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Determinants of complementary and alternative medicine use by patients with bipolar disorder.
We determined the prevalence and correlates of complementary and alternative medicine (CAM) use among patients with bipolar disorder. Methods: Patients with bipolar disorder recruited from a large urban mental health facility from 2004 to 2006 completed a baseline questionnaire on CAM use, demographics, treatment perspectives, and behaviors. Additional data on current medications and clinical features were ascertained via chart review. Multivariable logistic regression was used to determine the patient sociodemographic, clinical, and treatment factors associated with use of different CAM practices. Results: Of 435 patients, the mean age was 49 years; 77% were white, 13% were black, and 10% other race/ethnicity. Patients reported a wide range of CAM use, including prayer/spiritual healing (54%), meditation (53%), vitamins or herbs (50%), and weight loss supplements (22%). Multivariable analyses controlling for sociodemographic, clinical, and treatment factors revealed that patients of other racial/ethnic groups (other than whites or Blacks), those diagnosed with bipolar spectrum disorders (other than bipolar I disorder), and those prescribed anticonvulsants (eg, valproic acid, carbamazepine), or atypical antipsychotics were most likely to use CAM. Conclusions: A substantial number of patients diagnosed with bipolar disorder is using CAM. CAM use may be popular among patients with this illness because conventional pharmacotherapy for managing bipolar symptoms can also disrupt quality of life. Mental health providers should be aware of CAM use among patients with bipolar disorder and assess the potential impact of CAM use on treatment course.
Psychopharmacol Bull. 2007;40(3):104-15. Kilbourne AM, Copeland LA, Zeber JE, Bauer MS, Lasky E, Good CB. VA Ann Arbor National Serious Mental Illness Treatment Research and Evaluation Center and University of Michigan Medical School; Ann Arbor, MI.
TMJ is the acronym for temporomandibular joint. Frequently people say that they have TMJ. However, what they actually mean is that they have TMD, which means temporomandibular disorder. The TMJ is the hinge joint that connects the lower jaw to temporal bone of the skull. TMD occurs when there are problems with the jaw, jaw joint, and the surrounding muscles.
TMD can occur due to numerous causes. These include accidents, clinching or grinding the teeth, arthritis, or stress. While the use of hypnotherapy normally focuses on stress alleviation, it should not be ruled out as part of the...
Too often I encounter people – many of whom are degreed and licensed professionals – who have a phobia about money. Perhaps they grew up thinking that everyone who was well off achieved their wealth through dishonest means. Regardless, I frequently hear them apologizing when they do make an unusual amount of money or constantly saying that making money is not their goal.
Although abundance comes in several mediums such as friends and wonderful experiences, here I am going to concentrate on money as being a representation of abundance and wealth. This rather narrow definition...
For many people drinking beer, wine, and liquor is used as a way to relax. Indeed, alcohol reduces our inhibitions and affects the brain by slowing down the part of the brain that serves as the switchboard of our thoughts. This makes us feel more at ease and allows us to feel comfortable around others. However, when used to an extreme, the abuse of alcoholic drinks can create behavioral and health problems that can lead to unhappiness and despair.
One crucial thing that you must be aware of is that our brain – and body – is designed to learn. When we repeat certain behavior, we...
