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	<title>Comments on: Cognitive-Behavioral Therapy and Social Support for Post-Cardiac Depression</title>
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	<link>http://www.goodtherapy.org/blog/cognitive-behavioral-therapy-post-cardiac-depression/</link>
	<description>Exploring Healthy Psychotherapy</description>
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		<title>By: Kyle</title>
		<link>http://www.goodtherapy.org/blog/cognitive-behavioral-therapy-post-cardiac-depression/comment-page-1/#comment-14359</link>
		<dc:creator>Kyle</dc:creator>
		<pubDate>Tue, 06 Jan 2009 15:08:19 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=1107#comment-14359</guid>
		<description>How prevalent are these cases of post cardiac depression?</description>
		<content:encoded><![CDATA[<p>How prevalent are these cases of post cardiac depression?</p>
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		<title>By: Ryan</title>
		<link>http://www.goodtherapy.org/blog/cognitive-behavioral-therapy-post-cardiac-depression/comment-page-1/#comment-13267</link>
		<dc:creator>Ryan</dc:creator>
		<pubDate>Thu, 20 Nov 2008 14:22:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=1107#comment-13267</guid>
		<description>My grandfather went into a severe funk after heart surgery last year. Everything went perfectly fine but it is as if he completely lost the will to go on and none of us can understand that. Was it his near death experience that left him feeling like life is so fleeting that you really have no control over it anyway? I am not sure. He was able to give up the cigarettes thank goodness but now there are even more pressing concerns. He has been on anti depressants I think since he came home and this was almost a year ago. Looks like there should be some improvement but I think there is a part of him that is willing himself to NOT get better. It is really bringing down the whole family as we are all beyond knowing what to do for him. He never wants to leave the house, get out and enjoy the fresh air. He is in a constant state of just being down.</description>
		<content:encoded><![CDATA[<p>My grandfather went into a severe funk after heart surgery last year. Everything went perfectly fine but it is as if he completely lost the will to go on and none of us can understand that. Was it his near death experience that left him feeling like life is so fleeting that you really have no control over it anyway? I am not sure. He was able to give up the cigarettes thank goodness but now there are even more pressing concerns. He has been on anti depressants I think since he came home and this was almost a year ago. Looks like there should be some improvement but I think there is a part of him that is willing himself to NOT get better. It is really bringing down the whole family as we are all beyond knowing what to do for him. He never wants to leave the house, get out and enjoy the fresh air. He is in a constant state of just being down.</p>
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		<title>By: Rebecca</title>
		<link>http://www.goodtherapy.org/blog/cognitive-behavioral-therapy-post-cardiac-depression/comment-page-1/#comment-13207</link>
		<dc:creator>Rebecca</dc:creator>
		<pubDate>Tue, 18 Nov 2008 17:59:15 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=1107#comment-13207</guid>
		<description>Maybe for smokers they have to hit the proverbial rock bottom just like other drug addicts do to make them want to stop. You woud think that a cardiac incident would be the perfect rock bottom for someone but I just don&#039;t know that that is enough to make some change their lives.</description>
		<content:encoded><![CDATA[<p>Maybe for smokers they have to hit the proverbial rock bottom just like other drug addicts do to make them want to stop. You woud think that a cardiac incident would be the perfect rock bottom for someone but I just don&#8217;t know that that is enough to make some change their lives.</p>
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		<title>By: Selena</title>
		<link>http://www.goodtherapy.org/blog/cognitive-behavioral-therapy-post-cardiac-depression/comment-page-1/#comment-13185</link>
		<dc:creator>Selena</dc:creator>
		<pubDate>Tue, 18 Nov 2008 04:38:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=1107#comment-13185</guid>
		<description>Smoking is tough to knock off!! It not only takes the addict with it but also the family. My dad was a chain smoker and all of us kids are asthmatics. My health condition has made me hate going out to pubs or any place that has smoking areas.</description>
		<content:encoded><![CDATA[<p>Smoking is tough to knock off!! It not only takes the addict with it but also the family. My dad was a chain smoker and all of us kids are asthmatics. My health condition has made me hate going out to pubs or any place that has smoking areas.</p>
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		<title>By: Maggie</title>
		<link>http://www.goodtherapy.org/blog/cognitive-behavioral-therapy-post-cardiac-depression/comment-page-1/#comment-13153</link>
		<dc:creator>Maggie</dc:creator>
		<pubDate>Mon, 17 Nov 2008 13:08:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=1107#comment-13153</guid>
		<description>Smokers are not willing to change their behavior until they are ready to do so and there is nothing that any of us can simply just say which will make them change their minds. This is one of the toughest addictions to treat that I have ever seen. Sometimes the resulting health detriments that it can cause will be enough to make them change their behavior, sometimes not. It is up to them to decide.</description>
		<content:encoded><![CDATA[<p>Smokers are not willing to change their behavior until they are ready to do so and there is nothing that any of us can simply just say which will make them change their minds. This is one of the toughest addictions to treat that I have ever seen. Sometimes the resulting health detriments that it can cause will be enough to make them change their behavior, sometimes not. It is up to them to decide.</p>
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		<title>By: Irene</title>
		<link>http://www.goodtherapy.org/blog/cognitive-behavioral-therapy-post-cardiac-depression/comment-page-1/#comment-13103</link>
		<dc:creator>Irene</dc:creator>
		<pubDate>Sun, 16 Nov 2008 02:17:56 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=1107#comment-13103</guid>
		<description>There are people, no matter their state of health, who find it absolutey unnecessary to stop smoking. They find it to be something that makes them feel good and helps them relax, not as somehting that is detrimental to their health. And it is so often patients like this who have a long family history of nicotine use and abuse so it is hard to imagine that the chain will stop right there with them. There is nothing that anyone else can say or do to make someone quit and kick the smoking habit unless the smoker himself is absolutely ready to do so. As a former smoker I know that very well from experience.</description>
		<content:encoded><![CDATA[<p>There are people, no matter their state of health, who find it absolutey unnecessary to stop smoking. They find it to be something that makes them feel good and helps them relax, not as somehting that is detrimental to their health. And it is so often patients like this who have a long family history of nicotine use and abuse so it is hard to imagine that the chain will stop right there with them. There is nothing that anyone else can say or do to make someone quit and kick the smoking habit unless the smoker himself is absolutely ready to do so. As a former smoker I know that very well from experience.</p>
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		<title>By: Kaye</title>
		<link>http://www.goodtherapy.org/blog/cognitive-behavioral-therapy-post-cardiac-depression/comment-page-1/#comment-13023</link>
		<dc:creator>Kaye</dc:creator>
		<pubDate>Thu, 13 Nov 2008 12:59:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=1107#comment-13023</guid>
		<description>Why is it that so many people insist on staying on such a path toward self destruction even when they know it is not the healthy thing to do?</description>
		<content:encoded><![CDATA[<p>Why is it that so many people insist on staying on such a path toward self destruction even when they know it is not the healthy thing to do?</p>
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		<title>By: Sandra</title>
		<link>http://www.goodtherapy.org/blog/cognitive-behavioral-therapy-post-cardiac-depression/comment-page-1/#comment-12961</link>
		<dc:creator>Sandra</dc:creator>
		<pubDate>Wed, 12 Nov 2008 14:16:19 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=1107#comment-12961</guid>
		<description>For my sister her way of coping with everything is to have a cigarette or 20 and that just scares me to death. Her doctors have warned her about her health dangers, we have all tried talking to her but nothing works. She is so dependent on them that she cannot even find the will to try to give them up. What a sad habit and eventual outcomes cigarettes can lead to, not only for the smoker but for those who are exposed to 2nd hand smoke as well. The more we try to get her to quit the more defensive and defiant she becomes. I am simply tired of trying.</description>
		<content:encoded><![CDATA[<p>For my sister her way of coping with everything is to have a cigarette or 20 and that just scares me to death. Her doctors have warned her about her health dangers, we have all tried talking to her but nothing works. She is so dependent on them that she cannot even find the will to try to give them up. What a sad habit and eventual outcomes cigarettes can lead to, not only for the smoker but for those who are exposed to 2nd hand smoke as well. The more we try to get her to quit the more defensive and defiant she becomes. I am simply tired of trying.</p>
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		<title>By: neena</title>
		<link>http://www.goodtherapy.org/blog/cognitive-behavioral-therapy-post-cardiac-depression/comment-page-1/#comment-12923</link>
		<dc:creator>neena</dc:creator>
		<pubDate>Tue, 11 Nov 2008 16:13:57 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=1107#comment-12923</guid>
		<description>I can empathize with you on this Paula, I lived for a few years with my uncle who was a chain smoker and ultimately died due to lung cancer but didn&#039;t stop smoking despite the doctors warning him that it would kill him someday. He was a writer and always said that he couldn&#039;t think without a cigarette in his hand and I always thought that he said it to cover up his addiction to smoking.  But maybe he did use it a dependency tool where he felt that it helped him write better and therefore could never kick the fatal habit.</description>
		<content:encoded><![CDATA[<p>I can empathize with you on this Paula, I lived for a few years with my uncle who was a chain smoker and ultimately died due to lung cancer but didn&#8217;t stop smoking despite the doctors warning him that it would kill him someday. He was a writer and always said that he couldn&#8217;t think without a cigarette in his hand and I always thought that he said it to cover up his addiction to smoking.  But maybe he did use it a dependency tool where he felt that it helped him write better and therefore could never kick the fatal habit.</p>
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		<title>By: Jane J</title>
		<link>http://www.goodtherapy.org/blog/cognitive-behavioral-therapy-post-cardiac-depression/comment-page-1/#comment-12913</link>
		<dc:creator>Jane J</dc:creator>
		<pubDate>Tue, 11 Nov 2008 14:21:01 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=1107#comment-12913</guid>
		<description>Has anyone looked at whether or not the toxins that have to be flowing thru your body when one suffers from heart disease could in some way be a physiological reason for why depression rates are so much higher in cardiac patients? I know that there are logically other contributing factors, such as decreased ability to remian mobile and active, and perhaps even the isolation that one feels when medically ill, but this might add another whole dimension to research for physicianns. It seems that there are times when things are interrelated and we never even think about those. This might be a great place to start.</description>
		<content:encoded><![CDATA[<p>Has anyone looked at whether or not the toxins that have to be flowing thru your body when one suffers from heart disease could in some way be a physiological reason for why depression rates are so much higher in cardiac patients? I know that there are logically other contributing factors, such as decreased ability to remian mobile and active, and perhaps even the isolation that one feels when medically ill, but this might add another whole dimension to research for physicianns. It seems that there are times when things are interrelated and we never even think about those. This might be a great place to start.</p>
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		<title>By: Alexis</title>
		<link>http://www.goodtherapy.org/blog/cognitive-behavioral-therapy-post-cardiac-depression/comment-page-1/#comment-12897</link>
		<dc:creator>Alexis</dc:creator>
		<pubDate>Tue, 11 Nov 2008 09:25:38 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=1107#comment-12897</guid>
		<description>When smoking doesnt become a choice anymore, I think that scares the person initially and they stay off cigarettes. Once the mundanity of recouping sets in, depression knocks on the door and all caution is thrown to the wind. A lot of people tend to suffer severe set backs because of this.</description>
		<content:encoded><![CDATA[<p>When smoking doesnt become a choice anymore, I think that scares the person initially and they stay off cigarettes. Once the mundanity of recouping sets in, depression knocks on the door and all caution is thrown to the wind. A lot of people tend to suffer severe set backs because of this.</p>
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		<title>By: Paula</title>
		<link>http://www.goodtherapy.org/blog/cognitive-behavioral-therapy-post-cardiac-depression/comment-page-1/#comment-12873</link>
		<dc:creator>Paula</dc:creator>
		<pubDate>Mon, 10 Nov 2008 13:22:09 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=1107#comment-12873</guid>
		<description>I can remember when my mother had her first of many heart attacks she was so depressed afterwards that she would say the only thing that could make her feel better was a cigarette. As a non smloker my entire life I did not understand this at all. How could she allow the very thing that was causing so many of her symptoms be the one thing that she wanted more than anything in the world? It took me a while to realize that for her she associated a smoke with relaxing, her down time, her way to feel better after a long hard day. How could I begrudge her that? That is how I feel about my nightly glass of red wine after all. But she was never able to fully kick the habit and I feel that this horrible habit is what led to her ultimate demise. I think she felt so out of sorts with her body after the rigors of the heart attacks and subsequent surgeries that cigarettes were the only thing that made her feel her old sense of normalcy. I wish that earlier in her life she would have undergone treatments that would have allowed her to stop smoking but she did not and that is one of the contributing factors of her early death. Yes she made the choice to smoke but on some level she had no choice about it anymore and it consumed her until the end.</description>
		<content:encoded><![CDATA[<p>I can remember when my mother had her first of many heart attacks she was so depressed afterwards that she would say the only thing that could make her feel better was a cigarette. As a non smloker my entire life I did not understand this at all. How could she allow the very thing that was causing so many of her symptoms be the one thing that she wanted more than anything in the world? It took me a while to realize that for her she associated a smoke with relaxing, her down time, her way to feel better after a long hard day. How could I begrudge her that? That is how I feel about my nightly glass of red wine after all. But she was never able to fully kick the habit and I feel that this horrible habit is what led to her ultimate demise. I think she felt so out of sorts with her body after the rigors of the heart attacks and subsequent surgeries that cigarettes were the only thing that made her feel her old sense of normalcy. I wish that earlier in her life she would have undergone treatments that would have allowed her to stop smoking but she did not and that is one of the contributing factors of her early death. Yes she made the choice to smoke but on some level she had no choice about it anymore and it consumed her until the end.</p>
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		<title>By: samantha</title>
		<link>http://www.goodtherapy.org/blog/cognitive-behavioral-therapy-post-cardiac-depression/comment-page-1/#comment-12863</link>
		<dc:creator>samantha</dc:creator>
		<pubDate>Mon, 10 Nov 2008 11:43:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=1107#comment-12863</guid>
		<description>I think a lot of people start smoking as a way to relieve stress.  Smoking is a way to get temporary relief from some type of problem.  It would be great if CBT could help.</description>
		<content:encoded><![CDATA[<p>I think a lot of people start smoking as a way to relieve stress.  Smoking is a way to get temporary relief from some type of problem.  It would be great if CBT could help.</p>
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		<title>By: me</title>
		<link>http://www.goodtherapy.org/blog/cognitive-behavioral-therapy-post-cardiac-depression/comment-page-1/#comment-12795</link>
		<dc:creator>me</dc:creator>
		<pubDate>Sat, 08 Nov 2008 20:51:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=1107#comment-12795</guid>
		<description>just reading this makes me want to have a smoke.</description>
		<content:encoded><![CDATA[<p>just reading this makes me want to have a smoke.</p>
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		<title>By: AMH</title>
		<link>http://www.goodtherapy.org/blog/cognitive-behavioral-therapy-post-cardiac-depression/comment-page-1/#comment-12791</link>
		<dc:creator>AMH</dc:creator>
		<pubDate>Sat, 08 Nov 2008 20:47:15 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=1107#comment-12791</guid>
		<description>And I have a question as well- does therapy like this seem to help those who smoke but have not had cardiac issues? I have a friend who has tried everything known to man to stop smoking- classes, meds, hypnosis but nothing seems to work for her. I was wondering if smokers have had any success by simply trying talk therapy?</description>
		<content:encoded><![CDATA[<p>And I have a question as well- does therapy like this seem to help those who smoke but have not had cardiac issues? I have a friend who has tried everything known to man to stop smoking- classes, meds, hypnosis but nothing seems to work for her. I was wondering if smokers have had any success by simply trying talk therapy?</p>
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		<title>By: Selena</title>
		<link>http://www.goodtherapy.org/blog/cognitive-behavioral-therapy-post-cardiac-depression/comment-page-1/#comment-12785</link>
		<dc:creator>Selena</dc:creator>
		<pubDate>Sat, 08 Nov 2008 20:31:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=1107#comment-12785</guid>
		<description>Kicking the smoking habit can be very tough and without social support its hard to get out of an old habit. I have a question though, is depression the after effect of smoking or do people start smoking because they are depressed about something ?</description>
		<content:encoded><![CDATA[<p>Kicking the smoking habit can be very tough and without social support its hard to get out of an old habit. I have a question though, is depression the after effect of smoking or do people start smoking because they are depressed about something ?</p>
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