Jody lost 39 pounds

Jody lost 39 pounds. Learning how to fuel her body with proper nutrition and working out hard were key to her success. She also had a great coach and support group that helped her stay motivated. Check out her journey. What was your motivation? What really motivated me during my journey was seeing the weight and inches […]

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Weight Loss

Health ministry calls for ban on smoking in indoor public spaces

The report—called the “Tobacco White Paper”—is the first revision of the current version in 15 years. In the report, the ministry for the first time categorizes the causal links between diseases and secondhand smoking into four risk levels, based on pas

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Bill allowing landlords to bar medical pot use is dropped

A lawmaker has dropped a bill that would have allowed landlords to bar tenants from smoking medical marijuana in apartments... Wood had said AB 2300 is needed because secondhand smoke can easily travel through windows, doors and shared ventilation system

The post Bill allowing landlords to bar medical pot use is dropped appeared first on The Center.

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Updating Circle K, Part I: Tobacco Strategy

As Alimentation Couche-Tard Inc. continues its global rebranding to a single Circle K banner, it shed some light on its pricing strategies...to drive traffic to its Pantry convenience stores....used price to draw more traffic, taking a short-term hit on m

The post Updating Circle K, Part I: Tobacco Strategy appeared first on The Center.

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A Double Dose of ‘Nicotine’ on the Horizon

a publisher issued a press release praising the power of a new book, “Nicotine.” Two minutes later, another publisher issued a press release praising the power of a new book, “Nicotine.” It wasn’t a mistake—and it wasn’t the same book.

The post A Double Dose of ‘Nicotine’ on the Horizon appeared first on The Center.

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Nicotine: A Novel Hardcover – October 4, 2016

She goes to investigate the property and finds it...occupied by a group of friendly anarchist squatters whom she finds unexpectedly charming, and who have renamed the property "Nicotine." The Nicotine residents (united in defense of smokers’ rights) posse

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1855 Treaty Exempts Tribe From Tobacco Tax, 9th Circ. Told ($$)

An Indian tribe argued to the Ninth Circuit Tuesday that a Washington federal court wrongly ignored a 160-year-old treaty when it determined that a tribe-member-owned tobacco company on tribal land was still subject to a federal product tax. Counsel for

The post 1855 Treaty Exempts Tribe From Tobacco Tax, 9th Circ. Told ($$) appeared first on The Center.

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UPS Says NY State, City Must Disclose Damages In Cigs Suit ($$)

UPS urged a federal judge Monday to block the city and state of New York from presenting evidence for damages at trial in their lawsuit accusing the company of illegally shipping untaxed cigarettes from Native American reservations, claiming the governmen

The post UPS Says NY State, City Must Disclose Damages In Cigs Suit ($$) appeared first on The Center.

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The Award on the merits in Philip Morris v Uruguay: implications for WHO FCTC implementation (PDF)

We have prepared this paper to help draw out those aspects of the decision that will be most relevant to WHO FCTC implementation in other jurisdictions, as well as those that provide lessons on the relationship between international investment law and

The post The Award on the merits in Philip Morris v Uruguay: implications for WHO FCTC implementation (PDF) appeared first on The Center.

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WHO FCTC implementation after Philip Morris v Uruguay: five key messages from the Award

Our paper summarises the procedural history of the dispute, distils the key findings of the Tribunal and reflects on its key findings and their implications for WHO FCTC implementation. It is principally intended as a tool to support and complement our ca

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Uruguay: five key messages from Philip Morris’ failed challenge to packaging laws

The McCabe Centre for Law and Cancer has prepared a paper outlining key aspects of the judgement which are relevant for other governments planning to implement similar legislation to meet their obligations under the World Health Organization Framework Co

The post Uruguay: five key messages from Philip Morris’ failed challenge to packaging laws appeared first on The Center.

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The pitch: Movie offers product placement for e-cigs

We are representing a Hollywood feature film which offers really great featured product placement for an electronic cigarette partner... STARBRIGHT is an upcoming $27MM budget film, from the producers of Life of Pi, X-Men and Divergent. The film is a ve

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Tobacco Institute doesn’t want Tobacco policy development to be left to activists alone

industry and farmers have requested the Centre to include them and other industry stakeholders in the official Indian delegation to the WHO FCTC Conference of Parties meeting to be held in India in November....Tobacco Institute of India (TII) is arguing t

The post Tobacco Institute doesn’t want Tobacco policy development to be left to activists alone appeared first on The Center.

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Senators oppose bill to ban tobacco advertisements

Members and the chair of the Senate Standing Committee on National Health Services (NHS) on Tuesday said they were not in favour of a bill for banning tobacco advertisements and expressed sympathy with tobacco companies, growers and retailers.

The post Senators oppose bill to ban tobacco advertisements appeared first on The Center.

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American Lung Association’s ‘Tobacco 21’ Initiative to Save Lives of Millennials, Future Generations by Raising Tobacco Sales Age to 21

today launched “Tobacco 21,” an initiative calling on the remaining 48 states and the District of Columbia to follow the lead of California and Hawaii, and raise the legal sales age for tobacco products to 21. “Tobacco use is the leading cause of preventa

The post American Lung Association’s ‘Tobacco 21’ Initiative to Save Lives of Millennials, Future Generations by Raising Tobacco Sales Age to 21 appeared first on The Center.

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Further Evidence for Smoking and Substance Use Disorders in Youth With Bipolar Disorder and Comorbid Conduct Disorder

further evidence that adolescents with BPD, particularly those with comorbid CD, are significantly more likely to endorse cigarette smoking and SUDs when compared to their non–mood disordered peers. These findings indicate that youth with BPD should be ca

The post Further Evidence for Smoking and Substance Use Disorders in Youth With Bipolar Disorder and Comorbid Conduct Disorder appeared first on The Center.

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Bipolar adolescents continue to have elevated substance use disorder risk as young adults

"We also made another interesting finding - that those originally diagnosed with bipolar disorder who continued to have symptoms five years later were at an even higher risk for cigarette smoking and substance use disorder than those whose symptoms were

The post Bipolar adolescents continue to have elevated substance use disorder risk as young adults appeared first on The Center.

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Radon, Secondhand Smoke, and Children in the Home: Creating a Teachable Moment for Lung Cancer Prevention

There is a critical need to raise parental awareness on child health inequities related to the home exposure to radon and SHS. Public health nurses can create TMs for lung cancer prevention through greater awareness of the risks posed by radon and SHS al

The post Radon, Secondhand Smoke, and Children in the Home: Creating a Teachable Moment for Lung Cancer Prevention appeared first on The Center.

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UofL research shows more awareness needed on home environmental exposures that cause lung cancer

found that the presence of children in the home did not motivate parents to test and mitigate for radon and secondhand tobacco smoke, both of which cause lung cancer. The findings highlight a need to raise awareness on these exposure risks and their long-

The post UofL research shows more awareness needed on home environmental exposures that cause lung cancer appeared first on The Center.

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Are you more likely to smoke if you come from Huddersfield?

the number of smokers in Kirklees is at its lowest ever level. But Kirklees is below average when it come to successfully ditching the fags – and local people also have a higher than average death rate from smoking-related diseases. Local health chiefs s

The post Are you more likely to smoke if you come from Huddersfield? appeared first on The Center.

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PRAMENKO: We all pay to cover the cost of tobacco-related disease

here’s your chance to get a return on the extra $700 every Colorado household pays to cover the cost of tobacco related disease. Raise the tax on tobacco. Vote yes on Initiative 143.

The post PRAMENKO: We all pay to cover the cost of tobacco-related disease appeared first on The Center.

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September Shape, Study and Step Challenge

It’s September Challenge Time. This is a very straight forward, yet powerful, challenge. There is a daily task to complete that is focused around weight loss and nutrition goals. There is a daily goal for steps (minimum – maximum). AND…this month we’ve added some exercises for shaping the legs and butt (by popular demand). We want you […]

Related posts:

1. Lesson 6: What I See in the Mirror
2. Lesson #2: Practice the 3 Ds – Delay, Distract and Decide
3. Free Vegetarian Meal Plan – Week 4

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Stopping Exercise Decreases Brain Blood Flow, Study Finds

Source: ScienceDaily

Researchers examined cerebral blood flow in master athletes (ages 50-80 years) before and after a 10-day period during which they stopped all exercise. Using MRI brain imaging techniques, they found a significant decrease in blood flow to several brain regions important for cognitive health, including the hippocampus, after they stopped their exercise routines.

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"Racist School Hair Rules" Suspended at South African High School

Source: BBC News - Africa

Rules over how female students wear their hair at a South African school are suspended after anti-racism protest from pupils, a local minister says.

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Brain's Internal Compass Also Navigates During Imagination

Source: ScienceDaily

When you try to find your way in a new place, your brain creates a spatial map that represents that environment. Neuroscientists now show that the brain’s ‘navigation system’ is not only active during actual or virtual movement, but also when imagining view directions. This suggests that the brain’s spatial navigation system might also be important for cognitive functions such as imagination and memory.

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Your dog understands more than you think

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Lauren lost 77 pounds

Lauren lost 77 pounds. At 365 pounds, she was dealing with high blood pressure and medicating her emotions with comfort eating. This mom of 2 decided to have weight loss surgery to improve her health and wellbeing. Check out her story. What was your motivation? What inspired you when you wanted to give up? I have […]

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Bulgarian-Spanish Police Operation Busts Contraband Cigarettes Ring

A large-scale Bulgarian-Spanish police operation against the production of contraband cigarettes busted three illegal factories for cigarettes owned and run by Bulgarians on the territory of Spain. The governments of Bulgaria and Spain informed with deli

The post Bulgarian-Spanish Police Operation Busts Contraband Cigarettes Ring appeared first on The Center.

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New Product Marketing Blurs the Line Between Nicotine Replacement Therapy and Smokeless Tobacco Products (PDF)

tracking and comparing tobacco industry applications to the FDA for NRT products and novel tobacco products could help prevent exploitation...Tobacco products and NRT products are evolving to become increasingly similar to each other in appearance, with m

The post New Product Marketing Blurs the Line Between Nicotine Replacement Therapy and Smokeless Tobacco Products (PDF) appeared first on The Center.

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New Product Marketing Blurs the Line Between Nicotine Replacement Therapy and Smokeless Tobacco Products

Tobacco companies have started to market nicotine replacement therapies (NRT). As a result, a variety of products are coming into the market, such as chewing gum, lozenges and snus packages, affecting regulations that are placed on smoking cessation pro

The post New Product Marketing Blurs the Line Between Nicotine Replacement Therapy and Smokeless Tobacco Products appeared first on The Center.

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Fredericton Police and the Department of Justice and Public Safety seize more than 201,000 illegal cigarettes

The illegal cigarettes were seized on Thursday, August 25, 2016, as a result of a vehicle stop during the checkpoint, and a subsequent search warrant. The provincial tax value of the seized cigarettes is estimated at approximately $45,000. A 36-year old

The post Fredericton Police and the Department of Justice and Public Safety seize more than 201,000 illegal cigarettes appeared first on The Center.

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Spain busts Bulgarian-run factories producing illegal cigarettes worth millions of euro

Law enforcement authorities in Madrid and Sofia have unveiled details of a bust some days ago in which 22 people, 20 Bulgarian and two Spanish citizens, were arrested in connection with three illegal factories illicitly producing millions of euro worth o

The post Spain busts Bulgarian-run factories producing illegal cigarettes worth millions of euro appeared first on The Center.

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Man charged with possession of contraband cigarettes

Ishkirat is accused of possessing 449 packs of Newport cigarettes and 210 grams worth of K2 synthetic marijuana packets in the truck of a car reported stolen to Chicago police that he was driving, prosecutors said.

The post Man charged with possession of contraband cigarettes appeared first on The Center.

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VIDEO: Heather confronts Derek about his smoking habit on MAFS

Derek Schwartz, 35, and Heather Seidel, 32, from 'Married at First Sight' argue about Derek's smoking habit on their honeymoon.

The post VIDEO: Heather confronts Derek about his smoking habit on MAFS appeared first on The Center.

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Hard-partying Lily Allen is seen swigging liquor from a bottle, downing cans of cider and chain-smoking before dramatically collapsing at Notting Hill Carnival

The post Hard-partying Lily Allen is seen swigging liquor from a bottle, downing cans of cider and chain-smoking before dramatically collapsing at Notting Hill Carnival appeared first on The Center.

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Robb Report Unveils Annual Fashion Issue Amid Contemporary Aesthetic Refresh September Edition Sees Introduction of Newly Created Editorial Sections and Expanded Range of Style Coverage

survey a list of five premium Dominican Republic cigars you should be smoking.

The post Robb Report Unveils Annual Fashion Issue Amid Contemporary Aesthetic Refresh September Edition Sees Introduction of Newly Created Editorial Sections and Expanded Range of Style Coverage appeared first on The Center.

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3 Reasons Altria Group Inc. Stock Could Rise

1. The SABMiller/Anheuser-Busch InBev deal continues moving forward.... 2. New capital to deploy could bolster share prices.... 3. Alternatives to traditional cigarettes are picking up steam.

The post 3 Reasons Altria Group Inc. Stock Could Rise appeared first on The Center.

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Vicarious Trauma: How Much More Can We Take?

Another week, another tragedy. It’s hard to take it all in, let alone make any sense of it.

How does bad news affect us?

We can all be affected by vicarious trauma. That is the “one step removed” trauma that didn’t actually happen to us directly, but which still affects us nonetheless.

Obviously, for the victims’ friends and relatives the effects are acute, but for the onlookers (also from the news, social media and the press) these events have a profound cumulative effect.

When experiencing physical or emotional trauma first- or secondhand, our brains are affected by the perceived threat to well-being.

We are affected not only by the shock and outrage, but also by the emotional tidal wave that accompanies a significant traumatic event.

This is registered in the emotional, or limbic, part of our brain, and we then try to give it a narrative story with which to file it away. The problem is that our mental filing cabinets are already overflowing with traumatic stories.

For those of us able to feel empathy and compassion for our fellow man, we then feel compelled to act, to alleviate suffering, and to get things back to normal.

However, when we understandably feel impotent in the face of such huge national and global threats and traumatic events — whether natural or man-made, one-off or repeated — our distress becomes compounded, and we can lapse into a ‘freeze’ state of emotional overwhelm, inertia and collapse.

One way we try to minimize the threat to ourselves is to create distance from the event, by rationalizing it.

We might say things such as ‘oh well, that’s their culture.’ ‘At least it’s not happening here in my country.’ ‘Stuff happens.’

When an atrocity affects one of us or our tribe who happens to be in a foreign land, in the wrong place at the wrong time, then that coping mechanism of distancing fails to protect us from the more personal ‘that could have been me’ impact of the trauma.

A highly significant factor which determines how much we are affected by trauma is our previous exposure to traumatic events in childhood.

If we’ve had an abusive and traumatic childhood, we then defend ourselves from the impact of further traumas by our emotional shutdown.

We needed this form of psychological self-defense years ago for our emotional and physical survival, but it limits us as adults. We’ve become overly sensitive and vulnerable to further emotional overwhelm.

Early childhood traumas will have set us up to have an oversensitive amygdala (part of our limbic brain area), which will be rapidly activated whenever the brain makes a new association with a perceived threat, physical or emotional overwhelm, or a victim/oppressor dynamic.

What can we do?

• We need downtime between major traumatic events so that we can regain our equilibrium and turn down the dial on our emotional reactivity.
• We need to convince ourselves that we are sufficiently safe and protected, which of course we never really are. The best we can hope for is ‘I’m safe right now.’
• Realize that it’s a balancing act between allowing ourselves to feel what we feel and still having our logical, rational brain functioning available to put things into context and perspective.
• Look at the statistics and probability factors which can help to reassure us. Impartial objective education also helps us to make some sense out of a traumatic event.
• If we can get a glimpse into the mindset and belief system of the perpetrator (no matter how bizarre and dysfunctional) we can at least see the ‘why’ behind their actions. Behaviors always have a reason, even if it’s hard to understand.
• We can rate the impact of an event, and use our cognitive brain functions to recalibrating our emotional brain. This rating scale would be based upon both the personal impact of a traumatic event and the wider impact upon society. The higher the impact, the more we need to self-soothe, find our inner resilience, and get ourselves ready to do something that helps our fellow man in whatever way we can.
• Share your feelings, particularly with close family and friends who will also be affected by the vicarious trauma, in a negative ripple effect.
• Grief can immobilize us and delay processing our trauma, so it’s important to talk things through with a professional if you are finding that your vicarious trauma feels overwhelming, or is reactivating your own traumatic memories from the past.

The big challenge to us all is how to feel safe in this unsafe world, and to keep ourselves calm and on an even keel in the violent storms that we must all navigate our way through.

Andrea Lea Chase/Bigstock

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Dogs Process Language Like Us, but What Do They Understand?

Does your does really, truly understand you?

-- Read more on ScientificAmerican.com

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How to Coach Clients from Other Cultures

Since I missed my ability to present at the 2016 Women's Fitness Summit about culturally-sensitive nutrition guidance, I decided to blog it instead!

The post How to Coach Clients from Other Cultures appeared first on A Black Girl's Guide To Weight Loss.

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How 30 Minutes of Exercise Every Day Can Boost Mental Wellbeing

When we discuss the advantages of regular exercise, it’s usually the benefits to physical well-being that take centre stage, and for obvious reasons.

Most are aware that physical exertion can aid cardiovascular health and protect against a plethora of hypertensive conditions. These reasons, alongside wanting to lose weight and improve the way we look, are among the chief motivations for embarking on an exercise program.

But perhaps lesser known and lesser discussed are the benefits regular exertion can have on mental wellbeing, which are numerous. In fact, courses of regular exercise are becoming a more utilized tool in the treatment of mental health issues, for a variety of reasons.

As we’ll discuss, regular exercise needn’t constitute arduous back-to-back shifts in the gym. Just 30 minutes a day can have a range of benefits on mental health.

Mood improvement

Firstly, physical exertion is thought to stimulate the release and activity of endorphins. This process, referred to as the ‘endorphin hypothesis’ and explained by Anderson and Shivakumar as the ‘binding of [endogenous opioids] to their receptor sites in the brain’, has been explored in several analyses.

Besides their analgesic effect on physical pain, the increased activity of endorphins during exercise is also credited for improving the mood of the person practicing it. For instance, one study examining patients living with clinical depression found a convincing link between 30 minutes of aerobic exercise performed on a daily basis and “substantial” mood improvement.

Stress reduction

In addition to the stimulation of endorphins, exercise is also known to have a direct effect on the presence of cortisol and adrenaline in the body. These are natural stress hormones, often referred to as the “fight or flight” chemicals which can be triggered by a range of stimuli, including danger or emotional trauma. In persons with chronic stress or anxiety, levels of these hormones may be continually raised.

Intense physical exertion is thought to acutely increase cortisol levels, which is perhaps unsurprising due to the strain the body is being put under.

However, performing 30 minutes of low intensity exercise has been linked by one study with reduced cortisol levels.

Furthermore, regular exercise has been associated with a decreased overall presence of cortisol levels in the long term, as the body will become more used to physical exertion and not need to produce as much. So for those who make a habit of exercise, their resting levels of these stress hormones may significantly decrease.

Raised self-esteem

Another mental benefit of frequent physical activity is that it improves body image, and consequently this aids self-esteem.

One analysis undertaken by researchers at the University of Florida found that exercise at all levels had a positive effect on the way people felt about their bodies; and their results suggested that this wasn’t limited just to those who undertake exercise on a regular basis.

However, most will know from experience that one-off episodes of physical activity aren’t enough to sustain these feelings over the long term, and a person’s positive self-image may wear off after a prolonged period of inactivity.

Frequent exercise on the other hand contributes towards higher energy levels and better overall physical health; and the better we feel, the more comfortable we are about the way we look.

Increased social interaction

One particular advantage of participating in a team sport is that it raises our level of social contact with others.

Recently, I headed an investigation into the calorie-burning value of participating in 28 different olympic activities for 30 minutes each, which celebrated in particular the role team sports can play in helping someone to maintain a regular fitness regime.

The social interaction hypothesis is a term sometimes to describe the link between physical activity in a communal setting and improved mental health. By facilitating the development of social relationships through team and communal fitness activities, exercise can help to reduce feelings of isolation and provide a supportive environment.

Regular social contact is of course more beneficial, but team sports don’t have to account for every session of someone’s entire workout routine. Participating in just one communal activity per week can contribute towards better mental health.

References:

Anderson, E. et al. ‘Effects of Exercise and Physical Activity on Anxiety.’ Frontiers in Psychiatry. 2013. http://ift.tt/1pFfaM3

Guszkowska, M. ‘Effects of exercise on anxiety, depression and mood.’ Psychiatria Polska. 2004. http://ift.tt/1JNaCrc

Dimeo, F. et al. ‘Benefits from aerobic exercise in patients with major depression: a pilot study.’ British Journal of Sports Medicine. 2001. http://ift.tt/2c6mbQf

Harvard Health Publications. ‘Exercising to Relax.’ Harvard Men’s Health Watch. 2011. http://ift.tt/1Ks9y0y  

Hill, EE. et al. ‘Exercise and circulating cortisol levels: the intensity threshold effect.’ Journal of endocrinological investigation. 2008. http://ift.tt/1h7qsTd

Hausenblas, H. et al. ‘UF study: Exercise improves body image for fit and unfit alike.’ UF News. 2009. http://ift.tt/1DWzVHt

Osborne, W. The Olympic Exercises That Burn The Most Calories. 2016. http://ift.tt/2aFSuEv

monkeybusinessimages/Bigstock

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10 Exercises that Help Shape Your Buns and Legs

Here is the list of Booty shaping exercises you’ll need for our Step, Shape and Study Challenge! We’ve posted a “How To” video for each move. Bodyweight Squat Lunges –  Calf Raises Split Squat Deadlift with Dumbbells  Plie Squats Jump Squats Pulsing Lunges Donkey Kicks Squats with an Alternating Kickback PS: If you go to […]

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Not every brain is or needs exactly the same: A sur­vey of pri­or­i­ties across geog­ra­phy and age

Beyond the US col­lege student’s brain: A sur­vey of pri­or­i­ties across geog­ra­phy and age from SharpBrains

–> Learn more & Register to participate at the upcoming 2016 SharpBrains Virtual Summit: Reinventing Brain Health (December 6-8th, 2016)

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Black market for cigarettes fuels robberies in Canterbury

A lucrative black market for cigarettes is fuelling an increase in armed robberies, with criminals targeting dairies and stealing tobacco products to order. Some dairy owners are toying with the idea of pulling cigarettes from their shelves, but the dec

The post Black market for cigarettes fuels robberies in Canterbury appeared first on The Center.

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New York Jury Attributes Lung Cancer To Cigarettes In John Crane Asbestos Case ($$)

A New York judge on Aug. 12 entered judgment on a July 21 verdict in which a jury found that cigarette use — and not asbestos exposure from John Crane Inc. — caused a man’s lung cancer (Charles K. Zammit and Raye Zammit v. Air & Liquid Systems Corp., et a

The post New York Jury Attributes Lung Cancer To Cigarettes In John Crane Asbestos Case ($$) appeared first on The Center.

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St. Louis County May Raise Legal Age

St. Louis County--Missouri’s most populated county--is looking to raise the minimum age people can legally buy tobacco products to 21 years old from 18, reported the St. Louis Post-Dispatch. Councilman Sam Page was recently scheduled to introduce the le

The post St. Louis County May Raise Legal Age appeared first on The Center.

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E-Cigs Burn Bright for Altria

Motley Fool said Altria “hasn’t hesitated to look for innovative products to pick up the slack from reduced numbers of smokers of traditional cigarettes.” The company’s Nu Mark subsidiary has “worked hard” to develop e-cigarette and e-vapor products, and

The post E-Cigs Burn Bright for Altria appeared first on The Center.

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Life’s a drag! Kate Beckinsale puffs on cigarette as she leaves LA home in all black outfit

She needs her fix: The beauty put up her feet and puffed away on a cigarette as she was driven away by a young man

The post Life’s a drag! Kate Beckinsale puffs on cigarette as she leaves LA home in all black outfit appeared first on The Center.

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A Common Vitamin Deficiency Linked to Depression in Women

Very common vitamin deficiency linked to higher levels of depression.

Almost half of young women have insufficient vitamin D levels, which is linked to depression.

The new study also found that over one-third of young women had signs of clinical depression.

Dr David Kerr, the psychologist who led the study, said:

“Depression has multiple, powerful causes and if vitamin D is part of the picture, it is just a small part.

But given how many people are affected by depression, any little inroad we can find could have an important impact on public health.”

While many suspect a link between the vitamin deficiency and depression, studies have not often confirmed it.

Dr Kerr continued:

“The new study was prompted in part because there is a widely held belief that vitamin D and depression are connected, but there is not actually much scientific research out there to support the belief.

I think people hear that vitamin D and depression can change with the seasons, so it is natural for them to assume the two are connected.”

Vitamin deficiency

To test the link researchers recruited 185 female college students between the ages of 18-25.

The study focused on women because they are almost twice as likely to suffer from depression.

Their vitamin D levels were measured from their blood.

Depression symptoms were checked every week for five weeks.

The results showed that women of colour had particularly high vitamin deficiency for vitamin D, with 61% being deficient.

This compared to low vitamin D levels in 35% of other women.

Vitamin D is important for both mental and physical health.

Physically, it has been linked to better bone health, muscle function, and cardiovascular health.

Vitamin D is created in the body with exposure to sunlight.

It is also found in some foods, like milk, which is fortified with it.

Dr Kerr concluded:

“Vitamin D supplements are inexpensive and readily available.

They certainly shouldn’t be considered as alternatives to the treatments known to be effective for depression, but they are good for overall health.”

The vitamin deficiency study is published in the journal Psychiatry Research (Kerr et al., 2015)

Depressed woman image from Shutterstock

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Is It Withdrawal Symptoms or a Depression Relapse

Four years ago, a good friend of mine put her 10-year-old son on Prozac (fluoxetine). He had always suffered from anxiety and anger outbursts, but at age 9, his behavior turned violent, and his ruminations were keeping him up at night. My friend and her husband went to a variety of child psychologists, but the cognitive behavioral therapy wasn’t enough. Finally, they got a referral to a psychiatrist, who diagnosed the boy with attention deficit hyperactivity disorder (ADHD), obsessive compulsive disorder (OCD), and generalized anxiety disorder (GAD). The doctor prescribed both Ritalin (methylphenidate) and Prozac.

The boy’s behavior was much better initially, but the drugs presented other problems: His weight dropped, and he stopped growing. Once a kid who was born with a healthy appetite and would try any food, such as chicken curry at age 1, his parents now couldn’t get him to eat anything. He went from being in the back row of his basketball photos, where the tall kids line up, to the front line, where the short kids kneel. And after six months, his old behavior returned.

The parents weaned him off the Ritalin, and the boy’s appetite returned. They tried to get him to eliminate gluten and sugar as much as possible, and have him load up on protein. They began giving him fish oil supplements, a multivitamin, and a probiotic. The dietary changes had a substantial impact on his behavior.

A few months later, they decided to try to taper him off the Prozac. He did fine initially, and the parents thought they were home free. But two months after he was off the Prozac, their son’s worrisome behavior returned — and it was worse than ever. My friend thought that they should take him back to the psychiatrist, but her husband disagreed. He had researched the half-life of Prozac and other withdrawal stories, and told her that many people go through a delayed withdrawal two to three months after taking the last pill. Unfortunately, he said, they would have to tolerate the bad behavior for a few months until the synapses in his brain made the adjustments.

The husband was right. The boy had two-and-a-half rough months, but he pulled through. Today he is eating, growing, and thriving — managing his anxiety some days better than others.

I remembered her story because I recently tapered off of one of my antidepressants. A month off, I was doing fine when all of a sudden I was hit with some acute anxiety. I wondered, “could it be a delayed withdrawal symptom?” I brought this up to my fellow depression warriors on Group Beyond Blue and ProjectBeyondBlue.com, and received confirmation: When you have tapered off an antidepressant, it is incredibly difficult to know whether you are relapsing into a depression, or if you are merely experiencing withdrawal symptoms that will go away in a few weeks or months.

My friend Margarita Tartakovsy interviewed Ross Baldessarini, MD, professor of psychiatry and neuroscience at Harvard Medical School, and director of the psychopharmacology program at McLean Hospital, for an article on Psych Central distinguishing withdrawal symptoms from depression. Dr. Baldessarini believes that when the depression re-emerges quickly, it’s easier to identify as withdrawal. If it happens weeks to months after discontinuation, then he thinks there is much more risk of its being a relapse.

But after weighing in with several of the members on both forums, I’m not so sure I agree with Baldessarini.

For example, one woman went off her antidepressant in March, and got really depressed and anxious in July. Her doctor said this is to be expected and is not unusual at all — that it’s a natural part of the brain’s readjusting process. According to her doctor, it takes a few months for the brain to realize something is missing, and to start the readjusting. The whole process can last six months to a year.

That makes a lot of sense to me. There are so many organic changes going on in the gray matter of your brain when you stop taking an antidepressant. For people like me who have a significant response to a teaspoon of sugar or three bites of pumpkin pie, think about the mayhem that’s going on inside the limbic system of my brain as it tries to reorganize all the synapses after it’s no longer getting a hefty dose of a powerful psychotropic drug. Although I don’t believe most classifications of antidepressants to be addictive — unlike benzodiazepines — I do believe your brain becomes dependent on them, so that it needs to relearn how to ride the bike again without training wheels when you go off them. Lots of skinned knees…

Of course, the withdrawal process is different for everyone. Much has to do with how long a person has been taking the medication, and at what dose. Obviously, someone who was taking 60 milligrams (mg) of Prozac for 20 years might need to wean much more slowly and endure many more withdrawal symptoms (and for much longer) than a person who was taking 10 mgs for a few months.

For some, the withdrawal symptoms are very distinct from the symptoms that they were experiencing before. They might resemble that of the flu: headaches, dizziness, nausea, or fatigue. In fact, Baldessarini discusses the “SSRI Discontinuation Syndrome” in his interview with Margarita that occurs in 20 percent of people who withdraw from antidepressants. A person may become agitated and angry more than depressed (if he or she was depressed before), or sad and lethargic more than anxious (if he or she was primarily anxious before). If a person is suddenly having crying spells after going off a medication that treated her anxiety and insomnia, chances are she is experiencing withdrawal symptoms rather than a relapse of her condition.

After reading dozens of articles on typical withdrawal times, and corresponding with dozens of folks, it seems as though three months is the average recommended time (and this begins once you start having symptoms, which could be two months after you’ve weaned off your drug) to wait to see if the symptoms clear up.

Jim Kelly, a member of my forum and a mental health advocate and speaker living in Westchester, Illinois, never agrees to a medication change without a transition plan.

“Changing medications, either starting or ending, cannot be fully assessed until two or three months in; that’s for me,” Kelly says. “And I always request some transitional medication in a small dose to ease side effects.”

Kelly has learned to be patient with the ugly process.

‪”I’m undergoing a change right now, and two weeks in I feel terrible,” he explains. “It feels like withdrawal from the old, rather than anything to do with the new…yet. I wish the two or three months would go faster, but it is what it is.”

Ultimately, I think you know yourself better than anyone and can tease apart the difference between withdrawal or relapse more easily than you think you can. After comparing my symptoms this week to the symptoms of depression I’ve had for so much of my life (for this reason, it’s important to keep a mood journal!), and assessing other things going on in my life (different diet, changes in schedule, etc.), I could recognize it was my brain just readjusting to a different chemistry, and that I’m on the right track.

Much like my friend’s son.

Join ProjectBeyondBlue.com, the new depression community.

Originally posted on Sanity Break at Everyday Health.

restyler/Bigstock

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Hypnosis for Positive Changes accused of trademark infringement by Iowa business - Northern California Record

Hypnosis for Positive Changes accused of trademark infringement by Iowa business Northern California Record SAN DIEGO – A hypnosis center in Iowa is suing a Los Angeles company alleging that its similar name is causing confusion. Lifestyle Improvement Center LLC, doing business as Positive Changes Hypnosis Centers, filed a complaint on Aug. 22 in the U.S. ...

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-- Read more on ScientificAmerican.com

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ARCHIVE: TOC: December 2001, Volume 10, suppl 1 / Debunking myths around ‘light’ cigarettes and implications for ‘reduced risk’ products

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ARCHIVE: Health impact of “reduced yield” cigarettes: a critical assessment of the epidemiological evidence [FREE FULL TEXT]

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Mental Health Care in Massachusetts: Needs Rise While Spending Falls

What happens when society decides it will reimburse tens of thousands of dollars (or even hundreds of thousands) for a surgery that may offer only incremental improvements to a person’s health or longevity, but won’t spend thousands to help that person’s mental health?

You get a second-class system of care. In America, we call this the mental health system, which is a separate and completely unequal player in the U.S. healthcare system. In fact, it is so dysfunctional and underfunded that American mental health care resembles some third-world countries.

The Boston Globe continues its examination into the Massachusetts mental health care system. And what they find is hardly surprising.

A lot of people think of Massachusetts as a liberal state, home to world-class renowned, very rich universities such as Harvard and MIT. They believe that because it’s a blue, liberal state with a lot of wealth living within its borders, it must offer some of the best social services in the nation.

However, nothing could be further from the truth.

Funding Budgets on the Back of People with Mental Illness

The sad reality is that Massachusetts continually funds its budget deficits by cutting the barebones social services it does offer, slashing those services to its most vulnerable citizens — those who are poor with serious mental health concerns. While mental health outpatient spending per capita has stagnated over the past decade, spending on inpatient services has been cut in half.

Much-needed inpatient beds have been cut as the state has closed all but two of its public hospitals for those with psychiatric problems. While it did open a state-of-the-art facility during that time — the Worcester Recovery Center and Hospital — the facility only serves a tiny portion of those who need inpatient services. In short, the state apparently doesn’t believe such services are needed much any longer.

Meanwhile, the state’s role overseeing mental health care shrunk steadily, and work once done by state employees, such as tracking down patients who missed appointments, was increasingly left undone. […]

The result, the Legislature’s Mental Health Advisory Committee concluded in 2014, is a system in which accountability for the care of the most severely ill people is often “lost or nonexistent.” They bounce from hospital to hospital, caregiver to caregiver, until, with some frequency, something awful happens.

Still, governors have continued closing psychiatric hospitals. Under Mitt Romney, the state shut down Medfield State Hospital in 2003, and, crucially, shuttered a specialized unit at Taunton State Hospital for men with severe mental illness who were prone to violence but not necessarily criminals.[…]

A few years later, the Patrick administration shut Westborough State Hospital earlier than expected to erase a $13 million hole in the Department of Mental Health budget.

Private Health Insurance is No Better

Most Americans carry health insurance now, and it’s been mandated in Massachusetts long before the nation’s Affordable Care Act became law.¹ So maybe it’s not so bad in the mental health care market most of us access…

But the underfunding of mental health care also affects people who rely on private insurers for their treatment. One in six mental health clinicians in private practice say they no longer even accept insurance because repayment rates are so low, according to a 2015 study by CliniciansUNITED, a union-affiliated group. […]

One Brookline social worker said she stopped accepting United Behavioral Health insurance because its payment rates were so low that her take-home pay came to well under $35 an hour.

“Rates have remained flat. My cost of living has gone up significantly,” said the social worker, who asked that her name not be used. “It’s embarrassing how poorly we get paid.”

But it’s far worse than that. I hear stories every week about people looking for a new psychiatrist in their community. They’ll call every psychiatrist listed on their insurance company’s directory, and count themselves lucky if they get a single call back within a week. The earliest appointment available? It can vary from 1 to 5 months out. You claim people don’t wait for healthcare in the U.S.? Millions waiting for mental health care will tell you differently.

One of the biggest problems is that apparently we’re not willing to pay mental health professionals what they’re worth. Pay and reimbursement rates for outpatient services has stagnated and barely budged in the past decade for most therapists, psychologists, and, to a lesser extent, psychiatrists.

Meanwhile, physician pay in general healthcare continues to increase year after year. In 2010, a general surgeon earned a median salary of $343,958, according to the Bureau of Labor Statistics. In 2015, that rose to $395,456, a 15 percent increase. Compare that to clinical psychologists, who earned an average of $66,810 in 2010. In 2015, that rose to $70,580 — a meager 4.6 percent increase (which barely keeps pace with the annual inflation rate of 1-2 percent).

In many health plans, rates have actually been cut, driving professionals to stop accepting health insurance from some of the biggest providers. As a career, entering into the mental health field makes less and less sense as a way to make a living that will grow along with your experience.

Credit: Suzanne Kreiter/Globe Staff

 

Solutions for Mental Health Care in America

There are no easy answers to the growing problem of people’s increasing lack of access to mental health care. Things are actually going to get far worse before they get better, since nothing is even in the pipeline for discussion. The latest U.S. Congressional bill to help address the mental health needs of the nation is stagnating in a Senate committee (and didn’t really increase funding for mental health care at the levels needed to make any kind of meaningful difference).

Many states in the country are facing significant problems of opioid overdose among their citizens, resulting in 78 Americans dying every day due to overdoses. Despite this public health crisis, Congress could only muster a bill that encourages people to get treatment but doesn’t actually increase any funding or resources to help combat the crisis. This is what passes for “action” in Washington, D.C.

In short, if you’re an American and don’t want to (or can’t afford to) pay cash to your professional, you’re getting some of the worst care in developed countries for any kind of mental health problem. And that’s unlikely to change anytime soon.

 

Read the Boston Globe article: Spotlight: The Broken Covenant

 

Editor’s Note

While I admire and respect the Boston Globe’s venerable Spotlight team for this series of articles highlighting the poor mental health care in Massachusetts, I’m also completely put off by their focus on violence in people with mental illness. Time and time again, they illustrate their argument for needing more mental health care resources in the state by sharing stories of violence. I guess they only motivating factor that might move the needle in the public’s mind is fear. This, despite the overwhelming evidence demonstrating people with mental illness are far more likely to be victims of violence than its perpetrator. It’s a disappointing slant that only goes to reinforce the mistaken prejudice that people with mental illness are prone to violence, allowing people to feel free to discriminate against them.

Footnotes:

1. The Affordable Care Act was modeled on legislation passed in Massachusetts mandating every citizen carry health insurance.

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Study Finds Striking Mismatch of Depression And Treatment

A new study finds that most Americans with depression get no treatment at all, while more than two-thirds of patients are treated — even though they do not report depressive symptoms or serious psychological distress.

Researchers from Columbia University Medical Center (CUMC) and the University of Pennsylvania discovered that less than one-third of American adults who screened positive for depression received treatment for their symptoms.

The study also found that among those who are treated for depression, less than one-half of those with severe psychological distress are seen by a mental health specialist.

Results of the study appear in JAMA Internal Medicine.

“Greater clinical focus is needed on depression severity to align depression care with each patient’s needs,” said Mark Olfson, M.D., M.P.H., professor of psychiatry at CUMC and senior author of the report.

“These patterns suggest that more needs to be done to ensure that depression care is neither too intensive nor insufficient for each patient. Although screening tools provide only a rough index of depression severity, increasing their use might nevertheless help align depression care with each patient’s needs.”

The researchers analyzed data from a national survey conducted in 2012 and 2013 of more than 46,000 adults which focused on the treatment of depression. They examined a bevy of variables including depressive symptoms, serious psychological distress, and treatment with antidepressants and psychotherapy.

Investigators also reviewed which health care professionals were providing treatment, as well as other variables including age, gender, race, education, marital status, income, and health insurance.

Approximately 8.4 percent of respondents screened positive for depression, and roughly 8 percent of respondents had been treated for depression. Among adults who screened positive for depression, women, whites, privately insured adults, and college-educated individuals were more likely to receive depression treatment.

There were also differences among groups in the treatments received.

Among those with serious psychological distress, for example, four times as many younger adults received psychotherapy and antidepressants than older adults, and twice as many college-educated adults received both treatments than adults with a high school education.

The researchers did find that patients with serious psychological distress were more likely than those with less distress to receive combined treatment. In these patients, they noted, antidepressants combined with psychotherapy tend to work better than antidepressants alone.

“With the increase in antidepressant use over the last several years, it may come as a surprise to learn that widespread challenges persist in accessing depression care,” Olfson said.

“There are also challenges in connecting depressed patients to the appropriate level of care.”

Source: Columbia University

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Brain Cells Synchronize to Track Order of Events

New research reveals that brain neurons function in a coordinated manner so as to remember events in the order they occur.

New York University scientists explain that the brain collaboration is akin to a symphony. Researchers believe the findings offer new insights into how we recall information and point to factors that may disrupt certain types of memories.

“The findings enhance our understanding of how the brain keeps track of what happened and when it happened relative to other events,” said Dr. Lila Davachi, associate professor in NYU’s Department of Psychology and Center for Neural Science and the study’s senior author.

“We’ve known for some time that neurons increase their activity when we encode memories. What our study shows is there’s a rhythm to how they fire in relation to one another, much like different instruments in a symphony orchestra.”

The study’s first author was Andrew Heusser, a doctoral candidate in the Department of Psychology with collaborators including Dr. David Poeppel, a professor in the Department of Psychology and Center for Neural Science, and Youssef Ezzyat, also a doctoral candidate at the time of the research.

The research, which appears in the journal Nature Neuroscience, sought to determine the validity of a long-standing hypothesis on how the order of memories is encoded.

The “theta-gamma phase coding” model, proposed in 1995 by neuroscientists Drs. John Lisman and Marco Idiart, states that when our brains create a memory for a specific event, our neurons oscillate in a coordinated fashion, with cells firing at high (gamma) frequencies.

To encode the order of multiple events, cells representing each event fire in a sequence that is coordinated by a lower (theta) frequency brain rhythm.

To test this, the scientists had the study’s participants view a series of six objects (e.g., a butterfly, headphones, etc.), one at a time, on a computer screen.

During the experiment, researchers examined the subjects’ neural activity using magnetoencephalography (MEG), which captures measurements of the tiny magnetic fields generated by the brain.

Later, they asked subjects to recall the order of the objects they viewed.

In their analysis, the researchers examined the neuronal activity of the subjects when they first viewed the objects, then matched it to the results of the recall test.

Their data showed notable differences in the patterns of neural activity when the order of the objects was correctly encoded compared to when it was not.

Specifically, when the order of the objects was correctly encoded, the gamma activity associated with each object was temporally ordered along a slower theta oscillation so that the gamma activity for object 1 preceded that for object 2 and so on.

By contrast, when subjects incorrectly recalled the order in which the objects were presented, gamma activity was just as high–but there was no discernible pattern.

“When particular oscillations are in step with each other, we remember the order,” Davachi said. “But when they are not, we don’t.”

Source: New York University/EurekAlert
 
Abstract of the brain photo by shutterstock.

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Test to Detect Early Parkinson’s Nears Completion

European scientists have developed a new test that detects early stage Parkinson’s disease by analyzing molecules found in a person’s spinal fluid.

Experts say that the test needs to be validated with a larger sample group but they are optimistic that it could one day help to improve diagnosis of the disease.

The study appears in the journal Annals of Clinical and Translational Neurology.

The new test detects a protein molecule called alpha-synuclein, which forms sticky clumps called Lewy bodies inside the brain cells of people with Parkinson’s and some types of dementia.

Previous efforts to develop a test for alpha-synuclein have produced inconsistent results because the protein is also found in healthy brains. It is only when the protein clumps together that it causes problems.

Researchers at the University of Edinburgh made use of a highly sensitive technology that measures the stickiness of proteins.

The approach, called real-time quaking-induced conversion, can detect tiny differences in the properties of proteins in the brain that can mean the difference between disease or not.

In early tests, the technique accurately identified 19 out of 20 samples from patients with Parkinson’s disease, as well as three samples from people considered to be at risk of the condition.

Significantly, there were no false positives in any of the 15 control samples from healthy people.

The technique also identified patients with a type of dementia caused by Lewy bodies, but not other types of dementia such as Alzheimer’s disease.

Parkinson’s disease is a progressive brain condition caused by the loss of nerve cells. Currently, it is not known what causes the condition and there is currently no accurate test for it.

Patients often have to wait years for a diagnosis, which is based on physical symptoms, their medical history and the results of simple mental and physical exercises.

Dr. Alison Green, of the National CJD Research and Surveillance Unit at the University of Edinburgh, said, “We have already used this technique to develop an accurate test for Creutzfeldt–Jakob disease, another neurodegenerative condition. We hope that with further refinement, our approach will help to improve diagnosis for Parkinson’s patients.

“We are also interested in whether it could be used to identify people with Parkinson’s and Lewy body dementia in the early stages of their illness. These people could then be given the opportunity to take part in trials of new medicines that may slow, or stop, the progression of disease.”

Source: University of Edinburgh

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