Short Answers to Hard Question about Mental Disorders

Guest post by Katleen Brown

Everyone can feel sad or unhappy at some point in their lives. It is inevitable. Experiencing sadness or grief is normal, and sometimes even necessary. Getting through ups and downs is what life is all about. But if that feeling of sadness is a lasting one, maybe you have depression. Depression or anxiety can make you feel as if everything is pointless and without meaning. It takes hold of your mind, and can make your life feel unbearable. You feel like all of the joy you once had, is gone. If you have depression, it is critical that you recognize the symptoms, signs, and cause of your depression. It is fundamental that you do not ignore those signs and symptoms.

Symptoms of depression

Depression is a mental state of constant low mood. It is a disorder that can affect a person’s thoughts and behavior. People who are often depressed  feel sad, anxious, guilty or helpless. They also feel like there is nothing in this world that could help them to try overcome their restlessness. Depressed people can’t concentrate; they experience loss of appetite, or they eat more than they should, they lose sleep, or they sleep all the time.

It is imperative that you recognize symptoms of depression, even if those symptoms seem trivial or insignificant. Warning signs and symptoms of depression are often right in front of you, and they can be easy to overlook. Sometimes we live in denial, and won’t even admit what is obvious. The most common signs of depression are:

  • Feeling of hopelessness.

It is a very common symptom, and it can be the first sign that you are depressed. You constantly feel like things will only get worse, and that there is nothing you can do about it.

  • Insomnia and excessive sleeping.

People who are often depressed  suffer from sleep disorders. They have difficulty falling asleep, or they have the need to sleep all the time.

  • Feeling of self-loathing.

You feel angry at yourself, and you constantly blame yourself for everything.

  • Rage and irritability.

You feel constantly mad at everything and everyone, and you feel the need to blame everyone for the problems you might have.

  • Energy loss and fatigue.

People who are often depressed feel like the energy is drained from their bodies.

  • Pains and aches.

That cannot be explained.

  • Loss of appetite and weight problems.

When you feel hopeless, you also lose appetite, and you don’t care if you don’t eat. Some people, on the other hand, eat too much, because they think this is the only way for them to feel content again.

  • Suicidal thoughts.

Depression is a very serious mental disorder, and should be treated accordingly. With depression comes the very high risk of suicide. People who are depressed often think that ending their lives is the only way out. Studies show that more than 90% of suicide victims were clinically depressed.

Types of depression and causes of depression

There are several types of depression, and each of these disorders should be treated very seriously. Unlike other diseases, depression can be caused by many factors.

Main causes of depression include loneliness, financial difficulties, tragic loss in a family, alcohol or drug abuse, marital problems, work stress, severe injuries, hormonal disorders, childhood trauma and childhood abuse.

Types of depression:

  • Major depression (Major Depressive Disorder).
  • Bipolar disorder.
  • Dysthymic disorder.
  • Seasonal affective disorder.

Treatments for depression

It is very important for any individual not to feel ashamed because he or she suffers from the depressive disorder. Support from family and friend is crucial for recovery from depression, as well. People who are feeling depressed need to know that someone loves them, and cares for them. Sometimes, people who are depressed just need someone to talk to, who will listen to them and understand their pain.

For every kind of depressive disorder, there are different kinds of treatment and management. Usually, a combination of treatments is advised, such as therapy treatment and medication treatment. It is also important to understand that medical treatment can only relieve symptoms of depression, not cure them.

Symptoms of depression can also be effectively treated with simple lifestyle changes:

  • Practicing yoga can reduce symptoms of depression, and root causes of depression disorder.
  • Change of scenery.
  • Owning a pet can reduce stress and unhappiness.
  • Physical exercise.
  • Problem-solving therapy can help individuals learn how to face their problems.
  • Diet improvement. Natural and healthy foods can provide an alternative treatment for depression.

Every treatment for depression starts with identifying symptoms and signs of depression. In the end, depression can be cured or lessened only by discovering the root of the problem, and by rebuilding emotional skills.

 

About the Author

Katleen Brown is a health, beauty and fitness writer. She loves to publish her articles on various health related websites. In her spare time, likes to do research to bring awareness about health news. Recognizing the unity of body, mind, and outlook, she helps empower women to tune into their innate & inner wisdom to transform their health and truly flourish. Get in touch with her on Google+, Pinterest and Twitter.

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Skilled Nursing Provider Agrees to Pay $360,000 for Employing Excluded Workers

Daybreak Venture, a company providing skilled nurses, has settled charges brought by the Office of the Inspector General that they hired staff that had been excluded from employment with federal health programs, authorities announced.

The OIG’s Office of Audit Services did an investigation that turned up five excluded employees. During the federal investigation, Daybreak Venture revealed they had hired two additional unauthorized employees, according to the announcement.

In March 2014 the OIG initially contacted Daybreak regarding this matter and as a result the company performed it’s own audit covering about 5,000 staffers and entities that are presently or had been linked with Daybreak Venture.

 

The CEO of Daybreak, Michael A. Rich has assured the federal government that since the company discovered these transgressions, they have pledged additional resources and people to work in its Compliance Department to conduct ongoing re-verifications of staff members and entities to prevent those on OIG’s excluded list from employment. He went on to state that the company is fully committed to hiring only those people who are eligible.

Individuals can lose their eligibility to work with federal health programs like Medicaid and Medicare for a number of different reasons, but the most serious would be that they have a criminal record of being convicted of abuse or fraud. Providers are barred from hiring these individuals and then charging the government program for the services provided by them.

 

A Deputy Chief in one of the branches of the Office of the Inspector General says they’ve found that nursing homes tend to employ excluded individuals more than other health care providers. The updated guidelines provide a time period for employers to check the database online that lists all the excluded or unauthorized individuals, entities and organizations.

 

The settlement with Daybreak Venture took effect October 24, 2014.

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Working Within The Parameters Of OIG Exclusions

The release of the 2015 work plan by the OIG gives employers a slightly clearer picture of what is to come. With last year showing over 4,000 exclusions and close to 1,000 penalties, many employers have become fearful of adhering to the parameters of restriction. However, the recovery action of this year’s plan is highly focused on rectifying best practices, and the federal fiscal gain could benefit employers who are up to code.

One of the greatest concerns appears to the increase in audits that are expected to be performed. It should be noted that while health and safety standards are high goals for this work plan, the stronger scrutiny of the auditing process is also focused on outright fraud and poor business practices.

This does not mean that solid employers should stop being vigilant regarding verification and new hire screenings. The fine print of over $4 billion in receivables can also be read as hefty fines and penalties for non-adherence to federal hiring regulations. While the OIG may be more concerned with fraud and misuse of SSA and Medicare funds, exclusion violations do contribute to this drain on the national budget.

 

Receiving a fine due to an oversight should not be a fear for HR managers and hiring entities, but the truth is that lack of knowledge is not passing as an acceptable fault in the eyes of the OIG. This further drives the need for time efficient and thorough screenings that can allow hiring personnel to stay focused on a best fit for qualified applicants.

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HHS OIG Hiring Enforcement Gets A Boost From None Other Than The President

While the president of the United States certainly can’t be involved in all decisions related to federal law enforcement, it seems as if he is making his influence felt when it comes to HHS.

At the moment, it’s not known whether the president’s budget stands much of a chance with the Republican-controlled Congress. However, even in the most difficult of times, the ideas that a president puts forth tend to define the budget discussion going forward.

President Obama has sent a message here: Greater enforcement for HHS compliance efforts.

The president’s budget will allocate a very significant amount — $119 million — for anti-fraud measures. While these are focused on Medicaid and Medicare on paper, they could also have implications for other areas of compliance enforcement, including OIG-compliant hiring.

Why the sudden interest in healthcare fraud and compliance in particular?

— Healthcare policy is in a state of flux and politicians want to demonstrate return on investment.
— Democrats are especially keen to avoid high-profile blunders like the ACA website roll-out.
— Enforcement and fraud prevention both have a role to play in enhancing federal revenues.

If HHS funding climbs in the 2015 budget, it is very likely to continue its ascent in any other recent budgets. This is especially likely in the event the Democrats retain control of the White House.

The fact that enforcement in healthcare contexts is climbing while the IRS budget is being reduced also sends a strong signal about the increasing centrality of healthcare in federal policymaking.

A Sea Change In Healthcare Could Leave Some Chief Compliance Officers Washed Up

Another aspect of the issue is the fact that, one way or another, healthcare is simply more visible now than it was even as few as three years ago.

With more people paying closer attention to healthcare — including a broad spectrum of citizens from twenty-somethings to the retired — there is a sense that noncompliance represents someone not doing their fair share

This is true even when it’s a complex issue that the average person doesn’t understand, like HHS OIG hiring.

How do you think additional funding for the OIG will effect exclusion screening?

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