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By W. Hassan. Northwestern College, Iowa. 2018.

Reluctance to try techniques from other practitioners generic zyrtec 5mg on-line. I have treated thousands of individuals with the borderline personality disorder (BPD) generic zyrtec 10mg amex, likely a form of epilepsy with mood swings, anger problems, self-destructiveness and psychotic rage under stress. Many tragedies such as school shootings are due to the BPD. Medication combinations work extremely well, but the research information is rarely acknowledged and many psychiatrists are resistant to trying medical approaches that have been successful for other doctors and their patients. The American Psychiatric Association has done an excellent job defining criteria for the major psychiatric diagnoses. Most Americans would be stunned to discover exactly how common these "disorders" are - and what the criteria are. Many common diagnoses are likely not diseases at all, but survival genetics that have advantages in some environments and disadvantages in others. Attention deficit "disorder" is an excellent example. The brain location and some of the biochemistry have been identified. Untreated ADD usually leads to significant social and legal problems - particularly impulsive anger and substance abuse (30%). The "cognitive" generalized anxiety disorder (GAD) causes the individual to constantly worry and think. Being genetic it starts in childhood and continues through old age. These individuals always feel stressed, and commonly treat themselves with alcohol, food, and marijuana. The information to make a huge difference with all these problems is available right now. Most of these diagnoses are treatable with the right combination of medication and counseling/brain retraining. What is pathological NarcissismPrimary Narcissism, in psychology is a defense mechanism, common in the formative years (6 months to 6 years old). It is intended to shield the infant and toddler from the inevitable hurt and fears involved in the individuation-separation phase of personal development. It manifests in the chronic pursuit of personal gratification and attention (narcissistic supply), in social dominance and personal ambition, bragging, insensitivity to others, lack of empathy and/or excessive dependence on others to meet his/her responsibilities in daily living and thinking. Pathological narcissism is at the core of the narcissistic personality disorder. The term narcissism was first used in relation to human psychology by Sigmund Freud after the figure of Narcissus in Greek mythology. Narcissus was a handsome Greek youth who rejected the desperate advances of the nymph Echo. As a punishment, he was doomed to fall in love with his own reflection in a pool of water. Unable to consummate his love, Narcissus pined away and changed into the flower that bears his name, the narcissus. Other major psychiatrists who contributed to the theory are Melanie Klein, Karen Horney, Heinz Kohut, Otto F. Ronningstam, John Gunderson, Robert Hare, and Stephen M. Whether pathological narcissism is the result of genetic programming (see Jose Lopez, Anthony Bemis and others) or of dysfunctional families and faulty upbringing or of anomic societies and disruptive socialisation processes - is still an unresolved debate. The scarcity of scientific research, the fuzziness of the diagnostic criteria and the differential diagnoses make it unlikely that this will be settled soon one way or the other. Certain medical conditions can activate the narcissistic defense mechanism. Chronic ailments are likely to lead to the emergence of narcissistic traits or a narcissistic personality style. Traumas (such as brain injuries) have been known to induce states of mind akin to full-blown personality disorders.

The symptoms of metabolic syndrome include:unhealthy cholesterol levelsexcess belly fat (waist circumference over 35" for women and 40" for men)Those with metabolic syndrome are at risk of serious health problems including heart attack cheap zyrtec 5mg with amex, stroke and diabetes cheap zyrtec 10 mg on line. In fact, the chance for diabetes can be as much as five times higher than in the general public. A person is said to have metabolic syndrome when elevations of the above measurements are present along with the increased waist size. There are two direct connections between psychiatric disorders and metabolic syndrome:poor diet and exercise regimenYears of research show that psychiatric disorders are associated with heavy smoking, reduced income, lack of exercise, poor diet in terms of nutrition, obesity and medications that cause weight gain. Due to treatment with certain high-risk antipsychotic medications, those with schizophrenia are at the highest risk of developing the risk factors associated with metabolic syndrome, closely followed by those with bipolar disorder. One of the key reasons is because some antipsychotic medications can raise blood sugars and cholesterol to dangerous levels and produce significant weight gain (referred to as "antipsychotic induced weight gain"). When you experience the risk factors associated with metabolic syndrome, it doubles your risk of blood vessel and heart disease, which can lead to heart attacks and strokes. And as mentioned above, you also increase your risk of diabetes by five times. More details on the link between antipsychotic medications, metabolic syndrome and diabetes here. Find out why Clozaril is prescribed, side effects of Clozaril, Clozaril warnings, effects of Clozaril during pregnancy, more - in plain English. Clozaril is given to help people with severe schizophrenia who have failed to respond to standard treatments. Clozaril is not a cure, but it can help some people return to more normal lives. Even though it does not produce some of the disturbing side effects of other antipsychotic medications, Clozaril may cause agranulocytosis, a potentially lethal disorder of the white blood cells. Because of the risk of agranulocytosis, anyone who takes Clozaril is required to have a blood test once a week for the first 6 months. If your blood counts have been acceptable for the 6-month period, you will need to have your blood tested only every other week thereafter. Anyone whose blood test results are abnormal will be taken off Clozaril either temporarily or permanently, depending on the results of an additional 4 weeks of testing. Because of the significant risk of serious side effects associated with this drug, your doctor will periodically reassess the need for continued Clozaril therapy. Clozaril is distributed only through the Clozaril Patient Management System, which ensures regular white blood cell testing, monitoring, and pharmacy services prior to delivery of your next supply. If you stop taking Clozaril for more than 2 days, do not start taking it again without consulting your physician. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Clozaril. The most feared side effect of Clozaril is agranulocytosis, a dangerous drop in the number of a certain kind of white blood cell. Symptoms include fever, lethargy, sore throat, and weakness. If not caught in time, agranulocytosis can be fatal. That is why all people who take Clozaril must have a blood test every week. About 1 percent develop agranulocytosis and must stop taking the drug. Seizures are another potential side effect, occurring in some 5 percent of people who take Clozaril. The higher the dosage, the greater the risk of seizures. More common side effects of Clozaril may include: Abdominal discomfort, agitation, confusion, constipation, disturbed sleep, dizziness, drowsiness, dry mouth, fainting, fever, headache, heartburn, high blood pressure, inability to sit down, loss or slowness of muscle movement, low blood pressure, nausea, nightmares, rapid heartbeat and other heart conditions, restlessness, rigidity, salivation, sedation, sweating, tremors, vertigo, vision problems, vomiting, weight gain nLess common side effects may include: Anemia, angina (severe, crushing chest pain), anxiety, appetite increase, blocked intestine, blood clots, bloodshot eyes, bluish tinge in the skin, breast pain or discomfort, bronchitis, bruising, chest pain, chills or chills and fever, constant involuntary eye movement, coughing, delusions, depression, diarrhea, difficult or labored breathing, difficulty swallowing, dilated pupils, disorientation, dry throat, ear disorders, ejaculation problems, excessive movement, eyelid disorder, fast, fluttery heartbeat, fatigue, fluid retention, frequent urination, glaucoma (high pressure in the eye), hallucinations, heart problems, hives, hot flashes, impacted stool, impotence, inability to fall asleep or stay asleep, inability to hold urine, inability to urinate, increase or decrease in sex drive, involuntary movement, irritability, itching, jerky movements, joint pain, lack of coordination, laryngitis, lethargy, light-headedness (especially when rising quickly from a seated or lying position), loss of appetite, loss of speech, low body temperature, memory loss, muscle pain or ache, muscle spasm, muscle weakness, nosebleed, numbness, pain in back, neck, or legs, painful menstruation, pallor, paranoia, pneumonia or pneumonia-like symptoms, poor coordination, rapid breathing, rash, runny nose, shakiness, shortness of breath, skin inflammation, redness, scaling, slow heartbeat, slurred speech, sneezing, sore or numb tongue, speech difficulty, stomach pain, stuffy nose, stupor, stuttering, swollen salivary glands, thirst, throat discomfort, tics, twitching, urination problems, vaginal infection, vaginal itch, a vague feeling of being sick, weakness, wheezing, yellow skin and eyesClozaril is considered a somewhat risky medication because of its potential to cause agranulocytosis and seizures. It should be taken only by people whose condition is serious, and who have not been helped by more traditional antipsychotic medications such as Haldol or Mellaril. You have a bone marrow disease or disorder;You have epilepsy that is not controlled;You ever developed an abnormal white blood cell count while taking Clozaril;You are currently taking some other drug, such as Tegretol, that could cause a decrease in white blood cell count or a drug that could affect the bone marrow;You have ever had an allergic reaction to any of its ingredients.

When asked generic zyrtec 10 mg mastercard, 17% of 12-graders reported hookah smoking and 23% reported smoking small cigars order 5 mg zyrtec fast delivery. As the above drug addiction statistic shows, almost one-in-ten people sought treatment for substance abuse in 2009. Drug addiction facts collected in 2008 suggest the vast majority of these, over 40%, involve alcohol abuse. Of those admitted to treatment in 2008, the following drug addiction statistics provide an inside look into the drug problem in America:The largest age group is between ages 20 - 29, making up almost 30% of admissionsAges 30 - 39 made up 23% of admissions, almost tied with ages 40 - 49 at 24%Above the age of 50, admission rates fall dramaticallyThe top three ethnicities of admissions were: white (60%), African-American (21%) and Hispanic (14%)Further drug addiction statistics garnered from the 2009 National Survey on Drug Use and Health (SAMHSA) include:In 2009, 12% of people aged 12 or older admitted to driving under the influence of alcohol in the last yearThis is a reduction from 2002, where 14. One can abuse drugs without necessarily being addicted to drugs. The drug abuse definition centers more around the way a person uses drugs, while the drug addiction definition includes the use of drugs and also the psychological and physiological effects the drug has on the body. Central to the understanding of drug abuse and addiction is the idea of tolerance. When a person starts using a drug, they typically use a small amount to receive pleasurable effects, or a "high. In drug abuse and addiction, creation of tolerance depends on the drug used, the amount that is used and the frequency with which it is used. Drug tolerance can be both psychological and physiological. The definition of drug abuse does not have drug tolerance as a factor. The following are drug abuse symptoms: Drug use has negatively impacted performance in work or schoolRisky acts endangering the drug user or others are committed as a result of drug use, for example, drinking and drivingContinuation of drug use in spite of the negative consequences drug use is having on relationshipsLegal or financial problems as a result of drug useA drug user may match the drug abuse definition even if only one of the symptoms is present. Drug abuse frequently, but not always, leads to drug addiction. The definition of drug addiction contains aspects of the drug abuse definition in that the user is experiencing negative consequences from drug use and refuses to quit using the drug. However, with drug addiction, the addict has developed a tolerance to the drug, increasing the used amount, and experiences withdrawal symptoms when abstinent. In addition to drug tolerance, here are other drug addiction symptoms:Experiencing withdrawal symptoms when not using the drugIs unable to stop using the drug even after repeated attempts to do soConsumes large and even dangerous amounts of the drugWhile the term "drug addiction" is commonly known, it is not used in the Diagnostic and Statistical Manual of Mental Disorders (DSM). Instead, the DSM defines substance dependence similarly to the drug addiction definition above. Teenage drug abuse statistics and teen drug abuse facts have been tracked for more than 35 years. Multiple agencies are involved in collecting teen drug abuse statistics, but the primary source of teenage drug abuse statistics is provided by the Monitoring the Future (MTF) survey, annually conducted by the National Institute on Drug Abuse (NIDA). In the 2010 MTF survey, 46,348 students in 8grade participated across 386 private and public schools. Top concerns seen in the teen drug abuse statistics collected in the 2010 MTF survey include: Teen drug abuse statistics show daily marijuana use among 12-graders is at its highest point since the early 1980sPerceived risk of marijuana decreased in all agesTeenage drug abuse facts indicate abuse of prescription and over-the-counter medication remains highMany of the teen drug abuse facts come from the National Survey on Drug Use and Health (NSDUH) conducted by the Substance Abuse and Mental Health Services Administration. A piece of good news seen in the NSDUH is overall prevalence of underage (ages 12-20) alcohol use and binge drinking has shown a gradual decline across all periods. Other positive teen drug abuse facts include:Teen smoking rates are also at their lowest point in the history of the MTFAmphetamine use continues to decline, down to 2. Some of the negatives seen in teen drug abuse facts are thought to be due to the changing perceptions of some drugs. Drug abuse facts indicate fewer teens consider marijuana and ecstasy to be dangerous, while more teens see cigarettes as dangerous. Additional teen drug abuse statistics and facts include:-graders report 17% have smoked a hookah and 23% have smoked small cigarsEcstasy use increased dramatically between 2009 and 2010 with 50% - 95% increase in use by 8-graders report using marijuana in the last 30 daysBehind marijuana, Vicodin, amphetamines, cough medicine, Adderall and tranquilizers are the most likely drugs to be abusedInhalant abuse is increasingAlcohol kills 6. Sections of a hospital or private clinics often offer drug rehab. Many people choose specific drug rehab centers, however, as they are specialized in drug rehab and the surrounding issues. Drug rehab programs run from drug rehabilitation centers can be inpatient or outpatient, but inpatient drug rehab programs are typically the best choice for those who have:Medical complications including mental illnessThe best drug rehab programs are evidence-based and designed around addiction research.

How does a parent constantly cope with that discount zyrtec 5mg online, or how can they better cope? George Lynn: The most important thing is to develop an attitude of hardiness order zyrtec 10 mg with mastercard. Parents have to develop a certain "warrior" persona to deal with these issues, and they need to have a lot of love in their own lives and a sense of purpose. Oftentimes, Dads get to go to work and escape the major day-to-day stress. Mothers need to be very vocal about their need for help. If push comes to shove and other measures, such as residential placement, are indicated, these need to be pursued. What are some behavior management tools for working with their bipolar children that might prove effective? George Lynn: Essential number one: Kids have to be willing to talk to a therapist who can help them. They have to believe that person can help them escape the inner feeling of chaos and get a handle on their reactions, as well as develop awareness of mood shift and normalize. They absolutely have to insist on it, no violence tolerated. Your brain is having something like a seizure of emotion. David: It sounds almost like a "zero tolerance" rule. George Lynn: Not really zero tolerance, but the parents need to draw the line and stick to it. I would have a hard time with that, but I do tell my son that despite his issues, there is only so much we can or will do. And, of course, this depends on the age of the child - the older, the more in control he can be. The little ones just need a lot of love and structure. Thank you, Ginger, for this: ginger_5858: There is help for parents. There is a website for bipolar support groups online at http://www. The first thing is to get behaviorally clear with him about what takes things over the line. Hold out your arm and say, "Do not get any closer to me than that when you are upset. Beforehand arrangements should be made for possible inpatient evaluation, if that is necessary. When you are in the moment, I use a "battle plan" which I outline in my book. The most important thing is to stay in your power and your heart. Nonverbal anxiety from parents can make the situation worse. Finally, have friends you can speak to who understand! It is a good reason to move to a place where the police have college educations. Oftentimes, their sheer size and presence will get his attention. And there are a set of measured responses that follow from this if he is arrested. Finally, your local crisis center may have a child response team. It is a good idea to call and find out how it works. How does your approach to behavior management differ from positive behavior support?