MEDICAL HOME: Inside: Feeling Blue about the Holidays? Disordered Eating

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1 Tee Health Quarter 4, MEDICAL HOME: Your First Stop for Health Care Do you have a medical home? It s the first place you should go whe you are sick or hurt. Your medical home is usually referred to as your Primary Care Provider (PCP). Your PCP ca be a: Pediatricia Family practice doctor Geeral iterist Your PCP should be able to take care of most of your medical eeds. This icludes prevetive care ad treatmet for ew health problems. If you do t have a medical home, it s importat to fid oe before you get sick. Whe you are sick or hurt, you wat to see your PCP who already kows you ad your health history. Havig regular checkups with the same PCP ca help him or her spot problems ad give you advice. Ad you ll be more comfortable talkig to the PCP you kow. Eve if you thik you eed a specialist, your medical home should be your first stop whe you are sick. If your problem eeds special care, your PCP ca refer you to a specialist. Your PCP ca also help coordiate care betwee specialists, icludig metal health providers. This ca t happe if you always go to the ER for routie care istead of your PCP. You ad your PCP are parters i your health ad prevetig disease. So the ext time you re sick, go home to your medical home. Nurse practitioer Physicia assistat What s up, doc? It s importat to see your PCP at least oce a year for a checkup. A yearly TENNderCARE exam is free for Amerigroup members uder 21 years old. If it s bee more tha a year sice your last visit with your PCP, it s time to schedule a checkup! Are you a ew TeCare member? It s a good idea to see your PCP withi the first 90 days you are covered by TeCare. Not sure who your PCP is? Your PCP s ame is o your Amerigroup ID card. Need help pickig a PCP? Call Member Services (TTY ). TeDet is maaged by Delta Detal of Teessee. TeDet P.O.Box Nashville, TN TeDet.DeltaDetalT.com Iside: Feelig Blue about the Holidays? Disordered Eatig It is importat to get your TENNderCARE welless checkup every year. Remember, if you are a Amerigroup member youger tha age 21, these checkups are free. MEMBER SERVICES 24-HOUR NURSE HELPLINE: TTY:

2 Sigs of the holiday blues Cryig Feelig depressed Irritability Feelig overwhelmed Trouble sleepig Feelig draied (fatigue) Nervousess or feelig edgy Feeligs of guilt Blue about the holidays? Feelig The holidays. They ca be the best of times ad the worst of times. Most of us look forward to the joy of the holiday seaso. But the most woderful time of the year ca be stressful. It s ot uusual to feel the holiday blues. The holidays ca be especially hard if you ve recetly lost a loved oe, goe through a break-up or had a big life chage. So what ca you do about the holiday blues? If you fid yourself feelig blue this holiday seaso, there are thigs you ca do to feel better. Allow yourself to feel your feeligs. It s OK to feel sad or miss loved oes. Just allow yourself to feel happy, too. Sped time with family ad frieds. Whe you re feelig sad or loely, get support from people who care about you. Spedig time with other people ca also help you feel coected to others. Just say o. The holidays ca make you feel overwhelmed. If you start to feel this way, it s OK to say o to too may holiday parties, get-togethers ad too much shoppig. Do somethig you ejoy each day. Takig a few miutes to do somethig fu every day ca fight sadess ad boost your mood. Exercise ad eat healthy. It s OK to ejoy a few holiday goodies. But eatig too much ad ot exercisig ca icrease your stress level. Eatig right ad beig active will help you feel better physically ad emotioally. Get plety of rest. Keepig up a busy holiday schedule is stressful. You ll be better able to deal with stress if you are well-rested. The holidays ca be stressful. Do t beat yourself up if you re feelig a little dow or stressed. If your holiday blues get worse, talk to a metal health provider. There are may ways to help you overcome your blues so you ca ejoy the holidays ad every day.

3 Did You Kow? I the U.S., oe or two out of every 100 studets will deal with a eatig disorder. 1 These disorders are called aorexia, bulimia ad bige-eatig disorder. This ca mea eatig too much or too little, or throwig up what you have eate o purpose. These disorders take away importat utriets from the body. They ca also be harmful to your teeth ad mouth. Whe a perso throws up, the acids i his stomach come ito cotact with his teeth. If you throw up too ofte, the acids begi to wear away the outer layer of the teeth called eamel. Whe a perso throws up or does ot eat eough food, the body does ot get the utriets it eeds. This ca lead to problems like mouth sores, dry mouth, cracked lips ad bleedig gums. 2 Over time the teeth ca chage color, shape ad legth. The edges of teeth ca become thi ad break off easily. 3 People who do ot eat right ca also get gum disease. This ca lead to tooth loss. Detists ca ofte see the damage caused by eatig disorders. Other sigs of eatig disorders ca be bad breath, sesitive teeth ad teeth that appear wor dow. Eatig disorders are very harmful for your whole body. TeDet ecourages you to eat right ad stay healthy. If you worry a lot about how much food you eat, or thik you might have a eatig disorder, there are people you ca talk to. You ca speak with a doctor or couselor. You ca also go olie to websites like kidshealth.org. Call TeDet or visit our website if you have TeCare ad are uder the age of 21 ad you eed help fidig a detist. Phoe: Web: 1 The Nemours Foudatio. Eatig Disorders. Jauary kidshealth.org/tee/food_fitess/problems/eat_disorder.html 2 Academy of Geeral Detistry, How Your Detist Ca Detect a Eatig Disorder, Oral Health Resources, March 30, 2007; AGD Impact magazie, May America Detal Associatio. Oral Health Topics: Eatig Disorders. May Why should I get a TENNderCARE prevetive health screeig? Takig cotrol of your ow health is like keepig a promise to yourself. TENNderCARE screeigs are doe to check your overall health. Gettig regular screeigs is the first step i prevetig potetial health problems. TENNderCARE screeigs are FREE for Amerigroup members youger tha age 21. TENNderCARE checkups iclude: Health history Physical exam Lab tests (as eeded) Immuizatios Visio/hearig screeig Developmetal/behavioral screeig (as eeded) Advice o how to stay healthy If you eed a ride to your PCP s office to get your checkup, call If you are i Nashville, the umber is This is a free service to all members youger tha age 21. If you are youger tha the age of 18, you ca have a paret ride with you. Your paret would eed to call to schedule the ride.

4 Disordered Eatig What you eed to kow about eatig disorders You probably do t thik about it whe ejoyig a meal with frieds, but eatig disorders are a problem for may tees. It s importat to eat smart ad stay at a healthy weight. But some people go to extremes whe it comes to food. Eatig disorders ca lead to serious, log-term physical ad metal health problems. There are three mai kids of eatig disorders aorexia, bulimia ad bige-eatig. Aorexia People who have aorexia are obsessed with beig thi. They have a distorted idea of what their bodies look like. They may thik they are fat eve if they are very thi. People with aorexia may ot eat at all or eat very small amouts. They may also work out excessively to stay thi. Bulimia Istead of eatig othig or very little, people who have bulimia go through a cycle of bigeig ad purgig. They eat a large amout of food at oe time (bigeig). The they avoid gaiig weight by makig themselves throw up, usig laxatives, ot eatig at all, or workig out excessively (purgig). People who have bulimia bige ad purge regularly. Fast Facts about Eatig Disorders Aorexia is the third most commo chroic illess i tees. Up to 24 millio people i the U.S. suffer from a eatig disorder. Niety percet of people with eatig disorders are female. Bige Eatig Bige eatig is like bulimia but without the purgig. People who have a bige eatig problem regularly eat large amouts of food at oe time. They may eat whe they are t hugry. Or they may eat to the poit of feelig sick or ucomfortable. People with this disorder ca be overweight or obese. What You Ca Do Doctors are t sure exactly what causes eatig disorders. It might be someoe s gees. It could be how they are feelig about their lives or themselves or pressure from others to be thi. It ca also be a combiatio of thigs. No oe really kows. No matter what causes eatig disorders, there is help. If you thik you or a fried might have a eatig disorder, it s importat to get help. The cosequeces of eatig disorders ca be serious ad last a log time. They ca eve lead to death. Talk to a doctor, urse, couselor or other adult. There are treatmets that ca help you or your fried feel better about yourself, your body ad food.

5 Takig a Shortcut? Or Takig a Big Risk? What you eed to kow about eergy driks ad diet pills If you eed a eergy boost or wat to lose a few pouds quickly, eergy driks or diet pills ca be temptig. But you eed to kow the facts about these products. Eergy driks ad some diet pills are cosidered foods. They are t regulated by the federal Food ad Drug Admiistratio (FDA). This meas these products do t have to meet FDA stadards for safety ad effectiveess. Eergy driks Eergy driks cotai high amouts of sugar ad caffeie plus herbs like guaraa, taurie ad giseg. All that sugar ca lead to extra weight. Ad while too much caffeie is OK for most people, it ca cause a fast or irregular heartbeat, high blood pressure or seizures. Herbs ca also cause problems for certai people ad iteract with medicies. It s importat to kow eergy driks are ot the same as sports driks. Eergy driks have high amouts of caffeie, which ca dehydrate you. They should ot be used to rehydrate whe you are workig out or playig sports. For most people, a eergy drik oce i a while is fie. But it s importat to kow what you re drikig ad if it s OK for you. Diet Pills Just because you ca buy diet pills almost everywhere does t mea they work or are safe. They are t regulated by the FDA, so they ca be sold with little proof that they work ad are safe. Diet pills ca have dagerous side effects like heart ad breathig problems. They ca also cause high blood pressure, headaches, icreased heart rate, ausea, axiety (a feelig of worry or fear), restlessess ad stomach problems. The best way to lose weight is to eat right ad exercise. Choose healthy foods ad smaller portios. Ad get movig! You should be active 60 miutes or more every day. It s easy to thik a pill or a drik will help you lose weight or have more eergy. The best way to stay eergized ad fit is to live a healthy lifestyle. Eatig a healthy diet, drikig eough water ad gettig plety of exercise ad rest will aturally keep your eergy level high ad your weight dow.

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