By Y. Angar. Eastern Mennonite University. 2019.
I pray you are watching Joshua and you see how much like you he is generic olanzapine 20mg fast delivery symptoms quitting weed, so cute buy cheap olanzapine 10mg treatment jock itch, so funny buy generic olanzapine 7.5mg line symptoms detached retina, so loving generic 5mg olanzapine amex medications multiple sclerosis, so talkative! We are a very close family, but Joey was the one who made us laugh, think, talk, understand. He was the one who cemented the relationships we have today. Joey was a smooth talker, a good listener, a con artist (! Joey had a knack for making people open up and find things hidden deep inside. It is this knack that is sorely missed by me and by his brothers. JOEY WAS A BISEXUAL MAN AND THIS IS THE REASON I HAVE DEDICATED THIS PAGE TO HIM. People need to know his story, the hurt he faced and why I feel compelled to keep future generations from hurting. I hope to use this site to tell his story and to help our family heal. I sit here with my heart heavy and my fingers barely able to type these words. I still need to know why, I still need to know how you are, I still need to know what I did wrong. I want so much to hear your laugh, that crazy, contagious laugh you had. I want to see those big brown chocolate eyes smiling at me, giving my heart flip flops every time I saw them, because you were mine! I want to lay my head on your chest and hear your heart beat. I think I imagined that I was choosing these feelings. After reading about Bill Cosby, John Walsh, Sally Jesse, etc. If you took my right arm, I could not expect to function as if it were still there. I used to be such a goofy person, truly a pollyanna. I am more than blessed by having them healthy and whole. And I know, without them, I would not bother to go on. But, Joey, this is to tell you that you and Chris and Micheal and Josh made up 95% of who I am, who I want to be. Are you having great fun without parental supervision? Can you believe Chris died 2 years from the day we found you? Why, this young man felt so bad that he saw no other way out. You continually ask yourself: "what could I have done to make a difference? These are news accounts, obituaries, and the like of gay teens who committed suicide. The ridicule and harassment they faced, the confusion over their sexuality, was too much to bear. Think about it, should anyone (your son, friend, even a complete stranger) be made to feel so bad about who they are that they want to kill themselves? Read these stories and please consider what you can do to make a difference. Some of these numbers can and will tell you where you need to go and what you need to do to get help. Rape, Abuse, and Incest National Network (RAINN)Hazelden Information CenterNational Depressive and Manic Depressive AssociationNational Depression AssociationAmerican Association of SuicidologyAmerican Society for Dermatologic Surgery Information HotlineNational Inhalant Prevention PartnershipInternational Institute on Inhalant AbuseDrugs telephone information service (UK)Eating Disorders Awareness and Prevention, Inc. American Anorexia/Bulimia AssociationEating Disorders Association (UK)The Hetrick-Martin InstituteIndianapolis Youth GroupLavender Youth Recreation and Information CenterParents and Friends of Lesbians and Gays (PFLAG)The Grief Recovery InstituteTeen Age Grief Incorporated (TAG)Pregnancy Advisory Service (UK)National Runaways SwitchboardTeen Line (California only. BrownWhen the doctors say, "Your child could never function as a male/female, so we suggest that we cut... Often immediate corrective procedures are necessary for the life of the child. When well meaning clinicians attempt to make a package deal, say 'STOP! Gender assignment (mutilation) is NOT COSMETIC SURGERY! If your child is born absolutely mud-ugly, you would love your child, and you would see the wondrous beauty God has created in them. Depending on the diagnosis, that procedure could begin under 4 years old, or later. Do not rush to decisions for which your child will forever bear the consequences. In some Native American cultures, male children who display feminine characteristics at an early age are valued by the tribe as a sacred trust. It is believed that the Great Spirit has sent this child to them as a go-between for males and females, a bridge between the sexes who understands both sides of the human condition. Such a child is apprenticed to a shaman, or holy man of the tribe. In his training, he learns the traditional work of both sexes, dresses as a woman, and usually performs the functions of healer and arbiter for his people. The ideal of male and female sharing one body has long been fertile soil in my psychic garden. These images explore the fusion of male and female which the berdache represents, and are part of a larger series. The subject is a young Native American from New Mexico who has recently discovered and is exploring this aspect of his culture. Depressive disorders make one feel exhausted, worthless, helpless, and hopeless. Such negative thoughts and feelings make some people feel like giving up. It is important to realize that these negative views are part of the depression and typically do not accurately reflect the situation. Negative thinking fades as treatment begins to take effect. In the meantime:Set realistic goals and assume a reasonable amount of responsibility. Break large tasks into small ones, set some priorities, and do what you can as you can. Try to be with other people and to confide in someone; it is usually better than being alone and secretive.
For a longer evaluation tool cheap 5mg olanzapine overnight delivery medications lisinopril, take the Eating Attitudes Test discount olanzapine 7.5mg amex symptoms to diagnosis. Keep in mind this eating disorders quiz is not a substitute for a professional diagnosis buy generic olanzapine 7.5 mg line treatment tennis elbow. Any concerns about eating problems should be taken up with an eating disorder treatment professional olanzapine 20 mg otc medications given during dialysis. Honestly answer each of the questions in the following eating disorders quiz. Use the eating disorder quiz assessment at the bottom of the eating disorder quiz to evaluate your risk for an eating disorder. Are you inexplicably fatigued or cold in temperature? Do you avoid foods because of the fat, carbohydrate, or sugar content in them? Are you secretive or do you lie about your eating practices, do you think they are abnormal? Do you find you seek approval from people, and/or have a hard time saying "no" and/or a perfectionist, or an overachiever? Do you think you are not good enough, stupid, and/or worthless or people are always judging you in a negative way? Do you think life would be better and/or people would like you more if you were thin/thinner? Do you eat, self-starve, restrict, binge, purge, and/or compulsively exercise when you are feeling lonely, badly, or when you are feeling emotional pressures? While eating, self-starving, binging and/or purging do you feel comforted, relieved, like emotional pressures have been lifted, or like you are in more control? Do you feel guilty following a binge and/or purge episode, after eating or during and/or after periods of restriction/self-starvation? When eating do you ever feel out of control or like you will lose control; do you try to avoid eating because of this fear? Do you find that you bruise easily, have a very high tolerance for pain, and/or you are extremely noise sensitive? Do you spend a lot of time obsessively cooking for others, reading recipes, and/or studying nutritional information on food? Do you use self-injury (cutting yourself, burning yourself, pulling out your own hair) as a way to cope with things? Would you worry about a friend or family member that came to you with similar weight-loss/coping methods? Each of these eating disorder quiz questions can indicate an eating disorder if answered "yes" or "constantly. Print and take this quiz, along with your answers, and discuss the outcome with your health professional. Answering more than three questions with "maybe" or "often" should also be discussed with a health professional. Those answers indicate you may have an eating disorder or be at risk for developing an eating disorder. There are almost as many types of treatment for eating disorders as there are types of eating disorders themselves. This is because different eating disorders require different approaches and the severity of the eating disorder may dictate the treatment method chosen. The key lies in finding the right type of eating disorder treatment that works best for the individual. Help for anorexia and bulimia is generally available at medical care facilities, through private practitioners and through community or faith-based groups. Treatment types include:Acute, medical care, typically through a hospitalOngoing psychiatric care, possibly including medicationInpatient or outpatient programs, typically eating disorder specializedNutritional counselingPsychological counselingGroup therapy / Self-pacedMedical treatment for eating disorders, particularly acute, inpatient admission, is not generally required. The exception is when an eating disorder is so severe that the physical damage must be handled immediately, as in the case of an esophageal tear in a bulimic ( bulimia side effects ) or in the case of severe starvation in an anorexic ( anorexia health problems ). Medical treatment of an eating disorder that includes prescription medication is needed more frequently. In this case, medications are prescribed, generally by a psychiatrist and may be intended to help treat the eating disorder itself or any possible co-occurring mental illnesses, such as depression, which is common in those with anorexia or bulimia. Medications used in the treatment of eating disorders typically include:Selective serotonin reuptake inhibitors (SSRIs) - the preferred type of antidepressant; thought to help decrease the depressive symptoms often associated with some eating disorders. Fluoxetine (Prozac)Tricyclics (TCAs) - another type of antidepressant thought to help with depression and body image. TCAs are generally only used if SSRIs treatments fail. Desipramine (Norpramin)Antiemetics - drugs specifically designed to suppress nausea or vomiting. Ondansetron (Zofran)The type of program that is chosen depends on the severity and duration of the eating disorder. For those with a severe, long-standing eating disorder, inpatient treatment may be required. Inpatient care is full-time and generally done in an eating disorder treatment center or in a dedicated wing of a hospital. Outpatient treatments for anorexia or bulimia are similar to inpatient care, but are only provided during the day. Outpatient (or daytime) eating disorder treatment is most appropriate for those who have a safe and supportive home to go to each night. Eating disorders are mental illnesses and so, like any other mental illness, treatment for eating disorders often includes psychological counseling. This type of therapy for eating disorders may focus on building life or psychological skills, or analyzing the cause of the eating disorder. Types of counseling used include:Talk therapy - for psychological issues behind the eating disorderCognitive behavioral therapy (CBT) - to challenge the thought patterns and actions surrounding eating behaviorsGroup therapy - professionally-led group therapy can be used as part of CBT, as support and as a learning environmentNutritional counseling may be used in conjunction with any of the other treatments - either initially or on an ongoing basis. Support groups and self-paced therapies can also be part of successful eating disorder treatment. Support groups may contain a mental health professional, but are often run by peers. Some groups are part of a structured treatment program, while others are more supportive in nature. Support groups can help a person get through treatment by meeting others who personally understand eating issues. Many people do not need medications for eating disorders during treatment, but eating disorder medications are needed in some cases. Patients also need to be aware that all eating disorder medications come with side effects and the risks of the drug needs to be evaluated against the potential benefit. These medications are primarily prescribed to stabilize the patient both mentally and physically. Without the proper electrolyte balance, there can be emergency eating disorder health problems and complications involving the heart and brain. Only one psychiatric medication has been FDA approved to treat eating disorders: fluoxetine (Prozac ) is approved for the treatment of bulimia. However, other psychiatric medications may be used in treatment for any eating disorder. Because of depression, anxiety, impulse and obsessive disorders commonly seen in patients with anorexia or bulimia, the patient may receive antidepressants or mood stabilizers. Common psychiatric eating disorder medications include the following types:Selective serotonin reuptake inhibitors (SSRI): these antidepressants have the strongest evidence as eating disorder medications with the fewest side effects. In addition to fluoxetine, examples of SSRIs include sertraline ( Zoloft ) and fluvoxamine ( Luvox ).
However discount olanzapine 20mg with mastercard treatment juvenile rheumatoid arthritis, due to the probability of auto-inhibition and the lack of information on the concentration of these metabolites relative to in vivo concentrations generic olanzapine 10 mg mastercard treatment water on the knee, no predications regarding the potential for amphetamine or its metabolites to inhibit the metabolism of other drugs by CYP isozymes in vivo can be made order olanzapine 10 mg without a prescription treatment jerawat di palembang. With normal urine pHs order olanzapine 20 mg online medicine expiration dates, approximately half of an administered dose of amphetamine is recoverable in urine as derivatives of alpha-hydroxy-amphetamine and approximately another 30-40% of the dose is recoverable in urine as amphetamine itself. Alkaline urine pHs result in less ionization and reduced renal elimination, and acidic pHs and high flow rates result in increased renal elimination with clearances greater than glomerular filtration rates, indicating the involvement of active secretion. Urinary recovery of amphetamine has been reported to range from 1% to 75%, depending on urinary pH, with the remaining fraction of the dose hepatically metabolized. Consequently, both hepatic and renal dysfunction have the potential to inhibit the elimination of amphetamine and result in prolonged exposures. Comparison of the pharmacokinetics of d- and l-amphetamine after oral administration of ADDERALL XR in children (6-12 years) and adolescent (13-17 years) ADHD patients and healthy adult volunteers indicates that body weight is the primary determinant of apparent differences in the pharmacokinetics of d- and l-amphetamine across the age range. Systemic exposure measured by area under the curve to infinity (AUCb) and maximumplasma concentration (Cmax) decreased with increases in body weight, while oral volume of distribution (VZ/F), oral clearance (CL/F), and elimination half-life (t1/2) increased with increases in body weight. On a mg/kg weight basis, children eliminated amphetamine faster than adults. The elimination half-life (t1/2) is approximately 1 hour shorter for d-amphetamine and 2 hours shorter for l-amphetamine in children than in adults. However, children had higher systemic exposure to amphetamine (Cmax and AUC) than adults for a given dose of ADDERALL XR, which was attributed to the higher dose administered to children on a mg/kg body weight basis compared to adults. Upon dose normalization on a mg/kg basis, children showed 30% less systemic exposure compared to adults. Systemic exposure to amphetamine was 20-30% higher in women (N=20) than in men (N=20) due to the higher dose administered to women on a mg/kg body weight basis. When the exposure parameters (Cand AUC) were normalized by dose (mg/kg), these differences diminished. Age and gender had no direct effect on the pharmacokinetics of d- and l-amphetamine. Formal pharmacokinetic studies for race have not been conducted. However, amphetamine pharmacokinetics appeared to be comparable among Caucasians (N=33), Blacks (N=8) and Hispanics (N=10). Amphetamine, in the enantiomer ratio present in ADDERALL XR (d- to l- ratio of 3:1), was not clastogenic in the mouse bone marrow micronucleus test in vivo and was negative when tested in the E. Amphetamine, in the enantiomer ratio present in ADDERALL XR (d- to l- ratio of 3:1), did not adversely affect fertility or early embryonic development in the rat at doses of up to 20 mg/kg/day (approximately 8 times the maximum recommended human dose for adolescents of 20 mg/day, on a mg/m2 body surface area basis). Acute administration of high doses of amphetamine (d- or d,l-) has been shown to produce long-lasting neurotoxic effects, including irreversible nerve fiber damage, in rodents. The significance of these findings to humans is unknown. A double-blind, randomized, placebo-controlled, parallel-group study was conducted in children aged 6-12 (N=584) who met DSM-IVcriteria for ADHD (either the combined type or the hyperactive-impulsive type). Patients were randomized to fixed-dose treatment groups receiving final doses of 10, 20, or 30 mg of ADDERALL XR or placebo once daily in the morning for three weeks. Significant improvements in patient behavior, based upon teacher ratings of attention and hyperactivity, were observed for all ADDERALL XR doses compared to patients who received placebo, for all three weeks, including the first week of treatment, when all ADDERALL XR subjects were receiving a dose of 10 mg/day. Patients who received ADDERALL XR showed behavioral improvements in both morning and afternoon assessments compared to patients on placebo. In a classroom analogue study, patients (N=51) receiving fixed doses of 10 mg, 20 mg or 30 mg ADDERALL XR demonstrated statistically significant improvements in teacher-rated behavior and performance measures, compared to patients treated with placebo. A double-blind, randomized,multi-center, parallel-group, placebo-controlled study was conducted in adolescents aged 13-17 (N=327) who met DSM-IVcriteria for ADHD. The primary cohort of patients (n=287, weighing ?-T 75kg/165lbs) was randomized to fixed-dose treatment groups and received four weeks of treatment. Patients were randomized to receive final doses of 10 mg, 20 mg, 30 mg, and 40 mg ADDERALL XR or placebo once daily in the morning. Patients randomized to doses greater than 10 mg were titrated to their final doses by 10 mg each week. The secondary cohort consisted of 40 subjects weighing >75kg/165lbs who were randomized to fixed-dose treatment groups receiving final doses of 50 mg and 60 mg ADDERALL XR or placebo once daily in the morning for 4 weeks. The primary efficacy variable was the Attention Deficit Hyperactivity Disorder-Rating Scale IV (ADHD-RS-IV) total score for the primary cohort. The ADHD-RS-IV is an 18-item scale that measures the core symptoms of ADHD. Improvements in the primary cohort were statistically significantly greater in all four primary cohort active treatment groups (ADDERALL XR 10 mg, 20 mg, 30 mg, and 40 mg) compared with the placebo group. There was not adequate evidence that doses greater than 20 mg/day conferred additional benefit. A double-blind, randomized, placebo-controlled, parallel-group study was conducted in adults (N=255) who met DSM-IV^ criteria for ADHD. Patients were randomized to fixed-dose treatment groups receiving final doses of 20, 40, or 60 mg of ADDERALL XR or placebo once daily in the morning for four weeks. Significant improvements, measured with the Attention Deficit Hyperactivity Disorder-Rating Scale (ADHD-RS), an 18- item scale that measures the core symptoms of ADHD, were observed at endpoint for all ADDERALL XR doses compared to patients who received placebo for all four weeks. There was not adequate evidence that doses greater than 20 mg/day conferred additional benefit. ADDERALL XR 10 mg capsules: Blue/blue (imprinted ADDERALL XR 10 mg), bottles of 100, NDC 54092-383-01ADDERALL XR 15 mg capsules: Blue/white (imprinted ADDERALL XR 15 mg), bottles of 100, NDC 54092-385-01ADDERALL XR 20 mg capsules: Orange/orange (imprinted ADDERALL XR 20 mg), bottles of 100, NDC 54092-387-01ADDERALL XR 25 mg capsules: Orange/white (imprinted ADDERALL XR 25 mg), bottles of 100, NDC 54092-389-01ADDERALL XR 30 mg capsules: Natural/orange (imprinted ADDERALL XR 30 mg), bottles of 100, NDC 54092-391-01Dispense in a tight, light-resistant container as defined in the USP. Excursions permitted to 15-30 j C (59-86 j F)Manufactured for Shire US Inc. For more information call 1-800-828-2088Pharmacist: Medication Guide to be dispensed to patientsis registered in the US Patent and Trademark Officeis a registered trademark of Shire LLC, under license to DuramedInform patients, their families, and their caregivers about the benefits and risks associated with treatment with ADDERALL XR and should counsel them in its appropriate use. A patient Medication Guide is available for ADDERALL XR. Instruct patients, their families, and their caregivers to read the Medication Guide and assist them in understanding its contents. Give patients the opportunity to discuss the contents of theMedication Guide and to obtain answers to any questions theymay have. The complete text of the Medication Guide is reprinted at the end of this document. Advise patients that ADDERALL XR is a federally controlled substance because it can be abused or lead to dependence. Additionally, emphasize that ADDERALL XR should be stored in a safe place to prevent misuse and/or abuse. Evaluate patient history (including family history) of abuse or dependence on alcohol, prescription medicines, or illicit drugs [see DRUG ABUSE AND DEPENDENCE (9)]. Advise patients of serious cardiovascular risk (including sudden death, myocardial infarction, stroke, and hypertension) with ADDERALL XR. Patients who develop symptoms such as exertional chest pain, unexplained syncope, or other symptoms suggestive of cardiac disease during treatment should undergo a prompt cardiac evaluation [see WARNINGS AND PRECAUTIONS (5. Prior to initiating treatment with ADDERALL XR, adequately screen patients with comorbid depressive symptoms to determine if they are at risk for bipolar disorder. Such screening should include a detailed psychiatric history, including a family history of suicide, bipolar disorder, and/or depression. Additionally, ADDERALL XR therapy at usual doses may cause treatment-emergent psychotic or manic symptoms in patients without prior history of psychotic symptoms or mania [see WARNINGS AND PRECAUTIONS (5. Monitor growth in children during treatment with ADDERALL XR, and patients who are not growing or gaining weight as expected may need to have their treatment interrupted [see WARNINGS AND PRECAUTIONS (5. Advise patients to notify their physicians if they become pregnant or intend to become pregnant during treatment [see USE IN SPECIFIC POPULATIONS (8.
Cutting help and cutting treatment is available and is effective discount olanzapine 2.5mg on-line medicine quotes. Self-injury cutting is a possibly lethal form of self-harm that injures many people per year discount 10mg olanzapine amex 4 medications at target. Cutting treatment can be provided in residential facilities buy 10 mg olanzapine symptoms quitting tobacco, in outpatient programs generic olanzapine 2.5 mg without a prescription medications not covered by medicaid, in groups or even one-on-one. Anyone who wants to stop self-harm can do it by engaging with cutting help and treatment for cutting. Cutting is any form of self-harm that breaks the skin and causes bleeding. Any form of cutting should be taken seriously because while likely not a direct suicide attempt, self-harm is correlated with a higher-than-average risk of suicide. This type of cutting treatment might be a good idea for someone who has previously tried and had unsuccessful treatment or for someone who frequently cuts and believes they cannot stop without direct supervision. An inpatient cutting treatment program may include:Different types of therapy such as individual, group and familyImpulse control management classesMedication management (where needed)Collaboration with other professionalsPlanning for care after leaving the facilityPrograms that offer cutting treatment often involve multiple professionals to aid in care. Part of the program might be:Specialized therapistsInpatient programs can be very expensive ($20-30,000/month) and intense and so require a commitment on the part of the patient that they do want to stop cutting and will try their hardest during cutting treatment. Some cutting treatment programs are still very intensive but operate on an outpatient basis; where the patient attends treatment during the day but continues to live at home. This type of cutting help often includes similar types of services to inpatient cutting treatment but requires greater individual responsibility over not cutting due to the lesser oversight. When attending cutting treatment, the patient is often asked to sign a document promising they will not harm themselves while in the program. A patient may also be asked to identify alternative self-injury coping methods up-front and be expected to use these instead of self-harming. This may be in the form of group therapy or individual counseling. Therapists who are licensed and specialize in self-harm are the best choice for cutting help. This type of therapy might be found through a treatment center but can also be found in the community or through mental health organizations. Common forms of therapy for cutting treatment include:Dialectical behavior therapy (DBT)Interpersonal psychotherapyMedication is rarely prescribed for cutting treatment, when cutting or self-harm is the only problem present. Many people who cut, however, also have underlying mental illnesses and so those must be treated when undergoing treatment. These underlying illnesses, such as bipolar disorder, depression or borderline personality disorder, may require the use of psychiatric medication and other specialized treatment. End the desire to self-injure and feelings that motivate you to cut yourself. Believe and all your dreams will all come trueStopping the cutting is easier said than done. Basically what it boils down to is that you have to want to stop cutting yourself. Of course, self-injury cutting releases pain and tension. Of course, it makes you feel better immediately, but in the long run, it makes you feels worse. When you cut, you generally end up feeling ashamed that you hurt yourself and embarrassed by the scratches and self-injury scars. Here are some of my suggestions on how to stop cutting yourself:Do something creative! I have a friend that paints, one that journals, and still another that writes poetry. I have several friends that write and compose music to release their frustrations. Personally, I like to create/modify websites to get my mind off the things that are bothering me. You can do a lot of things to occupy your mind besides expelling creative energy. I would also suggest going to a theater to see a movie because it helps to get out of the house. This is probably the most obvious suggestion in the book! You can and should talk to others about your self-injury problem! I would suggest turning to a close friend or significant other first, but parents can be a good thing to fall back on. If you are not sure how to broach the issue, here are some suggestions on how to tell someone you self-injure. Yes, but not something that will hurt you or someone else. You can rip up or punch a pillow, scream your lungs off, jump up and down, or practice a combination of things. Exercise is also a good idea, since it can be good for you. Sometimes, writing can help sway your feelings and the desire to self-injure will subside. Afterwards, you can analyze your feelings and possibly avoid what triggered the desire to self-injure in you in the first place. She has a lot of tapes she has made for herself that help her when she is in the mood to self injure. They give her something to identify with, so she knows she is not alone. Another interesting thing that she does when she feels down is make collages. She has several that are very interesting, although most are painful to see. We talk about her collages, why she chooses the images she does, and I try to reinforce that she is just as intelligent, beautiful, and important as the people in her collages. For more suggestions on ways to immediately avoid self injuring, please take a look at this page on self-harm alternatives. This page offers ways to cope with self-injury based on the feelings that motivate you to self-injure. Another thing to do, after you have calmed the urge to self-injure, is to go back through your day and try to determine what pushed you to want to SI. If you can recognize what is causing the problem, you can attempt to come to terms with it or handle it differently. Here, you will find methods and suggestions to stop self-injuring permanently, as well as more spur-of-the-moment suggestions. Be prepared to make a commitment to yourself and stop the self-harm. Cutting help and professional cutting treatment are key to your recovery. If you want to get better, you have to come to terms with your problems, and the best way to do that is by getting self-injury help and support and another perspective by telling someone close to you about your problem. If someone you care for needs to go to the hospital and wants you to go with them, there are a number of things you can do to ensure they get proper treatment. Sometimes the person that has injured themselves will feel meek or vulnerable. In this situation, you must stand up for them and be their "advocate.