As chronic obstructive pulmonary disease (COPD) advances, about 35% of patients experience severe weight loss called pulmonary cachexia, including diminished muscle mass. Around 25% experience moderate to severe weight loss, and most others have some weight loss. Greater weight loss is associated with poorer prognosis. Theories about contributing factors include appetite loss related to reduced activity, additional energy required for breathing, and the difficulty of eating with dyspnea (labored breathing).
My weight had been an issue my whole life. I was always the chubby kid, always taller and bigger than my peers. Because of that, I was uncomfortable and depressed. I remember gym class in particular, because I was slower than all the other kids. It was an especially difficult time for me because it’s where I experienced the most bullying. When I was 18, the summer I had just graduated from high school, I lost all my friends. I was miserable, alone, depressed, and suicidal. It was after a failed suicide attempt that I realized I didn’t want to live my life like this anymore. I wanted to be comfortable and confident in my own skin.
During my work with Ashridge, my coach has encouraged me to develop my own personal brand and leadership style with confidence. His insights and experience have been highly beneficial with the right level of support and challenge to push my boundaries outside of my comfort zone. I highly respect his passion for coaching and strongly advocate his approach.
Unlike psychologists or psychotherapists, ADHD coaches do not provide any therapy or treatment: their focus is only on daily functioning and behaviour aspects of the disorder. The ultimate goal of ADHD coaching is to help clients develop an "inner coach", a set of self-regulation and reflective planning skills to deal with daily life challenges. A 2010 study from Wayne State University evaluated the effectiveness of ADHD coaching on 110 students with ADHD. The research team concluded that the coaching "was highly effective in helping students improve executive functioning and related skills as measured by the Learning and Study Strategies Inventory (LASSI)." Yet, not every ADHD person needs a coach and not everyone can benefit from using a coach.
While it might sound counterintuitive to eat something before you head out to a restaurant or party, showing up famished to the event will likely make it all the harder to stick to your weight loss goals. Eating something small (about 100 calories) with fiber (two to four grams) is a great way to readjust your appetite so you can show up and mingle a bit before diving into the cheese dip. Choose a whole food to take the edge off, like an apple or handful of nuts. For example, 30 pistachios are just 100 calories and offer two grams of fiber, along with protein and healthy fats, to truly take the edge off your appetite while providing a satisfying pre-party crunch. Enjoy your mini snack with a tall glass of water before the festivities to reduce your chances of post-party weight gain.
Since hypnotherapy is an adjunct form of therapy, used along with other forms of psychological or medical treatment, there are many applications. Hypnotherapy can be used to treat anxiety, phobias, substance abuse including tobacco, sexual dysfunction, undesirable spontaneous behaviors, and bad habits. It can be used to help improve sleep, learning disorders, communication, and relationship issues. Hypnotherapy can aid in pain management and help resolve medical conditions such as digestive disorders, skin issues, and gastrointestinal side effects of pregnancy and chemotherapy. It can also be used by dentists to help patients control their fears or to treat teeth grinding and other oral conditions.