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	<title>Mental Health Articles &#187; mental</title>
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		<title>What&#8217;s the Diagnosis?</title>
		<link>http://www.mentalhealtharticles.org/whats-the-diagnosis.html</link>
		<comments>http://www.mentalhealtharticles.org/whats-the-diagnosis.html#comments</comments>
		<pubDate>Thu, 21 Oct 2010 08:19:27 +0000</pubDate>
		<dc:creator><![CDATA[admin]]></dc:creator>
				<category><![CDATA[Other]]></category>
		<category><![CDATA[diagnosis]]></category>
		<category><![CDATA[mental]]></category>
		<category><![CDATA[mental health]]></category>

		<guid isPermaLink="false">http://www.mentalhealtharticles.org/?p=70</guid>
		<description><![CDATA[The other day I met a new patient who described a long history of anxiety and depression that recently became severe. She had been to two other psychiatrists in the past year, and was seeing me because she was not getting any better; in fact if anything she was getting worse. She described symptoms that [&#8230;]]]></description>
				<content:encoded><![CDATA[<p><strong>The other day I met a new patient who described a long history of anxiety and depression that recently became severe.</strong> She had been to two other psychiatrists in the past year, and was seeing me because she was not getting any better; in fact if anything she was getting worse. She described symptoms that changed from anxiety and mild depression to severe panic attacks and social withdrawal; symptoms that were almost certainly the consequence of her being prescribed large doses of alprazolam (Xanax). She described a pattern that I have seen very often; a person has relatively mild, manageable anxiety, and is prescribed a benzodiazepine. After a few weeks the &#8216;benzo&#8217; is no longer effective because of a process called &#8216;tolerance,&#8217; and worse, if the person misses a dose, the discontinuation symptoms FEEL like severe anxiety and panic&#8211; leading the person to take more of the benzo. The dose must be increased to get a response, and then the discontinuation symptoms become even greater&#8230; leading to a spiral of increasing anxiety and medication use. This is a difficult pattern to break, because the patient must reduce and taper off the medication that once was providing relief&#8211; all the while tolerating a certain amount of anxiety and insomnia.</p>
<p><strong>I feel bad for patients in this situation, because they would be better off had they never gone to a doctor for their anxiety in the first place.</strong> But the situation in my new patient was even worse&#8211; and what had happened to her was not uncommon. As her &#8216;anxiety&#8217; worsened, the psychiatrist treating her piled on more and more medications. She was prescribed Depakote without relief. Then whe was prescribed risperidone. Then lamotrigine. These medications are all somewhat sedating, and when she complained of being too drowsy she was prescribed the stimulant Adderall, and then modafanil. The stimulants made her shaky, and so the original benzo was increased.</p>
<p>Medications like <a href="http://mexicanpharmacyprices.com/depakote_mexico.html">Depakote generic price</a>, lamotrigine, and risperidone have a place in psychiatry; all three are mood stabilizers, and are used to treat bipolar disorder among a few other conditions. In order to qualify for a diagnosis of bipolar I (the more serious form of bipolar disorder) a person must have a history of &#8216;mania&#8217;&#8211; a period of 7 days (shorter if the person is hospitalized) when the person is &#8216;revved up,&#8217; with less need for sleep, increased risk-taking, racing thoughts, and other specific criteria. There is some credible evidence that the diagnosis of bipolar has been overdone in recent years, particularly in children. Over-diagnosis of depression would not be a horrible thing, given that the medications primarily used to treat depression, a class of medication called &#8216;SSRIs&#8217;, are relatively benign. <strong><em>But the same cannot be said of over-diagnosis of bipolar disorder; medications used to treat bipolar have a number of significant side effects ranging from sedation and tremor to weight gain and diabetes!</em></strong></p>
<p>When I asked the patient about her diagnosis, she was confused. She was not told that she had bipolar disorder, and so she was not certain why she was taking so many medications. She had no idea that some of the medications were prescribed only to treat side effects from other medications. And she had no idea that the medications had the potential to cause a wide range of systemic illnesses and conditions.</p>
<p>I don&#8217;t know what to make of THAT kind of psychiatry. I talk often on my radio show about the need for patients and psychiatrists to spend TIME with each other; time to get the diagnosis right, or in this case to at least come to SOME diagnosis! Too often, medications seem to be prescribed out of desperation; an overly-busy, short-on-time prescriber adding medication not according to a sound treatment plan for a careful diagnosis, but rather using medications to blunt symptoms like firefighters in a helicopter dropping water on a fire.</p>
<p><em>Not all psychiatric conditions require medications, but sometimes, medications are useful and even necessary. When medications ARE used, I encourage all patients to demand to know the diagnosis that is being treated, the options in medication and non-medication treatments, and the effects and side effects of anything that is prescribed. That understanding will probably take some time&#8211; but that time should be a basic part of every psychiatric relationship.</em></p>
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		<title>Panic Away Review</title>
		<link>http://www.mentalhealtharticles.org/panic-away-review.html</link>
		<comments>http://www.mentalhealtharticles.org/panic-away-review.html#comments</comments>
		<pubDate>Tue, 14 Sep 2010 12:51:29 +0000</pubDate>
		<dc:creator><![CDATA[admin]]></dc:creator>
				<category><![CDATA[Mood Disorders]]></category>
		<category><![CDATA[mental]]></category>
		<category><![CDATA[mental health]]></category>
		<category><![CDATA[panic]]></category>
		<category><![CDATA[panic attacks]]></category>

		<guid isPermaLink="false">http://www.mentalhealtharticles.org/?p=14</guid>
		<description><![CDATA[Panic attacks are a serious problem plaguing people today. We where genetically engendered to have Fight or Flight instincts this is a chemical reaction to fear and danger a long time ago it was necessary for survival it warned us of danger, it gave us the strength to fight for our survival. But now it [&#8230;]]]></description>
				<content:encoded><![CDATA[<p><strong>Panic attacks are a serious problem plaguing people today.</strong> We where genetically engendered to have Fight or Flight instincts this is a chemical reaction to fear and danger a long time ago it was necessary for survival it warned us of danger, it gave us the strength to fight for our survival. But now it is 21st century and those old habits that should be gone have awoken within us and become our own personal prison.</p>
<p><strong><em>Imagine getting the same reaction when a 40 foot beast is going to eat you and not being able to decide what to wear in the morning? </em></strong>It&#8217;s the same old song and dance every time you start to over think something next thing you know it is blown up into something that isn&#8217;t even real, now you lost out on your day because the small clothes dilemma was blown up into a 40 foot beast I know I have been there.</p>
<p>When I was younger panic was very prevalent inside of me. I could take the simplest of things and blow them up into huge monsters. It affected my life, my friends and my family it was terrible. I had a good friend that taught me the hard way to get rid of anxiety. <em>I was pretty lucky to have him I had pretty much disassociated with all my other friends I was quite surprised that he stuck around, when you have anxiety it is very easy to push people away.</em></p>
<p>Well after 3 years of him pushing my buttons to the limit and a whole lot of broken patterns later I am finally free from that prison nothing fazes me now it is pretty cool I feel like a million bucks I can believe it. I honestly never thought i would ever be rid of that.</p>
<p>Panic away helps you break patters and move on with your life. My advice to anybody suffering from panic attacks defiantly needs to address the situation head on. It isn&#8217;t worth losing your life over. I lost a good 10 years of my life suffering from this and I had to endure pure hell to get rid of it, Panic Away will help you in way less time and show you an easier way.</p>
<p>If you want my friend to come over to your house it will cost you, he is a registered therapist that enjoys inflicting as much pain on his patients as humanly possible pushing and poking every little detail until you have only one option break the pattern or curl up in a little ball and beg for a quick death. It was the hardest thing I ever had to endure I spent many days and nights curled up in that ball when I finally couldn&#8217;t take it anymore he was going to get punched in the face. It was like a light bulb flashed in my head and everything became clear. He got a big smile on his face and congratulated me for breaking my patterns I was shocked I thought we were going to be slugging it out.</p>
<p><strong>It&#8217;s the 21st century I don&#8217;t need to go out and kill any 40 foot beasts I only have to go to the McDonald&#8217;s Drive Thru, and I hunt at the local food store, my wild beasts are pre packaged for me.</strong> If I lost everything today it wouldn&#8217;t matter because it&#8217;s just stuff. Life really is that simple folks.</p>
<p>Panic away has a lot of great material and i agree with their methods read it and push yourself to the edge and over the cliff before you know it you will be jumping off the cliff with a big smile on your face. Good Luck.</p>
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