Deaths, Lies and The NHS: Shocking New Healthcare Scandals Emerge in UK

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Deaths, lies and the NHS: Shocking new healthcare scandals emerge in UK

 

A British health manager warned the boss of the NHS four years ago that his hospital was a threat to patients’ safety. A nationwide investigation into avoidable hospital deaths has found that such warnings from doctors were often silenced or ignored.

Gary Walker, the former chief of United Lincolnshire Hospitals Trust, was silenced in 2010 under a £500,000 ‘super gag’ agreement; he is now risking legal action by the NHS by speaking out. Walker reportedly received the payment last year; his former employer now faces a major investigation over its unusually high death rates, in the midst of the Stafford inquiry fallout.

Walker said that the chief of the NHS chief was “not interested in patient safety,” and called on him to resign to end the“culture of fear” he had created in the NHS, Britain’s Daily Mail reported.

Walker spoke to the BBC in an exclusive interview for its ‘Today’ show on Radio 4, in which he explained that his hands had been tied: “I was in danger of losing my house – I have children to support. And one thing you must remember that if you’re attacking the very top of the NHS the sanctions are pretty dramatic.”

On Tuesday, shortly after learning of his plans to appear on national radio, the NHS wrote a letter to Walker reminding that, “If you have provided an interview or should this interview proceed you will be in clear breach of the agreement and as a result the Trust would be entitled to recover from you the payments made under the agreement.”

The letter reiterated that he was legally obliged not to inform anyone, besides family, of the terms of the gag agreement. The letter was released by the Lincolnshire Independents, a minor British political party, alongside other correspondences. The party said it was “shocked at the documents we have uncovered.”

Walker was fired in 2010, allegedly for using profanity during meetings. He and his supporters claimed that he was forced out for whistleblowing.

Leaked Letters reveal systemic neglect

New leaked letters have shown that doctor concerns over the Lincolnshire hospital were constantly ignored, despite that medical staff often challenged management about policies that threatened patient safety. The number of ‘excess’ deaths at Lincolnshire Hospital stood at 677 between 2009 and 2012, according to David Bowles, the former chair of United Lincolnshire Hospitals Trust. Bowles said he quit over such dangerous target-setting.

In one letter, a doctor described a complex 10-hour medical procedure as a “major operation with major risks attached.” The patient’s operation was then postponed, because there were no Intensive Care Unit beds available at Lincolnshire Hospital in central England.

Another letter outlined the serious threat to the public caused by excessive targets, as well as intimidation from above:“I must make you aware of my concerns about the balance between patient safety and targets and inform you that in my view the current bullish and sometimes ruthless pressure from above on the management team in my Directorate is unfair and unacceptable,” a clinical director told Paul Richardson, NHS Trust Chair of United Lincolnshire Hospitals.

One more anonymous doctor begins, “I am writing in the immediate aftermath of today’s tragic death of an otherwise well patient,” adding that ward staffing levels were inadequate for postoperative care, and that the “enormous pressure” exerted by target requirements resulted in ad-hoc arrangements for short notice surgery.

Lincolnshire Hospital is one of nine others that over the last week were slated to be investigated for unusually high death rates in the wake of the Stafford inquiry results. The Stafford inquiry was part of a long-term investigation into the hospital’s filthy wards, unnecessary deaths and understaffing.

Stafford Inquiry

The revelation comes shortly after inquiries into some 1,000 ‘avoidable’ UK hospital deaths in Stafford, central England, which concluded earlier this month that “corporate self-interest and cost-control” were to blame for the wider-scale NHS problems that allowed the deaths to happen.

Inquiry head Robert Francis, QC, urged for greater protection for NHS whistleblowers, as it emerged that many who try to speak out against hospital management are silenced. Many complaints were voiced about standards of patient care at the central England hospital, but they either went ignored or were given no adequate response, despite approximately 1,000 deaths.

Harrowing accounts of poor standards of care and hygiene and patients dying in undignified circumstances plagued the institution; further reports emerged of patient neglect and the failure to supply basic provisions.

One patient’s relative reported that health and safety rules prevented drinks from being left out at night, leading thirsty patients to drink water out of a flower vase. Relatives of two other patients reported that their family members had been dropped.  

Others fell victim to deadly infections rampant in the filthy wards, such as the superbugs C. dificile and MRSA. One relative said that her mother was so badly infected with C. dificile that she had to be buried in a sealed body bag.

Whistleblowers silenced

There have been serious attempts to discredit, bully, or fire NHS whistleblowers, which resulted in a media scandal last August.

Kay Sheldon, a board member of a UK healthcare watchdog, raised concerns that poor leadership and performance were a threat to public safety. She was diagnosed as possibly suffering from schizophrenia by an external assessor in a clear attempt to discredit her.

Many whistleblowers fear reprisal, as it there is a high possibility that they could be fired by those they raise concerns about. And in September, Labour MP Katy Clarke pointed out that lawyers representing the NHS were all too often silenced using gagging clauses when settling employment cases.

“I warned [David Nicholson, NHS boss] that Lincolnshire was going to become the next Mid Staffordshire. He didn’t investigate those concerns, and now look what’s happened,” Walker said.

“We cannot allow the disgraceful culture highlighted in the Mid-Staffordshire report to put Lincolnshire patients at risk,”said Chris Brewis, an independent politician on the Health Scrutiny Committee at Lincolnshire County Council.

The NHS and the government do not seem able to “learn from the old inquires that have been from 30 years ago”, David Lawrence from the London National Health Action Party told RT.

“The problem is that we don’t know yet how to avoid these [incidents] in the future and the government doesn’t know,”Lawrence added. “And that has got to be one of the main focuses of all our efforts – people who work in the NHS and all of us in the community to find out how to prevent the sorts of things going on. The pressures on the NHS have always been there. And I think over the last 20 years it got worse.”

http://rt.com/news/hospital-cover-up-uk-190/

Some Facts About Women’s Mental Health (P 5)

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Social factors that support women’s mental health

Women are encouraged to become competent at relationships, and as a result are better than men at seeking help and dealing with the causes of their distress. They also tend to be better able to give and receive help from each other.  Women who have strong family support, autonomy, and access to material resources that allow choice are better protected against developing mental health problems. 

Physical and mental health interactions

Physical and mental ill-health are linked in both men and women. People with chronic physical illnesses are at greater risk of developing mental health problems, particularly depression, while those with mental health problems are also more likely to have physical illnesses, such as heart or respiratory problems. 

MEDICALLY UNEXPLAINED SYMPTOMS

A range of physical problems are considered by doctors to be the physical manifestation of mental health problems, otherwise known as ‘conversion symptoms’ or ‘somatisation’. These include irritable bowel syndrome, fibromyalgia, and chronic pelvic pain. Studies show that medically unexplained symptoms such as these are two to three times more likely in women than in men.  Research shows that a high proportion of people with such problems have experienced trauma, abuse or violence.

UNRECOGNISED PHYSICAL ILL-HEALTH

An equally serious problem for women in mental distress is the lack of recognition for physical illnesses, because symptoms of physical illness may be wrongly seen as ‘imagined’ or psychosomatic. Research suggests that women with mental health problems are more likely than other groups to have physical complaints disregarded, and requests for services denied. Studies have found that women with mental health problems have significantly more undetected medical problems than men, and that women with bipolar disorder (manic depression) are three times more likely than men to have undiagnosed medical problems.

Treatment and services

Department of Health guidance on mainstreaming women’s mental health has pointed out that women ultimately want services to adopt a ‘whole person’ approach to their care, treatment and rehabilitation, to value their strengths and abilities, and to recognise their potential for recovery, in the context of holistic assessment and care planning.  Many areas of women’s mental health are now also covered by guidance from the National Institute for Health and Clinical Excellence (NICE).

ANXIETY AND DEPRESSION

Too often, a diagnosis of anxiety or depression leads to medication as the first or only treatment option. Women with these issues have repeatedly asked for better access to talking therapies, and for opportunities to learn new skills and coping strategies. These preferences are reflected in current NICE guidelines for the treatment of both anxiety and depression, which state that talking therapies are the most likely treatment to produce lasting benefits, especially when combined with other forms of social support and self-help. Government investment in the Improving Access To Psychological Therapies programme has increased the availability of short-term therapies such as cognitive behaviour therapy (CBT) via primary care. Pilot programmes show that over 60 per cent of those accessing this CBT are women, and that the intervention shows some positive results in reducing levels of depression and anxiety.

EATING DISORDERS

Talking treatments, including family therapy and CBT, are widely advised for women with eating disorders. NICE guidance on treatment for anorexia advises structured and symptom-focused inpatient admission as a last resort, with psychological treatment rather than behaviour modification. However, a lack of specialist eating disorder services across large areas of England and Wales means that local services often fall short of national standards.

SELF-HARM

For women who self-harm, NICE recommends full assessment of physical, psychological and social needs, by a professional with suitable training and in an atmosphere of respect and understanding. Treatment choices should include counselling and therapy. Women who have self-harmed severely should be referred to psychiatric services for further assessment, treatment and support, or taken into hospital in an emergency.

A study by an Asian Women’s group reported that a wide range of services is now on offer for young people across the UK, but there is still a need to evaluate which approaches really work, so that they can be widely adopted. Young women want a variety of options, including support for self-help techniques such as distraction – which includes a wide range of activities, from watching TV to gardening or flying a kite.

BORDERLINE PERSONALITY DISORDER

For women diagnosed with BPD, NICE recommends that a clearly structured, comprehensive multidisciplinary care plan that includes short- and long-term goals is agreed with the client. The care plan should include psychological treatments of at least three months’ duration, and plans to manage crises. No medications are specifically recommended for BPD. NICE and other agencies recommend a range of treatment options, including structured talking treatments, and medication for specific symptoms, such as transient psychotic episodes.

PERINATAL DISORDERS

Women clearly benefit from support before and after childbirth. One study shows that counselling for women who are depressed when pregnant may help to prevent problems for the family after the baby is born.  Other studies show that health visitors can provide valued listening and support to new mothers, and that individual, group and family support and counselling can help mothers to cope with postnatal depression and parenting problems. 

NICE has produced guidance on perinatal (ante- and postnatal) mental health, which recommends that health professionals look out for those most at risk of developing a mental disorder, and ask questions to detect problems, such as depression, as early as possible. This ensures that psychological treatment can begin as early as possible if needed, within one month of initial assessment, and no longer than three months afterwards.

NICE guidance recommends that clinical networks are developed in each region to ensure that services for mothers and infants are better coordinated, and that help is available quickly when needed.

TREATMENT FOR WOMEN DIAGNOSED WITH SEVERE MENTAL ILLNESSES SUCH AS SCHIZOPHRENIA

Experts have argued that gender-aware treatment for women with diagnoses such as schizophrenia should mean doctors taking more account of women’s practical and emotional needs and their social roles as partners, mothers, and professionals or employees. Women may need therapy and support focused on maintaining or re-establishing their roles, and perhaps will do better if they can receive help that does not separate them from their children, but helps them to cope better with parenting.

WOMEN WHO HAVE EXPERIENCED ABUSE OR VIOLENCE

Guidance has been developed to help health professionals work with women who may be experiencing mental disorders as a result of abuse, violence or trauma. The first step is to ask questions to find out about these experiences. Some studies show that, despite guidance, many staff do not do this well, perhaps because of a lack of training and experience.

The World Psychiatric Association recommends that women who have been sexually abused and those who have strong preferences for female healthcare staff should be accommodated whenever possible, and emphasises that the evaluation of mental health problems in women must consider the full context of their lives, as distress often has social origins. Diagnoses should not be stigmatising, and the role of violence and discrimination in the genesis of mental health problems in women requires special consideration.

SERVICES FOR WOMEN IN PRISON OR SECURE HOSPITALS

Women in prison who have mental disorders are rarely transferred to a hospital, but are treated by the NHS within the prison. Substance abuse is treated separately by Counselling, Assessment, Referral, Advice and Throughcare (CARAT). Offending behaviour is treated with CBT.

Treatment for women in secure psychiatric hospitals has been reformed by bringing all women in high secure units to Rampton, which provides a more specialised service. A new service development, Women’s Enhanced Medium Secure Services (WEMSS) aims to provide more local services, offering skilled nursing and psychological therapies, not just incarceration.

General issues relating to medication

SIDE EFFECTS AND INTERACTIONS

Side effects of psychiatric medication that women in particular may find distressing include weight gain and hair loss. In addition, medications can interact with each other in problematic ways, for instance, some medications interact with the oral contraceptive pill.

MOTHERHOOD AND MEDICATION

While medication for antenatal and postnatal depression is an option, NICE guidance  says that the risks of anti-depressant medication to the unborn child, or the infant through breast milk, should be explained, and talking treatments and self-help options should be explored.

The issue of medication is particularly important for women with schizophrenia or bipolar disorder who are mothers or who want to become mothers. Healthcare professionals need to work sensitively with women who are already on medication about whether or not it is safe and advisable to take a break from medication, taking into account the additional stresses of pregnancy and parenting, and the amount of support available. If this is considered possible, then experts advise tapering off the dose of medication in order to avoid the risk of damage to the developing foetus.

SAFETY ISSUES FOR WOMEN IN PSYCHIATRIC HOSPITALS

Sexual safety includes freedom from sexual harassment, exploitation, aggression and violence. Women are entitled to feel safe from physical harm or sexual harassment when in a mental health unit; there can be particular issues for women who have experienced sexual abuse or rape.

Separate sleeping, toilets and bathing accommodation for women in mental health units has been policy since 2000, and, according to the National Patient Safety Agency (NPSA), mental health units should be reconfigured to provide either a self-contained, women-only ward or solely single sex wards. Many, though not all, have done this. However, physical and sexual safety for women in mental health units is an ongoing issue, and the NPSA recommends better use of existing guidance and more training for staff to recognise and report incidents such as sexual harassment, taking into account the physical and psychological harm caused. 

Improving mental health policy and practice for women

Since the Department of HealthHealth’s report on women’s mental health, policies to improve treatment of women have become part of mainstream work. A number of NHS trusts have developed mental health strategies for women, and, in the light of gender equality duty, many are now further updating and reviewing their policies.

Current priority areas for improvement according to a recent national report are:

• health and wellbeing
• supporting women in their roles as mothers, carers, employees and students
• safety and freedom from threat of abuse or violence
• justice and fairness for women who come into contact with the criminal justice system
• women’s participation, particularly empowering women from BME communities.

Many of the initiatives to improve services for women still have a long way to go, however. Women have been calling for more support for self-help and alternatives to medicalised treatments for many years, but in most cases these alternatives are not well supported financially, and are usually left to the voluntary sector to provide, and therefore not universally available.

Voluntary sector support

The voluntary sector provides many support services for women beyond what is available through statutory services, including information, advice and support and/or counselling, as well as drop-in facilities, befriending and advocacy. 

Some groups and organisations operating at local and national levels across the UK focus on the needs of women from particular BME groups. Many of these organisations are staffed by women who share the culture of their service users. Such groups can be useful for social opportunities or for specific services such as information, advice or counselling.

A range of organisations focusing on the needs of lesbians and bisexual women also operate locally and nationally. Most are run by lesbian, gay or bisexual people, and can provide social opportunities or specific services, such as information, advice and counselling. Counsellors or therapists who identify as lesbian or bisexual, or who work for organisations that are positive about LGB issues, can also be found via local organisations and internet as well.

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Some Facts About Women’s Mental Health (P 4)

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Social factors that affect women’s mental health;

Far more women than men use primary care services for mental health problems, and one reason suggested is that women are more likely to report symptoms of common mental health problems. Rates of undiagnosed depression could be equally high in men, but evidence suggests that men are less likely to talk about their problems or consult a doctor about their mental health. By contrast, women are more likely to acknowledge their mental distress and to seek help.

Economic issues

Some mental disorders, such as depression, are more common among those living in poverty. Women are more likely to be poor because their jobs are likely to be lower paid, they are more likely to work part-time, to take time out of the labour market to bring up children, to be lone parents, and, because of their different working history, likely to receive a lower pension. This goes a long way to explain why rates of depression are higher in women.

Trauma, violence and abuse in childhood or adulthood

Gender-based violence is strongly linked with mental health issues, including depression, anxiety and stress-related syndromes, substance misuse and suicide.

Up to 13 per cent of children experience sexual abuse, physical abuse, neglect, or disruption such as being in care, with slightly higher figures for girls than boys. One in four adult women experience IPV (domestic violence). IPV is defined as any incident of threatening behaviour, violence or abuse (psychological, physical, sexual, financial or emotional) between adults who are (or who have been) intimate partners or family members, regardless of gender or sexuality. This includes so-called ‘honour killings’ that are of concern in black and minority ethnic (BME) communities. 

Women are much more likely than men to experience repeated and severe forms of IPV, although this is not always evident in statistical summaries such as Home Office studies, which may focus on single incidents rather than on repeated abuse. Women are also more likely to experience sexual abuse and violence, and their experience is more likely to have a long-lasting psychological/emotional impact or result in injury or death.  In some cases, mental illness, such as schizophrenia, can increase the risk of IPV. 

Experience of IPV can lead to feelings of guilt and shame, anxiety, depression, low self-esteem, lack of confidence, vulnerability to abusive relationships, inability to trust people, anger, sexual difficulties and self-hate. Women can also experience physical symptoms related to abuse, such as abdominal pain, insomnia and headaches. Further, these problems can lead to the diagnosis of a wide range of mental disorders, including PTSD, BPD, self-harm, suicide (or suicide attempts), multiple personality disorder, mania, bulimia, eating disorders and substance abuse. 

Family and social roles

For some women, family life may contribute to mental distress. Many women have primary or sole care of children, and women are more likely than men to take on caring responsibilities (e.g. for older family members). Women also tend to work in part-time jobs, and are over-represented in low paid occupations and sectors such as teaching and care work. The low social status traditionally associated with domestic and caring work can damage feelings of self-worth, while the stresses of overwork, extensive responsibilities and feeling undervalued can damage women’s mental health. While the extent of gender-based disadvantages varies according to social class and ethnicity, it has been argued that women bear the brunt of reconciling paid work with family life.

Women who are mothers, or who want to have children, can experience particular barriers to the use of mental health services. They may avoid disclosing their problems for fear of losing custody of their children, leave hospital sooner than they otherwise would, in order to look after children, or find themselves unable to use services because of childcare commitments.

Younger women

Childhood and adolescent mental health difficulties are strongly correlated with mental health problems in adulthood.  Problems that are more likely to be diagnosed in women than men, such as eating disorders, BPD and self-harm, often start in teenage years or early adulthood.

Teenage girls and young women are at high risk for traumatic experiences such as sexual abuse, rape and domestic violence. As discussed above (‘Trauma, violence and abuse in childhood or adulthood’), girls who experience sexual or physical abuse are more likely to develop mental health problems later in life.

Older women

 

Issues around old age are particularly relevant to women’s mental health.

• Because of their longer life expectancy, women make up the larger part of this demographic group. Among all older people, women are more likely than men to be diagnosed with a mental health problem. 
• Higher rates of mental ill-health have been associated with the greater social and personal pressures that women often face in later life: isolation and poverty are more common in older women than in older men.
• Older women are less likely to have a company or personal pension, and are more likely to be reliant on state pensions.
• Older women are less likely to be drivers or to have access to a car.
• Bereavement, chronic physical illness and institutional care are also likely to impact upon older women’s mental health. 

However, the higher rates of diagnosed mental health problems in older women may partly reflect the fact that women are, in general, more likely than men to acknowledge their distress and seek appropriate help.

Women in prison and secure psychiatric services

Women in prison often have complex problems. A high proportion have had adverse childhood experiences, problems at school and poor employment records. Rates of mental disorder and substance abuse are high, and being in prison can increase women’s problems, as they may be separated from their children and social networks, and they may be victimised. Women in prison experience higher rates of mental disorder than women in the community or men in prison, and rates are higher still for remand prisoners. Rates of self-harm and suicide are high among women in prison. 

Women in secure psychiatric hospitals are in a minority, but women are proportionately more likely than men to be sent to such hospitals for criminal behaviour, or transferred from another hospital because of a behavioural disorder. They have had similar adverse experiences growing up to women in prison generally, though fewer are mothers. Self-harm and substance abuse are common among this group.

Women refugees and asylum seekers

Being a refugee or asylum seeker can be traumatic for both men and women, but particular experiences such as rape are more common among women. Women who are refugees or asylum seekers may arrive from traumatic situations to find themselves detained, which has been described as ‘retraumatisation’. They are physically examined, but are rarely asked if they are victims of torture; even if they are asked and the response is ‘yes’, often nothing is done.

Women in detention centres are almost inevitably depressed, having fled from their home countries, and having often been persecuted, tortured or raped, and are in fear of being deported back to the countries they have fled. 

Race, ethnicity and mental health

Women from BME groups in the UK may experience the dual impact of gender inequality within their family or community setting, and alienation from mental health services. The high levels of suicide and self-harm among young south Asian women are indications of this. 

Specific groups of BME women are heavily represented in psychiatric diagnoses and service use; Pakistani and Bangladeshi women have higher rates of depression than both their male counterparts and White British women. Higher rates of psychosis (including bipolar disorder and schizophrenia) are diagnosed among Black Caribbean women than among women from other groups. It is argued that this may be partly because racism within society is reflected by racial stereotyping within mental health services. Many mental health service users from BME groups are also living in poverty, which is an important social factor in mental distress. 

Sexuality

Lesbian and bisexual women tend to have higher rates of suicide, attempted suicide and suicidal thoughts, depression, anxiety and substance use disorders than heterosexual women.  Such mental health issue may of course be unconnected with their sexuality, but there is evidence that social hostility, stigma and discrimination are contributing factors.

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Use It Or Abuse It

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Assalamualykum to my dear readers with beautiful minds. Giving a thought to couple of recent events.

Having a great experience with human as we found lot of corrupt minds with a heart which is fake or been replaced by a Heart Surgeon, I think. As now a days Pigs heart seems to do the work very successfully. God bless the educated butchers. Why human lie so much to cover their arses. I will need a to put one post for this as well.

We see the human talk about spirituality they talk about relationships, finding themselves in a dilemma of chaos. When I use to write method statements for construction, we generally are very precise and to the point. Sometimes we to find discrepancy in the statements I must admit. But I guess I fail to understand why create a circle of liers or manipulative kind of people. I, myself always having a clear thought with a positive atitude experienced that you can see very clearly that he or she is Lying. But sometimes it makes me laugh when the other person thinks how clever I’m lolz. As I allow it to happen that’s why. I can stop it when ever I like either right at the start or carry on for a while and say that’s enough and say no more please. Sometimes when you listen to their rubbish and you think WTF and (just wanna say shutup, and say don’t pretend what you are not please be your self), most likely the behavior is very strange.

Also the disturbing behavior I discovered that they always described themselves or presant as victims. I call this a sickness of hearts. I’m not claiming to be the expert on the human behavior as I’m still learning and may learn always through different experiences. After all life is a big lesson with various chapters.

Once I did send my password to a guy by mistake which I didn’t even knew and that gentleman politely advise me to change it and shouldn’t do with others as it may misused. I admire that gentleman and see him as a good friend. And I do admit that there are good people in this world, no doubt but rare.

Life is too short to waste with well disturbed mentally individuals artist or drama actors. I pray for those individuals to get well soon. 🙂

The problem is within us, we have a tendency to keep our problems to ourselves. So how can our loved ones help us if they don’t know we need help? They may think you WANT to be alone. But the truth is we are loved. Perhaps, we just need to communicate better.

If we have a past with which we feel dissatisfied, then forget it, now.
Its helpful imagining a good positive thought or perhaps a (story) for our lives and believing in it. We should focus only on the moments or (time) when we achieved what we desired, and that strength will help us to get what we actually want.

Zahir 🙂
♥ ♥ ♥

(P.S. Using my blackberry for posting today as I’m offshore and left my laptop on shore.)

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Some Facts About Women’s Mental Health (P 3)

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Continuation from the Post ;

Some Facts About Women’s Mental Health  to  (P 3)

Diagnoses Related To Reproductive Functions

 

Hormonal and reproductive changes can contribute to some mental health problems, and some diagnoses that women receive relate to aspects of their reproductive functions, including menstruation, pregnancy and childbirth, and menopause.

 

PREMENSTRUAL SYNDROME

Premenstrual hormonal changes have been linked to problems that can range from mild feelings of depression or irritation to, very rarely, premenstrual dysphoric disorder, characterised by anxiety, depression, insomnia, food cravings and feelings of being out of control. 

 

 

 

PERINATAL MENTAL DISORDERS

Women are particularly vulnerable to mental health problems in the time just before and after childbirth – the perinatal period. The main types of mental health problem that arise are:

• depression in pregnancy
• postnatal blues
• postnatal depression
• puerperal psychosis.

While pregnancy is widely believed to reduce depression, some studies have found that depression in pregnancy is more widespread than expected, especially in the third trimester. 

‘Postnatal blues’ is a normal emotional change that occurs in up to 50 per cent of women after childbirth,  and is thought to be linked to rapid changes in hormones. It is usually brief, although it is advised that women are monitored to ensure that this is not the start of postnatal depression.

Postnatal depression and puerperal psychosis are no different from depression or psychosis experienced at any other time. Some experts believe that giving birth acts as a major stress factor that can trigger the onset of these disorders in women who are predisposed to them. Postnatal depression can begin in the weeks following childbirth, or up to a year afterwards. The woman may feel low in mood and energy, worried about her child, and unable to sleep, or even have thoughts about abandoning or harming her child. 

While 13–15 per cent of women experience postnatal depression, puerperal psychosis is much rarer, affecting only about 1 in 1000. It is a serious mental illness that can develop in a woman who has recently given birth, usually with no obvious cause. The baby may be healthy and wanted, and the birth is not unusually complicated.  (See Mind’s booklet Understanding postnatal depression.)

For women who already have mental disorders, such as schizophrenia or bipolar disorder, pregnancy can bring additional stress. Some women with bipolar disorder may experience a worsening of their symptoms during pregnancy and after the birth. 

Further information on treatment and services for perinatal disorders is given later in this fact sheet.

 

Diagnoses Women Receive Less Frequently

 

SCHIZOPHRENIA AND BIPOLAR DISORDER

 

While there are no marked differences in the incidence of schizophrenia between the sexes, women tend to be older than men by three to six years when first diagnosed, often in their late 20s, and there is a further peak of onset in women after 45 years of age. There are also differences in the types of symptoms women experience and in rates of recovery. Researchers therefore recommend a gender-sensitive approach to the diagnosis and management of schizophrenia. 

The type of bipolar disorder experienced by women is usually characterised by mild ‘hypomanic’ episodes, but with a greater burden of depression; researchers also recommend a gender-sensitive approach.

 

 

SUBSTANCE DEPENDENCE

 

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Substance (drug and alcohol) dependence is more common in men but the experience of substance dependence is often different for women. Traditionally, a greater social stigma is attached to women who are dependent on illegal drugs or alcohol, which can lead them to hide their problems, and choose not to access health or social care services. Women who are lone parents are particularly likely to hide their problems through fear that they may lose custody of their children. In these situations, substance dependence and co-existing mental health problems are likely to become more severe over time, with serious consequences for a woman’s health and well being. 

Women are more likely than men to become dependent on prescription medication, including antidepressants and tranquillisers (for anxiety or use as sleeping pills). This is partly because women are more frequently diagnosed with anxiety and depression and given medication to treat these conditions.

 

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Clean Heart

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Clean heart
Clean and sharp
Clean dream
Bad start

He loved his brother and his sister
Luke and Tony called him “Mister”
They made him feel much more like a man
He loved his daddy though he never told him
And how he loved his mama
He loved, he loved her like, like an Italian

Little Janet said you look so fine, so fine
Something in his smile
Made them feel like strangers
And then he straightened his belt
With a lover’s touch
And he said I’m gonna bring home
The things that are out of your clutch

Seemed like the hottest night in summer
A heat that makes you feel like dying
Somewhere in the next block
There was a baby crying
Finger on the trigger for the years to come

Finger on the trigger for the years to come

And as the moon slid up
Over the restless streets
Sirens mocking and people stop to see
Oh, their greedy eyes don’t realize
He’s someone’s son
Finger on the trigger for the years to come

Finger on the trigger for the years to come

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Open For True Divine Love

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Allah, Arts, Beauty, Christians, Death, Divine Love, English Poetry, Gautama Buddha, God, Happiness, Hate, Health, Heart, Hindus, Human, Husband, Islam, Jews, Life, Lord, Love, Love of God, Lovers, Man, Marriage, Maulana, Men, Online Writing, Open For True Divine Love, Peace, Poetry, Quotes, Recomendations, Relationship, RELATIONSHIPS, Romance, Sufi's, Sufism, Uncategorized, Wife, Wisdom, Woman, Women, World, Youth

You can tell everyone how much you Love them,

but can u put action to those words for yourself?

Can u be with your own darkness,

sadness & pain & still source Love for you?

Can u Thank yourself for making it this far?

Can u Forgive yourself for all that needs to be Forgiven?

Can u honor yourself with the deepest truest Love

and therefore be trust worthy to u and

Open for true

Divine Love with another.

Demedim Mi

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Beautiful lover, haven’t I told you*

You can’t suffer our grief
This is a morsel of acceptance
Haven’t I told you, you can’t swallow it

These who don’t eat remain irreparable

Spread blood out from their eyes
This is a phase, it comes and passes by
Haven’t I told you, you can’t hear (sense) it

Haven’t I told you, haven’t I told you
My heart, haven’t I said to you?
This is a phase, comes and passes by
Haven’t I told you, you can’t hear (sense) it

Look at the state of that love*
It doesn’t hesitate to say whatever comes up in its mind
Haven’t I told you, you can’t commit your life
To the way of the truth

Haven’t I told you, haven’t I told you
My heart, haven’t I said to you
Haven’t I told you, you can’t commit your life
To the way of the truth

Lovers are desolated ones*
(Dervishes are desolated ones)*
Find the honor at the stair of the truth
Friendly conversation is sweeter than honey
Haven’t I told you, you can’t get enough of it

Haven’t I told you, haven’t I told you
My heart, haven’t I said to you
Friendly conversation is sweeter than honey
Haven’t I told you, you can’t get enough of it

Let’s turn ourself to Ali‘s body*
(Let’s comprehend the secret of Ali)*
(Let’s go to surrender ourself to Mansur’s hands)*
Let’s appear the arena
*

Haven’t I told you, haven’t I told you
My heart, haven’t I said to you

I’m Pir Sultan and say “our shah”*
Our soul reach the truth
Twelve leaders are our sovereigns*
Haven’t I told you, you can’t conform to

Haven’t I told you, haven’t I told you
My heart, haven’t I said to you
Twelve leaders are our sovereigns
Haven’t I told you, you can’t conform to

,,,

…

,,,

,,,

Kam Miyaaramet

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Allah, Anger, Arts, Arts and Entertainment, Beauty, Business, Cry, Current Issues, Death, Emotion, English Poetry, God, Happiness, Hate, Health, Heart, Husband, Infant and Toddlers, Kam Miyaaramet, Life, Lord, Love, LOVE SONGS, Lovers, Man, Marriage, Mehrnoosh, Men, Music, Music Video, Music Videos, Persian, Poetry, Recomendations, Relationship, Sake, Songs, Sufi's, Tears, Uncategorized, Video, Videos, Wife, Woman, Women, World, Youth

 

 

Just when I write something about you and transfigure you into words, I’m feeling the sorrow like a heavy burden on my shoulders

Just when you blossom like a flower within my diary, (I’m feeling) the warmth of your lips once more … (I’m feeling) my cheeks once more*

Just when I promise myself for the last time to forget about you. I am being hurt once more … I am starting to believe that I can’t (forget about you)

For always, I miss you, I can’t stop shedding tears for the sake of you

For always, I miss you, I can’t stop shedding tears for the sake of you

The crying is my duty, Don’t waste your (precious) tears

You can’t find a word (for describing my emotional state), Don’t look for it just like that

The distances have been made just for me**, Don’t distance yourself from me

Stay with me for understanding that, I can’t keep myself from crying (just for you)

For always, I miss you, I can’t stop shedding tears for the sake of you

…

 

Enter Sandman

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Say your prayers little one
Don’t forget my son
To include everyone

I tuck you in, warm within
Keep you free from sin
‘Til the sandman he comes

Sleep with one eye open
Gripping your pillow tight

Exit light
Enter night
Take my hand
We’re off to never-never land

Something’s wrong, shut the light
Heavy thoughts tonight
And they aren’t of Snow White

Dreams of war, dreams of liars
Dreams of dragon’s fire
And of things that will bite, yeah

Sleep with one eye open
Gripping your pillow tight

Exit light
Enter night
Take my hand
We’re off to never-never land

Now I lay me down to sleep

Now I lay me down to sleep

Pray the lord my soul to keep

If I die before I wake
Pray the lord my soul to take

Hush little baby don’t say a word
And never mind that noise you heard
It’s just the beasts under your bed
In your closet in your head

Exit light
Enter night
Grain of sand

Exit light
Enter night
Take my hand
We’re off to never-never land

Boo! Yeah yeah!

We’re off to never-never land
Take my hand

We’re off to never-never land

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