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Part 5 Feeling it in the jaw Side Effects of Medication and OCD

It takes courage to start medication if you have health anxiety. At the time I didn't feel brave, but I had the good fortune of a husband who told me I was brave. There was some relief in making the decision to start an SSRI, rather than going back and forth indecisively, but in OCD fashion, a whole new area of opened up for obsessing. The first week or two on half a pill was anti-climactic, and oddly disappointing since the flip side of fearing instant bad changes is the hope for instant good changes.

My psychiatrist moved my dose up to a whole pill, and one morning I noticed my jaw felt tight. I'd had jaw pain in the past, and this was a "health anxiety hot spot" for me. I became intensely vigilant of every sensation in my jaw, and kept checking it, asking myself if it still hurt, which escalated my panic, because yes, it still hurt. I did a search in a medical database, and found a handful of case reports of jaw pain as a side effect of ssri's. My OCD was all over this--"How do I know for sure this is a side effect? Am I being oversensitive? How do I figure this out?" Finally I took the plunge and called my psychiatrist, no small feat since phone calls were hard for me.

She was at a conference, but returned my call that evening. Her compassion and thoughtful response was incredibly helpful. She asked me about the information I'd found, and said to send her the abstracts, because she'd like to read them. Although she couldn't say for certain if it was a result of the medication, she advised going back down to half a pill for a week or so. Her ability to respond with a middle path was a great model for me.

The medication was helping, so I was willing to stay with it and see if the symptoms abated. It's extremely challenging to practice trial and error and keep an open mind when you are suffering. The human desire is to find a solution NOW. Backing down the the dose before trying again with a whole pill worked. The jaw pain eased, especially after I took basic self-care actions. I got so stuck in checking the pain at first, and being afraid I was "crazy" that I didn't even think of laying off crunchy stuff, or avoiding biting into things.

Related Posts:
Part 1: OCD and Medication Decisions
Part 2: Starting Medication while Struggling
Part 3: The Limits of Research in Medication Decisions
Part 4: My First Prescription for SSRI's
Part 6: Being on Medication & OCD Weeping
Part 7: Wanting to Get off my Medication
Part 7.5: Built on Sinking Sand: OCD and Health Anxiety

What Makes David Samadi A Highly Proficient Doctor

By Amalia Odom

Your health is significant in defining, your level of productivity. Without a healthy body, you will not be fully productive in your place of work. This is the reason many companies focus on examining the health of their professionals before employing them. Acquiring the services of a professional with reliable treatment measures is vital. Therefore, you should learn why David Samadi is a competent doctor.

For a physician to be permitted to render the treatment services, he/she is expected to undergo a relevant treatment program in a recognized institution by the state. The training is meant to impart in him/her the skill and the knowledge that will support his career. The training is also in levels. This doctor highly learned, and this gives him a huge amount of knowledge that is essential in building his proficiency.

Experience is a vital element in boosting the skills of the professional. Skills are obtainable by offering a particular service actively for a longer period. The physician has advanced skills built by the number of years he has treated his patients. The more he treated, the more he became familiar with the treatment techniques for the diseases. This experience makes him highly competent in this work.

The mode of treating the diseases will influence the results that will be gotten by the doctor and the patient too. A bad approach will not eliminate the problem and in some cases, it increases the magnitude of the problem. As a patient, you ought to safeguard your health by ensuring you search for the services of a highly skilled individual. This professional has a slightly different but an effective approach in treating.

People usually acquire perilous diseases like cancers because they have become lifestyle diseases. What we take into our bodies intoxicate the system and cause the emergence of these illnesses. However, when accessing the support of a professional in the prevention of these diseases, you will be free from them. This physician offers a guide on how to evade these diseases.

The government is committed to ensuring that all its citizens are able to access quality treatment. In order to achieve this objective, state officials examine the aptitude of the doctors. They check their capability in accomplishing the demands of the task they are planning to carry out. Professionals that qualify are licensed to operate. This doctor underwent the examination, and he is licensed.

The facts on living a healthy life can only be beneficial if you can listen to them. For this to be possible, they must be easily accessible to you. However, that will depend on the mode of spreading the awareness, which the physician will use to share the information. The doctor uses audio compact disks, and this enables any interested person to purchase them.

There are cases of problematic medical procedures that became fatal to the patient after a successful eradication of the disease. Though it might be termed as effective for treating that particular disease, the fact remains that it is still very dangerous. An appropriate professional must be considerate concerning this fact and ensure his/her clients are protected while undertaking treatment.

About the Author:

You can visit samadimd.com for more helpful information about Why David Samadi Is A Competent Doctor.

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How To Choose The Best Gastric Sleeve Surgeons In New York

By Janine Hughes

Bariatric surgery procedures are increasingly becoming popular in in the industry today. This can be attributed to their effectiveness in achieving weight loss for patients whose conventional efforts including dieting and exercising have proved futile. There are different procedures of weight loss surgery done today and each use different mechanisms to achieve weight loss. Patients searching for suitable gastric sleeve surgeons in New York may observe the following.

Before hitting the ground in search of prospective surgeons, it is highly recommended that you educate yourself on these procedures. There are three common bariatric procedures done today; gastric band, gastric bypass and sleeve gastrectomy. Sleeve gastrectomy is one of the newer forms of bariatric procedures but is quickly gaining popularity. It is a restrictive procedure, which means that weight loss is achieved through restricting the amount of food and calories taken.

The primary advantage of this type of surgery is reducing the stomach size up to 85% to significantly reduce the amount of food taken in while at the same time reducing hormones that create craving for food. It is also less invasive compared to gastric bypass and involves no cutting, disconnection or alteration of the intestines. Similarly, there is no need for introduction of foreign devices in the body as the case in lap band surgery.

The success of this procedure is dependent on a number of things. These includes your suitability as a candidate, your expectations and the surgeon you choose. The right physician will be able to evaluate your candidature, your expectations and advise you on other options if need be. It is hence very important that you settle for the right surgeon in terms of competence, experience and follow up care.

One of the first things you need to check on all located surgeons are credentials. You need to know how well the professional was trained and using which approach. Did he or she attend a formal training institution or got mentored by a skilled physician? Check if the individual is certified by the American Society of Metabolism and Bariatric Surgery. Board certification means that the professional has handled a considerable number of bariatric surgeries as the primary physician.

Check how experienced the individual is with similar procedures. The best choice of a surgeon is one who has successfully handled a considerable number of procedures. Ask how long he or she has been practicing bariatric surgery and whether references can be provided. Follow up on some of these references so you know what they think about the physician.

Cost of services is another important consideration. The cost varies depending on how skilled and reputable the doctor is and complexities associated with the surgery. Check if your current insurance covered costs of this treatment. If the costs are covered, you may want to ask if they have a list of affiliated surgeons.

Selecting a bariatric surgeon should be done carefully. You want to be sure the professional is excellently trained and has successfully handled similar surgeries. Asking for referrals from your family physician and friends who successfully went through a similar procedure will start you off on a good footing.

About the Author:

You can visit lapspecialists.com for more helpful information about Picking The Right Gastric Sleeve Surgeons In New York.

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Hypochondria and Health Anxiety OCD

About 15 years ago, I was in graduate school, and I had a sharp pain in my neck, ever so brief, and it didn't even register. Then it happened again when I was feeling more stressed, after having read about a bone marrow donor drive, and immediately assuming I needed to participate, in spite of all my anxieties about needles and surgery. This time, the pain in my neck panicked me. Was I having a stroke? What was wrong? Since the internet was still primitive, I did what I used to do, which was go to the library and look for books in the medical reference section. This time I stumbled across Susan Baur's Hypochondria: Woeful Imaginings. It was like seeing myself in the mirror, through the author's accounts of people in history who suffered from fears about their health.

It wasn't enough to make my OCD vanish, but it did give me a window of understanding about my anxieties about my body, and that other people had similar fears, even though the only other person I knew of with this kind of fear was my mother. Another book I found was about Charles Darwin and his health anxieties. He wrote often about his symptoms and fears. I was fascinated, since he is a larger than life figure in history, and yet so afraid. Recently, I read about another book, The Hypochondriacs: Nine Tormented Lives by Brian Dillon, which includes Charles Darwin, Glenn Gould, Michael Jackson and Andy Warhol.

Although the subtitles of these books are full of doom, I remember how much I suffered with my health fears before I had any ERP treatment. The difference now is that I did get Exposure and Response Prevention Therapy, and it is possible to get better, to move beyond torment and woe. Hypochondria, according to the DSM, includes a component of being convinced you have a disease, in spite of medical tests to the contrary. There are definitely similarities with health anxiety OCD, and some even argue they are really the same thing, but the part that differs for me is that I am never absolutely convinced I have a particular disease, but more that I want complete assurance that I don't have it, and my websearching and checking of my body are compulsions to reduce my anxiety. My obsessiveness also extends to getting stuck on whether I really have hypochondria instead of OCD(!), but I've learned that pursuing the fine distinctions makes me much worse. Paul Salkoviskis has done a lot of work with health anxiety, and he emphasizes that seeking reassurance for symptoms tends to make them worse.

Fear of being labeled as a time wasting hypochondriac in my doctor's office has complicated healthcare for me over the years, and caused a lot of angst. I understand doctors have a lot of pressures and time constraints, but health anxiety causes intense suffering, and can be treated, and the more general practice doctors realize this, the more possibility of alleviating the suffering.

Related Resource:
Jonathan Grayson's Freedom From OCD has a section on hypochondria/health anxiety
Script for Fighting Health Anxiety OCD
Skin Cancer Anxiety: Fear, Vigilance and All or Nothing Thinking