admits the fact.

Spud and Tommy are seen alone talking about sex a highly private issue since they both have a girlfriend. Their girlfriends also seem to be in confidence with each other. They are comfortable sharing problems: Spud - no sex in a six-week relationship; Tommy - forgetting Lizzy's birthday. He had a ticket for Iggy Pop for the same night. When Tommy dies, Spud sings him a song. This little act shows how much Spud cared for Tommy. Begbie's relationship with Renton is slightly contradictory. Begbie trusts Renton enough to confide with him when he went out with a transsexual without knowing at first. However, Begbie threatens Renton on several occasions, his aggressive nature taking over all emotions. Renton pleases Begbie mainly because he fears him. Renton tries not to oppose Begbie because he is "a psycho" At the end of the film Renton states that he did not care that he betrayed Begbie.

The relationship portrayed between Mother superior and Renton cannot be termed as a friendship because ultimately Mother Superior's business consists of selling drugs to Renton and the rest of the group. Still their relationship runs deeper than the normal dealer-user relationship. Mother superior could have easily dumped Renton somewhere instead of calling a taxi to take him to hospital. However, some may doubt the gesture as generated due to friendship. The audience could believe that paying for the taxi is a little price to pay when compared to all the trouble Mother superior could get if found with a dead body.

Trainspotting could be described as conveying an anti-drugs message, which is portrayed through "character studies rather than a patronizing preach" This film presents its audience with more than one view of drug Throughout the film, the youth characters are frequently seen cooking heroin and injecting the latter into their bodies (, however it also portrays the pain, agony, melancholy and unhappiness that are derived from this drug addiction . One could say that this film is a warning about the fears and perils of drug addiction, mainly heroin addiction .

Trainspotting's anti-drug message mainly lies within the film's ability to illustrate and tackle the reason as to why young people are attracted to drugs. Furthermore the film's power and success into presenting the audience with the negative results, damage and consequences that derive from this type of addiction convey this anti-drugs message more clearly. The film portrays these negative results and damages constantly throughout the film. The film and its characters enter a world of neglect, dieing babies, AIDS, anxiety, depression, boredom and hopelessness. Moreover the other anti-drugs message that derives from this film "goes beyond causes and consequences in explaining that serious drug abuse is itself beyond cause and consequences: Renton asks, "Who needs reasons when you've got heroin?" .

Trainspotting deals with the mid 80's heroin subculture of Edinburgh, "when Pakistani smack had glutted the UK market, becoming, for thousands of ordinary people mired in unemployment, a cheaper means to oblivion than alcohol". It analysis the likelihood of youth subcultures to surpass "their social class contect and form(ing) a class of their own" In this film even "nonravers" are portrayed as drug users, both in a literal sense ("state-sanctioned chemicals like alcohol or tranquilizers") and in a metaphorical sense ("TV, videos, computer games, the adrenaline rush of football violence") .

Hebdige (1979:100) maintains that "style is an intentional communication." Barthes (N.D.) as cited in Hebdige (1979:100), differentiates between "subcultural" and "normal styles." The subcultural style collects those insistent mixtures of clothing, music, jargon and so on, and nearly exhibits a corresponding connection to "the more conventional formulae (normal suits, ties, twin sets, etc.)". The clothes that individuals wear are selected within the constraint of preference, taste, cost etc. Such choices embrace a wide range of messages, which are communicated through the delicately assorted distinctions of a number of "interlocking sets" such as status, self-image and class. Subcultural styles distinguish themselves from normal styles as "they are fabricated and they display their own codes," and this is constantly portrayed throughout the film (Hebdige, 1979:100-101). Through the clothes worn by the characters in the films, they are portraying the message that they do not belong to the "normal culture" but they belong to a class or subculture of their own; "I speak through my clothes" (Eco, 1973 as cited in Hebdige, 1979:100).

Trainspotting can be described as dark humor, but junkies' world over priced the film heartily. It's a film that is mainly about people that do not want to belong. Trainspotting is not the first film about heroin, but the first one that is a 'slap in our faces are both the grim realities of life at the tip of a needle and a freewheeling, pop-music-fueled glorification of the addicts' smack-happy existence' .

The Trainspotting soundtrack was wildly successful in the international charts after the release of the film itself, in the 1990's. The music score is mainly composed of popular music. Sometimes the film takes the semblance of a music video, with conversation kept at a bare minimum. The scene and the soundtrack are complete and enough for the viewer to understand. This is used several times and for different purposes .

In the first ten minutes of the film, we are transfixed; watching as the anti hero Renton and Spud race through the streets and a voice over begins:"Choose life. Choose a job. Choose a career. Choose a family. Choose a fucking big television; choose washing machines, cars, compact disc players and electrical tin openers. Choose good health, low cholesterol and dental insurance. . . ."

This litany goes on and then we get a view of Renton lying in heroin stupor and the voice over ends with:

"But why would I want to do a thing like that? I chose not to choose life: I chose something else. And the reasons? There are no reasons. Who needs reasons when you've got heroin?"

Accompanying this powerful scene is Iggy Pop's 'Lust for Life'. 'Lust for Life', in which the lyrics, are markedly subordinated to Renton's voice-over after the thumping opening few bars, so much so that the only lyrical fragments that can be heard are the opening line 'Here comes Johnny Yen again...' and the choral refrain ('I gotta lust for life'). Incidentally, Iggy Pop is renowned for his past heroin abuse and is mentioned quite a lot in the film. The two eventually come to signify each other - Mark Renton is the central character of the film, and Iggy Pop is the most prominent artist on the soundtrack album. Iggy Pop's music also lends a sense of rebellion to the film. We can notice Iggy Pop's poster in one of the scenes too

Renton's knowledge of new music is limited and this is seen when they go clubbing. Renton is ill at ease; he hasn't been out for a long time and is not in touch with the current music scene. This is where we have the inclusion of the songs Born Slippy and 'For what you dream of'. All this shows how Renton has been so wrapped up into his heroin habit that he is totally put of touch. The only song Renton recognizes is a song originally by Blondie called "Atomic' (an 80's song). The shift in emphasis is evident in Trainspotting itself as, although the musical character of the score gradually shifts from the proto-punk of Iggy Pop through to the more recent waves of dance music

Some of the music was recorded purposely for the film. For example Pulp's "Mile End", which accompanies Mark Renton's moving into a London flat. The lyrics of the song describe the state of the flat he moves into:

"It smelt as if someone had died
The living room was full of flies.
The kitchen sink was blocked
The bathroom sink not there at all..."

Another song created by the group Leftfield for the film is ironically called 'The final Hit'. Throughout the film Renton takes many of his so called final hits. It is mainly an instrumental track, with harmonic chords which contrast with a dark, almost overpowering rhythm track. The contrast between harmony and rhythm may represent Mark Renton's mixed feelings at this point in the film - he desperately wants to give up heroin, but the feeling it gives him is too pleasurable.

As a whole the music used in the film is full of irony. For example when Renton is hallucinating that he is disappearing down the 'dirtiest toilet in Scotland', we hear a mellow piece of ambient music by Brian Eno, aptly called Deep Blue Day. The film takes a surreal twist here and we enter a world of soft sounds and images as Renton swims in a blue ocean. This all contrasts harshly with the reality of Renton digging into a filthy toilet to find his heroin suppositories, while he vomits uncontrollably

All of the songs in the soundtrack of Trainspotting have become significant to people who saw it and associate the songs to the film; to heroin. At this time, the term heroin chic was having great impact in the world. Heroin chic was a trend in the 90's that characterized the "thin, sickly look of junkies. Blank expression, waxy complexion, dark circles under the eyes, sunken cheeks, excessive thinness, greasy hair" were seen on runway models showing the 'heroin chic' look and promoted in popular magazine and fashion circles as 'chic'. This fragile, thin, and drug-addicted look was well-liked in the fashion world. In fact, in 1997 it was the basis of the advertising campaign of Calvin Klein. The heroin chic fashion provided debate and anti-drug groups protested. "Fashion designers, models such as Kate Moss and James King, and movies such as Trainspotting were blamed for glamorizing the heroin chic look and lifestyle"

Former US President Bill Clinton condemned the heroin chic look and the 'heroin chic' fashion photography for sending a message that using the drug is 'glamorous' and 'sexy'. He said, "You do not need to glamorize addiction to sell clothes." As he saw it, the glorification of heroin "is not creative. It is destructive. It is not beautiful. It is ugly. And this is not about art. It is about life and death. And glorifying death is not good for any society" Not surprisingly much of the mainstream press and the dailies were horrified by the apparent glorification of heroin use in the film Trainspotting. Junkies were presented as righteous heroes choosing freedom over the tyranny of consumer society. Suddenly all values were inverted as viewers and readers were invited to identify and empathise with low-lifes who would think nothing of spending all day watching telly and shooting heroin. Trainspotting helped a new morbid fascination with the drug heroin by portraying powerful role models in the movie. For years heroin has been very popular in the lives of young celebrities for example River Phoenix (who died of an overdose in 1992).

Trainspotting was a great hit and could be seen of more than advertisement than a film. Even years after the film was released, the film about heroin addiction is was of the best marketed films that portrays cultural images of the heroin subcultures. Trainspotting has received a cult following. The film addresses both the problems of heroin addiction from a user point of view to an anti-drug point of view. Trainspotting manages to shock us, terrify and disgust us one moment and make us laugh the next. Trainspotting does not really have a plot but simply follow the daily lives of this group of junkies

Drugs are the main focus of this film. In the 1990's a new wave of music and drugs started to emerge. Heroin was seen as old-fashioned (Iggy Pop). With the film Trainspotting heroin was given the spotlight. Characters like Sick Boy and Renton became idols for rebellious teenagers who wanted to experiment in drugs, felt disillusioned, unattached from society. Trainspotting became the bible to this new generation of heroin junkies. They had a soundtrack and idols to emulate. On the other hand one could have viewed the film as it is; an ironic and cynical peep hole into the lives of a group of heroin addicts. The tragedy of the film is apparent to the viewer, but than it is up to the individual to interpret it.