Table of Contents
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Foreword |
xv |
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Acknowledgments |
xvi |
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Introduction |
xviii |
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PART ONE |
LEARN
ALL YOU CAN |
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Chapter 1 |
Understanding
Arthritis: Cleaning Up Myths and Exploring Treatment Approaches |
4 |
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Arthritis Myths |
4 |
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The Biopsychosocial
Model for Arthritis Care |
7 |
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Chapter 2 |
Understanding
Rheumatoid Arthritis: A Chronic, Complex Disease |
15 |
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Rheumatoid Arthritis
is Chronic |
15 |
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Rheumatoic Arthritis Involves
Inflammation |
16 |
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Rheumatoid Arthritis
Involves an Abnormal Immune System Response |
17 |
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Who Gets Rheumatoid
Arthritis? |
17 |
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What Causes
Rheumatoid Arthritis? |
18 |
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What is it Like to have
Rheumatoid Arthritis? |
20 |
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Chapter 3 |
Diagnosing Rheumatoid
Arthritis: Your Medical History and Physical
Examination |
25 |
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The “Low-Tech” Tools |
26 |
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Medical History |
26 |
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Patient Questionnaires |
27 |
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Physical Examination |
28 |
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Physical Measures of
Function |
29 |
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Classification Criteria |
29 |
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Summary |
30 |
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Chapter 4 |
Diagnosing
Rheumatoid Arthritis:
Laboratory Tests and Imaging
Studies |
33 |
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When Tests are Helpful |
33 |
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Laboratory Tests
Used in Diagnosis |
34 |
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Complete Blood Count |
34 |
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Erythrocyte Sedimentation
Rate |
35 |
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C-Reactive Protein |
35 |
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Rheumatoid Factor |
35 |
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Antinuclear Antibodies |
36 |
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Genetic Typing |
37 |
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Urinalysis |
38 |
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Imaging Studies |
38 |
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Radiographs (X-rays) |
38 |
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Bone Scans |
38 |
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Magnetic Resonance
Imaging (MRI) |
39 |
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Joint Ultrasound |
39 |
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Bone Densitometry |
39 |
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Chapter 5 |
Diagnosis
Checkpoints: What if it’s not Rheumatoid Arthritis? |
41 |
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Osteoarthritis |
41 |
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Fibromyalgia |
43 |
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Gout |
44 |
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Ankylosing Spondylitis |
45 |
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Bursitis and Tendinitis |
45 |
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Sjögren’s Syndrome |
46 |
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Felty’s Syndrome |
46 |
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Connective Tissue
Diseases |
46 |
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Systemic Lupus Erythematosus |
47 |
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Scleroderma (Systemic
Sclerosis) |
47 |
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Polymyositis and Dermatomyositis |
47 |
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Vasculitis |
48 |
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Chapter 6 |
More Than
Joints: When Other Body Parts are Affected |
51 |
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Skin |
51 |
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Eyes |
52 |
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Mouth |
52 |
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Lungs |
52 |
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Heart |
54 |
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Kidneys |
54 |
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Blood-Forming Ceils |
55 |
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Spleen |
55 |
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Chapter 7 |
The Long
Haul: What to Expect with Rheumatoid Arthritis Over Time |
57 |
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Making a Prediction:
Some Guidelines |
57 |
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Another Clue: Your Disease
Type |
58 |
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Why it’s Important
to See a Doctor |
61 |
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What Changes You can
Expect |
61 |
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X-ray Changes |
62 |
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Changes in Function |
62 |
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Work Disability |
62 |
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Life Span |
64 |
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JOIN YOUR
HEALTH-CARE TEAM |
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Chapter 8 |
Your Health-Care
Team: Get to Know Your Key Players |
69 |
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Who’s on Your
Health-Care Team? |
69 |
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Meet the Players |
70 |
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Doctors |
70 |
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Other Health-Care
Professionals |
72 |
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Getting the Most
from Your Health-Care Team |
73 |
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Taking P A R T |
74 |
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chapter 9 |
Keeping
Tabs: Evaluating and Monitoring Your
Rheumatoid Arthritis |
77 |
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Joint Examinations |
79 |
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X-rays and Other
Imaging Techniques |
79 |
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Laboratory Tests |
79 |
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Physical Function
Measures |
81 |
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Self-Report
Questionnaires |
81 |
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Chapter 10 |
Medical
Management: Effective Strategies for Treatment |
83 |
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Acute vs. Chronic
Disease |
83 |
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One Drug vs. Many
Drugs |
84 |
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The Old Approach to Medical
Management |
86 |
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The New Approach: A Preventive
Strategy |
86 |
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Is this New Approach
Safe? |
87 |
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What You can Do |
88 |
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Stopping Drug Treatment |
88 |
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Chapter 11 |
Aggressive
Therapy: Drugs to Treat Rheumatoid Arthritis |
95 |
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Prescription vs.
Over-the-Counter Drugs |
95 |
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Nonsteroidal Anti-Inflammatory
Drugs (NSALDS) |
97 |
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Analgesics |
102 |
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Corticosteroids |
106 |
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Disease-Modifying Antirheumatic
Drugs (DMARDS) |
111 |
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Biologic Response
Modifiers |
116 |
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Other DMARDS |
121 |
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Combination Therapy |
126 |
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Research and Development:
Hope for the Future |
126 |
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Table: Drugs Used in
Treating Rheumatoid Arthritis |
128 |
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Chapter 12 |
Surgical
Options: Opening New Doors |
137 |
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Common Surgical Procedures |
138 |
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Synovectomy |
138 |
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Arthroscopic Surgery |
138 |
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Arthroplasty or Joint
Replacement Surgery |
139 |
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Resection |
140 |
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Arthrodesis (Fusion) |
141 |
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Osteotomy |
141 |
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What You can Expect
from Surgery |
141 |
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Deciding on Surgery |
142 |
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Before Surgery |
143 |
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After Surgery |
143 |
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Chapter 13 |
Alternative
Therapies: Treatment’s Old and New Frontier |
147 |
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Types of Complementary
and Alternative Therapy |
148 |
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Massage |
148 |
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Acupuncture/Acupressure |
149 |
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Special Diets or Dietary
Changes |
150 |
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Herbs, Supplements,
“Natural” Remedies |
152 |
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Common Supplements
Used for Rheumatoid
Arthritis |
154 |
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Prayer and Spirituality |
158 |
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Miscellaneous Therapies |
158 |
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Talking to Your
Doctor About Your Options |
158 |
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Making Smart Choices |
159 |
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PART THREE |
DEVELOP A GOOD
LIVING LIFESTYLE |
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Chapter 14 |
Exercise: The
Importance of Getting Physical |
163 |
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What if I Don’t
Exercise? |
163 |
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Making a Commitment
to Exercise |
165 |
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Choosing the Right
Moves |
166 |
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A Note About Pain |
171 |
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Don’t Go it Alone |
172 |
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Sample Exercises |
173 |
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Chapter 15 |
Eating Well:
Diet and Your Arthritis |
185 |
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Adopt a Good Diet |
185 |
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A Note on Diet
“Cures” |
185 |
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What is a Good Diet? |
186 |
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Eat a Variety of Foods |
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Ease Up on Fat and Cholesterol |
186 |
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Eat Vegetables,
Fruits and Whole Grains |
187 |
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Spare the Sugar and Salt |
188 |
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Drink Alcohol in Moderation |
188 |
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The Food Guide
Pyramid |
189 |
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The Food Labeling Act |
189 |
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Nutrition Resources |
190 |
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PART FOUR |
ASSUME
RESPONSIBILITY FOR WHAT YOU CAN CONTROL |
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Chapter 16 |
Closing the
Gates: Ways to Manage Pain |
195 |
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What is Pain? |
196 |
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The “Gate” Theory of
Pain |
196 |
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Why “Grin and Bear
It” Doesn’t Work |
198 |
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Managing a Flare |
199 |
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Managing Chronic Pain |
202 |
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Avoiding Joint Pain and
Damage |
203 |
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Organize and Simplify
Your Life |
204 |
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Self-Help Devices |
204 |
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Chapter 17 |
Feeling
Exhausted: How to Cope with Fatigue |
209 |
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Pinpointing Causes
of Your Fatigue |
209 |
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Keeping a Fatigue
Diary |
210 |
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What Your Doctor can
Do |
211 |
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What You can Do |
213 |
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Understanding Your
Body’s Rhythms |
215 |
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Getting a Good
Night’s Sleep |
215 |
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Prioritizing Your
Time and Energy |
217 |
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Ask for Help, Even
if It’s Difficult |
217 |
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PART FIVE |
MASTERING EMOTIONAL
CHALLENGES |
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Chapter 18 |
Mind Power:
Getting Mentally Tough |
223 |
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The Mind-Body
Connection |
223 |
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Why Self-Efficacy
can Help |
224 |
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Coping with Stress |
225 |
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chapter 19 |
Losses and Gains:
Getting Past Grief and Depression |
239 |
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What is Grief? |
239 |
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If You Experience
Depression |
239 |
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Grief’s Parade of Emotions |
241 |
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Self-Talk |
245 |
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Ten Unhealthy Ways
to Think |
246 |
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Changing Unhealthy
Self-Talk |
248 |
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Avoiding a Spiral
Into Depression |
249 |
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How to Know if You’re
Depressed |
250 |
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Seeking Professional
Help |
252 |
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Chapter 20 |
Good Living:
Creating a Healthy Lifestyle |
257 |
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Setting Reasonable
Goals |
257 |
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Nourishing Your Mind
and Spirit |
259 |
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Taking Care of the Basics |
260 |
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A Final Word: Making
Time for Yourself |
261 |
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Glossary |
265 |
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Index |
279 |
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Resources for Good Living |
298 |
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