Pathways CBH Clinton Office
(660) 885-8131
www.pathwaysonline.org
1800 Community Drive
Clinton MO 64735

Rehabilitation Services

Primary Focus: Mix of mental health and substance abuse services
Services Provided: Substance abuse treatment, Detoxification
Type of Care: Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups: Adolescents

Acne Vulgaris

Changes in the pilosebaceous units (skin structures consisting of a hair follicle and the associated subcutaneous gland) result in acne vulgaris. Severe acne is inflammatory, but acne can also manifest in non-inflammatory forms. Acne lesions are pimples, spots or zits. Acne is most common during adolescence, affecting more than affecting more than 85 percent of teenagers, and frequently continues into adulthood. For most people, acne diminishes over time and tends to disappear, or at the very least decrease after the early twenties. There is, however, no way to predict how long acne can take to disappear entirely, and some individuals continue to suffer well into their thirties, forties and beyond. Most commonly, the face and upper neck regions are affected, but there may be acne on the chest, back and shoulders as well. Acne may appear on the upper arms, but lesions found there are often keratosis pilaris, not acne. Typical acne lesions are comedones, inflammatory papules, pustules and nodules. Some of the large nodules are cysts and nodulocystic describes severe cases of inflammatory acne.

Tips for Getting a Good Sleep

Stick to a sleep schedule. Go to bed and wake up the same time each day. As creatures of habit, people have a hard time adjusting to altered sleep patterns. Sleeping later on weekends will not fully make up for the lack of sleep during the week and will make it harder to wake up early on Monday morning.
Exercise is great, but not too late in the day. Try to exercise at least 30 minutes on most days but not later than five or six hours before bedtime.
Avoid caffeine and nicotine. Coffee, colas, certain teas and chocolate contain the stimulant caffeine and its effects can take as long as eight hours to wear off fully. Therefore, a cup of coffee in the late afternoon can make it hard to fall asleep at night. Nicotine is also a stimulant, often causing smokers to sleep only very lightly. In addition, smokers often wake up too early in the morning because of nicotine withdrawal.
Avoid alcoholic drinks before bed. Some people think having an alcoholic "nightcap" will help induce sleep, but alcohol robs the body of deep sleep and REM sleep, keeping sleep in the lighter stages. After drinking, people also tend to wake up in the middle of the night when the effects of the alcohol ware off.
Avoid large meals and beverages late at night. A light snack is okay, but a large meal can cause indigestion that interferes with sleep. Drinking too many fluids at night can cause frequent awakenings to urinate.
If possible, avoid medicines that delay or disrupt your sleep. Some commonly prescribed heart, blood pressure or asthma medications, as well as some over-the-counter and herbal remedies for coughs, colds or allergies, can disrupt sleep patterns.
Do not take naps after 3 PM. Naps can help make up for lost sleep, but late afternoon naps can make it harder to fall asleep at night.
Relax before bed. Do not over schedule the day so that no time to unwind. A relaxing activity, such as reading or listening to music, should be part of any bedtime ritual.
Take a hot bath before bed. The drop in body temperature after getting out of the bath may help induce sleepiness and the bath can help relax and slow down.
Have a good sleeping environment. Get rid of anything that might distract from sleep, such as noises, bright lights, an uncomfortable bed or warm temperatures. People sleep better if the temperature in the bedroom is on the cool side.

Have the right sunlight exposure. Daylight is key to regulating daily sleep patterns. Try to get outside in natural sunlight for at least 30 minutes each day. If possible, wake up with the sun or use very bright lights in the morning. Sleep experts recommend that an hour of exposure to morning sunlight helps people who are having trouble falling asleep.
Do not lie in bed awake. It is more helpful to get up and do some relaxing activity until the body feels sleepy. The anxiety of not being able to sleep can make it harder to fall asleep.
See a doctor if there is a serious problem sleeping.