Author: Leaman Ralph

Agoraphobia is an anxiety disorder characterized by symptoms of anxiety in situations where the person perceives the environment to be unsafe with no easy way to get away. These situations can include open spaces, public transit, shopping malls, or simply being outside their home. Being in these situations may result in a panic attack. The symptoms occur nearly every time the situation is encountered and last for more than six months. Those affected will go to great lengths to avoid these situations. In severe cases people may become completely unable to leave their homes due to the phobia. Agoraphobia is believed to be due to a combination of genetic and environmental factors. The condition often runs in families, and stressful or traumatic events such as the death of a parent or being attacked may be a trigger. In the DSM-5 agoraphobia is classified as a phobia along with specific phobias and social phobia. Other conditions that can produce similar symptoms include separation anxiety, posttraumatic stress disorder, and major depressive disorder. Those affected are at higher risk of depression and substance use disorder. Without treatment it is uncommon for agoraphobia to resolve. Treatment is typically with a type of counselling called cognitive behavioral therapy (CBT). CBT results in resolution for about half of people. Agoraphobia affects about 1.7% of adults. Women are affected about twice as often as men. The condition often begins in early adulthood and becomes less common in old age. It is rare in children. The term “agoraphobia” is from Greek ἀγορά, agorá, meaning a “public square” and -φοβία, -phobia, meaning “fear”.

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Mettā (Pali) or maitrī (Sanskrit) means benevolence, loving-kindness, friendliness, amity, good will, and active interest in others. It is the first of the four sublime states (Brahmavihāras) and one of the ten pāramīs of the Theravāda school of Buddhism. The cultivation of benevolence (mettā bhāvanā) is a popular form of meditation in Buddhism. It is a part of the four immeasurables in Brahmavihara (divine abidings) meditation. Metta as ‘compassion meditation’ is often practiced in Asia by broadcast chanting, wherein monks chant for the laity. The compassion and universal loving-kindness concept of Metta is discussed in the Metta Sutta of Buddhism, and is also found in the ancient and medieval texts of Hinduism and Jainism as Metta or Maitri. Small sample studies on the potential of loving-kindness meditation approach on patients suggest potential benefits. However, peer reviews question the quality and sample size of these studies, then suggest caution.

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Physiological or natural stress can be an organism’s reaction to a stressor such as an environmental condition. Stress is your body’s method of responding to a disorder like a threat, concern or physical and mental hurdle. Stimuli that modify an organism’s environment are taken care of immediately by multiple systems in the torso. The autonomic stressed system and hypothalamic-pituitary-adrenal (HPA) axis are two major systems that react to stress. The sympathoadrenal medullary (SAM) axis may switch on the fight-or-flight response through the sympathetic anxious system, which dedicates energy to more relevant bodily systems to severe version to stress, as the parasympathetic anxious system returns your body to homeostasis. The next major physiological stress, the HPA axis regulates the discharge of cortisol, which affects many bodily processes such as metabolic, mental and immunological functions. The SAM and HPA axes are controlled by several brain areas, like the limbic system, prefrontal cortex, amygdala, hypothalamus, and stria terminalis. Through these systems, stress can transform memory functions, praise, immune system function, metabolism and susceptibility to diseases. Explanations of stress fluctuate. One system advises there are five types of stress tagged “acute time-limited stressors”, “brief naturalistic stressors”, “stressful event sequences”, “chronic stressors”, and “distant stressors”. An severe time-limited stressor includes a short-term problem, while a short natural stressor consists of a meeting that is normal but still challenging. A demanding event series is a stressor occurring, and then is constantly on the yield stress in to the immediate future. A persistent stressor involves contact with a long-term stressor, and a faraway stressor is a stressor that’s not immediate.

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Painting of a Panic Attack is the fifth studio album by Scottish indie rock band Frightened Rabbit, released on 8 April 2016. The album was produced by Aaron Dessner, and recorded at his home studio in New York City. It is the first studio album to feature guitarist and keyboardist Simon Liddell, who initially joined the band in a touring capacity to support their previous album, Pedestrian Verse, and is the final album to feature frontman and founding member Scott Hutchison before his death in 2018.

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Meditations (Medieval Greek: Τὰ εἰς ἑαυτόν, translit. Ta eis heauton, literally “things to one’s self”) is a series of personal writings by Marcus Aurelius, Roman Emperor from 161 to 180 AD, recording his private notes to himself and ideas on Stoic philosophy. Marcus Aurelius wrote the 12 books of the Meditations in Koine Greek as a source for his own guidance and self-improvement. It is possible that large portions of the work were written at Sirmium, where he spent much time planning military campaigns from 170 to 180. Some of it was written while he was positioned at Aquincum on campaign in Pannonia, because internal notes tell us that the first book was written when he was campaigning against the Quadi on the river Granova (modern-day Hron) and the second book was written at Carnuntum. It is unlikely that Marcus Aurelius ever intended the writings to be published and the work has no official title, so “Meditations” is one of several titles commonly assigned to the collection. These writings take the form of quotations varying in length from one sentence to long paragraphs.

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Posttraumatic stress disorder (PTSD) is a mental disorder that can develop after a person is exposed to a traumatic event, such as sexual assault, warfare, traffic collisions, or other threats on a person’s life. Symptoms may include disturbing thoughts, feelings, or dreams related to the events, mental or physical distress to trauma-related cues, attempts to avoid trauma-related cues, alterations in how a person thinks and feels, and an increase in the fight-or-flight response. These symptoms last for more than a month after the event. Young children are less likely to show distress but instead may express their memories through play. A person with PTSD is at a higher risk for suicide and intentional self-harm. Most people who have experienced a traumatic event will not develop PTSD. People who experience interpersonal trauma (for example rape or child abuse) are more likely to develop PTSD, as compared to people who experience non-assault based trauma such as accidents and natural disasters. About half of people develop PTSD following rape. Children are less likely than adults to develop PTSD after trauma, especially if they are under ten years of age. Diagnosis is based on the presence of specific symptoms following a traumatic event. Prevention may be possible when therapy is targeted at those with early symptoms but is not effective when provided to all individuals whether or not symptoms are present. The main treatments for people with PTSD are counselling and medication. A number of different types of therapy may be useful. This may occur one-on-one or in a group. Antidepressants of the selective serotonin reuptake inhibitor type are the first-line medications for PTSD and result in benefit in about half of people. These benefits are less than those seen with therapy. It is unclear if using medications and therapy together has greater benefit. Other medications do not have enough evidence to support their use and in the case of benzodiazepines may worsen outcomes. In the United States about 3.5% of adults have PTSD in a given year, and 9% of people develop it at some point in their life. In much of the rest of the world, rates during a given year are between 0.5% and 1%. Higher rates may occur in regions of armed conflict. It is more common in women than men. Symptoms of trauma-related mental disorders have been documented since at least the time of the ancient Greeks. During the World Wars the condition was known under various terms including “shell shock” and “combat neurosis”. The term “posttraumatic stress disorder” came into use in the 1970s in large part due to the diagnoses of U.S. military veterans of the Vietnam War. It was officially recognized by the American Psychiatric Association in 1980 in the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III).

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