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June 20, 2008

An almost accidental Rambo

Filed under: Stress, Depression, General, Uncategorized — admin @ 1:52 am

I was sat watching Rambo.
Now what the hell has Rambo got to do with you?

Because Rambo really happened.  I want to tell as many people as I can about the ‘accidental’ Rambo I met.

I met Adi in October 1974. A tall almost emaciated Yeminite soldier. He was admitted into our Shell Shock Unit. He had been in a general Psychiatric hospital –where he had thrown the director into a decorative pool. To the directors credit he got out and threw Adi in the pool. Then he sent this misfit to our unit of complete misfits. The shell Shock Unit

Adi was almost mute. All he would say was incomprehensible.
So I gave him Pentothal. Until Adi we could always trace the cause of the trauma and recycle in a way that somehow made it ‘psyche-digestible’. But  Adi  just went berserk. In those awful long nights I was obsessed not by the mayhem that we were seeing. why was it not working? An injection then complete mayhem. Till then it had been the opposite.
I had to get Adi back…. and I could not.. Then one night I reasoned like this:-. Adi under Pentothal is virtually Psychotic. So why not give him an injection of antiPsychotic intra venously.
At midnight I phoned up my boss and asked permission. Tomorrow I would inject both Pentothal and an anti-Psychotic.

At eight in the morning we started. In went the Pentothal and we lost Adi again to his demons. In went the anti-Psychotc and Adi stated repeatedly ” How big he was –How small he is”.
That was it.
Nothing more.
Like  all successful Pentothals Adi woke up. But this time I was at a loss as to what had happened. I asked him what  ” How big he was –How small he is.” meant?

Adi simply looked amazed. “How do you know?” “Did I say that?” .

As in a very few other Pentothals we had gone to the wrong place in time. The ‘wrong trauma’.
With Ephraim we had blundered into Auschwitz.
With Mike, a hysterical blind victim we had found ourselves in a tank battle in 1971.
With Shalom we were in a Moroccan prison.

Adi had gone back to 1967— the six day war. …….

Adi had a son called Shai. Shai his only son had died before the 6 day war started. In the 6 day war Adi was a non combatant. He was a driver of the Burial Corps. He was present when the Clergy tried to piece enough body parts to bury. Some times there was not enough. What there was they put in ammunition caskets and nailed that in the coffin and filled the rest was earth to make up the weight. Carole was Adi neighbour. There was barely enough of Carole, a very tall guy to put in the ammunition box. Adi sat by his neighbour, Carole’s, coffin all night. He asked Carole to look out for his dead son Shai when they met. He muttered to himself — well you know what….After all Carole was very tall and now there was not enough to fill the ammunition box.

Adi and all his unit had sworn to keep the secret of what happened when preparing the dead that week. The Chief Military Rabbi then asked them made them swear an oath never to tell. Honour the dead and their memory. But Adi had told. Under Pentothal. Six years had passed. Inadvertently he had told us. This in his eyes was unforgivable.

I want to jump forward a month.

We worked a lot in Adi and made real progress. The Chief Military Rabbi in the Yom Kippur War visited us. It was a warm spring afternoon. We sat on thee grass and the Rabbi answered questions.
Adi asked if what he had done was excusable? Adi was well known and respected. So there was a very heavy silence. The Rabbi turned to his two assistance.
“I now declare this a Rabbinical Court and we are in session. Adi Chatuka cover your head.” The rabbi then placed his hand on on Adi’s head. ” Tis court absolves you from all your oaths that you took in 1967. This court absolves you from all guilt”
Adi said. ” Rabbi, these guys have fought hard for me , to help me but no injection helped like this”.
We were all in tears.

But I have still to explain why Rambo?
What happened in 1973?
First a bit of history and a brief explanation.
The Egyptian were helped by the Sudanese commando brigade as they crossed the Canal. In accordance with Soviet doctrine they were doped to their eyeballs with Ritalin. The Sudanese were the bane of our soldiers existence . They were big, fearless with bulging ferocious eyes. They were unstoppable. Well almost unstoppable. Adi stopped one. But at what a price
Here’s how. ….

Adi was a tank driver. They were trying to stop the Egyptian advance. They were surrounded by Sudanese. The Sudanese were unstoppable. They were like a swarm of locusts. They were everywhere.
Adi’s tank commander was a greenhorn. This irritated Adi who felt he had a liability and responsibility. Adi wanted to get everyone home safely. He drove over Sudanese. He mowed them down. Adi was doing well. He was getting out of the mess. Then it went awfully wrong.
The tank commander was sat half out of the tank. A Sudani killed him. Adi went after the Sudani. Adi got out of the tank and fired a machine gun at the Sudani. The Sudani kept coming . Adi was screaming at him “Die — you are already dead.”  More rounds and still the Sudani is running. So with one long burst Adi cut the Sudani into two. But still the legs of the Sudani kept running. Adi past out and was mute.

Months went by.The treatment was working.
Adi then did something that  no other soldier of mine did. He went back into reserve duty. My mistake maybe but also fate played a hand.
Adi was posted to almost the exact spot where he had fought his Sudani. Then it was the demarcation line between the Israelis and Egyptians.
Adi dissociated. He saw the Sudani and Adi attacked. Adi was  running , weaving and firing as he advance on the now docile Egyptians. There was only one way to stop him. We ran Adi over with a command car. In the turmoil Adi was shot in the leg.

There was an enquiry. There always is. This one was fair. The investigators told me that Adi was a few yards from starting the war all  over again. There was grudging admiration for Adi’s soldirers craftmanship. My mistake was generously overlooked. The authorities let it pass.
I went to see Adi in hospital. The Orthopedic Surgeon asked me if this was another faked malingerers suicide. I told him that it was not.

No this was a real genuine fucking hero.

Adi almost started another war. But his own never ended. The Sudani never left him. He drifted. Adi was in and out of trouble. Often they wanted to put Adi in a closed ward. I stopped them. But it was getting harder. Adi’s wife and neighbours were all suffering outbursts and wild behaviour. Then one day the Police phoned. It was three in the morning. They were laughing at this lunatic that admitted to a murder.
“Did he murder someone?” I asked, a bit nervously. The reply was negative ” Only some Sudani” .Accompanied by more laughter. I said OK — tomorrow we’ll put him into the closed ward and I put the phone down.

Then it hit me. So I phoned back to the Police. ” Are you sure that he said  a Sudani?”—” Yes very sure” was the answer.
At three thirty in the morning I got Adi out of the holding cells. ” You realise that the Sudani is dead — no more night mares”. I took him home. Nothing sensational. We were both very tired –of everything.

Things got reasonably manageable but never any where like normal. Adi made a living as a Taxi driver. Very rarely I saw him.

One day a journalist came to my clinic. She asked if what she had heard was true?  —- A taxi driver had told her his story without identifying himself. He had picked her up as a fare by the clinic. How did she find me? Adi had said that whenever he felt bad he would drive by the clinic. He knew if things got really bad he always go in. That was enough for him.

Adi’ s wife died of cancer. So did Adi. They are all together with Shai, Carole and the two Rabbis.

Wars are fought and payed for by heroes. But heroes who did not ask to be heroes. Adi was an accidental hero and a great guy.

I don’t know what this did to you. If you think on Adi for a minute —  that is good.

I sent this to people I know well, people I don’t know well, people that will understand and people that will not. If anyone is offended — well I am sorry.

I simply wanted to share and honour Adi. I hope that you do too.

March 22, 2008

Catch Up In Mental Health.

Filed under: General — admin @ 2:03 pm

Medicine is always looking for the magic bullet. Unfortunately it does not exist. But there are even more dramatic forms of cure. They are prevention and early intervention

No surgical technique has been more successful than having Surgeons wash their hands. The most dramatic medicine of the last century was the virtual eradication of Smallpox and Poliomyelitis.  The cessation of smoking, healthy eating and exercise have all helped to prolong life. Quality of life has also improved. Social intervention and rapid intervention have helped enormously in our fight against AIDS.

We have delayed and prevented onset of Diabetes and Hypertension. When they occur they are dealt with rapidly and effectively.

We are screening for cancer of the breast, bowel and pancreas with great success.

Modern medicine  knows what causes an illness. Modern medicine can take steps to prevent it.

I t seems that if we act 10 years ‘in front’ we can eliminate or minimise the diseases that the most expensive of  medications do not cure effectively.

Can Psychiatry orientate itself similarly? It would seem that Mental-Health has not even changed its approach. We know that over twenty percent of the population will suffer from Anxiety, Panic and Depression. The illness can last a month or more. It will return, on average three times or more times.   We know that approximately two percent will have serious debilitating Psychotic disorders. The majority are Schizophrenics. The majority of the Schizophrenics will never return to what they were. They will need support and care for large part of their remaining lives. This is even more distressing as the illness tends to start relatively early in life.

Mental illnesses start earlier than other illnesses. Yet we treat them as we treated Depression and Diabetes twenty years ago. We are waiting for the disease to develop, waiting for the damage to occur and then apply rehabilitation and damage control.

Are there steps that we can take that prevent, delay onset and intervene at an early stage?

It is universally accepted by professionals that the use of addictive drugs including the ‘safe drugs’ can and does precipitate psychosis. There is alarm at that use of Ritalin. All in the profession agree that Ritalin is prescribed far too easily. People are not given Ritalin in accordance with ‘accepted practice’. It would seem that people who have received Ritalin are more liable to later be treated with medication used in psychosis than people who did not receive Ritalin. Strangely the same group, who received Ritalin, receives fewer medications for Depression than those who did not receive Ritalin. We know that children brought up in social stress and with a poor family support system are more prone to mental illness. We know that Schizophrenia has genetic loading. We know hat certain behavior traits in childhood are prone to develop Psychoses. We could make a list of loading factors. We have a pretty good idea who is prone to develop Schizophrenia.  We know what the prodromal signs occur before the first Psychotic breakdown. Psychotic breakdowns do not occur overnight. They are festering for weeks before the break. More distressingly we can prevent a Psychotic breakdown if we intervene at the right time. Yet we do nothing.

We know that not everyone will develop Depression or Anxiety. The family Doctor is never surprised when one of his patients does develop theses illnesses. We know how is going to develop the illnesses. He or she is typically of two types. They are either the rigid worrier or the very dependent personality. They have in common a defect. Their Coping Style is inadequate. We can readily and easily correct this defect. Cognitive Behavioural Therapy, CBT, can improve coping. CBT is made available Online. Over forty percent of people feel that they want to improve the way that they cope. By doing so they would prevent Depression and Anxiety and improve significantly their quality of life.

It would seem that Mental Health will start to re-align itself with the rest of Medicine. We can reasonably hope that prevention and early intervention will become as important as they are in the other fields of Medicine.

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August 18, 2007

The Tree Of Knowledge

Filed under: General — admin @ 3:41 am

Can we explain Psychosis?
I believe that we can but we must first define certain paradigms.
WHAT IS PSYCHOSIS?
A conventional definition is ‘A disorder in Reality Testing and Judgment.’
Psychotics are unable to place time and space on a continuum. Places, objects, boundary and time become fractured, jumbled and confused. But what is reality and what is judgment? Both are subjective. They are based on experience. Reality is a linking and amalgamation of a present experience to a previous or accepted event. Judgment monitors the bonding as acceptable or not. Reality testing and judgment are ways of coherently storing and monitoring experience. We are now postulating that the mind is forever increasing its experiences. It does so by adding onto previous experience. To do this the mind must possess a very powerful and accurate filing system. It must be able to recognize the ‘new input’ by categerising it. Then by use of the category it is able to run a quick match. Finally it incorporates the two. The mind has a new or newer experience
HOW IS KNOWLEDGE STORED?
In a previous article I described how thinking and thoughts are interrelated. Briefly we postulated thoughts are mere predictions. The one to get closest to correct prediction is kept. In other words thoughts are in competition. Only the fittest survive. Initially thoughts are like buds on a tree. They store a prediction and an emotion. If the thought is maintained it can be the starting point of a new bud. It as if it has become a twig. A twig becomes a branch. Each has its own emotion. Each has its ever present buds competing to survive. This way thinking can be done more quickly. But we are faced with a new problem. How does the sorting process work so quickly? There must be a mapping or registry. I believe that this is a fair assumption. As far as technology is concerned man tends to unconsciously imitate himself. Today information is stored by use of registries that inform where the information is. There is a similar mapping process in the brain. Our brains contain distinct areas which map sensation and muscular activity. They are called homunculi. I propose that the ‘Knowledge Tree ‘that we are all perpetually building is ordered so to maintain spatial, temporal and experiential integrity of experience. We are capable of ‘turning off’ this process. We do so when we daydream or use our imagination. This is an important process that allows us to voluntarily ‘place buds’ in places on the tree that otherwise would not be placed there. But this process is voluntary and can be turned on and off at will.
EXPLAINING PSYCHOSIS:
Using the paradigm ‘Tree of Knowledge’ we can describe and explain psychosis. The psychotic cannot correctly maneuver through different branches and twigs. He gets to the wrong place. He associates the wrong things. He experiences the wrong emotions. He hears or sees that is on the tree not that what he really is hearing or seeing. Often I have heard patients tell me it as if they were dead. They cannot ‘get in touch’ with their inner world or experiences. They are there but as if cut off. The psychosis of misplacement generally passes. In this we see things that were not there before like delusions and hallucinations. We call these the positive symptoms. Unfortunately the loss of contact with the inner world is more lasting and often permanent. We call these negative symptoms.
The phenomenon of ‘loss of responsiveness’ is not unknown. There are at least two illnesses with a similar mechanism. The root cause of diabetes and one cause of thyroid is a basic lack of responsiveness. In both cases there is a compensatory process. The compensatory processes are inefficient and cause symptoms.
Are the positive symptoms a similar unsuccessful compensatory process? Is the basic defect the negative symptoms?

August 10, 2007

Learning With Harry

Filed under: CBT, Stress — admin @ 6:21 am

I was playing with Harry. He is my five month old grandson. We were playing ‘ Peepo’.
Peepo is a game where I repeatedly move my head and say ‘peepo’.
At first Harry was baffled.
I moved my head behind and in front of the pram. It took him a few turns to start anticipating where I was going to be.
He got it right and was extremely proud of himself.
So we made the game more complex.
I added the right and left positions as added possibilities.
Harry got those under his belt even faster.
Now what had happened?
Let me make small detour. I’ll tell you when we get back to the point.
I met a very clever guy a few days a go. He described clearly what had being creeping in the shadows of my mind for a long time.
Very simply he said that thinking was a Darwin evolutionary like process.
He meant that the brain produces a lot of thoughts. They are in ‘competition’.
The best thought wins. The best thought is maintained till a new one comes along and beats it.
But how is this done?
He spoke and I pictured a picture. Here is my picture.
Picture the brain as a dynamic tree. Picture an ever growing tree.
Imagine this tree growing filmed in a delayed frame film.
You can see the tree growing can’t you?
Look at just one of the twigs. A bud develops. A series of buds develop. But one becomes stronger and healthier. It grows faster. It becomes a twig. New buds may grow from it. It may become a branch itself. From it develop myriads of new buds. New twigs are formed and so on.
But how is the bud chosen? Which bud wins? How is the twig developed? When does a twig become a branch?
In other words ‘OK I accept competition’ but what are the rewards? Survival of the fittest thought is acceptable. But what is the fittest thought?
Why we are thinking at all?
Thinking is more or less predicting. Some may say that we are predicting what will give pleasure and what will cause pain.
It is our way of seeing into the future.
In Harry’s case he was predicting where I might be.
If buds have no predictive power they are low in the evolutionary order. The higher or more relevant the predictions are the more likely is a twig or branch likely to occur.
Let’s go back to Harry.
Harry did two things. And he got two things. More precisely he got the same thing twice. Harry got to predict where I was. He was happy that he had found me. He was happy that he had got it right. I then moved my head to new places. Then Harry used his experience at predicting when faced with a new situation. He got that right faster than previously. So he was again pleased twice. He was pleased that it was me. He was pleased that he had worked it out.
Harry built a bud. Then he built a twig. Then a new twig branching off from the one he had just built. Harry’s twigs have two elements. The elements are deduction and pleasure. It may have been deduction and avoiding fear.
So far so good.
But I am a Psychiatrist. Unfortunately I look at the process to see where it can and does go wrong. We all know that it does go wrong.
Often we develop buds that are simply on the wrong twig. Twigs are convenient. They give us a quick start. Look how they helped Harry. They make us more efficient. We tackle things almost in ‘automatic pilot’. But we do not always have the ability to see if the bud is on the right twig. Often it is an inappropriate place. It might even be on the wrong branch. But we are not aware.
We are doing ‘as if’. But in reality it is ‘as if something else’. This leads to frustration. This new unexpected experience ‘grows buds’ of its own.
Relocation of twigs and branches is really called Psychotherapy. The original Psychotherapies discovered why and how the twig and branch got to their present position.
Latter day Psychotherapy is based on how to discover where the twig is and relocate buds in a more appropriate place. This is one explanation of CBT [Cognitive Behavioural Therapy]
Computerised CBT enables you to discover traits as you are presented with repeated similar ‘inappropriate placements’.
You can learn more about the theory of theories by reading Piaget. Winnicott is an excellent reference for the role of parenting. This link will explain how CCBT works.
If you want to learn more about Harry, simply drop me a line.
Dr. Michael Benjamin

July 21, 2007

Strress Reduction: Coping Styles Are The Key

Filed under: Personality, CBT, Stress, Depression, Anxiety — admin @ 2:19 am

Cope better.
But how can you?
Make your coping styles more effective.
But how?
The answer is free Online Self-Help CBT.
Let me explain why. My name is Dr. Michael Benjamin. For 38 years I have studied how people cope. As a Psychiatrist I learned how central coping styles are. Let me share what I have learned:

Coping styles are a mixture of experience and personality. By personality I mean the way that we think, feel and behave in given situations.

Are you getting a little edgy? How do I change my personality? Don’t worry you will not.

There is a dyad that we all accept as true. Feelings and thoughts, they interact and effect each other. Feelings and thoughts are the reaction to an event. Very often we have thoughts or basic assumptions which are completely wrong. The assumptions are unchallenged. They generate feelings. These feelings generate thoughts. Vicious circles are in the offing. A reaction to an event becomes prolonged. The reaction outlasts the event. The thought feeling dyad has led you into a mood. The mood makes it harder for you to cope.

Some people are very bad with their basic assumptions. They exaggerate. But by their very nature basic assumptions are unchallenged.

Cognitive Behavioural Therapy [CBT] is the way to challenge and change theses assumptions. Online Self-Help CBT is a very effective, easy tool to use. Almost immediately you feel a sense of mastery. You start to cope better. You will rapidly observe traits. Similar, wrong assumptions crop up regularly. You change them individually. Then you will soon see and change traits.

Maybe you wish to exchange experiences. A burden shared is a burden lessened. Online Self-Help CBT allows you to participate on a e-Group designed to do just that.

Dr. Michael Benjamin.

Psychiatrist

myRay: http://www.myRay.com Free Online Self-Help CBT

July 20, 2007

How thoughts and feelings interact. How does CBT work?

Filed under: CBT, Stress, Depression, Anxiety — admin @ 8:31 am

We know that thoughts and feelings interact. But how do they do so? Why is it important that we know?
We are thinking all the time in two ways. The first is the obvious one. It is the headlight attention thought. It focuses on the subject that we are paying attention to.

But we are always aware of our surroundings. We have a sort of scan or radar scanning what is going on. It may be something in our vicinity. But it may be a relevant subject. Say we are nearing an exam.

This scanning process defines the importance of the subject that it is scanning. It has three levels of grading. The first is to tell us that the subject is of no significance. It is virtually telling the headlight attention ‘there is no need to refocus.’

 The next level is ‘Well I am not too sure ‘. ‘You can stay focused but I am putting you on standby’. This is object or event is labeled. But how is this done? By marking it with an emotion. So we have one subject in our ‘headlight’ but a feeling can occur. We are unaware of why we are feeling it. Obviously the event in the ‘headlight’ too can evoke an emotion. The event in the ‘headlight’ can evoke subjects associated with it to appear in the ‘scan’.

We are subject to a range of emotions. Many of which we are completely unaware of the source.

Now some people do this labeling process badly. They tend to over emphasize the possibility of something happening. Events are given emotions where they need not be.

We know this person. He is the worrier, the over conscientious, ever ready guy we all know. He is permanently tense. Happiness for him is not being unhappy. Relaxation is the absence of tension. Eventually he may well develop depression or anxiety.

Now  we know the problem can we find a solution?
CBT – Cognitive Behavioural Therapy – is that solution. CBT allows us to examine easily the thoughts that were previously ‘hidden’. On doing so they are automatically corrected. More so we can see that very often the same thought and emotion occur. People can rapidly discover traits. They can readily correct theses traits.Â
Online Self-Help was designed to specifically help correct erroneous traits. 

Dr Michael Benjamin

Psychiatrist

July 14, 2007

Reduce Stress: Reduce Weight.

Filed under: CBT, Stress — admin @ 3:34 am

You want to loose weight.
You feel that handling stress will help.
You are correct.
You can do this simply and effectively. Use myRay the Online Self-Help site http://www.myRay.com.
Within no time you will gain a sense of mastery and control.
At this point you must be wondering who is this guy?
My Name is Dr. Michael Benjamin. I am a Psychiatrist. I have learned that coping style is a mixture of of personality and experience.
I know that we can easily change coping styles.
We do this by the changing the relationship between your thoughts and feelings.
You can discover why this important. But mostly you will want to utilise the fact.I have designed free online site to do this.
The site myRay, http://www.myRay.com will help you improve your coping styles
You can readily  regain a sense of mastery bu using http://www.myRay.com
You can readily improve your quality of life by using http://www.myRay.com
myRay http://www.myRay.com is a free Online CBT site.
Use http://myRay.com as often as you wish.
With kindest regards.
Dr. Michael Benjamin
Psychiatrist

Some more thoughts about CBT

Filed under: CBT, Stress, Depression, Anxiety — admin @ 3:02 am

I learn from my patients. As we push the myRay, the online CBT site to its maiden voyage I have gained two valuable insights from them.
As good as any explanation can be it must be plausible. It has to be very firmly supported by the trusted Family Doctor. I will deal with the second point in a later blog.
I have described the relationship between Appraisal of an event, (Automatic Thinking), Feelings & Mood. I explained the interaction between Mood, Personality & Automatic Thinking. On using this information we can easily, rapidly and efficiently choose the correct therapeutic intervention.
The concept Automatic Thinking needs clarifying. We notice every event that occurs. The “noticed event “ is categorized according to its importance and significance. We react emotionally to the results of this categorization.
Very often we are completely unaware of this process. This process allows us to both react appropriately and yet not be easily distracted.
 We often are only aware that we have a feeling but not why.
This categorization process is profoundly influenced by Mood & Personality.
What does this mean?  It means that what emotions are not irrational. They are formed and driven by a “submerged “ thought process.
But what if the categorization process is incorrect? We can feel erroneous feelings and react to them without really knowing why. Even worse these feelings will eventually and persistently fuel our mood. In turn mood modifies the categorization process. We can get into a vicious erroneous cycle without knowing why or how to correct it. To compound the problem we are not aware of the error. We act as if the information we are being fed is always correct.
The pure simplicity and beauty of CBT is its ability to examine and find a fast remedy for this process. CBT enables us to raise the process above the water line. It makes it observable. We can review it systematically. Correction then becomes easy.
The free online CBT site myRay offers an added value. By using web technology we can rapidly observe and correct trends. Why is this extremely important? Personality and mood influence the process. One definition of personality is the collection of trends in the way a person acts feels and thinks. Need I say more?

July 13, 2007

The ABC of Psychology and Psychiatry: Thoughts, Feelings, Moods, Behaviour, Depression and Choices.

Filed under: CBT, Stress, Depression, Anxiety — admin @ 3:26 am

I have spent my 38 years in Psychiatry trying to organize terms that seem obvious. Unfortunately they are not.

There is an ABC of Psychology and Psychiatry. The A is affect or the way that we feel. B is behaviour. C is cognition, the way that we think.

The way that they think and feel determines the way we will behave. The way that we think, feel and behave is called our coping style. Our coping style is an admixture of our personality and life experience.

Let’s discuss thoughts and feelings. Thoughts and feelings are the reaction to an event. The dyad should be limited in time. If the dyad continues after the event has ceased to exist it is now called a mood.

It is common knowledge that thoughts and feeling interact. Nice feelings good thoughts. Bad feelings bad thoughts. We can see the possibility of a vicious circle. In fact this will help us define depression. The circle may become so tight that we do not respond as before to any situation. Our mood has worsened. We are now depressed, anxious or in stress.

Let us make one final distinction. Are we talking about poor quality life? Is there a limitation in functioning? This is important. If we are merely discussing you should be offered Cognitive Behavioural Therapy (CBT). In my effort to make CBT readily available I built the free Online Sef-Help CBT site myRay [http://www/myRay.com] to do just that this.

Is there a limitation of functioning? Are you no longer behaving as before? If so then you should be offered medications.

In my next article I will explain how feelings and thoughts interact. This explanation explains why and how CBT works.

July 8, 2007

Leadership: Stress- free leadership

Filed under: Personality, CBT, Stress — admin @ 11:00 pm

Real leadership is about the ability to lead.
You need to know where you want to go and make sure that you are being followed.
One important parameter is forgotten. A leader has to be aware of his team’s ability to follow.Can all your team members do this? Can they follow you?
Leadership is not only about your ability to lead.
It is also about your ability to identify those who can follow.
More importantly to identify those who cannot.
Can all his members cope? Can they function under pressure?
20% of the population is going to develop anxiety or depressive states. This does not happen overnight. Members of this population exhibit ‘poor coping styles’. They are driven, rigid and not happy. They may seem to be conscientious and even an asset. But if you could do something, don’t you think that you should?
What can you do?
I have built a free, non-commercial Online Self-Help site. myRay [http://www.myRay.com] is easy effective and improves quality of life and coping styles. myRay [http://www.myRay.com] is designed for people who are prone to depression and anxiety and yet are still functioning relatively well.
myRay [http://www.myRay.com ]
can be recommended with discretion and without fear of insulting anyone.
I hope that this is food for thought.
I want to stress that myRay [http://www.myRay.com ]
is free. The user is free to use it as often and for as long as he wishes.
With kindest regards
Dr. Michael Benjamin
Psychiatrist

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