What are feelings?
Posted by on Monday, 19th November 2012
Feelings (emotions) are inner experiences of mood. They can be pleasant or unpleasant, mild or strong. They can be kept to yourself or shared with others. Often they come along with physical sensations like a rapid heartbeat or sweaty palms. Emotions can push human beings toward action.
Most human feelings fall into one of these groups: happy, sad, angry, scared, or confused. Within each group are many other feelings described by words that express shades of meaning or the level of intensity of the emotion.
Happy: joyful, delighted, pleased
Sad: hopeless, upset, sorry
Angry: hateful, irritated, annoyed
Scared: terrified, fearful, anxious
Confused: stunned, hesitant, torn
Other important human emotions that may not fall into these main groups are sexual feelings, guilt, shame, loyalty, and forgiveness.
How much feeling is “normal?”
All human beings have feelings. No particular amount is normal, but some people have intense feelings and must struggle to control them, while others have to work hard even to know what their feelings are.
Sometimes you may not be aware of what is causing strong feelings. You may think you are overreacting to something. It may help to discuss these strong feelings in some detail with someone who cares about you. What looks like an overreaction may actually make emotional, rather than logical, sense.
You can help friends or family understand their feelings by helping them put their emotions into words. With someone who is crying and grieving a loss, for example, it can be much more helpful to say, “You are feeling sad because you miss her so much”, than to say, “Don’t cry.”
How do people deal with feelings?
People may have trouble identifying how they feel. Many feelings can be mixed together. Having too many feelings they can’t separate, such as sadness mixed with anger, can cause “feeling overload”. Strong feelings push human beings toward action. If you are angry at being cut off by another driver in heavy traffic, for example, you can act (run into the other car), or think (say to yourself, “He certainly is in a hurry,” or, “I am not going to let my anger get out of control today”). Thoughts can be used to control how we express feelings.
If you are very logical, you may not be aware of your own feelings. You may use thoughts and ideas to hide your feelings, sometimes without even realizing that you are doing so. You may be afraid that if you allow any feeling into your life you will lose control.
In order to deal with feelings, people need to learn:
how to identify what their feelings are
how to accept feelings as normal and healthy
how to talk about their feelings
how to act appropriately on their feelings
Why are feelings important?
Feelings help make you who you are. No one can take your feelings away from you, and when you understand them, you can use your feelings to guide your actions. Get to know your feelings to help you understand yourself and others better.
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DEPRESSION
Posted by on Tuesday, 7th April 2009
The chance that someone older than 75 will develop anxiety or depression can be halved if those with the early signs of these disorders are monitored and receive escalating levels of intervention, says a study in the March Archives of General Psychiatry.
"Depressive and anxiety disorders ... are associated with reduced quality of life, can be difficult to diagnose, can be difficult to treat and are costly," wrote Petronella J. van't Veer-Tazelaar, in an e-mail. She is the lead author and a scientist at VU University Medical Center's Institute for Research in Extramural Medicine in Amsterdam, the Netherlands. "Prevention is better than cure. We have proven to be successful in the prevention of depression and anxiety using a simple and relatively cheap program that can be applied [in] primary care."
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Researchers randomized 170 elderly people presenting to primary care clinics with the first signs of anxiety or depression into two study groups -- one receiving usual services and a second for which intervention was stepped up as needed. This intervention group initially received watchful waiting. If symptoms did not resolve, they were visited at home by a nurse who provided coping skills training and written information about mental health.
If patients were still symptomatic, they received seven sessions of cognitive behavioral therapy. Finally, if still necessary, they were advised to discuss pharmaceutical options with their primary care physicians.
Experts praised this paper for increasing awareness that these mental health issues are not an inherent part of aging and suggesting a strategy to determine who needs additional help.
"It's not ... just part of getting older. In healthy, community living elderly, the rate is lower than in other population groups," said Jürgen Unützer, MD, MPH, professor of psychiatry at the University of Washington. He has extensively studied mental health issues in this age group.
Some physicians working in this area, however, wanted more assessment of the levels of anxiety tracked by this study, since the screening tools used to detect subclinical symptoms of mental health problems were focused on depression. A desire also was expressed to see data on the cost of this intervention and their effect on downstream health outcomes.
"I think it's great that the paper raises awareness, and I think it's interesting that it talks about prevention," said Bruce L. Rollman, MD, MPH, associate professor of medicine and psychiatry in the division of general internal medicine at the University of Pittsburgh School of Medicine. "But it would be helpful to see if the prevention of anxiety and depression affects emergency department utilization or other health care costs."
The study also gives rise to questions surrounding how to incorporate this kind of screening and intervention into geriatric care. Although validated screening tools exist to detect early signs of depression or anxiety, experts say mental health care can get lost in treatment for the other chronic conditions that so many elderly patients have. In addition, the symptoms for these other illnesses often mimic those for psychological ills.
"Early recognition and early intervention are essential," said Seren Cohen, PhD, a geriatric psychologist in Santa Fe, N.M. She also is a spokeswoman for the American Geriatrics Society. "But it's sometimes difficult with the geriatric population. We may not get an adequate mental health history because of stigma or a reluctance to disclose. Many in this generation don't perceive depression as necessarily being that important."
Meanwhile, reducing the risk of these mental illnesses as people age is increasingly the focus of research. "Path to prevention" is the theme of the 14th International Congress of the International Psychogeriatric Assn. in Montreal in September.
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