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The problem with medication is that you end up having to take more and more and the effects wear off more quickly. My professional work then became principally in public health, first as the New York City mental health commissioner for five years, and now for over ten years as chief medical officer of the New York State Office of Mental Health, the largest state mental health agency in the country. One of my signature programs as New York City commissioner was to introduce buprenorphine (Suboxone) to primary-care and mental health/addiction services throughout the city. Buprenorphine had just been federally approved and represented the first novel treatment for heroin (and opioid) addiction since the early 1960s. It was safer than methadone, and likely more acceptable to people with opioid addiction because they would not need to go to a clinic daily and be observed swallowing their dose of medication. I became immersed in the world of addiction in its epicenter of New York City. As the New York State chief mental health medical officer, from the start I worked with the state sister agency that specializes in addictions, the New York State Office of Alcoholism and Substance Abuse Services (OASAS). Our goal has been that all our respective clinics would screen for a co-occurring mental or addiction problem and ensure that our patients would be offered treatment for both, if at all possible in one setting. In recent years, with the opioid epidemic raging, I have worked with a number of state agencies and community services to enable New York to respond effectively and promptly to this deadly problem. Our work continues. I also see in some of my family members, friends, and colleagues problems with substances--in people of all ages, including seniors. That is because the use and abuse of drugs is all around us. It now knows no socioeconomic, racial, or ethnic boundaries. That means if we look closely, we all will see these problems in people we love, befriend, and work with. I know that my work ahead will call for even more attention, in policy and programs, aimed at helping New Yorkers, all Americans, to not get caught in the epidemic of addiction and to avoid the profound suffering and personal and familial ravages it brings. I believe that addiction has become one of the major social issues of this century. That drives my work and my writing. They aren't insecure about the work they produce. I then went on to be the medical director of McLean Hospital, a Harvard teaching hospital in a town adjacent to Cambridge, renowned for its services and its care of VIPs. My job was not only to see that Harvard, MIT, and the myriad other Boston schools had a place to turn when one of their students or faculty became suicidal, psychotic, or went into alcohol or drug withdrawal.

I also was able to open the hospital to patients living in poverty and on entitlements, because mental and substance use disorders don't select only the rich; everyone is vulnerable. At McLean we ran a good-size clinical and research program for the treatment and study of addictions, including inpatient, residential, and outpatient services. And the many other mental health programs at McLean became skilled at identifying and treating co-occurring substance use conditions, in which a patient often used multiple drugs, though the patient would tend to prefer one drug if given the choice (often called the drug of choice). Rest is almost as important as exercise when it comes to your emotional well-being. Not feeling great? Give your emotions time to recharge. Daniel Kripke, codirector of research at the Scripps Clinic Sleep Center in San Diego, looked at the ultimate question when it comes to sleep and health: How long should you sleep to live a longer life? He examined data from 1.1 million men and women aged thirty to 102 and found that the best rate of survival was among those who slept about seven hours a night. Those sleeping less than six hours or more than eight hours experienced "significantly increased mortality hazard." This risk increased to more than 15 percent for those who slept less than 4.5 hours or more than 8.5 hours. Make seven hours your target amount of sleep. If you're way over or under, try going to bed at a different time, or changing your nighttime routines. They actively pursue learning new skills in order to enhance their position of power. They dress for success. That's the kind of attitude and behavior you must exude. When you do--by acting, dressing and looking the part, the as if' approach will pay off in getting you noticed and commanding that others respect and reward you for your devotion to your job. <a href='http://ww2.shinobiashi.com/Questions-to-ask-about-web-portals-1562062803.html'>Here</a> are some more key points to keep in mind to make you more likable and recognizable in your office. <a href='http://www.journ.msu.ru/bitrix/redirect.php?event1=&event2=&event3=&goto=http://linuxquota.com'>Body</a> language--come in to work on time (with some time to spare, which is even better); have straight posture, give firm handshakes and dress for success. <a href='http://ads.lesoir.be/adclick.php?bannerid=3288&zoneid=64&source=&dest=http://linuxquota.com'>Show</a> interest in other people's needs and desires--be a team player, and contribute to the work place in a positive, helpful way. <a href='http://www.inmetro.gov.br/noticias/noticia.asp?seq_noticia=3363&ind_tipo_conteudo=L&descr_link=http://linuxquota.com/'>Be</a> proactive and willing to "own" your ideas--there's no such thing as abad idea'. Every idea is an opportunity to learn, grow and thrive in a professional setting.

Don't avoid anyone - you may never know who will become your next ally. Build skill sets in many areas--in order to remain competitive in your field, the key is continuing your own education. Take it upon yourself to read up on hone in on a new skill for three hours per week. Strengthen intellectual and/or creative `muscles' you never knew you had! Focus on stress reduction through meditation and positive thinking. Set and keep goals regularly--short term goals will keep you on track, long term goals will keep you motivated and a reward system will allow you to continue the momentum of being a skilled goal setter! Using an app or some other tool to track your healthy behaviors--and how they make you feel--can help to enhance your happiness. People have a tendency to suffer from recall bias--misremembering events or feelings that occurred in the past--so researchers sought to reduce this by asking subjects to log how healthy behaviors impacted their mood. In the study, 130 participants tracked their behaviors over a five-month period. The results showed that people were in a better mood if they consumed more fruits and vegetables, weren't ill, got enough sleep, exercised longer, and traveled. People were generally in better moods during weekends. People were also in better moods if they had eaten fried food and drunk sugary drinks--though researchers were hesitant to endorse the positive effects of those unhealthy behaviors, suggesting that it may be eating in general that increased positive mood. Physical activity does not just have some vague long-term benefits. It causes immediate increases in one's level of happiness. That was a finding of a University of Cambridge study that took a step beyond retrospective self-reporting or reports for one specific period, to have more than 10,000 subjects report their happiness levels through a smartphone app. Using the built-in accelerometer, the app could tell whether a person was active at the moment they reported their current mood. The results? Self-reported physical activity was positively related to happiness, as was physical activity sensed by the app. The research "reveals the important connection between physical and psychological processes, indicating that even slight changes in one has consequences for the other." Stand up and run in place for a minute or do some stretches--movement boosts mood. Positive emotions can fight colds.

A team of researchers exposed 193 participants to one of two strains of a cold (no, they didn't sneeze on them). Over a period of twenty-eight days, subjects recorded any symptoms they experienced, and their objective symptoms (mucus production, nasal clearance) were measured by the researchers. The subjects self-reported their own emotions throughout. People who had more positive emotions (e.g., vigor, well-being, and calm) had lower reported symptoms, but not lower measured symptoms. But negative emotions (sadness, anxiety, and hostility) were not found to have a significantly negative impact on subjects' reported symptoms. It seems that positive emotions are more likely to help you fight a cold than negative emotions are to bring one on. When trying to fight off a cold, add "think happy thoughts" to your regimen of vitamin C and cough syrup. I saw the movie "The Gambler" twice in the movies because of the scene where John Goodman, Frank, is lending Mark Wahlberg, Jim, $250,000 and he chastises him for not walking away from the table when he was $2.5 million ahead. Frank says, "You get up 2.5 million dollars any asshole in the world knows what to do. You get a house with a 25-year roof, an indestructible Jap-economy shit box, you put the rest into the system and 3-5% to pay your taxes and that's your base. Get me? That's your fortress of fcking solitude. That puts you, for the rest of your life, at a level of Fck You. Somebody wants you to do something, Fck You. Boss pisses you off, Fck You. Own your house, have a couple bucks in the bank, don't drink. That's all I have to say to anybody at any social level. A wise man's life is based around F*ck You." Help yourself by remembering that you can always take some action to minimize, even if only by a small amount, the stress you experience. You can choose from the following range of techniques to suit your own preferences and circumstances. Maintain or establish a strong support network.

Come to terms with your feelings and share them with others. Ask for help when you need it and accept it when it is offered. You can always offer help to other people when you are stronger and they need it. For now, it's your turn to accept help. Relaxation can also play an important part in dealing with stress and in managing anxiety. Simple ways in which you can find time for yourself are: Take time to enjoy a bath, light some candles, sprinkle a few drops of lavender aromatherapy oil into the water and play some gentle music while you take time for yourself. Dim the lights in the lounge, play some gentle music, close your eyes and allow yourself time to relax. Take some time to enjoy your garden or local park. Take time to look at all the trees and flowers. There are many forms of relaxation exercises, ranging from those that require physical exertion or movement to those that require nothing more than breathing or visualization techniques. Listed below are three common relaxation techniques. As you breathe in and out, use your stomach muscles to control your breathing. For example, when breathing in use your stomach muscles to push out and when you breathe out use your stomach muscles to push in. This way you will breathe more deeply and this will help you gain the maximum benefit from this kind of relaxation. When people are anxious they tend to breathe shallowly. When this happens the body gets less oxygen and many people are therefore tempted to breathe faster to make up for this deficit. However, breathing too fast can make a person feel dizzy or faint and may be frightening. This type of breathing can lead to a condition called hyperventilation that is described more fully on page 78. Keep practising the above until you feel confident that you would be able to undertake this breathing exercise anywhere and at any time. It is simple but effective, and can take the edge off feelings of nervousness.