ANXIETY DISORDERS/WORKING THROUGH THE RECOVERY: MAKING DECISIONS
There are certain situations where we may be under stress, but feel we cannot do anything about them. We can spend days and nights worrying. As hard as the situation may be, we need to understand how it is affecting us. If we have done everything we can do and the situation remains unchanged, we need to let go of the worry. Sometimes these situations may revolve around other family members or friends and may be extremely serious. It comes back to making a decision to let go of the worry. We are only losing valuable energy worrying or trying to change a situation we can’t.
Sometimes there are very difficult decisions to be made. Once we make a decision we need to let it rest. Many people use their energy continually reviewing the decision. It doesn’t matter whether our decision is ultimately right or wrong. Worrying about a decision is putting our recovery on hold. Our recovery must be our number one priority.
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ÑHILDREN’S SLEEP PROBLEMS/BUILDING THE BASICS: EXERCISE FOR DETERMINING YOUR CHILD’S SLEEP ASSOCIATIONS
Describe your usual bedtime routine:
What events precede bedtime? (Examples: give bath, put on pajamas, quiet play, put baby into bed, sing lullaby, turn down lights, say goodnight, leave the room.)
Describe the sleep environment. (Examples: lights low, child in own bed, stuffed bear, blanket in bed.)
Who takes the active parts? (Examples: Dad does quiet play, Mom puts child in bed.)
Describe your middle of the night response:
What happens when the child wakes up? (Examples: he cries, he comes to our room.)
What is the child needing from you? What do you do in response? (Examples: feed him, give her the pacifier, scold her, etc.)
Who takes the active parts? (Examples: Dad calls back to her, Mom nurses, etc.)
Assess your child’s sleep associations:
From your answers above, summarize the set of circumstances that your child seems to need and expect to get to sleep -the things that signal to her that all is okay and it’s time to go to sleep.
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ST JOHN’S WORT AT WORK: ADELE’S STORY
Adele is a woman of approximately 50, whom I have treated for the past eight years. Although extremely intelligent, she has had learning difficulties since childhood – although she has mastered these sufficiently to complete university and graduate school successfully and become an educator herself, teaching others how to teach. Despite the many good things in her life – a loving husband, children of whom she is proud, good looks and physical health – Adele has suffered long stretches of time during which she has felt tired, tearful and, above all, anxious. During these times she loses interest and initiative, has trouble sleeping, is unable to concentrate on her work and devalues herself.
These episodes of depression and anxiety would come and go over the years, sometimes apparently with the seasons, sometimes in response to stress, and sometimes for no good discernible reason at all. And over the years I have treated Adele with a series of anti-depressants, all of which have created problems that, sooner or later, would come to a head so that she would elect to discontinue the medications rather than suffer the side-effects. Prozac caused her to itch unbearably. Wellbutrin made her edgy and irritable. Lustral stripped her of her sex-drive and ability to have orgasms. Light therapy in winter was of some help but not sufficient in itself. Psychotherapy helped her to deal with some of her life issues, many of which were the result of childhood sorrows and traumas, but didn’t resolve the symptoms of her underlying depression – fatigue to the point of exhaustion, sadness and, always in the background, all-encompassing anxiety.
After my experience with Malcolm’s self-treatment, I finally began to take the European literature on St John’s Wort more seriously. I was eager for Adele to try the herb, as her depressive symptoms seemed to fit the profile of those who had most frequently benefited from the drug. I gave her some samples of
Jarsin, the type of St John’s Wort used in most of the European research literature and now available under the brand name of Kira™, with instructions based on the advice of my German colleagues. Neither of us could have hoped for a happier outcome. On St John’s Wort (300 mg twice a day) Adele began to feel more confident, content and optimistic. Her anxiety disappeared and, best of all, she experienced no side-effects. The return of sexual feelings and the ability to express and enjoy them were extremely welcome developments. Although her job had been a longstanding source of conflict for her, suddenly she felt that it offered her new opportunities which she had not previously appreciated. As far as Adele is concerned, St John’s Wort has opened up a whole new world of possibilities for someone who has fought a long and painful battle with depression and anxiety.
Since my work with Adele I have treated numerous patients successfully with St John’s Wort and have answered their many questions about the herb. The herb is now widely available to the public and many want to use it but lack the latest information on how to go about doing so. This book is written for all who may be interested in trying the new herbal remedy in the hope that it may lift the clouds of depression and bring joy back into their lives again.
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