Tuesday, August 6, 2019

How to Treat Depression Without Medication Essay Example for Free

How to Treat Depression Without Medication Essay While it takes more than a simple â€Å"lifestyle change† to effectively attack a medical issue such as depression, it is not more medication that this Country needs more of, but rather a greater awareness, better mental health education and greater access to therapy for those suffering from this condition. Depression is as much an organic, physiological issue as a broken bone or heart problem but because it cannot be seen it is often ignored, dismissed, mistreated or over-medicated by the vast majority of healthcare providers. Todays HMO driven, medication dependent society tends to throw pharmaceutical band-aids at the problem of depression. A more holistic, therapeutic approach, ideally involving the family/support system of the patient would, in the long run, be both a more effect and lasting treatment for the patient and more cost effective as well. While depression can, in fact, be helped by the use of proper medications, any long-term treatment must include counseling/therapy and significant and lasting lifestyle changes. Depression is, in fact, the catalyst that has lead me to pursue my current academic and professional dream to become a Psychologist. It is also something that I have a great deal of personal experience with, both as a parent of a clinically depressed teenager and as a woman living with a depressive disorder myself. In my own personal experience, the majority of doctors tend to â€Å"throw medication† at the issue of depression, when in fact, for many patients, therapeutic counseling and psychotherapy is often all that is needed. This tendency to medicate first and counsel second, especially in teens, can be irreparably damaging. Psychological medications, by their very nature, effect brain chemistry and can have huge negative side effects: suicidal tendencies, physical aggression, dramatic weight gain (which can have psychological and other medical side effects of its own), to name a few. These side effects can often times be even more emotionally damaging and dangerous to the patient than the depression itself. In 1998, after years of struggling, I was diagnosed with Post Traumatic Stress Disorder. My own personal struggle with depression has also involved quite a few medications, with varying successes and varying degrees of side-effects. While searching for an effective treatment for me, my doctors prescribed any number of SSRIs, Beta Blockers and other commonly prescribed medications for the treatment of depressive disorders. I fought with sexual side effects, weight gain, crippling panic attacks, suicidal thoughts and more. In the end, I chose to wean myself from the medication and focus on therapy and the necessary lifestyle changes that go along with it. It is still a daily struggle and a choice to be happy and fight the â€Å"demons† that haunt me, but with the help of God, my family and my therapist, I am happier and more â€Å"well-adjusted† than ever before in my life. In a developing brain, like that of a depressed adolescent, these potentially hazardous side effects can be even more detrimental. In 2006, My then 14 year old daughter, when faced with depression due to her parents’ divorce and adjustment to life as an â€Å"Army Brat,â€Å" was put on Prozac by her Family Practice Physician. Within 30 days she had to be hospitalized and detoxified after suffering a psychotic episode at school and weeks of suicidal and homicidal thoughts. After a year of numerous diagnoses, multitudes of different psychological medications and weight gain of almost 80 pounds, she was no more emotionally stable than she was when she had begun the treatment. With the assistance of a new Psychiatrist and Primary Care Physician, we weaned her off all of the psychological medications and instead enrolled her in bi-weekly, one-on-one counseling with a Psychologist. It took her almost 3 years to undo the damage the experience with the hospital and medication trials had inflicted on her. She is finally doing well, is stable and uses counseling, meditation, breathing techniques and a number of other therapeutic tools to deal with the stresses of life, rather than continuing to be medication-dependent and suffering the side effects of those medications.

Monday, August 5, 2019

Decision Making Processes in Firm Partnerships: Case Study

Decision Making Processes in Firm Partnerships: Case Study Summary of Case Charles Tollison was in the middle of an audit engagement when his managing partner told Charles that he was passed on for the promotion to and audit partner. This was not the first time that he had failed to be promoted to audit partner while at his firm. Charles has very little faith when his managing partner, Linton, said, promised that the following year he would vigorously campaign for Tollisons promotion and call in all the favors owed to him (Knapp, 2014). He was already passed on the position twice and had little faith he would ever get the position. One option Tollison had was to have a permanent position as senior manager with his current employer. The case states that Tollison was easily counted on to answer the more difficult issues that came across his department. One thing that Tollison was not good at was obtaining new clients for the firm. This seems to be a key factor of why Tollison was not promoted this year or even ever. Charles Tollison Qualifications of Partnership Position The methodology of determining if an accountant is qualified for a partnership depends on the firms way of evaluating the accountant. The methodology may be based on quality of work, ability to obtain new clients, or even have a specialized knowledge. The decision will also depend on what the firm needs at that point in time. These decisions are not always fair and the wrong person might be promoted. It seemed that Charles does have excellent quality work and he seems like the go to guy for difficult issues. I do not think personally that he was fully qualified for a partnership position. Quality of work is not the only quality that should be looked at when promoting someone to a partner. Tollisons Firm Fairness is not always possible in all situations, especially in situations where there are limited resources. In this case, the lack of promotion is unfortunate but I dont think unfair. I dont think he had all the qualities needed for this particular firm needed at that point in time. He seemed to be the go to guy for difficult issues that other people couldnt figure out. If he was promoted to a partner he would likely not be able to take on these difficult issues and not help the firm as much as a partner rather than a manager. Yes, it might seem unfair not to get promoted but you also have to think about what is best for the company over all. Evaluation Individuals for Promotion Some criteria that should be looked at when evaluating potential partners is quality of work, ability to obtain new clients, specialized knowledge, interpersonal skills, dedication and commitment to the firm, integrity, ethical behavior, success with difficult assignments, and professional reputation. In my opinion, larger firms main motivation is revenue and how partners can generate revenue with getting new client. I know my boss has told me stories about his friends at bigger Public CPA firms having a requirement to get a certain dollar amount of new revenue by obtaining new clients. If they did not reach this level or new revenue they would be terminated as a partner. To me this is obserb, I know I am not a sales person nor would I want to spend my time finding new clients. I would rather review audits and train the people under me to be good auditors. I think smaller firms would more likely look at dedication to the firm and maybe interpersonal skills. I am sure it is hard for a smaller firm to have constant partner changes so they would look for someone who would be there for the long run. Advantages and Disadvantages of Up or Out Supporters of the up or out promotion policy highlights the vitality created within an organization. Members of the organization are under constant pressure to innovate and improve on an ongoing basis. In theory, this pressure drives people to be better and in turn making the organization better. People who are against up or out promotion policy point out that the self-preservation and competition that up or out policy creates is not always in the best interest of the firm or their clients. That kind of policy may bring in employees that are only focused on the short term and may inadvertently force out employees with valuable skill sets that are important to the firm. I do not think that instilling fear into your employees is the best approach to improve themselves or improve the company.

Sunday, August 4, 2019

OBEY GIANT :: essays research papers

OBEY GIANT   Ã‚  Ã‚  Ã‚  Ã‚  Heidegger describes Phenomenology as â€Å"the process of letting things manifest themselves.† Phenomenology attempts to enable people to see clearly something that is right before their eyes but obscured; things that are so taken for granted that they are muted by abstract observation. The first aim of Phenomenology is to reawaken a sense of wonder about one's environment. The Giant sticker attempts to stimulate curiosity and bring people to question both the sticker and their relationship with their surroundings. This is exactly what happened to me when I first saw an Obey Giant sticker. Hence, the theory of Phenomenology was just proven with me as the example. The stickers and posters have no meaning and exist only to cause people to react, to contemplate and search for meaning in the sticker. Because the sticker has no meaning, the various reactions and interpretations of those who view it reflect their personality and the nature of their sensibilities.   Ã‚  Ã‚  Ã‚  Ã‚  When I first encountered my first Obey Giant sticker poster was when I went to San Francisco with my Mom. Immediately upon arriving in the city, where the artist Shepard Fairy is from, It was on almost every block we passed riding in the taxi you could find a sticker, poster, or stencil of the Obey Giant image. The image is merely a black and white stamp of Andre the Giants’ face with the word OBEY in red and white underneath it. When I first saw it I didn’t really think anything of it, it was only when I would see the image almost everywhere we went around the San Francisco area when I began to wonder what it meant. After reading about it on the Internet and learning that these images can be found across the United States and around the world, I was amazed and intrigued. I immediately became almost obsessed with this idea. I just loved everything about it. It is to this day the most interesting thing I have ever encountered. Many people, like myself have demanded the sticker, merely because they have seen it everywhere and possessing a sticker provides a sense of belonging. I collect them mainly because I love the idea, and part of the experiment is spreading them around and making others aware. There are many other imitations, and other artist who are fascinated with the idea and come up with their own visuals used for the same purpose as Shepard Fairey.

Saturday, August 3, 2019

U.S. foreign policy from 1890-1914 Essay -- essays research papers

McKinley’s presidency starting in 1896 restored American prosperity through the use of higher tariffs and the return to a gold standard. Foreign nations became dependent on the United States’ prosperity because economic problems, such as crop failures, were affecting their stability. This along with many other factors developed America’s strong sense of nationalism. The concept of social Darwinism was applied not only to domestic concerns, but to foreign concerns as well. Americans felt that their previous abilities to empower themselves over the Native Americans set as a precedent for their capability to influence foreign nations. America looked beyond its borders for new markets because after the closing of the frontier, a fear of possible resource depletion swept through the nation. America’s desire to colonize foreign nations was driven by economic intentions especially in Hawaii and Samoa, Cuba, and Puerto Rico.   Ã‚  Ã‚  Ã‚  Ã‚  The United States’ involvement in trade with China made the importance of Hawaii and the Samoan islands evident. These islands acted as a stop for ships in the midst of their journey to Asia. American influence on the islands existed by America’s growing population settling there. For these two reasons, the United States’ navy looked at Pearl Harbor in Hawaii as a permanent naval base and Pago Pago in Samoa. American settlers in Hawaii gradually drew the power away from Hawaiian leaders causing struggles for power. King Kamehameha b... U.S. foreign policy from 1890-1914 Essay -- essays research papers McKinley’s presidency starting in 1896 restored American prosperity through the use of higher tariffs and the return to a gold standard. Foreign nations became dependent on the United States’ prosperity because economic problems, such as crop failures, were affecting their stability. This along with many other factors developed America’s strong sense of nationalism. The concept of social Darwinism was applied not only to domestic concerns, but to foreign concerns as well. Americans felt that their previous abilities to empower themselves over the Native Americans set as a precedent for their capability to influence foreign nations. America looked beyond its borders for new markets because after the closing of the frontier, a fear of possible resource depletion swept through the nation. America’s desire to colonize foreign nations was driven by economic intentions especially in Hawaii and Samoa, Cuba, and Puerto Rico.   Ã‚  Ã‚  Ã‚  Ã‚  The United States’ involvement in trade with China made the importance of Hawaii and the Samoan islands evident. These islands acted as a stop for ships in the midst of their journey to Asia. American influence on the islands existed by America’s growing population settling there. For these two reasons, the United States’ navy looked at Pearl Harbor in Hawaii as a permanent naval base and Pago Pago in Samoa. American settlers in Hawaii gradually drew the power away from Hawaiian leaders causing struggles for power. King Kamehameha b...

Essay --

Behind the People The way an author writes can help you decide whether a character is good or bad, smart or stupid, or liked or hated. In the late 1840s, Nathaniel Hawthorne writes, â€Å"She thought of the dim forest, with its little dell of solitude, and love, and anguish, and the mossy tree-trunk† (187). The question gathered from the Scarlet Letter is as follows: Can authors give settings the same personified traits authors give characters? While the captivating characters of The Scarlet Letter play an important part of Nathaniel Hawthorne’s book, society and nature represent equally as vital role- society is portrayed as evil, whereas nature is portrayed as good. The town, in which Hester is first imprisoned and then held in front of the residents of the community, exemplifies the evilness that puritan society holds. Hawthorn notes that â€Å"the door of which was heavily timbered with oak, and studded with iron spikes† (41). The first paragraph of the story itself tells of the prison doors’ strong and intimidating purpose. Surrounded by the people of the Puritan Society is the scaffold. A public humiliation place where sinners are forced to climb upon, Hester is seen standing on the scaffold in every scene it appears in. Standing alone on the scaffold, the first time it is mentioned, is Hester and Pearl. Dimmesdale watches her stand in shame with the other fathers who sit in judgment of Hester. The scaffold separates Dimmesdale and Hester from one another. hen Dimmesdale asks Hester to speak of the man who has sinned with her, Hester, even though she must go through this suffering alone, refuses the name of he who has sinned, for fear of having Dimmesdale live a life of scorn and scrutiny with her upon the scaffold. Another exampl... ... (159) when she took off the sinful letter. Preferring the forest as a meeting place between Dimmesdale and herself, the forest behaves as a form of protection against society. Hester and Dimmesdale are able to speak freely of their sins, and their plans to run away together, while in the puritan society, Dimmesdale is unable to speak about his relationship with Hester and Pearl. Although Hester spent an equal amount in both society and nature, she tended to favor nature because of its protective and free atmosphere. Hester is relatable more to nature than society because of her free-willed spirit, and her will to survive against the puritan society. The good characteristics of nature are much like that of Hester, while society is more evil like Chillingworth. Because of this, the settings in The Scarlet Letter can be personified and given human characteristics.

Friday, August 2, 2019

Assessments Package Essay

The paper is based upon the self assessment online training. Throughout I will explain what changes the exercise has done to the view I had prior and the view I have after. Although in I think that becoming a case manager is a hard job and requires specific personality traits. I will write about the position of a case manager and what roles and duties the job requires. I will discuss the viewpoints on ethical principles, professional responsibilities, how my viewpoints had changed after the online training, and the self-awareness I have gained that could prepare myself for a case management role. View Changes on Ethical Principles The ethical obligations of the privacy for consumers and his or her protection of their health information are to be upheld at all times. The ethical principles within health care organizations are based upon the accountability of professionalism. However, the protection differs from the type of organization for example, state programs require state laws to be accommodated and followed. The programs in which state covers is alcohol and drug abuse programs, Medicare, and other accreditation programs that are applicable to federal laws. Therefore, the ethical principles in my opinion are held high as the guidelines are to be followed by all organizations in order to function properly and to provide the proper care to the clients. Privacy is extremely important as no person would want his or her medical conditions and concerns placed into public hands. View Changes on Professional Responsibilities The workforce training required for upholding privacy and security of health information proved to me that it is seldom to be professional in this type of work field. The awareness or degree of the security and privacy for patient’s health information varies from how to use or share health information, parameters, job position influences, the leadership interpretation, and implementing costs. The professionalism of the HIPPA security and privacy requires the formal education and proper training to ensure that the person entering this type of workforce can have ongoing accountability for the security and privacy to protect health information. The standards for HIPPA’s security and privacy rules address specific training requirements so professionalism responsibility is an absolute after receiving proper training. The requirements for the high-level training are crucial because of the cost and ongoing requirements and responsibilities of the workers. The professional responsibilities of the job demands ongoing training in which the workers are constantly up-to-date with documentations and responsibilities required by each person. The viewpoints of professional responsibilities after completing the online assessment has changed based upon the amount of responsibility the workers must obtain. The responsibility to make sure no health information is leaked through the system (documents, computers, corrupt employees) is extremely important, therefore the information shared among people is to be protected. Although I believe that health care information is not an item in which thieves’ want to possess. Health care information is in my opinion pointless to steal, as people really should not care who has certain medical conditions wrong with them. The workers job to me seems like a security job with the use of a computer in regard to health records, I often picture a security guard standing in front of a medical filling room. Self-Awareness Becoming self-aware of the case management role prepares me to comprehend the responsibilities, duties, and importance of health care information. The case management role is an important role as the information obtained by the case worker is personal should be guarded or protected, and secured. I am aware of the responsibility the case managers has daily and what his or her job title requires. However, I do not have plans or goals to become a case manager or to have that type of role in a job. I like helping people, whereas, I do not like to sit still and stare at a computers or paper work as a career. In the end, I have obtained information in which case manager’s jobs require extreme security, privacy, and professionalism. The case management role is only for certain people who can handle that type of job. Becoming a case manager is not a random choice a person picks for a career. For me, it is nice to obtain information in regard to the role of a case manager and realized how important case manager’s jobs are and what his or her daily duties require.

Thursday, August 1, 2019

Ansell Condoms Case Study Essay

Question 2: What are the pros and cons for Ansell acquiring a European competitor? In your opinion, is it a good idea? Pros Ansell will be able to get a greater share of the market in Europe. Acquiring a new company in Europe will help to build their portfolio. They should be able to increase their number of recognisable brands. Ansell will be able to acquire the new companies existing contracts and contacts. It will help to create a reduction of overcapacity in the industry. Increase sales/revenue. Cons It was mentioned that the companies that Ansell are thinking about taking over are in some financial difficulty at the moment so Ansell will have to take on that difficulty. There is an increased change of job cuts. It will be hard for Ansell so see all of the hidden liabilities the company may possess. Ansell will more than likely have to pay goodwill for the acquisition. Conclusion Overall in my opinion it would be a good idea for Ansell to try and acquire a European competitor because although there is some financial risk and it could be a difficult process I think that the pros that I mentioned above will outweigh the potential cons. Ansell will need to get a strategy in place to make sure that the takeover goes as smoothly as possible. Learning Points: * Condom market is extremely competitive This case study shows us that the condom market is extremely competitive with five main companies competing with each other and a large number of smaller companies continually trying to gain a greater market share. * Acquisition of European competitor good for Ansell It would be a good idea for Ansell to take over one of their smaller European competitors to try and increase their market share and increase their number of recognisable brands around the world.