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Women breast cancer and depression

Women breast cancer

Women breast cancer and depression comes with very complex pain

Women breast cancer and depression: The most talked about cancer

Of all the cancer types, women breast cancer is the one studied the most. This is primarily true when it comes to the psychosocial effects. It therefore goes without mention that of all the studies done, most of them have been focusing on women and breast cancer. This is what the experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury are going to help us understand. Remember that doctor Akoury is also the founder of this facility and ever since she has been of great help to many people across the globe. You can be among the many that have been treated and are now enjoying their lives to the fullest by seeking an audience with her today through a phone call and you will not regret it. In the meantime, let us settle into the discussion focusing on the depression in women with breast cancer.

Longitudinal studies of depression in women struggling with breast cancer

Like I had said before, this has become a great point of concern to researchers and a lot is being done in this direction. Like for instance and according to one of the prospective study where 160 women with breast cancer and were schedule for breast surgery, it was established that about 22% prevalence of depression in women who had a mastectomy for breast cancer. In relation to those with initial stages of cancer this prevalence was consistent for two years. During this period a 30% rate of anxiety in a study of 58 ambulatory women who were 5 years post treatment for breast cancer. Nonetheless women who had partial mastectomy followed by radiation had better body image but similar amount of anxiety and depression symptoms and fear of recurrence as did women who had modified radical mastectomy.

Women breast cancer and depression: Depression in breast cancer patients by surgical procedure

Of the many studies conducted, when the specialist were analyzing the various findings and in comparison with the psychological outcomes of the women undergoing different surgical procedures, it was established that some low levels of depression but higher levels of anxiety in 133 ambulatory breast cancer patients receiving radiotherapy after mastectomy or lumpectomy. The end result of this study shows clear evidence that in a cutoff score of 10 on HADS only two mastectomy patients were considered significantly depressed. And on the other hand if a HADS cutoff score of 8 was applied, then 6.7% were depressed. In contrast, in a study of 123 women with breast cancer, there was a clear evidence of high prevalence of depression (50% in mastectomy, 50% in lumpectomy with radiation versus 41% in lumpectomy only). These high percentages may have resulted from a use of a self-report depression scale (Center for Epidemiology Self-report Depression Scale [CES-D]) rather than a DSM-IIIR criteria-based clinical interview. This is clear indication that women breast cancer and depression are a common threat that must be addressed professionally. The sensitivity of this condition will require that you consult with your doctor quite often for quick remedial action to be taken. Doctor Dalal Akoury is always at your service whenever you can call on her.

Women breast cancer and depression: The most talked about cancer

 

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Controlling cancer pain effectively

Controlling cancer pain

Controlling cancer pain effectively can be very challenging, however, with our holistic cancer treatment strategies, all you need is to call us and you will be well

Controlling cancer pain effectively: Bone metastasis

Cancer pain is one element that keeps many patients worried of the next minute. If you have been to that place you understand what I am alluding to. The problem is even complicated if the cancer has spread to the bones. Whether it right at the place where the cancer has metastasized or in areas surrounding it, the level of pain may be worse at night and when you rest or it may be better when you rest and worsen when you are moving. This level of pain is what is triggering the discussion about the management of cancer pain from bone metastasis in this article. Pain is actually the single common denominator with all cancer patients irrespective of how it (pain) behaves. It is estimated that about 70% of all cancer patients with metastases (“mets”) have pain on the bone. Pain can be frightening more so when in your mindset you think that you can’t do anything about it. This is a very wrong opinion because there is always something you can do about pain caused by bone metastasis. In fact there’s a lot we can do to reduce the pain, doctor Akoury says. And for sure there’s no reason why any cancer patient should live with excessive pain. That is why experts from AWAREmed Health and Wellness Resource Center have developed this guide to help you get started and defeat cancer pain from your life. AWAREmed Health and Wellness Resource Center is a health facility founded by doctor Dalal Akoury to help people get medical assistance and if you or any of your loved ones is struggling with this problem then you can schedule for an appointment with her today and get the insight of dealing with pain.

Controlling cancer pain effectively: Tracking bone metastasis pain

It is always said that our people suffer because of lack of knowledge. Doctor Dalal Akoury is making effort to fill the gap by impacting health information that stand out in helping the society prevent all preventable conditions. She says that metastatic cancer cells damage bones and cause pain several ways some of which include:

  • They produce substances that can dissolve and weaken bones. This may cause a bone to break, which is painful.
  • As the tumor grows in the bone, nerve endings in and around the bone also send pain signals to the brain.
  • They may make bones harden. This is called sclerosis.

Because most of the cancer pains are as a result of metastasis, many people often think that all pains are caused by metastasis. This may not be the case because other pains like one suffering from a severe shoulder pain could not necessarily come from metastasis but even from a frozen shoulder or tendonitis, she says. Therefore what will inform you if this is actually a cancer pain? One difference is that cancer pain persists while other types of pain are more likely to come and go. But better still, even though this is an indicator, it’s still very important to get any new or changing pain checked out in good time.

If you have persistent bony pain for example, bring it to the attention of your oncologist. It is better that you keep your doctor busy even with very obvious things than to suspect something and assume it. Making an assumption is a very poor way of seeking for help. Therefore I want to encourage you to call with any questions, our team of experts at AWAREmed Health and Wellness Resource Center will be there to help you solve the situation in good time.

Controlling cancer pain effectively: Bone metastasis

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Dealing with the minds perception about cocaine addiction

Dealing with the minds perception about cocaine addiction: Coping with craving of cocaine (part two)

Dealing with the minds perception about cocaine addiction

In our part one of this series of articles about the cognitive behavioral approach of treating addiction, we had highlighted some of the areas to focus on as listed below and we were able to explore on the first one i.e. understanding craving. You can actually make reference on that as we progress but for the purpose of this article we want to continue from where we left and see how best we can describe craving which is one of the biggest elements when it comes to solving the problem of addiction. Our team of experts from the home of addiction solutions (AWAREmed Health and Wellness Resource Center) under the able leadership of doctor Dalal Akoury who is also the founder of the facility, we want to explore on the possibilities of dealing with the minds perception about cocaine addiction with a view of finding lasting solutions to the scourge of addiction.

Dealing with the minds perception about cocaine addiction: Describing craving

Having understood what cravings is our next point would be to get the essential sense of the patients’ experience of craving. This can be very broad and may include having the knowledge about the following information.

What is craving like for you? – Doctor Akoury says that cravings or urges as it is commonly known is experienced in many different of ways by different patients. Like for instance an individual could say, the experience is primarily somatic that is to say, a patient would just get a feeling in the stomach or the heart races or just start smelling the element being craved for. For others, craving is experienced more cognitively; like for example one would say that “I need it now” or “I can’t get it out of my head” or “It calls on me.” Or it may be experienced effectively; for example, “I get nervous” or “I’m bored.” Depending on your individual experience, it is important that when seeking for help, you let your therapist know your experience with craving, this way they will be able to get to the roots of the problem and offer solutions effectively.

Are you bothered by craving? – There is tremendous variability in the level and intensity of craving reported by patients. For some, achieving and maintaining control over craving will be a principal treatment goal and take several weeks to achieve. Other patients deny they experience any craving. Gentle exploration with patients who deny any craving especially those who continue to use cocaine often reveals that they misinterpret a variety of experiences or simply ignore craving when it occurs until they suddenly find themselves using. Other, abstinent patients, who deny they experience any craving often, when asked, admit to intense fears about relapsing.

How long does craving last for you? – In this journey doctor Akoury says that to make the point about the duration and nature of craving, it is often very important for professionals to point out to their patients that they have rarely let themselves experience an episode of craving without giving in to it.

How do you try to cope with it? – Getting a sense of the coping strategies used by patients will help the therapist identify their characteristic coping styles and select appropriate coping strategies.

Dealing with the minds perception about cocaine addiction: Identifying triggers

The next point to focus on would be the identification of the triggers to the substance of abuse. It is important that therapists should work very closely with their patients to develop a comprehensive list of their own triggers. Some patients become overwhelmed when asked to identify cues. From experience doctor Akoury says that when handling addicts, you will notice that someone may even associate breathing with cocaine use. Again, it may be most helpful therefore to concentrate on identifying the craving and cues that have been most problematic to the patient in recent weeks. This should commence immediately during the therapy session and this should include self-monitoring of craving so that patients can begin to identify new and more subtle cues as they arise.

Dealing with the minds perception about cocaine addiction: Avoiding cues

When considering the avoidance of cues it is always advisable that you keep in mind the general strategy of “recognize, avoid, and cope.” These strategies are particularly applicable to craving for all substances and not necessarily cocaine. Doctor Akoury says that real experts would first identify the patients’ most problematic cues then make an exploration of the degree to which some of those could be avoided. This will come with certain sacrifices including breaking ties or reducing contact with individuals who use or supply you with cocaine, getting rid of paraphernalia, staying out of bars or other places where cocaine is used, or no longer carrying money, as in the following example:

Finally in dealing with the minds perception about cocaine addiction one needs not to let any stone unturned. I am saying this because we are all aware that cocaine is an illegal substance but other substances like alcohol which are legal can form a perfect avenue for the consumption of cocaine without being noticed. Besides that the ability to pay for the substance is another point of consideration. When the financial strength allows users to access cocaine could easily form a solution in an alcoholic drink. Therefore experts from AWAREmed Health and Wellness Resource Center recommends that for any meaningful treatment to be realized, therapists and other professionals in the line of substance abuse must spend considerable time exploring the relationship between alcohol and cocaine with patients who use them together to such an extent that alcohol becomes a powerful cocaine cue. Specific strategies to reduce, or preferably, stop alcohol use should be explored. We appreciate that doing this may not be easy for many people and that is why doctor Akoury will be readily available on call for you to schedule for an appointment so that any pending or unclear issues relating to addiction can be attended to professionally.

Dealing with the minds perception about cocaine addiction: Coping with craving of cocaine (part two)

 

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Addressing mind perception about cocaine addiction

Addressing mind perception about cocaine addiction: Coping with craving of cocaine (part two)

Addressing mind perception

Addressing mind perception about cocaine addiction is very crucial in solving the problem of cocaine addiction especially in the teens who would want to explore.

In our part one of this series of articles about the cognitive behavioral approach of treating addiction, we had highlighted some of the areas to focus on as listed below and we were able to explore on the first one i.e. understanding craving. You can actually make reference on that as we progress but for the purpose of this article we want to continue from where we left and see how best we can describe craving which is one of the biggest elements when it comes to solving the problem of addiction. Our team of experts from the home of addiction solutions (AWAREmed Health and Wellness Resource Center) under the able leadership of doctor Dalal Akoury who is also the founder of the facility, we want to explore on the possibilities of addressing mind perception about cocaine addiction with a view of finding lasting solutions to the scourge of addiction.

Addressing mind perception about cocaine addiction: Describing craving

Having understood what cravings is our next point would be to get the essential sense of the patients’ experience of craving. This can be very broad and may include having the knowledge about the following information.

What is craving like for you? – Doctor Akoury says that cravings or urges as it is commonly known is experienced in many different of ways by different patients. Like for instance an individual could say, the experience is primarily somatic that is to say, a patient would just get a feeling in the stomach or the heart races or just start smelling the element being craved for. For others, craving is experienced more cognitively; like for example one would say that “I need it now” or “I can’t get it out of my head” or “It calls on me.” Or it may be experienced effectively; for example, “I get nervous” or “I’m bored.” Depending on your individual experience, it is important that when seeking for help, you let your therapist know your experience with craving, this way they will be able to get to the roots of the problem and offer solutions effectively.

Are you bothered by craving? – There is tremendous variability in the level and intensity of craving reported by patients. For some, achieving and maintaining control over craving will be a principal treatment goal and take several weeks to achieve. Other patients deny they experience any craving. Gentle exploration with patients who deny any craving especially those who continue to use cocaine often reveals that they misinterpret a variety of experiences or simply ignore craving when it occurs until they suddenly find themselves using. Other, abstinent patients, who deny they experience any craving often, when asked, admit to intense fears about relapsing.

How long does craving last for you? – In this journey doctor Akoury says that to make the point about the duration and nature of craving, it is often very important for professionals to point out to their patients that they have rarely let themselves experience an episode of craving without giving in to it.

How do you try to cope with it? – Getting a sense of the coping strategies used by patients will help the therapist identify their characteristic coping styles and select appropriate coping strategies.

Addressing mind perception about cocaine addiction: Identifying triggers

The next point to focus on would be the identification of the triggers to the substance of abuse. It is important that therapists should work very closely with their patients to develop a comprehensive list of their own triggers. Some patients become overwhelmed when asked to identify cues. From experience doctor Akoury says that when handling addicts, you will notice that someone may even associate breathing with cocaine use. Again, it may be most helpful therefore to concentrate on identifying the craving and cues that have been most problematic to the patient in recent weeks. This should commence immediately during the therapy session and this should include self-monitoring of craving so that patients can begin to identify new and more subtle cues as they arise.

Addressing mind perception about cocaine addiction: Avoiding cues

When considering the avoidance of cues it is always advisable that you keep in mind the general strategy of “recognize, avoid, and cope.” These strategies are particularly applicable to craving for all substances and not necessarily cocaine. Doctor Akoury says that real experts would first identify the patients’ most problematic cues then make an exploration of the degree to which some of those could be avoided. This will come with certain sacrifices including breaking ties or reducing contact with individuals who use or supply you with cocaine, getting rid of paraphernalia, staying out of bars or other places where cocaine is used, or no longer carrying money, as in the following example:

Finally in dealing with the minds perception about cocaine addiction one needs not to let any stone unturned. I am saying this because we are all aware that cocaine is an illegal substance but other substances like alcohol which are legal can form a perfect avenue for the consumption of cocaine without being noticed. Besides that the ability to pay for the substance is another point of consideration. When the financial strength allows users to access cocaine could easily form a solution in an alcoholic drink. Therefore experts from AWAREmed Health and Wellness Resource Center recommends that for any meaningful treatment to be realized, therapists and other professionals in the line of substance abuse must spend considerable time exploring the relationship between alcohol and cocaine with patients who use them together to such an extent that alcohol becomes a powerful cocaine cue. Specific strategies to reduce, or preferably, stop alcohol use should be explored. We appreciate that doing this may not be easy for many people and that is why doctor Akoury will be readily available on call for you to schedule for an appointment so that any pending or unclear issues relating to addiction can be attended to professionally.

Addressing mind perception about cocaine addiction: Coping with craving of cocaine (part two)

 

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Depression in Women with Breast Cancer

Depression in Women with Breast Cancer: The most talk about type of cancer

Depression in Women with Breast Cancer

Depression in Women with Breast Cancer is realistic and must be addressed timely if we have to keep the beauty and health of our loved ones breast.

Of all the cancer types, breast cancer is the one most studied more so when it comes to the psychosocial effects. It therefore goes without mention that of all the studies done, most of them are focusing on women and breast cancer. This is what the experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury are going to help us understand. Remember that doctor Akoury is also the founder of this facility and ever since she has been of great help to many people across the globe. You can be among the many that have been treated and are now enjoying their lives to the fullest by seeking an audience with her today through a phone call and you will not regret it. In the meantime, let us settle into the discussion focusing on the depression in women with breast cancer.

Depression in Women with Breast Cancer: Longitudinal studies of depression in women with breast cancer

Like I had said before, this has become a great point of concern to researchers and a lot is being done in this direction. Like for instance and according to one of the prospective study where 160 women with breast cancer and were schedule for breast surgery, it was established that about 22% prevalence of depression in women who had a mastectomy for breast cancer. In relation to those with initial stages of cancer this prevalence was consistent for two years. During this period a 30% rate of anxiety in a study of 58 ambulatory women who were 5 years post treatment for breast cancer. Nonetheless women who had partial mastectomy followed by radiation had better body image but similar amount of anxiety and depression symptoms and fear of recurrence as did women who had modified radical mastectomy.

Depression in Women with Breast Cancer: Depression in breast cancer patients by surgical procedure

Of the many studies conducted, when the specialist were analyzing the various findings and in comparison with the psychological outcomes of the women undergoing different surgical procedures, it was established some low levels of depression but higher levels of anxiety in 133 ambulatory breast cancer patients receiving radiotherapy after mastectomy or lumpectomy. The end result of this study shows clear evidence that in a cutoff score of 10 on HADS only two mastectomy patients were considered significantly depressed. And on the other hand if a HADS cutoff score of 8 was applied, then 6.7% were depressed. In contrast, in a study of 123 women with breast cancer, there was a clear evidence of high prevalence of depression (50% in mastectomy, 50% in lumpectomy with radiation versus 41% in lumpectomy only). These high percentages may have resulted from a use of a self-report depression scale (Center for Epidemiology Self-report Depression Scale [CES-D]) rather than a DSM-IIIR criteria-based clinical interview.

Depression in Women with Breast Cancer: Prior History of Depression in Women with Breast Cancer

Few researchers have noted the time of onset of depression or correlated patients’ history of depression with current depression or functioning. Notably, researchers reported findings on a homogenous sample of 79 women evaluated with the Diagnostic Interview Schedule and CES-D 3–7 months after their diagnosis of breast cancer. Nearly 18% of this sample had a past or current history of depression according to DSM-IIIR criteria. Women with elevated depressive symptoms had more physical symptom distress and more impaired functioning than subjects with depressive disorders and without depression.

In a cross-sectional study of 303 relatively young (mean age 46 years) women with early (stage I or II) breast cancer at 3 months after breast surgery using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire and HADS, it was again established that a past history of depression was associated with depression. It was also noted that women with few psychological symptoms and good emotional adjustment to cancer may have refused participation in this study because these women were also being recruited into an intervention study.

Depression in Women with Breast Cancer: Hormones and Depression in Women with Breast Cancer

In one of the studies involving 257 women with lymph node-negative breast cancer, 155 of who were treated with tamoxifen and 102 who were not. On the basis of clinical interview, 15% of the tamoxifen-treated group had depression compared with 3% of those not taking tamoxifen. Of the 23 women with depression, eight had mild symptoms and no change in tamoxifen dose was made, eight had significant depression requiring a dose reduction to relieve symptoms, and seven had to discontinue tamoxifen secondary to depression.

Depression in Women with Breast Cancer: Prevalence of Depression in Women with Advanced Breast Cancer

Studies evaluating the correlation of depression with disease progression in women with breast cancer have shown inconsistent results. Experts have found less depression in women with advanced breast cancer (4.5%) than in those with recurrent disease (15%). Physical disability did not relate to emotional disturbance. And yet in another study experts reported that ambulatory advanced breast cancer patients had a 20% depression prevalence in one study and 9% depression in another. Still again other studies found a 32% prevalence of depression in 22 women with local recurrence comparable with rates found with mastectomy. And in yet another research experts found a 13% prevalence of depression in advanced breast cancer patients (N = 139); increased levels of depression were found in those with lowest socioeconomic status, poorest performance status, and closer proximity to death.

In view of all these studies, researches and their findings it is becoming clearer that depression in women with breast cancer is realistically a problem that we cannot just wish away. It will take a consolidated effort from all us (medical professionals, government authorities, the general public and all interested parties) to pool together in the fight against these life threatening conditions. On her part as a medical expert, doctor Akoury made a decision to create a medical center (AWAREmed Health and Wellness Resource Center) whose main objective is to transform each individual’s life through increasing awareness about health and wellness and by empowering individuals to find their own inner healing power. Dr. Akoury’s practice focuses on personalized medicine through healthy lifestyle choices that deal with primary prevention and underlying causes instead of patching up symptoms. I strongly believe that you want your life to be transformed for the best of the very best. If this describes your interest, then you can schedule for an appointment with doctor Akoury today and being the life transformation journey with the best in the medical practice.

Depression in Women with Breast Cancer: The most talk about type of cancer

 

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