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Joel_Spitz
Re :   We no longer answer emails submitted to AskJoel

Video explaining current status of the AskJoel website:



10/14/2014 08:56 AM


Joel_Spitz
Re :   Advertisements placed in this site



Advertisements 
 
Please know that Aimoo is in control of these ads and their placement and getting all proceeds. AskJoel, Freedom from Nicotine, and WhyQuit.com's management team and participants are volunteers and not a single one of us has ever gotten a penny for the work we do at these sites, either by any kind of sponsorship or by any kind of donation by anyone.  

Even if a sponsor showing up is an organization like the American Cancer Society, Lung Association or Heart Association, we in no way are endorsing them or any of their views when it comes to smoking cessation. 

If anyone ever has the idea that they should donate money to any of the “sponsored sites” because of the work they do on smoking cessation they should probably find a better charity and a better cause to work with. Money put toward smoking cessation efforts by the major organizations of the world are basically aimed at promoting NRT and other pharmacological products—very little is put toward doing the real education that is required to help the masses to quit smoking.

These organizations may do good work on other fronts, and we are not telling people who have been helped by these organizations not to donate to them for the other work they may do in prevention, research and services to patients, but if the motivating factor for doing a donation is the for the work they are doing on smoking cessation through sites such as ours, we’d suggest skipping the donation. 

As for products or services that show up on the board below that are non-smoking and non-quitting related, we don't endorse any of them. If a tobacco company ever shows up as a sponsor selling any kind of tobacco product or if a pharmaceutical company ever shows up as a sponsor with any kind of mention of a so called cessation product, we beleive that they are trying to sell you a product or service that is quite worthless and possibly dangerous to people’s health and to their quits. The only thing that a person has to “buy to” quit smoking is to “buy into the concept” that to quit smoking and to stay free from nicotine forever is to simply stick to a personal commitment to never take another puff!

Thank you,

Joel



10/14/2014 08:28 AM


Joel_Spitz
Topic :   This site is for archival purposes only--we no longer answer emails submitted to AskJoel

This site is for archival purposes. 

 The site has not been updated for several years. 

 We have many more up to date resources at WhyQuit.com, the Freedom from Nicotine board and at Youtube at www.youtube.com/joelspitz.

We are no longer able to answer emailed questions to AskJoel. 




10/14/2014 08:19 AM


Joel_Spitz
Re :   Welcome to the AskJoel website.

It seems as if AskJoel at Aimoo may get shut down soon. Here is an email I received:
Dear Members, We are sorry to tell you that your forum forum3.aimoo.com/freedomfromnicotine have to be deleted in two weeks as there isn't any posts these 6 months. Thank you for your understanding. 

For any questions, feel free to contact us here

Best regards, 
Aimoo Team 
http://help.aimoo.com. Alice Aimoo Administrator

I have a request in to Aimoo to see if there is a way to prevent this. If not, There is an archive of the original site at http://askjoel.yuku.com

I believe it has most of the posts that are not here at Aimoo, just not as cleanly laid out. We will see what happens in a couple of weeks.

Joel


07/13/2012 14:47 PM


Joel_Spitz
Re :  

Updated Freedom from Nicotine rules and courtesies regarding medical issues:

NO MEDICAL ADVICE - Members may not solicit or render medical advice, nor invite members to comment on the appropriateness of treatment or medications. While the site openly shares information regarding symptoms commonly experienced during withdrawal and recovery, no member can know for certain whether any symptom being experienced by a member is or is not related to quitting. If you have any question in your mind regarding any lingering health concern, including depression or mental health, seek medical assistance. If not satisfied with your physician's advice seek a second opinion. We are not physicians or doctors here at Freedom but students and teachers of nicotine cessation. 

NO POSTS CONTRARY TO PHYSICIAN ADVICE - Freedom posting privileges shall be immediately terminated if a member posts or notifies management that their doctor or health care provider advises them not to quit smoking at this time, or to follow a quitting plan other than cold turkey. Allowing any member to remain following such a disclosure would mean that this forum is acting contrary to the physician's advice. Freedom exists to support, not replace, the relationship that exists between a site visitor or member and his/her physician. Do not rely upon any information at this site to replace individual consultations with your doctor or other qualified health care provider. 

NO MEDICATION, HERB, EXERCISE OR DIETING RECOMMENDATIONS - Members are not permitted to render advice or make recommendations on these topics, whether on Freedom's message boards or on your profile page. If you have specific health concerns, medication or herb questions, or need exercise or dieting assistance, please seek the assistance of qualified professionals. Freedom is a nicotine cessation forum staffed entirely by cessation educators who are not physicians, pharmacists or dietitians.


04/14/2010 16:48 PM


Joel_Spitz
Re :   Normal depressive reaction or a real organic depressive episode

The following "Depression Basicis" article was 
created by the 
Tobacco Control Research Branch
of the National Cancer Institute.

Depression Basics

NOTE: This information is not meant to tell you for sure if you have major depression. It cannot take the place of seeing a mental health professional.

It is common for people who are feeling bad to think about hurting themselves or dying. If you or someone you know is having these feelings, they are in crisis. Get help now. Call 1-800-273-TALK (8255) or 1-800-SUICIDE (1-800-784-2433) to reach a 24-hour crisis center or dial 911.

Both 1-800 numbers are open all the time to give free, private help to people in crisis. The Substance Abuse and Mental Health Services Administration (SAMHSA), a part of the U.S. Department of Health and Human Services, runs both crisis centers. For more information, go to http://www.suicidepreventionlifeline.org.

Para obtener asistencia en español durante las 24 horas, llame al 1-888-628-9454.


What is depression?

Depression is more than feeling sad or having a bad day. People with depression usually feel down, blue, or sad, and they have other signs, such as:

  • Feeling sad all the time
  • Not wanting to do things that used to be fun
  • Grumpy, easily frustrated, restless
  • Changes in sleep—trouble falling asleep or staying asleep, waking up too early, or sleeping too much
  • Eating more or less than they used to
  • Trouble thinking
  • Feeling tired, even after sleeping well
  • Feeling worthless
  • Thinking about dying or hurting themselves

You may have depression if:

  • You have 5 or more of the signs listed above.
  • These signs have lasted 2 weeks or more.

Use our depression screening quiz to see if you are depressed. You should consider seeing your doctor or a qualified mental health professional, especially if these problems are getting in the way of your life or are making you stressed.

What causes depression?

There are many things that increase a person’s chance of getting depressed. Everyone is different, but here are some common things that can lead to depression:

  • Feeling lots of stress
  • Going through a difficult life event
  • A big life change, even if it was planned
  • Medical problem
  • Taking a medication that is known to cause depression
  • Using alcohol or drugs
  • Having blood relatives who have had depression

How is depression different from sadness?

Everyone has down days and times when they feel sad. Sadness could turn into depression, but depression and sadness are different in these ways:

  • How long the feelings last: Depression is felt every day (or most days) and lasts at least 2 weeks, usually much longer.
  • How bad the symptoms are (how much they get in the way of your life): Depression makes it hard for you to do things (like work or family duties) and it can stop you from doing the things you want to do.

How is this different from withdrawal from smoking?

Mood changes are common after quitting smoking. You might be irritable, restless, or feel down or blue. 
Changes in mood from quitting smoking (withdrawal) usually get better in 1 or 2 weeks, and they are not as serious.

If you find that you are feeling very down after quitting smoking, then you should talk about this with friends and family, and also call your doctor. This is also true if you have symptoms from the list above. See "What is depression?" and the depression screening quiz.

Who gets depression?

In general, about 1 out of every 6 adults will have depression at some time in their life. 
Depression affects about 15,000,000 American adults every year.

Anyone can get depressed. Depression can happen at any age and to any type of person.
But some types of people seem more likely to get depressed than others. For example,

  • Women
  • Smokers
  • People with medical problems
  • People who are stressed

Your race, ethnicity, or how much money you make doesn’t change your chance of getting depression.

Why is depression more common in smokers?

Nobody knows why smokers are more likely to have depression than non-smokers, but there a number of guesses. People who have depression might smoke to feel better. Or smokers might get depression more easily because they smoke. Other ideas are also possible. More research is needed to find out for sure.
No matter what the cause, there are treatments that work for both depression and smoking.

If I get depressed after quitting smoking, should I start smoking again?

No. You should look for ways to get help with your depression. Smoking does not treat depression. Remember that smoking is linked to many serious health problems for both the smokers and the people around them. Finding ways to help your depression and quit smoking are the best way to go.

How long does it last? Will this go on forever?

Everyone is different. For some people, it will only last a few weeks, some for many months if not treated.
For many people, depression is only a problem during really stressful times (like a divorce or the death of a loved one). For other people, depression happens off and on through their life.

But, for both groups of people, there are treatments for depression that can help reduce the symptoms and shorten how long the feelings last.

Is it worth getting treatment for depression?

Yes! Treatment almost always helps to reduce symptoms and shorten how long the depression lasts. A common problem is that too few people get help. Many people think that depression is not a real problem, can’t be all that serious, or is a sign that they are simply not tough enough to deal with life. None of these are true.

You do not need to feel shy or embarrassed about talking openly and honestly about your feelings and worries. This is an important part of getting better, working on ways to help your mood.

Many people benefit from treatment for depression, even if the symptoms are not serious. So you don’t need to have a lot of symptoms of depression before talking to your doctor or a qualified mental health professional (see "Who provides therapy?") about getting treatment.

If you find that you have 5 or more signs from the list above (see "What is depression?" or the depression screening quiz), you should talk with your doctor or a qualified mental health professional. This is especially true if the feelings have lasted 2 weeks or more, are making you worried, or are getting in the way of your daily life.

What are the treatments for depression?

There are many good treatments for depression, and more than 8 out of every 10 people who use them get better. Treatment usually means getting psychotherapy/counseling, taking medications, or doing both. Your doctor or a qualified mental health professional can help you figure out what treatment is best for you.

About therapy (counseling, talk therapy, psychotherapy)

Therapy has shown to be quite helpful and is often an important part of treatment for depression.
Getting therapy does not mean you will be in treatment forever. Most talk therapy is for a short time. Depending on how serious your feelings are, it can mean meeting only a few times with a therapist. Most talk therapy focuses on thoughts, feelings, and issues that are happening in your life now. In some cases, understanding your past can help, but finding ways to address what is happening in your life now can help you cope and be ready for challenges in the future.

Therapy is more than just telling your therapist about your problems. It means working with your therapist to improve coping with the things happening in your life, change behaviors that are causing problems, and find solutions. Your therapist may give you some homework in between meetings; things for you to think about and work on. This might include making a list of situations that give you negative thoughts and feelings, or looking at things in a different way. 

Some common goals of therapy:

  • Get healthier
  • Get over fears or insecurities
  • Cope with stress
  • Make sense of past painful events
  • Identify things that make your depression worse
  • Have better relationships with family and friends
  • Make a plan for dealing with a crisis
  • Understand why something bothers you and what you can do about it

Who provides therapy?

There are many kinds of people who have been trained to give therapy and help you. These include:

  • Psychiatrists (they write “MD” after their name)
  • Psychologists (they write PhD, PsyD, EdD, or MS after their name)
  • Social workers (they write DSW, MSW, LCSW, LICSW, or CCSW after their name)
  • Counselors (they write MA, MS, LMFT, or LCPC after their name)
  • Psychiatric nurses (they write APRN or PMHN after their name)

More important than their training, you should find someone you can talk with honestly and openly. Your therapist won’t have all the answers, but the key is to find someone you can work with as a partner to help you find answers.

About medications

Many people with depression find that taking medication is a useful tool in improving their mood and coping. Medications for depression are called antidepressants. Antidepressants cannot solve all your problems like magic, but they can help you to even out your mood and be more able to handle events in your life that are making your mood worse.

Antidepressants are prescription medications, so talk to your doctor if you want to take them. If your doctor writes you a prescription for an antidepressant, ask exactly how you should take the medication.
There are many medications, so you and your doctor have options to choose from. Sometimes it takes trying a couple different medications to find the best one for you, so be patient. If you are worried about cost, ask your doctor or pharmacist if the medication comes in a generic form. Generic medications can cost less than brand names.

When taking these medications, it is important to stick with them for awhile. Many people start feeling better a few days after starting the medication, but it often takes 1–2 weeks of taking it to feel a big difference, and 4 weeks to feel the most benefit. It is also common to have to change the dose, so you will want to work closely with your doctor.

How long a person takes antidepressants is very different from person to person. Many people are on them for 6–12 months, and some people take them for longer. Again, you and your doctor will want to talk about what is best for you.

Antidepressants are safe and work well for most people, but it is still important to talk with your doctor about side effects you may get. Side effects usually do not get in the way of daily life, and they go away as your body gets used to the medication.

If you notice that your mood is getting worse, especially if you have thoughts about hurting yourself, it is important to call your doctor right away.

Taking care of you

There are many things you can do to help lift your mood and improve feelings of depression.

  • Exercise. Stay active. This can include something as simple as taking a fast walk or as involved as going to the gym or joining a team sport. The type of exercise depends on how fit you are, but any kind of activity can help. If you need to, start small and build over time. This can be hard to do when you are down or depressed because feeling down saps all your energy. But making the effort will pay off! It will help you feel better.

  • Structure your day. Create a plan to stay busy. It is especially important to get out of the house whenever you can.

  • Talk and do things with other people. Many people who are feeling depressed are cut off from other people. Having daily contact with other people will help your mood.

  • Build rewards into your life. For many who are depressed, rewards and fun activities are missing from life. It is helpful to find ways to reward yourself. Even small things add up and can help your mood.

  • Do what used to be fun, even if does not seem fun right now. One of the common signs of depression is not wanting to do activities that used to be fun. It may take a little time, but doing fun activities again will help improve your mood. Some people like to make a list of fun events and then do at least one a day.

  • Talk with friends and loved ones. Their support is a key to your feeling better. Having a chance to tell them your concerns can help things seem less scary.


03/23/2010 08:36 AM


Joel_Spitz
Re :   Normal depressive reaction or a real organic depressive episode

From above:

"I know people who are afraid to take medications for mood disorders but will smoke in its place. No matter what drug would be prescribed for them, none of them would carry the risk that self-medicating oneself by nicotine carries. Smoking is lethal. Don't give cigarettes the legitimacy to treat feelings. They don't. They make them worse. They in effect minimize your ability to communicate and grow. Growth may hurt, but it beats carrying on unresolved feelings that slowly may deteriorate the quality of your life."

Related article

Using cigarettes to self medicate certain medical conditions

There are likely some people who smoke in order to self-medicate themselves for certain conditions that they have. What these people need to understand though is the problem with the "medication" (their cigarettes) that they have chosen to use to treat a condition. The medication (cigarettes) they are using has certain undesirable side effects.

Think of it this way. Lets say that you have a medical or emotional condition that causes you some level of discomfort. Nothing life threatening, just a problem that is causing some minor disruption in your day to day function. You go to your pharmacy and look through the over the counter remedies and find one that says it "may" be able to treat your exact condition. You buy it.

When you get home you start to read the dosing instructions and contraindications of usage. The medication has the following standard warning:

Medication is habit forming. Medication leads to addiction to most people who use it. Medication known to be one of the most addictive drugs known to man. Medication contains the following ingredients, followed by a list of four thousand chemicals, some with familiar names like arsenic, hydrogen cyanide, carbon monoxide and many many others. Medication known to cause cancer in rodents. Medication known to cause cancer in humans. Medication known to cause heart disease, strokes, peripheral vascular diseases. Medication known to destroy lung tissue. Medication known to cause chronic obstructive pulmonary diseases like emphysema and chronic bronchitis. Medication is known to be the most recognized cause of premature death in the United States. Medication known to cripple millions of people worldwide every year. Medication known to kill over 4.9 million people worldwide every year. Medication known to kill one out of every two people who use it.

On top of this you calculate the cost of using this medication over your lifetime, which is how it is going to be used if you start it now, and you realize it is going to cost you tens of thousands of dollars over your lifetime. No insurance company will ever cover its costs and in fact, most likely all of your insurance companies are going to charge you higher premiums for your lifetime because you use the medication.

Considering all of the above consequences--do you take the medication? One more thing--there are other medications on the market that actually can treat your condition, that have no known life threatening health effects.

I think any rational person would try to get a refund for the purchased medication. There is probably only one group of people who would take the medication considering the above implications. It is the ones who had been taking it for years already, who may have started before they knew or fully understood all of the problems the drug would cause. Now they may believe the warnings but they like most others who used it are caught in the active grip of the addiction of the drug. They believe that they have lost choice in the matter. They are users and they believe they are stuck that way for the rest of their life.

Hopefully, somewhere in fine print on the box will be an instruction that says, medication is addictive and deadly, but can be stopped if a person simply makes and sticks to a personal commitment to never take another dose.

Joel



02/06/2010 17:23 PM

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