First Signs Of Gout

If gout is left untreated attacks can become more common and may spread to new joints. The ultimate way to describe it is you may get sudden and severe painful attacks swelling redness and maybe even tenderness inside the joints commonly on the bottom of a big toe.

Gout Symptoms You Might Be Ignoring Creakyjoints

It usually affects one joint at a time often the big toe joint.

First signs of gout. However once youve had a few attacks its often easy to spot the first signs. Severe pain in one or more joints. The symptoms develop quickly and are at their worst within just.

Sudden and severe joint pain which some sufferers describe as being akin to breaking a bone getting stabbed with glass or having a severe burn. Part of the series. And you may start on this immediately within a few minutes of acquiring this program.

The End Of Gout. Initial Signs of Gout in the Hands Gout symptoms in the hands start with an odd ache or stiffness. Hot swollen red skin over the affected joint.

Gout is a common form of inflammatory arthritis that is very painful. There are times when symptoms get worse known as flares and times when there are no symptoms known as remission. This simple modification can correct years of gout-causing errors within your eating.

Signs and symptoms of gout include. One of the first signs of gout that leads to a diagnosis is podagra pain in the big toe. That really helped my problem of What To Do With First Signs Of Gout.

But thats only because new gout sufferers have no experience of gout. Joint swelling redness and warmth triggered by acute inflammation. Repeated bouts of gout can lead to gouty arthritis a worsening form of arthritis.

The next step is to follow Shellys 7-day plan. The most common signs of a gout attack include. Gout symptoms include sudden joint pain typically found in the big toe redness.

The most common signs of a gout attack are. It may not cause lasting damage to joints if you get treatment. Any joint can be affected by gout but it usually affects joints towards the ends of the limbs such as the toes ankles knees and fingers.

An attack of gout usually lasts 5 to 7 days then gets better. The main symptom of gout in the ankle is pain and discomfort in the surrounding area. Burning Itching or Tingling Sensation Most gout sufferers say they experience a burning itching or tingling feeling in their joint just an hour or.

The affected area is inflamed and swollen. Often the person experiencing the onset of the attack thinks that they must have sprained their wrist or fingers unknowingly. For acute gout symptoms come on quickly from the buildup of uric acid crystals in your joint and last for 3 to 10 days.

Signs and symptoms of gout. Gout is really a widespread but additionally complicated type of arthritis that may effects anybody. So they disregard those early signs.

Medical Symptoms Causes Treatments. Keep in mind that gout is often unpredictable regardless of the joint its. The skin may be shiny and painful to touch or may rub against any object or surface.

If gout runs in your family or youve recently been diagnosed with gout here are some early warning signs to watch out for. Attacks typically affect the joint at the base of the big toe and often start in the early hours of the morning. Among the first symptoms of gout are.

They hurt the most during the first 36 hours. Youll have intense pain and swelling. Because painful swelling without notice is a diagnostic indicator for gout.

The small joint at the base of the. These are symptoms of gout. The joint may be hot red and taut.

The pain can linger from hours to days and can travel throughout the foot ankles hands wrists or knees. Sudden and severe pain usually in the middle of the night or early morning. The joint feeling hot and very tender.

Acute gout attacks are characterized by a rapid onset of pain in the affected joint followed by warmth swelling reddish discoloration and marked tenderness. This is one of the most notable symptoms of gout due to high levels of uric acid in the diet. What is gout.

What Vaccines Are Required For Healthcare Workers

Hall et al. But three months into the effort many remain unconvinced unreached and unprotected.

World Immunization Week Health Care Workers And Vaccines

Which vaccines are recommended for health care workers.

What vaccines are required for healthcare workers. Emergency service workers include police and fire fighters and any other front line workers who may need to respond to emergencies. An offer law was identified if the facility is required to offer or make available any vaccine to any HCWpatient. Vaccine mandates are not unheard of.

Vaccinating health care workers is the most effective means of reducing outbreaks. Protect yourself your patients and your family members. Health-care workers were the first group in the United States to be offered coronavirus vaccinations.

7 rows Healthcare workers HCWs are at risk for exposure to serious and sometimes deadly diseases. BCG vaccination of HCWs should be considered on an individual basis in health-care settings where all of the following conditions are met. Tuberculosis and BCG Vaccination of Health-Care Workers in High-Risk Settings.

Immunizing agents and immunization schedules for health-care workers HCWs Generic name Primary schedule and boosters Indications Major precautions and contraindications Special considerations IMMUNIZING AGENTS STRONGLY RECOMMENDED FOR HEALTH-CARE WORKERS Hepatitis B HB recombinant vaccine Two doses IM 4 weeks apart. Measles mumps rubella varicella pertussis and influenza as. Over the past decade it has become common for many facilities to require their staff to have the influenza vaccine.

MMR if non-immune Pertussis dTpa Varicella if non-immune Health care workers who work in remote Indigenous communities or with Indigenous children in NT Qld SA and WA. Black health care workers refused the vaccines at a significantly higher rate than average Surgos survey found. Nursing students must show proof of childhood vaccines or obtain blood titers to show developed immunity prior to being allowed into the clinical setting and ultimately obtaining a license.

You need to be up to date on routine vaccines recommended for your age like the chickenpox vaccine. In institutions where influenza vaccination is mandatory vaccine rates of. Health care workers are required to submit to the limited intrusion of vaccination in order to protect both.

Recombinant quadrivalent influenza shot Flublok Quadrivalent an egg-free vaccine approved for people 18 years and older. Much of the existing case law involves labour law challenges to requirements by hospitals and other institutions that staff receive flu vaccines. You also need to get a flu shot every year and you may need additional vaccines like the hepatitis B vaccine.

Includes all workers and students directly involved in patient care or the handling of human tissue blood or body fluids. For paramedical and ambulance workers refer to Health Care Workers. The standard requires that employers offer the vaccines but does not require that employees accept them.

If you work directly with patients or handle material that could spread infection you should get appropriate vaccines to reduce the chance that you will get or spread vaccine-preventable diseases. A quadrivalent flu shot using an adjuvant an ingredient that helps create a stronger immune response approved for people 65 years of age and older. Administration requirements were divided into offer optional vaccination and ensure mandatory vaccination laws.

According to Johns Hopkins Medicine 15 states have laws that require healthcare workers to be vaccinated in. 7 that protects life liberty and security of the person. 35 turned down the opportunity to.

Any kind of government mandate for vaccination could be subjected to a Charter challenge under s. Accessed Feb 23 2021. Effectiveness of BNT162b2 mRNA vaccine against infection and COVID-19 vaccine coverage in healthcare workers in England multicentre prospective cohort study the SIREN study.

For other emergency service workers routine adult immunizations should be up to date and hepatitis B and influenza vaccines are recommended. All health care workers. Presbyterian Hospital University of New Mexico Health Services and Lovelace Hospital should get their first batch of the Pfizer-BioNTech vaccines on.

Mandatory vaccines have been required for health care workers for a long time.

Can Weed Cause Seizures Reddit

And maybe dont smoke weed again for a bit. So i stopped smoking dabs but ever since then if i am not on my phentoin meds they prescribed me to prevent seizures i.

Can Kratom Cause Seizures Quora

Id def talk to my doctor who will refer to a neurologist who will run tests.

Can weed cause seizures reddit. If this is the case for me I should probably still stay away from strong weed for a. See a doctor if it persists. Just to let you know theres a epilepsy reddit repilepsy.

Its not common but can still happen. From what Ive read weed has more of a tendency to prevent seizures. I dont think I have epilepsy because Ive never had a seizure while sober.

Dogs can not metabolize marijuana. Yeah psychedelics lower your seizure threshold. Okayso i have this same thing but only with dabs.

This is an uncommon symptom of marijuana exposure in children. The question of whether you can get seizures from the pot is somewhat controversial because relatively little research has been done on marijuana. That night i had a seizure.

That said marijuana bought on the street may be laced with other substances with unknown seizure potential. I think the seizure may have been blood pressure or heart rate related. Weed can cause seizures in rarer cases cant remember the syndrome.

When you OD on weed also known as greening or whiting out yes it can cause seizure like symptoms for a few hours and the day or two after you might feel spaced out however your body should feel normal afterwards. I see a lot of people online who dont even have epilepsy have seizures regularly from things like elevated heart rate. Doctors your own question and get educational text answers its anonymous and free.

If you ask this question over there you might get more responses. This said one of the active compounds in marijuana cannabidiol can have positive effects too. The result of the relationship between weed and epilepsy depends on the marijuana you use.

See if it happens any other time you. Make sure youre hydrated before using because your blood pressure will just drop. Cause seizures or lower the seizure threshold.

My friend has seen someone have a seizure from shrooms and theyre a healthy individual who work out daily and only smokes weed and drinks every once in a while. This is really junk science and something that authorities should not use when trying to determine whether or not kratom is safe. It is no secret that Datura is known to lead to seizures.

Yet the study concluded that Kratom was the cause. Shanes dog Jody shortly before Shanes 2nd episode of psychosis May 11 developed sudden onset of seizures inability to stand walk and was in terrible distress. The veterinarian was told Jody may have ingested snail bait though the vet discounted that possibility.

This is a warning to pet owners. 4584 views Reviewed 2 years ago. Weed can be used to control seizures usually not the cause of them.

Once patient reported experiencing a seizure after using kratom with a large amount of Datura. Send thanks to the doctor. Im 14 yo and have smoked weed like 20 times in my lifeincluding oil.

Marijuana and Seizures The limited available data suggests marijuana may initiate seizures in some susceptible people and suppress them in others. It lasts about 2-3 minutes. To uncover the truth its best to take a more in-depth look into seizures and the nexus between seizures and weed.

Also I imagine thats gonna really lower your threshold especially when you forget to take your meds. Ive had weed panic attacks and mild anxiety in the past but after taking this oil i started feeling throes sumptoms but much worse. After twenty minutes my legs got wobbly and i could t breathe so i say down.

No your alternate causes are not consistent with what the individuals are describing nor with what I have witnessedIt is clear that marijuana can cause seizures in some individuals. No way to get a 100 accurate answer over the Internet. Marijuana products on their own have not been linked to seizures.

Yes ingested marijuana can sometimes cause seizures in children. However new research claims that marijuana may trigger seizures. A few weeks ago i took an abnormal amount of oil on an almost empty stomach no water that day and 6 hrs of sleep.

About two weeks later i smoked dabs another seizure later that night. You may have heard of a person who experienced seizures after smoking weed and this leads to the obvious question can marijuana cause seizures If you try to use THC for seizures the outcome is likely to be more seizures. Perhaps smoking weed can cause the onset of new seizures or provoke your seizure disorder if you have other factors present.

Marijuana can sometimes cause seizures if you havent atedrank enough. Alcohol toxicity or alcohol withdramarijuana cause seizures marijuana may have certain toxins in it that might cause seizures as well. I smoke weed all day all night no problem.

In fact cannabidiol CBD one of the components of marijuana has been approved by the FDA to treat certain types of seizures. Lately when I smoke once in a while Ill get really dizzy then will start having mild seizures and have to lie down. One day i was at the lake with my boy and we were smoking dabs it was my first time with dabs.

Causes Of Alcohol Abuse

Certain environmental factors lead to depression that may encourage alcoholism. In fact there are dozens of risk factors that play a role in the development of an alcohol addiction.

Alcohol And Cancer Risk Fact Sheet National Cancer Institute

Using alcohol at an early age especially when binge drinking is involved.

Causes of alcohol abuse. Alcoholism is a result of a combination of genetic psychological environmental and social factors. Drinking too much for an extended period or being a regular binge drinker. Several of the most common causes of alcoholism are.

Lets cover some of them below. Alcohol use disorder usually runs in the family which made some researchers believe that genes can be one of the major causes of developing alcohol addiction. Studies suggest that for some people drinking has a different and stronger effect that could result in alcohol use disorder.

Between 2011 and 2015 the leading causes of alcohol-attributable deaths due to chronic conditions in the United States were alcohol-associated liver disease heart disease and stroke unspecified liver cirrhosis upper aerodigestive tract cancers liver cancer supraventricular cardiac dysrhythmia AUD breast cancer and hypertension. Alcohol abuse may also cause issues with memory and may impair learning. Several risk factors are potential causes of alcohol addiction including.

Alcohol-related brain damage comes about due to a combination of several factors. Heavy alcohol users are considered to be individuals who binge drink five or more times during the month. And sometimes those risk factors are entirely out of the persons control.

Alcoholism may also greatly affect the brain. These risk factors interact differently in every individual leading to alcohol use disorders in some and not in others. The cause of alcohol abuse is complex.

Peer pressure influences individuals to abuse alcohol. Alcohol use disorder develops when you drink so much that chemical changes in the brain occur. Alcohol abuse is related to economic and biological origins and is associated with adverse health consequences.

Studies by the National Institute of Alcohol Abuse and Alcoholism show that about half the risk of developing an alcohol use disorder AUD is genetic. However most of the influence of peers is due to inaccurate perceptions of the risks of alcohol abuse. A lack of family supervision or involvement.

For example brain lesions are likely to occur. The harmful use of alcohol causes a large disease social and economic burden in societies. There are genes that make one more susceptible to overconsumption and use of alcohol.

Heres a breakdown of how each one plays a role in the development of alcohol abuse. The effects of alcoholism are diverse. The environmental factors that may cause alcoholism include availability of alcohol and sociocultural pressures.

This can include poor supervision by family members or parents who are cold and do not provide significant levels of nurturing. The cause of alcohol use disorder is still unknown. Alcohol use during pregnancy may cause miscarriage.

Relationship issues within the family particularly those that occur in the early stages of an individuals development are often considered to be significant risk factors for alcohol abuse. Alcohol may interfere with the production of new bone. The long-term heavy consumption of alcohol alcohol use disorder can cause severe detrimental effects.

The harmful use of alcohol can also result in harm to other people such as family members friends co-workers and strangers. Alcohol is a psychoactive substance with dependence-producing properties that has been widely used in many cultures for centuries. Recent studies are showing more and more that genes have an impact on how an individual thinks.

The more risk factors a person exhibits the more likely they are to become an alcoholic. Both internal and external factors contribute to the development of alcoholism. Biological factors environmental factors social factors and psychological factors.

The most difficult cause of alcoholism to recognize in many cases is a genetic predisposition to alcoholism. There is no one single cause of alcoholism. It may also cause fetal alcohol syndrome resulting in giving birth to a child who has physical and developmental problems that last a lifetime.

Health effects associated with alcohol intake in large amounts include an increased risk of developing an alcohol use disorder malnutrition chronic pancreatitis congestive heart failure atrial fibrillation car accidents and injuries gastritis stomach ulcers alcoholic liver disease. The Causes of Alcoholism Psychological social genetic and environmental factors can affect how drinking alcohol affects your behavior and body.

Smoking And Gout

This is for the reason that the oxygen level in the blood reduces. If youre smoking and suffer from sleep apnea at the same time youre at much higher risk of developing gout attack.

Cigarette Smoking And The Risk Of Incident Gout In A Prospective Cohort Study Gee Teng 2016 Arthritis Care Amp Research Wiley Online Library

Apply a chronic causes of Gout.

Smoking and gout. The best explanation came in the form of a 2015 study conducted by the European Journal of. Medications and lifestyle changes arent the only way to manage gout. In multivariable Cox models cigarette smoking was associated with gout with a hazard ratio of 076 95 CI 059 098 overall 068 95 CI 049 093 among men and 092 95 CI 060 141 among women.

In light of the systemic pro-inflammatory effects of smoking potential anti-inflammatory effects as well as its role as a risk factor in other inflammatory diseases and comorbid disorders associated with gout it is reasonable to hypothesise that smoking has an effect on risk of hyperuricaemia and gout. Smoking cigars and gout Does cigarette cause gout Cigarette smoking and gout. The study is created by eHealthMe based on reports of 34 people who have Quit smoking from the Food and Drug Administration FDA and is updated regularly.

Yes marijuana and gout are linked together and there is a possible remedy hidden in all of this. In a companion cross-sectional study current smokers had significantly lower levels of serum urate than former and never smokers and this observation was present in men and not women. Data were extracted by two independent reviewers.

A systematic literature search of PubMed and EMBASE was conducted. However there was no evidence indicating the same link in women. Lower risk for smokers was evident among all obesity categories but not among women.

Smokers had a 27 lower risk of developing gout when compared to men who were never smokers according to the results in Arthritis Care Research. A recent metaanalysis showed that smoking was not involved in the risk of gout but that continued smoking had negative health impacts on patients with gout 31. A few alternative therapies have also shown promise.

The aim of this meta-analysis was to determine the associations between smoking and the risk of gout. Many studies have reported that smoking reduces serum urate however the evidence has not been conclusive with other studies pointing to the opposite or no effect. The first is one of the most common spot for gout or arthritis.

Conversely there was no association between smoking and gout risk in women. Although there is no direct evidence to support smoking as a risk factor for gout smoking strongly associates with alcohol consumption which may in turn associate with gout. The aim of this meta-analysis was to determine the associations between smoking and the risk of gout.

Previous studies showed that smoking is linked with the decreased risk of gout but the results remain controversial. Gout is found among people with Quit smoking especially for people who are male 60 old. In conclusion gout sufferers who smoke have reported that after giving up smoking theyve experienced less gout attack episodes while those that went back to smoking again experienced increased gout symptoms as their immune system declined.

A systematic literature search of PubMed and EMBASE was conducted. Long disease duration and medical. Smoking on the other hand is highly correlated with lower body mass higher prevalence of hypertension dyslipidaemia and kidney diseasefactors that can influence the risk for gout.

This causes the cells to go through a destructive process. Previous studies showed that smoking is linked with the decreased risk of gout but the results remain controversial. If you recall I have mentioned that marijuana can help you with chronic pain.

It has also been suggested that smoking reduces the risk of gout although there is some evidence to contradict this finding. Notably the gout risk was lower in lean smokers when compared to overweight smokers. Gout can be alleviate the pain of the affected joints and pain.

It is suggest what you need to disappear. Is worse thing is hard work for some may not work or cigar smoking and gout capped or bonded teeth that through fat low purine diet-. Smoking can increase oxidative stress 4 5 and can impact serum urate thought to have anti-oxidative properties.

Can You Donate Plasma If You Have Hpv

Donating blood is essential to help save lives and support the efforts of those on the frontlines of the pandemic. Yes you can donate blood with HPV if you are in good health and feeling well.

Can I Donate Blood If I Have Hpv Here S What You Need To Know

If this is the case it shouldnt be a problem.

Can you donate plasma if you have hpv. You are allowed to donate if you have a case of chlamydia or HPV. If you receive the vaccine you can still donate blood platelets and AB Elite plasma. Download The COVID-19 Vaccine Guide.

You can almost always still give blood if you have HPV but some types of HPV cause venereal warts. Obviously because HIV and hepatitis can be transmitted through the blood people who are HIV or hepatitis positive cannot donate blood. They wont test for anything that isnt blood bourne as there is no need to.

Donating blood and hpv - Human Papillomavirus HPV - MedHelp. There should be no concerns with donating blood. This article is not medical advice.

Send thanks to the doctor. If you have any questions after reviewing the information below please call our Blood Donor Room at 212-639-7643. If youve had gonorrhea or syphilis you should wait 12 months after successful treatment to donate.

You must also fulfill the other eligibility criteria to donate blood. So as long as the warts arent broken and youre feeling alright you should be able to donate blood. In order to donate plasma donors must undergo several pre-donation screenings and tests for the HIV and Hepatitis viruses but not for the Herpes virus.

So as long as you are feeling healthy and are not currently undergoing a herpes outbreak it is perfectly ok for you to donate plasma. Blood and bleeding diseases or issues will often disqualify you from donating blood. If you suffer from hemophilia Von Willebrand disease hereditary hemochromatosis or sickle cell disease you are not eligible to donate blood.

If youre taking medicines like aspirin Accutane Coumadin and Plavix you may have to wait a short time before you can donate. Al Louie worked at Department of Agriculture. Different strains of HPV cause cervical dysplasia and genital warts while others cause the common warts people get on their hands and feet.

Dont donate plasma if any lesions or. Only blood or plasma bourne ones as the above poster said. Chlamydia venereal warts human papilloma virus or genital herpes are not a cause for deferral if you are feeling healthy and well and meet all other eligibility requirements.

If you have sickle cell trait it is still acceptable for you to donate blood. Others like herbal remedies nutritional supplements oral birth control pills and some kinds of vaccines for flu Tdap and HPV dont require you to wait before you donate. If you have been vaccinated recently you may need to wait before donating blood.

Those with HIV or hepatitis should not donate. Because plasma is part of your blood the same rules apply if you have herpes whether you have HSV-1 or HSV-2. Again herpes simplex is transmitted.

Updated on November 12 2019 Irina Ilyich MD ObstetricianGynecologist Researcher Medical Advisor at Flo. There is nothing about NCS that makes it inherently dangerous to donate blood or plasma. If you are tested that you have the HPV virus- do not donate plasma or blood as it may pass the virus on.

Typically in addition to herpes you can donate blood if you have chlamydia or HPV are feeling healthy and meet all other eligibility requirements. Hpv is transmittrd through direct contact and not through the blood. 20 years experience Family Medicine.

If you have high risk or low risk hpv can you still donate blood or plasma. Yes just like POTS the decision on whether or not an NCS patient should donate blood or plasma should be made on a case by case basis with input from your doctor.

Mental Health Essay

This essay will demonstrate the relationships between mental health and social problems from both the social and medical point of view. Mental health is just as important to be treated as physical illness to be healthy as a whole mental wellness is also considered.

Problem Solution Essay Mental Disorder Mental Health

Emotionally strong individuals have better strength to fight.

Mental health essay. Generally speaking mental illness is defined as the psychological or mental state of an individual who is functioning at a. Mental health can affect ones daily life activities relationships and physical health. In view of the coronavirus pandemic we are making LIVE CLASSES and VIDEO CLASSES completely FREE to prevent interruption in studies.

Mental illness can be caused due to stress or reaction to a certain incident. O Expert Committee on mental health reviewed the various definations of mental heath and observed taht mental health. Mental health is defined as a state of wellbeing in which every individual realizes his or her own potential can cope with the normal stresses of life can work productively and fruitfully and is able to make a contribution to her or his community Mayoclinic 2012 Above stated definition is the meaning of a normal average humans mental health.

The term is also sometimes used to denote the absence of mental illness. Introduction 11 Mental illness and stigma Inequalities in health services delivery and utilization for people with mental illness has been widely documented1 Subsequently this results in poorer outcomes for this population in regard to general health such as circulatory diseases mortality from natural causes and access to interventions 2-4 Several issues. It also helps in determining how one handles stress makes choices and relates to others.

The Importance of Mental Health Awareness It is a disorder not a decision. Mental health is the balanced development of the individuals personality and emotional attitudes which enable him to live harmoniously with his fellow men. Mental Health Essay.

Mental health is a term that refers to a persons psychological emotional behavioral and social well-being how a person thinks feels acts relates to others makes choices and handles stress. Short essay on the importance of Mental Health. Mental illness is curable.

It can be an on going experience from mental wellbeing through to a severe and enduring mental illness affecting a persons overall emotional and psychological condition. Mental Illness and Stigma. Mental health is a term that encompasses a range of experiences and situations.

Anxiety is another mental health issue facing university students. Mental health has been described as multifaceted with six dimensions behavioural affective spiritual cognitive psychological and socio-political. A survey conducted by YouGov found that 77 of students with mental health issue had depression Aronin and Smith 2016.

Mental illness is the instability of ones health which includes changes in emotion thinking and behaviour. A mentally healthy person is one that is properly adjusted to the emotional and behavioural requirements of the necessary stresses and conflicts associated with daily living. Mental health is defined as a state of well-being in which every individual realises his or her own potential can cope with the normal stresses of life can work productively and fruitfully and is able to make a contribution to her or his community WHO 2014.

Mental health is very important for living a stable and healthy life. Regardless of the topic subject or complexity we can help you write any paper. The mental health essay is an insight into the importance of mental health in everyones life.

Depression is among the prevalent mental health issues among students. As per the statistics one in five people in the world struggles through mental health issues. It impacts the way we think feel and behave every day.

Balance of the physical and mental health leads to a fit and sound health system. Essay On Importance Of Mental Health. Mental health refers to the psychological and the emotional well-being of an individual.

It comprises of emotional social and psychological well-being of a person. Indeed a stigmatized illness that proves our ignorance that its actually happening depression. People generally tend to ignore their minds health while maintaining physical fitness.

Mental health is the balance development of the individuals personality and emotional attitude which enable him to live harmoniously with his fellow men. Mental Health includes ones psychological emotional and social well-being ones mental health affects how they think feel and act. It becomes prudent that we are asked to focus on mental health importance for one day.

Essay on Mental Health. There are numerous mental health issues that affect university students. The Health Education Authority defined mental health in 1997 as the emotional and spiritual resilience which enables us.

Check out this awesome Mental Health Essays for writing techniques and actionable ideas. It could also arise from genetic factors biochemical imbalances child abuse or trauma social disadvantage poor physical health condition etc.