5 Healthy Coping Mechanisms For PTSD
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5 Healthy Coping Mechanisms For PTSD

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5 Healthy Coping Mechanisms For PTSD
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Trauma is a dreadful event that changes people in countless ways, due to which an individual experiences an outburst of emotions and experiences. A traumatic event could be an accident, disaster, or something as insignificant as a verbal argument. We do not know how traumatic something can be for an individual.

 

Not every individual goes through the same emotions after a traumatic event. While some people experience shock, some are in denial. Most times, the seriousness of the event has nothing to correspond with the emotional response shown by the person. A situation could be insignificant. However, not all individuals feel the same about it. It is where coping mechanisms come in.

From healthy conversations with family to going out with friends, each person has their preferences in handling emotional responses. While various activities might help deal with trauma, we cannot leave stress-relieving food and herbs behind. Appetizing treats like dark chocolate, chamomile tea, CBD gummies, eggs, and other edible items may relieve stress. However, before jumping onto solutions, let us first discover more about PTSD.

 

 

What is Post-Traumatic Stress Disorder or PTSD?

PTSD, or Post Traumatic Stress Disorder, is a psychological disorder that often concerns individuals that went through a traumatic incident. It could be an event that led a person to experience threat, grief, the danger of life, or any other unsettling emotion.

No matter the duration of the traumatic event, the experience of an affected individual, could last from days to even months. They often feel troubling instances, like flashbacks or nightmares, where they relive the incident as if it was happening to them again. A proper diagnosis can help identify this concern and help an individual to understand the real issue.

 

 

What are the common symptoms associated with PTSD?

 

For an individual with PTSD, the traumatic incidents might not occur for days or even months after the event. However, this duration may vary.

Particular symptoms and signs are associated with PTSD. While these symptoms last for a couple of months, they could also last for up to a year. Nevertheless, the signs of trauma can disrupt an individual’s normal functioning and social life. In short, nothing remains the same as it was before the traumatic incident happened.

Even though stressful situations are perceived differently by different people, some common symptoms are related to these situations. However, their intensity may differ. Following are the common signs and struggles of PTSD.

 

  • Reliving the threatening situation
  • Disturbing and anxious thoughts about the event
  • Flashbacks and hallucinations related to the day of trauma
  • Feeling distressed while recalling the traumatic experience.
  • A person with PTSD avoids anything that reminds them of their trauma. It could be people, places, days, food, situations, or thoughts.
  • The feeling of detachment and isolation from family and friends
  • Difficulty falling asleep
  • Easily startled
  • Increased heart rate
  • High blood pressure
  • Negative mood and memories

 

 

5 Healthy Coping Mechanisms for Post-Traumatic Stress Disorder

Stress is not the same for everyone. It is critical to acknowledge that not every traumatic response develops into PTSD. Similarly, not every individual with PTSD requires expert consultations. Read the coping mechanisms below to find which one works best for you.

 

1. Journaling

 

Stress is something not many people can express. Moreover, affected individuals do not openly talk about severe issues like PTSD. It is where journaling comes in.

Writing is a constructive way to cope with anxious and disturbing thoughts. One can express their emotions (expressive writing) without the fear of getting judged. Journaling is considered to be productive in solving physical and psychological issues. It may relieve PTSD symptoms like anxiety, anger, stress, tension, depression, and other negative emotions.

 

2. Look around yourself

Reach out to family and friends to spend your time. If you are struggling with PTSD, you mustn’t isolate yourself. Even if you do not feel like expressing your concerns, spend enough time with them to distract your mind.

Share your thoughts with a trusted member (could be friends or family). Sometimes, all you need is someone to hear you out. Even if they cannot provide you with a solution, they can still support you in your journey.

 

3. Do not sit idly

Stress usually kicks in when a person is without a purpose/work. It is crucial never to sit still and look out for something engaging.

A person can spend time on their hobbies to enjoy and feel satisfied. When you practice your hobby, say painting, you have little time to think about the issues that disturb your peace. Investing time in pleasurable activities is a constructive way to keep stress at bay.

 

4. Learn a new skill

In most cases, PTSD fades with time. And there is no better way to consume time than to learn a new skill. This trick will gain your knowledge and might help you cope with disturbing thoughts.

 

5. Readjust your mind-set

Just because something happened at a particular time of the year does not mean it will happen again at the same time. Stressed minds often try to link traumatic events with similar situations. However, those feelings are regulated by fear and uncertainty.

One can start by not interlinking past stressful situations with present scenarios. Let your mind recognize the difference between the terrible past and the fruitful present.

 

 

Another Suggestion

Food and beverages have the potential to brighten up your mood and relieve the burdens of stress. They will help you improve your physical and mental health. Edible items like dark chocolate, matcha tea, and citrus foods might help deal with your condition. On the other hand, aromatic oils like lavender, chamomile, sandalwood, and others can level down problematic mental issues.

Cannabidiol works by targeting the endocannabinoid receptors in the brain. This unique action of this compound enables it to affect several physiological and psychological aspects. The market is getting the hype of  “What are Sunday Scaries CBD products?” for their supreme quality products.

Thus, making it a potential chemical against depression, anxiety, anger, insomnia, stress, and other ailments. It might aid PTSD patients through its calming properties in dealing with anxiety and panic attacks. The potential sedating properties may also assist them with quality sleep. When talking of edibles, CBD gummies may be a convenient snack to help you reduce anxiety and promote better sleep.

 

When to consult a therapist?

PTSD can become complex if a person fails to address their symptoms. A trauma eventually fades away with time. However, if it is not the case with you, you can always consider seeking expert help.

If the condition of a diagnosed PTSD patient becomes overwhelming to a point; where an individual begins to self-harm, suffer from alcohol addiction, or any other major outburst, the need for a therapist arises. Only an expert can help reduce the signs of complex PTSD.

 

 

The Bottom Line

Even though the above-mentioned coping mechanisms are not fool-proof plans, they might help deal with some of the symptoms or might be something hopeful to do. Nevertheless, recognizing one’s weaknesses and trigger points will only help address the real issue.

 

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High-tech imaging reveals details about rare eye disorder

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High tech imaging reveals details about rare eye disorder
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Discovery sets the stage for development of new therapies to treat vitelliform macular dystrophy.

Using a new imaging technique, researchers from the National Eye Institute have determined that retinal lesions from vitelliform macular dystrophy (VMD) vary by gene mutation. Addressing these differences may be key in designing effective treatments for this and other rare diseases. NEI is part of the National Institutes of Health.

“The NEI’s long-term investment in imaging technology is changing our understanding of eye diseases,” said NEI Director Michael F. Chiang, M.D. “This study is just one example of how improved imaging can reveal subtle details about pathology in a rare eye disease that can inform the development of therapeutics.”

VMD is an inherited genetic disease that causes progressive vision loss through degeneration of the light-sensing retina. Genes implicated in VMD include BEST1PRPH2IMPG1, and IMPG2. Depending on the gene and mutation, age of onset and severity vary widely. All forms of the disease have in common a lesion in the central retina (macula) that looks like an egg yolk and is a build-up of toxic fatty material called lipofuscin. VMD affects about 1 in 5,500 Americans and there is currently no treatment for this condition.

Johnny Tam, Ph.D., head of the NEI Clinical and Translational Imaging Unit, used multimodal imaging to evaluate the retinas of patients with VMD at the NIH Clinical Center. Tam’s multimodal imaging uses adaptive optics—a technique that employs deformable mirrors to improve resolution—to view live cells in the retina, including the light-sensing photoreceptors, retinal pigment epithelial (RPE) cells, and blood vessels in unprecedented detail.

Tam and his team collaborated with clinicians at the NEI Eye Clinic to characterize 11 participants using genetic testing and other clinical assessments, and then evaluated their retinas using multimodal imaging. Assessment of cell densities (photoreceptors and RPE cells) near VMD lesions revealed differences in cell density according to the various mutations. IMPG1 and IMPG2 mutations had a greater effect on photoreceptor cell density than RPE cell density. The opposite was true with PRPH2 and BEST1 mutations. In participants with only one affected eye, the researchers noted similar effects on cell density in the unaffected eye, despite lacking lesions.

Tam is using multimodal imaging on a variety of other rare retinal diseases and more common ones including age-related macular degeneration.

This press release describes a basic research finding. Basic research increases our understanding of human behavior and biology, which is foundational to advancing new and better ways to prevent, diagnose, and treat disease. Science is an unpredictable and incremental process— each research advance builds on past discoveries, often in unexpected ways. Most clinical advances would not be possible without the knowledge of fundamental basic research.

NEI leads the federal government’s research on the visual system and eye diseases. NEI supports basic and clinical science programs to develop sight-saving treatments and address special needs of people with vision loss.

About the National Institutes of Health (NIH): NIH, the nation’s medical research agency, includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. NIH is the primary federal agency conducting and supporting basic, clinical, and translational medical research, and is investigating the causes, treatments, and cures for both common and rare diseases.

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Vitamin B6 may reduce anxiety symptoms study shows

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  • Researchers studied the impact of vitamins B6 and B12 to see how well either vitamin may work at reducing symptoms of anxiety and depression.
  • Study participants took high doses of their assigned vitamin for about a month.
  • Participants who took vitamin B6 saw a statistically significant reduction in anxiety symptoms, indicating improved functioning of GABA, the neurotransmitter associated with calming and relaxing.

Everyone may feel anxious or sad at times. However, some people may experience life-disrupting levels of these emotions on a regular basis, developing into a mental health disorder that requires treatment.

Researchers at the University of Reading in the United Kingdom studied how vitamin B6 and vitamin B12 may impact anxiety and depression levels.

Vitamins B6 and B12 are present in foods such as chickpeas and tuna, but the research team tested the vitamins at much higher levels than those found in food.

Mental health quick facts

Anxiety and mood disorders can affect people of all ages, from children to older adults. There are several types of disorders that fall under the umbrella of anxiety disorders, including panic disorder, generalized anxiety disorder, and social anxiety disorder.

According to the National Institute of Mental HealthTrusted Source (NIMH), around 31% of adults in the United States experience any anxiety disorder at some point in their lives. Additionally, around the same percentage of young adults (ages 13-18) experience an anxiety disorder.

The NIMHTrusted Source reports that around 8.4% of all adults in the U.S. experienced a depressive episode in 2020, making depression one of the most prevalent mental health conditions.

Medical providers often opt to treat anxiety and mood disorders with a combination of therapy and medications. Cognitive behavioral therapy and dialectical behavior therapy are two popular therapy options.

There are a number of prescription treatments for anxiety, including benzodiazepines (such as Xanax or Ativan) and buspirone. Also, certain antidepressants can help treat both anxiety and depression, which include SSRIs (such as Lexapro or Zoloft) and tricyclics (such as Anafranil or Tofranil).

People with anxiety and depression also occasionally try natural treatments to improve their symptoms and use herbal supplements such as ashwagandha and valerian

Large amounts of B6, B12

The researchers wanted to learn to what degree vitamins B6 and B12 can affect gamma-aminobutyric acid rusted Source (GABA) processing. GABA is a neurotransmitter that can calm the nervous system and may contribute to someone developing anxiety or depression.

“The functioning of the brain relies on a delicate balance between the excitatory neurons that carry information around and inhibitory ones, which prevent runaway activity,” says Prof. David Field, lead author of the study and associate professor at the University of Reading’s School of Psychology and Clinical Language Sciences.

The inhibition-excitation balance being off in the brain has been linked to anxiety, depression, autism, and schizophrenia. Additionally, the authors write, that some people may experience visual and other sensory disturbances in many of these mental health conditions, “and these are thought to be related to excitation-inhibition imbalances in the visual cortex.”

According to the authors, “Vitamin B6 is involved in a number of other pathways that are likely to reduce neural excitation.” Vitamin B12 shares two of the same pathways, so the researchers wanted to test it as well to see what effect it would have.

The researchers recruited an initial group of 478 participants who had self-reported anxiety and/or depression. They were randomly chosen to receive vitamin B6, vitamin B12, or a placebo.

The B6 tablets contained 100 milligrams of B6, while the B12 tablets had 1,000 micrograms of B12. This far exceeded the daily dietary allowance recommended by the Food and Drug AdministrationTrusted Source, which is 1.7mg for B6 and 2.4mcg for B12.

The researchers screened the participants for anxiety and depression before and after the vitamin or placebo regimens using the Screen For Adult Anxiety Related Disorders (SCAARED) and Mood and Feelings Questionnaire (MFQ).

The researchers had the participants complete visual and tactile tests at the end of the trial.

The vitamin that helped

The study results indicated that vitamin B6 can be helpful in reducing anxiety and depression symptoms. The B6 participants saw a significant reduction in their SCAARED and MFQ tests compared to the placebo group.

“Vitamin B6 helps the body produce a specific chemical messenger that inhibits impulses in the brain, and our study links this calming effect with reduced anxiety among the participants,” says Prof. Field.

Additionally, in testing at the end of the trial, the B6 group showed an increase in “the surround suppression of visual contrast detection.” The authors write that this testing “argues for an inhibitory GABA-related underlying mechanism.”

While the participants in the vitamin B12 group reported a slight improvement in anxiety and depression symptoms compared to the placebo group, the researchers did not consider it significant.

The authors noted that “it is possible that the 1-month supplementation period in the present study was insufficient for the effects of B12 supplementation.”

What the results mean

The study findings may be helpful to people with anxiety or depression in multiple ways.

First, vitamin B6 supplements are readily available over-the-counter at most drug stores and other retailers.

“This could be a breath of fresh air for people with anxiety disorders who have not had the options of new treatments for a long time,” Dr. Tom MacLaren, a consultant psychiatrist at Re: Cognition Health based in London, said in an interview with Medical News Today.

Another way the study may be helpful to people with anxiety or depression is that the findings indicate vitamin B6 may help with GABA.

“The authors highlight the role of vitamin B6 as a coenzyme in the synthesis of the inhibitory neurotransmitter GABA from glutamate,” Dr. David A. Merrill, a psychiatrist and director of the Pacific Neuroscience Institute’s Pacific Brain Health Center at Providence Saint John’s Health Center in Santa Monica, CA, told MNT.

“This makes sense and becomes an important way to explain the findings to patients and perhaps those who have not sought out treatment but are struggling with high anxiety,” he said.

Additionally, if some people with anxiety or depression are able to decrease symptoms using vitamin B6, they may be able to avoid the side effects of prolonged use of certain medications.

“Some anti-anxiety medications like benzodiazepines have potential side effects like sedation, imbalance, or memory loss,” Dr. Merrill continued. “Benzodiazepines can also be overused to the point of becoming ineffective, or you can develop both psychologic and physiologic dependence that makes it hard to stop using the drugs.”

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No clear evidence depression caused by low serotonin

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No clear evidence’ depression caused by low serotonin
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A major review found that depression is not likely to be caused by a chemical imbalance

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Little evidence that chemical imbalance causes depression; UCL scientists find

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Researchers question the use of antidepressants, prescribed to one in six UK adults

Scientists have called into question the widespread use of antidepressants after a major review found “no clear evidence” that low serotonin levels are responsible for depression.

Prescriptions for antidepressants have risen dramatically since the 1990s, with one in six adults and 2% of teenagers in England now being prescribed them. Millions more people around the world regularly use antidepressants.

“Many people take antidepressants because they have been led to believe their depression has a biochemical cause, but this new research suggests this belief is not grounded in evidence,” said the study’s lead author, Joanna Moncrieff, a professor of psychiatry at University College London and consultant psychiatrist at North East London NHS foundation trust.

 

“It is always difficult to prove a negative, but I think we can safely say that after a vast amount of research conducted over several decades, there is no convincing evidence that depression is caused by serotonin abnormalities, particularly by lower levels or reduced activity of serotonin.

Woman sitting in meditating position outdoors

“Thousands of people suffer from side-effects of antidepressants, including the severe withdrawal effects that can occur when people try to stop them, yet prescription rates continue to rise. We believe this situation has been driven partly by the false belief that depression is due to a chemical imbalance. It is high time to inform the public that this belief is not grounded in science.”

The new review of existing studies found that depression is not likely to be caused by a chemical imbalance and said people should be made aware of other options for treating it.

However, other experts, including from the Royal College of Psychiatrists, questioned the findings and urged people not to stop taking their medication in light of the study, arguing that antidepressants remained effective.

In the new analysis, researchers said 85% to 90% of the public believed depression was caused by low serotonin or a chemical imbalance.

Most antidepressants are selective serotonin reuptake inhibitors (SSRIs), originally said to work by correcting abnormally low serotonin levels.

The review, published in the journal Molecular Psychiatry, looked at studies examining serotonin and depression involving tens of thousands of people. One of the findings was that research comparing levels of serotonin and its breakdown products in the blood or brain fluids did not discover any difference between people diagnosed with depression and healthy people.

The authors also looked at studies where serotonin levels were artificially lowered in hundreds of people and concluded that lowering serotonin in this way did not produce depression in hundreds of healthy volunteers.

Other studies looked at the effects of stressful life events and found that the more stressful life events a person had experienced, the more likely they were to be depressed, showing the importance of external events.

According to the research, there is also evidence from other studies that antidepressants may actually induce low serotonin in the long term.

“Our view is that patients should not be told that depression is caused by low serotonin or by a chemical imbalance, and they should not be led to believe that antidepressants work by targeting these unproven abnormalities,” said Moncrieff.

“We do not understand what antidepressants are doing to the brain exactly, and giving people this sort of misinformation prevents them from making an informed decision about whether to take antidepressants or not.”

A spokesperson for the Royal College of Psychiatrists said: “Antidepressants are an effective, Nice-recommended treatment for depression that can also be prescribed for a range of physical and mental health conditions. We would not recommend for anyone to stop taking their antidepressants based on this review, and encourage anyone with concerns about their medication to contact their GP.”

Dr Michael Bloomfield, a consultant psychiatrist and principal clinical research fellow at University College London, who was not involved in the study, said: “Many of us know that taking paracetamol can be helpful for headaches, and I don’t think anyone believes that headaches are caused by not enough paracetamol in the brain. The same logic applies to depression and medicines used to treat depression.

“There is consistent evidence that antidepressant medicines can be helpful in the treatment of depression and can be life-saving.”

… we have a small favor to ask. Millions are turning to the Guardian for open, independent, quality news every day, and readers in 180 countries around the world now support us financially.

We believe everyone deserves access to information that’s grounded in science and truth, and analysis rooted in authority and integrity. That’s why we made a different choice: to keep our reporting open for all readers, regardless of where they live or what they can afford to pay. This means more people can be better informed, united, and inspired to take meaningful action.

In these perilous times, a truth-seeking global news organization like the Guardian is essential. We have no shareholders or billionaire owners, meaning our journalism is free from commercial and political influence – this makes us different. When it’s never been more important, our independence allows us to fearlessly investigate, challenge and expose those in power.

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Online Takeaway Food Delivery Market Is Booming Worldwide | Domino’s Pizza” Mabo system Inc” Just Eat Holding Ltd” Snapfinger Inc” Foodpanda GmbH and more

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Online Takeaway Food Delivery Market Is Booming Worldwide
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“Global Online Takeaway Food Delivery Market Research Report “provides detailed insight covering all important factors including Development Trends, Challenges, Opportunities, Key Manufacturers and Competitive Analysis

According to Qurate Research’s research experts, “Global Online Takeaway Food Delivery Market 2022 Insights, Size, Share, Growth, Opportunities, Emerging Trends, Forecast to 2028.” The study is an anthology of in-depth research studies on many aspects of the global Online Takeaway Food Delivery industry. It is an admirable effort to offer a true, transparent picture of the current and future conditions of the global Online Takeaway Food Delivery market, based on credible facts and exceptionally accurate data.

“Global Online Takeaway Food Delivery Market Insights, Size, Share, Growth, Opportunities, Emerging Trends, Forecast to 2028,” according to a Qurate Research report. Several in-depth research studies on various facets of the worldwide Online Takeaway Food Delivery market are included in the report. It’s a commendable effort to present a true, transparent view of the existing and future situations of the worldwide Online Takeaway Food Delivery market, based on reliable facts and extraordinarily precise statistics.

Key Players Profiled In This Report Are:


Domino’s Pizza
Mabo system Inc
Just Eat Holding Ltd
Snapfinger Inc
Foodpanda GmbH
Takeaway.com N.V
Delivery Hero Holding GmbH
Pizza Hut Inc
Foodler Inc
Grubhub In

Scope of the Online Takeaway Food Delivery Market Report:

The research examines the key players in the global Online Takeaway Food Delivery market in detail, focusing on their market share, gross margin, net profit, sales, product portfolio, new applications, recent developments, and other factors. It also sheds light on the vendor landscape, helping players to foresee future competitive movements in the global Online Takeaway Food Delivery business.

This study estimates the market size in terms of both value (millions of dollars) and volume (millions of units) (K Units). Both top-down and bottom-up techniques were used to estimate and validate the market size of the Online Takeaway Food Delivery market, as well as the size of various other dependent submarkets in the overall market. To identify important market participants, secondary research was utilized, and primary and secondary research was employed to determine their market shares. All percentage share splits and breakdowns were calculated using secondary sources and verified sources.

The COVID-19 pandemic has had a major influence on the Online Takeaway Food Delivery industry. In the second quarter, the sector exhibited indications of recovery around the world, but long-term recovery remains a concern as COVID-19 cases continue to rise, particularly in Asian countries like India.Since the pandemic began, the sector has been handed a series of setbacks and surprises. As a result of the epidemic, many changes in buyer behavior and thinking have occurred. As a result, the industry is being strained even further. As a result, the market’s expansion is anticipated to be constrained.

Online Takeaway Food Delivery Market Region Mainly Focusing:

— Europe Online Takeaway Food Delivery Market (Austria, France, Finland, Switzerland, Italy, Germany, Netherlands, Poland, Russia, Spain, Sweden, Turkey, UK),
— Asia-Pacific and Australia Online Takeaway Food Delivery Market (China, South Korea, Thailand, India, Vietnam, Malaysia, Indonesia, and Japan),
— The Middle East and Africa Online Takeaway Food Delivery Market (Saudi Arabia, South Africa, Egypt, Morocco, and Nigeria),
— Latin America/South America Online Takeaway Food Delivery Market (Brazil and Argentina), — North America Online Takeaway Food Delivery Market (Canada, Mexico, and The USA)

Free Sample Report from Qurate Research includes: FREE PDF SAMPLE

1) Introduction, Overview, and In-Depth Industry Analysis for the 2021 Updated Report
2) Impact Analysis of the COVID-19 Pandemic Outbreak
3) A Research Report of 205+ Pages
4) On request, provide chapter-by-chapter assistance.
5) Regional Analysis Updated for 2021 with Graphical Representation of Size, Share, and Trends
6) Includes a list of tables and figures that has been updated.
7) The report has been updated to include top market players’ business strategies, sales volume, and revenue analysis.
8) Facts and Factors Methodology for Research

The major questions answered in this report are:

• How to get a free copy of the Online Takeaway Food Delivery Market sample report and company profiles?
• What are the main causes fueling the Online Takeaway Food Delivery Market’s expansion?
• What are the Online Takeaway Food Delivery Market’s predicted market size and growth rate?
• Who are the leading companies in the Online Takeaway Food Delivery Market?
• What market segments do Online Takeaway Food Delivery Market cover?

Table of Contents:

Chapter 1 Introduction to Online Takeaway Food Delivery Market
Chapter 2 Executive

2.1 Online Takeaway Food Delivery Market 3600 synopsis, 2018 – 2028
2.1.1 Industry Trends
2.1.2 Material Trends
2.1.3 Product Trends
2.1.4 Operation Trends
2.1.5 Distribution Channel Trends
2.1.6 Regional Trends

Chapter 3 Online Takeaway Food Delivery Market Insights

3.1 Industry segmentation
3.2 Industry ecosystem analysis
3.2.1 Component Suppliers
3.2.2 Producers
3.2.3 Profit margin analysis
3.2.4 Distribution channel analysis
3.2.5 COVID-19 impact on the Market value chain
3.2.6 Vendor Analysis
3.3 Technology Landscape
3.4 Regulatory landscape
3.4.1 North America
3.4.2 Europe
3.4.3 Asia Pacific
3.4.4 Latin America
3.4.5 Middle East and Africa
3.5 Pricing analysis (including COVID-19 impact)
3.5.1 By region
3.5.1.1 North America
3.5.1.2 Europe
3.5.1.3 Asia Pacific
3.5.1.4 Latin America
3.5.1.5 Middle East and Africa
3.5.2 Cost structure analysis
3.6 Industry impact forces
3.6.1 Growth drivers
3.6.2 Industry drawbacks & challenges
3.6.2.1 Focus on reducing weight
3.7 Innovation & sustainability
3.8 Growth potential analysis, 2020
3.9 Competitive landscape, 2020
3.9.1 Company market share
3.9.2 Major stakeholders
3.9.3 Strategy dashboard
3.10 Porter’s analysis
3.11 PESTLE analysis

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Food delivery drivers fired after “cut-price; GPS app sent them on ; impossible; routes

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Food delivery drivers fired after cut price; GPS app sent them on impossible routes
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Drivers who deliver food and drink for Just Eat have been fired after being misdirected by a cut-price GPS system, according to the union representing them.

The couriers, who work for Stuart, a company that supplies drivers to some of the biggest restaurant and retail names in Britain, told the Observer they were sacked by Pro-forma email after being mislocated by the GPS system or deviating from impossible or dangerous routes.

The Independent Workers Union of Great Britain (IWGB) claims there are dozens of couriers for Stuart in cities across the country, from Exeter to Leeds, who have lost their jobs this way. Those who spoke to the Observer described their hurt at this treatment and anxiety about their ability to pay rent, bills and basic expenses as the cost of living continues to rise.

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Online Therapy Review Ask The Experts

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Online Therapy Review Ask The Experts
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Most people are frustrated by online therapy because the sessions are impersonal and ineffective. That’s because a few hours of online chats and messaging isn’t enough to help you understand yourself and find ways to heal, cope, and hope.

Online Therapy is different. It doesn’t give you “someone to talk to”, but a comprehensive support system. This includes personalized counseling where you stay in touch with your therapist in between sessions, worksheets, resources, journals, and more.

Is Online Therapy for you?

This website is ideal for anyone who seeks emotional healing or greater emotional well-being. Consider it if you:

  • Are you dealing with anxiety, depression, trauma, panic attacks, or other disorders that are affecting your work, relationships, and quality of life

  • Are you going through a significant change such as a divorce or change in career, and are seeking clarity, closure, or guidance as you rediscover yourself

  • Need family or relationship counseling to deal with conflict, communication problems, or negative patterns

  • Want to recognize and break self-destructive habits, thoughts or feelings, such as substance abuse, eating disorders, insecurity, etc.

  • Are you dealing with too much stress and are feeling its effects on your life—ex. Mood swings, insomnia, emotional eating, etc.

  • Need “life coaching” in an area, such as being more assertive, managing your anger, or developing healthier relationships

Since the counseling services and resources are online, they’re accessible and can be done at the most convenient time and a comfortable pace. So, if you’ve never had counseling, you can do things as you’re ready for them.

Even if you have tried other forms of therapy, or are already seeing a clinical psychologist or psychiatrist every few months, this website’s unique approach can provide additional support and resources.

What we like about Online Therapy

Many problems can’t be solved by taking a pill or seeing someone every few weeks. It takes time for people to become comfortable with a therapist. Sometimes, it’s a struggle to even know what you’re feeling or find words to describe it.

Also, being able to identify the problem or talk about it still leaves the question of, “How do I overcome it? What can I do right now to feel happier, stronger, and more in control of my life?”

However, Online Therapy is set up to overcome those “barriers.”

Personalized counseling

All the therapists are licensed, trained, and experienced in cognitive behavioral therapy. You can read their profiles and pick a counselor you feel most comfortable with.

Multiple ways of communicating with your counselor

Aside from live calls or chats, you can also message your counselor if you have any questions or thoughts. That’s very helpful when you have an AHA moment or a triggering experience that you need help processing—and certainly helps build the trust and rapport that can lead to a more fruitful counseling experience.

Fast feedback

 Unlike clinical settings, you don’t have to wait until your next session to speak to your counselor. If you send a message or submit a worksheet, your therapist will reply within 24 hours from Monday to Friday. In many cases, they respond within just a few hours.  You can also read previous feedback.

Practical tools

The worksheets contain questions that help you identify patterns of thought traps holding you back. You also have a journal, an activity plan, and yoga videos—all of which can help you release stress, express yourself, and add more joy into your life.

Concrete, trackable progress

Since you closely coordinate with your therapist and have a daily journal and activities, you can easily see where you are at your journey: how much you’ve grown, where you still need more support, and areas where you may have backslid and need to revisit.

Affordable rates

Online Therapy is less expensive than the cost of face-to-face sessions at a clinic. You also avoid other costs, such as transportation or taking the day off to see someone during clinic hours.

Accessibility

If you’re busy or live in an area that’s not near a clinic or hospital, finding a therapist or making time for the sessions can be challenging. With Online Therapy, help is just a click away.

What we don’t like about Online Therapy

While we think this is one of the best online counseling services we have tried, there are some limitations to the online medium.

Not suitable for some types of patients

Children or people with special needs may not be able to advantage of the website features fully. In addition, we wish some worksheets are age-appropriate or activities like art therapy or online play that may appeal more to some types of learners.

No evening or weekend clinic hours

The therapists are available eight hours from Monday to Friday. Ideally, there are slots available for people who are only free at night or on weekends because of school or their work, or even for stay-at-home parents who have their hands full with the kids until bedtime.

No community building

We would love if the website had support groups or forums so that members could meet other people who are going through similar situations.

Community support can be very healing and empowering. It can help people new to online counseling be inspired by others’ progress. It can also make people feel that they can help others—which can build confidence and trust in oneself and is in and of itself very emotionally healing.

No options for prescriptions

The counselors of Online Therapy will not prescribe drugs. However, while cognitive behavioral therapy is often effective on its own, there are some cases where patients may need medication to control anxiety, depression, or other conditions.

While you can still use Online Therapy for psychological support, you will need to see another psychiatrist who may provide you with prescription medication.

Pros and Cons

If you’re looking for an online counselor or are comparing online counseling with regular counseling, you can start with the list of pros and cons

Pros

Cons

  • Ability to contact counselor through various ways

  • Continuous support through messaging in between live sessions

  • Fast response

  • Diverse tools and resources

  • Affordable

  • Convenient

  • Not suitable for some ages or types of patients

  • No evening or weekend sessions

  • No community forums or support groups

What’s included in the Online Therapy subscription?

  • Sessions with a qualified therapist. Your therapist will be there for you at every stage of your journey. Once a week, you will have a 45-minute appointment. You can choose the method you’re comfortable with: video, voice only, or message only. In between, they will send activities and can reply to messages if you have questions, concerns, or feel stuck.

  • Worksheets. The worksheets are one of the best tools on the website. The questions can help you explore subconscious beliefs that drive behavior, identify patterns, or articulate feelings. You also get feedback on the worksheets, so you can process it to find greater insight or identify action points so you can break through barriers and take charge of your life.

  • Journal. Record your thoughts in the built-in online journal. Even if you write just a few lines each morning and evening, you’ll be able to see patterns or become more comfortable with expressing yourself.

  • Activity plan. This is like an agreement you make with yourself to add experiences that can help you feel more positive, calm and empowered, i.e., meeting up with friends or going for a walk every day.

  • Yoga videos. This new feature promotes the mind-body connection. Yoga can help reduce stress levels and make you more attuned to your body and your moods.

Features

  • Weekly 45-minute live sessions

  • Unlimited messaging

  • Activities and resources for daily reflection and growth

  • Affordable monthly subscription fees

Final breakdown: 9.5/10

Considering its affordable rates, we’re pleasantly surprised at the quality of care and the comprehensive treatment approach you can find at Online Therapy.

The journal and the activities are well-designed to help you become more self-aware and self-empowered. I’ve read many self-help books or tried online journal triggers. However, there is a huge difference when a trained counselor guides the activities.

The combination of live chats and unlimited messaging also makes you feel that the counselor understands you and supports you every step. This trust is critical for any therapy to succeed and perhaps one of the biggest reasons why Online Therapy will succeed where other websites can’t.

We also liked the additional features, such as the journal and yoga. However, we hope they offer a forum or support group soon so that members can find support from the counselor and other people in the Online Therapy community.

All in all, this website is an excellent option for people who are looking for emotional healing and well-being. Even if it is online, it still seems very personalized and warm—and can bridge the digital distance to make every patient feel heard and supported.

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With therapists in short supply, group counseling offers alternative

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With therapists in short supply group counseling offers alternative
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If it seems like a good fit, try a few sessions. Pay attention to how the interactions between the clinician and the other group members feel.

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Cognitive therapy shows promise in treating PTSD and headaches

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Cognitive therapy shows promise in treating PTSD and headaches
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  • Researchers examined the efficacy of cognitive-behavioral therapy (CBT) for headaches in treating post-traumatic headaches.
  • They found that CBT effectively reduces disability associated with post-traumatic headaches and post-traumatic stress disorder (PTSD) symptoms in veterans.
  • They say the therapy may also reduce costs associated with treating these conditions.

Traumatic brain injury (TBI) is a recognized risk of military service. Those who experience TBI are also at risk of developing post-traumatic headaches.

Research suggests that around 40% of individuals with post-traumatic headaches also have post-traumatic stress disorder (PTSD).

Post-traumatic headache is notoriously difficult to treat. Unlike migraine headaches, which have more defined symptoms, it has no clear symptom pattern and is defined by the cause of the headache — trauma.

There are currently no confirmed frontline treatments for post-traumatic headaches from mild TBI. Both pharmaceutical and behavioral therapies are largely ineffective.

New treatment strategies for PTH from mild TBI could improve the quality of life for veterans and others living with the condition.

Recently, researchers examined two nonpharmacological interventions for post-traumatic headaches — cognitive-behavioral therapy (CBT) and cognitive processing therapy (CPT).

They found that CBT for headaches was more effective than usual care at reducing disability associated with post-traumatic headaches and significantly impacted PTSD symptom severity in veterans. Meanwhile, CPT failed to improve headache disability, despite significant reductions in PTSD symptom severity.

Trial

For the study, the researchers recruited 193 post-9/11 combat veterans. Their average age was 39.7 years, and 87% were male.

The participants were split into three groups: one receiving CBT for headaches, another receiving CPT, and the last group — treatment per usual (TPU). The treatments lasted for six weeks.

The CBT focused on relieving disability and stress associated with the headaches via relaxation, setting goals for activities patients wanted to resume, and planning for situations.

Meanwhile, CPT focused on addressing PTSD via strategies to evaluate and change upsetting maladaptive thoughts related to traumas.

TPU varied and consisted of:

  • pharmacotherapies
  • pain management, including Botox injection
  • physical therapy
  • integrative health treatments, including massage and acupuncture

Headache-related disability was measured by the Headache Impact Test 6 (HIT-6). At baseline, participants in the CBT group scored an average of 66.1 points on the HIT-6 scale, while those in the CPT scored 66.1, and TPU participants scored 65.2.

A score of 60 or more is considered “severe,” and the maximum score on the scale is 78.

PTSD was assessed by the PTSD Checklist for DSM-5 (PCL-5). At baseline, the CBT group scored an average of 47.7 points on the scale, while the CPT group scored 48.6 and the TPU group scored 49. Scores of 31-33 or higher indicate PTSD, and the maximum score is 80.

After analyzing the data, the researchers found that HIT-6 scores for those in the CPT group were reduced by an average of 3.4 points compared to those given usual care. This improvement in headache-related disability was maintained six months post-treatment.

PTSD scores for the CPT group also decreased by an average of 6.5 points compared with the usual care group immediately post-treatment, with treatment effects lasting up to 6 months post-treatment.

Meanwhile, those in the CPT group experienced a more modest improvement in headache-related disability, with an average decrease of 1.4 points post-treatment compared with those in the TPU group.

PTSD scores in the CPT group decreased by 8.9 points on average post-treatment compared with those given usual care.

Analysis of the disaggregated scores showed that usual care resulted in a minimal change in headache-related disability — less than one unit change in the average HIT-6 score. However, there was a decrease in PTSD score of 6.8 points among those in the usual care group, which further decreased to 7.7 points 6 months later.

CBT and CPT

When asked what might explain the different effects of CBT and other treatment options, Don McGeary, Ph.D., ABPP, associate professor at the Department of Psychiatry and Behavioral Sciences at the University of Texas Health San Antonio, and one of the study’s authors, told MNT:

“I believe [CBT for headaches] was effective in this study because we purposefully developed a treatment that would be very broad (i.e., address as many headache mechanisms as possible) and focus on function. When people with any kind of pain condition are able to overcome disability and accomplish more meaningful activities in their lives, then pain becomes easier to manage. This was certainly true in our study.”

Dr. McGeary added that veterans were more likely to complete CBT than CPT. He noted that this was perhaps because CBT is less intensive and doesn’t involve delving into traumas that patients may want to avoid.

The researchers concluded that CBT for headaches effectively treats post-traumatic headaches from mild TBI and PTSD in veterans.

When asked what these findings mean for treating PTSD and its symptoms, Dr. McGeary said CBT could lower treatment costs for PTSD and increase treatment access as psychologists require just two hours of training, and care lasts just 4-8 hours. By comparison, CPT requires rigorous training and over 12 hours of care.

“We are still working on identifying who is likely to benefit and suspect that veterans with less severe PTSD symptoms will benefit from the headache intervention while those with more severe symptoms need to be referred to the gold-standard treatment,” he noted.

He added that due to the simplicity of CBT, it might also be effective in children and adolescents; however, they need to test this first.

Shannon Wiltsey Stirman, Ph.D., associate professor at the Department of Psychiatry and Behavioral Sciences at Stanford University, not involved in the study, told MNT that the therapy may work in other demographics, too.

Dr. Stirman noted that the therapy might benefit people who have experienced intimate partner violence or are reluctant or unable to engage in trauma-focused therapy due to medical issues by providing tools to manage aspects of daily life and PTSD symptoms.

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How Healthcare Supply Chain Shortages are Affecting Hospitals in Indiana

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How Healthcare Supply Chain Shortages are Affecting Hospitals in Indiana
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The Indiana Hospital Association recently surveyed its members, asking if they suffered from any of the recent supply chain shortages. Did these shortages and disruptions limit or affect their patient care?

 

The responses were that the shortages were intermittent but seemed to get resolved through changing to other suppliers or temporarily postponing elective or non-emergency surgeries. The impacts were not significant or insurmountable in a reasonable period. Non-traditional methods of acquiring supplies have been utilized, such as trading with other facilities, seeking alternative suppliers, and rescheduling appointments. 

 

Current shortages of concern are the bovie pads which are grounding pads used in surgery. Without these pads, electrosurgical procedures cannot happen. Indiana hospitals are searching for available bovie pads to avoid disrupting medical procedures. 

 

The newest shortage of diagnostic IV dyes for cat scans, MRIs, and X-rays is expected to impact hospital supplies this summer. This shortage is due to a significant production facility in Shanghai, China, closing temporarily for COVID-related reasons and reopening a little at a time. This shutdown will impact Indiana hospitals this summer. Since this facility produced most of the dye used worldwide, the impacts are widespread. 

 

Indiana hospitals plan to adapt and react as best they can to try and keep all services available to meet patient needs. It will be a while before this Shanghai facility is back up and running to full capacity. 

 

Another struggle is that when medical supplies are short, demand is high – resulting in increased prices. The problem becomes that hospitals need to absorb these price increases because insurance companies have already locked into negotiated rates. Then the issues become if you can get it, is the price too high to be able to get it. When returns diminish, a hospital can no longer afford to offer whatever service is being impacted. 

 

One of the most significant shortages is a blood shortage. Blood supplies have decreased over the last decade, but since 2019 it has been a challenge. There seems to be a generational decrease in blood donations. 

 

The pandemic, however, essentially closed any public donation opportunities, and the restrictions on large gatherings placed all donation events on hold or canceled. Additionally, just like every other industry, there now seems to be a shortage of healthcare workers with credentials to support blood drives. In January 2022, the Red Cross declared a national blood crisis. 

 

Indiana hospitals struggle with even if they could get the supplies, the national blood shortage situation needs to improve dramatically.

 

The result is that shortages are not over yet. Indiana hospitals and all hospitals nationwide need to continue to be adaptable to supply chain struggles. The most recent crisis will likely result from fuel costs and the inability to transport supplies and equipment to hospitals with critical needs. 

 

Indiana hospitals, let alone all hospitals are encouraged to seek out alternative supplier solutions to better help offset any supply shortages they may face. One consideration would be the Seattle-based health tech startup  – a next generation healthcare distributor who is bringing advanced web technologies, AI & big data insights to healthcare professionals. They are also offering far greater transparency into pricing & supply chain issues so they can better plan, prepare, and procure their most needed medical supplies online. In addition to this, they often save hospitals 20-40% off their medical supply bills and provide free shipping on all of their supply orders too. 

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