Duke University Medical Center researchers are among those studying the weight-loss effects of epilepsy or anti-seizure medications such as zonisamide (Zonegran) and topiramate (Topamax). Some very dramatic weight loss has occurred in obese people. One theory is that some obese people may experience uncontrolled electrical nerve firings in pleasure centers of the brain that trigger uncontrolled eating. If so, they would truly be unable to control their eating impulses. In similar fashion, epiletics have uncontrolled electical activity in their brain for which they are not responsible. It produces seizures. Such a theory would help to explain some puzzling behavior. Why don't obese people just stop eating so much? The answer, much to the bewilderment of self-disciplined people, may be that the obese cannot help themselves. The firestorm in the brain is too overwhelming, just as epileptics are overwhelmed and are unable to control their seizures without medication. There may be some intriguing extensions of this theory to other habit-control issues, addictions, obsessions, compulsions, mood disorders, smoking, alcohol abuse, and drug addiction. We cannot say that people with these behaviors are not responsible in any way, but they very well may be far less responsible than we have presumed. Diabetes may be comparable. Seldom are diabetics absolutely responsible for causing their disorder, but they certainly are responsible for managing the disorder once they have it.
Pediatric Care
Recently published research by a children's hospital researcher in Seattle, Dr Christakis, indicates a linkage between watching TV and attention problems. In preschoolers, there is a ten (10) percent increase in the risk for attention deficit hyperactivity disorder for every hour of daily TV viewing. Presumably, a young child who watched TV for eight (8) hours daily would have an eighty (80) percent chance of later developing ADHD. One thing is clear; using the TV for babysitting or for a youngster's primary entertainment is foolish. As tempting as it is to introduce a child to television or videos at an early age, it is not a good idea. The American Academy of Pediatrics has recommended that TV be reserved for children over the age of two. Studies such as the current one reaffirm the AAP guidance. Over the age of two years, viewing time should be strictly limited. Current understanding suggests that the developing brain is undergoing its basic wiring and that stimulation which is exceptionally vivid, intense, and rapidly changing, may produce lasting attention problems. There certainly has been a noticeable increase over the past few decades in the incidence of ADHD in children. The increased availability of TV and the decrease in the quality of child care for many children may be possible factors in the increase of ADHD.
The well-known former mayor of New York City, Rudy Giuliani, was much in the news following terrorist attacks on his city. Recently, he has been speaking out against cancer, following successful treatment of his prostate cancer. An interviewer asked him how he overcame the fear of cancer. He simply said that he talks about it. He went on to generalize. In his experience, he has found that it helps to talk about anything that he fears. After talking about fears, they are reduced. Rudy could well become a spokesperson for mental health counseling, now often referred to as talk therapy. Rudy spoke about fears, but many other emotions become more manageable when they are revealed and discussed. Talking gives the talker a bit more of a sense of control over her own emotion, as opposed to the emotion controlling her. Another person finds that talking helps him to objectify that which was subjective in him; the internal is made external. Inner capacity is limited, and pressure can build in him as he holds things in. If he speaks out, there is relief and freedom. The external capacity of the world is vast and virtually limitless.
ADDitude includes an article by John Ratey, M.D., ADHD authority, who offers explanations as to how physical activity/exercise improves brain functioning. He theorizes that exercise increases dopamine and norepinephrine, neurotransmitters which help to regulate attention processes, motor reflex inhibition, balanced reactions, and control of irritability. These are especially good for children and adults with ADHD: martial arts, ice skating, gymnastics, rock climbing, mountain biking, skateboarding, and whitewater paddling. Thirty minutes or more of vigorous exercise may increase focused attention for a 60-90 minute period.
Depression
Mental Health
Professionally, I am a doctor of health service & clinical psychology. I have done thousands of psychological evaluations using a wide variety of tests with children and adults. For over 20 years I did psychological disability evaluations with children and adults. Currently, I do mental health screenings with the MMPI for law enforcement and armed security guard applicants and forward results to CLEET. I do counseling now primarily with adults who are covered by Medicare. My counseling specialties are clinical depression, anxiety disorders, stress, anger issues, relationship conflicts, and spiritual issues. Many insurances are accepted for payment.