Tag: mental illness

The Hidden Life of Bulimia

Bulimia nervosa is characterized by recurrent and frequent episodes of eating unusually large amounts of food (e.g., binge-eating), and feeling a lack of control over the eating. This binge-eating is followed by a type of behavior that compensates for the binge, such as purging (e.g., vomiting, excessive use of laxatives or diuretics), fasting and/or excessive exercise.

Unlike anorexia, people with bulimia can fall within the normal range for their age and weight. But like people with anorexia, they often fear gaining weight, want desperately to lose weight, and are intensely unhappy with their body size and shape. Usually, bulimic behavior is done secretly, because it is often accompanied by feelings of disgust or shame. The binging and purging cycle usually repeats several times a week. Similar to anorexia, people with bulimia often have coexisting psychological illnesses, such as depression, anxiety and/or substance abuse problems. Many physical conditions result from the purging aspect of the illness, including electrolyte imbalances, gastrointestinal problems, and oral and tooth-related problems.

Other symptoms include:

  • chronically inflamed and sore throat
  • swollen glands in the neck and below the jaw
  • worn tooth enamel and increasingly sensitive and decaying teeth as a result of exposure to stomach acids
  • gastroesophageal reflux disorder
  • intestinal distress and irritation from laxative abuse
  • kidney problems from diuretic abuse
  • severe dehydration from purging of fluids

As with anorexia, TREATMENT FOR BULIMIA often involves a combination of options and depends on the needs of the individual.

To reduce or eliminate binge and purge behavior, a patient may undergo nutritional counseling and psychotherapy, especially cognitive behavioral therapy (CBT), or be prescribed medication.

Some antidepressants, such as fluoxetine (Prozac), which is the only medication approved by the U.S. Food and Drug Administration for treating bulimia, may help patients who also have depression and/or anxiety. It also appears to help reduce binge-eating and purging behavior, reduces the chance of relapse, and improves eating attitudes.

CBT [or, talk therapy] that has been tailored to treat bulimia also has shown to be effective in changing binging and purging behavior, and eating attitudes. Therapy may be individually oriented or group-based.

Source: http://www.nimh.nih.gov/health/

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Evil Gets a Makeover

by Catherine DeMonte LFMT

God delights in changing evil things into good. He has this crazy habit of taking dark things and making them new. Many of us have a checkered past, many hurtful and ugly things have been committed on us, as well as by us. We have been wounded, and we have hurt others.

There are some of us with a mental illness. And some with a chemical dependency. These have been a factor in our sin, but they are not excuses. The Book of Proverbs describes this “playing with fire.”

“Can a man carry fire next to his chest and his clothes not be burned?”

Proverbs 6:27, ESV

The first step we take is to “own up.” But alas, we have hid it for so long, denying and pretending that we have not been harmed, or have harmed others. We are masters of disguise, masquerading as whole people. When I was a boy, I often earned the task of cleaning the barn. You would scrape the manure into the gutter, and then dusted lime over anything left behind. But it was only cosmetic, it was simply covered up.

The deep promise of Jesus is not cosmetic. It is not superficial; it is not just “skin deep.” The profound actuality is that our transformation is inside out. It is a work that starts in our heart, and then works itself out where people can see. We have all tried to clean things up, but what we don’t need is more lime.

The love and forgiveness of our Lord is what we really must have. Our sins are making us very unpleasant people. As we get older we find that our evil has been compounded and extrapolated. The infection only spreads, and it gets worked throughout our lives and relationships. This is ruinous, and David understood.

“Then I confessed my sins to you
and didn’t hide my guilt.
I said, “I will confess my sins to the Lord,”
and you forgave my guilt. “

Psalm 32:5, NCV

We are sinners, and some of us are very talented at it. It is an art form to us. Our entire society, and every social aspect is sick with it. Jesus who knows us completely, and He loves us the most.

“In Christ we are set free by the blood of his death, and so we have forgiveness of sins. How rich is God’s grace,8 which he has given to us so fully and freely.”

Ephesians 1:7,8

“I sinned against the Lord,
so he was angry with me,
but he will defend my case in court.
He will bring about what is right for me.
Then he will bring me out into the light,
and I will see him set things right.”

Micah 7:9, NCV

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A Crash Course in Depersonalization

Depersonalization is like having amnesia.  You don’t know who you are, you’ve “lost” yourself– your identity or your personality.  You try to jump-start yourself.  You pray, make deals with God, but it doesn’t help.  You are stuck.

There is a pervading feeling, like doom.  It saturates your thinking, flavoring everything with a sense of finality.  It is as difficult as you can imagine, to lose yourself– to become unreal to yourself.

Depersonalization is a symptom of an anxiety disorder and not a stand alone condition. How do we know this? Because depersonalization cannot exist without anxiety BUT anxiety can exist without depersonalization.

Depersonalization is caused by a shift in the part of the brain that provides us with a ‘real’ awareness of our environment; this part of the brain is directly linked to the Amygdala, the organ in the brain responsible for anxiety.

Terms commonly used to describe the symptoms and sensations of Depersonalization:

  • unreal
  • disembodied
  • divorced from oneself
  • apart from everything
  • unattached
  • alone
  • strange
  • weird
  • foreign
  • unfamiliar
  • dead
  • puppet-like
  • robot-like
  • acting a part
  • like a lifeless person
  • two dimensional
  • ‘cardboard’ figure
  • made of cotton-wool
  • having mechanical actions
  • remote
  • automated, a robot
  • a spectator
  • witnessing ones own actions as if in a film or on a TV program
  • not doing one’s own thinking
  • observing the flow of ideas in the mind as independent.

Treatment is to deal with the anxiety, depersonalization, although disturbing in itself, is not harmful. [Although the experts have never had to go through it].

As a Christian believer I reach out for the presence of God in this mental state.  Even though it is hard, I reach out in faith on the basis of His word; He will never leave or forsake me, He has forgiven me and not abandoned me.  That He understands my thinking from afar off.  These truths all strengthen me.

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Depression and Diabetes

DepressionCaseStudy_clip_image001For some reason lately I’ve been thinking about the similarities between diabetes and depression. I know that depression can be one of the complications of diabetes, but that is something I learned only when I did a little research about diabetes and isn’t what I want to share about these two diseases.

I do not have diabetes, but I do know people who do. Diabetes is a disease for which there is no “cure,” though there are treatments that can minimize the symptoms and complications that can arise from this disease. Some people with diabetes do a great job of taking such good care of themselves and following their doctor’s orders that they are virtually symptom free. You would never know they had diabetes unless they told you. I’ve known other diabetics who don’t follow doctor’s orders, and the outcome was terrible.

Dealing with diabetes is not an easy road. For people with Type 2 diabetes, a strict diet and exercise are a must, and monitoring blood sugar levels is essential. For people with Type 1 diabetes, insulin injections are also necessary because their bodies do not produce any of this necessary hormone. It is a lifelong affliction, the potential effects of which can be minimized but never forgotten or ignored.

I believe that for some people depression is similar to diabetes in that it is never cured. These people are prone to depression, and may have suffered through one or more episodes of major depression in their lives. From a statistical standpoint, a person who has had more than two major depressive episodes is highly likely to have another in their lifetime. But it isn’t inevitable that they will. Just as the symptoms of diabetes can be prevented or minimized with careful management, so the symptoms of depression can be prevented or minimized with proper care.

Caveat: I am not a doctor and this post is not intended as medical advice. It simply an observation that has been on my mind lately and is helpful for me in understanding my own challenges to keep depression at bay.

There are some people who, like the person with Type 1 diabetes, need medication to help keep them stable and to prevent major depression from setting in. (Though this may be a small percentage, just as Type 1 diabetes is much rarer than Type 2.)  But everyone who struggles with depression can help prevent or minimize the effects of a relapse by taking steps to truly care of themselves. Diet and exercise can be part of this self-care, but for the person who lives with the knowledge of depression there is a mental and spiritual component of their self-care that goes beyond what is required of the diabetic.

Many years ago the doctor I was seeing told me I would be on antidepressants for the rest of my life. Having now been off them for 13 years and not suffered another major depressive episode in all that time, I think I can safely say she was wrong. But in the last few years I have come to understand that I am one of those people who cannot take for granted that depression is strictly a part of my past. It is forever a part of who I am and I must never forget the misery it has caused me and could cause me again if I do not take care of my mental and spiritual health.

For me, warding off a relapse of depression requires that I choose to engage in regular prayer time; to listen to music that is encouraging and uplifting, and avoid music that is depressing; to talk to a Christian friend if something is bothering me; to take a periodic inventory of my own actions and attitudes, and correct any that are negative; and to trust in the Holy Spirit to guide my thoughts, putting on the whole armor of God. When I do these things, I can live in such a way that others would never know that depression is a part of my life. But if I neglect these things for too long, I will soon detect the specter of depression looming in my heart and in my mind, and the outcome will be terrible.

Just as the diabetic can never forget that they have diabetes and neglect their diet and health regimen, I can never forget that depression is ever a part of me and neglect my mental and spiritual regimen. I must be ever vigilant and cling to Jesus as my Rock, trusting in His promises, and following His commands and precepts to love, forgive, and be content.

 

ysic, Linda K.

 

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