Gender dysphoria:
NHSScotland Gender Reassignment Protocol
The Orientation Reassignment Convention was given to NHS Sheets on July 11 2012.
The Orientation Reassignment Convention contains various treatments and surgeries, which the patient and their orientation clinician ought to examine exhaustively to track down the most fitting treatment pathway.
The convention sets out the treatment pathway from beginning enquiry to the end and empowers the patient to have something to do with choices about their medical services.
Any treatment for orientation dysphoria in Scotland ought to follow the convention.
The Equality Act 2010
The Equity Act, 2010 shields transgender individuals from separation and badgering in different regions, like work or the arrangement of labor and products.
The Demonstration doesn't need an individual to be under clinical watch to be secured. For instance somebody brought into the world with male Phisical movement qualities who chooses to live for all time as a lady, however doesn't counsel a specialist or go through any operations, would be safeguarded.
The Demonstration likewise safeguards individuals related with them, like relatives, as well as other people who are seen to be transgender.
Gender Recognition Act 2004
Under the Gender Recognition Act of 2004, transgender men and women can:
- apply for and obtain a Gender Recognition Certificate to acknowledge their gender identity
- get a new birth certificate, driving licence and passport
- marry in their new gender
To apply for a Gender Recognition Certificate you must be over 18 years of age. The application process requires you to prove that:
- you have or have had gender dysphoria
- you have lived as your preferred gender for the last two years
- you intend to live permanently in your preferred gender.
Patient Advice and Support Service
The Patient Advice and Support Service is an independent service which provides free, accessible and confidential information, advice and support to patients, their carers and families about NHS healthcare.
The service:
- can provide you with information, advice and support if you want to give feedback or comments, or raise concerns or complaints, about healthcare provided by NHS Scotland
- helps you understand your rights and responsibilities as a patient
- works with the NHS in Scotland to improve healthcare provision
The Patient Advice and Support Service can be accessed from any Citizens Advice Bureau in Scotland.
Eating disorders:
About eating disorders
Dietary problems change somebody's demeanor towards food and their body such that impacts their way of behaving and dietary patterns. For instance, a dietary problem can make you invest a ton of energy contemplating your weight and body shape, and do things like abstain from eating however much as could reasonably be expected, or practice more than is solid.
These changes in eating habits and behaviour can affect you physically, mentally, and socially.
Types of eating disorders
There are a number of different types of eating disorder. The most common ones are:
- anorexia nervosa, where a person tries to keep their weight as low as possible by strictly controlling and limiting what they eat
- bulimia, where a person overeats and then tries to avoid gaining weight by ‘purging’ – for example, by vomiting or taking laxatives
- binge eating, where a person feels they have to overeat through regular binges
Eating disorders that don’t fit the above definitions may be described as:
- atypical eating disorders
- eating disorders not otherwise specified (EDNOS)
How common are eating disorders?
During their lifetime, between 5 and 10% of people may experience an eating disorder.
Other conditions that affect food and eating
Some conditions involve food and eating, but aren’t related to concerns about weight or body shape. These include avoidant/restrictive food intake disorder (ARFID). ARFID causes a person to avoid certain foods or types of food, restrict how much they eat, or both.
Causes of eating disorders
Eating disorders are often blamed on the social pressure to be thin, but the causes are usually more complex. There are lots of possible reasons why a person might develop an eating disorder, and the causes are different for everybody.
These causes can be thought of as psychological, environmental, or biological.
Psychological causes
Many people who develop eating disorders share certain patterns of thinking and behaviour. These include:
- a tendency towards feeling low in mood, or anxious
- finding it difficult to cope with stress
- finding it hard to express feelings
Environmental causes
Environmental causes are parts of the world around a person, and events happening in their life, that can affect their mental wellbeing in a variety of ways.
These include:
- pressure from society to look a certain way
- big, stressful life changes
- difficult life experiences, such as abuse or bullying
- difficult relationships with friends or family
Biological and genetic causes
Some people may be more likely to develop an eating disorder because of the way their brain works, and how that affects their body. For example, having a family history of eating disorders can mean a person is more likely to develop one.
Outlook and treatment for eating disorders
An eating disorder can have a major impact on a person’s life, including their relationships, job, schoolwork, and physical health. Without treatment, in the most extreme cases, eating disorders can be fatal.
With all eating disorders, the first step is recognising that there’s a problem and being willing to seek help. If you’re worried that you have an eating disorder, the first step towards getting help is usually speaking to your GP.
Treating eating disorders
Treating a dietary issue generally includes checking an individual's actual wellbeing while at the same time assisting them with their emotional well-being. The sort of treatment utilized relies upon the individual in question, how serious their condition, and kind of dietary problem they have.
For certain individuals, self improvement or directed self improvement can be viable and assist them with significantly impacting the manner in which they contemplate food and body shape.
At the point when directed self improvement isn't proper, or wouldn't be powerful an adequate number of all alone, the primary treatment is mental treatment.
Only medicine isn't generally viable for dietary problems. For certain individuals recommending prescription in mix with mental treatment can be useful.
Other support
The Scottish Eating Disorders Interest Group (SEDIG) provides a range of information for people with eating disorders, their carers and loved ones, and healthcare professionals. They also link to local sources of support.
Problem gambling:
Problem gambling is defined as gambling that is disruptive or damaging to you or your family, or interferes with your daily life. Most people in the UK gambled or played the lottery in the last year - activities like playing the lottery once or twice a week aren’t harmful. However, for around 9 in 1000 people, gambling becomes a problem or an addiction.
Signs of problem gambling
If you think you might have a gambling problem, help is available.
To start, answer these 10 questions with ‘yes’ or ‘no’:
- Do you spend a lot of time thinking about gambling?
- Are you spending more money on gambling as time goes on?
- Have you ever tried to stop gambling, or cut down on or control your gambling, and not been able to?
- Do you get restless or irritable if you try to cut down on gambling?
- Do you gamble to escape from difficulties in your life, or to cheer yourself up?
- Do you keep playing after losing money to try to win it back – often called ‘chasing losses’?
- Have you lied to other people about how much time or money you’ve spent gambling, or how much you’ve lost?
- Have you ever stolen money to fund gambling?
- Has gambling affected your job, relationships, or home life?
- Do you ask other people to lend you money when you’ve lost money through gambling?
If you’ve answered yes:
- To 1 question – you might have a problem, and it would be a good idea to seek help.
- To 3 questions – gambling probably feels like it’s a problem, and you should seek help.
- To 5 or more questions – it’s likely gambling feels like it’s affecting every part of your life. You should get help as soon as possible.
Effects of problem gambling
While problem gambling itself doesn’t have physical symptoms, the negative effects can appear in many areas of life. These include:
- reduced quality of life – having less money or free time
- problems with your social life – avoiding seeing friends or going out
- physical illnesses caused by spending more time gambling and less time being active, as well as potentially drinking more alcohol
- financial problems – running up debts, and not having enough money for essentials
- relationship problems and conflict at home – this can include arguments with family and friends, or conflict with your partner about financial difficulties
- criminal activity – problem gambling doesn’t make you a criminal, but some people find themselves committing crimes to fund their gambling habit
- unemployment or difficulties at work – if you gamble at work, or miss work due to gambling, it can lead to issues at work and potentially unemployment
Regardless of whether you haven't encountered any of these issues at this point, on the off chance that your betting is turning into an issue it's conceivable these adverse consequences will occur from here on out. It's vital to be aware of the effect betting could have on you or your loved ones.
How problem gambling happens
Certain individuals appear to be bound to foster a betting issue than others.
Men will quite often be more powerless against fostering a betting issue than ladies, possible since ladies normally bet not as much as men.
While a betting issue can begin at whatever stage in life, individuals who start as teens or youthful grown-ups can develop into issue players. Kids as youthful as 7 can battle to control how long they spend playing video and portable games, a considerable lot of which request miniature exchanges and installments. More established individuals who feel secluded or exhausted can likewise be drawn to betting.
Individuals who work in club, wagering shops or arcades can be bound to foster a betting propensity.
Specific sorts of betting can be bound to prompt an issue than others:
- mobile or internet gambling – like betting or bingo websites and apps
- video poker
- roulette
- dice games
- the stock market
- playing sports for money
Engaging in these activities doesn't mean you have a problem with gambling, but it’s important to be aware that these types of gambling are particularly addictive.
Things that could make problem gambling more likely
There are some factors that can make a person more vulnerable to developing a gambling problem. These include:
- having a mental health condition
- having an alcohol or drug problem
- being in prison
- having a family member, particularly a parent, with a gambling addiction
- a gambling habit that started early – some people start gambling as young as 7 or 8
- having trouble controlling your gambling from the first time you did it, even if you don’t actually gamble very often
This doesn’t mean that everyone in these circumstances will develop a problem, but it’s important to be aware of the risk if gambling is something you do.
Self-help for problem gambling
If you feel your gambling has become a problem, there are steps you can take right away to start improving your situation.
1. Limit how much money you can spend gambling
- Pay all your essential bills, like rent/mortgage, utilities, council tax, food, and childcare costs, as soon as you get paid.
- Set yourself a weekly limit on how much you’re willing to spend on gambling, and be sure to stick to it.
- If you go out to gamble, leave your debit and credit cards at home and only take cash, so you can’t spend more than planned.
- On gambling websites and apps, set a limit on your account so you can’t overspend.
- Talk to your bank about blocking certain websites or locations, like betting websites or casinos.
- Use GAMSTOP to block yourself from accessing online gambling sites and gambling apps. GAMSTOP doesn’t cover every site or app operating in the UK, but you can contact ones you use that aren’t signed up to this scheme and ask them to block you.
2. Reduce the time you spend gambling
- Set a limit on how often you gamble in a week. Be specific and name the days – for example: “I will only gamble on Tuesdays and Fridays.”
- Resist the temptation to open up gambling sites or apps for a ‘quick go’ or just to make one bet – it’s likely that you’ll find it hard to stick to just one.
- Set alarms or alerts on your phone, watch, or computer to remind you when it’s time to close the site or app and stop gambling for the day.
3. Don’t think of gambling as a way to make money
- Remind yourself frequently that gambling isn’t a way to make money – you’re paying for entertainment. It’s not an investment, and you’re not earning money by gambling.
- When you gamble, always prepare yourself to lose. Remind yourself that winning is by chance, and not something that happens more often than losing.
- Never spend money from savings or investments on gambling.
- Tell your friends and family not to lend you money if you ask.
4. Fill up your time with other things
- Spend more time with friends and family.
- Spend less time with people you know who gamble, or people you usually gamble with.
- Join clubs or social groups that don’t involve gambling – this could be a good time to take up a new hobby, or restart one you haven’t done for a while.
- Talk to friends and family about your situation and your concerns, rather than ‘bottling up’ your feelings.
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