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Can mind-body therapies help reduce reliance on opioids?

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A large study published online Nov. 4, 2019, by JAMA Internal Medicine offers hope for people who want to reduce their reliance on opioids. The powerful prescription painkillers, such as oxycodone (OxyContin) and hydrocodone (Vicodin), are typically used to treat severe pain after surgery, pain with terminal illness, and chronic pain. But use of these drugs comes with the risk of dependence, addiction, overdose, and death. So researchers set out to determine if mind-body therapies (such as meditation or hypnosis) could help ease pain. Scientists reviewed 60 randomized trials with more than 6,400 people taking opioids for reasons such as surgery, burns, cancer, or chronic pain. Researchers noted moderate to large improvements in pain among people who added meditation, hypnosis, cognitive behavioral therapy (CBT), or therapeutic suggestion to their pain control regimens. Meditation, hypnosis, and CBT were so effective that people were able to slightly reduce the amount of opioids they were taking. Two other therapies — relaxation therapy and guided imagery — did not have a significant impact on pain. The great news: you have nothing to lose by adding one of these mind-body therapies to your regimen, and it may even help.

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Think hard before shaming children

Parents may offer what they think is constructive criticism to a child, but there is a fine line between criticism and shaming, and shaming can have lasting effects on a child’s self-esteem.

What to do when your child swears

Even young children can surprise a parent with salty language. Regardless of where they first heard it, use the occasion to help your child learn appropriate behavior in and outside the home.

How to talk to children about the serious illness of a loved one

Talking to a child about a loved one's illness is not easy, but it's important to be truthful and not shield a child from the facts. While the specifics will depend on the child, thinking through what to say and how to say it will help parents deal with the situation.

Weight loss surgery for children and teens struggling with obesity

If a child is obese by age 12, it's nearly a certainty that child will be obese as an adult, with all the complications that brings. While some may be uncomfortable with a child or adolescent having bariatric surgery to facilitate weight loss, the American Academy of Pediatrics recommends it in certain situations.

How to help your baby through shots and blood tests

Vaccinations and blood draws for testing are painful moments for babies. But there are things parents can do to help their baby get through these procedures more easily.

Congenital heart disease and autism: A possible link?

A recent study confirms that people born with congenital heart disease have a significantly greater risk of being diagnosed with an autism spectrum disorder. The research highlights the need for autism screening in children with CHD as early as possible.

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