With my experience in leading IBM Channels & Business Partner Business Unit towards 60.000 Partners across Europe, Middle East and Africa, high rates of business partner growth appear to be related to high rates of engagement in channel ecosystems.That would suggest that a vendors or distributors who wishes to influence growth rates in their business partners and their channels should be interested in stimulating ecosystems and the rate and nature of engagement by their partners.

Vendor/Distributor ecosystem action plan

Vendor and Distributor Ecosystem Action Plans tend to be more strategic than the plans of Partners, rather than relying on this quarter ecosystem investments to pay off this quarter, successful vendor and distributors emphasize investments this quarter that will impact subsequent quarters and subsequent fiscal years.

It is clearly important for vendors and distributors to understand the Partner Ecosystem Action Plan, but the issues are different and the questions that need to be asked, and answered, are also different. The Vendor and Distributor Ecosystem Action Plan has six steps: 1 Economy audit, 2 Ecosystem audit, 3 Plan development, 4 Support structure creation, 5 Plan communication/execution and 6 Execute/Review.

Step 1 – Economy audit

Vendors and Distributors have whole economies that grow up and evolve around the sales / service / support / training / consulting around their products. For example, IBM and Microsoft products result in vast amounts of economic activity several times as large as the revenue generated by either IBM or
Microsoft. Just consider the size and complexity of the economy that has grown up around Apple’s iPod.

The multiple ecosystems in the iPod economy dwarf the total iPods sales revenues. For this reason, it is important for vendors and distributors to first think about the economy that has risen up around them, and then to focus on the various ecosystems that make up the economy.

Because an economy is made up of ecosystems, the environmental understanding for a Vendor or a Distributor needs to focus on the economy and the ecosystem. The Economy Audit is made up of sixteen questions or avenues of inquiry.

1. How large is the economy that has developed around your company’s offering?

2. Which vendors and distributors are partnering with whom in the economy that you have created?

3.Which vendors and distributors are influencing the economy that you participate in?

4. Where and how can you have the biggest impacts on your economy?

5. What other vendors and distributors should you be working with based on their share of mind/share of wallet in the economy around your company?

6. What resources do you need or could you acquire from the participants in your economy to help you make your business plan?

7. What characteristics will suitable vendors, distributors and channel partners for inclusion in your economy have?

8. How will you go about finding and engaging with suitable partners to assist your business plan?

9. Who in your organization is responsible for comprehending the economy that you work in and the ecosystems that make up the economy?

10. how many ecosystems make up your economy?

11. Which ecosystems are the most strategically relevant ecosystems to your economy?

12. How do the composition of your relevant ecosystems differ from each other?

13. Who is “calling the shots” in our relevant ecosystems (if not you, then who . . .)?

14. How can you make the biggest impact on your relevant ecosystem?

15. Which vendors and distributors should you align with in each relevant ecosystem?

16. What resources do you require in each relevant ecosystem?

Step 2 – Ecosystem audit

The ecosystem is a subset of the economy that has built up around your company. The vendor/distributor ecosystem audit is made up of ten avenues of inquiry. The analysis laid out below should be executed for each currently strategically relevant ecosystem. In addition, it may be valuable to understand those ecosystems deemed to be likely or potentially relevant in the next two to five years.

1. Where are the leverage and control points within the ecosystem that reach between your organization and the ultimate end-customer?

2. Who is partnering with whom?

3. What is the composition of the ecosystem for each key customer segment?

4. Who is influencing whom? Who are the key players/leaders in the ecosystem? Where is the product/service/solution decision “really” being made?

5. What is the flow of revenue, e.g., where is the product/service/solution purchase actually being made?

6. How does this differ by customer segments, solution types and purchase occasions?

7. What is your company’s penetration in terms of number/type of partner relationships (share of influence) within these strategically relevant ecosystems? What is our competitors’ penetration? How should your partner portfolio be modified to effectively penetrate these strategically relevant ecosystems?

8. How significant is your organization to the partners within the ecosystem? How likely are you to be recommended? (Why/why not?) How can you become more significant to these partners?

9. Where can your organization make the biggest impact in these strategically relevant ecosystems in terms of influence over the product/service/solution?

purchase decisions (who/how)? Where should your organization’s marketing and program dollars optimally be spent (specific partners and programs)?

10. What is the business proposition for each of the partners within the ecosystem chain? What messages do you need to convey to encourage your partners to invest in your brand? What programs, incentives and compensation packages would be most attractive?

Step 3 – Plan development

Based on completion of Steps 1 and 2, you will have enough information to develop a plan of action. Critical strategic issues around your plan include: strategic objectives to be met – what are you doing, and why? short term versus longer term objectives direct investment versus indirect investment approach make vs. buy – can you buy your way in?

It will be crucial to understand specific components of your economy and the ecosystems that make up your economy. Your plan should address the following issues: economy size, economy relationships, influence structure of economy, impact points in the economy, desirable partners to work with, required resources to meet plans, characteristics of appropriate partners, how many ecosystems,
what ecosystems are strategically relevant, influence structure of strategically relevant ecosystems, impact points in the strategically relevant ecosystems who to align with and required resources.

Step 4 – Support structure creation

The size and complexity of a vendor and distributor organization’s makes the creation of appropriate support structures for an economy/ecosystem initiative difficult. Economy and ecosystem development and stimulation projects cross industry, business unit, product and geographic lines.

Ecosystems do not always line up the way the organization structures of vendors and distributors line up. In fact, the viewing of your organization’s economy and its ecosystems from the perspective of how you happen to be structured and organized this year tends to result in inaccurate assessment of the problems and opportunities that exist.

The creation of appropriate support structure requires a senior management vision and commitment to the strategic approach of building economies and ecosystems. In addition, it requires a willingness to make investments in the process as if the creation of a vibrant, flourishing ecosystem was the creation
of a corporate asset. What this means is that successful programs do not start and stop based on quarterly ups and downs.

Step 5 – Plan communication/execution

What is extremely clear is that not everyone who works for vendors and distributors “gets” the economy/ecosystem discussion that has gone on in this document. Like anything else-a small group of people in your organization understand most of what is going on. The rest may have awareness of, but not a great deal of knowledge about ecosystems and channels.

It is my experience that when more people in your organization have knowledge about your economy/ecosystem stimulation plans and programs, the more likely successful implementation will be. It appears that this strategy, especially when first introduced, benefits from being heavily communicated and “educated in” to the organization to accelerate its diffusion and acceptance.

Step 6 – Execute/review

Realistic perspectives on how long any ecosystem stimulation plan is going to take to show results is critical. The following figure gives some insights into what you can expect. Reinforcing that investment always leads return; incremental expenses always lead incremental revenues is also important.

Call to action

If you are a Partner, we encourage you to begin thinking about a Partner Ecosystem Action Plan for 2008. Start by doing an Ecosystem Audit. Get your people thinking about ecosystems. Involve your vendors and distributors. Find out what they are doing in the area of ecosystem stimulation. If you are a Player, Coach, Influencer or Supplier in a Vendor or Distributor, find out what your organization is doing in the areas of economies and ecosystems.

As Players and Coaches, you may need to identify who the key partners are that your Partners need to work with. Ask your Partners what they are doing to stimulate they ecosystem. As Influencers and Suppliers, your task is to add knowledge of economies and ecosystems to what you know about the environment in which your programs operate. Your job is to understand that high rates of “connectedness” are related to high rates of partner growth. More specifically, your job is to make growth happen for your partners by stimulating the economies and ecosystems that your company is part of.

There is little doubt that these dating tools add to the stimulating experience of on-line dating. In fact, they facilitate the process of meeting with others. This is one of the reasons why dating sites offering these tools can attract more members than other sites that don’t. Besides, there are some free dating sites that offer these tools to augment their membership. Whether you should join a paid on-line dating site or free on-line dating site is completely a matter of personal choice. However, if you are new to on-line dating scene, you should join some free on-line dating services that offer these tools to see how well they work for you. If you think about paid on-line dating sites, paying extra for those additional services make sense as long as they work for you.

Don’t join any on-line dating service just because it says that it offers exciting tools to its members. You should do your home work before joining one of these on-line dating services. You can also ask your friends, colleagues, and acquaintances about the effectiveness of these tools if some of them have used those tools themselves. Also, consider your privacy while using these on-line dating tools. You would also want to use these tools without divulging your privacy. This is the smartest way to get started with the on-line dating sites.

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History of the Die-Casting Process

Die-casting by pouring molten metal into a die, also known as the gravity pressure method, is a manufacturing method that has been used for hundreds of years. The more modern method of pressure injection die casting was patented in the mid-1800’s to create lead printer’s type. The use of die-casting as a manufacturing technique exploded in the early 1900’s, particularly when zinc and aluminum alloys became more readily available. Today, die-casting is a process used for a wide range of products and applications.

Materials Used in Die-Casting

In order to preserve the integrity of the die, and allow it to be used for many castings, only alloys with relatively low melting temperatures can be used in the die casting process. Historically, lead and tin were the primary materials for die-cast parts, since they could easily be melted using conventional processes. Today, the majority of die-cast parts are created from aluminum or zinc alloys, but other metals such as magnesium or copper can be used. Each alloy delivers its own benefits, and therefore the product requirements drive the material choice. Aluminum can be found in aircraft and automobile parts, while copper may be used for parts that must conduct electricity.

Description of the Die-Casting Process

Before casting is performed, the mold is assembled. A mold can consist of two or more parts, depending on the complexity of the part being fabricated. Die-casting machines are categorized as either cold chamber machines or hot chamber machines. In a cold chamber machine, the molten metal is poured into a “cold” cylinder that is attached to the die. A hydraulic piston seals the cylinder and forces the metal into the die. In a hot chamber machine, the injection system sits in a bath of molten metal. A plunger is raised to pull molten metal into the injection chamber, and then pushed to inject the molten metal into the die. The mechanism of a hot chamber machine is much like a pneumatic bicycle pump, which pulls air in from around the pump and injects it into a tire through the tube and fitting.

After the casting process, the part may have flash, or thin metal around the part where the two halves of the die come together, around it. The flash is removed during post-machining processes. Some die-cast parts are plated or painted after manufacture for appearance, but the surface of die-cast parts are generally very smooth and hold fine detail.

Examples of Die-Cast Components

Many plumbing fixtures, such as bathtub spouts, are manufactured from zinc alloys using a die-casting process and then plated with a chrome coating. Lightweight aircraft components can be die-cast from aluminum alloys. Other examples include heat sinks with complex shapes and large surface areas for electronic components, lightweight aluminum automobile parts, and lighting fixtures. Die-cast parts require very little post-manufacturing machining, saving time and labor costs in the manufacturing process.

Die-casting is a manufacturing process used for a variety of applications, including toys. In the Napoleonic era, gravity pressure methods were used to cast lead military figures. Die-cast vehicles have been available nearly as long as the vehicles themselves have existed. Early die cast manufacturers existing at the turn of the 20th century include Meccano in the United Kingdom and Dowst Brothers in the United States. Companies such as Ertl have been producing die-cast farm vehicles since 1945.

Lomas (2009) carried out a survey with at least 283 mental health professionals of which half of them were nurses.  Evidence from the research showed that even though 80% of the participants were in support of the idea that sexual health promotion was a vital part of their role, only 30%, representing less than half the participants regularly discussed sexual health with mental health patients, (Lomas 2009).   A revelation also made by Lomas (2009), survey suggested that 92% of respondents had no clue that people with schizophrenia were at an increased risk of contracting HIV than the general population, 72% were not even convinced that they were more likely to engage in high-risk sexual behaviour.   From the participants, 14%  felt uncomfortable discussing sexual health issues with mental health patients, gay and lesbian issues was a very uncomfortable topic for 13% of them.  This queries whether mental health nurses are well equipped to promote sexual health, (Lomas 2009),

Through this, mental health nurses must  learn to appreciate the clause from the National Midwifery Council (2004) stating that health care professionals are expected to continuously update knowledge and skills throughout our working life and regularly take part in learning activities that develop our competence and performance.  In support to this, Higgins et al (2006)suggested that individuals with `severe’ mental health problems will most likely end up engaging in high-risk sexual activities creating the susceptibility to sexually transmitted infections.  In Higgins et al (2006)literature review from 1980 to 2005 focusing on sexual health education and sexual dysfunction emanating from prescribed medication, it was confirmed that sexual health education programmes were beneficial.   Education proved to produce a reduction in sexual risk activities compared to complete cessation. This undoubtedly highlights the issue that mental health professionals should make an effort to deliver holistic care that includes sexual health promotion (Higgins et al 2006)

In a similar study conducted but this time it included Glove-wearing Hughes and Gray (2009) states that only 61% of the participants reported wearing gloves whilst administering an injection.  Hughes and Gray (2009) continue to say that the nurses are also risking infection by not wearing gloves.

Bahrick and Harris (2009) emphasises that antidepressants are a popular cause for sexual dysfunction.   This suggests that reassurance and advice from nurses becomes a necessity.  Having an understanding of sexual health would make it easier for nurses to offer appropriate advice because sometimes this becomes debilitating for the mental health clients and therefore requires intervention Bahrick and Harris (2009).  Hughes and Gray (2009) mentioned that the lack of awareness and knowledge of sexual health does not only leave the clients disadvantaged by not having reasonable access to sexual health services or relevant information on sexual health.  Hughes and Gray (2009)   goes on to say that by this level of lack of knowledge, the mental health nurses continue to place themselves at risk.

In a study conducted by Cochran and Mays (2000), evidence was transparent that there was an escalated risk of suicide symptoms among homosexually experienced men.  Cochran and Mays (2000), further explains that some gay men also reported the risk of recurrent depression as slightly increased.  This again makes it a necessity for mental health nurses to be aware and well equipped w ith sexual health knowledge in order to be able to holistically assist their clients in a non judgmental manner. (Cochran and Mays 2000)

Interestingly MIND (2008) highlighted another good reason for mental health nurses to be aware of sexual health issues.  MIND (2008) explained that the distress experienced by some lesbians, gay men as well as bisexual’s mental distress is not due to their sexuality instead it is seen as the impact of heterosexism and homophobia,  MIND (2008).  As a result of this, many lesbians, gay men as well as bisexual’s find it a daunting task for fear of being seen as abnormal as well as not being understood.  MIND (2008) confirms that there is evidence that these concerns or worries are not baseless as homosexuality used to be seen as a psychiatric diagnosis in 1993.  Although nowadays there is an improvement in the awareness in the mental health field, it would be more beneficial for mental health nurses to be well equipped to deliver sexual health to clients with serious mental health problems (Mind 2008)

Implications for practice

This exercise has made it possible to identify gaps in service provision.  From my own experience, I have witnessed situations were mental health clients bring contraceptive pills on the ward and the nurses role is to administer them.  This questions whether these clients suffering from severe mental illness are aware of other sexual health issues other than pregnancy.  In support to this, The Royal College of Nursing (2001) has highlighted that contraception alongside teenage pregnancies and sexual infections are some of the significant issues that have a great impact on health care practice. The Royal College of Nursing (2001) has highlighted that “sexual health is about the holistic care of patients and clients”, it was also brought to attention that Clinical practice, Clinical education practice and Clinical policy development are essential in ensuring holistic care in sexual health. This has proved that evidence based practice is essential in delivering successful holistic care.  This includes sexual health for mental health patients facilitated by mental health nurses.  In support to this, Dawes et al (2005) emphasises that evidence based-practice ensures that individual health professionals practice based on sound research and successful outcome.  Every registered nurse needs to consider the evidence-based for practice in a multitude of areas as this is a requirement of Nursing and Midwifery Council (NMC 2004).

Having a good knowledge base on sexual health promotion will not only help to educate mental health clients on sexual health but when health promotion is carried out by mental health nurses, it could become cost effective.  This will also be supporting the Government in fulfilling its pledge in the NHS Plan to make progress in the amelioration of ill health.  The Royal College of Nursing (2001).

Through undertaking a literature review, this has also provided guidance that will enable us as mental health nurses to be keen on development and evaluation of sexual health education programmes that will be beneficial for our service users.  However, this also enlightens us to the fact that mental health nurses need to prioritise sexual health training and practice development or make an effort to make it part of their personal development plan in order to bridge the theory and practice gap. It should also be noted that they are also some hindrances. It is obviously a rather daunting task after considering the financial issues faced by the government as a result of the recession.   The Royal College of Nursing (2001) has highlighted that a lack of interest to develop knowledge in sexual health has been one of the hindrances.  On the other hand, another advantage brought about by continuing professional development is that resources are utilised more effectively. This is confirmed by the Chartered Institute of Professional Development (CIPD 2010), continuing professional development makes staff become more productive and work with efficiency by focusing on their own learning through reflection, (CIPD 2010).

The health care delivery system is plagued by lack of resources. Updating knowledge and skills ensures that the best use of these resources is put into practice. A continuing professional development allows the individual to work out what area of practice requires development in this case sexual health promotion by mental health nurses, This will be made possible through highlighting gaps in their knowledge and experience.therefore giving the individual a chance to compare what knowledge and skills they possess, and what is expected at their level of professional practice, (CIPD 2010).

Sexual health skills are required or desirable to meet the demands of the promotion of sexual health.  It also serves as a way of improving one’s competences to ensure satisfactory performance during sexual health promotion.  Enhancing knowledge and skills for mental health nurses allows the individual to engage in evidence based practice. Simpson and Dodds (2004).  This promotes conventionality minimising ambiguity and rendering information shared between health professionals and clients.  Improving teamwork this way reflects a climate that best supports a therapeutic environment (Simpson and Dodds, 2004).  Another vital point to make is that this form of practice could be useful to bridge the theory – practice gap as research evidence have proved that mental health nurses certainly need to be better equipped to promote sexual health.  Hughes and Gray (2009) argue that it is essential for policies to improve in order to extend on the achievements of the National Service Framework for Mental Health. The New Horizons programme is a programme that was launched by the Department of Health in 2009; this is a 10-year strategy to continue to improve the mental health services offered by 2020. However, this does not mention sexual health, (NHS Choices 2010)

The Royal College of Nurses (2001), states that health promotion policies that dispel inequalities in sexual health should be put in place and utilised. In addition to this, Gray et al (2002) pointed out that the sexual health policies of several mental health NHS Trusts are completely out dated, Gray et al (2002) further says that most of these policies simply states that patients are not permitted to have sex whilst on the ward.  Gray et al (2002) gave as an example a policy from a mental health Trust that simply states that ‘Sexual activity involving patients on hospital premises is not an acceptable form of behaviour’.

Developments and improvements in practice need to be made.  In order to achieve safe effective nursing practice, it is paramount to be able to enhance knowledge, skills, values and attitudes towards professional practice. This could be done through staff training and adopting a learning culture. However, time and duties need to be well managed in order to make this a success.  In addition to this, Nurse Week (2005), points out that nurses tend to spend most of their time in administrative and managerial duties which prevent them from spending time engaging in more therapeutic work with patients.  A learning culture is a practice of a ‘no blame’ approach to management which according to Collier (2005) generally translate theory and directives into practice in a meaningful way.

Conclusion

In conclusion, this article has demonstrated the relevance of mental health nurses having a good knowledge base of sexual health and the benefits of it and substantiated it with evidence   The literature used during this exercise highlights the need for mental health nurses to have sexual health knowledge and how much the mental health patients will benefit from sexual health education.  It has also proved that with sexual health education, evidence shows that they can be a reduction in sexually transmitted infections.   It is important to state finally that this exercise has given me a clear understanding of the importance of mental health nurses being able to promote sexual health.    It is clear that clients with mental health problems are more likely to experience problems with their sexual health.

The experience I had made me realise that knowledge is power and when faced with situations were mental health clients have sexual health needs they do not have enough knowledge on.  Health promotion is also identified among the seven pillars of clinical governance initiative (DOH, 1998), in which I will be expected to engage in my professional practice as a registered nurse.  In order to practice ethically and to empower clients to live an independent life, mental health nurses need to have knowledge about how to respond to the needs of people with mental illness in an ethical, honest, and non judgemental manner and this includes sexual health.

By Beatrice Kungwengwe

The mob that Tommy functions for would be the Forelli spouse and children and they sent him to Vice City to score some cocaine and then set up store. Only his really 1st offer goes horribly incorrect leaving him with certainly almost nothing. So Tommy starts nosing all-around, trying to determine out who’s behind all of this just before he will get taken out himself.

The voice for Tommy Vercetti is completed by Ray Liotta that has had some knowledge enjoying the component as being a punk within the movie GoodFellas. He sounds much like the genuine offer. Tommy arrives from Liberty City and so does the Forelli relatives. Liberty City is in which GTA: III takes area. There may be some cohesiveness in between GTA: III and GTA: Vice City.

Tommy Vercetti starts out living inside a hotel area near the beach, this really is his protected home, a spot to get cover when currently being pursued through the police. For those who change clothes the cops will not recognize you after you reappear yet again. Within the hotel area you could stock up on some weapons and save the game after you sense the want to complete so. Throughout the game other destinations will go for the market which you can obtain. After you purchase a spot it is possible to save your game there and hide to choose from if need to have be. Also you will commence receiving missions at these locations. Several intriguing locations will arrive up for sale for example a strip club, a taxi company, an ice cream delivery store, a film studio, the Malibu Club, and in many cases a car dealership. The moment every one of the missions are actually completed for that certain building you will start earning revenue there. Be certain to make your rounds to acquire your revenue typically.

You’ll find a good deal of facet missions which have next to nothing at all to complete using the story line, but will enable you out by possibly giving you cash or specific abilities. Attempt out the fire-fighter missions, the vigilante missions, the ambulance missions, or the taxi missions which have been within the previous game also. Also there are actually new missions including pizza delivery and target practice. Will not miss out within the dirt bike races and mini remote control car races down from the beach possibly.

This really is the 1980′s so expect some incredibly tacky variations like pastel suits and buildings. You can even hook up having a band called Enjoy Fist who appears to be like and sounds rather usual for that 1980′s. Tommy even wears a Hawaiian t-shirt for your greater a part of the game. The music around the radio stations play songs from approximately that time period and discuss radio spouts off small quips in regards to the era.

Ray Liotta isn’t the only major name within the casting listing for this game. Glimpse ahead to hearing the voices of Gary Busey, Dennis Hopper, and Jenna Jameson. The voice actors did an outstanding job. The truth is most of your sound within this game is spectacular. The sound effects for that guns, the vehicles, etc. make you experience like your from the game. The choice of songs in the 1980′s was a pleasant blend. I can honestly say that nothing at all is lacking on this department.

These days, I made some searches through Internet to find if such concept as web history (not history as the creation and the development of WWW) but history as browsing history and URL history exist for example.

My search showed: No Results. So, I decided to give to this concept a new meaning that includes the typed URL history, the browsing history, the AutoComplete history, etc. of each web site in Internet.

So, What kinds of Web History are there?
First, you have to know that each browser gathers and shows the data (as text, links, credit card info, visited domains, preferences, etc.) of web sites where you have been. These data also are called:

* Browsing history: The browsers remember all web pages that you visit on the Internet and even some folders on your own PC under the name browsing history.

* Typed URL history: This URL history is a special history composed by all web site addresses that you typed directly in the address bar of your browser, Windows Explorer and Run dialog.

* AutoComplete history: These are entries you’ve made for Web forms (including your name, e-mail, SSN, credit card information) and passwords.

* Wininet credentials history: This browser feature remembers the user names and passwords, used on the secure web sites (i.e. the sites that pop up a small dialog window, asking you for your user name and password in order to log in).

* Search history: It is the list of recently searched words from the Search Bar of a browser. This history is obvious privacy threat because anybody with an easy access to your computer (colleagues, friends, family member for instance) can see your searches.

* Download history: By default the integrated download manager of the browsers remembers the names and locations of downloaded files for very long time.

Where to see my IE History Files Location?
Use your Internet Explorer or Windows Explorer to see the web history stored on your computer:

* Internet Explorer 6 History Location in Windows XP
Open View -> Explorer Bar -> History

* Internet Explorer 7 History Location in Windows XP
Open View -> Explorer Bar -> History

* IE 8 History Location in Windows XP and Windows 7
Click on the little blue arrow to see recent history.

See how to find all Internet Explorer history files on your computer:
http://computerprivacy101.com/web-history/42-internet-explorer-history/53-internet-explorer-history-location.html#ch3

Full Story: http://computerprivacy101.com/web-history/42-internet-explorer-history/53-internet-explorer-history-location.html

The following is for those looking for a way to short circuit their anxiety disorder – perhaps even bouts with panic–and who also prefer natural means if possible rather than pharmaceutical drugs. Natural anxiety relief options may be classified into therapies, nutritional elements, and more broadly, practical methods. Probably one or some combination is right for each person.

I. Therapies for Anxiety Relief

While not holding to a rigid definition of “therapy,” the following rely on procedures, exercises, and sometimes physical devices like a diary book or visual scanner to focus on behavior and the control of thoughts in order to heal or re-balance emotions.

While therapies can be expensive due to professional oversight, accountability to, encouragement from, and guidance of the professional can be very effective, depending on the professional’s wisdom and skill. Going it alone can be cheaper, but either way, patient responsibility is vital to the outcome.

Also worthy if note is that therapy sessions normally need not be multiplied for a long time to be effective. EMDR (below), for example, requires eight sessions. If expenses and sessions go on and on without facing emotional pain and emotional improvement, change tactics.

A. Cognitive Behavior Therapy

A relatively expensive and traditional treatment typically supervised by a psychiatrist, psychotherapist, or doctor who often simultaneously prescribes drugs–though the therapy itself may be considered natural, and is sometimes used without drugs. Often a diary of feelings is kept, with specific exercises prescribed to aid in controlling morbid thinking.

B. Exposure Therapy

Under professional supervision, a patient is asked to experience a situation that raises fear. Usually the experience is via memory recall at first. Of course the ability of the patient to handle the situation and the therapist’s expectations as to what the patient can handle both vary. Exposure may thus be incremental, sudden and complete, or something in between. Exposure therapy has a reputation for effectiveness, and may be applied in conjunction with Cognitive Behavior Therapy.

C. EMDR

Eye Movement Desensitization and Reprocessing (EMDR) integrates various approaches, but its most notable marker is that the patient focuses visually on a laterally-moving object or light, moved back and forth, while simultaneously focusing on what has been identified as emotionally problematic areas. Laterally moving auditory or tactile stimuli are also used in place of the visual. Eight phases are used. While causes of patient improvement are not well understood, the net effect as measured by patient response and MRI’s is statistically significant and positive.

D. Emotional Freedom Technique

Emotional Freedom (or Freeing) Technique (EFT) practice includes tapping with finger tips on various nerve nodes on the upper body while simultaneously and vigorously making positive affirmations contrary to identified negative and problematic ones. A therapist may be helpful in identifying problematic areas and in guiding patient exercises, but independent patient practice is encouraged, as is also true for example of Cognitive Behavior Therapy.

E. Linden Method

A proprietary protocol developed by Britain’s Charles Linden addressing the amygdala in the brain, the area most active when fear sensations are present. The method is less expensive than others partly because the patient masters training material independently and receives professional counseling remotely (usually) and only as needed. (EFT can be even less expensive if the patient merely reads the material and practices entirely independently without any trained counselor.)

II. Nutrition for Anxiety Relief

While usually not a panacea, nutrition-based improvement to anxiety symptoms suggests an aspect of anxiety may be chemically caused or influenced. Especially worthy of note here is that certain nutritional materials may conflict with certain pharmaceutical drugs, whether the drugs are used to treat anxiety, depression, or anything else. Thus consultation with a supervising doctor is advised–in some cases strongly–prior to use of such nutrition for sedating or calming influences.

Also worthy of note is that stresses (as well as pharmaceutical drugs) can deplete the body of specific and needed nutritional elements, hence the increased need for supplementation. And as always, nutritional needs vary with the individual, so what works for one may not produce noticeable results in another. Some trial and error may be needed, and perhaps professional advice regarding selection or dosage may help.

And if the nutritional material makes one feel drowsy, one must be careful driving or operating heavy equipment and the like.

A. Vitamins

B vitamins come to mind, or a good brand of probiotics so as to improve B vitamin production in the gut. B vitamins are useful for many metabolic functions, notably here for nerve cells. Vitamin C may have an effect also.

B. Amino Acids

Amino acids like GABA (with improved function in the presence of B vitamins Inositol and Nicacinamide), tryptophan (and 5-HTP), and tyrosine may be helpful.

C. Alpha-linolenic acid

Many are low in Omega 3 essential fatty acids, and some studies suggest one of the effects of supplementation with alpha-linolenic acid may help with anxiety.

D. Minerals

Mineral deficiency can contribute to anxiety symptoms. Magnesium, calcium, potassium and sodium levels should be optimal, for example.

E. Herbs

Various herbs have been known to have calming or sedating influence. Among these are Kava Kava, Lemon Balm, Passionflower, Chamomile, Hops, Valerian, Skullcap, Holy Basil, and Rhodiola Rosea. Some people may have a negative reaction especially to prolonged use of some of these herbs.

III. Miscellaneous Methods for Anxiety Relief

An assortment of possible other methods may help reduce anxiety or panic symptoms.

A. Avoid and Get Rid of …

Persons with a heightened sense of anxiety should probably avoid caffeine, alcohol, and sugar. Caffeine may be hidden in soft drinks.

Others may have heavy metal poisoning (cadmium, mercury, nickel, lead, and so on) which may be chelated with materials like chlorella, spirulina, and cilantro.

B. Lifestyle changes

Regular exercise boosts mood, as may proper diet. Perhaps a change from a stressful job, a toxic housing environment (e.g., mold, formaldehyde in wood products), and a change in relationships (e.g., repentance, forgiveness) may help.

C. Breathing Exercises

Breathing problems are surprisingly common among those suffering from anxiety problems or disorders. Slow, controlled, nasal breathing from the diaphragm is often surprisingly helpful. Anxiety tends to make people hyperventilate, which in turn often increases anxiety symptoms.

Hopefully something in the above will aid anxiety or panic disorder sufferers in coping with and overcoming their distressing and treatable condition.

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