Signs of eating disorders: sensitively raise suspicion

Berlin (dpa/tmn) - eating disorders show different - the anorexia is a form. Evidence is often underweight, achieved mainly by starvation by vomiting, much sport, or laxatives, described the Medical Center for quality in medicine (ÄZQ).
Patients most often weigh in, counting calories and afraid of panic to increase. You think despite underweight too thick.
Another form is the bulimia. Devour secretly large amounts in food seizures, have feelings of guilt afterwards stakeholders and countermeasures: for example with vomiting, fasting, diets, or excessive sports. Especially young women between the ages of 14 and 18 years meets anorexia, bulimia rather at worst can cause the disease women aged about 17 years until the mid-20th death, almost all organs can take damage - especially in adolescents also the brain.


While healthy people drag their self-esteem from different walks of life, it's different for Anorexics: "weight and body shape are the only things that count something else," says Beate Hamis Dahlmann, Director of the clinic for Psychiatry, Psychosomatic Medicine, and psychotherapy of children and adolescence at the University Clinic in Aachen. "Media play an important role." The television about present ideals of beauty, online will be contested in niches: who is thinnest, gets the most applause there.
Who noticed signs of an eating disorder when his or her child or a friend, should necessarily sensitive addressed his concern, recommends Hamis Dahlmann. Anorexia is about weight loss or continuous weighing. Bulimia patients are, however, often normal weight. Notes can be here of going to the toilet after each meal or a suddenly empty fridge.

The cure rates were much better than it was 15 years ago: "The therapies have become better," says Beate Hamis Dahlmann. You should bring sick people on the one hand back to a healthy weight, work and psychological causes.
It can be a sign of an eating disorder basically if thoughts constantly revolve around food and the figure, abhors the own body, or secretly eat. The children's and youth doctor or psychiatrist, family doctor, or a psychotherapist are possible partners. A point can be also the Federal Centre for health education: the number 0221/89 20 31 you can seek advice there anonymously. Other options include special clinics or counseling centers for eating disorders.

ust don't blame: what does social anxiety

Bochum (tmn of DPA /) - sweating, trembling, dizziness - if the fear comes, she just wants out. Sabine Krüger (name changed) suffers from social anxiety. "When it was really bad, I have still no longer dared in the Auditorium", says the young woman. "I feel then sometimes paralyzed."
Their responsiveness is also restricted. Sabine Krüger is one of about three million patients in Germany. "Social anxiety is the fear to embarrass themselves if you need to talk to someone, if you will give a lecture, or even if you eat in the public excessively in situations with other people or drinking", explains Ulrich Stangier, Professor of clinical psychology and psychotherapy at the Goethe University in Frankfurt.
Social anxiety disorders start in adolescence: "we can observe an increase if kids come into puberty and slowly out of the family. The contact with their peers and thus less familiar people then more often and can confuse. But even children in kindergarten may be affected"explains Silvia Schneider, Professor of clinical child and youth psychology at the Ruhr-Universität Bochum.

"Unlike just shy people, victims of social anxiety are limited extreme in their interaction with other people", says Schneider. In addition, the fear is not a short-term phenomenon, but present over a longer period.
The fears by Sabine Krüger culminating reach at the beginning of the study. She no longer goes to her lectures, she do not dare to talk to their professors and she maintains contact with its own family hardly. A University counselling service advises her to therapy. She has the courage to take this step, but later. She finds other interested parties through Internet forums. Together they form a self-help group: "it has really helped with others to speak me that understand one. No one condemned one. So not only confidence has built up, real friendships have developed it,"she says today.
In treating the cognitive behavioral therapy shows the best results. The parties concerned should learn skills piece by piece with which they can cope with difficult situations. In most cases, the fears over the lifetime have a fluctuating course. "At the beginning of new life stages they can be stronger, for example at the career", so Sandy.
Sabine Krüger will quickly find a job after graduation. Their work entails however, to declare constantly before their colleagues. She suffers nausea at work, she doubts her skills. "After a few weeks I wanted to cancel again." A colleague noticed her problem and goes to her: "you has built me up, made me courage. Today she's a good friend." Meanwhile she has found a good in your team. Also her boss shows understanding, but there is no special treatment. That wouldn't want it yourself also.
With self-protection strategies affected do not favor white sandy. Not only the behavior therapy and self-help group helped Sabine Krüger. You took classes in which rhetoric, body language and confidence be trained also. Today she says: "I'm trying situations, which I'm afraid, not to avoid. I have learned to face my fears."

Rediscover fantasy: relax with inner pictures

Munich (dpa/tmn) - switch off, release, relax: according to hustle and bustle body and soul good. But it is not easy to come to rest. The tension in the body and the flow of thoughts, which circulates through the head are sometimes too powerful. But there is a simple solution.

Who wants to get distance and have a rest, can embark on a journey for example - in the realm of fantasy. "Ultimately a fantasy journey is a guided day-dream", Christiane says Wettig of the Professional Association for relaxation educators (FTDP) in the Hessian Oberursel. When such a trip, a history expires before the mind's eye. It is read by another person or tells. You can put images and impressions are but also even in the head, which symbolize peace and serenity. Guided fantasy iron are often offered in courses at community colleges. Who wants to go to a seminar, can be for home put a CD with fantasizing iron.
"Just for beginners, it but is beneficial to take part first in a course or a single session with a tutor", explains Jennifer Hüge. She is Deputy Chairperson of the DBVB - German Federal Association for prevention of burnout and prevention based in Munich. In a course, it can be useful to share a fantasy trip with others about the experiences. "Also you learn in the course or for a single session, how to integrate a fantasy journey into everyday life and thus relax in stressful situations", emphasizes Wettig.
The fantasy trip should take place in a calm atmosphere: no traffic noise, no other noise. The phone remains turned off. Relaxation-seekers make comfortable either on a Chair, on a bed or on the floor. You close your eyes. "Often the journey begins with breathing exercises," explains Hüge. Participants perceive itself as stands and exhale about the abdominal wall and lowers again. Then the participants focus on individual areas of her body. You feel the tongue in the mouth, the arms, the legs, the feet, the head.
In this phase of relaxation, images and feelings produced by the participants about the lecturers. For example, the image of a beach is created before the mind's eye. You feel the white granular sand under your feet and perceives it as beneficial, hears the sound of the waves, smell the fresh sea air. From the beach, goes to walk inland, discovered a meadow with flowers in many colors and intoxicating scents. "It is important, that you can feel the facets of the imagination with as many senses", says Wettig. It contributes significantly to the relaxation.
Who takes part in a guided fantasy trip, need not fear to be "manipulated". "No one can impose one, to perceive certain images or emotions", explains Hüge. She stressed that participants of a fantasy journey all the time are fully conscious and, when they are feeling suddenly awkward, can cancel the fantasy trip. Who is mentally unstable or prone, for example, to extreme outbursts of feeling, should ask a physician or psychologist for advice before participating in a fantasy trip. Those looking for a course, should inform himself about the qualifications of the lecturers. He or she is ideally recognized teacher of relaxation or-therapeut or psychologist with additional training.
Fantasizing iron can contribute not only to relax and prevent a Burnout, they for example also often help with recurring headaches. In addition, body awareness can be strengthened with fantasizing iron. Special courses shall ensure for children, to encourage some creativity and imagination and self confidence.
Fantasizing iron belong to the renowned relaxation techniques and are an important element in the area of health prevention. "However, can or not everyone wants already engage", know Gabriele providers. She is the Director at the stress Center Berlin. But there are also other relaxation techniques. This includes about the progressive muscle relaxation according to Jacobson or the bio-feedback. "Everyone must find out for themselves what is best for his or her relaxation", emphasizes charm.

Zika virus spreads in Singapore

At least 41 people on site with the Zika virus have infected Singapore (AP) - in Singapore. These were new investigations of sick patients who previously not had been tested on Zika, as media reported.
The health authorities had ordered the new tests after the first infection within the Asian city-State was discovered on Saturday. It's a 47-year old woman from Malaysia working in Singapore and contracted there.

None of the patients had been previously traveling in Central or South America, where the virus within months had spread rapidly. The environmental protection agency put dry 19 potential mosquito breeding sites throughout the city, apparently contracted in the most people. The virus is transmitted by certain mosquitoes. Also an infection through sexual intercourse is possible.
The Zika pathogen raises mostly no or only mild symptoms such as fever. Pregnant women with the virus, but infected their babies can come with small skulls in the world (microcephaly). The children are often mentally impaired.
Recently, even the United States had demonstrated Zika contagions directly in parts of Florida. In the United States in the future as a precaution throughout the country all blood donations on the pathogen should be tested to stop further spread.