Is Your Constant State of Nervousness and Worry a Sign of an Anxiety Disorder?

Posted on May 26, 2015 by Xavia Malcolm

Anxiety is an emotion we all experience. Feeling anxious is a normal reaction to stressful situations such as waiting for the results of a test, speaking in public or preparing for a job interview. Anxiety is often synonymous with feelings of distress, nervousness, panic and fear. These reactions are normally triggered when our bodies feel that there is danger or there is a threatening situation.

For most the feeling of anxiety is temporary and will subside once stressful or threatening circumstances are resolved. However for an estimated 18.1 percent of adults living in the United States, anxiety does not go away and develops into a serious mental health disorder that affects their ability to lead a normal life.

There are six major types of anxiety disorders: panic disorder, generalized anxiety disorder, obsessive compulsive disorders, social anxiety disorders, phobias and post-traumatic stress disorders. Symptoms can be specific to a condition and can differ based on the individual.

The following symptoms of anxiety may be indicative of a developing problem, especially if they continue for an extended period of time:

Experiencing a constant state of worry or fear.
Having trouble concentrating.
Insomnia or other chronic sleep related problems.
Heart palpitations or chest pain during a state of panic.
A fear of being around people or being in public places.
Suffering from overwhelming compulsions, such as constantly washing hands.
Irrational fears of objects or activities that pose little to no danger.
Experiencing anxiety as a result of a traumatic event.

If the preceding symptoms occur on a regular basis and have become so great that they are interfering with your ability to function daily, it is recommended that you seek the help of a mental health professional.

The Department of Psychiatry at Jamaica Hospital Medical Center offers psychiatric consultation and treatment services. Our team of mental health professionals consists of psychiatrists, psychologists, social workers, nurses, creative arts therapists and support staff who are dedicated to positive outcomes and work closely with each patient to provide necessary clinical treatment and services. To learn more about the Psychiatry Department at Jamaica Hospital visit www.JamaicaHospital.org or call 718 206 5575.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Is Smoking Cigars Any Safer Than Smoking Cigarettes?

Posted on May 19, 2015 by Xavia Malcolm

Cigarette sales are beginning to see a decline while cigar consumption has been rising steadily. This is partly attributed to the growing belief that cigars are a safer alternative to cigarettes. Many smokers perceive cigars as having fewer health risks because the smoke is not inhaled into the lungs but is instead sucked and kept in the mouth for the taste. However, the most concerning misconception among smokers is the belief that cigars are safer because they do not have a Surgeon General’s health warning as cigarettes do.

Research has proven all of these beliefs to be untrue. Cigars do not require health labels because they are not as regulated as cigarettes. Furthermore, they contain some of the same hazardous chemicals such as arsenic and can have the same negative health effects.

Cigars contain high levels of the addictive substance nicotine. Nicotine can enter the body by being inhaled into the lungs and can also be absorbed through the lining in the mouth. Cigars are also known to contain more tar than cigarettes. Tar contains the carcinogen (cancer-causing substance) benzo(a)pyrene. Cigar smokers are at a high risk for developing cancers of the mouth, larynx and esophagus.

Cigar smoke has been linked to other health conditions such as oral, lung and cardiovascular disease. Chronic cigar smokers may be twice as likely to be at risk for COPD (chronic obstructive pulmonary disease). They may also face a higher risk of premature death caused by aortic aneurysms and damage to the heart. Cigars can also wreak havoc on dental health by causing tooth loss, bad breath and stained teeth.

The National Cancer Institute has determined that cigars are no safer than cigarettes and there are no safe tobacco products. There is also no safe level of tobacco smoke exposure. For this reason and others previously discussed, the best option for smokers to improve their health and prevent the risk of developing chronic diseases is to stop smoking.

If you or someone you know needs help in quitting smoking please contact Jamaica Hospital’s Freedom From Smoking program at 718 206 8494 or visit www.smokefree.gov for more information.

10 Tips for Dining Out For Those With High Blood Pressure

Posted on May 5, 2015 by Xavia Malcolm

Dining out is a treat we look forward to because we get to try new foods or indulge in our favorite cuisines. However, it is recommended that if you are diagnosed with high blood pressure to be mindful of the foods you pick from the menu. It is suggested that you stick to a diet that is low in saturated fats, does not contain MSG and has very little sodium or no added salt.

Nutritionists also advise that practicing the following tips when dining out will help in controlling blood pressure levels.

Choose appetizers with fruits or vegetables, instead of salty treats.
Ask for your food to be prepared without added salt or MSG.
Stay away from the saltshaker.
Select foods that are prepared using healthy cooking techniques such as grilling or steaming.
Avoid foods that are pickled, smoked or cured.
Cut away excess and visible fat from meats.
Avoid using butter or foods prepared with butter.
Limit sodium intake from condiments by using them sparingly or by asking that they be served on the side.
Steer clear of items that include cheese.
Limit the consumption of alcoholic beverages.

If you have high blood pressure you can still enjoy restaurant meals and make healthy food choices by sticking to the preceding tips. In addition to eating healthy it is also important to remember to incorporate exercise into your daily routine and take medications as prescribed to help control your blood pressure.

What You Need to Know About Body Dysmorphic Disorder

Posted on April 7, 2015 by Xavia Malcolm

A person stands in front of the mirror and glances at their reflection; they perceive their image to be severely unattractive or obese. They become obsessed with a particular body part and deem it to be an extreme defect that alters their appearance. While this is their perception, in reality no one else sees these physical characteristics.

There is a possibility that this person may be suffering from a chronic body-image disorder known as body dysmorphic disorder (BDD), which is a compulsive obsession with an imagined or exaggerated physical trait that often no one else can see.

BDD is known to occur in both men and women and usually begins during teenage years or early adulthood. Factors that may contribute to the development of BDD are

Low self-esteem
Traumatic events
Genetics
The influence of others who are critical of the person’s physical appearance

Characteristics of the disorder may include an obsession with skin imperfections such as scars or wrinkles, facial features (it is very common for those afflicted with BDD to be obsessed with size of the nose), body weight and hair. There are several behaviors that are identifiable with BDD, they are:

Constantly looking in the mirror and trying to cover up the perceived defect
Asking for reassurance that the defect is not obvious
Isolation from people due to the belief that imperfections will be noticed
Becoming increasingly self-conscious
Avoiding mirrors
Excessive grooming in an effort to cover up a flaw
Frequently consulting plastic surgeons or undergoing cosmetic procedures
Developing other psychological disorders such as eating and anxiety disorders

If someone you know is exhibiting these behaviors, it is recommended that they seek help immediately as this disorder can lead to self-harm. Once diagnosed with BDD, treatment will usually include a combination of cognitive behavioral therapy, group or family therapy and medication. For more information about body dysmorphic disorders or treatment please contact Jamaica Hospital’s Department of Psychiatry at 718 206 5575.

I Am So Stressed! Where Are My Cigarette’s?

Posted on March 27, 2015 by Joann Ariola

Is smoking a cigarette when you are stressed, depressed or irritable a proven way to relieve those emotions or improve your mood?

The answer is, no. The relief you get from smoking comes from the act of taking the “time out” necessary to smoke a cigarette. It does not have to do with the chemical actions of nicotine in your brain.

If you finish your cigarette and return to your stressful situation, the feeling of tension will come back. Therefore, the act of smoking is only a temporary solution for handling stress.

A proven way to control stress, tension or depression in your life is to identify what brings on those emotions and learning how to change the way you react to the events and situations in your life.

If you have been using smoking as a way to reduce stress, a great time to
“kick the habit” is to participate in The Great American Smoke out, Wednesday, November 18th, 2015.

Jamaica Hospital Medical Center can help. Enroll, today, for our smoking cessation classes. For more information or to register, call: 718-206-8494.

Asthma v. COPD

Posted on March 17, 2015 by Joann Ariola

Chronic obstructive pulmonary disease (COPD) is a general term that describes progressive respiratory diseases including emphysema and chronic bronchitis. COPD is characterized by decreased airflow over time and increased inflammation of the lungs.

Asthma, on the other hand, is considered a separate respiratory disease, but is occasionally mistaken for COPD because of its similar symptoms.

These symptoms include:

Chronic coughing
Wheezing
Shortness of breath

The majority of COPD sufferers also have asthma, which is considered a risk factor for developing the disease. As you age, the likelihood of this duel-diagnosis increases.

COPD and asthma respond well to treatments such as smoking cessation and airway-opening medications like bronchodilators. At times, inhaled steroids are also needed. However, lung function is only fully reversible in asthma patients. A diagnosis of asthma, along with COPD, often means a significant decline in lung function as the COPD progresses. This progression is true even in patients with mild forms of the disease.

By nature of the similarity of the symptoms of COPD and asthma, many patients can go undiagnosed or misdiagnosed. Early detection of COPD, especially in current or past smokers, is critical to preserving lung function “Undiagnosed or poorly controlled asthma and COPD can lead to a decreased quality of life by limiting a person’s ability to perform everyday activities. Teaching patients to take their medicine as prescribed, to never run out of their medications, and to keep their doctors’ appointments is essential to improving their outcomes.” Dr. Kamica Lewis.

If you think you may have symptoms of asthma or COPD, please contact Jamaica Hospital Medical Center’s Ambulatory Care Center at 718-206-7001 to make an appointment with a doctor for an evaluation.

Quieting That Cough, Naturally

Posted on February 23, 2015 by Joann Ariola

Coughing is a common health problem. When there is a blockage or irritant in your throat, your brain thinks a foreign element is present and tells your body to cough to remove that element.

Some reasons you may cough are itchy throat and congestion. Instead of using over-the-counter cough suppressants, you may want to try a natural cough treatment using readily available ingredients in your kitchen.

Ginger tea is one of the most popular cures for a cough and is a proven home remedy.

Follow the recipe below for a simple and effective way to quiet a cough.

GINGER TEA

· Cut fresh ginger into small slices and crush them slightly. Place them in a cup of water and bring to a boil. You can also use some lemon juice and honey to taste.

It is suggested to drink this herbal solution three to four times a day for relief from a sore throat, coughing and even chest congestion.

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Peripheral Vascular Disease and Hypertension

Posted on February 23, 2015 by Joann Ariola

Peripheral Vascular Disease or PVD as it’s more commonly known, is a condition that is often associated with Hypertension.

PVD is a slow and progressive circulation disorder involving diseases in any of the blood vessels outside of the heart, the lymph vessels – arteries, veins, and lymphatic vessels. Organs supplied by these vessels, such as the brain, heart and legs may not receive adequate blood flow for ordinary function.

However, the legs and feet are the most commonly affected.

Up to half of the people diagnosed with PVD are symptom free. For those experiencing symptoms, most common and first symptom is intermittent leg discomfort described as cramping that occurs with exercise and is relieved by rest. During rest, the muscles need less blood flow, so the pain disappears. It may occur in one or both legs depending on the location of the blocked or narrowed artery.

Other symptoms of PVD may include:

Decreased skin temperature
Diminished pulses in the legs and feet
Hair loss on the legs
Impotence
Numbness, weakness, or heaviness in muscles
Reddish coloring of the extremities

Some risk factors for peripheral vascular disease include factors that can be changed or treated with lifestyle changes, such as controlling your blood pressure or increasing physical activity. Unfortunately, risk factors like age and family history of heart disease and hypertension cannot be changed.

It is important to take steps to prevent PVD. A prevention plan may also be used to prevent or lessen the progress of PVD once you are diagnosed. If you would like to consult a physician, call Jamaica Hospital Medical Center’s 718-206-7001 for diagnosis and treatment.

10 Unusual Phobias

Posted on February 4, 2015 by Xavia Malcolm

Many people are afflicted with unusual phobias such as Venustraphobia, which is the fear of beautiful women. A phobia is defined as an irrational fear or anxiety disorder. People with phobias tend to be extremely fearful of a specific situation, person, object or activity. There is still uncertainty of what actually causes phobias; however they can be linked to genetics, life experiences or environmental reasons.

A few unusual phobias include:

Bibliophobia- A fear of books.
Coulrophobia-A fear of clowns.
Aulophobia- A fear of flutes.
Porphyrophobia- A fear of the color purple.
Nyctohylophobia- A fear of the woods in the night.
Octophobia- A fear of the figure 8.
Selenophobia- A fear of the moon.
Lutraphobia- A fear of otters.
Heliophobia- A fear of sunlight.
Chionophobia- A fear of snow.

Although these phobias are unusual they should not be taken lightly. They can be harmful to people who have them and can potentially lead to depression, social isolation or substance abuse. It is advised that you seek help immediately if you or someone you know is suffering from the complications of a phobia.

Palliative Care vs Hospice Care

Posted on February 3, 2015 by Joann Ariola

When you are faced with the decision of choosing whether palliative care or hospice care better suites the needs of you, or your loved ones; it is best to know the definition and relationship between the two before deciding.

Palliative care focuses on relieving symptoms that are related to a chronic illness, such as cancer, cardiac disease, respiratory disease, kidney failure, Alzheimer’s and other dementias, AIDS, Amyotrophic Lateral Sclerosis (ALS) and other neurological diseases. Palliative care can be used at any stage of illness –not just advanced stages.

Hospice care is palliative by nature, but is only offered when the patient has progress to a point where curative treatment is no longer desired. Hospice care supports the patient, and their families, on the journey to end of life focusing on relieving symptoms and offering comfort from pain, shortness of breath, fatigue, nausea, anxiety and insomnia.

Although there are differences between palliative care and hospice care, there is a relationship between the two. Knowing the treatment differences and similarities may be helpful when making your decision, including:

Treatments are not limited with palliative care and can range from conservative to aggressive or curative.
Hospice care treatments are limited and focus on the palliation of symptoms. The goal is no longer to cure, but to promote comfort.
Palliative care can be considered at any time during the course of a chronic illness.
With hospice care, Medicare requires that a physician certify that a patient’s condition is terminal. The physician must certify that a patient’s life expectancy is six months or less.
Both palliative and hospice care can be delivered at any location.
Palliative care services are typically provided through regular physician and nursing visits.
Hospice care services are more inclusive than palliative care services. Hospice care includes physician services, nursing services, social worker, spiritual care, bereavement care and volunteers. In some cases physical, occupational, speech and dietary therapy services, as well as other counseling services are deemed necessary as part of the hospice holistic care plan to manage terminal symptoms and provide support for the individual and their family.

It is important to know that choosing palliative care or hospice care is about comfort, control, dignity and quality of life and not about giving up. If you, or a loved one should need information on palliative or hospice care, Jamaica Hospital Medical Center’s Palliative Care and Hospice Care services can help. To schedule an appointment for an evaluation, or to just talk, call 718-206-6914.