Relationship Health Test

Relationship Health Test (For Couples With Kids)

Take a Relationship Health Test
⏱ 35-40 MINUTES

 

This relationship health test is designed to evaluate various aspects of interaction in a couple. Unlike other relationship/love tests, the one you are about to take is not based on value judgments about how a relationship is supposed to work. Some behavior patterns are generally unhealthy, either for the relationship or for the individuals involved. However, in other aspects, what works for one couple can be a disaster for another.

In this relationship health test, YOU are the reference point: your needs, your wishes, your point of view, your values and your beliefs. This test will help you identify areas that cause your relationship to stumble.

You might already be aware of some of the problems that will be pointed out (if any). Others, that you might not yet be conscious of, may be the source of frustration and anger that seems to come out of nowhere. In any case, you can use the results of this test as indicators of what areas in your relationship may benefit from some reflection and work.

Read every statement carefully and indicate which option applies best to you. There may be some questions describing situations that do not apply to you. In such cases, select the answer you would most likely choose if you ever found yourself in such circumstances.

After finishing this test you will receive a FREE snapshot report with a summary evaluation and graph. You will then have the option to purchase the full results for $6.95

 

 

 

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Assignment

Assignment

           Today assignment: set an alarm for two hours from now. Use your phone, a kitchen timer, whatever works. When the alarm goes off, do this:

 

  • Take five deep breaths. Visualize the stress of the last two hours leaving your body, and fresh energy for the next two hours entering your body.

  •  Look in a mirror. Say “I love you. You’re doing the best that you can.”

  • Take 30 seconds to say something nice to someone, either in person or via text or email.

  • Set your alarm for two more hours. Repeat.

Try it. Just for today.

Inflammation And Mental Illness

Inflammation: The New Way To Understand Mental Illness


Highlights of Research

 

  1. How we began to understand the link between immune response and mental illness
  2. High levels of inflammation and the links with Depression and Mental Illness
  3. New anti-inflammatory therapies & how to access them

 

A Nobel Prize winning discovery

            A curious discovery made in an Austrian asylum 136 years ago is making an impact today in shaping our understanding of depression and mental illness. The finding, made by the Austrian neuro-psychiatrist Julius Wagner-Jauregg, was so groundbreaking it earned Wagner-Jauregg a Nobel Prize.

           The story started in the winter of 1883, at the First Psychiatry Clinic of the Asylum of Lower Austria. Wagner-Jauregg was first starting his psychiatry position at the clinic and was tasked to look after a wide variety of mentally ill patients. He came across a woman with psychotic delusions who also suffered from a high fever induced by acute bacterial skin infection. As the fever subsided, the patient became coherent and was cured of her psychosis. This perplexing discovery stuck with Wagner-Jauregg, and he began his decades-long quest to replicate that observation. [1,2]

          During the late 19th century, syphilis was still a dangerous health threat in Europe. Neurosyphilis (or general paresis of the insane, GPI), marked by grand delusions, paralysis, and dementia, was the manifestation of the tertiary stage of syphilis. [1] For many patients, death was a welcomed escape from the horrible disease. Ironically, GPI would also be the disease that propelled Wagner-Jauregg to international fame.

         Since his encounter with the woman in the Austrian Asylum, he had been experimenting with different types of infection to induce fever but to no avail. It was until the end of World War I that Wagner-Jauregg had the serendipitous opportunity to inject a malaria-infected blood sample from a soldier into several patients with GPI. The malarial inoculations were proven to be successful. This treatment, known as malariotherapy thereafter, was then widely used around the world.

         In 1927, Wagner-Jauregg was awarded the Nobel Prize for his contribution in developing malariotherapy.

 

The missing link between fever and the remission of mental illness

Wagner-Jauregg’s work with malariotherapy had not only made him the first psychiatrist to be awarded a Nobel Prize, but it also broke the “therapeutic nihilism” surrounding psychosis, which he believed to have a natural cause. However, he admitted that he had no clear understanding of the underlying mechanism that made malariotherapy worked in his Nobel Lecture. [4]

           Nonetheless, his work had produced an important nuance in understanding GPI – that there was a specific, organic root rather than universal, non-specific cause. In other words, induced fever was a targeted therapy for an illness caused by an anomaly or anomalies in the brain. In his concluding remarks during the Nobel Lecture, he said: “…… malaria besides a non-specific action against the syphilitic infection, also exerts a specific elective action on the cerebral process of progressive paralysis, including advanced infection of the cerebro-spinal fluid.” [4]

           It was not until the past decade that scientists began to understand the role of inflammation in mental illnesses such as depression. In a recently published study, scientists found as many as 90 genes over-expressed in individuals with major depressive disorders that were associated with the body’s immune response towards infection. [5]

         Additionally, there was some evidence that suggested physiological changes in response to depression. Inflammatory molecules such as interleukin-6 (IL-6), tumour necrosis factor (TNF)-alpha and interleukin 1-beta (IL-1β) could cross the blood-brain barrier to enter the brain and disrupt the functions of neurotransmitters such as serotonin. [6] It was previously thought that the blood-brain barrier was impenetrable to inflammatory molecules and, therefore, could not significantly influence any functions of the brain.

          Such a discovery had shifted the paradigm of our understanding of depression pathogenesis and opened new possibilities for novel treatment avenues.

The interleukin-6 molecule, a prominent pro-inflammatory protein that could unlock a new treatment of depression.

           The effect of inflammation on depression was particularly prominent in patients who were given interferon-alpha treatment for cancer. Interferons are a group of naturally-occurring proteins that are secreted by the immune system. Interferon-alpha has been shown to elicit inflammatory responses in the body and was intimately linked to depressive symptoms in patients who received infusions of the medicine.

           In the late 1990s, physicians began to realise that anxiety and depressed mood that arose from interferon-alpha treatment could not be entirely attributed to toxicity but could due to a more complex pathophysiological mechanism. It was also postulated that by reducing inflammation through alternations of the immune system, depression symptoms could be alleviated or, at least, reduced. [2]

Stimulation of the vagus nerve

 

       The cumulative evidence from these studies has strongly supported the hypothesis that reducing inflammation is beneficial for depression. As the production of pro-inflammatory signals is largely controlled by the central nervous system, much attention has been given to the role of the vagus nerve in regulating the inflammatory response.

         Simulations of the vagus nerve had shown to reduce pro-inflammatory cytokines such as IL-6, TNF-alpha, high mobility group box 1 (HMGB1) and macrophage migration inhibitory factor (MIF), which were closely linked to the relief of depression symptoms. [7] Acetylcholine, a major neurotransmitter of the vagus nerve, also demonstrated promising results in suppressing pro-inflammatory cytokines including IL-1β and IL-18. [8]

         It is also important to note that both the invasive (surgical) vagus nerve stimulation and the safer, transcutaneous alternative have shown a similar capability to suppress pro-inflammatory cytokines. Thus, these treatments could provide a viable treatment option to patients especially those who are non-responsive to standard antidepressant treatment due to high levels of inflammation. [9]

 


Conclusion

From Wagner-Jauregg’s malariotherapy to today’s vagus nerve stimulation, the medical community has gained substantial insights into the instrumental role of inflammation in depression. These discoveries have helped us to better manage depression and could possibly lead to safer more effective treatments and benefit to those who are not responding to traditional therapy which doesn’t address inflammation.

 

Reference:

1       Tsay CJ. Julius Wagner-Jauregg and the legacy of malarial therapy for the treatment of general paresis of the insane. Yale J Biol Med 2013;86:245–54.

2         Wetsman N. Inflammatory illness: Why the next wave of antidepressants may target the immune system. Nat Med2017;23:1009–11. doi:10.1038/nm0917-1009

3  Nobelprize.org. Julius Wagner-Jauregg – Biographical. Nobel Media AB. 2019.https://www.nobelprize.org/prizes/medicine/1927/wagner-jauregg/biographical/ (accessed 3 Mar 2019).

4  NobelPrize.org. Julius Wagner-Jauregg – Nobel Lecture. Nobel Media AB. 2019.https://www.nobelprize.org/prizes/medicine/1927/wagner-

jauregg/lecture/ (accessed 7 Mar 2019).

5         Leday GGR, Vértes PE, Richardson S, et al. Replicable and Coupled Changes in Innate and Adaptive Immune Gene Expression in Two Case-Control Studies of Blood Microarrays in Major Depressive Disorder. Biol Psychiatry 2018;83:70–80. doi:10.1016/j.biopsych.2017.01.021

6         Zhu C-B, Blakely RD, Hewlett WA. The Proinflammatory Cytokines Interleukin-1beta and Tumor Necrosis Factor-Alpha Activate Serotonin Transporters. NeuropsychopharmacologyPublished Online First: 1 February 2006. doi:10.1038/sj.npp.1301029

7         Das UN. Vagus Nerve Stimulation, Depression and Inflammation. Neuropsychopharmacology2007;32:2053–4. doi:10.1038/sj.npp.1301286

8         Borovikova L V., Ivanova S, Zhang M, et al. Vagus nerve stimulation attenuates the systemic inflammatory response to endotoxin. Nature2000;405:458–62. doi:10.1038/35013070

9         Cattaneo A, Ferrari C, Uher R, et al.Absolute Measurements of Macrophage Migration Inhibitory Factor and Interleukin-1-β mRNA Levels Accurately Predict Treatment Response in Depressed Patients. Int J Neuropsychopharmacol 2016;e. 19 pyw045. doi:10.1093/ijnp/pyw045

 

 

 

 

Diet And Weight Loss Test

Diet And Weight Loss Test

Take a Diet And Weight Loss Test
🧭 60 MINUTES

 

           Why do so many people struggle to lose weight? How is that after cutting calories, working out, and throwing away the junk food, many people gain whatever weight they’ve lost, back…and then some?

The answer may lie in their psychological profile. This test will assess your aptitude for weight loss based on your thinking and behavioral habits and emotional health, and whether issues in these areas could be sabotaging your weight loss efforts.

Read each statement carefully, and indicate the degree to which they apply to you or describe you. In order to receive the most benefit from this test, please answer as honestly as possible.

Why do so many people struggle to lose weight? this test you will receive a FREE snapshot report with a summary evaluation and graph. You will then have the option to purchase the full results for $6.95

After finishing the Diet And Weight Loss Test,  you will receive a FREE snapshot report with a summary evaluation and graph. You will then have the option to purchase the full results for $6.95

 

Test Yourself as an Athlete

How Well Do You Know Yourself as an Athlete?

Take The Test: How Well do You Know Yourself as an Athlete?
🧭 12 MINUTES

 

A difficulty in dealing with the mental aspects of sport is that they’re not tangible or easily measured. If you want to learn what are your physical strengths and weaknesses, you can go through a physical-testing program that gives you objective data about your physical condition. 

Or you can try Prime Sport Profiling and think as it is a physical testing for the mind. It makes mental issues related to your sport more concrete.

It’s important for you to have an open mind with Prime Sport profiling. Rather than being uncomfortable with facing your weaknesses, you should be willing to consider the information in a positive and constructive way. When weaknesses are identified, it doesn’t mean that you’re incapable of performing well.

It may be that you haven’t had to use these skills at your current level or you’ve been able to hide them with the strengths you have. But the information you gain from Prime Sport profiling will enable you to improve and you’ll have a better chance of achieving your goals.

 

 Completing the Prime Sport Profile

The Prime Sport profile is comprised of 12 mental, emotional, and competitive factors that impact sports performance. To complete the Prime Sport profile, read the description of each factor and rate yourself on a 1-10 scale, then follow the instructions for evaluating your score and developing an action plan to build your strengths and alleviate your weaknesses.

Motivation – How determined you are to train and compete to achieve your athletic goals. (1-not at all; 10-very)

Confidence – How strongly you believe in your ability to achieve your athletic goals. (1-not at all confident; 10-totally confident)

Intensity – Whether your physical intensity helps or hurts your competitive performances. (1-hurts, too anxious or too relaxed; 10-helps, just right)

Focus – How well you’re able to stay focused on performing your best and avoid distractions. (1-distracted; 10-focused)

Emotions – Whether you have control over your emotions and they help you perform well or you lose control of your emotions and they hurt your competitive performances. (1-lose control, hurt; 10-have control, help)

Consistency – How well you’re able to consistently maintain a high level of performance during competitions. (1-not at all inconsistent; 10-very consistent)

Routines – How much you use routines in your preparations including in training, and before and during competitions. (1-never; 10-often)

Competitor – How you perform in competitions as compared to training. (1-much worse; 10-much better)

Adversity – How you respond to difficult conditions you’re faced with during competitions. (1-poorly; 10-well)

Pressure – How you perform in difficult competitive situations, such as when you are behind. (1-poorly; 10-well)

Ally – Whether you are your best ally or your worst enemy during a competitions. (1-enemy; 10-ally)

Prime Sport – How often you achieve and maintain your highest level of competitive performance. (1-never; 10-often)

 

Using Your Prime Sport Profile

Having completed the Prime Sport profile, you now have a clear picture of what you believe to be the mental strengths and weaknesses in your sport. Typically, a score below a 8 indicates an area on which you need to work. Place a ✅  next to each factor that you scored as less than a 8. These are the factors that you’ll want to consider working on in your Prime Sport program.

From those checked factors, select three to focus on in the immediate future. It doesn’t make sense to deal with every one that you need to strengthen. You’ll just become overloaded and won’t give adequate attention to any of them. It’s best to focus on a few, strengthen them, then move on to others.

The question is, if you have more than three factors on which you need to work, which ones should you choose? The decision should be based on several concerns. First, you should look at which ones are most important for your long-term development. Just like working on the physical and technical aspects of your sport, you should focus on the factors that will help you in the long run. Second, some weaknesses are symptoms of other weaknesses. By dealing with one factor, another one can be relieved without having to work on it directly.

For example, you may not handle pressure well because you lack confidence. By building your confidence, you also improve your ability to handle pressure. Third, you need to balance your immediate training and competitive needs with your long-term development. You may have an important competition coming up for which you need to be ready. For example, you may decide that you need to improve your focus and intensity immediately even though working on your motivation and confidence will be more important in the future.

On a blank sheet of paper, indicate the three mental factors you want to focus on in the near future. By setting goals for the areas you want to improve on and developing an action plan of how to achieve those goals, you can systematically develop the areas you’ve identified in your Prime Sport profile.

You can also use Prime Sport Profiling to measure progress in your training. Periodically, perhaps every few months, complete the profile and compare it with your past profiles. You should see improvement in the areas on which you’ve worked. Also, ask your coaches about positive changes they’ve seen in those areas. When your ratings move to an 8 or above, select other factors to work on and follow the same procedure.

 

Bipolar Depression Test

Bipolar Depression Test

Take The Bipolar Depression Test
🧭 5 MINUTES

Feel as though you’re on an emotional roller coaster? Take this quiz to find out whether Bipolar Depression may be affecting your life.

 

  • Read each question carefully and answer as truthfully as possible.
  • After finishing the Test, you will receive a detailed, personalized interpretation of your score that includes diagrams and information on the test topic.

 

This test may help you determine if you have the symptoms of bipolar depression. Please keep in mind, there are other illnesses and medications that can mimic the signs of bipolar disorder and bipolar depression.

That’s why it’s important to discuss the results of the bipolar depression test with your doctor. Only a doctor or other mental health professional can diagnose bipolar depression and treat it.