Tag Archives: Evidence-based medicine

Workaholism-An Addiction Or A Quality To Be Appreciated?

Is Workaholism An Addiction Or A Quality To Be Appreciated?

workaholismNo company would be willing to employ a lazy bone, someone who will not take his work seriously, takes the least time at work and yields too little, very social but not very committed to the staff goals and objectives. Such a person has no place in the employment world. Every company would be willing to employ people who are committed to the company goals and can go an extra mile like working overtime when need be for the benefit of the company, somebody whose work helps the company to achieve great milestones and increases the output of the company. However we need to know where the boundary lies as there are people who will spend all their time in the workplace ignoring the other facets of life, they are engraved in the jobs they do so much that they become synonymous to their offices, they spend most of their lifetime working and they seem not know when to stop working and attend to their other facets of life- the workaholics.

What is Workaholism?

This refers to compulsiveness about working; a person who is subject to workaholism is referred to a workaholic. He cares more for work than any other thing to him he will work even if what he is doing is unnecessary, life without work means no sense to him. Workaholism is something that has not been addressed well and so many people who are suffering from this situation may be blinded by mere congratulations that they receive by bosses who might be aware these people’s relationship with work is abnormal. In fact the workaholics are exploited at the expense of their own social lives, they suffer broken families and some do not even marry as they are always at work and do not even attend social events where they could meet their potential spouses. Workaholics can only be good employees but are very poor in parenting and so are mostly involved in family feuds. Workaholism involves excessive time spent working, preoccupation with work to the exclusion of other life facets, loss of control over the parameters of one’s work and disenchantment with work, and negative social, emotional, and health consequences. The etiology of workaholism is not clear but may pertain to persons with compulsive personality traits, who are driven to work harder than that demanded from work contexts, and who have learned to place work as a main means of gratification compared to other lifestyle alternatives. As they spend most of their time occupied with work seeking gratification through work they may become affected health wise and so there is need for workaholics to professional help.

Is it an Addiction or a Quality to be appreciated?

Work addiction unlike other addictive life practices like sex, drug use and even gambling is little understood. There is scarcity of literature on the issue of work addiction and therefore a gap for those seeking to know more about workaholism. The subject of workaholism or addiction to work has been debated and still is being debated as to whether it is a quality to be appreciated or a serious problem that needs professional help. While many employers have viewed workaholics as a productive people workaholism has been linked to some issues both socially and as a family. In one study it was found that workaholics burden their children with roles as they are mostly away working and cannot accomplish most of their responsibilities, their children therefore begin their parental roles much younger and when they are still incapable to handle such stuff. Some of the problems that are associated with work addiction include the following.

Frustration and agitation

Just like any other person chained to other addictive behaviors a person who is addicted to work will suffer when they are forced to stop working even for just a day. They will be agitated and frustrated as work has become their only source of measuring success. It is therefore clear that workaholism is just another addiction that should be addressed just as much as drug addiction and other addictive behaviors like gambling. The fact that there is no law that workaholics break by overworking has only made matters worse for families of these people.

Low energy levels

Workaholics suffer  low energy levels as they always have work that never stops spilling over to other aspects of their lives, workaholics can stop doing other healthy practices like exercise and good nutrition just to continue working and can lead to other health issues like obesity and even increased risk to other diseases some symptoms that have been seen in workaholic include; sleep disorders, weight gain , role conflicts with fellow workers , taking sick-leave , high blood pressure, anxiety and depression and physical pain that may be caused by strain in the body muscles. These people lack control of their work and are overcommitted therefore leading to emotional exhaustion.


Conflict both at work and home

Workaholics are not very social people. They do not value relationships and hence spend most of their time away from their families therefore they create a gap that they ought to fill as parents- spending time with those who depend on them. This often results in conflict that may even cause a breakup between a man and his wife. Needless to mention children of workaholics grow up craving for parental love as most of the time their workaholic parent will be away from them. At work their over commitment nature will always create a gap between him and other employees as he is always in a hurry trying to accomplish a lot therefore will not have time for lunch break charts and grapevine engagements that work well in creating a bonded work family.

Finally, the topic of work addiction has attracted lots of debate but still there is little literature on this issue but from the negative aspects associated with it, it is clear that it is not really profitable to a worker. Dr. Dalal Akoury (MD) of AWAREmed Health and Wellness Resource Center is committed to availing help to addicts by availing some of the most integrative approaches to healing an addict chained to any behavior. Call on Dr. Dalal Akoury (MD) at Myrtle Beach, South Carolina for help.

Is Workaholism An Addiction Or A Quality To Be Appreciated?



Severe Mental Illness and Substance Abuse

Persons with Severe Mental Illness Are Prone To Substance Use

Severe Mental illnessPeople with severe mental illness (SMI) are more prone to substance abuse than those who are not suffering from severe mental illness. Both epidemiological and clinical studies that have been done on this have attested to this fact. The findings of these researches have also pointed out that Individuals diagnosed with SMI are also at greater risk of hospitalization, homelessness and suicide and experience more difficulty in different spheres of their lives. Most studies have shown that individuals with SMI are more prone to substance abuse. However other studies that have been done on the same issue have not linked the two phenomena. The substances used most frequently by persons with SMI are alcohol, followed by cannabis and stimulants. Sedatives and hallucinogens are used less frequently by those with SMI. Amphetamine use is greater in persons with psychotic disorders compared with the general population. Studies have shown that both cannabis and, to a greater extent, amphetamines can provoke psychosis. Because individuals do not use cannabis or amphetamines alone, but use them in combination with several other substances, examining the effects of the use of a specific substance on mental illness is particularly challenging. A review showed that substance use has adverse long-term effects on cognitive functions in persons with SMI. The substance that has been found to affect the individuals most negatively is alcohol while cannabis use has little influence on the cognitive functions of the individuals.

Several studies have shown that many people with SMI tend to achieve full remission of their substance use while others relapse frequently. Research from different treatment settings indicate that 30 per cent of those with less severe mental illness and heavy substance use attain sustained remission, while up to 60 per cent of those with SMI and less severe substance use attain sustained remission.

There is however a lack of studies on how persons with SMI experience abstaining from substance use. Nevertheless, research on substance use by clients without the comorbidity of mental illness indicates that social support is important to successful change in behavior of these people. Clients claim that they benefit from interventions that address their multiple recovery issues as opposed to ones that emphasize recovery strictly in sobriety terms. Another qualitative study has noted the participants’ view that highly structured programs and cognitive behavioral techniques are crucial to achieving abstinence. Not only is sobriety a lifelong struggle for many clients, but also is perceived as a challenging state because of the risk that the person becomes complacent after achieving sobriety. This may indicate a need for substitute dependency to maintain the abstinence.

It is of importance to examine how individuals with a psychotic disorder experience quitting substance use and to investigate reported experiences of former abstinence periods by participants still using substances. Two qualitative studies with a primary focus on how persons with SMI experience abstaining from substance use have reported that clients view substance use as one of many sources of difficulty over a troubled life course and that social support is critical to staying clean, lack of support in most cases makes it difficult for these individuals to quit using these drugs. One ethnographic study of clients’ perspectives showed that giving up substances was seen as a source of both pleasure and pain, and presupposed a certain level of rationality.

Study findings

In a study done by Henning Pettersen, Torleif Ruud, Edle Ravndal and Anne Landheim with an objective to find out experiences of abstaining from substances of persons diagnosed with SMI. They examined both the reasons given and the requirements and strategies used when abstaining. The main reasons for quitting substance use were social relationships and meaningful activities. It was found that the stated requirements and strategies used in the search for sobriety were detachment towards people and places, positive thinking, controlling feelings and emotions, and fear of dependency. A qualitative study with semi-structured interviews was conducted, and a descriptive and explorative design was applied. This study included a purposeful sample of 11 patients with SMI and substance use being treated by assertive community treatment teams. Henning et al concluded that the results from this study are consistent with those from other qualitative studies on the importance of social relationships and meaningful activities as expressed reasons for abstaining. The strategy of actively avoiding a former adverse milieu to reach sobriety is consistent with findings from one similar study. The strategies of fear of adverse consequences, positive thinking, and controlling feelings and emotions found in the present study have not been reported by other qualitative studies.

The study had eleven participants of which nine were men and two were women. The ages of the participants were between 27-63 years. Most of the participants had a diagnosis of schizophrenia or schizoaffective disorder, but persons diagnosed with bipolar disorder or an unspecified psychotic disorder also participated. For most participants, SMI had preceded their substance use. The treatment of the participants took duration of between 14-30 months after the first interview.

Severe Mental illnessCannabis and amphetamine were the main substances used in the study but alcohol and other prescription drugs were also used to a lesser extent. However most of the participants used a combination of the substances. At the time of the study four of the participants were abstaining from substance use. Their abstinence periods ranged from 3 to 18 month. At the time of the first interview seven of the participants were still using substances. By the second interview, the abstainers were still abstinent and the users had continued their use. The abstaining group and the group of users did not differ significantly in their psychiatric diagnosis or history of substance use. The 11 participants shared their experiences of shorter and longer periods of abstaining from substances. Some of them talked of their abstaining periods retrospectively, and some were abstaining at the time of the interview. From the findings of this study it is therefore safe to conclude that people suffering from SMI are more prone to substance abuse than people who don’t.

Finally, We at AWAREmed Health and Wellness Resource Center are committed to availing help to addicts by availing some of the most integrative approaches to healing an addict. We advocate for natural healing to all kinds of addiction. Call on Dr. Dalal Akoury (MD) at Myrtle Beach, South Carolina for help.

Persons with Severe Mental Illness Are Prone To Substance Use