Tag Archives: Substance

Forgiveness: Letting Go Of Grudges And Bitterness

When someone you care about hurts you, you can hold on to anger, resentment and thoughts of revenge — or embrace forgiveness and move forward.

Nearly everyone has been hurt by the actions or words of another. Perhaps your mother criticized your parenting skills, your colleague sabotaged a project or your partner had an affair. These wounds can leave you with lasting feelings of anger, bitterness or even vengeance — but if you don’t practice forgiveness, you might be the one who pays most dearly. By embracing forgiveness, you can also embrace peace, hope, gratitude and joy. Consider how forgiveness can lead you down the path of physical, emotional and spiritual well-being.

What is forgiveness?

Generally, forgiveness is a decision to let go of resentment and thoughts of revenge. The act that hurt or offended you might always remain a part of your life, but forgiveness can lessen its grip on you and help you focus on other, positive parts of your life. Forgiveness can even lead to feelings of understanding, empathy and compassion for the one who hurt you.

Forgiveness doesn’t mean that you deny the other person’s responsibility for hurting you, and it doesn’t minimize or justify the wrong. You can forgive the person without excusing the act. Forgiveness brings a kind of peace that helps you go on with life.

What are the benefits of forgiving someone?

Letting go of grudges and bitterness can make way for compassion, kindness and peace. Forgiveness can lead to:

• Healthier relationships
• Greater spiritual and psychological well-being
• Less anxiety, stress, and hostility
• Lower blood pressure
• Fewer symptoms of depression
• Lower risk of alcohol and substance abuse

Why is it so easy to hold a grudge?

When you’re hurt by someone you love and trust, you might become angry, sad or confused. If you dwell on hurtful events or situations, grudges filled with resentment, vengeance and hostility can take root. If you allow negative feelings to crowd out positive feelings, you might find yourself swallowed up by your own bitterness or sense of injustice.

What are the effects of holding a grudge?

If you’re unforgiving, you might pay the price repeatedly by bringing anger and bitterness into every relationship and new experience. Your life might become so wrapped up in the wrong that you can’t enjoy the present. You might become depressed or anxious. You might feel that your life lacks meaning or purpose, or that you’re at odds with your spiritual beliefs. You might lose valuable and enriching connectedness with others.

How do I reach a state of forgiveness?

Forgiveness is a commitment to a process of change. To begin, you might:

• Consider the value of forgiveness and its importance in your life at a given time
• Reflect on the facts of the situation, how you’ve reacted, and how this combination has affected your life, health and well-being
• When you’re ready, actively choose to forgive the person who’s offended you
• Move away from your role as victim and release the control and power the offending person and situation have had in your life

As you let go of grudges, you’ll no longer define your life by how you’ve been hurt. You might even find compassion and understanding.

What if I have to interact with the person who hurt me but I don’t want to?

If you haven’t reached a state of forgiveness, being near the person who hurts you might be tense and stressful. To handle these situations, remember that you can choose to attend or avoid specific functions and gatherings. Respect yourself and do what seems best. If you choose to attend, don’t be surprised by a certain amount of awkwardness and perhaps even more intense feelings. Do your best to keep an open heart and mind. You might find that the experience helps you to move forward with forgiveness.

What if the person I’m forgiving doesn’t change?

Getting another person to change his or her actions, behavior or words isn’t the point of forgiveness. Think of forgiveness more about how it can change your life — by bringing you peace, happiness, and emotional and spiritual healing. Forgiveness can take away the power the other person continues to wield in your life.

What if I’m the one who needs forgiveness?

The first step is to honestly assess and acknowledge the wrongs you’ve done and how those wrongs have affected others. At the same time, avoid judging yourself too harshly. You’re human, and you’ll make mistakes. If you’re truly sorry for something you’ve said or done, consider admitting it to those you’ve harmed. Speak of your sincere sorrow or regret, and specifically, ask for forgiveness — without making excuses. Remember, however, you can’t force someone to forgive you. Others need to move to forgiveness in their own time. Whatever the outcome, commit to treating others with compassion, empathy and respect.

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How To Deal With A Cheater?

Do you suspect (or know) that a supposedly monogamous partner has cheated on you? You are not alone. Between a fourth and half of all attached partners will cheat (or have cheated) at one time or another. Knowing others are affected too, however, does not lessen the hurt. Take a look at these steps and use them to help you get through the trauma. This can be an exceptional painful issue and the emotions are very intense so use this as a checklist to help yourself get through the event.

1. First and foremost – take a deep breath and some time. Do not let yourself have a knee-jerk response. Think! This is especially important in long-term relationships. Sudden reactions without thought can lead to consequences you might regret. Give yourself some mental space before you take any action.

2. Talk to someone. You are not alone. Statistics are sketchy and vary widely, but many surveys have been done on cheating and they indicate that between a fourth and half of all married people will or have cheated at one time or another.

3. Do not blame yourself. It’s easy for people to start looking at themselves for reasons why their partner cheated… nothing good will come of that. Issues that lead to cheating sometimes involve both people, but that’s certainly not always the case. However, it would help, at a later date look inwards too to find out why your partner looked elsewhere for comfort. There could be certain gray areas in your behavior which could have led to such actions. You have to remember that most humans like a monogamous lifestyle, as it brings about so much of happiness & security. However, there are a few who would not conform to this.

4. Determine whether you were actually cheated on. Ask yourself these questions: Were you officially boyfriend and girlfriend at the time this “cheating” occurred? Were you officially monogamous? If not, you cannot be sure that your significant other knew what he or she was doing would offend you, in which case you might want to consider less confrontational options.

5. Talk to your partner. Let your concerns and fears be known. It might come out that nothing at all happened, or perhaps something did happen and coercion was involved (workplace sexual harassment, for example, which needs to be discussed openly and immediately to ward off future occurrences). There could be a substance abuse or psychological issue that needs to be addressed (sex addiction is very real). If help is warranted, you might want to support your partner in getting help – that could prove therapeutic for both of you. However, substance abuse is not a valid “excuse” for inappropriate behavior and you absolutely must not permit the “yeah but I was drunk so it doesn’t matter” argument – stand very firm on that.

6. Ask yourself if you will ever be able to look at your partner the same way. Infidelity doesn’t mean much for some, and some people have more than one physical relationship and it doesn’t suggest a shortcoming in their relationship with their steady partner, but this is rare. Infidelity often indicates boredom and dissatisfaction with the present relationships. Dealing with a partner who doesn’t want you in the first place, or one who doesn’t mind hurting you, is ridiculous. Dump him/her if this is the case.

7. If you decide this is irreconcilable, don’t break up with your partner and later take him/her back. This will only give you more emotional stress. If you break up, make it a clean break. However, a trial separation is a valid option. If you do make a break of any kind (permanent or trial) don’t talk to your ex after breaking up with him/her immediately. Give yourself some cooling off time first. If there are children or critical financial issues this might not be possible. In that case, set specific ground rules (time frames, meeting places, etc). This can be difficult, but it’s important.

8. If you are married and pretty sure a more-than-casual relationship is happening, you might need to consider an attorney or a reputable detective in the area that specializes in domestic cases.

9. If you do use an investigator, do not confront or accuse your partner. Let the investigator do his/her job first (if you confront them they may continue in an even more cautious way, which will make the investigation more expensive).

10. Get tested for STD’s as soon as possible. Not knowing will cause you extreme stress. Early treatment is critical.

11. If you can, collect evidence (receipts, emails, photographs, etc.) of the paramour. Keep this information at a friend or family member’s house. This will be less work the investigator will need to do later on your dollar.

12. Don’t start rumors. Share your suspicions with more than one close friend is likely to create gossip that can have very negative results in many areas. If there is an investigation underway, that kind of talk can hamper the case.

13. Look at your own personal actions, too. If you are also cheating, then it might be time to have an open discussion with your partner and clear the air. Perhaps couples counseling is in order. If divorce is the chosen option, remember it can get very ugly, very quickly, and your indiscretions will be brought into the limelight as well.

14. Turnabout is not fair play. Don’t start a relationship just because your spouse has done so. This is pure revenge and nothing good will come of it.

Tips :

• Get out if the incident has hurt you too much.

• Being honest with yourself is important. If you don’t end the relationship, can you live with the thought that it might happen again?

• Get counseling! It’s not a particularly bad idea to do this even if there’s nothing wrong in your life, but when you are hurt it can definitely help to talk to someone professional.

• It always helps to forgive and put it behind you and not dwell on the past if you want to move forward.

• Do you want to invest the energy to “monitor” the relationship?

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Improved Mental Health Tied to Quitting Smoking

In a new study from Washington University, researchers find that quitting smoking does more than improve physical health as stopping the habit also improves mental health.

Typically, health professionals who treat people with psychiatric problems often overlook their patients’ smoking habits, assuming it’s best to tackle depression, anxiety, or substance abuse problems first.

However, the new study shows that people who struggle with mood problems, or addiction can safely quit smoking and that kicking the habit is associated with improved mental health.

The study is published online in the journal Psychological Medicine.

“Clinicians tend to treat the depression, alcohol dependence or drug problem first and allow patients to ‘self-medicate’ with cigarettes if necessary,” said lead investigator Patricia A. Cavazos-Rehg, Ph.D.

“The assumption is that psychiatric problems are more challenging to treat and that quitting smoking may interfere with treatment.”

In the study, Cavazos-Rehg discovered that quitting, or significantly cutting back on cigarette smoking was linked to improved mental health outcomes.

Specifically, quitting altogether or reducing by half the number of cigarettes smoked daily was associated with lower risk for mood disorders like depression, as well as a lower likelihood of alcohol and drug problems.

“We don’t know if their mental health improves first and then they are more motivated to quit smoking or if quitting smoking leads to an improvement in mental health,” Cavazos-Rehg said.

“But either way, our findings show a strong link between quitting and a better psychiatric outlook.”

Naturally, the serious health risks associated with smoking make it important for doctors to work with their patients to quit, regardless of other psychiatric problems.

“About half of all smokers die from emphysema, cancer, or other problems related to smoking, so we need to remember that as complicated as it can be to treat mental health issues, smoking cigarettes also causes very serious illnesses that can lead to death,” she said.

Researchers analyzed questionnaires gathered as part of the National Epidemiologic Study on Alcohol and Related Conditions.

This survey was administered in the early 2000’s and just under 35,000 people were surveyed. As part of the study, participants answered questions about drinking, smoking, and mental health in two interviews conducted three years apart.

The researchers focused on data from 4,800 daily smokers. Those who had an addiction or other psychiatric problems at the time of the first survey were less likely to have those same problems three years later if they had quit smoking.

And those who hadn’t had psychiatric problems at the initial survey were less likely to develop those problems later if they already had quit.

At the time of the first interview, about 40 percent of daily smokers suffered mood or anxiety disorders or had a history of these problems. In addition, about 50 percent of daily smokers had alcohol problems, and some 24 percent had drug problems.

Forty-two percent of those who had continued smoking during the years between the two surveys suffered mood disorders, compared with 29 percent of those who quit smoking.

Alcohol problems affected 18 percent of those who had quit smoking versus 28 percent who had continued smoking.

And drug abuse problems affected only 5 percent of those who had quit smoking compared with 16 percent of those who had continued smoking.

“We really need to spread the word and encourage doctors and patients to tackle these problems,” Cavazos-Rehg said.

“When a patient is ready to focus on other mental health issues, it may be an ideal time to address smoking cessation, too.”

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Symptoms Of Severe Depression

First, let’s get some terminology straight. ‘Severe depression’, ‘major depression’ and ‘clinical depression’, are terms that tend to be used interchangeably to mean the same thing.

What these terms refer to is the condition described technically by psychiatrists as ‘major depressive disorder’. Therefore as we discuss the symptoms of major depressive disorder in this article, bear in mind that we are looking at what may also be called:

• Major Depression Symptoms
• Clinical Depression Symptoms, and
• Symptoms of Severe Depression.

The Symptoms of Severe Depression – The Technical Version

A person is suffering from major depressive disorder or (severe or clinical depression) if for most of the day, nearly every day for at least 2 weeks, they have had at least 5 of the following symptoms, including (1) and/or (2):

1. A low/depressed mood.
2. Significantly less interest in and pleasure from usual activities (this is called “Anhedonia”).
3. Significant change in appetite or weight.
4. Inability to sleep or sleeping more than usual.
5. Fatigue, loss of energy.
6. Feelings of guilt or worthlessness.
7. Lethargy or hyperactivity.
8. Difficulty concentrating or making decisions.
9. Recurring thoughts of suicide or death.

Now, let’s break that down a bit.

Step 1

First, it is important to note that low mood and/or loss of pleasure or interest in usual activities (Anhedonia) must be present.

In effect these are the threshold conditions. Doctors are sometimes recommended to screen for depression by asking questions to establish whether either of these two conditions are present.

Step 2

If you are suffering from low mood and Anhedonia, then the next consideration is whether 3 of the other listed symptoms are present.

If you are suffering from either low mood or Anhedonia, then 4 of the other symptoms need to be present.

Step 3

The next step relates to the duration of symptoms. The relevant symptoms must have been present every day for at least two weeks and must have been felt for most of every day.

Of course you may in fact have been suffering for much longer than two weeks or have had more than one episode where the symptoms have been present for at least two weeks. This is really the norm, of course – we don’t usually go to our doctor two weeks and one day after starting to feel depressed.

Step 4

The final step that I didn’t refer to above, but which it is crucial to consider, is that your symptoms must be a change from your normal state and have a significant impact on your day to day functioning. The symptoms must: “cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.”

If you think about it, this is what is at the heart of an individual’s experience of depression. It is the inability to function normally that takes us out of the ‘feeling down’ camp into a whole new arena.

Symptoms of Severe Depression – The Real Life Version

Whilst it is useful for you to know the technical framework that doctors use to assess depression, the criteria may not necessarily reflect your own descriptions about the way you feel. We can all experience different symptoms or express them in different ways, both to ourselves and others.

Depression – what is it?:

“Diagnosis by counting is a totally absurd, and often very dangerous, proposition. When it works, we arrive at a very rough indicator of what may be wrong with us. Too often, the exercise is wholly misleading.”

For this reason, doctors assessing a patient for depression (assuming that are doing a thorough job) should ask lots of questions about the way the patient feels and look for examples of behavior that may or may not fit into the accepted criteria.

Some of the other ways that you might use to describe the way you feel, but which in substance may still fit within the technical criteria are as follows:

• Feeling flat
• Feeling very down
• Feel like I don’t care about anything
• Having to make a real effort to do anything
• Can’t really feel anything any more
• Don’t care about the things I used to
• Feel very on edge
• Feel very stressed
• Very irritable
• Can’t think straight
• Can’t make up my mind about anything
• Don’t feel like I can go on
• Feel useless
• Feel hopeless
• Don’t see any future
• Don’t see the point of anything
• Can’t get out of bed
• Don’t want to see anybody
• Don’t want to talk to anybody
• Can’t sleep
• Can’t eat
• Can’t stop eating
• Don’t have any energy
• Feel exhausted

Other Diagnoses:

If you feel that something is not quite right with your moods or the way that you feel, you need to be aware that there are various different types of depression and other behavioral or mood disorders. So, if your situation doesn’t reflect the symptoms of severe depression, then you or your doctor should consider whether any of the other possibilities might apply.

These include –

• Dysthymia (milder, prolonged depression)
• Bi-polar disorder (formerly manic depression)
• Adjustment disorder with depressed mood (a depressive reaction to a particular event or stress)
• Schizophrenia

Conclusions:

The symptoms of severe depression will usually be very clear to you if you stop to think about how you feel.

But, one of the major difficulties with depression, of course, is that it takes away our inclination to take action to put things right – we can just feel ‘too depressed’ to do anything about it.

That’s why it is essential that you discuss how you feel with somebody close to you, as they may be able to help you get the attention you need.

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