and confused after receiving a diagnosis.
• Recognize that it may take time to find
the medications and dosages that work.
• Always respect the individual’s need
Additional focus: trauma
A second platform for Mental Health
America during this awareness initiative is
called Healing Trauma’s Invisible Wounds.
Until recently, trauma survivors were
largely unrecognized by the formal treatment
system. The costs of trauma and its aftermath to victims and society were not well
documented. Inadvertently, treatment systems may have frequently retraumatized
individuals and failed to understand the
impact of traumatic experiences on their general and mental health.
A traumatizing experience can happen
to an individual at any age, or to an entire
community. The most common causes of
• Living under threat
• Childhood sexual, physical or emotional
abuse or neglect
• Experiencing violence
• Being bullied
• Living through a natural disaster, war
or other form of upheaval
• Serving in combat
• Witnessing something terrible happen
to another person or group of people
The good news is that the invisible
wounds caused by traumatic experiences can
heal. With the proper treatment, support and
self-care, recovery is possible.
As a society, we are just beginning to
deal with trauma—bringing it out of the
shadows, finding new ways of healing its
wounds and casting off the shame that prevents trauma survivors from seeking help.
Mental Health America can help those in
need find treatment, support groups, medication information and more on its website,
www.mentalhealthamerica.net. If you or
someone you know is in crisis, please call
your local crisis center or 1-800-273-TALK
(8255) to reach a 24-hour crisis center.
PAID ADVER TISEMEN T
Is your little one
LOOK FOR THE SIGNS!
• Stays dry through naps.
• Sits on the potty.
• Wakes up dry in the morning.
• Knows when it’s time to go.
5 TIPS FOR SURVIVING
1. Be consistent. This means making
a plan and sticking to it, whether
you’re at home or on the town.
2. Be patient. Every child trains
differently, and you need to
recognize what works and doesn’t
work for your own child. If you
pressure your toddler to potty train,
he might resist, causing bigger
troubles down the road.
The CDC estimates that 1. 5 million
adults have RA, which is two to three times
more common in women. While OA is generally discovered later in life, RA is often discovered earlier, says Wei. The 30s and 40s are
prime years for diagnosis.
There is no singular test for RA, so doctors use a combination of physical history
and examination, blood tests and X-ray
imaging to make a diagnosis. Thanks to
emerging science concerning RA biomark-ers—biological clues to the existence and
extent of RA disease activity—sophisticated
blood tests can now aid in the detection and
management of RA, says Mease.
As recently as the 1980s, RA patients routinely received gold injections as a primary
form of treatment. Today, the gold standard
for RA treatments is disease-modifying antirheumatic drugs and biological therapies—
protein-based prescription medications that
fight the abnormalities that cause RA.
CONTINUED FROM PAGE 45
While RA can’t be cured, between 10 and
25 percent of RA patients reach remission. In
remission, the disease is inactive and patients
don’t experience symptoms, but must continue
taking medication and remain under a doctor’s
care. When RA is caught early, patients have a
better chance of reaching remission, says
Mease. “Remission doesn’t happen for every-
one,” he notes. “But when it does, patients are
overwhelmed by how good they feel.”
Bonuccelli is one of the lucky ones—the
RA that caused him years of pain and swelling
is now in remission. Daily medications
(Enbrel and methotrexate) and regular blood
work will continue to help manage and moni-
tor the disease. But for now, his RA symptoms
are a thing of the past, and this band teacher
is once again marching to the beat of life. C
Costco member Malia Jacobson is a freelance journalist who writes frequently about
3. Don’t cave in to peer pressure.
No matter what people tell you,
remember, it’s your child. You know
what would work best for your tot.
Ask friends and family to respect
your potty plan.
4. Expect setbacks. Even if you’ve
had weeks of success at the potty,
your child may experience accidents.
A variety of things can upset your
child’s routine, causing setbacks.
If that’s the case, wait until life is
calmer before you restart your potty
5. Make it fun. If potty training
feels like a chore for you, it’ll
feel that way for your child too.
Make it fun by using Pull-Ups®
Training Pants, reading potty books
or doing the Potty Dance.
For more information about arthritis, visit these websites.
Centers for Disease Control and Prevention:
National Institute of Arthritis and Musculoskeletal and Skin Diseases:
Johns Hopkins Arthritis Center:
Find more tips at
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