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[Table Data] [Table: table_1_1] | Col0 | Col1 | Col2 | | --- | --- | --- | | Depression National Institute of Mental Health | | | | | | | [Table: table_2_1] | Col0 | Additional types of depression can occur at specifci points in a woman’s life. Pregnancy, the postpartum period, the menstrual cycle, and menopa...
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Disruptive Mood Dysregulation Disorder: The Basics From the NATIONAL INSTITUTE of MENTAL HEALTH What is disruptive mood dysregulation disorder? Disruptive mood dysregulation disorder (DMDD) is a condition in which children or adolescents experience ongoing irritability, anger, and frequent, intense temper ou...
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DMDD can be treated. If you are concerned that your child may have DMDD, talk to your child’s pediatrician or health care provider. Did you know? DMDD was added to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) in 2013. The DSM is used to assess and diagnose mental disorders. For more informa...
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Youth with DMDD are diagnosed between the ages of 6 and 10. To be diagnosed with DMDD, a child must have experienced symptoms steadily for 12 or more months. Over time, as children grow and develop, the symptoms of DMDD may change. For example, an adolescent or young adult with DMDD may experience fewer tantrums...
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What is the difference between typical and severe irritability? All children can become irritable sometimes. It’s a normal reaction to frustration. Children experiencing severe irritability (as observed in DMDD) have difficulty tolerating frustration and have outbursts that are out of proportion to the situatio...
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If you think your child may be experiencing symptoms of DMDD, talk to your child’s health care provider. Describe your child’s behavior, and report what you have observed and learned from talking with others, such as their teacher or counselor. An evaluation by your child’s health care provider can help clarify ...
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For more information about the diagnosis and treatment of children, visit www.nimh.nih.gov/ childrenandmentalhealth. If you need help identifying a provider in your area, call the Substance Abuse and Mental Health Services Administration (SAMHSA) Treatment Referral Helpline at 1-800-662-HELP (4357). SAMHSA also ha...
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Treatment for DMDD generally includes certain types of psychotherapy (sometimes called talk therapy) and sometimes medications. In many cases, psychotherapy is considered first, with medication added later. However, at times, providers recommend that children receive both psychotherapy and medication at the start...
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Psychotherapy Cognitive behavioral therapy (CBT) targets the relationship between thoughts, behaviors, and feelings and is often effective in treating anger and disruptive behavior. Researchers at NIMH are also using CBT to help children increase their ability to tolerate frustration without having an outburst. ...
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To learn more about psychotherapy, visit www.nimh. nih.gov/psychotherapies. Medication Currently, there are no medications approved by the U.S. Food and Drug Administration (FDA) specifically for treating children or adolescents with DMDD. However, health care providers may prescribe certain medications—such as...
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Seek additional support and professional help. Parents and caregivers may be able to find resources and encouragement through their local chapter of the National Alliance on Mental Illness (www.nami.org/findsupport), the National Federation of Families (www.ffcmh.org), Mental Health America (www.mhanational.org)...
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• Stimulants are often used to treat ADHD, and research suggests that stimulant medications also may decrease irritability in youth with DMDD. • Antidepressants are sometimes used to treat irritability and mood problems that children with DMDD may experience. One small study suggests that citalopram (a serotoni...
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Learn as much as you can about the disorder. Talk to your child’s health care provider or mental health professional. Ask questions about treatment options, including risks and benefits. You can find additional information about DMDD (including the latest news, videos, and information about clinical trials) at w...
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Take practical steps to manage your stress to avoid the risk of negative health effects. For tips, visit www.nimh.nih.gov/stress. What are clinical trials and why are they important? Children are not little adults, yet they are often given medications and treatments that have been tested only in adults. Research...
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NIMH supports clinical trials across the United States. Talk to a health care provider about clinical trials and whether one is right for your child. For more information, visit www.nimh.nih.gov/clinicaltrials. Reprints For more information The information in this publication is in the public domain and may be r...
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Follow NIMH on social media @NIMHgov
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Seasonal Affective Disorder From the NATIONAL INSTITUTE of MENTAL HEALTH What is seasonal affective disorder? Many people go through short periods when they feel sad or unlike their usual selves. Sometimes, these mood changes begin and end when the seasons change. Many people feel “down” or have the “winter b...
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In most cases, SAD symptoms start in the late fall or early winter and go away during the spring and summer, known as winter-pattern SAD or winter depression. Other people experience depressive symptoms during the spring and summer months, known as summer-pattern SAD or summer depression. Summer-pattern SAD is les...
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Symptoms of depression can include: ● Persistent sad, anxious, or “empty” mood most of the day, nearly every day, for at least 2 weeks ● Feelings of hopelessness or pessimism ● Feelings of irritability, frustration, or restlessness ● Feelings of guilt, worthlessness, or helplessness ● Loss of interest or pleasu...
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● Oversleeping (hypersomnia) ● Overeating, particularly with a craving for carbohydrates, leading to weight gain ● Social withdrawal (feeling like “hibernating”) For summer-pattern SAD, additional symptoms can include: ● Trouble sleeping (insomnia) ● Poor appetite, leading to weight loss ● Restlessness and ag...
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The National Institute of Mental Health (NIMH) has information on ways to get help and find a health care provider or access treatment at www.nimh.nih.gov/ findhelp. If you or someone you know is struggling or having thoughts of suicide, call or text the 988 Suicide and Crisis Lifeline at 988 or chat at 988lifeli...
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Researchers are still determining what causes SAD. Most research to date has investigated potential causes of winter-pattern SAD because it is more common and easier to study. As a result, less is known about summer-pattern SAD, and more research is needed. To be diagnosed with SAD, a person must meet the followi...
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Who develops SAD? It is estimated that millions of Americans experience SAD, although many may not know they have this common disorder. In most cases, SAD begins in young adulthood. SAD occurs much more often in women than in men. Winter-pattern SAD also occurs more often than summer- pattern SAD. Therefore, SAD i...
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SAD is more common in people with depression or bipolar disorder, especially bipolar II disorder, which involves repeated depressive episodes and hypomanic episodes (less severe than the typical manic episodes of bipolar I disorder). Additionally, people with SAD tend to have other mental disorders, such as attent...
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SAD sometimes runs in families and may be more common in people who have relatives with other mental illnesses, such as depression or schizophrenia. Studies indicate that people with SAD, especially winter- pattern SAD, have reduced levels of the brain chemical serotonin, which helps regulate mood. Research also s...
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Other studies suggest that both forms of SAD relate to altered levels of melatonin—a hormone important for maintaining the normal sleep−wake cycle. People with winter-pattern SAD produce too much melatonin, which can increase sleepiness and lead to oversleeping. In contrast, people with summer-pattern SAD may hav...
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Negative thoughts and feelings about the winter or summer and its associated limitations and stresses are also common among people with SAD (as well as others). It is unclear, however, whether these thoughts are causes or effects of the mood disorder, but they can be a useful focus of treatment. How is SAD treated...
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Talk to a health care provider about the potential benefits and risks of different treatment options and which treatment is best for you. NIMH has tips for talking with a health care provider at www.nimh.nih.gov/talkingtips. Light therapy Since the 1980s, light therapy has been a mainstay for treating winter-patt...
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For this treatment, the person sits in front of a very bright light box (10,000 lux) every day for about 30−45 minutes, usually first thing in the morning, from fall to spring. The light box, which is about 20 times brighter than ordinary indoor light, filters out the potentially damaging UV light, making this a s...
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Psychotherapy (also called talk therapy or counseling) can help people with SAD by teaching them new ways of thinking and behaving and changing habits that contribute to depression. Cognitive behavioral therapy (CBT) is a type of psychotherapy aimed at helping people learn to challenge and change unhelpful though...
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When researchers directly compared CBT-SAD with light therapy, both treatments were equally effective in improving SAD symptoms—although some symptoms got better slightly faster with light therapy than CBT. However, a long-term study that followed SAD patients for two winters found that the positive effects of CBT...
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Antidepressants take time—usually 4−8 weeks—to work. Problems with sleep, appetite, and concentration often improve before mood lifts. It is important to give a medication a chance to work before deciding whether it is right for you. You may need to try several medications to find the one that works best. Because ...
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All medications can have side effects. Talk to a health care provider before starting or stopping any medication. Learn more about antidepressants at www.nimh.nih.gov/medications. You can also learn about specific medications like bupropion, including the latest approvals, side effects, warnings, and patient infor...
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What are clinical trials and why are they important? Because the onset of SAD is so predictable, people with a history of the disorder might benefit from starting the treatments mentioned above before the fall (for winter- pattern SAD) or spring (for summer-pattern SAD) to help prevent or reduce depression symptom...
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People volunteer for clinical trials for many reasons. Some people join clinical trials to help doctors and researchers learn more about a disease and improve health care. Other people, such as those with health conditions, join to try new or advanced treatments that aren’t widely available. NIMH supports clinical...
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ClinicalTrials.gov  www.clinicaltrials.gov https://salud.nih.gov/investigacion- clinica (en español) National Institute of Mental Health Office of Science Policy, Planning, and Communications 6001 Executive Boulevard, MSC 9663 Bethesda, MD 20892-9663 Toll-free: 1-866-615-6464 Email: nimhinfo@nih.gov Web...
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Seasonal Affective Disorder (SAD): More Than the Winter Blues As the days get shorter and there is less daylight, you may start to feel sad. While many people experience the “winter blues,” some people may have a type of depression called seasonal affective disorder (SAD). The first step is to determine how much y...
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If these activities do not help or your symptoms are getting worse, talk to a health care provider. Do you have more severe symptoms that have lasted more than 2 weeks? ● Social withdrawal ● Oversleeping ● Gaining weight ● Craving foods with lots of sugar like cakes, candies, and cookies Seek professional help:...
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Teen Depression: More than just moodiness Being a teenager can be tough, but it shouldn’t feel hopeless. If you have been feeling sad most of the time for a few weeks or longer and you’re not able to concentrate or do the things you used to enjoy, talk to a trusted adult about depression. Do I have depression? H...
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or harming yourself? Depression looks different for everyone. You might have many of the symptoms listed above or just a few. ■ Talk to a trusted adult (such as your parent or guardian, teacher, or school counselor) about how you’ve been feeling. ■ Ask your doctor about options for professional help. Depression ...
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Autism Spectrum Disorder What is autism spectrum disorder? Autism spectrum disorder (ASD) is a neurological and developmental disorder that affects how people interact with others, communicate, learn, and behave. Although autism can be diagnosed at any age, it is described as a “developmental disorder” because s...
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of life Autism is known as a “spectrum” disorder because people with autism have a range of characteristics, needs, strengths, and challenges. People of all ages, races, ethnicities, sexes, and economic backgrounds can be diagnosed with ASD. Although ASD can be a lifelong disorder, treatments, services, and suppor...
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Social communication and social interaction behaviors may include: ● Making little or inconsistent eye contact ● Appearing not to look at or listen to people who are talking ● Infrequently sharing interest, emotion, or enjoyment of objects or activities (including infrequently pointing at or showing things to others) ...
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tonal variation ● Having trouble understanding another person’s point of view or being unable to predict or understand other people’s actions ● Difficulties adjusting behavior to different social situations ● Difficulties sharing in imaginative play or in making friends Restrictive/repetitive behaviors may in...
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as light, sound, clothing, or temperature People with ASD also may experience sleep problems and irritability. People on the autism spectrum also may have many strengths, including: ● Being able to learn things in detail and remember information for long periods of time ● Being strong visual and auditory learne...
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(such as Down syndrome or Fragile X syndrome) ● Having certain genetic conditions Not everyone who has these factors will develop ASD. How is ASD diagnosed? Health care providers diagnose ASD by evaluating a person’s behavior and development. ASD can usually be reliably diagnosed by the age of 2. It is importa...
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Diagnosis in young children is often a two-stage process. Stage 1: General developmental screening during well-child checkups Every child should receive well-child checkups with a pediatrician or an early childhood health care provider. The American Academy of Pediatrics recommends that all children receive screeni...
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Considering caregivers’ experiences and concerns is an important part of the screening process for young children. The health care provider may ask questions about the child’s behaviors and evaluate those answers together with information from ASD screening tools and clinical observations of the child. To learn mor...
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A team of health care providers who have experience diagnosing ASD will conduct the diagnostic evaluation. This team may include child neurologists, developmental behavioral pediatricians, speech-language pathologists, child psychologists and psychiatrists, educational specialists, and occupational therapists. Th...
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and development ● Assessment of age-appropriate skills needed to complete daily activities independently, such as eating, dressing, and toileting ● Questions about the child’s family history Because ASD is a complex disorder that sometimes occurs with other conditions or learning disorders, the comprehensive ev...
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A child’s caregivers may talk with these health care providers about the child’s social difficulties, including problems with subtle communication. These subtle communication differences may include problems understanding tone of voice, facial expressions, or body language. Older children and adolescents may have t...
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Adults who have questions about whether they may be on the autism spectrum should talk with a health care provider and ask for a referral for an ASD evaluation. Although evaluation for ASD in adults is still being refined, adults can be referred to a neuropsychologist, psychologist, or psychiatrist who has experienc...
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The evaluation may also include a conversation with caregivers and family members to learn about the person’s early developmental history, which can help ensure an accurate diagnosis. Obtaining a correct diagnosis of ASD as an adult can help people understand past challenges, identify personal strengths, and find ...
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People with ASD have a wide range of issues and needs, which means there is no single best approach. Working closely with health care and service providers is an important part of finding the right combination of interventions, services, and supports. Interventions and Services People with ASD may be referred to ...
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Medication A health care provider may prescribe medication to treat specific symptoms, including: ● Aggression ● Anxiety and depression ● Attention ● Hyperactivity ● Irritability ● Repetitive behavior ● Self-injurious behavior Read the most up-to-date information on medication, side effects, and warnings on ...
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● Find an autism support group. Sharing information and experiences can help people with autism and their caregivers learn about treatment options and autism-related programs. ● Keep records of your conversations and meetings with health care providers and teachers. This information helps when it is time to decide wh...
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https://iacc.hhs.gov ● National Institute on Deafness and Other Communication Disorders www.nidcd.nih.gov/health/autism-spectrum-disorder-communication- problems-children Clinical trials Clinical trials are research studies that look at ways to prevent, detect, or treat diseases and conditions. These studies help ...
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For more information Learn more at www.nimh.nih.gov/health. For information about various health topics, visit the National Library of Medicine’s MedlinePlus resource at https://medlineplus.gov. National Institute of Mental Health Office of Science Policy, Planning, and Communications 6001 Executive Boulevard, M...
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What Are Common Types of Eating Disorders? Eating disorders are serious illnesses marked by severe disturbances to one’s eating behaviors. Common types of eating disorders include: Anorexia nervosa Bulimia nervosa People with anorexia nervosa severely avoid or restrict food intake due to a distorted self-image o...
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People with ARFID limit the amount and variety of food they eat due to their anxiety or fear of the consequences of eating or dislike of a food’s characteristics. People with these types of symptoms may have an eating disorder and should talk to a health care provider. Help is available. U.S. Department of Hea...
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Eating Disorders: What You Need to Know What are eating disorders? Eating disorders are serious illnesses marked by severe disturbances to one’s eating behaviors. Although many people may be concerned about their health, weight, or appearance from time to time, some people become fixated or obsessed with weig...
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The exact cause of eating disorders is not fully understood. Research suggests a combination of genetic, biological, behavioral, psychological, and social factors can raise a person’s risk. What are the common types of eating disorders? Common types of eating disorders include: ● Anorexia nervosa: People with anor...
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● Bulimia nervosa: People with bulimia nervosa regularly binge eat and then engage in unhealthy behaviors to prevent weight gain, such as forced vomiting or the use of laxatives. People with bulimia nervosa may maintain an average weight or be overweight. ● Avoidant restrictive food intake disorder (ARFID): People wi...
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● Extremely restricted eating ● Intense and excessive exercise ● Extreme thinness (emaciation) ● A relentless pursuit of thinness and unwillingness to maintain a healthy weight ● Intense fear of gaining weight ● Distorted body image or self- image ● Denial of the seriousness of low body weight Over time, ...
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function of the heart ● Feeling tired all the time ● Infertility ● Brain damage ● Multiple organ failure Anorexia nervosa can be fatal. It has an extremely high death rate compared with other mental disorders. People with anorexia nervosa are at risk of dying from medical complications associated with starvation...
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Signs and symptoms of binge- eating disorder include: ● Eating unusually large amounts of food in a short amount of time, for example, within two hours ● Eating rapidly during binge episodes ● Eating even when full or not hungry ● Eating until uncomfortably full ● Eating alone or in secret to avoid emba...
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● Lack of appetite or interest in food ● Dramatic weight loss ● Upset stomach, abdominal pain, or other gastrointestinal issues with no other known cause ● Limited range of preferred foods that becomes even more limited (“picky eating” that gets progressively worse) What mental illnesses can co-occur wit...
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emotions, thoughts, and behaviors about food. For general information about psychotherapies, visit www.nimh.nih.gov/psychotherapies. ● Medical care and monitoring to treat the health consequences of an eating disorder and monitor overall well-being. ● Nutritional counseling to help people eat well and reach and ...
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Some people with a severe eating disorder may need to be in a hospital or residential treatment program. A person’s family can play a crucial role in treatment. They can encourage a family member with eating or body image issues to seek help and can provide support during treatment. Research suggests that family-b...
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You can learn more about getting help at www.nimh.nih.gov/findhelp. The Substance Abuse and Mental Health Services Administration (SAMHSA) provides information about finding support at https://findsupport.gov and locating mental health services in your area at https://findtreatment.gov. What are clinical trials and...
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Learn more at www.nimh.nih.gov/health. For information about various health topics, visit the National Library of Medicine’s MedlinePlus resource at https://medlineplus.gov. Contact us National Institute of Mental Health Office of Science Policy, Planning, and Communications 6001 Executive Boulevard, MSC 9663 ...
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U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health NIH Publication No. 24-MH-4901 Revised 2024 [Table Data] [Table: table_1_1] | Col0 | Col1 | Col2 | | --- | --- | --- | | Eating Disorders: What You Nee d to Need to Know | | | | | | | | | | |
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[Table Data] [Table: table_1_1] | Col0 | Col1 | Col2 | | --- | --- | --- | | Eating Disorders: What You Nee d to Need to Know | | | | | | | | | | | [Table: table_3_1] | Signs and symptoms of anorexia nervosa include: | Over time, anorexia nervosa can lead to numerous serious health consequences, including:...
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[Table: table_4_1] | Signs and symptoms of binge- eating disorder include: | Over time, binge eating can lead to serious health consequences, including: | | --- | --- | | ● Eating unusually large amounts of food in a short amount of time, for example, within two hours ● Eating rapidly during binge episodes ● Eating eve...
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[Table: table_5_1] | The signs and symptoms of bulimia nervosa include the same signs and symptoms as binge eating. They also include the following, which aim to get rid of food after binge eating: | Over time, bulimia nervosa can lead to serious health consequences, including: | | --- | --- | | ● Throwing up ● Taking ...
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[Table: table_5_2] | Col0 | Col1 | | --- | --- | | Signs and symptoms of ARFID include: | Over time, ARFID can lead to serious health consequences, including: | | ● Severe restriction of types or amount of food eaten ● Lack of appetite or interest in food ● Dramatic weight loss ● Upset stomach, abdominal pain, or other...
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Let’s Talk About Eating Disorders The way we talk about eating disorders matters. Here are some facts to help you discuss them. “Eating disorders are serious and can be fatal.” Eating disorders often involve serious medical complications that can cause permanent damage or death. People with eating disorders also h...
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“You can’t tell if someone has an eating disorder by looking at them.” People with eating disorders can be underweight, average weight, or overweight. “Family members can be a patient’s best ally during treatment.” Family members can encourage a family member with eating or body image issues to seek help and provi...
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Get Excited About the Brain! A Coloring & Activity Book For Kids Ages 8–12 From the NATIONAL INSTITUTE of MENTAL HEALTH From the NATIONAL INSTITUTE of MENTAL HEALTH Get Excited About the Brain! A Coloring & Activity Book For Kids Ages 8–12 The National Institute of Mental Health (NIMH) is the lead federal ag...
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cerebellum Responsible for balance and coordination temporal lobe Responsible for hearing and understanding sounds brain stem Controls your basic body functions, such as breathing, temperature, and heart rate GET EXCITED ABOUT THE BRAIN! 1 The Cerebral Cortex fun fact The cerebral cortex is the wrinkly o...
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GET EXCITED ABOUT THE BRAIN! 3 Neurons in the Brain Fun fact Neurons are cells that send information in your brain. There are three main types of neurons: sensory neurons, motor neurons, and interneurons. All three have different roles and play an important part in communicating with the rest of the body. Your b...
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GET EXCITED ABOUT THE BRAIN! 5 Brain Power Fun fact One of the ways neurons talk to each other is with electrical signals. Neurons are sending these signals all the time. At any moment, your brain is generating enough electricity to power a small lightbulb! 6 GET EXCITED ABOUT THE BRAIN! Water in Your Br...
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emotional difficulties 4. A general word for getting medical care for a physical or mental illness 6. A mood disorder that causes people to feel extremely sad or hopeless 8. The field of study that researches how the brain works, diseases, and disorders down 1. A disorder that could make people see, hear, or belie...
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T R O O M R U N N E O S L A N G I S S A F S T N A I R T S A G E M E S S L I O N S M I L L C M E H A C I There are ———————————— of ———————————— in your brain that tell your whole body what to do. These neurons use electrical and ———————————— signals to send billions of ———————————— every day that help you th...
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BRAIN EMOTIONS LANGUAGE OCCIPITAL SMELL THINKING Answers can be found on page 14. GET EXCITED ABOUT THE BRAIN! 11 Answers to Activity Puzzles aNSWERs to “test your knowledge of common mental health disorders and terms” Across 2. Psychotherapy 4. Treatment 6. Depression 8. Neuroscience Down 1. Schizo...
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A T N O R F 14 GET EXCITED ABOUT THE BRAIN! National Institute of Mental Health U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health NIH Publication No. 23-MH-8117 For more information about mental health, visit the NIMH website at www.nimh.nih.gov. For information on a wide variet...
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Disaster Risk Management for Health Fact Sheets Global Platform - May 2011 Disaster Risk Management for Health MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT Key Points  Mental health and psychosocial wellbeing benefits from a sense of normalcy, facilita- tion of community mobilisation and self-help.  Many f...
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o Community supports. o Psychological first aid. o Embedding mental health care and psy- chosocial support within education, general health service delivery and pri- mary healthcare. o Integrated rather than standalone ser- vices. o Access to specialist care and medication for people with severe mental ...
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Mental health and psychosocial problems in emergen- cies are highly interconnected. Psychological well-being is influenced by a variety of social factors such as dignified and safe provision of overall aid. Mental disorders are prevalent in all regions of the world and major contribut...
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What are the health risks? Risk management considerations Governments and communities can ensure that mental health and psychosocial well-being are protected and promoted by:4  Ensuring mental health is embedded in primary health care and community care services to meet basic health needs.  ...
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to improve baseline services.  Disseminating timely information about the emer- legal rights and coping gency, relief efforts, mechanisms to the affected population. References and further reading 1. IASC Reference Group for Mental Health and Psychosocial Support in Emergency Settings. [2010]. Me...
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4. Inter-Agency Standing Committee [IASC] [2007] IASC Guidelines on Mental Health and Psychosocial Support in Emergency Settings. Geneva: IASC. The mental health and psychosocial consequences of disasters may be of a predominantly social or psycho- logical nature. Whilst this is an effective way of classi...
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3. Circumstances created as a result of humani- tarian aid e.g. overcrowding or lack of privacy in camps, aid dependency, undermining of lo- cal capacity. Psychological 1. Pre-existing (pre-emergency) e.g. severe men- tal disorder, depression, alcohol abuse. 2. Those induced by the emergency situati...
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Local people did most of the clean-up work, dis- tributed food and other supplies, organised temporary shelters and designed new living quar- ters. The local emergency response developed into a social movement that assisted people for a period of five years. Studies conducted three and five ...
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