Family Physicians
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What is Abuse and Domestic Violence?
Abuse is behaviour used to intimidate, isolate, dominate or control another person. It may be a pattern of behaviour or it may be a single incident. Abusive behaviour might involve acts or words or even neglect.
Abuse can be physical, sexual, emotional, psychological or financial:
Physical abuse is when someone hurts you physically in any way. It includes hitting, kicking, slapping, pinching, cutting, stabbing, and shooting. All of these examples are assault, which is a crime in Canada and the United States.
Sexual touching or sexual activity is abuse if you do not consent or if ...
Does any of this sound like you?
Traffic is terrible today! It's making me very IRRITATED.
My tax return is so complicated. It's making me very FRUSTRATED.
I can't believe my mother would say something like that
I'm really ANNOYED that my neighbour's garbage keeps getting strewn all over the alley!
That driver just cut me off. I'm really IRATE about it!
I'm so ANGRY!
Read on to find out if you have a problem with managing your anger and what to do about it.
Anger and Positive Change
ANGER is an emotion that tells us someone or something has interfered with our goals, ...
Do I Have an Anxiety Disorder?
Do you find that that many of the following apply to you...
I am often startled by the smallest thing
I worry that something terrible will happen to me or others
I am easily irritable
I get sudden fears of dying or doing something out of control
I often worry that something has not been done correctly even though I know I completed the task properly
I am extremely worried about disease (e.g. germs, infections, dirt, dust, contaminates, cleanliness)
I need constant reassurance
I often find myself doing things repeatedly (e.g. hand washing, showering, tooth ...
Does Your Child Have..
Does your child have any of the following:
Gets fearful or worried about leaving the home, e.g. school or activities?
Require a lot of reassurance to calm down?
Fears that are so extreme, that it gets in the way of life?
Introduction
Dylan is afraid of the dark. Tricia hates to eat in front of other people. Eric becomes sick to his stomach and throws up if he has to speak aloud in class.
Life is stressful. It is normal to have fears and worries. Being worried about things can help us prepare for potential dangers. E.g. being worried about failing a test ...
Attention Deficit Disorders (ADD/ADHD) in Children and Youth: Information for Parents and Caregivers
What is Attention Deficit Disorder (ADD) and Attention Deficit/Hyperactivity Disorder (ADHD)?
Everyone has trouble paying attention from time to time, especially during activities that are boring or not enjoyable. But for children and youth with ADHD/ADD, the problems with paying attention and getting distracted are so severe that youth can have problems with school, work and relationships.
There are 3 main types of ADHD:
1. Attention-Deficit Hyperactivity Disorder (ADHD)
This is the most common type, causing troubles with attention and hyperactivity. Typical symptoms of ADHD:
Attention ...
Inattentive Ivan...
Ivan is a 40-ish-year-old, who despite being smart and funny, struggles with work and relationships. When younger, despite teachers saying that "Ivan has great potential," he found school painfully boring and was relieved when he finally completed high school. He thought things would get easier once he finished school, but as an adult, he faces other challenges:
With work, it's hard to focus on the boring parts of his job. He forgets deadlines, has trouble getting tasks done. As a result, he has had troubles staying in the same field and has been through several jobs while he sees his ...
"Thomas likes trains..."
Thomas is a 10-year-old boy who has always been really interested in trains. He knows so much about trains that he can go on and on with his vast, encyclopedic knowledge. If you wanted to know the train schedule at the local train station, he could tell you. Schoolwork has never been a concern and he has always done well in school with little effort.
Unfortunately, when it comes to anything involving people, he has a lot more difficulties. He just can't seem to relate to others, and has no friends. He doesn't seem to get social cues. He'll talk endlessly about trains without realizing that others are ...
Introduction
Ever since his mid 20's, a normally shy man gets high energy periods lasting up to several days where he doesn't need to sleep, and where he impulsively goes on spending sprees that put him into severe debt. These high periods are often followed by periods of severe low mood and depression, even to the point where he has thoughts of suicide. What's going on here? Is it normal mood swings, or could it be something else?
What Is Bipolar Disorder?
Everyone gets mood swings whereby sometimes our mood and energy is up, and where sometimes our mood and energy is down. But if you have mood swings so severe that it ...
What Is Bipolar Disorder?
All of us have changes and swings in our mood which are normal. There are times when our mood is up, and we have more energy and excitement about things. There are other times when our moods are down, and we have less energy.
However, people with bipolar disorder have periods of extreme mood change that cause serious problems in their lives.
In the classic form of bipolar, people have episodes of depression and of mania, when their mood, energy, thinking and behaviour gets stuck for a period of time at a very low or a very high level. Hence the term, "bipolar", ...
Introduction
J. is a 15-yo teen who believes his hair is "all wrong" despite the beliefs of his friends and family who see none of these 'defects'. But now it's to the point where he refuses to go to school unless he combs his hair for hours.
M. is a 45-yo woman. Her ability to focus on details makes her a gifted and accomplished musician and music teacher. Unfortunately, she has been increasingly obsessed with signs of ageing which she thinks make her nose now appear much bigger. Despite the reassurance of family members, she is so concerned about her appearance that she has been reducing her social contacts to a greater and ...
What is Bullying?
Bullying is a form of aggression in which one individual is exposed to deliberately harmful actions by a more aggressive person. Bullying can be physical (e.g., hitting, pushing, tripping), verbal (e.g., name-calling, insults, put-downs), social (e.g., social isolation, rumours) or cyber (e.g., threats or insults spread through the internet or cell phone).
It is also possible for the same child to be both a bully and a victim. There are also "provocative victims" (a term coined by Olweus, 2001) who display negative behaviours that annoy bullies and lead them to take action.
School bullies ...
Sally's Story
"I was just going out for a walk..."
Sally is a 75-yo widow, active in her community, with an outgoing personality and a great sense of humor. She lives alone, but her daughter lives in town, and checks in on her occasionally. Over the last few months however, she has become noticeably more forgetful, to the where she has gone for walks while leaving the stove on. Last week, she went out for her usual morning walk, but got lost. Luckily, one of the neighbours that was driving by happened to recognize her, and brought her home.
Is this normal aging? Or is it something else?
What is ...
What is Depression?
Everyone has times when they feel the ‘blues' or when they get sad from time to time. Depression, on the other hand, is a sadness so severe that it can cause:
Difficulties functioning at home, work or school
Changes in sleep, energy, appetite and concentration,
Feelings such as sadness, anxiety, irritability or anger,
Low self-esteem or feelings of hopelessness. When extremely severe, people who are depressed may have thoughts of hurting themselves.
How Common is Depression?
Depression is a common condition that can affect anyone at any age. In any given year, it is estimated that it ...
Case: "We need med refills but don't have a family doctor!"
J. is a parent with a 10-yo child who takes prescription medications. Unfortunately, their family doctor unexpectedly retired and closed down the practice. Now they need medication refills, and they simply don’t know what to do.
Introduction
It is always best to have a regular primary care provider, that one can see for health issues and renew medications if necessary. Unfortunately, with the current healthcare shortages, sometimes people can find themselves “orphaned” or without a primary care provider. Fortunately, there are some strategies that may be helpful until ...
J's Story
J. is a twenty-something who struggles with a fear of vomiting. She remembers the day it started in Gr. 9. She had been sick with the flu and ended up throwing up in class. Since then, her fears of vomiting have been getting gradually worse. She is able to go to her work but other than that, she is not able to leave home. She wishes so badly that she could just go out like others…
What is the Fear of Vomiting (Emetophobia)?
It is normal to dislike the thought of vomiting and in fact, having just enough fear of vomiting can be helpful.
It encourages one to 1) stay away from people who may be sick, and 2) take measures to avoid ...
Introduction
It seems like life is getting more and more stressful all the time, with demands for work, school, family and home responsibilities. As a result, we often cut back on the very things that are the most important, like getting enough sleep…
Getting enough sleep is essential. Studies show that getting enough sleep is essential for maintaining proper health. Furthermore, lack of sleep can cause numerous health and related problems. It is a risk factor for mental health problems such as depression, and can also contribute to cardiovascular and other conditions. Being sleep deprived also significantly increases your risk ...
Are my children at risk of lead exposure?
Are your children:
Living in or regularly visiting a house or day care center built before 1950?
Living in or regularly visiting a house built before 1978 with peeling or chipping paint or recent (within the last 6 months), ongoing or planned renovation?
Living with or regularly visiting a sibling, housemate or playmate with lead poisoning?
Living with an adult whose job or hobby involves exposure to lead?
Living near an active lead smelter, battery recycling plant, or other industry likely to release lead?
Recent refugee, immigrant, or child adopted from outside ...
J’s Story, Part 1
J. is a young adult who wants to get the COVID vaccine, because she wants to protect her elderly parents. And she needs to be vaccinated to keep her job working with medically ill people. But she has hated needles all her long and she just doesn't know what to do...
Introduction
On one hand, getting needles for immunizations, bloodwork or injections is part of the miracle of modern medicine, which helps people live healthier and longer than in the past. This includes getting needles for the COVID vaccine, which is necessary for herd immunity to overcome the COVID pandemic.
On the other hand, it is understandable that ...
Introduction
Most people have had times when certain thoughts or images get stuck in our head. Like getting a certain song stuck in your head; worrying that we forgot to turn off the stove at home.
But when such thoughts get so extreme that it gets in the way of daily life, it may be the sign of obsessive compulsive disorder...
What is Obsessive Compulsive Disorder?
Obsessive compulsive disorder (OCD) is a condition where people have troubles with obsessions and/or compulsions:
Obsessions are distressing thoughts or images that won't go away, for example, worries about being dirty or ...
"He just can't stop washing..."
Tyrone is a 10-year old who enjoys hanging out with his friends and family, and is a great soccer player.
Over the past few months however, he's been much more concerned about his cleanliness. In the beginning, his parents thought it was great, because he began showering more often. But now he needs to shower several times a day and will actually get upset and angry if he can't have his shower.
In the past few weeks, he's become extremely concerned about germs to the point where he won't even touch door handles. And if he does, he has to wash his hands, and so now it's to the ...
Penny’s Story, Part 1
Penny has always been a bit of a worrier, but now she’s started having periods “out of the blue” where she feels suddenly anxious, along with shortness of breath, feeling sweaty. The periods are so severe, that it feels like she’s having a heart attack. Worried that she might be having a heart attack, she goes to the Emergency Department at her local hospital. Good news, she finds out it's not a panic attack. But the bad news is that she keeps on having these attacks, and just doesn’t know what to do. What advice would you give Penny?
What are Panic Attacks?
Panic attacks are periods of intense fear ...
What Is Psychosis?
Psychosis is a serious medical condition in which a person has trouble telling the difference between what is real and what is not real, typically with symptoms such as delusions and/or hallucinations:
Delusions:
Delusions are fixed, false beliefs which do not have a basis in reality. Types of delusions include Paranoid delusions, where a person may become suspicious of others and worried about being harmed by others. It may include fears of being spied on or being followed. Bizarre delusions are delusions that are strange and completely impossible, e.g. believing that one is controlled by ...
Introduction
Schizophrenia is a serious brain disorder that causes changes in a person's thoughts, perceptions, emotions and behaviours. It can make someone hear or see things that others cannot see. It can make someone feel unsafe, afraid, and lead to avoiding other people, and loss of function. Without proper treatment, it can cause serious problems with school, work and relationships. Fortunately, help is available for those with schizophrenia. In addition, there are many things that family and friends can do to support their loved ones with schizophrenia.
Do I Have Schizophrenia?
The following is a list of some symptoms of ...
“She won't speak to anyone…”
Fatima is a 7 year old girl who plays soccer with her brothers and talks excitedly about her favorite World Cup team. Yet, at recess time, she stands alone watching the other kids play soccer and doesn’t speak when her classmates ask her if she wants to play. And despite the school year being half over, she has not spoken a single word in her classroom.
Fatima's parents have tried everything to get her to talk. They've tried talking to her about her feelings, and asking if she's been bullied. They've tried positive consequences such as rewards for being able to speak. They've tried punishing her for not ...
What is the Secret to Happiness and Mental Wellness?
Everyone wants to be happy, i.e. have mental wellness, the state of well-being where we feel contentment, love, satisfaction, pleasure or joy. Throughout history, people have struggled to find the secret to happiness.
Mental wellness can be defined as the “state of well-being in which the individual realizes his or her own potential, can cope with the normal stresses of life, and is able to make a contribution to her or his own community” (Health Canada, 2014).
But simply living a life of pleasure is not enough to lead to a life of happiness. A ...
Introduction
It's the student who struggles at school because she's too afraid to ask questions in class. It's the teenager who suffers from loneliness from not having any friends because he's too shy to talk to anyone in school. It's shyness so severe that it gets in the way of life...
Shyness runs along a spectrum. It is normal for everyone to be shy at certain times. It is appropriate to be more shy in some situations than in others. Some cultures value shyness more than others, especially for children. Social anxiety disorder is more than just normal shyness - it is shyness so severe that it gets in the way of enjoying ...
1. Keep in Touch With Your Mental Health Service Provider
Ask to be put on a cancellation list (if your provider has one). This gives you the possibility of being seen more quickly. If another family cancels an appointment, your service provider calls you to see if your child or teen can make the appointment time. If not, you can wait for the next availabale appointment. Make sure your provider has up to date contact information for you, including a number where you can be reached during the day.
Let your mental health service provider (or family doctor) know if your child or teen is getting worse. Your child’s place ...