TUESDAY, Feb. 28, 2023 (HealthDay Now) — A long-established Alzheimer’s drug can help people with a disorder that causes them to compulsively pull at their hair or pick at their skin, a new clinical trial has concluded. Memantine considerably improved symptoms in 3 out of 5 patients with either trichotillomania (hair-pulling disorder) or excoriation (skin-picking) disorder, researchers reported in the American Journal of Psychiatry. “I think it was encouraging that it helped reduce the behavior of picking and pulling, compared to a placebo,” said lead researcher Dr. Jon Grant, a professor of psychiatry and behavioral neuroscience at the University of Chicago. “It gives me the idea that perhaps we’re onto the right underlying mechanism that might be happening here.” Hair-pulling and skin-picking disorders affect an estimated 3% to 4% of Americans, Grant said. Patients obsessively pull out strands of hair or pick at their skin, often doing themselves real physical harm. Memantine inhibits the activity of glutamate, one of the most abundant neurotransmitters in the brain. Overly high levels of glutamate in the brain can cause nerve cells to become overexcited, and this has been associated with conditions like Alzheimer’s disease, Parkinson’s disease, Lou Gehrig’s disease and multiple sclerosis, according to the Cleveland Clinic. Glutamate also has been linked to mental health problems like mood disorders and obsessive-compulsive disorder, the Cleveland Clinic says. The U.S.…  read on >  read on >

Sen. John Fetterman will continue to be away from the U.S. Senate for several weeks but he is on the “path to recovery,” his spokesman said Monday. The senator is being treated for clinical depression at Walter Reed National Military Medical Center after checking himself in on Feb. 15. “We understand the intense interest in John’s status and especially appreciate the flood of well-wishes,” Fetterman’s communications director, Joe Calvello, said in a statement posted on Twitter. “However, as we have said, this will be a weeks-long process and while we will be sure to keep folks updated as it progresses, this is all there is to give by way of an update.” The Pennsylvania Democrat has been struggling with the aftereffects of a stroke since last May. He has experienced depression “off and on throughout his life,” but it worsened recently. Capitol Physician Brian Monahan recommended Fetterman’s hospitalization. Meanwhile, Pennsylvania’s Sen. Bob Casey returned to the Senate on Monday after having surgery for prostate cancer, the Associated Press reported. Fetterman, a Democrat, suffered his stroke during a campaign against Republican Dr. Mehmet Oz but went on to win the November election. Fetterman was sworn into his seat, part of a 51-49 majority for the Democrats, in January, the AP reported. It is common to experience depression after a stroke. The mental health condition can be…  read on >  read on >

Work isn’t always easy, but sometimes it becomes almost unbearable. You might experience a constellation of symptoms, including emotional exhaustion, a reduced sense of personal accomplishment and cynicism, which affects how you interact with others in the workplace. This is a condition known as burnout and though it’s not listed in the diagnostic manual used by psychiatrists, it is a workplace-associated condition, according to the World Health Organization, said Dr. Jessi Gold, a member of the American Psychiatric Association’s Council on Communications. “There are lots of reasons why it happens. It depends on the person and how work is impacting them,” said Gold, who is also an assistant professor of psychiatry at Washington University School of Medicine in St. Louis. What is burnout? Burnout can come from a mismatch between what was expected in a job and what it really is, such as more paperwork than helping people, Gold said. “That mismatch can create burnout pretty easily,” Gold said. “And not doing the things that bring you meaning and purpose can as well.” Lack of control can also be an issue. So can a dysfunctional environment with a micromanaging boss or a workplace bully, according to the Mayo Clinic, while unclear job expectations and a work-life imbalance can also be factors. The pandemic may have made matters worse. A recent survey found 52% of workers…  read on >  read on >

A lot of people are dealing with anxiety, depression or just general unhappiness. Worry, sadness, restlessness, irritability and trouble sleeping are just a few symptoms of depression and anxiety, according to the U.S. National Institute of Mental Health (NIMH). Therapy and medications can help. But some simple self-care ideas can lift a person’s mood and add a sense of peace and joy to everyday life. “Fortunately, there are things that people can do on their own, either in place of a professional mental health professional or while waiting in line to see someone either virtually or in person,” said James Maddux, professor emeritus in the Department of Psychology and senior scholar in the Center of the Advancement of Well-Being at George Mason University in Fairfax, Va. All of these techniques can help people dealing with the stress and emotional traumas of life to be happier, Maddux said. Mellow out with meditation Doing this quiet activity for just 10 to 20 minutes helps a person slow down and pay attention to what’s going in inside, Maddux said. “And research shows that those brief periods can carry over into the rest of the day,” Maddux added. Becoming more aware of what you’re thinking and feeling is a big step toward learning how to better manage thoughts and feelings, he said. “Mindfulness activities can be helpful for dealing…  read on >  read on >

Folks who have trouble falling or staying asleep may be more likely to have a heart attack. This is the main takeaway from new research linking insomnia to heart woes. Specifically, people with insomnia were 69% more likely to have a heart attack than folks without the sleep disorder. These rates were even higher among people with both diabetes and insomnia, the study showed. “Insomnia puts the body under stress which triggers [the stress hormone] cortisol release and can accelerate atherosclerosis,” said study author Yomna Dean, a medical student at Alexandria University in Alexandria, Egypt. Atherosclerosis refers to the buildup of plaque in and on the artery walls that can set the stage for a heart attack. The findings were published Feb. 25 in Clinical Cardiology and will be presented at a joint meeting of the American College of Cardiology and World Congress of Cardiology, in New Orleans, and online March 6. For the study, Dean and colleagues culled data from more than 1,200 studies that included close to 1.2 million adults. Of these, 13% (nearly 154,000) had insomnia. Most did not have a history of heart attack. After nine years of follow-up, about 2,400 people who had insomnia and almost 12,400 without insomnia had a heart attack. Folks who slept five or fewer hours a night had the greatest heart attack risk, the study…  read on >  read on >

When depression hits, everyday activities like working, socializing, sleeping and even eating can become a daunting challenge. George Mason University clinical psychologist James Maddux treats patients with clinical depression in his practice. He said, “The problems with both depression and anxiety are the result of what people think about. These thoughts lead to feelings that also affect behavior.” So how can you deal with the emotional, mental and physical impacts of depression? Maddux shares some scientifically backed self-care tips that you can use when you or a loved one begin experiencing a bout of depression. What is depression? The National Alliance on Mental Illness (NAMI) states that depression is a serious mental health disorder, and the leading cause of disability in the United States today. It affects about 21 million adults across the country. The causes of depression are diverse and can include: Relationship issues Drug and alcohol abuse Sudden life changes Certain medications Changes in the brain’s frontal lobe activity Pituitary gland and hypothalamus hormonal responses Medical conditions such as anxiety, attention-deficit/hyperactivity disorder (ADHD), hypothyroidism and chronic pain can also trigger depressive episodes. Depression symptoms Just like the causes of depression, the condition’s symptoms are wide-ranging and vary from person to person, according to NAMI. The signs of depression include: Changes in sleeping and eating patterns Feelings of hopelessness A lack of motivation and…  read on >  read on >

Certain gene mutations put women at high risk of breast cancer, and now an early study hints that obesity might make matters worse. The findings come from a study of breast tissue samples from women who carried particular mutations in genes called BRCA1 and BRCA2 — which convey much higher-than-normal risks of both breast and ovarian cancers. The researchers found that among women who were obese, healthy breast tissue showed more signs of DNA damage that can promote cancer. The findings, published Feb. 22 in the journal Science Translational Medicine, do not prove that obesity exacerbates the already high breast cancer risk in women who carry BRCA mutations. But they do raise that possibility, according to senior researcher Kristy Brown, an associate professor at Weill Cornell Medical College, in New York City. If so, that would mean that maintaining a healthy weight might mitigate some of the cancer risk that BRCA mutation carriers face. Brown’s team also found hints of another potential avenue: In lab experiments with carriers’ breast tissue samples, they found that exposing the tissue to the diabetes drug metformin reduced signs of DNA damage. “We definitely need more studies to see whether lifestyle interventions, or metformin, can lower the risk of cancer in these patients,” Brown said. BRCA gene mutations are not common: In the United States, about 1 in 500 women…  read on >  read on >

MONDAY, Feb. 27, 2023 (HealthDay News) – Children in Sweden’s capital can breathe a little easier. As Stockholm’s air has gotten cleaner, young people’s lungs have gotten stronger, new research shows. The findings could have implications for cities worldwide. While the adverse impact of air pollutants on kids’ lung health is well-documented, the impact of changes in air quality on lung development is less studied, researchers noted. Children’s lung health greatly affects their future risk of developing chronic lung diseases. “Fortunately, we’ve seen a decrease in air pollutants and therefore an increase in air quality in Stockholm over the past 20 years,” said co-author Dr. Erik Melén, a pediatrician and professor in the Department of Clinical Research and Education at the Karolinska Institute in Stockholm. “We therefore also wanted to examine if the lungs of children also improved during this period.” For the study, researchers used data from the BAMSE project, which is following about 4,000 individuals born between 1994 and 1996. Participants completed questionnaires at age 8, 16 and 24 and had lung function tests. Researchers also estimated concentrations of airborne pollutants, mostly from traffic, at sites where participants lived from birth until early adulthood. Air pollution was roughly 40% lower in Stockholm between 2016 and 2019 than it was between 2002 and 2004. At some locations, it decreased by 60%. Others have had…  read on >  read on >

Causes of different kinds of dementia vary, but about 40% are affected by risk factors a person can influence through lifestyle choices. Two University of Michigan neurologists offer 10 tips for modifying those risks. Keep blood pressure in check. Dr. Judith Heidebrink, a neurologist who is co-leader of the Michigan Alzheimer’s Disease Research Center’s Clinical Core, recommends aiming for a systolic blood pressure (the upper number) of 130 mm Hg or lower from around age 40. This helps reduce risk of cognitive impairment, dementia, heart attack and stroke. Guard your hearing. Wear ear protection around excessive noise to reduce the risk of hearing loss, center director Dr. Henry Paulson urged. Use hearing aids, if needed. A recent study found that older adults who got a hearing aid for their newly diagnosed hearing loss had a lower risk of dementia in the following three years, he pointed out. Support efforts to reduce air pollution. “There is growing evidence linking air pollution — such as the gases and small particles emitted by cars and factories — to cognitive decline and dementia,” Heidebrink said. “Encouragingly, sustained improvements in air quality appear to reduce the risk of dementia.” Prevent head injuries. Wear proper gear when playing contact sports, including a helmet while biking. Don’t forget to use a seat belt in cars. Head injury can disrupt normal brain function.…  read on >  read on >

When a couple seeks out therapy, they’ve probably been struggling and stuck for some time. Licensed therapists offer expertise and experience at helping couples work through issues, not altogether different from what an individual therapist might do for an individual who is struggling. Whether the issue is conflict, communication, forgiveness for past hurts or something else, a couples therapist can guide a willing pair through the process of working issues out or deciding what to do next. “People don’t go to therapy just with the equivalent of a headache in terms of the relationship problems,” said Everett Worthington, commonwealth professor emeritus for Virginia Commonwealth University, in Richmond. “I think when couples feel frustrated and can’t seem to make any headway on the problems on their own, then they start looking for some kind of help.” What is a couples therapist? The American Psychological Association (APA) describes couple and family psychology as a specialty that is “focused on the emotions, thoughts and behaviors of individuals, couples and families in relationships and in the broader environment in which they function.” Marriage and family therapy is “brief; solution-focused; specific, with attainable therapeutic goals; and designed with the ‘end in mind,’” according to the American Association for Marriage and Family Therapy (AAMFT). A therapist may be licensed by the AAMFT to work with couples and families after receiving a…  read on >  read on >