alcohol withdrawal and blood pressure
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Alcohol Withdrawal and Blood Pressure Risks

Alcohol dependency creeps in stealthily, like a thief in the night. What might have begun as an evening relaxation ritual slowly encroached into your daily life. As tolerance to the effects of the alcohol increased, higher consumption seemed to follow. Over time, what started out as a panacea for stress or emotional issues became its own serious problem.

When facing the prospect of getting treatment for an alcohol use disorder, the thought of going through the detox and withdrawal stage may seem daunting. This initial hurdle, one that is essential to recovery, may be so dreaded that it becomes a serious barrier to treatment. In this event it is important to take the long view, to envision detox as just a short-lived challenge to overcome in order to enjoy a life free from the grip of alcohol.

Alcohol detox and withdrawal, however, does come with some risks. Although alcohol withdrawal symptoms can vary significantly from one individual to another, ranging from mild to severe, because of the unpredictable nature of these symptoms it is always advisable to obtain a medically monitored detox. Alcohol withdrawal and blood pressure elevation, or any one of several other serious symptoms, can evolve quickly into a medical emergency.

About Alcohol Use Disorder

Alcoholism is a chronic relapsing disease that impacts brain chemistry and the central nervous system. Once the body has become accustomed to the daily consumption of alcohol it will react when alcohol is withheld, initiating withdrawal symptoms that send you right back to the alcohol for relief. The symptoms of alcohol addiction or chemical dependence include:

  • Unable to stop drinking once started, never feeling sated
  • Being able to drink increasing levels of alcohol
  • Blacking out, having no memory of actions, whereabouts, or conversations
  • Lying about your level of drinking
  • Hiding alcohol from family members
  • Neglecting responsibilities at home or work
  • Relationship problems caused by excessive drinking
  • Attempting to stop drinking but cannot
  • Withdrawal symptoms emerge when attempting to stop

Alcohol use disorder has the potential to cause a slew of significant disruptions and negative consequences in one’s life. These might include:

  • Loss of employment
  • Damage to professional reputation
  • Legal problems, such as getting a DUI
  • Interpersonal problems, divorce
  • Social withdrawal and isolation
  • Financial problems
  • A co-occurring mental health disorder may develop

There are many reasons to take that first step toward sobriety. When facing down the detox and withdrawal phase of recovery, it is best to view it as a necessary first step to a new, healthy, and productive life.

The Importance of a Medically Monitored Detox

When someone with an alcohol use disorder decides to get sober there are some important things to consider. First, it is generally considered a bad idea to attempt to detox without a trained detox team supervising the process. The spectrum of withdrawal symptoms during alcohol detox is wide, from minor tremors and insomnia to the delirium tremens (DTs). Because of the potential for a serious medical emergency occurring during detox and withdrawal, it is usually recommended that the individual have a medically monitored detox.  This type of detox will provide the appropriate medical attention should alcohol withdrawal and blood pressure increases team up to cause a serious medical condition.

A medical detox provides the safest route to sobriety, where trained detox medical providers monitor the detox and withdrawal phase of early recovery. While supervising the process, the detox professional will utilize various medical and holistic interventions to help alleviate the painful withdrawal symptoms. Without this support, the difficulty experienced during detox can derail recovery right at the outset. The detox support team will provide medications, such as benzodiazepines, to assist with anxiety and insomnia, which can also help with alcohol withdrawal and blood pressure spikes, as these drugs are sedatives. In addition, they will access over-the-counter medications to help with fever and chills, nausea and vomiting, diarrhea, and other symptoms. The psychological support provided by a medical detox team is critical to helping the individual get through the challenging detox process and then safely transition to active treatment.

What to Expect During Alcohol Detox and Withdrawal

Upon entering the residential program a thorough intake interview will be conducted.  Health status, addiction history, and mental health history will be assessed in an effort for the provider to anticipate any potential risks during the detox process. The severity of symptoms is determined by various factors identified during the initial evaluation. These factors include:

  • The age of the individual
  • The general health status, if there are any medical conditions present
  • The length of history of the alcohol use disorder
  • The usual amount of alcohol consumed on a daily basis
  • The existence of another substance use disorder
  • The existence of a co-occurring mental health disorder

When an individual abruptly discontinues alcohol intake they will begin to experience withdrawal symptoms within 6-8 hours. Withdrawal symptoms are in response to the brain and central nervous system having made adjustments over time in response to the alcohol. Brain hyper-excitability ensues when the alcohol is withheld, leading to a range of highly uncomfortable symptoms.

Alcohol detox typically occurs in three stages. The first stage begins within 8 hours after the last alcoholic beverage and lasts about 24 hours. During this first stage, withdrawal symptoms include sweating, nausea, vomiting, hand tremors, irritability, and sleep difficulties. The second stage occurs on days 2-4 and involves the most intense symptoms, such as increased heart rate, elevated blood pressure and body temperature, mental confusion, mood swings, alcohol cravings, anxiety, and depression. The final stage, starting at day 4 and lasting 3-5 days, is the phase when symptoms begin to subside.

Alcohol withdrawal symptoms may include:

  • Shaky hands
  • Irritability
  • Nausea
  • Vomiting
  • Sweating
  • Headache
  • Agitation
  • Insomnia
  • Anxiety
  • Confusion
  • Hallucinations
  • Disorientation
  • Seizures

In some cases, unpredictable withdrawals symptoms can suddenly emerge on days 3-4, called the delirium tremens (DTs). For this reason, having medical personnel available who can manage the DTs is essential during the first 3 or 4 days of detox.

What Are the Delirium Tremens (DTs)?

In a small percentage of individuals, or 3%-5%, a medical emergency called the DTs can present a serious medical condition. The DTs might catch the individual completely off guard, which is why the development is so dangerous. In 5%-15% the DTs can lead to death. Alcohol withdrawal and blood pressure that rises dangerously, in addition to these symptoms, requires immediate medical intervention:

  • Grand mal seizures or convulsions
  • Delirium
  • Hallucinations
  • Hypertension
  • Very high fever
  • Cardiac arrhythmias
  • Hyperthermia

Getting help with DTs may mean a hospital stay to help stabilize the individual and improve the outcome. Treatment will involve benzodiazepines and/or barbiturates or phenobarbital, often using IV infusion for quick relief until symptoms stabilized and begin to subside. Dosing is determined by the specific withdrawal signs observed, such as delirium, and will incrementally be reduced over a period of several days once the severe symptoms have stabilized.

How is Alcohol Use Disorder Treated?

Alcohol addiction treatment immediately follows detox and withdrawal, and may involve an extended recovery program. The residential treatment setting provides the highest level of care, with 24-hour support and monitoring and a full schedule of daily treatment elements designed to help the individual overcome the alcohol addiction.

Alcohol recovery elements include:

  • Psychotherapy. Psychotherapy is the cornerstone of alcohol recovery, as it helps the individual examine underlying emotional issues or past traumas so these can be worked through. Cognitive behavioral therapy (CBT) provides a roadmap for making core changes in thought-behavior patterns that have kept a person trapped in addiction behaviors. The recovery skills learned in CBT help reframe disordered thinking into more positive, affirming thoughts.
  • Group sessions. Meeting with peers or family members to discuss topics related to recovery can help those in recovery learn how to communicate, and listen, more effectively.
  • Education. Learning about the impact of alcohol on brain chemistry and structure can be a deterrent to relapse, and includes guiding the individual with relapse prevention strategies and new coping skills.
  • Naltrexone. Naltrexone is a non-narcotic medication that can assist in reducing alcohol cravings and relapse for those who meet criteria for usage.
  • 12-step or similar programming. The meetings provide important peer support and the opportunity to share experiences, challenges, fears, and goals with others in recovery.
  • Adjunctive activities. Rounding out rehabilitation are several activities that augment the evidence-based therapies, including mindfulness training, yoga, massage, art therapy, acupuncture, recreational therapy, EMDR, equine therapy.

The Importance of Aftercare in Recovery

Consider addiction treatment and recovery as an ongoing continuum of care. The detox and withdrawal phase launches recovery, followed by therapy in a residential treatment program. But that is only the beginning of the therapeutic process. Aftercare, or continuing care, in addiction recovery involves ongoing interventions that can help to solidify and support recovery.

Through engagement in activities that reinforce sobriety, the chances of maintaining a sustained recovery are greatly improved. Individuals in early recovery are bound to encounter challenges to sobriety. These challenges may be emotionally overwhelming, possibly triggering a relapse. Aftercare options provide an added safety net where the individual will receive peer and professional support to help navigate these stressors as they occur. Aftercare efforts should include ongoing outpatient therapy, group therapy, and engagement in a recovery community.

Elevation Behavioral Health Provides Medical Detox for Alcohol Use Disorder

Elevation Behavioral Health is a Los Angeles-based residential recovery program that offers medical detox services and comprehensive addiction treatment for individuals with an alcohol use disorder. Our luxury accommodations and stunning setting help to provide comfort and healing while engaging in the comprehensive treatment program. For more information about the program, please contact Elevation Behavioral Health today at (888) 561-0868.

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signs of mania bipolar
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Signs Of Mania Bipolar

Hypomania and mania represent the manic episodes that come with bipolar disorder. While the signs of mania bipolar may at first seem to be a pleasant diversion from the dark depressive episodes that represent the opposite side of the disorder, the manic phase can also be destabilizing and self-destructive. The feelings of invincibility can lead to delusions of grandeur that result in behaviors that are regretted once the manic episode subsides.

People with undiagnosed bipolar disorder will find its symptoms disruptive to all areas of their life. The extreme mood swings will not only impact one’s career, relationships, and psychological wellbeing, but can also affect anyone closely associated with the individual. The signs of mania bipolar can result in family financial problems, incomplete work projects that affect coworkers, and dangerous behavior that can result in injury to others.

Diagnosis of the disorder will begin the process of treating these disruptive symptoms and thereby improve daily functioning. Managing the bipolar disorder will involve ongoing therapy and medication. By adhering to the treatment plan, and continuing to work on psychosocial skills, individuals with bipolar disorder are able to live a productive, fulfilling life.

About Bipolar Disorder

Bipolar disorder, formerly referred to as manic-depressive disorder, is a mood disorder that involves intense mood shifts, alternating between manic and depressive episodes. The depressive episodes feature feelings of sadness, fatigue, loss of interest, slowed movements, changes in eating and sleeping habits, and suicidal ideation. The manic episodes feature extremely elevated mood, lack of sleep, loss of appetite, impulsive or risky behaviors, and excessive talking.

There are varying degrees of intensity of these episodes, so for that reason bipolar disorder has four classifications:

Bipolar I: The individual experiences both manic and depressive episodes that vary in length, but at least one manic episode that includes psychotic features must last seven days or longer for diagnosis. The manic episode may have been shorter but was severe enough to require hospitalization. Mania is more prevalent in bipolar I.

Bipolar II: The individual experiences hypomania instead of mania. Hypomania is a less severe form of mania. Diagnosis will depend on the individual having experienced at least one hypomanic episode and one depressive episode. Depressive episodes are more prevalent in bipolar II.

Cyclothymic disorder: The individual experiences a milder form of bipolar disorder, with episodes of less severe mania and depression that resembles moodiness instead of bipolar disorder, and lasts more than two years. Untreated cyclothymic disorder can develop into bipolar disorder.

Unspecified: This classification involves abnormal mood disorder symptoms that do not fit a specific pattern.

What are the Signs of Mania Bipolar?

The manic episodes involved in bipolar disorder are characterized by an intensely elevated mood state. A manic episode may last a few hours or several days, and may involve psychotic symptoms. The signs of mania bipolar include:

  • Abundant energy
  • Intense euphoria
  • Racing thoughts
  • Excessive talking, rapid speech
  • Reduced need for sleep
  • Difficulty concentrating or staying on task
  • Highly distracted by multiple stimuli
  • Impulsivity
  • Feelings of grandiosity
  • Restlessness
  • Disjointed thoughts
  • Intensified senses, light, sounds, colors
  • Engage in risky behaviors
  • Hallucinations
  • Delusions
  • Paranoia

People experiencing mania may require hospitalization if symptoms include psychosis, or when episodes last several days.

How to Manage the Signs of Mania Bipolar?

When a manic episode ensues the individual may find their symptoms getting out of control. Abnormal energy levels may prevent someone from completing assignments at school or work. Exaggerated self-esteem may come off as a sense of superiority, and seen as off-putting to coworkers and friends. Minimal sleep over several days can impact health and wellness. Impulsive behavior can result in high risk situations that lead to injury or damages.

When the symptoms of a manic episode emerge there may be a very short window to proactively manage the oncoming slate of symptoms. Seeking out the help of a support system and reaching out to one’s doctor or therapist can help prevent an episode from becoming full-fledged. Better yet is taking the steps prior to seeing the signs of an upcoming manic episode. These proactive steps might include:

  • Maintain a regular sleep schedule
  • Avoid alcohol and drugs
  • Learn how to manage stress using relaxation techniques
  • Adhere to medication
  • Continue with outpatient therapy

How Is Bipolar Disorder Treated?

Treatment for bipolar disorder will involve a combination of medication and psychotherapy. In more severe cases, electroconvulsive shock therapy (ECT) may be utilized. Holistic activities, such as taking yoga, getting regular exercise, mindfulness training, and maintaining a healthy diet can also be beneficial for individuals with bipolar disorder.

Medications: Depending on the class of bipolar disorder the medications may include antidepressants, antipsychotics, and mood stabilizers

Psychotherapy: Cognitive behavioral therapy (CBT) is the most used form of psychotherapy for treating bipolar disorder. CBT therapists will guide the individual to identify thought distortions or triggers that lead to the disruptive behaviors, and the change the destructive thought patterns. In addition to CBT, interpersonal and social rhythm therapy and family-focused therapy are helpful as well.

When the symptoms of bipolar disorder are not improving through outpatient mental healthcare, it may indicate that more intensive approach is warranted. A residential program offers more focused and integrative interventions in an environment that is free of the usual triggers or stressors that can result in the mood swings. This allows the clinical team to give the individual more targeted and individualized attention that can benefit them significantly after they complete the program.

Elevation Behavioral Health Provides Luxury Residential Mental Health Services

Elevation Behavioral Health is a Los Angeles-based residential mental health center that offers a wide array of services for individuals in need of a more intensive treatment approach. With a blending of evidence-based and holistic treatment methods, a broader spectrum of care can result. The beautiful private facility offers upscale accommodations and resort-like amenities, which enhance the overall experience while being cared for at Elevation. For more details about our treatment program for bipolar disorder, please reach out to Elevation Behavioral Health today at (888) 561-0868.

 

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Signs of Bipolar Depression Relapse
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Signs of Bipolar Depression Relapse

Living with bipolar disorder can be seen as an exercise in both patience and proactive planning. Patience, because the fact is that bipolar disorder is a chronic and complex mental health disorder that is ever shifting, and proactive planning is key to managing the warning signs of an impending relapse.

And relapse there will be. Bipolar disorder is a lifelong diagnosis, the alternating manic and depressive episodes that one must learn to manage. Even the most valiant efforts to stave off recurrence may fail when signs of bipolar depression relapse are flashing. But doing something is a better option than doing nothing when impending relapse is on the horizon.

Sometimes a relapse will completely surprise the person. There may not be any foreseeable signs of bipolar depression relapse on the horizon—it just happens. Even though the relapse was unforeseen, there are still steps to take to mitigate the symptoms of depression. Living with bipolar disorder is all about management.

About Bipolar Disorder

Bipolar disorder, once known as manic-depressive disorder, is a mental illness that features extreme shifts between manic emotional states and depressive emotional states. In most cases, bipolar disorder appears in the teen or early adult years, and affects 2.6% of the U.S. adult population, or approximately 5.7 million people, according to the National Institute on Mental Illness. Of those diagnosed with bipolar disorder, more than 8 out of 10 will have a severe form of the mental health disorder.

While bipolar disorder is characterized by extreme mood swings between mania and depression, there are variations of the disorder. These include:

Bipolar I Disorder: Features dramatic mood swings between manic episodes and depressive episodes, with normal period between them.

Bipolar II Disorder: Features at least one depressive episode and one hypomanic (less severe than manic) episode. Depression symptoms are more prevalent.

Cyclothymic Disorder: Features milder versions of both mania and depression that occur often.

Bipolar Disorder Not Otherwise Specified: Features the symptoms of mania and depression that do not meet diagnostic criteria.

Common Bipolar Depression Relapse Signs

Although the actual cause of a bipolar relapse is still unknown, there may be a pattern of triggers or situations that can lead to a bipolar depression relapse. Lack of sleep and too much stress are common triggers that can bring on a bipolar relapse. Research shows that at least 75% of those with bipolar disorder will experience relapse, according to a study published in the Iranian Journal of Psychiatry. Bipolar II disorder, which is defined by the prevalence of depressive episodes, is more prone to relapse.

Some of the signs of bipolar depression relapse include:

  • Increasing irritability
  • Restlessness
  • More headaches, stomachaches
  • Change in eating habits
  • Sleep problems
  • Trouble concentrating
  • Fuzzy thinking
  • Difficulty making decisions
  • Avoiding social interaction, skipping school, staying home from work
  • Not taking medication, missing therapy appointments
  • Feeling flat
  • Thoughts of suicide

Anticipate Potential Triggers and Take Preventative Steps

When the signs of an impending relapse are seen, as often they are not and depression can suddenly appear without warning, there are some steps to take to ward off the relapse. Because bipolar is a chronic condition, it may help track the triggers or symptoms of the disorder by keeping a journal. This is a tool that may begin to reveal a pattern of signs that can help the individual become more aware of a forthcoming relapse back into depression.

Also, just anticipating events or situations that might trigger a depressive episode can help prepare for it. Noting on a calendar a few days before a potentially triggering event can help one focus on self-care, to take proactive steps that can possibly diminish the impact of the event. This might include massage therapy, acupuncture, mindfulness meditation, getting quality sleep, eating nutrition rich foods, and seeing the therapist.

Managing Bipolar Disorder

Although there is no cure for bipolar disorder, the condition can be managed using a combination of psychotherapy, medication, and lifestyle adjustments. By being vigilant and proactive with these interventions, an individual can expect to enjoy more stability and overall wellness while living a productive life.

Medication: Mood stabilizing medications, such as antipsychotics and antidepressants, are the most commonly prescribed drugs for treating bipolar disorder. Lithium is the most commonly prescribed medication for controlling bipolar disorder, while anticonvulsants and SSRIs are also utilized often as well. It is important for patients to comply with their medication schedule and dosing to maintain stability.

Psychotherapy: Because thoughts can influence behaviors, and negative thoughts can lead to self-destructive behaviors, cognitive behavioral therapy is an excellent therapy for helping individuals with bipolar disorder. CBT helps one identify and correct the irrational and troublesome behavior patterns associated with bipolar disorder.

Lifestyle: Establishing a healthy routine is an essential aspect of managing bipolar disorder. Sticking to a regular sleep schedule, getting regular exercise, eating nutritiously, and managing stress are all intrinsic to achieving stability and reducing the probability of a relapse.

Even a diligent adherence to these important treatment methods may not deter the signs of bipolar depression relapse. Bipolar disorder remains an unexplained mystery in many ways, including the cycling of relapses. However, by charting thoughts, feelings, situations, trigger exposures, emotional issues, work and family issues, and health conditions, managing pre-relapse situations and taking proactive steps can help avoid the onset of a relapse.

Elevation Behavioral Health Residential Treatment for Bipolar Disorder

Elevation Behavioral Health is a Los Angeles-based mental health provider that provides residential services for individuals with bipolar disorder. When symptoms have worsened and relapse becomes a chronic issue, a stay at Elevation Behavioral Health may provide the intensive and focused care needed. Our expert clinical team will design a customized treatment protocol that addresses each individual’s unique bipolar features for best results. Using a medley of evidence-based therapies and holistic approaches, Elevation Behavioral Health addresses all aspects of the person. For more details about our residential program, please contact Elevation today at (888) 561-0868.

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Anxiety and Inability to Focus
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Anxiety and Inability to Focus

Anxiety disorder can profoundly impact our lives, beyond the common symptoms of sensitivity to stress. One of the ways anxiety can disrupt our daily lives is through impaired cognitive functioning. Anxiety and inability to focus at work or school appear to be interconnected. As anxiety symptoms escalate, the mind struggles to stay on task.  Short-term memory functions are affected by anxiety as well, causing difficulty in remembering tasks or projects that are due, only adding to the work performance challenges.

Nearly one in five American adults are affected by anxiety disorder, according to the Anxiety and Depression Association of America. Learning techniques that can help manage the symptoms of anxiety and inability to focus is an essential strategy for individuals struggling with an anxiety disorder.

About Generalized Anxiety Disorder

The most common type of anxiety is called generalized anxiety disorder, or GAD, with about 3.1% of the population, or nearly 7 million adults, struggling with this mental health disorder. GAD is characterized by pervasive worrying, so much so that it can impair daily functioning. The energy expended worrying about coulda, woulda, shouldas all day can be very taxing, impacting both energy levels and mental functioning. Individuals with GAD tend to ruminate over events that have already occurred, second-guessing themselves, or they may dwell on upcoming events and worry incessantly about anticipated outcomes. Fear and worry drive this disorder, with symptoms that include:

  • Excessive worry
  • Hyper-vigilance
  • Fatigue
  • Irritability
  • Restlessness
  • Sleep disturbances
  • Sweating
  • Trouble concentrating
  • Short-term memory problems

How Anxiety Can Affect Concentration

Individuals who struggle with anxiety often experience symptoms of mental confusion, foggy thinking, forgetfulness, and difficulty concentrating. While these symptoms may ebb and flow depending on the day and the stress load, they can be very frustrating for those with anxiety disorder.

Persistently elevated stress hormones, such as cortisol and adrenaline, are the cause of the brain fog that plagues individuals with anxiety disorder. This stress response has an adverse effect on cognitive functions, such as anxiety and inability to focus and short-term memory functioning. Poor concentration and lack of focus are common symptoms of anxiety disorder.

5 Steps to Help Manage Anxiety Symptoms

Understanding how anxiety can affect cognitive functioning is the first step in creating a strategy for managing the anxiety and inability to focus. By accepting that you will have to make some adjustments to work or study habits, you can begin to put into practice these new methods and begin to improve your mental focus, leading to more productivity and a boost in self-confidence. Some tips for improving cognitive functioning at work include:

  1. Take short breaks often. Instead of attempting to plow through a large block of focused work time, which will lead to wandering attention and loss of interest in the task, break up the work into smaller segments with short breaks in between.
  2. Make a to-do list. Start each day with a list of items that must be accomplished during the day. Allow for free time during the day as well, to intersperse enjoyable activities that will help keep you from burning out.
  3. Practice mindfulness. Training yourself to stay in the moment can help improve focus and concentration on the project at hand. When the mind begins to wander, rein it back in and refocus on the present moment.
  4. Switch tasks. When you begin to find yourself spacing out and losing focus, switch to a different task. Alternating your attention between the two tasks can help relieve boredom and stimulate better concentration.
  5. Mind your own business. Anxiety can lead to excessive worrying about things outside your control. Too often the mind wanders to unproductive worrying that stokes anxiety and inability to focus. Keep your mind on the task at hand.

Residential Anxiety Treatment for Intensive Therapy

For many people with anxiety disorder, outpatient psychiatric services may provide the means to manage the disorder effectively. Some, however, may find their anxiety disorder worsening over time. When reaching the point where relentless worry causes impaired daily functioning due to anxiety and inability to focus at all, a residential anxiety treatment program may be the best treatment option.

The residential anxiety treatment program can take a deeper look into the issues that may be impacting the anxiety using a more focused approach. Upon intake, a thorough evaluation of the anxiety disorder will provide information, such as a detailed medical and psychiatric history and a review of medications, which can allow the psychiatrist to diagnose the specific features of the anxiety disorder. Using this as a template, an individualized treatment plan can be crafted.

The comprehensive treatment approach will involve several therapeutic sessions during the day, such as individual psychotherapy, group therapy, life skills, family therapy, mindfulness training, deep breathing exercises, yoga, and other relevant therapies. Cognitive behavioral therapy can help individuals who struggle with anxiety and inability to focus by identifying disordered thoughts that may fuel the anxiety.

Anxiety Aftercare Services

It is important to continue to receive aftercare services following a residential program in order to reinforce the new strategies learned in treatment. Outpatient therapy is recommended on a weekly basis, which provides the ongoing support needed as the individual transitions back to their regular daily life. These sessions provide the necessary “tune-ups” when new stressors emerge that can trigger anxiety and psychological setbacks.

Finding a support group is also a beneficial aftercare activity. Being able to discuss daily challenges with others who struggle with anxiety disorder provides valuable peer support and creates a sense that one is not alone with these challenges. Group participants can also learn new techniques from each other for managing daily stressors and improving the quality of life.

Elevation Behavioral Health is a Leading Residential Mental Health Center in Los Angeles

Elevation Behavioral Health provides a proven, evidence-based treatment for the full spectrum of anxiety disorders in a residential setting. Elevation offers a warm, intimate escape from the stressors of daily life that keep your mental health reeling. At Elevation Behavioral Health you can focus your energy and attention on learning new ways to manage anxiety and improve focus. For more information about our program, please contact Elevation today at (888) 561-0868.

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severe emotional trauma symptoms
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Severe Emotional Trauma Symptoms

Each of us has a unique and personal emotional history, a story unlike anyone else’s. Not only is our life experience our very own, but so is our temperament or personality, which influences in a significant way how we will respond to the presenting stressors in our lives. When we encounter a traumatizing event, how we as individuals process that experience will draw from our own psychological backdrop.

This means, for example, that if we have a childhood history of sexual abuse, we will respond differently to a sexual assault in adulthood, with deep roots of emotional memory attached to the experience. This compounded trauma may result in a sustained trauma disorder, referred to as post-traumatic stress disorder (PTSD). Someone without an emotional scar from childhood may also experience trauma disorder, however they may not suffer the severe emotional trauma symptoms, and they may be able to process through the traumatic experience at a faster pace.

Because of the individualized response to witnessing or experiencing a traumatic event, it is important to know that seeking psychological support is always helpful. When a trauma has the effect of paralyzing the individual, seriously disrupting daily life and impairing functioning, a residential mental health program would be an appropriate level of care.

Understanding Psychological Trauma

A traumatic event is something that is witnessed or experienced firsthand that creates a sense of deep fear and lack of control over the situation. Examples of traumas might include:

  • Physical assault
  • Sexual assault
  • Atrocities related to military combat
  • Serious auto accident
  • Sudden death of a loved one
  • Serious health event or diagnosis
  • Natural disaster
  • Terrorism

The traumatic event is often something that was unexpected, sudden, unpredicted. The individual experiencing the event may feel powerless, which adds to the severe emotional trauma symptoms. But even life events that evoke a sense of fear of the unknown or a feeling of having no control over the outcome can also be considered traumatic. These might include a divorce, having to relocate suddenly, a parent’s health issues, or loss of a job and other major financial setbacks.

Severe Emotional Trauma Symptoms

Individuals struggling with the aftermath of experiencing a trauma may exhibit a range of symptoms, including psychological and physical. These symptoms may include:

Psychological symptoms of trauma

  • Detachment
  • Emotional numbness
  • Depression
  • Feelings of guilt or shame
  • Irritability
  • Anger
  • Mood swings
  • Confusion
  • Nightmares, flashbacks
  • Loss of interest in usual activities
  • Withdraw from friends and family
  • Obsessive/compulsive symptoms
  • Anxiety

Physical symptoms of trauma

  • Insomnia
  • Dry mouth
  • Change in eating and sleeping habits
  • Vague symptoms of aches and pains
  • Sexual dysfunction
  • Muscle tension
  • Hyper-arousal, easily startled
  • Fatigue

The symptoms that follow a trauma may emerge immediately after the event or may be delayed, even by weeks or months. In some individuals the symptoms continue to worsen over time, culminating in a PTSD diagnosis.

Types of Treatment for Trauma Disorder

Treatment for trauma disorder relies on a blend of therapies and activities as well as medication when indicated.

  • Individual psychotherapy is very beneficial, especially behavior therapies such as cognitive behavioral therapy, prolonged exposure therapy, and dialectical behavior therapy.
  • Group therapy, including family therapy, is also helpful as it allows trauma victims to share about their experience and express their emotions in a safe, supportive setting.
  • Exposure therapy helps reduce the impact of the traumatic memories by incrementally desensitizing the individual to the event by exposing them to triggers.
  • Psychodynamic therapy helps for deep-seated childhood traumas, as this type of therapy explores early experiences to see how they are impacting present life.

Other Therapies for Treating Psychological Trauma

Holistic therapies, such as yoga, mindfulness meditation, massage therapy, hypnotherapy, and guided imagery can be useful in helping the individual overcome the fear-based stress that follows a trauma. These activities all promote relaxation while providing relief from stress.

Eye movement desensitization and reprocessing, or EMDR, is useful for helping to desensitize the individual from the impact of the traumatic memories. In an 8-part program the therapist asks the individual to use their eyes to follow an object or finger back and forth while they discuss the trauma with the person. By focusing their attention on the stimulus it helps to reduce the impact of what they are discussing.

Keeping a journal is also helpful in resolving the pain of a trauma. Just writing down the thoughts, fears, memories, and emotions regarding the traumatic event can help sort out the issues around the trauma while diffusing some of the potency of the memories.

Elevation Behavioral Health Provides Residential Treatment for Trauma Disorder

Elevation Behavioral Health is a residential mental health treatment center in Los Angeles. Elevation treats severe emotional trauma symptoms using an integrated approach that includes conventional evidence-based therapies, medication, EMDR, and holistic therapies. Each individual patient’s unique trauma history will dictate the customized therapy he or she will receive. For more details about our residential program, please contact Elevation Behavioral Health today at (888) 561-0868.

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anxiety makes me feel like i am losing my mind
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Anxiety Makes Me Feel Like I am Losing My Mind

Anxiety can be absolutely debilitating, keeping you in a state of constant fight-or-flight mode at the slightest little trigger. You may attempt to reason with yourself, that this or that stress-inducing trigger is no big deal, but your brain chemistry is locked and loaded to take you through the spectrum of anxiety symptoms—sweaty palms, racing heart, shallow breathing, palpitations—you cannot seem to escape this cycle.

Many who approach a therapist with the complaint, “Anxiety makes me feel like I am losing my mind!” are suffering greatly. They want to find ways to manage the anxiety so they can live a normal, productive life, and that is entirely possible with the right treatment plan. Anxiety treatment is often very effective at greatly reducing the daily struggle with stress that has held you captive.

Help! Anxiety Makes Me Feel Like I am Losing my Mind

Anxiety disorder is a broad category of mental health disorders, each with the commonality of excessive worry or fear driving it. Anxiety disorders are very common, with 40 million people struggling with one each year, according to the National Alliance on Mental Illness. An anxiety disorder is different from the common temporary fear experienced before having to make a presentation or trying out for something. We all experience those very normal sensations when we are out of our comfort zone. Anxiety disorders, however, are very intrusive, often becoming so difficult to manage that it impacts one’s lifestyle.

When someone suffers from anxiety something will trigger a cascade of symptoms, with each type of anxiety disorder having its own unique features. Generally, however, anxiety symptoms include:

  • Feelings of dread and apprehension
  • Being perpetually on alert for danger
  • Racing heart or palpitations
  • Shaking
  • Sweating
  • Hyperventilating
  • Shortness of breath, holding one’s breath
  • Stomach upset, diarrhea
  • Feeling jumpy or restless
  • Insomnia
  • Headaches

Different Types of Anxiety Disorders

The anxiety spectrum of disorders includes:

  • Generalized anxiety disorder: Features constant excessive worry for much of the day, resulting in headaches, muscle tension, nausea, and trouble concentrating.
  • Panic disorder: Sudden and unpredictable feelings of overwhelming terror, causing heart palpitations, shortness of breath, chest pain, and dizziness. May lead to social isolation to avoid having an attack.
  • Social anxiety disorder: Intense and irrational fear of being judged or critiqued. Fear of being humiliated in public. Causes social isolation or minimizing social interaction.
  • Specific phobias: Irrational fear of a specific thing, place, or situation. To manage this fear, the individual goes to great measures to avoid triggers.
  • Trauma disorder, PTSD: Unresolved trauma can lead to avoidance of people, places, or situations that trigger memories of the traumatic event. Flashbacks, nightmares, or repeated thoughts of the trauma stoke anxiety symptoms.
  • Obsessive-compulsive disorder: Obsessive worries about such things as germs, causing harm, or a need for order drives compulsive behaviors that attempt to manage the symptoms of anxiety caused by the obsession.

How to Manage Anxiety

When the symptoms of anxiety have you saying, “Anxiety makes me feel like I am losing my mind,” it is time to meet with a mental health professional. At the initial meeting, a therapist will evaluate what type of anxiety you are suffering from and design an individualized treatment plan to help manage symptoms. Treatment is usually an integrated approach involving psychotherapy, medication, and stress-reducing holistic activities.

Psychotherapy for anxiety disorders will be determined based on the type of anxiety, but cognitive behavioral therapy (CBT) has been effective in helping individuals identify distorted or irrational thoughts and the maladaptive behavioral response to them. CBT then guides the individual toward replacing those with positive self-messaging resulting in constructive, productive behaviors.

Medication for anxiety disorders may involve benzodiazepines (Ativan, Valium, Xanax), drugs that swiftly produce a sedative response to calm nerves. In some cases, antidepressants are used to treat anxiety as well.

Holistic Therapies That Help Manage Stress

Including holistic therapies in the treatment plan is becoming more and more common. This is because these mostly Eastern-inspired activities are excellent complimentary interventions to the traditional psychotherapy. Some of the holistic activities accessed for treating anxiety include:

  • Yoga
  • Mindfulness meditation
  • Guided imagery
  • Hypnotherapy
  • Acupuncture
  • Massage therapy
  • Equine therapy

Elevation Behavioral Health Provides Effective Treatment for Anxiety Disorders

Elevation Behavioral Health is an upscale residential mental health treatment center in Los Angeles. If you recognize that declaration, “Anxiety makes me feel like I am losing my mind,” then seek the treatment you deserve to regain your quality of life. When outpatient care is not providing the results you desire, or your anxiety disorder worsens, consider a residential program where you can focus all of your attention on healing. Treatment is much more intensive and focused in a residential program, and by taking a break from the usual stressors or triggers in your everyday life, a stay at Elevation Behavioral Health can produce a significant and sustained reduction in anxiety symptoms. For more information about our program, reach out to Elevation Behavioral Health today at (888) 561-0868.

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trauma counseling
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Trauma Counseling and Treatment Options

A traumatic experience can remain deeply troubling for a period of time, impacting daily life and overall wellness. Having witnessed or personally experienced a traumatic event may leave psychological wounds and a heightened sense of emotional arousal that can cause impaired functioning, ill health, or relationship problems. While most people who experience trauma will eventually process the fallout, some may go on to develop pot-traumatic stress disorder, a prolonged and more severe form of trauma disorder.

Trauma counseling is a key element in the process of healing after experiencing a shocking or distressing event. A trauma therapist is trained to use specialized therapies that help take the edge off the traumatic memory, allowing the individual to become less sensitive to the memories of it, or the people, places, or situations that may trigger the memories. Trauma counseling, and adjunctive therapies that compliment the counseling, allow the individual to gradually move forward in their lives.

Trauma Defined

So how is a trauma different from any other upsetting event? A traumatic event tends to cause an intense psychological response when the individual feels they are in a dangerous or life-threatening situation. Traumatic events might include a natural disaster, military combat, a serious car accident, a violent physical or sexual assault, or the sudden unexpected death of a close loved one. Trauma often makes the individual feel a loss of control over their safety.

Signs of Trauma Disorder

Living through a traumatic event can shake someone to the core. Trauma symptoms include:

  • Shock
  • Anger
  • Denial
  • Mood swings
  • Flashbacks
  • Nightmares
  • Insomnia or sleep disturbance
  • Persistent feelings of sadness and despair
  • Headache, intestinal problems
  • Feelings of guilt or shame
  • Emotional detachment
  • Feeling isolated
  • Hopelessness
  • Anxiety
  • Trust issues
  • Loss of interest in usual sources of enjoyment, withdrawing from friends and family
  • Substance abuse

What Is Trauma Counseling and How Does It Work?

When an individual is struggling to overcome the effects of the trauma to a point where it is negatively impacting daily functioning and quality of life, it is appropriate to seek treatment. Goals of overcoming trauma include reclaiming one’s personal power, to shift focus from the past to the present, and to reduce the impact that the trauma has on one moving forward.

Mental health professionals use a variety of modalities to help individuals overcome the intense effects of the trauma. These might include:

Trauma-Focused Cognitive Behavioral Therapy.  TFCBT is designed for helping individuals overcome trauma by reshaping the thoughts associated with the trauma that led to the negative emotions and behaviors. By helping the trauma victim express their feelings about the experience, the therapist will show them how those thoughts have led to withdrawal, guilt, loneliness, anxiety, etc. By encouraging the individual to examine the negative thoughts and reframe them in a more productive manner, the trauma loses potency.

Psychodynamic Therapy. This is a longer-term therapy that delves into childhood experiences and how they may relate to issues in their adult life. The insights gained during psychodynamic therapy can help the individual develop a new perspective on those childhood experiences, as well as dysfunctional adult interpersonal relationships, how to rise above them and not allow them to negatively impact their present daily life anymore.

Exposure Therapy. This is a short-term behavioral therapy that helps individuals become less sensitive to the memories or triggers of the trauma. By encouraging discussion of the event and gradually exposing them to the triggers within a safe environment, the impact is gradually reduced over time. This helps with the avoidance behaviors they may have acquired following the trauma.

Adjunctive Therapies for Treating Trauma

In addition to the various traditional psychotherapies used, there are some excellent alternative therapies that compliment and augment those therapies. These include:

Eye Movement Desensitization and Reprocessing (EMDR). EMDR is a type of therapy that helps individuals by desensitizing them to the disturbing memories of the trauma. EMDR is an 8-phase program that focuses on the past, present, and future. The therapist will have the client follow an object or finger back and forth with their eyes while discussing the disturbing memory, the related emotions and beliefs, which has the effect of reducing the impact of the trauma over the course of the sessions.

Neurofeedback. Neurofeedback is a type of biofeedback where the individual’s brain wave patterns and activity can be modified through a computer software program, training the individual to be calmer when thoughts of the trauma arise.

Holistic Activities. Holistic practices can help promote relaxation while reducing stress, which can help in the response to thoughts of the trauma. Managing stress through deep breathing exercises, mindfulness meditation, guided imagery, yoga, massage therapy, and acupuncture can benefit the individual as they heal from the trauma.

When a Higher Level of Care is Appropriate for Trauma Disorder

When efforts to relieve the symptoms of trauma are not successful using outpatient services, it may be necessary to consider a higher level of care. Individuals whose trauma disorder is seriously impacting their daily life and their relationships may benefit from a more focused approach at a residential treatment center. This safe, supportive setting allows the individual to fully focus on getting better without the daily distractions and triggers that have so far impeded that effort. Customized treatment plans will provide the most tailored, intensive treatment approach to healing from the traumatic event and getting one’s life back.

Elevation Behavioral Health Provides Trauma Counseling in a Residential Setting

Elevation Behavioral Health is a residential mental health program in Los Angeles, California. Trauma victims who have not yet been able to move through the residual emotional pain find that the safe, supportive setting of a residential program helps them heal. Leaving the reminders or triggers of the trauma by residing at Elevation Behavioral Health for a period, patients find much needed solace. Individualized treatment plans incorporate a combination of relevant interventions to allow patients to move past the painful memories and regain control over their lives within a compassionate environment. For more information about trauma counseling and treatment options, please reach out to Elevation Behavioral Health today at (888) 561-0868.

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suboxone withdrawal timeline

Suboxone Withdrawal Timeline, Symptoms, and Treatment

Suboxone Withdrawal

Suboxone withdrawal can be painful, difficult, and long-lasting. Although the medication has proven useful for many people, the effects of coming off it can create a challenge.

What is Suboxone?

Suboxone® is the combination of buprenorphine and naloxone, and is used as a method of opioid replacement therapy. Initially introduced in the 1980’s, the mix of buprenorphine and naloxone helps to relieve symptoms of withdrawal from opioids. Whether an individual is withdrawing from Percocet, heroin, or morphine, Suboxone can be an effective aid in treating symptoms of withdrawal.

Buprenorphine is a partial opioid agonist. It is a semi-synthetic opioid derived from thebaine, a compound found in the opium poppy. As a partial opioid agonist, buprenorphine reaches the opioid receptors in the brain and can ease symptoms of withdrawal without producing the strong high that may be experienced with full agonists like heroin or oxycodone.

Naloxone, the other compound in Suboxone, effectively blocks the effects of opioids. When taking naloxone, somebody may use opioids but will not experience the euphoria or high normally produced. In addition to being a part of Suboxone, naloxone is sold as Narcan. Narcan is an injection given to those suffering from opioid overdose, and can reverse the effects of an overdose. When taken with buprenorphine, naloxone prevents a user from getting high from taking opioids.

Generally speaking, Suboxone is prescribed while an individual is coming off an opioid drug. Some individuals take it for a few days, while others may stay on it for months or years. Although the addiction treatment community seems to have varying opinions on it, current research on Suboxone suggests it to be an effective form of treatment.

What Causes Withdrawals?

Withdrawals begin when somebody stops taking Suboxone or lowers their dose. Because an individual has been taking the drug regularly, the brain has grown accustomed to functioning with it present. Lowering your dose can bring withdrawal symptoms, and you may go through Suboxone withdrawal cold turkey if you stop taking it completely. Withdrawal occurs because your brain is adapting to working without the substance present. This can cause a variety of symptoms in the brain and the physical body.

Symptoms of Withdrawal

Symptoms of Suboxone withdrawal may vary greatly. Each person has an individual case, and symptoms are dependent on the length of use, the individual’s health and body weight, and what dose they were taking. People who taper off Suboxone are likely to experience less severe symptoms than those that quit cold turkey. Symptoms of Suboxone withdrawal include:

  • Muscle stiffness and aches
  • Insomnia and daytime sleepiness
  • Indigestion and stomach aches
  • Anxiety and panic attacks
  • Irritability and anger
  • Fever, sweating, and chills
  • Headache and neck stiffness
  • Difficulty focusing
  • Nausea and vomiting

Suboxone Withdrawal Timeline

Suboxone withdrawal length may vary from individual to individual, and there are a variety of factors that may affect the timeline. These factors include how long the individual has been using, what their dose is, their individual weight and health, and the presence of any co-occurring disorders.

The general timeline of withdrawal from Suboxone looks like this:

  • 12-72 Hours

    During the first few days, symptoms generally get worse. They are likely to peak at around 72 hours after your last dose. During these first few days physical symptoms are generally at their worst, and the individual may experience nausea, vomiting, and sweating.

  • 3-7 Days

    During the following few days, an individual will likely experience muscle pain and aches. They also may experience difficulty falling asleep and staying asleep. Mood swings and depression may begin to arise during this first week.

  • 1-2 Weeks

    This period will generally see the symptoms begin to subside. Physical pain will improve, nausea and vomiting will subside, and the body will regain some energy. However, the person may begin to experience severe cravings and mood swings.

  • 2-4 Weeks

    Post-acute withdrawal symptoms may continue for a few weeks. During these weeks, an individual may find themselves experiencing intense cravings, bouts with depression, and irregular sleeping patterns. Because of dopamine depletion, the person may have difficulty experiencing joy or pleasure from normally pleasurable activities for weeks or months.

Suboxone Detox and Treatment

Suboxone is an opioid, and coming off it by yourself can be quite uncomfortable. Many people who try to detox from Suboxone at home end up relapsing due the the discomfort of withdrawal symptoms,, and it’s imperative you receive professional help in coming off the substance. At a medically-managed detox facility, trained clinicians and doctors will help you to come off Suboxone in the most comfortable and safe manner possible.

If you’re wondering how to deal with Suboxone withdrawal, we strongly recommending reaching out for help. At an addiction treatment center, you will be offered medical care, clinical attention, and a set of tools to get off Suboxone and live a healthy life in recovery. Call us today at (888) 561-0868.

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