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    Community support, treatments needed to move dial on mental illness

    The future for the remedy of psychological well being in Canada appears quite a bit totally different from the previous. It's more likely to embrace genetic screening for mental-illness markers and personalised therapies primarily based on molecular evaluation.

    But the current, in some facets, is in a state of limbo, in response to audio system on a mental-health panel held at The Globe and Mail final week.

    "We've seen a lot of changes in mental-health-care delivery in the past 30 years," Vicky Stergiopoulos, physician-in-chief at Toronto's Centre for Addiction and Mental Health (CAMH), informed 200 mental-health supporters and advocates. "We've seen the mass closure of provincial psychiatric beds and the introduction of provisional care in the community. … And we also saw the introduction of drugs that can treat mental-health conditions."

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    And though Dr. Stergiopoulos characterised the adjustments as primarily constructive, she additionally famous that they "leave us with significant problems."

    The important drawback, in response to Dr. Stergiopoulos and echoed by Rachel Cooper, a mental-health advocate with private expertise of psychological sickness herself, is the shortage of neighborhood assist for individuals with mental-health issues.

    "I think mental illness often is exacerbated when people are isolated," Ms. Cooper mentioned. "We have to make sure the communities people live in are supportive, and that means that people need to feel they can get care – whatever that care may be for them. It may be cognitive behavioural therapy, it may be helping to learn parenting skills, it may be helping them search for a job, it may be helping them get their medical needs met so that they feel they can go on with their lives."

    According to Dr. Stergiopoulos, this yr one in 5 Canadians will expertise psychological sickness, and by the point an individual reaches 40 years of age, she or he has a 50-per-cent probability of getting already had psychological sickness. Those numbers underscore the necessity to enhance therapies, bridging the hole between how, for example, a illness like most cancers is handled versus how psychological sickness is dealt with.

    "I think that standardization of care is one way to do that," the physician mentioned. "And there are efforts to do that through treatment guidelines and through critical-care pathways so that if you have a certain condition you get a similar treatment no matter where you're treated."

    Dr. Stergiopoulos additionally careworn that psychological sickness therapies would profit from measurement-based care.

    "We know that in jurisdictions where outcomes have improved for people experiencing mental-health conditions there have been investments in not only improving access but also measuring the outcomes of that care."

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    The panel additionally contrasted most cancers with psychological sickness in the case of analysis. According to CAMH senior scientist Etienne Sibille, 20 or 30 years in the past most cancers was characterised by the organ or physique half it affected: corresponding to mind most cancers, lung most cancers or breast most cancers.

    "Now, a patient comes to the clinic and gets a molecular diagnosis and they're told this is the type of cancer that affects these molecules and we're going to treat it in a specific way. The definition doesn't respect the categorization based on organs any more," Dr. Sibille mentioned.

    "I think, moving to the future, we will have a new definition of psychological disorders. We'll say, 'We have work on this particular level of, let's say, brain inhibition,' or 'We need to work on this metabolic aspect.' And those will be treated and targeted differently."

    Medical professionals are already capable of measure a facet of mind perform by way of transcranial magnetic stimulation, Dr. Sibille mentioned, in the identical manner one would measure levels of cholesterol or blood strain. And genetic exams to find out which therapies would work finest on whom are already in improvement.

    "We will have better, more personalized and more targeted treatments," Dr. Sibille mentioned. "And if they are targeted there will be fewer side effects and increasing compliance."

    Over all, the panelists agreed there's far much less stigma surrounding psychological sickness now than a era in the past, however that conversations on the subject are solely partially useful if individuals cannot get the therapies they want.

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    "If we are going to talk about stigma and people understanding that mental illness is sometimes a part of life, we also have to talk about how people can get support," Ms. Cooper mentioned. "I've seen a shift over time, but we still have a lot more shifting to do."

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    What To Know About Disordered Eating And Exercising

    Disordered Exercising Is Just As Dangerous As Disordered Eating

    Do you head out for a run or go to the fitness center perhaps two or thrice a day? Do you limit your energy? Do you keep away from social conditions since you don’t need folks to know what your consuming habits are? Do you are feeling remoted as a result of the one factor you find time for in your social calendar is train?

    Maybe you began with good intentions to vary your food regimen or get match. But then, all of it went horribly flawed.

    For Lindsey Hall, who blogs about recovering from her consuming and train issues, what started with ravenous, binging and purging finally led to exercising on a regular basis. Realizing she might burn the energy she consumed, she ran the equal of a marathon daily—stress fractures be damned.

    “Even when you reach your goals, you’re never going to be sick enough. By the time you are, you’ll already be in the hospital,” mentioned Hall. “I missed seven years of my life. I will never get those memories back. I don’t remember anything except what I ate or if I threw it up.”

    An train dependancy shouldn't be unusual if you happen to’re a runner. Eating issues are additionally widespread. Unfortunately, they typically go hand in hand.

    Related: 5 Red Flags That Someone May Have An Eating Disorder

    Andrea Walkonen, a former three-time All-American runner with Boston University who subsequently certified within the U.S. Olympic Trials for the ladies’s marathon in 2016, mentioned that when she began to pay shut consideration to what she ate, issues rapidly spiraled downward.

    “I noticed that the healthier I ate, the better I felt. I thought maybe I could eat a little bit less and run a little faster,” she defined. “Eating disorders are a big deal because they can be fatal. It’s a horrible way to die.”

    Photo courtesy of Andrea Walkonen

    The Highest Mortality Rate Of All Psychiatric Illnesses

    According to the National Eating Disorder Association, consuming issues have the best mortality price of any psychiatric sickness. A 2012 examine concluded that three p.c of the overall inhabitants has an train dependancy, or about 30 out of each 10,000 folks. So the place to do you go if you happen to assume you need assistance?

    The Victory Program at McCallum Place in St. Louis, Mo. and the EDCare’s Elite Athlete Track in Denver, Colo. are two prime decisions. But till not too long ago, applications that particularly work with athletes and their meals and train points have been comparatively few. Last spring, Walden Behavioral Care in Waltham, Mass., added a brand new one to the combination with the GOALS Program, an intensive outpatient therapy plan for aggressive athletes. GOALS has a talented crew of registered dieticians, sports activities psychologists and train scientists dedicated to the distinctive wants of athletes. Walden Behavioral Care is the one facility in New England that focuses on this drawback.

    “There’s a huge need for it,” mentioned Paula Quatromoni, the division chair of Health Sciences at Boston University and a senior marketing consultant at Walden. “Athletes are two to three times more likely to have an eating disorder and an exercise addiction. So many people suffer in silence and don’t get the treatment they need.”

    Competition is fierce and athletes are all the time in search of that quicker or stronger edge. Maybe that competitors is geared towards incomes a scholarship or coaching for a triathlon. Quatromoni defined that chasing photographs of success impacts adults and adolescents alike.

    Typically, these points are simply the tip of the iceberg. There is steadily a “co-occurring” drawback like nervousness, melancholy and even obsessive-compulsive dysfunction, every of which may make a person extra weak to feeling like they only don’t measure up.

    Related: My Running Team Unknowingly Helped Me Recover From My Eating Disorder

    Quatromoni relayed a narrative of a younger man in Walden’s therapy program who’d not too long ago entered the U.S. on a scholarship. While acclimating to his new environment, he was consuming extra American meals than earlier than. At one level, his coach patted his stomach in entrance of his crew to let him know he wanted to lose a couple of kilos. He felt humiliated. That was the start of his consuming dysfunction.

    “The coach is the most trusted individual in an athlete’s life,” mentioned Quatromoni. “If the coach says drop five pounds, they’ll drop 10.”

    How To Know When To Seek Help

    Emily Slager, this system director at Walden’s Clinic in Waltham, agreed together with her colleague. Having an consuming dysfunction doesn’t essentially assure an train dependancy. But these with an train dependancy are greater than prone to have some type of disordered consuming. Runners are notably prone as a result of the game is usually isolating—many individuals run alone.

    At Walden, Slager has seen a rise in those that have struggled a very long time and by no means obtained therapy. There has additionally been an uptick in orthorexia, which is choosy consuming to an excessive. We consider “clean eating” as very wholesome. But when that’s taken too far, an consuming dysfunction can rear its ugly head.

    Related: Are You Replacing Disordered Eating With Disordered Exercise?

    Slager talked about one feminine athlete, now 30 years previous, who has by no means had a interval. What that younger lady doesn’t notice is how that may have an effect on her fertility and bone density down the highway.

    “These athletes tell themselves, ‘I’ll stop when it gets too bad,’” Slager remarked. “But they don’t.”

    Photo courtesy of Lindsey Hall

    Hall summed up Slager’s level completely. “The truth is, you’ll never find that ‘perfect’ weight. It doesn’t exist,” she mentioned. “Even if you obtain it, you’ll want more, scared that you’ll lose it.”

    If you or somebody you already know has an issue, there's assist obtainable to get you again on monitor. You can discover a stability between consuming and train with out risking your well being.


    New Book “Running In Silence” Sheds Light On Eating Disorders

    How Running Helped Me Recover From An Eating Disorder

    Recovering From An Eating Disorder Isn’t As Simple As Eating

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    Pole-dancing in the Olympics? International sports federation recognition helps pave the way.

    No strip club necessary. Pole-dancing now stands on its own as a provisionally recognized sport thanks to the Global Association of International Sports Federation, which granted the activity’s international governing federation “observer status” earlier this month.

    “Pole Sports is a performance sport combining dance and acrobatics on a vertical pole,” GAISF writes on its website. “Pole Sports requires great physical and mental exertion, strength and endurance are required to lift, hold and spin the body. A high degree of flexibility is needed to contort, pose, demonstrate lines and execute techniques.”

    Observer status is the first step international federations must achieve before becoming full GAISF members, which serves as a great boost for any sport hoping to one day land in the Olympics. And that is exactly pole-dancing’s goal, according to International Pole Sports Federation President Katie Coates, who lauded the day the decision was made on Oct. 2 as “historical.”

    “The IPSF is very proud to have taken this positive step towards official recognition and the GAISF Observer Status will give our sport the opportunity to develop further, on the national and on the international stage,” she said in a statement. “In just eight years we have created a sport, ignited a global following and inspired a new generation of sportsmen, [sports]women and children. I am thankful to the IPSF and GAISF teams and excited about the future of our sport.”

    The road to the Olympics isn’t short, however. Along with a recognized governing body, prospective sports must also gain separate recognition from the International Olympic Committee. Provisional IOC recognition lasts three years, during which committee members decide whether to give it full recognition. If successful, the sport’s governing body still needs to then petition to become an official Olympic sport, which can take several more years.

    For Coates, however, those obstacles do not sound insurmountable, considering the uphill battle she said she faced while campaigning to gain provisional recognition from the GAISF.

    “I feel like we have achieved the impossible,” she told the Telegraph this week. “Everyone told us that we would not be able to get pole-dancing recognized as a sport.”

    Today, pole-dancing competitions are as family-friendly as any sporting event — and just as well regulated.

    The IPSF outlines its rules, judging and other criteria in its 137-page document, that lays out guidelines for several categories of competition, ranging from youth to mixed doubles to para-competition. Pole dancers are even required to take doping tests to ensure the sport is clean.

    Watching a competition is akin to attending a dance recital of sorts, where the athletes, often dressed in sparkly two-piece outfits or leotards, perform choreographed routines set to music on two 20-foot poles on a spotlighted stage. One pole rotates while the other is static, which allows athletes to perform different types of tricks as outlined in the rule book.

    The IPSF even began holding its own world championships in 2012. Russia’s Anna Chigarina is the current women’s champion.

    “Pole-dancing is not like everyone thinks it is,” Coates said. “You need to actually watch it to understand.”

    Six other international federations joined pole-dancing in gaining provisional recognition from the GAISF this month. They include some other eyebrow-raising activities, including arm-wrestling, dodgeball, poker, kettlebell lifting, as well as FootGolf, a sport that combines soccer and golf, and table soccer, which is better known as foosball.

    “We warmly welcome our first Observers,” GAISF President Patrick Baumann said in a statement. “This is an exciting time for them and for us and we will do everything within our remit to help them realize their full potential as International Federations within the global sport’s family and, one day, maybe become part of the Olympic program.”

    Read more:

    McKayla Maroney says USA Gymnastics team doctor began molesting her at the age of 13

    U.S. swimmer Anthony Ervin takes a knee during the national anthem

    Gracie Gold is taking a break from skating to treat eating disorder, depression

    Simone Biles to return to training with eye on 2020 Olympics

    Former Soviet gymnast Tatiana Gutsu accuses fellow Olympic gold medalist of rape

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    Olympics may soon feature pole dancing, foosball and poker

    Poker, foosball and pole dancing. What do these things have in common?

    Well, besides being reasonable activities for a night out in Atlantic City, officials who help prepare specific sports for Olympic recognition apparently think they could soon take their place alongside running, gymnastics and ski jumping in the world’s most prestigious athletic competition.


    The Switzerland-based Global Association of International Sports Federations earlier this month granted observer status to the International Federation of (Match) Poker, the International Pole Sports Federation and International Table Soccer Federation along with the organizing bodies for four other nontraditional sports — the first step toward joining the Olympic program.

    “We warmly welcome our first Observers,” Patrick Baumann, the president of GAISF, said in a statement. “This is an exciting time for them and for us and we will do everything within our remit to help them realize their full potential as International Federations within the global sport’s family and, one day, maybe become part of the Olympic program.”

    More on this...

    Baumann added: “The new sports debuting at Tokyo 2020 and at the Buenos Aires Youth Olympics are evidence that the pathway is there.”

    Joining the program in Tokyo in two years will be softball, karate, surfing, skateboarding, sport climbing and baseball — the games’ second shot at Olympic status. These sports were chosen, especially skateboarding and sport climbing, in part to reflect the changing interest in younger athletes and the worldwide popularity of these sports.

    "Through these additional events, the Tokyo 2020 Games aims to inspire new generations and become a turning point and a model for future Olympic Games,” Yoshiro Mori, the president of the Tokyo Organizing Committee of the Olympic and Paralympic Games, said in a statement.

    But pole dancing, foosball, aka “table soccer,” and poker?

    These barroom pursuits, along with dodgeball, foot golf, kettlebell lifting and the previously mentioned sports, now all have the same status as sports like baseball and surfing once had.

    Under the GAISF, observer status allows new sport to grow its base while being guided by the federation toward the requirements of membership, such as receiving the required recognitions by National Olympic Committees, increasing their membership and becoming compliant with the regulations of the World Anti-Doping Agency.

    2016 Rio Olympics - Athletics - Final - Women's Pole Vault Final - Olympic Stadium - Rio de Janeiro, Brazil - 19/08/2016. Sandi Morris (USA) of USA competes.  REUTERS/Dylan Martinez  FOR EDITORIAL USE ONLY. NOT FOR SALE FOR MARKETING OR ADVERTISING CAMPAIGNS.   - RIOEC8K06HWSQ
    2016 Rio Olympics - Athletics - Final - Women's Pole Vault Final - Olympic Stadium - Rio de Janeiro, Brazil - 19/08/2016. Sandi Morris (USA) of USA competes. REUTERS/Dylan Martinez FOR EDITORIAL USE ONLY. NOT FOR SALE FOR MARKETING OR ADVERTISING CAMPAIGNS. - RIOEC8K06HWSQ

    And for aspiring poker Olympians, don’t worry, cigarettes and watered-down cocktails are so far not on the list of banned “performance-enhancing drugs.”

    So now that they’ve taken the first steps toward Olympic gold, when – or, more importantly, will – these sports make their debuts in the Olympics?

    Before anything else happens, the sport needs to be practiced by men in 75 countries on four continents and by women in 40 countries on three continents be considered for the Olympics.

    So the men’s division of pole dancing – surely equality demands that there be a men’s division – may run into some issues there.

    Besides these stipulations, poker may face the same challenge imposed on chess by the International Olympic Committee with its ban on purely “mind sports.”

    And even if dodgeball, foot golf, kettleball lifting, table soccer and arm wrestling can pass these tests, the IOC has worked in recent years to manage the scope of the games by only permitting new sports to join when others are discontinued. Meaning that these athletes might have to wait for sports like curling and table tennis to go the way of tug-of-war and water skiing. 

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