warning signs of bipolar meltdown
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Warning Signs of a Bipolar Meltdown

Bipolar disorder is a complex and destabilizing mental health disorder that requires specialized interventions and psychiatric expertise to adequately manage. Those individuals living with bipolar disorder struggle daily with the challenges related to this confounding and unpredictable mental health condition.

There are different types of bipolar disorder with unique features, but the prevailing characteristics revolve around intense mood swings, shifting from manic episodes to depressive episodes. Bipolar disorder is a lifelong diagnosis, but with expert care and medication compliance it is possible to achieve normal functioning.

That said, there is a high degree of instability associated with bipolar disorder. Mood swings can escalate to such a degree that they become debilitating. When the disorder becomes so disruptive to daily functioning it may constitute a psychiatric crisis. Knowing the warning signs of a bipolar meltdown can help prevent such a crisis.

About Bipolar Disorder

Bipolar disorder features extreme shifts in mood that are unpredictable and often disruptive to daily functioning. Changes in sleep patterns, eating habits, emotions, and behaviors accompany the mood swings. Individuals with bipolar disorder shift from manic to depressive episodes periodically, often without any predictable pattern. In most cases, bipolar disorder emerges in the teen or early adult years, and affects approximately 5.7 million people, according to statistics provided by the National Institute on Mental Illness. Of those diagnosed with bipolar disorder, more than 80% will have a severe form of the mental health disorder.

It is not yet totally understood how someone develops bipolar disorder. Some of the factors that are recognized as potential causes include a family history of bipolar disorder or mental illness, a problem in brain chemistry that affects mood regulation, a history of trauma or abuse. Certain substances, such as alcohol, hallucinogenics, benzodiazepines, and certain heart and blood pressure medications have been found to provoke symptoms of bipolar, if not the illness itself. Ongoing research is getting closer to understanding the genetic link or brain regulation issue that can cause bipolar disorder.

Manic episode:

  • Elated, euphoric mood
  • Abundance of energy
  • Increased activity levels
  • Insomnia
  • Rapid speech
  • Irritability
  • Feeling jumpy
  • Racing thoughts
  • Engage in high-risk behaviors
  • Take on multiple tasks at once

Managing a manic episode

At the outset of a manic episode the individual may find their symptoms getting out of control. Abnormal energy levels may prevent someone from sitting still and completing assignments at school or work. Minimal sleep over several days can impact health and wellness. Impulsive behavior can result in high-risk situations that lead to injury or material damage.

When the symptoms of a manic episode emerge there may be a very short window to proactively manage the oncoming symptoms, which is why it helps to recognize the warning signs of a bipolar meltdown. Seeking out the help of a support system such as a doctor or therapist can help prevent an episode from becoming full-fledged. Taking these proactive steps might help prevent a manic episode:

  • Medication compliance
  • Avoiding alcohol and drugs
  • Using relaxation techniques
  • Continue with outpatient therapy

Depressive episode:

  • Feeling sad, hopeless, empty
  • Very low energy
  • Trouble concentrating
  • Decreased activity level
  • Forgetful
  • Overeating or under-eating
  • Excessive worry
  • Lack of joy or pleasure
  • Sleep disturbance
  • Excessive fatigue
  • Thoughts of suicide

Managing a depressive episode:

Possibly a stressful or sad event has triggered the episode, but many times it is just a characteristic of bipolar disorder to experience these sporadic bouts of depression. Because bipolar depression can be extreme, it is essential to identify the signs as early as possible that a depressive disorder is emerging.

As with the prevention of a manic episode, being aware of the signs of depression is a proactive response to identifying a bipolar depressive episode. When the patterns emerge, such as sleep problems, extreme fatigue, a change in eating habits, and persistent feelings of sadness, it is important to see the doctor, and also avoid alcohol and drugs. The doctor may make a change in medications or prescribe additional CBT therapy.

Different Types of Bipolar Disorder

There are four different types of bipolar disorder with varied features in terms of which mood episode is predominant. These types include:

Bipolar I Disorder. Bipolar I is the most common and most severe form of bipolar disorder, characterized by manic episodes that last for at least seven days or with manic symptoms so severe that acute stabilization in a hospital setting is necessary. The depressive episodes may last two weeks or more.

Bipolar II Disorder. Bipolar II is defined by a pattern of manic and depressive episodes, but not to the same severity of Bipolar I.

Cyclothymic Disorder. Cyclothymic Disorder, or cyclothymia, is features repeated periods of manic symptoms and depressive symptoms lasting at least two years, however the symptoms do not reach the diagnostic criteria for manic or depressive episodes.

Other Specified and Unspecified Bipolar Disorders. This category includes bipolar disorder symptoms that do not fit into the above categories.

What to Expect in Residential Bipolar Disorder

Even knowing the warning signs of a bipolar meltdown, some individuals with this disorder may find that their efforts to manage it through outpatient practitioners are unsuccessful. Deteriorating bipolar disorder can become debilitating, with serious impairment in daily functioning and a significant reduction in quality of life.

Residential treatment provides a space for healing. In this setting, the individual will be free from external triggers that agitate the disorder, allowing them to attain a sense of calm while receiving specialized treatment. Treatment for bipolar disorder includes the following:

Medication: Mood stabilizing medications, such as antipsychotics and antidepressants, are the most commonly prescribed drugs for treating bipolar disorder. The specific type of bipolar disorder will dictate the medications. Lithium is the predominant medication prescribed for controlling bipolar disorder, in addition to anticonvulsants and SSRIs. Medication compliance is essential for maintaining emotional stability.

Psychotherapy: Thoughts can influence behaviors, and negative thoughts can lead to self-destructive behaviors. Cognitive behavioral therapy (CBT) is the most commonly 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 help them change these destructive thought patterns.

Interpersonal and social rhythm therapy.  IPSRT provide life skills that helps the patient learn how to better predict and manage the bipolar episodes. This therapy focuses on the importance of maintaining a consistent daily routine, in addition to improving interpersonal relations and stress management.

Holistic: Experiential and holistic therapies can aid in the healing of severe bipolar disorder symptoms and promote overall wellness. These activities might include massage therapy, yoga, deep breathing techniques, practicing mindfulness, guided meditation, and aromatherapy.

Lifestyle: Because establishing a healthy routine is an essential aspect of managing bipolar disorder, inpatient treatment centers will counsel patients on diet and exercise. 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.

Minimizing Bipolar Disorder Relapse

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.

Following residential treatment, it is helpful to continue to integrate the holistic methods introduced there into daily life. These practices help to regulate stress, which is a trigger for bipolar. In addition to the relaxation methods, using the new thought and behavior patterns learned through CBT training becomes a foundational coping mechanism. Continuing to receive ongoing outpatient therapy is another aftercare effort that should be included following inpatient treatment.

Bipolar disorder doesn’t only impact the individual, but also affects those within their orbit. Bipolar support groups can be very helpful to both the individual with the disorder and their loved ones, as these groups offer helpful tips and strategies for family members managing life alongside someone struggling with bipolar disorder. Not only with the family support help the family better understand their loved one’s BPD, but it can help to foster a calmer and better functioning family dynamic.

An important aspect of maintaining quality of life following treatment is learning how to spot the warning signs of a bipolar meltdown. Even the most diligent adherence to ongoing continuing care efforts, a relapse is still a possibility. In fact, according to a study published in the Iranian Journal of Psychiatry, at least 75% of those with bipolar disorder will experience relapse. Some warning signs include sleep disturbance, increasing irritability, restlessness, trouble concentrating, isolating behaviors, feeling “flat,” and suicidal thoughts.

Can Bipolar Disorder Become a Disability?

In severe cases of bipolar disorder, where the individual is so impaired by the disorder that they are unable to function effectively on the job, Social Security Disability Insurance (SSDI) benefits may be available. There are various considerations the Social Security Administration will review prior to approving benefits, but knowing that a bipolar disability may warrant SSDI benefits provides peace of mind to individuals with extreme cases.

The SSA Blue Book details the evaluation criteria that will determine whether the person meets the eligibility threshold. Generally, benefits will be considered if impairment exists in the work environment after a history of consistent manic and/or depressive episodes resulting in two of the following three restrictions:

  • Severe limitation of daily activity
  • Inability to interact normally with coworkers or management
  • Deterioration of mental health despite treatment that helped previously

Regardless of whether the applicant for SSDI meets the above criteria, they can still qualify if they have a medical history that documents a minimum of two years with a diagnosed affective (mood) disorder, including bipolar disorder.

Elevation Behavioral Health Treats Bipolar Disorder

Elevation Behavioral Health is a Los Angeles-based residential mental health center that offers a wide array of services for individuals in need of more intensive intervention for bipolar disorder. Using a blend of evidence-based and holistic treatment methods offers a more comprehensive approach. The beautiful private facility offers upscale accommodations and spa-like amenities, which enhance the overall treatment experience. 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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Chronic Fatigue and Anxiety
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How to Manage Chronic Fatigue and Anxiety

Anxiety can leave us feeling perpetually wound and on edge. In fact, it is common to picture someone with anxiety as super high strung and irritable, ready to pounce. In reality, living with an anxiety disorder can be absolutely draining. Chronic fatigue and anxiety, therefore, often go hand-in-hand.

If you find yourself on fumes much of the time, it is important to consult first with a physician. The symptoms of chronic fatigue can be caused by a medical condition all on its own, such as chronic fatigue syndrome. However, fatigue may also be a symptom of a medical condition, such as chronic fatigue syndrome, or a side effect from a medication. These possible explanations for the chronic fatigue and anxiety should be ruled out first through a physical examination. If no health condition is present, however, the fatigue and stress being experienced may be due to an undiagnosed anxiety disorder.

About Anxiety Disorder

Generalized anxiety disorder, or GAD, is the most common of the anxiety disorders. Nearly 7 million adults, or 3.1% of the adult population, struggle each year with GAD, according to the Anxiety and Depression Association of America. The symptoms of GAD include:

  • Excessive worry
  • Feelings of fear or dread
  • Irritability
  • Trouble concentrating
  • Hyper-vigilance
  • Fatigue
  • Restlessness
  • Racing heart
  • Chest pain
  • Sleep disturbances
  • Sweating
  • Short-term memory problems

GAD is just one type of anxiety disorder. Within the spectrum of anxiety fall several more types, including:

  • Social anxiety disorder
  • Panic disorder
  • Specific phobia
  • Agoraphobia
  • Separation anxiety disorder
  • Selective mutism

Other mental health disorders that share traits with anxiety disorder include obsessive-compulsive disorder and post-traumatic stress disorder.

Why Does Anxiety Cause Chronic Fatigue?

Living with anxiety, regardless of the specific type within the spectrum of anxiety disorders, can be utterly exhausting. Anxiety churns so much energy on worry and fear, constantly elevating the stress hormones cortisol and adrenaline. This leads to physical and mental fatigue.

When the body is in the fight or flight mode it activates the stress response. This is how human beings are hardwired, fulfilling an innate survival instinct in response to a perceived threat. Someone struggling with an anxiety disorder can experience this stress response over and over in a given day, depleting the body’s energy reserves and resulting in the state of fatigue.

What are the Signs of Chronic Fatigue and Anxiety?

These piggyback disorders tend to manifest in a variety of ways that can lead to impairment in daily functioning. This is due to the unrelenting fear response that never allows the individual to replenish their emotional reserves. The term that applies to this condition is “stress-response hyperstimulation.” Anyone who has ever experienced a panic attack understands this. While in the grip of a panic attack event the body is experiencing a collection of involuntary responses, such as hyperventilating, racing heartbeat, nausea, sweating, chest pain, and headache which all require expended energy. After the panic attack has passed, the person feels emotionally and physically spent.

Some of the signs of the connection between anxiety and chronic fatigue include:

  • Sleep disturbances. Someone with an anxiety disorder may find themselves struggling to fall asleep or stay asleep, or feeling exhausted even after getting plenty of sleep. Tossing and turning while worrying about work, finances, children, or relationships can keep your body in an emotionally hyper-aroused state, leading to symptoms of chronic fatigue.
  • Loss of Appetite. The body needs a certain number of calories and consistent good nutrition to function optimally. When in constant stress mode you may experience a diminished appetite, which then in turn causes you to feel fatigued. Lack of appetite as a result of anxiety can lead to chronic fatigue symptoms.
  • Brain fog. When we are emotionally taxed beyond our ability to manage the situation or demands of daily life we may find ourselves shutting down. Brain fog is a classic symptom of an anxiety disorder, due to the over-exposure to stress and issues that feel overwhelming.
  • Burnout. Mental burnout is very common in this fast-paced society. When the individual feels overwhelmed and overworked, they may find themselves nodding off at work or needing to take naps. Chronically elevated anxiety may be a contributing factor to the burnout and fatigue.
  • Mood swings. Mood swings are a common symptom of anxiety disorders. Moodiness can zap energy as well as lead to other interpersonal drama, all of it causing emotional strife and stress. This can contribute to the symptoms of chronic fatigue.
  • Even caffeine doesn’t help. One sign that anxiety may be stealing your energy and leaving you chronically fatigued is when you do not get a boost from an energy drink or a cup of coffee as you had in the past.

Using Holistic Therapies to Help Manage Chronic Fatigue and Anxiety

Stress can have a powerful impact on our physical and mental wellness, potentially contributing to health complications and mental health disorders. Relying on some stress-reducing holistic therapies can help calm the mind and reduce both chronic fatigue and anxiety. Some effective stress-reducing techniques include:

  • Mindfulness. Mindfulness involves practicing a type of meditation where the individual trains the mind to focus on the here and now, to remain in the moment.  By reining in distracting or disturbing thoughts, it is possible to redirect attention to the body’s sensations, such as breathing, as well as what you hear, touch, or see. This can help diminish anxiety, thus reducing fatigue.
  • Yoga. Yoga classes are offered in a variety of disciplines, so experiment with the different types of yoga at a local gym or via YouTube videos or apps. Yoga can benefit the individual in achieving deep mental and physical relaxation while also controlling anxiety levels, which can help reduce feelings of chronic fatigue.
  • Massage. Therapeutic massage can be beneficial for releasing symptoms of anxiety in the body by releasing the toxins that stress causes. Massage also relieves muscle tension caused by stress and worry by decreasing levels of the stress hormone, cortisol. At the same time, a relaxation massage can produce the feel-good hormones, neurotransmitters serotonin and dopamine.
  • Guided imagery meditation. Another excellent form of meditation that helps combat anxiety is guided imagery. These recordings, apps, or YouTube videos offer a guided journey using visual descriptions or prompts that help lead the individual toward achieving relaxation and inner calm.

Evidence-Based Therapy for Anxiety Disorder

Individuals struggling with anxiety disorder may find that outpatient psychiatric services provide adequate tools to help manage the disorder effectively. However, for those who notice their anxiety disorder worsening over time, including further impairment in daily functioning, a residential anxiety treatment program may be the most appropriate treatment option.

A residential anxiety treatment program is beneficial for many reasons. By residing at the treatment center for a specified period of time, the individual is able to separate from the usual triggers that elicit the stress response and focus their energy on learning how to better manage these responses. A much more focused treatment approach allows for a deeper look into the issues that may be impacting the anxiety. Upon intake, a thorough evaluation of the anxiety disorder will provide important information, such as a detailed medical and psychiatric history and a review of medications, which allows the psychiatrist to diagnose the specific features of the anxiety disorder. Using this as a template, a customized treatment plan is designed.

A comprehensive treatment approach includes a variety of therapeutic elements throughout the day, including:

  • Evidence-based psychotherapy. Cognitive behavioral therapy can help individuals who struggle with anxiety by helping them identify irrational thoughts that may fuel the stress response. Exposure therapy and other trauma-focused psychotherapies can help individuals confront past traumatic experiences that could be contributing to the anxiety disorder.
  • Medication. Some individuals may benefit from medications that help minimize anxiety, such as benzodiazepines and mood stabilizers.
  • Group support. Small support groups made up of others struggling with anxiety and led by a licensed therapist can help participants process the past traumas or recent situations that provoke anxiety.
  • Family therapy. Family-focused group allows family members to learn more about their loved one’s struggle with anxiety and how to be supportive of their efforts to manage it going forward.
  • Holistic therapies.Therapeutic activities that promote relaxation include mindfulness training, deep breathing exercises, yoga, aromatherapy, and art therapy.

The Role of Diet and Exercise in Managing Chronic Fatigue and Anxiety

Restoring overall health through diet and regular exercise is an essential aspect of managing anxiety. In addition to sticking with a healthy Mediterranean diet, there are actually certain foods that can help quell feelings of anxiety, including:

  • Yogurt
  • Whole grains
  • Salmon and other fatty fish
  • Pumpkin seeds
  • Brazil nuts
  • Eggs
  • Tumeric
  • Dark chocolate
  • Chamomile tea
  • Green tea

Getting regular physical activity is another positive lifestyle tweak in combating anxiety and fatigue. Cardio-focused activities, such as walking, running, swimming, cycling, and dance can help reduce cortisol levels while releasing endorphins and stimulating dopamine. Together these biochemical responses help regulate emotions while improving sleep quality and elevating mood.

Elevation Behavioral Health Los Angeles Residential Anxiety Treatment

Elevation Behavioral Health provides upscale residential mental health treatment, addressing the full spectrum of anxiety disorders. The intimate size of our holistic and evidence-based program provides a more attentive clinical staff that will partner with you, guiding you toward healing and recovery from this challenging condition. Our personalized treatment plans allow our clinical team to target the specific features of an individual’s anxiety disorder. For more information on how to overcome anxiety, please contact our team at (888) 561-0868.

 

 

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i feel hopeless
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I Feel Hopeless Living with Depression

It feels like a weight on your chest, depression does. That heavy feeling that zaps your energy and motivation, and stealing your quality of life. When battling depression, you struggle to find something, anything, to be grateful for, but usually find yourself saying to yourself, “I feel hopeless,” instead.

The idea of being hopeless is a total absence of the feeling that circumstances will improve with time. When in the pit of depression, it truly feels like that, as if all hope is lost. Depression is mysterious and complex, incomprehensible even. Why does it strike? What brings it on?

For individuals telling themselves daily, “I feel hopeless,” there is not always a clear path to recovery from a depressive episode. Some simply live their days out by suffering in silence, others retreat into isolation, and some begin to abuse alcohol or pills as a means of self-medicating depression. Most just wish they could snap out of it.

Knowledge is so important when it comes to understanding this mental health disorder, as it provides the key information that could give the person suffering a pathway out of the darkness of depression. Learn about the signs and symptoms of major depressive disorder, and about treatment options for managing it.

Understanding Depression

If you are struggling with depression you are in good company. More than 17 million Americans are affected by major depressive disorder annually, according to the National Institute of Mental Health. To date, science has not yet discovered the specific root cause of depression, however the following are known risk factors for developing the mental health disorder:

  • Family history of depression
  • Faulty mood regulation due to brain chemistry imbalance
  • Stressful or distressing life events, such as the unexpected death of a loved one, divorce, job loss, serious health challenge
  • Medical conditions, such as diabetes, MS, cancer, and Alzheimer’s disease
  • Medications that have depressive side effects

The DSM-5 criteria for diagnosing depression involves five or more of the following symptoms have been present most of the time for more than two weeks:

  1. Persistent depressed or sad mood
  2. Deep fatigue
  3. Recent unexplained weight gain or loss
  4. Difficulty concentrating or making decisions
  5. Slowed movements and cognitive functioning
  6. Lack of interest in the activities once enjoyed
  7. Persistent feelings of hopelessness and despair
  8. Irrational feelings of guilt or shame
  9. Thoughts of suicide

Treatment for Depression

What may have begun as a bout of the blues becomes concerning if the symptoms persist for more than two weeks. Symptoms of depression can be very disruptive to daily functioning, impairing job performance, parenting duties, academics, and relationships. If an individual is contemplating self-harming behavior such as a suicide it constitutes an urgent condition that should be acted on immediately. If no such acute event is present, then a visit to one’s medical primary care provider is a good first step. The doctor will conduct a thorough physical exam and order blood tests that will usually identify whether a medical condition is at the root of the depressive symptoms. If there is no related health problem, clinical intervention is appropriate.

Treatment of major depressive disorder follows a specific protocol involving antidepressants and psychotherapy:

Antidepressants. There are four categories of antidepressants on the market, including SSRIs, SNRIs, tricyclic antidepressants, and MAOIs. With about 30 different antidepressants available, the doctor will attempt to select the one that is best aligned for the patient’s specific diagnosis. There are various types of depressive disorders and each one may correspond to a particular type of antidepressant. Generally, antidepressants take about 4 weeks to begin alleviating the depression symptoms. It is common for a patient to trial 2 or 3 drugs before finding the right fit with the least side effects.

Psychotherapy. Psychotherapy is prescribed alongside the antidepressants to provide an opportunity for the patient to work through any contributing emotional or psychological issues, such as grief and loss, a history of trauma or abuse, or relationship struggles. A therapist often employs the use of cognitive behavioral therapy (CBT) in depression treatment, as this type of short-term therapy can help patients reshape their thought patterns toward more positive self-talk.

Holistic therapies. Complementary therapies can enhance the effects of the traditional therapies by helping the individual achieve a more relaxed and peaceful state of mind. Psychiatry has begun to add holistic therapies to the treatment plan, such as mindfulness meditation, yoga, acupuncture, massage, gardening therapy, equine therapy, and art therapy.

Brain stimulation technology. Antidepressants are effective in up to 70% of depression patients, leaving a significant number of individuals in need of an alternative treatment route. One of the most promising alternative depression treatments is TMS therapy, a brain stimulation technology that helps normalize brain chemistry in the limbic region. TMS is usually prescribed for a 4-6 week period. TMS therapy is considered safe, with few side effects.

When a Higher Level of Care should be Considered

If chronic feelings of hopelessness are becoming concerning it is appropriate to seek a residential mental health program. Although feelings of despair are just temporary and will eventually pass, sometimes in the thick of if it may seem as if things will never change. This can cause some to consider harming themselves.

When this is the case, it is important to receive the highest level of mental health oversight. A residential mental health program will offer constant support and monitoring, as well as a more targeted approach to treating depression. The length of stay in a residential program is determined by the severity of the condition and whether there is a co-occurring substance use disorder. The residential setting provides a safe place to detach from daily life and focus all attention on getting well.

The residential rehab for depression treatment program will include a review of and adjustment of medications, intensive psychotherapy, and holistic activities. Treatment plans are individualized based on a careful intake process that includes psychological assessments, interviewing the individual, and reviewing mental health and medical history.

Moving Beyond Black or White Thinking

The mind is very powerful, with the potential to make substantive changes in our mental outlook and attitude. Negative, self-defeating thought patterns can keep us stuck in a hopeless place. Hopelessness involves thought patterns that are disordered. The individual suffering from depression might see their circumstances through a black or white lens; that nothing will ever improve if it hasn’t yet. These are the if-then thoughts—“If I don’t get that job then I will lose my home”—that limit our potential and trap us. These polarizing types of thoughts can become self-fulfilling prophecies, almost as if you are talking yourself into that dark corner of hopelessness.

In depression recovery it is important to soften the hard lines of these kinds of thoughts. Look for the gray area, or create it. Instead of thinking, “I feel hopeless,” why not shift that negative self-talk to something more constructive such as, “I might have felt hopeless lately, but I know that things will change eventually.” This small adjustment offers the reintroduction of the concept of hope, and hope is what gets us out of bed each morning. Instead of replaying that false narrative in your mind, the self-limiting story that you have convinced yourself is real, why not challenge that narrative? Break it down, analyze it, and then rewrite your story.

Be Kind to Yourself

Another aspect of depression recovery involves self-care. Depression can take a heavy toll on a person. Lack of sleep, fatigue, and unhealthy eating habits can leave us feeling depleted both physically and mentally. While in recovery, it is important to restore wellness by taking time to care for ourselves.

Getting daily exercise offers significant benefits to overall wellness. Physical activity produces the feel-good chemicals called endorphins, which can lead to elevated mood. Exercise also increases the production of certain neurotransmitters, serotonin, norepinephrine, and dopamine, all which help regulate stress and improve mental wellbeing.

Another important aspect of self-care is getting quality sleep. Keeping a regular sleep schedule is key to regulating the circadian cycle for a quality night’s sleep. Always aim for a minimum of 7 hours, with 8 hours being optimal. To help achieve quality sleep, practice additional self-care activities such as taking a warm bath before bedtime, using lavender essential oil aromatherapy, and avoiding heavy meals and caffeine late in the day.

Indulge yourself occasionally with a therapeutic massage. Massage can help detoxify the body and lymphatic system while reducing muscle tension and stress. In addition, massage provides human touch and a sense of connection and comfort.

Feelings of hopelessness are transient, if we allow them to be. Instead of fixating on self-defeating thoughts, be kind to yourself and seek affirmations, comfort, and hope through the aid of holistic depression treatment.

Elevation Behavioral Health Provides Integrated Depression Treatment

Elevation Behavioral Health is a luxury residential mental health treatment center in Los Angeles County. Elevation Behavioral Health provides an intimate setting for individuals in need of a peaceful place to heal from depression. This mental health and wellness program for depression is based upon a foundation of proven therapeutic modalities, such as CBT and DBT. Added to that are holistic therapies, such as yoga, mindfulness training, and meditation, to offer a fully integrated approach for treating depression. If you find yourself stating, “I feel hopeless,” it is time to see the support compassionate therapists who can guide you toward wellness. For more information, please contact Elevation Behavioral Health today at (888) 561-0868.

 

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What are the early warning signs of psychosis
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What Are the Early Warning Signs of Psychosis?

If you or a loved one is experiencing the signs of a psychotic episode it can be an extremely frightening experience. Psychosis refers to a loss of contact with reality, when perceptions are altered to the point that it is difficult to know what is real or a figment of the imagination. A psychotic break often constitutes an urgent psychiatric event that necessitates acute stabilization within a hospital setting.

Psychosis is a symptom of a mental or physical illness, trauma, or substance abuse, and not an illness itself. In most cases, there are symptoms that precede the psychotic episode. There might be gradual changes in the individual’s usual behavior or demeanor that foretell the onset of the psychosis. So, what are the early warning signs of psychosis?

What Are the Early Warning Signs of Psychosis?

In most cases, psychosis does not just appear out of the blue one day. There are certain warning signs, although non-specific at first that usually precede a psychotic episode or psychosis. These include:

  • Depressed mood
  • Sleep disturbance
  • Inattentive to personal hygiene
  • Social withdrawal, isolating behaviors
  • Decline in functioning at work, at school, or in self care
  • Anxiety
  • Difficulty concentrating
  • Mood swings
  • Feeling uneasy around others
  • Difficulty communicating thoughts
  • Having strong inappropriate emotions or no emotions at all
  • Fatigue, decreased motivation
  • Difficulty managing daily stress

While these symptoms are not necessarily specific to the onset of psychosis, they do provide an opportunity to see a doctor so further evaluation can be conducted. If wondering what are the early warning signs of psychosis, and recognizing them here in this list, it is appropriate to be assessed.

The next level of early warning signs of psychosis include:

  • Acquiring odd beliefs or expressing magical thinking. This can include claiming to experience déjà vu frequently, thinking that others can read their thoughts, or thinking that a dream is actually reality.
  • Being suspicious and mistrustful of even of friends, family members, teachers, thinking they are out to get you or are watching you
  • Going off on tangents in conversation, odd speech patterns, talking in circles, talking to self
  • Perceptual incongruence. This includes claiming to see shadow people, sounds seeming louder that usual

When these “attenuated” symptoms worsen over the course of a year there is a possibility that the person is at risk of developing psychosis.

Symptoms of Psychosis

While psychosis encompasses a wide range of symptoms, two primary characteristics define it. These include

Hallucinations: A hallucination is the experience of hearing, seeing, or feeling something that is not actually there. This can include hearing voices, seeing glimpses of people or objects that are not really there, or feeling strange sensations.

Delusions: Delusional thinking involves having strong convictions and beliefs that are inconsistent with the individual’s cultural identity, and are likely to be false. This includes such things as thinking some external power or force is controlling behaviors and thoughts, or that the individual him or herself has special powers, or believes that they are God.

Psychotic Disorders

When a mental health condition has psychosis as a primary symptom, it is then classified as a psychotic disorder. About 3.5% of the population will experience psychosis at some point, according to an article published in JAMA Psychiatry. Although psychotic disorders are among the most complex mental health disorders to treat, with a comprehensive approach to treatment, an individual with a psychotic disorder can learn to manage many of the symptoms in day-to-day life.

The different types of psychotic disorders include:

  • Schizophrenia, which may involve hearing or seeing things that are not there, delusional thoughts, erratic behavior, angry outbursts, moodiness.
  • Schizophreniform disorder is like schizophrenia but is a temporary disorder lasting one-six months in duration, and tends to affect teens and young adults.
  • Schizoaffective disorder, which combines features of schizophrenia with a mood disorder involving depressive or manic episodes.
  • Delusional disorder is characterized by false beliefs that the individual truly believes are true, such as thinking someone is out to murder you or your spouse is having an affair, for example, which lead to impairing behaviors.
  • Brief psychotic disorder is a short-lived disorder that is sometimes triggered by a traumatic event, such as the death of a loved one or a car accident that lasts less than one month.
  • Shared psychotic disorder is one that involves two people who both believe in a delusional situation, such as a husband and wife who both believe the same absurd delusion.
  • Substance induced psychotic disorder is the presence of hallucinations or delusions occurring as a withdrawal symptom for several drugs, including alcohol, LSD, opioids, cocaine, benzodiazepines, amphetamines, and PCP.

What Causes Psychosis?

Psychosis is still being studied therefore the exact cause of the condition is still unknown. However some factors are thought to increase the risk of developing psychosis, including:

  • Mental illness. Psychotic features are present among the mental health disordered listed above.
  • Health conditions. Some illnesses, such as Parkinson’s disease, Alzheimer’s disease, brain tumors, strokes, HIV, and traumatic brain injuries may cause psychosis.
  • Substance abuse. Hallucinogenic substances such as LSD, marijuana, and PCP can cause psychotic reactions and may increase the risk of psychosis in some individuals. Amphetamines and some prescription medications can also have these side effects.
  • Trauma. Some traumatic events, such as a sudden death, sexual or physical assault, or military combat can possibly contribute to developing psychosis.

A psychotic episode or psychotic break refers to the onset of the prevailing symptoms of psychosis, such as delusions and hallucinations.

How is Psychosis Treated?

Treatment for psychosis is multidimensional. If the individual experiences a severe psychotic break, hospitalization will be necessary in order to subdue the individual with acute stabilization procedures. In this event, the patient is segregated from other patients and may need to be restrained initially to reduce the risk of harm to self or others.

Most individuals with the symptoms of psychosis will likely be treated through their mental health provider. Private practice interventions include medications, such as antipsychotic drugs. These include risperidone, olanzapine, ziprasidone, zotepine, sertindole, clozapine, aripiprazole, and amisulpride. These medications help to tame the overt symptoms of the condition.

The individual will also benefit from outpatient therapy that focuses on managing thoughts and behaviors. Psychotherapy might include cognitive behavioral therapy, family therapy, and psychoeducation efforts.

Living with psychosis can be challenging, as it impacts relationships, daily functioning, and the quality of life. There are some specialized services available, such as Early Psychosis Intervention Clinic (EPIC) that can significantly improve functioning.

Residential Treatment for Mental Illness

If outpatient treatment options have not managed the symptoms adequately, or the symptoms continue to worsen, it is appropriate to consider a higher level of care. This becomes evident when the individual is struggling to perform even basic functions, has become isolated, has developed a co-occurring substance use disorder, or is vulnerable to exploitation, abuse, or suicide. Residential treatment provides the more intensive and targeted treatment protocols within a safe, structured setting.

Residential treatment encompasses the following interventions:

Medication management. Medication will be prescribed depending on the specific diagnosis. In many cases medication will include antipsychotics, benzodiazepines, antidepressants, and mood stabilizers. For some individuals with a psychotic disorder, these medications will necessary to help manage the disorder on a daily basis, and will likely be prescribed for a lifetime.

Psychotherapy. While in a residential treatment the individual will be involved in various types of psychotherapy. The focus for therapy involves helping the individual recognize irrational thoughts and behaviors and to replace those with healthy thought-behavior patterns. Types of psychotherapy suited for psychosis include:

  • Cognitive behavioral therapy
  • Cognitive enhancement therapy
  • Social recovery therapy

Family psychoeducation. Family-focused therapy can assist family members by guiding them toward forming healthy boundaries, learning more effective communication techniques, and generally teach the family how to resolve conflicts and solve problems together.

Holistic therapy. Holist therapies are often utilized as complementary treatment for psychosis or other mental health disorders with psychotic features. Activities such as yoga, mindfulness training, guided meditation, acupuncture, and massage therapy are helpful in controlling stress and promoting relaxation. Patients can learn how to initiate mindfulness exercises on their own at any time of day, which is helpful when sudden symptoms emerge.

There are intensive case management programs that offer community support and transitional housing to help individuals with a psychotic disorder to integrate back into the community following residential treatment. Coordinated Specialty Care (CSC) is a treatment approach that uses a team of mental health professionals and specialists who help the individual in a variety of areas. Another approach that also provides assistance for individuals with mental illness is called Assertive Community Treatment (ACT). Services include:

  • Case management
  • Psychotherapy
  • Family support and medication
  • Support groups
  • Help with education and employment
  • Teach patients how to manage daily problems proactively
  • Help encourage patients to take their medications

CSC can offer someone a well-rounded source of adjunctive support over and above medication and psychotherapy for the best possible outcome for living with a psychotic disorder. Early detection and intervention will lead to a more positive clinical outcome, so if you or a loved one are experiencing the early or attenuated symptoms of psychosis, make an appointment with your doctor to be evaluated.

Elevation Behavioral Health Residential Mental Health Treatment

Elevation Behavioral Health is an upscale, private residential mental health treatment center serving Los Angeles, California. In this luxury, intimate setting, individuals experiencing psychosis will receive the most effective therapeutic interventions within a compassionate and nurturing environment. Elevation Behavioral treats all forms of mental health disorders, including psychotic disorders, using a proven integrated approach. If you are wondering what are the early warning signs of psychosis, contact our compassionate team at Elevation Behavioral today at (888) 561-0868.

 

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I Don’t Want to Get Out Of Bed Anymore

Our mental health may be more fragile than we realize, sometimes even completely sidelining us. We each have a certain capacity to withstand distressing events or situations, accessing our personal coping skills and emotional reserves as needed. But when events begin to spiral and multiply, those reserves may become depleted and any coping skills we have can become totally ineffective. This is when a depressive disorder can set in.

Depression is a very common mental health disorder, impacting more than 17 million Americans every year, according to the National Institute of Mental Health. Depression takes a toll on families and employers, as the individual suffering from depression becomes increasingly disconnected from their daily responsibilities. Depression is also hard on relationships, causing frustration and confusion, and destabilizing marriages and friendships as a result.

When depression becomes so severe that you say, “I don’t want to get out of bed anymore,” it is time to get some help from a mental health provider. There are effective treatment methods available to help manage depression symptoms and improve overall quality of life.

The Signs of Severe Depression

It is difficult to describe severe depression to someone who has never experienced it. Family members and loved ones may wonder why you can’t just snap out of it and get back to functioning normally. It helps for these individuals to have a better understanding of just what depression, especially severe depression, looks like. Symptoms include a cluster of the following:

  • Hopelessness. Negative emotions and dark thoughts begin to gather critical mass in major depressive disorder, such as feelings of hopelessness, despair, guilt, worthlessness, helplessness, and shame. The individual sees him or herself in a negative light, and may blame themselves for perceived faults and flaws.  As these thoughts become more pervasive and self-esteem plummets, the threat of self-harm increases.
  • Changes in Eating Habits. When someone is suffering from major depressive disorder there may be a sudden change in their weight. Some may experience an increased appetite and eat more as a coping mechanism, resulting in weight gain.  Others may become so depressed that they have no desire to feed themselves or take care of their nutritional needs, leading to weight loss.
  • Loss of Interest.  One of the predominant signs of severe depression is the individual’s sudden loss of interest in activities or hobbies they once enjoyed. While in the darkness of depression, these individuals have no desire to attend social events or to socialize at all. This can eventually include going to work where feel forced to interact with coworkers.
  • Sleep Disturbances. Severe depression can cause changes in sleep habits and rhythms. In some cases the individual wants to sleep excessively (hypersomnia). Major depression can also cause an inability to fall asleep or stay asleep (insomnia), featuring fragmented sleep patterns.
  • Anger or Irritability. Anger symptoms are more prevalent in depressed men, although depressed women can also exhibit mood swings and irritability. The source of the anger may be due to feeling frustrated, or possibly the result of feeling out of control and unable to shake the depression. Depression can cause the individual to be easily annoyed and even prone to violent outbursts.
  • Excessive Fatigue.  A pronounced loss of energy is one of the common signs of severe depression, leading to comments such as “I don’t want to get out of bed anymore.” The individual feels so exhausted they can barely function. Even daily personal hygiene or fixing meals requires too much effort, so the individual may spend the majority of time in bed due to feeling drained.
  • Increased Substance Use.  Individuals with depression may begin to self-medicate through the use of alcohol or drugs. Substance abuse is a reaction to feelings of despair and hopelessness and wanting to numb the emotional pain.  There is a real danger that addiction can form, leading to a dual diagnosis of major depressive disorder and a coexisting substance use disorder.
  • Suicidal Ideation. Pay attention if your loved one who is struggling with deepening depression begins to obsess about death, or say their loved ones would be better off without them. According to the National Alliance on Mental Illness, 90% of the individuals who have committed suicide had an underlying mental health disorder, usually depression or bipolar disorder.

When depression has reached the point when you think, “I don’t want to get out of bed anymore,” it is very serious. This is the point at which depression has become debilitating, severely impairing one’s ability to function normally and increasing the risk of suicide.

Different Types of Depression

Major Depressive Disorder (MDD)

Major depressive disorder is diagnosed in individuals who experience five or more of the diagnostic criteria most of the time for more than two weeks. To summarize:

  • Persistent feelings of hopelessness or sadness
  • Fatigue
  • Change in eating habits, weight gain or loss
  • Difficulty concentrating or making decisions
  • Irrational feelings of guilt or shame
  • Slowed movements or thinking
  • Sleep disturbances
  • Loss of interest in activities usually enjoyed
  • Suicidal thoughts

Dysthymia (Persistent Depression Disorder)

This is a type of MDD that persists for more than two years. Someone with dysthymia may experience periods of severe depression alternating with periods of milder depression, but experiences no relief of the depressive symptoms for two years or more.

Psychotic Depression

This involves MDD with psychotic features. The individual may experience delusional thoughts or hallucinations in addition to the symptoms of depression. There may be a theme for the illness, such as revolving around a serious illness or fear of poverty.

Postpartum Depression

Some women experience serious symptoms of MDD during and/or after giving birth. The symptoms may be so severe that the mother is unable to care for her child or themselves, and often experience severe fatigue, anxiety, exhaustion, and profound sadness.

Seasonal Affective Disorder (SAD)

In certain climates individuals may experience symptoms of MDD that are caused by a lack of sun exposure and vitamin D intake during the winter months. The individual may experience weight gain, hypersomnia, and isolation behaviors in addition to the symptoms of depression.

Bipolar Disorder

This disorder features alternating dramatic and unpredictable shifts between depressive and manic moods. The depressive episodes may last anywhere from a day or two to several weeks.

Suicide Warning Signs

Recent statistics show that more people in the United States now die by suicide than in automobile accidents, with about 44,000 Americans choosing to end their lives annually. In many instances, especially in individuals who say, “I don’t want to get out of bed anymore,” there may be signs that an individual is despondent enough to possibly attempt suicide. These warning signs and symptoms might include:

  • Symptoms of depression
  • Irritability
  • Loss of interest in activities once enjoyed
  • Humiliation or shame
  • Anger
  • Increased use of alcohol or drugs
  • Isolating from family and friends
  • Aggression
  • Extreme fatigue
  • Excessive sleeping
  • Saying they are a burden to other
  • Expressing hopelessness
  • Saying they have no reason to live
  • Sharing that they are in unbearable pain
  • Gives away prized possessions
  • Talks of killing self

In the event where a loved one is exhibiting a mental health crisis or several of the warning signs, immediately call the National Suicide Prevention Lifeline at (800) 273-8255.

Comprehensive Residential Depression Treatment

When someone is in the grip of depression they may not even be aware of how serious their condition has become. More often than not it is a loved one who becomes alarmed at the increasing severity of the individual’s depression symptoms that reaches out to get the person professional help. Depression treatment consists of a combination of antidepressant drug therapy and psychotherapy. Other complementary therapies, such as yoga, meditation, and mindfulness training can augment the effects of the traditional therapies. Changes in diet and getting regular exercise can also positively impact mood.

Medication

Medication is considered the first-line treatment element for individuals with a depressive disorder. Antidepressant therapy involves medications available as SSRIs, SNRIs, MAOIs, or tricyclic antidepressants that help adjust brain chemistry and hopefully alleviate the symptoms of depression.

Psychotherapy

Evidence-based psychotherapies are an effective addition to antidepressant drug therapy in treating depression. Individual talk therapy sessions allow the therapist to guide the individual toward resolving unaddressed emotional issues that may be contributing to the depression. These may involve past trauma, childhood abuse, grief and loss, divorce, and other painful life events. Thought and behavior patters are also examined and adjusted through cognitive behavioral therapy.

Support groups

Small groups discuss topics introduced by the therapist and engage in sharing their personal feelings and experiences. This provides a sense of connection and camaraderie with others who are also struggling with depression.

Holistic therapies

There is a growing trend in psychiatry to include holistic therapies among the treatment elements for depression. These activities can help reduce stress and induce feelings of inner peace.

In the event that an individual is suffering from a mental health crisis, such as a suicide attempt, a higher level of care is appropriate. A residential treatment program offers acute stabilization provisions, as well as extended care for severe depression. The residential setting provides a more intensive, customized treatment protocol for the individual with severe and persistent depression.

Elevation Behavioral Health Provides Comprehensive Depression Treatment

Elevation Behavioral Health is a full-spectrum mental health center providing residential mental health treatment, transitional housing, and outpatient services. Elevation Behavioral Health believes in an integrated approach to treating depression, offering evidence-based therapies, medication management, and holistic activities for a well-rounded program. For more details about our depression treatment program, please reach out to Elevation Behavioral Health today at (888) 561-0868.

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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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