Sunday, April 25, 2010

A healthy sex life — at any age!


No men or women over the age of 50 would argue that their sex life is just the same as it was when they were 20. Maybe it’s better. Maybe it’s worse. But either way, it’s bound to be different.

Just as the body changes with age, so does sexuality. This physical transformation usually includes declining hormone levels for both men and women, as well as changes in neurology and circulation. These shifts often lead to a variety of sexual problems such as erectile dysfunction or vaginal dryness. A wide array of medical treatments are now available to address these and other conditions.

Outward appearances also change with age, sometimes bringing a decline in self-confidence in the sexual arena. Nearly everyone experiences some of these changes. But they don’t spell the end of a sex life for most older people.

Both physical and emotional issues can interfere with a good sex life. Sometimes they intertwine, causing breakdowns in communication and inhibitions that cause sexuality to sputter and stall. But these are not problems you must live with. Instead, treatments are available that can improve if not cure most physical problems.

Self-help techniques and counseling can bring relief to relationship problems. By shifting your focus away from your perceived flaws to your attributes, you can boost your self-esteem and establish your own standards for attractiveness.

Think back on what it was that made you attractive in your younger years. Was it your soulful brown eyes, your crooked smile, or maybe your infectious laugh? Chances are, those qualities are still as appealing as ever. Also, try directing your attention to the experience of giving and receiving pleasure during sex. Non cooperation during sex declines the libido in the counterpart.

One should understand that being satisfied from sex is related to the emotional touch given during the physical sex. This can help you find the confidence to give yourself over to the experience. Great sex is often the outgrowth of a deep emotional connection — something that’s not guaranteed by having a perfect body. A negative self-image isn’t always rooted in your appearance.

Career setbacks or other disappointments can lead to feelings of failure and depression, both of which sap desire. For men, episodes of impotence can undercut confidence in their manhood. Research have correlated that anxiety is directly related to the premature ejaculation, which have every tendency to distract people from the sexual activities.

No matter what its cause, a poor self-image can take a toll on your sex life. When performance anxiety develops as a result, it can spark a downward spiral of repeated sexual failure and diminishing self-esteem. Correcting this problem demands serious attention to its origin.

Many of the physical changes that come with age have noticeable effects on the sex organs and the sexual cycle. Thus, the careful lovemaking of a 70-something couple may bear little resemblance to the lusty pairings of 20-year-olds. This isn’t necessarily a bad thing. Greater experience, fewer inhibitions, and a deeper understanding of your needs and those of your partner can more than compensate for the consequences of aging. The physical changes of aging can provide an impetus for developing a new and satisfying style of lovemaking.

Sexuality in later life
Middle-aged and older adults no longer accept such myths as “Sex is only for young people” and “Sex isn’t important to older adults.” A study conducted by AARP, “Sexuality at Midlife and Beyond,” illustrates this. These are some of the findings:


1) Five out of six of the respondents disagreed with the statement that “Sex is only for younger people.”
2) Six out of 10 people stated that sexual activity was a crucial part of a good relationship.
3) Only 10% of adults reported that they don’t particularly enjoy sex, and just 12% agreed that they would be quite happy never having sex again.

Review by: Klub Psychology



Our motto: One step ahead, everyday.

Friday, March 5, 2010

365 Nights of Sex: Can It Strengthen a Marriage?



When their marriages fell into the doldrums, two long-married couples decided to find out if having sex every day could boost their relationships.

If you decided to have sex every day, would your relationship benefit?
Two long-married couples decided to find out. When lovemaking fell off their respective "to-do" lists, they ditched the sweats, bought sex toys and books, stepped up exercise, lit candles, and took trips. Then they chronicled their "sexperiment" in two recently released books, Just Do It: How One Couple Turned Off the TV and Turned On Their Sex Lives for 101 Days (No Excuses!) by Doug Brown and 365 Nights: A Memoir of Intimacy by Charla Muller with Betsy Thorpe.

But will daily sex really help a relationship that's hit a rough patch? Some experts say yes; others aren't so sure. As for the two couples who tried it, the Browns and the Mullers, both say the experiment strengthened their marriages in -- and out -- of the bedroom.

Charla Muller had been married for eight years to her husband, Brad, when she embarked on what she calls "the year of the gift" as a way to celebrate her husband's 40th birthday Rather than fixing anything wrong in her marriage, she writes that frequent sex made her happier, less angry, and less stressed.

Doug Brown's wife, Annie Brown, initiated the offer of daily sex after hearing about sexless marriages on Oprah. He had a similar revelation after they started having daily sex. A feature writer for The Denver Post, Brown writes of releasing "an avalanche of flesh pleasures upon our relationship."

"There's a special sense of being desired that only comes from sex," he tells WebMD. "You can be good at your job or at sports, but the daily confirmation you get through sex is a super feeling."
Reversing the Downward Sex Spiral
According to the National Opinion Research Center, the average American couple reports having sex 66 times a year. Newsweek has noted that 15% to 20% of couples have sex less than 10 times a year, which is defined as a "sexless" marriage.

Familiarity, advancing age, work pressures, the challenges of raising a family, and household responsibilities all conspire against regular sex among many otherwise loving couples who feel too harried to get physical.

As according to the researches conducted by Klub Psychology in urban areas like Kathmandu and Pokhara of Nepal, the problem with the urban families, who have migrated from rural background or from other cites to a new city for careers and opportunities, the problem is created due to the two rented room where they live.
They have a family with children who share these two rooms for play, study and living. There are high chances that the couple doesn’t get enough space and time to create a love making affairs. In the long run their marriage and sexual life are both affected. These families don’t have enough economy to lease any hotel or motel room once in a week for their sex (alas the pressurized sex in their room becomes just an ejaculatory mechanism and there is absolute no imtimacy) and also because they have a family with small children to look after and a bigger responsibility to take over. And most couple after few years of marriage are bored with each other because they have nothing to recreate in their sex life.

When Doug Brown and his wife began their experiment in 2006, they were juggling two kids and two jobs. Married for 14 years, they averaged sex three times a month. And he admits he had performance anxiety.

"I felt I had to be a porn star or an Olympic gold medalist. That melted away with [daily] sex. We learned so much about each other. Sex became much more playful and that translated into a more playful union. We regained electricity that wasn't always there before."

They also lost their inhibitions and embarrassment about the subject and gained confidence. "Now we can talk about anything."

The Mullers had a similar experience.
"I didn't realize how much not being [regularly] intimate stressed our relationship," Charla Muller tells WebMD. "I was a bit of a dodger, because I felt pressure to make it fabulous, because who knows when it will come around again? Now I'm not willing to give it up again."
She says an unexpected benefit of daily sex was the kindness it required of the couple.

"I wasn't expecting that. I thought we would only have to be really nice after hours. But we both had to bring our best game to the marriage every day. That was an important part of what went on behind closed doors."

The Science of Frequent Sex
Helen Fisher, PhD, a research professor and member of the Center for Human Evolutionary Studies in the department of anthropology at Rutgers University, says couples trigger sex drive, romance, and attachment -- along with their attendant hormones, testosterone, dopamine, and oxytocin -- with regular sexual activity.

Fisher is an advocate of frequent sex.

She says that in some hunting and gathering societies, such as the Kung bushmen in the southern Kalahari, couples often make love every day for relaxation. Unlike our time-pressed culture, there is more leisure time.

"Sex is designed to make you feel good for a reason," says Fisher. "With someone you love, I recommend it for many reasons: It's good for your health and good for your relationship. It's good for respiration, muscles, and bladder control. It's a fine antidepressant, and it can renew your energy."

Andrea M. Macari, PhD, a clinical psychologist who specializes in sex therapy in Great Neck, N.Y., says the theories presented in the two books reflect sex therapy literature.
"Regular sex actually increases sexual desire in the couple," she tells WebMD. "In other words, the more you 'do it,' the more the individuals will seek it. You develop a desire that wasn't normally there. The act itself is reinforcing."

But she points out that sex doesn't have to be "mind-blowing."

"I encourage couples to have 'good enough' sex. This sets realistic expectations and often lowers anxiety. Sex is like pizza: even when it's bad, it's usually still pretty good. On a scale from one to 10, good-enough sex is between 5 and 7."

Doug Brown admits that he and his wife were tired on many nights. But, he says, "Once we started, we got in the mood. We were never sorry we did it."

Scheduled Sex: Good for Your Relationship?
"The two married couples who document having sex on a daily basis are great role models for other couples who want to take their relationship to a higher level of intimacy," says Ava Cadell, PhD, founder and president of Loveology University and a certified sex counselor.

Cadell's six-week course called "Passion Power" includes a commitment form, a questionnaire, and daily sensual exercises to help couples deepen their bond. "When a couple makes a commitment to explore and expand their sexuality together, they become 100% fluent in the art of love, intimacy, and sexuality. They can stay in lust forever."

But some experts think scheduled sex can backfire.

Pepper Schwartz, PhD, a professor of sociology at the University of Washington in Seattle, says, "Whether or not it works, most couples can't do it. Those who do maintain that kind of schedule have either a sexual appetite of Olympian proportions or have at least one partner who finds that as their most important way of staying connected and the other partner has tremendous grace and goodwill. There are no couples I have ever met that are in that good a mood, or have that kind of energy every day. So this is a model that will appeal to few and be practiced by even fewer."

But, she concedes, staying sexually and emotionally connected on a frequent basis has merit.

"Sexual attraction and sexual arousal bring to bear two very important hormones, dopamine and oxytocin, both of which create bliss and bonding. Even if the lovemaking session started out with only a modest amount of interest, once arousal starts, these hormones create attachment, pleasure, and intimacy. So while everyday sex isn't necessary, frequent sex is a great bonus and even an essential part of most couple's commitment and happiness with one another."

Stress management expert Debbie Mandel, MA, thinks such sex might be a bit "gimmicky" and could lead to dissatisfaction.

"In many cases, abstinence makes the heart grow fonder. You don't have to abstain for a long period of time -- a few days off creates anticipation and eagerness. You might love steak, but having it every night diminishes the gustatory pleasure. Habituate yourself to regular sex, but don't ever let love become a routine, a robotic obligatory habit."

Doug Brown disagrees. He says setting up a period of time -- be it a long weekend, a week, or a month -- is a way to jump-start a sagging sexual relationship. "It should be possible for any couple to do it for a week and for it not to be a chore. It's free and it's fun. Why not plan it and take advantage of it? Anticipation is a big part of sex."

Having sex every day may be unrealistic for most couples, but if you and your partner want to ramp up your sex life, experts offer the following tips for success:

Increase in increments. Muller recommends couples start by doubling their frequency. Then doubling it again in six months.

Re-examine your sex life -- often. Though they now average sex three times a week, Doug Brown says his wife recently told him they need a "tune-up," or a mini-marathon of sex.

Act on your desires. "Whenever you have the urge, says Macari, head straight for the bedroom. The more time [that elapses] between having the idea and following up and you'll lose motivation."
Fake it till you make it. Several experts agree: Even if you aren't in the mood, once you begin, you'll enjoy sex.


By Suzanne WrightWebMD Feature
Reviewed by
Louise Chang, MD
Some features from the researches of Klub Psychology.


Our motto: One step ahead, everyday.

Thursday, March 4, 2010

7 ways to keep your memory sharp at any age


As we grow older, we all start to notice some changes in our ability to remember things. Maybe you’ve gone into the kitchen and can’t remember why, or can’t recall a familiar name during a conversation. You may even miss an appointment because it slipped your mind. Memory lapses can occur at any age, but we tend to get more upset by them as we get older because we fear they’re a sign of dementia, or loss of intellectual function. The fact is, significant memory loss in older people isn’t a normal part of aging—but is due to organic disorders, brain injury, or neurological illness, with Alzheimer’s being among the most feared.


Most of the fleeting memory problems that we experience with age reflect normal changes in the structure and function of the brain. These changes can slow certain cognitive processes, making it a bit harder to learn new things quickly or screen out distractions that can interfere with memory and learning. Granted, these changes can be frustrating and may seem far from benign when we need to learn new skills or juggle myriad responsibilities. Thanks to decades of research, there are various strategies we can use to protect and sharpen our minds. Here are seven you might try.


1. Keep learning
A higher level of education is associated with better mental functioning in old age. Experts think that advanced education may help keep memory strong by getting a person into the habit of being mentally active. Challenging your brain with mental exercise is believed to activate processes that help maintain individual brain cells and stimulate communication among them. Many people have jobs that keep them mentally active, but pursuing a hobby or learning a new skill can function the same way. Read; join a book group; play chess or bridge; write your life story; do crossword or jigsaw puzzles; take a class; pursue music or art; design a new garden layout. At work, propose or volunteer for a project that involves a skill you don’t usually use. Building and preserving brain connections is an ongoing process, so make lifelong learning a priority.


2. Use all your senses
The more senses you use in learning something, the more of your brain will be involved in retaining the memory. In one study, adults were shown a series of emotionally neutral images, each presented along with a smell. They were not asked to remember what they saw. Later, they were shown a set of images, this time without odors, and asked to indicate which they’d seen before. They had excellent recall for all odor-paired pictures, and especially for those associated with pleasant smells. Brain imaging indicated that the piriform cortex, the main odor-processing region of the brain, became active when people saw objects originally paired with odors, even though the smells were no longer present and the subjects hadn’t tried to remember them. So challenge all your senses as you venture into the unfamiliar. For example, try to guess the ingredients as you smell and taste a new restaurant dish. Give sculpting or ceramics a try, noticing the feel and smell of the materials you’re using.


3. Believe in yourself
Myths about aging can contribute to a failing memory. Middle-aged and older learners do worse on memory tasks when they’re exposed to negative stereotypes about aging and memory, and better when the messages are positive about memory preservation into old age. People who believe that they are not in control of their memory function are less likely to work at maintaining or improving their memory skills and therefore are more likely to experience cognitive decline. If you believe you can improve and you translate that belief into practice, you have a better chance of keeping your mind sharp.


4. Economize your brain use
If you don’t need to use mental energy remembering where you laid your keys or the time of your granddaughter’s birthday party, you’ll be better able to concentrate on learning and remembering new and important things. Take advantage of calendars and planners, maps, shopping lists, file folders, and address books to keep routine information accessible. Designate a place at home for your glasses, purse, keys, and other items you use often. Remove clutter from your office or home to minimize distractions, so you can focus on new information that you want to remember.


5. Repeat what you want to know
When you want to remember something you’ve just heard, read, or thought about, repeat it out loud or write it down. That way, you reinforce the memory or connection. For example, if you’ve just been told someone’s name, use it when you speak with him or her: “So, John, where did you meet Camille?” If you place one of your belongings somewhere other than its usual spot, tell yourself out loud what you’ve done. And don’t hesitate to ask for information to be repeated.


6. Space it out
Repetition is most potent as a learning tool when it’s properly timed. It’s best not to repeat something many times in a short period, as if you were cramming for an exam. Instead, re-study the essentials after increasingly longer periods of time — once an hour, then every few hours, then every day. Spacing out periods of study is particularly valuable when you are trying to master complicated information, such as the details of a new work assignment. Research shows that spaced rehearsal improves recall not only in healthy people but also in those with certain physically based cognitive problems, such as those associated with multiple sclerosis.


7. Make a mnemonic

This is a creative way to remember lists. Mnemonic devices can take the form of acronyms (such as RICE to remember first-aid advice for injured limbs: Rest, Ice, Compression, and Elevation) or sentences (such as the classic “Every good boy does fine” to remember the musical notes E, G, B, D, and F on the lines of the treble clef).


Sources: Harvard Medical School


Our motto: One step ahead, everyday.

Monday, February 1, 2010

Healthcare-associated infections


When someone develops an infection at a hospital or other patient care facility that they did not have prior to treatment, this is referred to as a healthcare-associated (sometimes hospital-acquired) infection (HAI).

Healthcare-associated infections (HAIs) are a global crisis affecting both patients and health careworkers.According to the World Health Organization (WHO), at any point in time, 1.4 million people worldwide suffer from infections acquired in hospitals. A Centers for Disease Control (CDC) report published in March-April 2007 estimated the number of U.S. deaths from healthcare associated infections in 2002 at 98,987.


The risk of acquiring healthcare-associated infections in developing countries is 2-20 times higher than in developed countries.Afflicting thousands of patients every year, HAI often leads to lengthening hospitalization, increasing the likelihood of readmission, and adding sizably to the cost of care per patient.Financially, HAIs represent an estimated annual impact of $6.7 billion to healthcare facilities, but the human cost is even higher.


Until recently, a lack of HAI reporting requirements for healthcare facilities has contributed to less-than-optimal emphasis being placed on eliminating the sources of healthcare associated infections. However, growing public anxiety regarding the issue and resulting legislation on state and local levels demanding accountability is serving to accelerate initiatives to combat HAIs.


Types of Healthcare-Associated Infections


Our motto: One step ahead, everyday.

Friday, January 8, 2010

Anger: Heart Disease



How Anger Hurts Your Heart?

Yellers, ragers, and door slammers beware -- frequent high levels of anger have now been linked to heart disease.

If you knew that frequent anger might raise your risk of heart disease significantly, would you continue to blow off steam by yelling and smashing things during an argument or getting furious if the office email crashes during a rushed, stressful day?

It's time for hot heads to take heed: Increasingly, the negative, irritable, raging, and intimidating personality type worries heart researchers and doctors alike. "You're talking about people who seem to experience high levels of anger very frequently," says Laura Kubzansky, PhD, MPH, an associate professor at the Harvard School of Public Health in Cambridge, Mass., who has studied the role of stress and emotions on cardiovascular disease.

The key here is "high" levels. Moderate anger may not be the problem, according to Kubzansky. In fact, expressing anger in reasonable ways can be healthy. "Being able to tell people that you're angry can be extremely functional," she says. But explosive people who hurl objects or scream at others may be at greater risk for heart disease, as well as those who harbor suppressed rage, she says. "Either end of the continuum is problematic."

Anger's Physiological Effects on the Heart
So how exactly does anger contribute to heart disease? Scientists don't know for sure, but anger might produce direct physiological effects on the heart and arteries. Emotions such as anger and hostility quickly activate the "fight or flight response," in which stress hormones, including adrenaline and cortisol, speed up your heart rate and breathing and give you a burst of energy. Blood pressure also rises as your blood vessels constrict.

While this stress response mobilizes you for emergencies, it might cause harm if activated repeatedly. "You get high cortisol and high adrenaline levels and that is the cardiotoxic effect of anger expression," says Jerry Kiffer, MA, a heart-brain researcher at the Cleveland Clinic's Psychological Testing Center. "It causes wear and tear on the heart and cardiovascular system." Frequent anger may speed up the process of atherosclerosis, in which fatty plaques build up in arteries, Kiffer says. The heart pumps harder, blood vessels constrict, blood pressure surges, and there are higher levels of glucose in the blood and more fat globules in the blood vessels. All this, scientists believe, can cause damage to artery walls.

And anger might not be the only culprit. In Kubzansky's own research, she found that high levels of anxiety and depression may contribute to heart disease risk, too. "They tend to co-occur," she says. "People who are angry a lot tend to have other chronic negative emotions as well."

Emotions and the Heart
According to an analysis of findings from 44 studies published last year in the Journal of the American College of Cardiology, evidence supports the link between emotions and heart disease. To be specific, anger and hostility are significantly associated with more heart problems in initially healthy people, as well as a worse outcome for patients already diagnosed with heart disease.

The same study also showed that chronically angry or hostile adults with no history of heart trouble might be 19% more likely than their more placid peers to develop heart disease. The researchers found that anger and hostility seemed to do more harm to men's hearts than women's. Among patients already diagnosed with heart disease, those with angry or hostile temperaments were 24% more likely than other heart patients to have a poor prognosis.

In light of such findings, some doctors now consider anger a heart disease risk factor that can be modified, just as people can lower their cholesterol or blood pressure. "We're really good at treating heart attacks, but we're not that good at preventing them," says Holly S. Andersen, MD, cardiologist and director of education and outreach at the Ronald O. Perelman Heart Institute at New York-Presbyterian Hospital/Weill Cornell Medical Center. "Stress is not as easy to measure as your cholesterol level or your blood pressure, which are clearly objective. But it's really important that physicians start taking care of the whole person -- including their moods and their lives -- because it matters." The bottom line: "A change of mind can lead to a change of heart," Kiffer says.


Coping With Anger
Got a hair-trigger temper? Counseling and anger management might help in the long term, but what can you do for a quick fix?

Recognizing signs that you're getting angry and shifting your frame of mind will help, says Wayne Sotile, PhD, author of Thriving With Heart Disease. The next time you feel your anger -- and heart rate -- rising, try these coping statements to get a grip fast:


"I can't accomplish anything by blaming other people, even if they are responsible for the problem. I'll try another angle"

"Will this matter five years from now? (Five hours? Five minutes?)"

"If I'm still angry about this tomorrow, I'll deal with it then. But for now, I'm just going to cool off."

"Acting angry is not the same as showing that I care."

By Katherine KamWebMD the Magazine - Feature
Reviewed by
Louise Chang, MD


Our motto: One step ahead, everyday.

Monday, January 4, 2010

Hangover


The alarm goes off, and it feels as if someone is hitting you with a hammer. It is the next morning after a night of drinking, and your head is pounding and your body is aching. Your mouth is dry, and you are thirsty. You try to move to a more comfortable position, and it only hurts more. To make matters worse, when you move, you discover that you are dizzy and nauseated. The room seems as if it is spinning. You put one foot on the floor to make it stop. It doesn't work. You have a hangover.

What Is a Hangover?
The term hangover refers to a constellation of unpleasant and painful symptoms that can develop after drinking too much alcohol. Those symptoms can range from mild discomfort to the more severe symptoms described above.

There is no set amount of alcohol that will cause a hangover, since each individual reacts to alcohol differently, but generally, the more you had to drink, the more severe the hangover symptoms.

The Symptoms of a Hangover
Most of the unpleasant symptoms experienced during a hangover are caused by two factors: the diuretic alcohol effect that causes the drinker to become dehydrated, and the toxic effects of alcohol poisoning of many systems of the body.

Excessive amounts of alcohol can affect the liver, the brain, the gastrointestinal system, the central nervous system and sensory perception. It can disrupt your sleep and other body rhythms, affect your mood and affect your attention and concentration.

The Causes of a Hangover
Most of the symptoms experienced during a hangover are caused by the direct effect of alcohol on the body's systems, as mentioned above, but there are many other factors that can add to the unpleasantness of a hangover that are not direct effects of the alcohol consumed.

Hangover symptoms can also be caused by the withdrawal of alcohol from the body, the effects of metabolites produced when alcohol is consumed, other chemicals found in alcoholic beverages, behaviors associated with drinking and personal characteristics of the drinker.

The Cure for Hangovers
There are many traditional practices that are thought to alleviate hangover symptoms, but some of them are unfounded myths that really don't help much at all. There are some practices that can actually make matters worse.

Left alone, hangover symptoms will go away on their own within eight to 24 hours, but when your head is pounding and the room is spinning, any treatment that can bring relief can sound like a good idea.

Preventing a Hangover
The best cure for a hangover is to never get one in the first place. People who drink nonalcoholic beverages do not get hangovers, and generally speaking, those who drink moderate amounts -- one drink a day for women and no more than two a day for men -- do not experience hangover symptoms.

If you drink any alcohol at all, though, you can experience negative consequences the next morning. Although there is no sure way to eliminate all of the unpleasantness of a hangover, there are steps that you can take to reduce the severity of the symptoms.


The Hangover as a Deterrent
For many people who experience a particularly severe hangover, it can be the motivation to never drink excessively again. It happens every day: someone has a very bad experience after drinking too much and they simply make a decision to quit drinking and they never drink again.
But it is not the case for all the people and that they don't easily decide to quit the drinking habit. For some people (usually psychologically dependents on alcohol), who are motivated to drink a particular day, may experience a prior psychological intoxication. This psychological intoxication may be more intense than the physiological intoxication and there are chances that it could be enough euphoric. It is this more intense psychological intoxication, that they never want to quit the drinking habit. This is because, as once a psychological need is gratified, people have a strong desire for the same need again. (As from the researches of Klub Psychology)

Others, though, continue to drink despite repeated bouts with severe hangover symptoms. Continuing to drink despite negative consequences can be sign of alcoholism or alcohol dependence or, at the very least, alcohol abuse. Heavy drinkers who have sworn to themselves "never again" during a hangover, but return to drinking a short time later, have, by definition, a drinking problem.

People who do not drink alcohol do not get hangovers. People who drink small amounts of alcohol rarely get hangovers. People who drink nonalcoholic beverages or those will very small amounts of alcohol within them rarely get hangovers.

However, people who drink to the point of intoxication usually experience some hangover symptoms. Among those who drink until they are intoxicated, those who drink large amounts of alcohol generally have more hangover symptoms compared with those who drink less.

Therefore, the best cure for a hangover is to prevent it from happening in the first place by not drinking alcohol at all, or by drinking very modest amounts. There are other steps that can help in hangover prevention, but once the symptoms of a hangover begin, there are few options that actually bring relief.

Some of the widely used, traditional hangover "cures" really do little to relieve symptoms and some of them can actually make the situation worse.

What Does Not Work?
There are several myths and urban legends surrounding curing a hangover that have been around for years. Most of them have no scientific basis:

· The Hair of the Dog That Bit You - The practice of having a drink the next morning to ward off the effects of a hangover doesn't really work in the long run, contrary to popular belief. Since the worse hangover symptoms occur when the drinker's blood alcohol content returns to zero, taking a drink the next morning only delays the inevitable. It may lessen the symptoms in the short term, but giving the liver more alcohol to metabolize will only increase the discomfort later. Additionally, a morning-after drink can lead to more drinking and can contribute to eventual alcohol dependence.

· Black Coffee - Coffee may relieve the feeling of fatigue associated with hangover and help alleviate the headache symptoms by restricting blood vessels, but that relief is only temporary and the symptoms will return. More importantly, coffee acts as a diuretic further dehydrating the body and increasing the hangover symptoms. Again, coffee may lessen some symptoms initially, but in the long run may cause more problems.

· Taking Tylenol Before Going to Bed - This treatment seems to make sense, but it fails on two levels. First, the effects of acetaminophen (Tylenol) will usually wear off before the onset of hangover symptoms. It would be better to take it after the symptoms begin. Additionally, when the liver is processing alcohol it cannot process acetaminophen as it usually does, which can cause liver inflammation and possible permanent liver damage.

· Eating Fried or Greasy Foods -
If you eat foods with a lot of fat before drinking, the oils can coat your stomach lining and slow down the absorption of alcohol. This can help prevent the severity of a hangover. However, eating greasy food the morning after a drinking bout will probably only add to the gastrointestinal malaise by irritating the stomach and intestines.

· Eating Burnt Toast -
Carbon can act like a filter in the body and activated charcoal is used to treat some types of poisonings, but the carbon found on burnt toast is not activated charcoal and it does not work the same in the body. Over-the-counter products sold as hangover cures that contain carbon are intended to be taking before drinking, not after the hangover begins.


What Does Work to Relieve Hangovers?
The only real cure for a hangover is time. If no more alcohol is consumed, hangover symptoms should subside between eight and 24 hours. There are some things that can be done to relieve some of the most severe symptoms.

· Water or Sports Drinks - The dehydration effects of alcohol causes some of the most discomfort associated with hangovers -- headache, dizziness, and lightheadedness. The quickest way to relieve those symptoms is to drink lots of water. Sports drinks, such as Gatorade, will not only relieve dehydration, but also replace needed electrolytes.

· Painkillers - Aspirin and ibuprofen (Advil or Motrin) may reduce hangover headache and muscle pain, but should not be used if you are experiencing abdominal pain or nausea. The medications themselves are gastric irritants and can compound gastrointestinal hangover symptoms. Acetaminophen (Tylenol) should not be taken during a hangover because alcohol metabolism enhances acetaminophen's toxicity. Also, ibuprofen taken when dehydrated can sometimes cause kidney dysfunction especially in persons with poor kidney function.

· Eggs - Because eggs contain cysteine, which breaks down acetaldehyde in the body, eating eggs the morning after a drinking binge could help remove the hangover-causing alcohol metobolite toxin from the body.

· Bananas - Alcohol, like any diuretic, depletes the body of potassium. Eating bananas, or other fruit high in potassium, while having hangover symptoms can replenish the potassium and lost electrolytes. Sports drinks typically are good sources of potassium.

· Bouillon Soup - If you can't handle the idea of eating anything solid while experiencing severe hangover symptoms, try some bouillon soup. It also can help replace salt and potassium lost during a drinking binge.


· Fruit or Fruit Juice - Consuming fruit or fruit juice while hungover can increase energy, replaces vitamins and nutrients and has been shown to speed up the body's process of getting rid of toxins. Fruits and fruit juices therefore can help decrease the intensity of hangover symptoms.

The Bottom Line
Drinking as much water as possible over the course of the evening and before you go to bed will relieve a great deal of the hangover symptoms caused by dehydration. But only time will cure the hangover symptoms caused by the alcohol poisoning effects of excessive drinking.

Sources: http://www.about.com/
Our motto: One step ahead, everyday.

Wednesday, December 30, 2009

Healthy coping during holiday stress


The holiday season can be a stressful time. With the combined stressors of holiday shopping, financial strain, difficult relatives, travel stress and a busy schedule of demands, many people find themselves more stressed than usual. Women, who often shoulder the bulk of the added holiday burden as far as baking, shopping, coordinating, party-throwing and planning are concerned, are often particularly stressed during this time.


This added stress can come out in many different ways. Some people respond to stress emotionally, either feeling anxiety, depression or anger and frustration. Others respond with a weakened immune system, getting sick more frequently (which is more of a danger during this season anyway, as people crowd indoors and swap germs in airports and malls). Others just power through and find themselves battling burnout by the end of the year.


As people try to cope with all these stressors, relatively few people take the time to learn new stress management practices; most just use their regular coping tactics, but to a greater degree. This is fine for people who normally cope with stress in a healthy way. For many people--people who do use some healthy coping techniques--also cope with stress in unhealthy ways, either with 'comfort food', a glass of wine, a shopping trip or something similar. These behaviors aren't the healthiest coping techniques to begin with, but they aren't generally as harmful as when they're taken to an extreme. Under increased pressure, mildly unhealthy coping becomes emotional overeating, excessive drinking, chain smoking, compulsive buying, and the like. And these responses to stress generally add more stress.

How does one deal?

By replacing unhealthy coping with healthy stress management techniques.

First, finding some healthier ways to reduce stress can make quite a difference here because, when there is less stress to react to, unhealthy responses can diminish. Also, when healthy coping skills are substituted for unhealthy ones, it's easier to let go of unhealthy habits. Finally, after working harder at healthy stress management (which can include ideas mentioned in the resources below), if you still find yourself feeling overwhelmed with stress or coping in a way that causes problems in other areas of your life, it might be a good idea to talk to someone and find resources to help.

Holiday stress can be a bit daunting, but it can also be just the thing you need to cause you to reexamine your lifestyle and your reactions to stress, and create healthier habits for the coming year, and for your future. Here are some resources to help.


Handling Family Conflict
Going to see your family (or your partner's) can be wonderful and stressful, all at once! While it might be really special and fun seeing everyone (or not--some of you know what I mean!), it can also be stressful for a number of reasons. There might be a relative that you love, but can only take in small doses. You may find yourself or your partner acting differently around your families of origin, and not know how to adjust. You may stress about gifts, alliances, roles, events or any number of things. Or you may get homesick because things are just so darn fun when you see your family! Whatever the stress you may face, I think I have a resource or two here that can help you diffuse stress from the situation. Check out the articles below.


Research shows that supportive relationships are good for our mental and physical health. However, dealing with difficult people and maintaining ongoing negative relationships is actually detrimental to our health. It’s a good idea to diminish or eliminate relationships that are filled with conflict. But what do you do if the person in question is a family member, co-worker, or someone you otherwise can’t easily eliminate from your life?

The following are tips for dealing with difficult people who are in your life, for better or for worse:
Difficulty: Average
Time Required: Ongoing

Here's How:Avoid discussing divisive and personal issues, like religion and politics, or other issues that tend to cause conflict. If the other person tries to engage you in a discussion that will probably become an argument, change the subject or leave the room.

In dealing with difficult people, don’t try to change the other person; you will only get into a power struggle, cause defensiveness, invite criticism, or otherwise make things worse. It also makes you a more difficult person to deal with.

Change your response to the other person; this is all you have the power to change. For example, don’t feel you need to accept abusive behavior. You can use assertive communication to draw boundaries when the other person chooses to treat you in an unacceptable way.

Remember that most relationship difficulties are due to a dynamic between two people rather than one person being unilaterally "bad." Here’s a list of things to avoid in dealing with conflict.

Do you do any of them?Try to look for the positive aspects of others, especially when dealing with family, and focus on them. The other person will feel more appreciated, and you will likely enjoy your time together more.

However, don’t pretend the other person’s negative traits don’t exist. Don’t tell your secrets to a gossip, rely on a flake, or look for affection from someone who isn’t able to give it. This is part of accepting them for who they are.

Get your needs met from others who are able to meet your needs. Tell your secrets to a trustworthy friend who's a good listener, or process your feelings through journaling, for example. Rely on people who have proven themselves to be trustworthy and supportive. This will help you and the other person by taking pressure off the relationship and removing a source of conflict.

Know when it’s time to distance yourself, and do so. If the other person can’t be around you without antagonizing you, minimizing contact may be key. If they’re continually abusive, it's best to cut ties and let them know why. Explain what needs to happen if there ever is to be a relationship, and let it go. (If the offending party is a boss or co-worker, you may consider switching jobs.)

Tips:Try not to place blame on yourself or the other person for the negative interactions. It may just be a case of your two personalities fitting poorly.

Remember that you don't have to be close with everyone; just being polite goes a long way toward getting along and appropriately dealing with difficult people.

Work to maintain a sense of humor -- difficulties will roll off your back much more easily. Shows like "The Office" and books like David Sedaris' Naked can help you see the humor in dealing with difficult people.

Be sure to cultivate other more positive relationships in your life to offset the negativity of dealing with difficult people.

Combating holiday overeating
The holiday season is a notoriously bad time for the waistline. In fact, just thinking about December makes some people swear they've put on a pound or two! While this tends to be a time of year that people want to look their best--most people see family and friends galore at holiday parties and gatherings and want to look nice dressed up, or be remembered as looking their best--it's also a time when staying svelte is most difficult. Think about it; in addition to the regular causes of stress-related weight gain, we have these other factors to contend with:
More food. Better Food.Yes, with all the holiday parties and nice dinners with family, people are often presented with more opportunities to gorge themselves with really delicious (and often more fattening) food. More food is served socially this time of year, and there are also generally more sweets being passed around. This makes for more times when we have to 'be good', and we're bound to slip up a little extra.

More Emotional Stress.
The holidays can bring social and emotional stress as we face family gatherings where there might be some unresolved conflict, or attend office functions with people we might not choose to hang out with socially. There's also the stress of buying gifts (often on a tight budget), fitting in all the activities of the season, and other stressors that occur during the holiday season. (Read more about those stressors in this article on holiday stress.) Because stressed people tend to eat more, and gain more weight, this can take a toll.

More Excuses
People who are celebrating often indulge more than they would in their regular lives. When celebrating the holidays, there are several occasions where people might relax their dietary standards a little, in the name of celebration. These celebrations, however, can be rather plentiful during the holiday season, and the indulgences ("Oh, look--the neighbors made us fudge!" "Hey, it's a party! Why not have another piece of pie?" etc.) can add up.

So what's a body-conscious person to do? Obviously, you can't cancel the holidays!

The first step is to be aware of these triggers, and notice them before they catch you off guard again this month. Have a plan for parties (you can eat a little--not a lot--and try to throw in some extra exercise, for example), and watch your holiday stress levels. And follow regular guidelines for combatting emotional eating, of course.

Tools and Guidelines for Combatting Emotional Eating:

Take The Stress and Weight Gain TestStress can contribute to weight gain in several ways. If you're having trouble with your weight and wonder what role stress may be playing, or if you just want information and resources for healthy change, this is the quiz for you! The following 10 questions are each designed to help you assess a different aspect of your lifestyle to determine if you may benefit from some simple changes that can help you keep your weight under control when you're stressed. At the end of the quiz, you'll find resources that pertain to your specific situation.

What Causes Emotional Eating?Even if we know what we're supposed to be eating, there are additional factors that influence how much and what type of food we consume. One of these factors is stress, which is linked to increased emotional eating. Emotional eating has many causes. Learn about the main reasons--besides hunger--that stressed people eat, and find resources to stop emotional eating.

How To Stop Emotional EatingAs anyone who's watching their weight will tell you, hunger is just one of many reasons that people eat. If you're an emotional eater, you may find yourself eating to deal with uncomfortable emotions, using food as a reward when you're happy, and craving sweets or unhealthy snacks when stressed. This article can help you to cut down emotional eating and develop healthier eating habits--even when stressed!

By Elizabeth Scott, M.S., About.com Guide to Stress Management

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