Herbal Health
Herbal Remedies Blog
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BDD – SUGGESTED GUIDELINES FOR FAMILY MEMBERS AND FRIENDS: DURING TIMES OF STRESS, YOU MAY NEED TO MODIFY YOUR EXPECTATIONS; CREATE A SUPPORTIVE HOME ENVIRONMENT
During Times of Stress, You May Need to Modify Your Expectations
Anti Depressants-Sleeping Aid
BDD symptoms can increase at times of stress. Virtually any type of change can be stressful—positive events as well as negative ones. Don’t be discouraged if the BDD sufferer has a temporary setback during stressful times. At these times, you may need to lower your expectations a little bit. Keep implementing the suggestions in this chapter (e.g., encouraging progress, praising small gains) while also keeping in mind that progress may be slower, or may even stop, during stressful times. At times like these, your encouragement, support, and understanding may be especially helpful.
Create a Supportive Home Environment
Because BDD can be so hard to cope with, it’s easy to criticize and express anger toward someone who has it. It’s best to avoid this. Instead, do your best to create a supportive home environment. Help them talk about their feelings of anxiety, depression, shame, and isolation. Show your support, and help them fight BDD. Without being judgmental, critical, or hostile, explain that if you participate in their rituals or help them avoid things like social situations, this will only strengthen the BDD. Let them know that you care and that you’ll try to understand and support them through the recovery process.
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SURGERY, DERMATOLOGIC TREATMENT, AND OTHER NONPSYCHIATRIC MEDICAL TREATMENT FOR BDD: DO THESE TREATMENTS WORK? ARTICLES, RESEARCHES AND OTHER INVESTIGATIONS
Many articles in dermatology journals state that patients with BDD frequently have a poor response to dermatologic treatment. Of great concern is a study done in two dermatology practices in England, which found that the most frequent causes of patient suicide were acne and BDD. I’ve talked with dermatologists who told me about BDD patients of theirs who committed suicide. One dermatologist said that six of his patients with probable BDD had committed is and how important it is for people with this disorder to get effective psychiatric treatment.
Anti Depressants-Sleeping Aid
There’s a great need for more studies of this important issue. What’s especially needed are prospective studies, in which patients are followed over time and carefully assessed before and after surgery or dermatologic treatment to see whether their BDD improves, is unchanged, or worsens. Patients should be clearly identified as having BDD, and their outcome after these treatments should be assessed over a long period of time.
Even though BDD appears unlikely to get better with these treatments, some people who initially consult surgeons, dermatologists, or dentists may be reluctant to see a psychiatrist. If this is true for you, keep in mind that as best we know, these treatments usually don’t work. Seeing a psychiatrist or therapist doesn’t mean you’re “crazy.” It simply means that you have a potentially treatable illness that in many ways is no different from heart disease or any other medical illness. Psychiatric treatment is very likely to help you feel a lot better. There’s a good chance it will give you more control over your obsessions, help you get your life back on track, and relieve your mind of worry, anxiety, and depression.
It may be hard for you to accept this advice if you think your defect is real and truly looks bad, as almost all people with BDD do. Most people with BDD have the hope that a physical change in their appearance will solve their problem. But look back at what my patients have told me about how they wish they’d never had surgery. Remember that as best we know, these treatments almost never help. And keep in mind that regardless of what you actually look like, if you’re obsessing about an appearance flaw, and if you’re distressed over it or it’s causing problems in your life, psychiatric treatment is likely to quell your obsessions, alleviate your suffering and distress, and help you function better and start enjoying your life again.
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COMBATTING ASTHMA IN CHILDREN: ANTI-INFLAMMATORY DRUGS – STEROIDS: BRONCHODILATORY DRUGS – BETA-AGONIST DRUGS
These drugs are offsprings of adrenelin, the major hormone produced by the adrenal gland, and act directly on particular sites called receptors or nerve cells of sympathetic nervous system. There are three main types of receptor sites called alpha, beta-1 and beta-2. These receptor sites are located in the airways, but they are also found in other parts of the body such as the inside of heart muscles, and muscles in the arms and legs. Some of these drugs act on all three types of receptor sites, but others are more selective.
Asthma
The most effective adrenergic bronchodilator drugs are called beta-2 agonists, or simply beta agonists. They primarily influence the beta-2 receptors which are present only in the bronchial airways. These drugs are preferred because of their property to selectively relax bronchial muscles only, without stimulating muscles in the heart or other body areas. They cause fewer side effects. Examples of these drugs are salbutamol and terbutaline. They are available in tablet form as well as in aerosols in metered-dose inhalers and nebulizers. However care should be taken not to overuse these drugs during an attack. If their use does not provide adequate relief, it is an indication that some other group of drugs should also be added.
Beta-2 agonists also provide more rapid action with inhalers rather than with oral intake. While salbutamol or terbutaline may provide more or less immediate relief through inhalation, it may take upto three hours to obtain similar relief through the oral route.
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