One Russian commander reported that when the soldiers stopped shaving, they stopped caring, they became sloppy and complacent, and more of them were killed. Superiors don't make soldiers shave, iron their uniforms, make their beds right, and keep their rooms spotless because it's fun. It's because they need soldiers to remain sharp, disciplined, and detail-oriented. If they look sloppy, they act sloppy. If their uniforms are wrinkled and dirty, their behavior and attitude suffers. If they don't keep their bed sharp and perfect, they become lazy and careless in other areas. If their room becomes a mess, their mind becomes a mess. Community Reinforcement and Family Training (CRAFT) is a valuable resource for families developed by Dr. Robert Meyers. His work begins with recognizing the value of most families (and friends) in enabling a person with a substance use disorder to begin the work of recovery. CRAFT is described by the American Psychological Association as a tool for families with a member who abuses alcohol or drugs. The CRAFT approach has been effective with different types of substance users, as well as across family relationship types (e.g., parent-child, sibling, etc.) and among different ethnicities. This approach benefits both the person with an addiction, helping him or her to engage in treatment even after family members have had as few as five sessions of CRAFT, and the families themselves, who report feeling less depressed and less angry. The families also experience reduced conflict and greater cohesion--even if the affected family member has yet to enter treatment. This approach assumes that while most families mean well, they may lack the tools to do well. Families are urged to understand their emotional states; their motivation to help their loved one; their optimism or pessimism; and their level of self-care, since they need to take care of themselves if they are to effectively care for a loved one. Clear goals for self-care--for instance, getting sleep, proper nutrition, and time with other loved ones--for family members and even clearer responses to reinforce healthy behaviors in a loved one are developed, practiced, and monitored to help ensure their adoption both early on and in the ongoing work of sustaining recovery. The CRAFT approach stresses collaboration, not conflict; it stresses kindness, not confrontation. It enlists a person's motivation to change by seeking to understand how the addictive behavior is rewarding to the user, how the drug use serves a purpose--even if it is not doing so effectively. From there, the approach helps the user build alternative activities and strategies to tap into similar, but healthier, rewards.

Our approach is to hesitate-and-evaluate, instead of facing-and-embracing those tasks that we perceive of being difficult or unpleasant. We're uncomfortable at the thought of facing disappointment. We feel more "in control" when not doing something that could otherwise challenge us, embarrass us, or cause us to feel frightened. We abhor those tasks that we perceive as being "boring" or "complicated." We are used to burying our heads in the sand as a response to stress. It's worth mentioning that some people procrastinate for the buzz that their nervous system receives from stress caused by their own delays. For example, while leading a discussion on the topic of habitual procrastination at the Stress Relief Club of Stuyvesant High School in New York City, I posed this question, "Why do we continue procrastinating when we already know it's not good for us?" One student responded with, "I like the drama." He then added that by putting off his studying, he believed that he was giving his nerves "extra tension" in order to perform better on tests. I asked if he thought this line of thinking was entirely true. "Entirely? No," he replied. He went on to say he worried that his belief in procrastination's merits might be his own rationalization. I suggested that although he might hope that he might feel that this buzz was sharpening his senses, he knew perfectly well what he should be doing, which was studying. Procrastination can seem to offer pressure-relief, but this is only an illusion because whatever buzz anyone gets from it, comes at the expense of stress, anxiety, and worry later on. Not everyone experiencing depression is going to have all these symptoms, but they seem to be the most common ones. Again, however, nobody should try diagnosing themselves. People should seek medical attention immediately if they find these symptoms persisting for longer than a few days. While there are no laboratory tests that can identify depression, medical doctors still need to conduct a thorough assessment to rule out other conditions that might be causing the symptoms. For example, in many people, conditions such as diabetes, hypothyroidism, and chronic fatigue syndrome can often produce symptoms that mimic depression. This is why doctors need to be cautious in the kind of diagnosis they make. During the assessment, doctors may also ask questions about lifestyle, daily moods, and recent problems that could be triggering the symptoms as well as check on family history and past mental health problems. Some doctors may also want to try prescribing antidepressant medication, but the decision to take them should never be made lightly.

Many antidepressants can have potential side effects, and nobody should take them without first educating themselves about whether or not medication is the best option available. In many ways, South Korea is the poster child for the key challenge facing many developed countries. Over the past two generations, South Korea has gone from being one of the poorest to one of the richest countries in the world. While grandparents may remember famine, their grandsons and granddaughters enjoy some of the highest standards of living in the world, while the country holds top positions in life expectancy, health-care efficiency and proportion of people with a university education. The economic growth achieved by the South Korean people is quite simply an amazing achievement. Coming back to Copenhagen after visiting Seoul feels like travelling ten years back in time. However, the country is struggling to convert its new-found wealth into well-being. South Korea ranks fifty-fifth in the World Happiness Report of 2017 and, more alarmingly, it has top ranking when it comes to suicide rates in OECD countries. South Korea also sends more visitors to our Happiness Research Institute than any other country. South Korean politicians, mayors, journalists, university students and professors have all come in search of ways to improve the quality of life in their country. For</a> many years, we have been looking at the US as the big role model,' one told me. <a href='http://big5.qikan.com/gate/big5/saveourschools.co.uk'>That is where we wanted to take the country. But now we are not so sure that's the way we wish to go any more.' And the US is a key example when it comes to looking at how we have failed to transform wealth into well-being. While the US has achieved economic progress and an accumulation of wealth over the past half-century, this has not resulted in an increase of happiness for the people. One of the reasons for this is inequality. If a country doubles in wealth but 90 per cent of that wealth goes to the richest 10 per cent, that is not growth. That is greed. And no, Gordon Gekko, when it comes to happiness, greed is neither good, nor does it work. And your braces look stupid. The chronically sick are usually very dirty, disorganized, and unsanitary.

They don't keep things clean, wiped down, sanitized, there's a lot of dark and wet places around the home, and they don't clean on a regular basis. They get used to smell, mask it with air fresheners, or completely ignore it. They don't give their home the attention it needs. The bathrooms have urine and fecal matter everywhere. Mold is growing in the shower. Rotting food is in the fridge, behind the stove and refrigerator, and splattered all over the microwave. Dust is everywhere. Dishes aren't getting washed, floors aren't getting swept and mopped, vacuumed, and shampooed, and old and bacteria-filled furniture isn't getting cleaned or replaced. Over time, mold, germs, and bacteria grow and release particles into the air and those who live in the house breathe it in, get sick, and develop problems. Old food particles and residue left behind from lazy and pathetic kitchen habits rots, decays, and attracts bugs, insects, and other things you don't want in your home. The bugs and insects mate, vomit, and defecate all over the place and their feces and vomit begin rot and release, even more, bacteria and germ particles into the air. Wash bed sheets. When you cook and eat, wipe down counters and stovetops with disinfectant. Keep the dining room table wiped down. Every month, wipe off the top of the refrigerator, take everything out of it, wipe it down, and throw out all of the old and rotting food. Keep the inside of the microwave clean and disinfected. Pull the stove out, most stoves usually roll, and sweep, mop, and disinfect underneath it. Keep your toilet clean and disinfected - inside and outside. Keep showers clean and disinfected. Wipe down sinks and bathroom counters.

Keep floors swept, mopped, vacuumed, and shampooed. Keep your home clean, healthy, and disinfected. It's important to your health. The use of medications that diminish cravings, reduce relapses, and enable people to escape a life of compulsively pursuing drugs can be controversial in the recovery community. Some 12-step philosophies are explicitly against the use of psychoactive substances even for these purposes, especially opioids and tranquilizers. I recall decades ago when these programs were against the use of antipsychotic, mood-stabilizing, and antidepressant medications. While that opposition to medications for co-occurring psychiatric conditions has largely abated--and 12-step programs never proclaimed the "dangers" of insulin or antihypertensives--the use of MAT causes much ambivalence, especially among counselors who gained their recovery with an abstinence-only approach. I don't consider the host of medications used to treat co-occurring mental and physical diseases to be treatments for substance use disorders. Instead, medications such as antidepressants, mood stabilizers, and antipsychotic agents are specific therapies for the other conditions that quite frequently occur in people with a substance use disorder, not unlike insulin for diabetes. MAT specifically targets, instead, an element of the addictive response in the brain. I believe substance-dependent individuals should seek a program that includes the opportunity for MAT. While medications are not for everyone, reduced rates of relapse and improved function (not to mention eschewing a life of crime) are among the key benefits of MAT. Three types of medication can be used for opioid dependence. They are not always mutually exclusive and include agonists (medications that enhance the activity of opioids at specific neurotransmitter sites, additive to our natural neurotransmitters) such as methadone and buprenorphine; antagonists such as naloxone and Vivitrol, which counter the actions of opioids in the brain; and other agents. Agonists activate an existing brain neuronal receptor, effecting a response, while antagonists are their opposite, blocking the action of the substance at the nerve receptor sites. A habitual procrastinator can be somewhat of a miserable creature. Weighed down by a long string of unaccomplished tasks built up over the years, along with an inability to deal with his present tasks, he sometimes worries about how, or if, he will ever deal with the as of yet unknown tasks that will present themselves to him in the future. In addition, he may also worry about how his loved ones, friends, or colleagues perceive him. Is it any wonder if he occasionally feels depressed? Avoiding one's tasks is akin to sweeping dirt under a rug, and you can almost picture such a sad soul, stubbornly kicking himself forward through life.