Psych Central Mon, 08 Feb 2016 02:04:16 +0000 Daring Greatly <a href="" target="_blank"><img title="daring.jpg" border="0" src="" alt="daring.jpg" /></a><br /><br />by: AwakeMySoul<br /><br />Description: To say this book has been transformational for me is perhaps an understatement. It is food for the soul and will reach into my personal life as well as my professional life. I think this book is a great starting point to get into Brené Brown's work (or search her TED Talk on YouTube), and if you feel as inspired as I have you might look into some of her other work such as The Gifts of Imperfection, and her newest book, Rising Strong. The themes that stick out most to me from Daring Greatly are the importance of human connection, vulnerability, and the desire to live and love wholeheartedly. A few favorite quotes: &quot;Vulnerability is not knowing victory or defeat, it's understanding the necessity of both.&quot; &quot;Wholehearted living is about engaging in our lives from a place of worthiness.&quot; &quot;Love and belonging are irreducible needs all men, women, and children. It is what gives our lives purpose and meaning.&quot; AwakeMySoul Tue, 02 Feb 2016 05:55:58 +0000 JoAnne Greenburg (aka Hannah Green) <a href="" target="_blank"><img title="index.jpg" border="0" src="" alt="index.jpg" /></a><br /><br />by: shortandcute<br /><br />Description: This was written by Joanne Greenburg, but originally under a pen name: Hannah Green. It is based on her own experience and takes place not long after WWII. Very interesting. shortandcute Thu, 26 Mar 2015 17:55:41 +0000 Impulse <a href="" target="_blank"><img title="225px-Impulse_hopkins_.jpg" border="0" src="" alt="225px-Impulse_hopkins_.jpg" /></a><br /><br />by: ladisputelover<br /><br />Description: The novel digs into the lives of three troubled teenagers as they try to work their way out of the hospital by getting through what put them there. Three teens, three different stories, one death wish. Their lives will intersect at a psych hospital. Can they help each other deal with the pain of their previous lives? Most importantly, can they help themselves move beyond their personal demons? Or will the IMPULSE take control? ladisputelover Thu, 05 Mar 2015 20:34:03 +0000 Vistaril (Hydroxyzine) <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: MooseintheReeds<br /><br />Description: FROM Physicians' Desk Reference: Vistaril is used to treat anxiety, tension, and agitation caused by emotional stress. It is also prescribed as a sedative to alleviate anxiety and tension before or after certain medical procedures (e.g., dental procedures or surgery). In addition, Vistaril is used to help control the following: nausea and vomiting (except during pregnancy), anxiety due to alcohol withdrawal, and extreme emotional distress associated with certain allergic conditions such as asthma, chronic hives, and severe itching. MooseintheReeds Mon, 23 Feb 2015 20:01:25 +0000 ancient muse <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: 2tiredofthis<br /><br />Description: music 2tiredofthis Fri, 01 Aug 2014 13:49:08 +0000 Take Charge of Bipolar <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: shortandcute<br /><br />Description: This is a great book. I learned a lot from the introduction alone. Very thorough. Highly recommended. shortandcute Sun, 20 Apr 2014 15:57:36 +0000 Devodil (sulpiride) <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: QuietMind<br /><br />Description: Devodil (sulpiride) QuietMind Wed, 19 Feb 2014 12:48:54 +0000 Saphris (asenapine) <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: Curiosity77<br /><br />Description: antipsychotic mood stabilizer refractory depression anti anxiety Curiosity77 Mon, 10 Feb 2014 08:45:00 +0000 The Depression Cure: The 6-Step Program to Beat Depression without Drugs <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: solluxcaptor<br /><br />Description: In the past decade, depression rates have skyrocketed, and one in four Americans will suffer from major depression at some point in their lives. Where have we gone wrong? Dr. Stephen Ilardi sheds light on our current predicament and reminds us that our bodies were never designed for the sleep-deprived, poorly nourished, frenzied pace of twenty-first century life. Inspired by the extraordinary resilience of aboriginal groups like the Kaluli of Papua New Guinea, Dr. Ilardi prescribes an easy-to-follow, clinically proven program that harks back to what our bodies were originally made for and what they continue to need. The Depression Cure program has already delivered dramatic results, helping even those who have failed to respond to traditional medications. solluxcaptor Thu, 23 Jan 2014 19:32:39 +0000 Latuda (lurasidone) <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: vans1974<br /><br />Description: &lt;p&gt; Latuda (lurasidone) is an antipsychotic medication that works by changing the effects of chemicals in the brain. It is not known how these changes impact a person's mood or behavior. &lt;p&gt; Latuda is FDA-approved to treat schizophrenia in adults. It is also used to treat depression associated with bipolar I disorder. &lt;p&gt; Take Latuda exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. &lt;p&gt; Latuda should be taken with food. &lt;p&gt; Use Latuda regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely. &lt;p&gt; It may take several weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve. &lt;p&gt; &lt;strong&gt;Serious side effects of Latuda:&lt;/strong&gt; &lt;p&gt; dizziness, fainting, fast or pounding heartbeats; agitation, hostility, confusion, thoughts about hurting yourself; seizure (convulsions); fever, chills, body aches, flu symptoms, sores in your mouth and throat; high blood sugar (increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dry skin, blurred vision, weight loss); very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, feeling like you might pass out; trouble swallowing; or twitching or uncontrollable movements of your eyes, lips, tongue, face, arms, or legs. &lt;p&gt; &lt;strong&gt;Less serious side effects of Latuda&lt;/strong&gt; &lt;p&gt; drowsiness; feeling restless; nausea, diarrhea, stomach pain, loss of appetite; blurred vision; weight gain; breast swelling or discharge; missed menstrual periods; or decreased sex drive, impotence, or difficulty having an orgasm. vans1974 Sun, 05 Jan 2014 14:38:52 +0000 Modern Guilt, Sea Change, Mutations, etc.! <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: izzyfg2000<br /><br />Description: I love Beck's music, whether it's the quirky song Loser, or the sad and emotion filled songs that come from his album Sea Change. I honestly think every one of Beck's albums are great. izzyfg2000 Sat, 27 Jul 2013 21:42:38 +0000 Etomine (clotiapine) <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: DocJohn<br /><br />Description: &lt;p&gt;&lt;strong&gt;What is Etomine?&lt;/strong&gt; &lt;p&gt; Etomine is an atypical antipsychotic medication used to treat anxiety, mania or schizophrenia. It is considered a short-acting drug and has general properties similar to those of phenothiazines. &lt;p&gt; &lt;strong&gt;What should I avoid while taking Etomine?&lt;/strong&gt; &lt;p&gt; Your doctor will warn you to avoid alcohol, anticholinergics, antihypertensives, smoking, barbiturates, beta blockers, tricyclic and some SSRI antidepressants (fluoxetine, paroxetine or sertraline) while taking this medication. &lt;p&gt; &lt;strong&gt;What dose is usually prescribed?&lt;/strong&gt; &lt;p&gt; Etomine is usually prescribed in 10-200 mg/day divided doses, up to 360 mg/day for severe psychosis. &lt;p&gt; &lt;strong&gt;What are the side effects?&lt;/strong&gt; &lt;p&gt; An altered body temperature regulation; neuroleptic malignant syndrome; CNS effects (extrapyramidal effects); GI disturbances; nasal congestion; antimuscurinic symptoms; CV symptoms, ECG changes; endocrine effects; blood dyscrasias; photosensitisation, contact sensitisation, rashes; jaundice; corneal and lens opacities; purplish pigmentation of skin and eye. &lt;p&gt; DocJohn Fri, 03 May 2013 11:32:46 +0000 Mental Stability <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: silver2row<br /><br />Description: This is my first piece of literature I made with booksmart software from It still needs to be edited more. I am working on recreating it once more, i.e. to fit the format of a traditional book. silver2row Thu, 29 Nov 2012 01:53:30 +0000 Here and Now <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: silver2row<br /><br />Description: This is a psychedelic art book of photography that has been edited in a way that brings out boasting colors. silver2row Thu, 29 Nov 2012 01:47:18 +0000 MGMT Time To Pretend <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: Cookie505<br /><br />Description: I love this group. My favorite song by them is Kids. Cookie505 Fri, 21 Sep 2012 04:33:52 +0000 hgjhgjhgjjgh <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: slashman<br /><br />Description: jghjjjjjjjjjjj slashman Mon, 27 Aug 2012 12:03:12 +0000 Nutrition <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: runswithscissors42<br /><br />Description: I am non-plussed by the absence of nutrition in these categories. Nutrition and certain natural supplements have helped me considerably. Can sonmeone help me figure out how to approach that here so other self-help advocates so inclined might benefit similarly? runswithscissors42 Sat, 04 Aug 2012 19:32:44 +0000 Undoing Depression <a href="" target="_blank"><img title="app_full_proxy.gif" border="0" src="" alt="app_full_proxy.gif" /></a><br /><br />by: PH03N1X<br /><br />Description: Undoing Depression, What Therapy Doesn't Teach You And Medication Can't Give You. A new book. The first book to focus on prevention of depression. Written in clear, compelling language to patients, therapists, family and friends. Offers hope, help and education. ISBN 0-425-16679-1 PH03N1X Sat, 14 Apr 2012 17:39:43 +0000 Set The World On Fire <a href="" target="_blank"><img title="220px-Set_The_World_On_Fire.jpg" border="0" src="" alt="220px-Set_The_World_On_Fire.jpg" /></a><br /><br />by: mcr_bvb_botdf<br /><br />Description: A favorite album by one of my favorite artists, Set The World On Fire is, in my opinion, one of the best rock records ever created. mcr_bvb_botdf Thu, 12 Apr 2012 00:12:01 +0000 Invega (paliperidone) <a href="" target="_blank"><img title="invega1.jpg" border="0" src="" alt="invega1.jpg" /></a><br /><br />by: DocJohn<br /><br />Description: &lt;h2&gt;Invega&lt;/h2&gt; &lt;p&gt; Invega (paliperidone) extended release tablets, an atypical antipsychotic medication, was approved in the U.S. in December 2006. &lt;p&gt; It is approved for the treatment of schizophrenia in adults and adolescents (12-17 years of age) in the U.S. The efficacy of Invega in schizophrenia was established in three six-week clinical trials in adults and in one six-week trial in adolescents (12-17 years of age), as well as in one maintenance trial in adults. &lt;p&gt; Invega is the only medication approved to treat schizoaffective disorder in adults. The efficacy of Invega in schizoaffective disorder was established in two six-week trials in adults. &lt;p&gt; &lt;strong&gt;Adverse Reactions&lt;/strong&gt; &lt;p&gt; Commonly Observed Adverse Reactions: The most commonly observed adverse reactions in clinical trials occurring at an incidence of greater than or equal to 5% and at least 2 times placebo in the treatment of schizophrenia were: &lt;p&gt; &lt;strong&gt;Adults&lt;/strong&gt; – extrapyramidal symptoms, tachycardia, and akathisia; &lt;strong&gt;Adolescents&lt;/strong&gt; (12-17 years of age) were: somnolence, akathisia, tremor, dystonia, cogwheel rigidity, anxiety, weight increased and tachycardia. &lt;p&gt; The most commonly observed adverse reactions in clinical trials occurring at an incidence of greater than or equal to 5% and at least 2 times placebo in the treatment of schizoaffective disorder were: &lt;strong&gt;Adults&lt;/strong&gt; - extrapyramidal symptoms, somnolence, dyspepsia, constipation, weight increased, and nasopharyngitis. &lt;p&gt; WARNING: Increased Mortality in Elderly Patients with Dementia-Related Psychosis Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. Analyses of 17 placebo-controlled trials (modal duration of 10 weeks), largely in patients taking atypical antipsychotic drugs, revealed a risk of death in the drug-treated patients of between 1.6 to 1.7 times the risk of death in placebo-treated patients. Over the course of a typical 10-week controlled trial, the rate of death in drug-treated patients was about 4.5%, compared to a rate of about 2.6% in the placebo group. Although the causes of death were varied, most of the deaths appeared to be either cardiovascular (e.g., heart failure, sudden death) or infectious (e.g., pneumonia) in nature. Observational studies suggest that, similar to atypical antipsychotic drugs, treatment with conventional antipsychotic drugs may increase mortality. The extent to which the findings of increased mortality in observational studies may be attributed to the antipsychotic drug as opposed to some characteristic(s) of the patients is not clear. Invega is not approved for the treatment of patients with dementia-related psychosis. &lt;p&gt; Contraindications: Paliperidone is contraindicated in patients with a known hypersensitivity to either paliperidone, risperidone, or to any of the components in the formulation. DocJohn Wed, 13 Apr 2011 18:04:01 +0000 Viibryd (vilazodone hydrochloride) <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: DocJohn<br /><br />Description: &lt;h3&gt;Viibryd (vilazodone hydrochloride)&lt;/h3&gt; &lt;p&gt;Viibryd is indicated for the treatment of major depressive disorder (MDD) -- also known as clinical depression. The efficacy of Viibryd was established in two 8-week, placebo-controlled trials in adult patients with MDD.&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Before Taking This Medication&lt;/strong&gt;&lt;/p&gt; &lt;p&gt;Do not use Viibryd at the same time with an Monoamine Oxidase Inhibitors (MAOI) or within 14 days of stopping or starting an MAOI. &lt;/p&gt;&lt;p&gt; The most frequent adverse reactions reported by patients taking Viibryd in clinical trials included diarrhea, nausea, vomiting, and insomnia. &lt;/p&gt;&lt;p&gt; Viibryd and all other antidepressant drugs have a boxed warning and a patient medication guide describing the increased risk of suicidal thinking and behavior in children, adolescents, and young adults ages 18 to 24 during initial treatment. &lt;/p&gt;&lt;p&gt; The warning also says data did not show this increased risk in adults older than 24 and that patients ages 65 and older who take antidepressants have a decreased risk of suicidal thinking and behavior. The warning says depression and other serious psychiatric disorders themselves are the most important causes of suicide and that close monitoring of patients starting these medications is necessary. &lt;/p&gt;&lt;p&gt;&lt;strong&gt;Warnings and Precautions&lt;/strong&gt; &lt;/p&gt;&lt;ul&gt;&lt;li&gt;Clinical Worsening/Suicide Risk: Monitor patients for clinical worsening and suicidal thinking or behavior. &lt;li&gt;Serotonin Syndrome or Neuroleptic Malignant (NMS)-like Syndrome: Can occur with treatment. Discontinue and initiate supportive treatment. &lt;li&gt;Seizures: Can occur with treatment. Use with caution in patients with a seizure disorder. &lt;li&gt;Abnormal Bleeding: Treatment can increase the risk of bleeding. Use with caution in association with nonsteroidal anti-inflammatory drugs (NSAIDs), aspirin, or other drugs that affect coagulation. &lt;li&gt;Activation of Mania/Hypomania: Can occur with treatment. Screen patients for bipolar disorder. &lt;li&gt;Discontinuation of Treatment with VIIBRYD: A gradual reduction in dose is recommended rather than an abrupt cessation. &lt;li&gt;Hyponatremia: Can occur in association with the syndrome of inappropriate antidiuretic hormone secretion (SIADH). &lt;/ul&gt; &lt;p&gt;&lt;strong&gt;Dosage&lt;/strong&gt;&lt;/p&gt; &lt;p&gt;The recommended dose for Viibryd is 40 mg once daily. Viibryd should be titrated to the 40 mg dose, starting with an initial dose of 10 mg once daily for 7 days, followed by 20 mg once daily for an additional 7 days, and then increased to 40 mg once daily. &lt;/p&gt;&lt;p&gt; Viibryd should be taken with food. Administration without food can result in inadequate drug concentrations and may diminish effectiveness. &lt;/p&gt;&lt;p&gt; When discontinuing treatment, reduce the dose gradually. &lt;/p&gt;&lt;p&gt; Viibryd is manufactured by PGxHealth, New Haven, Conn. DocJohn Tue, 01 Mar 2011 01:28:59 +0000 Loxitane (Loxapine) <a href="" target="_blank"><img title="loxitane.gif" border="0" src="" alt="loxitane.gif" /></a><br /><br />by: DocJohn<br /><br />Description: &lt;h1&gt;Loxitane (Loxapine)&lt;/h1&gt; &lt;p&gt; Loxitane is an antipsychotic medication which is prescribed most frequently to treat schizophrenia. &lt;/p&gt;&lt;p&gt; Loxitane may also be used for other mental health conditions as well, as prescribed by your doctor. Loxitane should not be used in patients with dementia.&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Before Taking This Medication&lt;/strong&gt;&lt;/p&gt; &lt;p&gt;Talk to your doctor about the following issues before taking Loxitane.&lt;/p&gt; &lt;p&gt;If you have any of these conditions, you may need a dose adjustment or special tests to safely use loxapine: epilepsy or other seizure disorder; a history of low white blood cell (WBC) counts; glaucoma; urination problems; heart disease; or a history of breast cancer. &lt;/p&gt; &lt;p&gt;Before using Loxitane, tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). You should not take loxapine if you have drowsiness caused by other medications. Tell your doctor about all other medications you use, especially: &lt;ul&gt;&lt;li&gt;atropine (Atreza, Sal-Tropine), belladonna (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm-Scop); &lt;li&gt;bronchodilators such as ipratropium (Atrovent) or tiotropium (Spiriva); &lt;li&gt;glycopyrrolate (Robinul); &lt;li&gt;mepenzolate (Cantil); &lt;li&gt;bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare); or &lt;li&gt;irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Anaspaz, Cystospaz, Levsin, and others), or propantheline (Pro-Banthine). &lt;/ul&gt; &lt;p&gt;&lt;strong&gt;Dosage&lt;/strong&gt;&lt;/p&gt; &lt;p&gt;Initial Dose: 10 mg twice daily is recommended, although an initial dosage up to a total of 50 mg daily may be given. Dosage should then be increased fairly rapidly over the first seven to ten days until there is effective control of symptoms of schizophrenia. &lt;/p&gt;&lt;p&gt; Maintenance Dose: 60 mg to 100 mg daily. &lt;/p&gt;&lt;p&gt; Maximum dose: 250 mg/day. &lt;/p&gt; &lt;p&gt;&lt;strong&gt;Missing a Dose&lt;/strong&gt;&lt;/p&gt; &lt;p&gt; If you miss a dose of this medication, take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.&lt;/p&gt; DocJohn Thu, 10 Feb 2011 14:09:00 +0000 Deplin (L-Methylfolate) <a href="" target="_blank"><img title="deplin.jpg" border="0" src="" alt="deplin.jpg" /></a><br /><br />by: DocJohn<br /><br />Description: &lt;h1&gt;Deplin (L-Methylfolate)&lt;/h1&gt; &lt;p&gt;Deplin® is a trimonoamine modulator containing 7.5 mg of L-methylfolate, the only active form of folate that can cross the blood brain barrier. &lt;/p&gt;&lt;p&gt; L-methylfolate crosses the blood brain barrier and aids in the synthesis of new neurotransmitters (brain chemicals) associated with mood. &lt;/p&gt;&lt;p&gt; Deplin® works through a natural process in the brain to regulate all three monoamine neurotransmitters associated with mood by providing the increased dietary requirements for folate. L-methylfolate is needed by depressed patients with suboptimal folate to regulate the synthesis of monoamines (serotonin, norepinephrine and dopamine) and known as a trimonoamine modulator (TMM). By managing trimonoamine neurotransmitter synthesis, L-methylfolate, when taken with antidepressants, improves benefits. &lt;/p&gt; &lt;p&gt;Deplin has been approved by the FDA as an adjunct -- in addition to -- medication for the treatment of depression and schizophrenia. &lt;/p&gt; &lt;p&gt;&lt;strong&gt;Before Taking This Medication&lt;/strong&gt;&lt;/p&gt; &lt;p&gt; Some medications may interact with Deplin. Tell your health care provider if you are taking any other medicines, especially any of the following: &lt;/p&gt;&lt;ul&gt;&lt;li&gt;Cholestyramine, colchicine, colestipol, nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), or sulfasalazine because they may decrease Deplin's effectiveness &lt;li&gt;Fluorouracil because the risk of its side effects may be increased by Deplin &lt;li&gt;Barbiturates (eg, phenobarbital), carbamazepine, hydantoins (eg, phenytoin), primidone, or valproic acid because they may decrease Deplin's effectiveness; their effectiveness may also be decreased by Deplin &lt;li&gt;Pyrimethamine because its effectiveness may be decreased by Deplin &lt;/ul&gt; &lt;p&gt;&lt;strong&gt;Side Effects&lt;/strong&gt;&lt;/p&gt; &lt;p&gt; Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue). &lt;/p&gt; &lt;p&gt;&lt;strong&gt;Dosage&lt;/strong&gt;&lt;/p&gt; &lt;p&gt;The usual adult dose is 7.5 to 15 mg daily with or without food or as directed under medical supervision.&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Safety Information&lt;/strong&gt;&lt;/p&gt; &lt;p&gt; Some brands of Deplin may contain tartrazine dye (FD&amp;C Yellow No. 5). This may cause an allergic reaction in some patients. If you have ever had an allergic reaction to tartrazine, ask your pharmacist if your product has tartrazine in it. &lt;/p&gt;&lt;p&gt; Lab tests, including blood counts, may be performed while you use Deplin. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments. &lt;/p&gt;&lt;p&gt;Deplin should be used with extreme caution in children; safety and effectiveness in children have not been confirmed. &lt;/p&gt;&lt;p&gt;Pregnancy / breast-feeding: It is not known if Deplin can cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Deplin while you are pregnant. Deplin is found in breast milk. If you are or will be breast-feeding while you use Deplin, check with your doctor. Discuss any possible risks to your baby. &lt;/p&gt; DocJohn Thu, 10 Feb 2011 13:54:05 +0000 Courage to Heal (and Courage to Heal Workbook) <a href="" target="_blank"><img title="Courage_to_heal.jpg" border="0" src="" alt="Courage_to_heal.jpg" /></a><br /><br />by: Christina86<br /><br />Description: Come to terms with your past while moving powerfully into the future The Courage to Heal is an inspiring, comprehensive guide that offers hope and a map of the healing journey to every woman who was sexually abused as a child—and to those who care about her. Although the effects of child sexual abuse are long-term and severe, healing is possible. Weaving together personal experience with professional knowledge, the authors provide clear explanations, practical suggestions, and support throughout the healing process. Readers will feel recognized and encouraged by hundreds of moving first-person stories drawn from interviews and the authors' extensive work with survivors, both nationally and internationally. This completely revised and updated 20th anniversary edition continues to provide the compassionate wisdom the book has been famous for, as well as many new features: * Contemporary research on trauma and the brain * An overview of powerful new healing tools such as imagery, meditation, and body-centered practices * Additional stories that reflect an even greater diversity of survivor experiences * The reassuring accounts of survivors who have been healing for more than twenty years * The most comprehensive, up-to-date resource guide in the field * Insights from the authors' decades of experience Cherished by survivors, and recommended by therapists and institutions everywhere, The Courage to Heal has often been called the bible of healing from child sexual abuse. This new edition will continue to serve as the healing beacon it has always been. Christina86 Mon, 02 Aug 2010 21:57:41 +0000 Girl, Interrupted <a href="" target="_blank"><img title="150px-Girl_interrupted_book.jpg" border="0" src="" alt="150px-Girl_interrupted_book.jpg" /></a><br /><br />by: Indie'sOK<br /><br />Description: This book, as well as the movie, absolutely changed my life. In 1967, at 18 years old, Susanna Kaysen was hospitalized for depression after attempting suicide. What follows is her 18 month stay in Boston's McLean Hospital, where she is diagnosed with borderline personality disorder and eventually learns a lesson about herself that helps her break free from the grasp of her illness. Five stars. Indie'sOK Sun, 20 Jun 2010 16:31:02 +0000 Eat, Pray, Love <a href="" target="_blank"><img title="9780747585664.jpg" border="0" src="" alt="9780747585664.jpg" /></a><br /><br />by: Indie'sOK<br /><br />Description: Wonderful memoir by a very funny and talented woman about her search for new meaning in life after a heartbreaking divorce and breakup. In Italy, Liz learns the art of pleasure. In India, she discovers the secret to letting go of past demons. And in Bali, Indonesia, love makes its way into her life again, this time for good. Indie'sOK Sun, 20 Jun 2010 14:58:47 +0000 Labyrinths <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: Ygrec23<br /><br />Description: This is a book of wonderful fantasy stories by a world-reknowned, blind Argentine auther who was the director of the Argentine National Library. Thinking of the way that PC is arranged makes me think of his stories. All of his works are available in English, though he wrote in Spanish. He is tremendously popular all around the world. When you read him, you may have my reaction: there is no one else like him other than those setting out specifically to imitate his style. Ygrec23 Sun, 20 Jun 2010 14:11:21 +0000 Center Point Binaural Auditory Technology <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: Gus1234U<br /><br />Description: Center Point is a description of the effects of an auditory stimulation of the brain. It was first developed in the '80's for use with children with ADD and other &quot;behavioral problems&quot;. Further studies showed that it accomplished therapeutic improvements by stimulating ganglial (nerve receptor) growth in the meningial tissue which seperates the two halves of the brain, bringing about a rebalancing and rebuilding of brain function, which had the effects of stablizing mood disorders, which is to say sometimes curing depression, bipolar disorders, memory impairments and other various symptoms of brain dysfunction. The product is sold on CD's or Tapes which must be used with Stereo Headsets, so that the alternating subliminal sounds may stimulate the two sides of the brain to resolve this inequitible input, and thereby stimulate nerve receptor activation and even regrowth. This is a permanent improvement and does not diminish with time. Gus1234U Sat, 19 Jun 2010 18:08:37 +0000 Twilight OST <a href="" target="_blank"><img title="twilight-soundtrack-amz.jpg" border="0" src="" alt="twilight-soundtrack-amz.jpg" /></a><br /><br />by: black_crow<br /><br />Description: I dont only love this because its Twilight related but it genuinly has great music on it. You will love the music. I can just sit there and let it replay over and over again. black_crow Sun, 13 Jun 2010 20:10:36 +0000 Pristiq <a href="" target="_blank"><img title="pristiq.jpg" border="0" src="" alt="pristiq.jpg" /></a><br /><br />by: DocJohn<br /><br />Description: Pristiq is an antidepressant in a group of drugs called selective serotonin and norepinephrine reuptake inhibitors (SNRIs). It works by restoring the balance of certain natural substances in the brain (serotonin and norepinephrine), which helps to improve certain mood problems. &lt;br /&gt;&lt;br /&gt; Pristiq is used to treat major depressive disorder. &lt;br /&gt;&lt;br /&gt; Pristiq may also be used for other purposes not listed in this medication guide. &lt;br /&gt;&lt;br /&gt; &lt;h4&gt;Important information about Pristiq&lt;/h4&gt; &lt;br /&gt;&lt;br /&gt; Do not take Pristiq if you are allergic to desvenlafaxine or venlafaxine (Effexor), or if you are also using a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take Pristiq. After you stop taking Pristiq, you must wait at least 7 days before you start taking an MAOI. &lt;br /&gt;&lt;br /&gt; You should not take Pristiq together with venlafaxine (Effexor). &lt;br /&gt;&lt;br /&gt; You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment. Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself. &lt;br /&gt;&lt;br /&gt; Avoid drinking alcohol, which can increase some of the side effects of Pristiq. It may take several weeks or more for your symptoms to improve. For best results, keep using the medication as directed. Do not stop using Pristiq without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly. &lt;br /&gt;&lt;br /&gt; &lt;h4&gt;Before taking Pristiq&lt;/h4&gt; &lt;br /&gt;&lt;br /&gt; Do not take Pristiq if you are allergic to desvenlafaxine or venlafaxine (Effexor), or if you are also using a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take Pristiq. After you stop taking Pristiq, you must wait at least 7 days before you start taking an MAOI. &lt;br /&gt;&lt;br /&gt; You should not take Pristiq together with venlafaxine (Effexor). &lt;br /&gt;&lt;br /&gt; If you have any of these other conditions, you may need a dose adjustment or special tests to safely take Pristiq: &lt;br /&gt;&lt;br /&gt; &lt;ul&gt;&lt;li&gt;bipolar disorder (manic depression); &lt;li&gt;liver disease; &lt;li&gt;kidney disease; &lt;li&gt;heart disease or high blood pressure; &lt;li&gt;a history of stroke; &lt;li&gt;glaucoma; &lt;li&gt;seizures or epilepsy; &lt;li&gt;a bleeding or blood clotting disorder; or &lt;li&gt;high cholesterol. &lt;/ul&gt;&lt;br /&gt;&lt;br /&gt; You may have thoughts about suicide when you first start taking an antidepressant such as Pristiq, especially if you are younger than 24 years old. Tell your doctor if you have worsening symptoms of depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed. &lt;br /&gt;&lt;br /&gt; Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment. FDA pregnancy category C. Pristiq may be harmful to an unborn baby, and may cause problems in a newborn baby if the mother takes the medication late in pregnancy (during the third trimester). Tell your doctor if you are pregnant or plan to become pregnant during treatment. Pristiq can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give this medication to anyone under 18 years old without the advice of a doctor. &lt;br /&gt;&lt;br /&gt; DocJohn Sun, 25 Apr 2010 19:16:53 +0000 Depakote ER <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: sneschalmers<br /><br />Description: Anticonvulsant used as a mood stabilizer for bipolar disorder sneschalmers Sat, 10 Oct 2009 15:32:43 +0000 Broken Mirror <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: Rhapsody<br /><br />Description: Understanding and Treating Body Dysmorphic Disorder - BDD. Rhapsody Wed, 23 Sep 2009 16:07:46 +0000 The Wildest Colts Make the Best Horses <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: jennie<br /><br />Description: &lt;a href=&quot;; target=&quot;_blank&quot;&gt;;/a&gt; Begin your journey of awareness regarding the oppressive &quot;treatment&quot; of our spirited children labeled with a mental disorder. Author: John Breeding Ph.D. Published: 1996 jennie Thu, 09 Apr 2009 17:13:11 +0000 CeCe Winans <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: jeremiahgirl<br /><br />Description: songs jeremiahgirl Tue, 16 Dec 2008 23:24:38 +0000 Mama's Kitchen <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: jeremiahgirl<br /><br />Description: Songs to build one's spirit jeremiahgirl Tue, 16 Dec 2008 23:18:10 +0000 The Silver Boat <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: Orange_Blossom<br /><br />Description: The Silver Boat describes the journey that all of us must take in order to leave our pain behind and reach the healing place of &quot;the warm and sunny land&quot;. This therapeutic metaphor, originally published in 1990, has both delighted and comforted thousands of people struggling with fears or the aftermath of abuse and trauma. For more info go to:;Product_ID=31 Orange_Blossom Sat, 25 Oct 2008 19:32:21 +0000 Etherium Gold <a href="" target="_blank"><img title="55363HAR-01060-m.jpg" border="0" src="" alt="55363HAR-01060-m.jpg" /></a><br /><br />by: sma1234<br /><br />Description: Helps promotes mental clarity, improve focus and concentration. It has been clinically studied and shown to balance the two hemispheres of the brain and increase alpha brain wave production. It is generally accepted in neuroscience that this condition improves learning ability, increases creativity and reduces stress and restlessness sma1234 Thu, 07 Aug 2008 11:00:12 +0000 The Scarred Soul: Understanding &amp; Ending Self-Inflicted Violence <a href="" target="_blank"><img title="10409image.jpg" border="0" src="" alt="10409image.jpg" /></a><br /><br />by: Christina86<br /><br />Description: Written by Tracy Alderman, Ph.D. (Written review/synopsis found online) Clinical psychologist Tracy Alderman takes a caring and compassionate look at why between one and two million people in the U.S. engage in acts of self-inflicted violence. She helps readers see that for some, SIV can be a means of breaking out of psychological numbness, while for others, physical pain is a way of focusing and controlling overwhelmingly chaotic feelings. The Scarred Soul is a step-by-step guide that helps victims of self-inflicted violence closely examine this behavior and take steps to reduce or eliminate it. This is the first book on the subject written for a general audience, the first to help educate those who have friends or relatives who are victims of self-inflicted violence, and the first to help victims understand they are not alone. Christina86 Mon, 23 Jun 2008 04:21:18 +0000 Super GLA/DHA 1000 mg <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: netty16<br /><br />Description: This is a fatty acid supplement. It is really useful for my bi-polar disorder symptoms. It contains Borage Seed Oil (GLA) and Marin Lipid Concentrate (DHA). I believe that essential fatty acids are recommended by many professionals as benefical for Mental Disorders. netty16 Wed, 04 Jun 2008 01:03:06 +0000 Super GLA/DHA 1000 mg <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: netty16<br /><br />Description: This is a fatty acid supplement. It is really useful for my bi-polar disorder symptoms. It contains Borage Seed Oil (GLA) and Marin Lipid Concentrate (DHA). I believe that essential fatty acids are recommended by many professionals as benefical for Mental Disorders. netty16 Wed, 04 Jun 2008 01:02:00 +0000 Man's Search for Meaning - Viktor Frankl <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: ten_new_songs<br /><br />Description: very uplifting book, one that celebrates humanity's ability to rise above sadness and hardship. ten_new_songs Mon, 02 Jun 2008 01:25:20 +0000 Every red heart shines toward the red sun <a href="" target="_blank"><img title="24580redsparowes.jpg" border="0" src="" alt="24580redsparowes.jpg" /></a><br /><br />by: ten_new_songs<br /><br />Description: My favourite track is &quot;like the howling glory&quot; ten_new_songs Mon, 02 Jun 2008 01:22:23 +0000 Woven Hand <a href="" target="_blank"><img title="24580wovenhand.jpg" border="0" src="" alt="24580wovenhand.jpg" /></a><br /><br />by: ten_new_songs<br /><br />Description: gothic folk music ten_new_songs Mon, 02 Jun 2008 01:18:41 +0000 The Aware Baby <a href="" target="_blank"><img title="1529solter.jpg" border="0" src="" alt="1529solter.jpg" /></a><br /><br />by: jennie<br /><br />Description: THE AWARE BABY by Aletha Solter, Ph.D. This book will teach you how to: * Bond with your infant. * Respond to your baby's crying. * Enhance your baby's intelligence. * Help your baby sleep better. * Find alternatives to punishment. * Raise your child to be nonviolent. For more info &lt;a href=&quot;; target=&quot;_blank&quot;&gt;THE AWARE BABY&lt;/a&gt; jennie Thu, 27 Mar 2008 21:48:50 +0000 Why Am I Afraid to Tell You Who I Am?: Insights Into Personal Growth <a href="" target="_blank"><img title="104097323_detail_a.jpg" border="0" src="" alt="104097323_detail_a.jpg" /></a><br /><br />by: Christina86<br /><br />Description: Only when we face our fears can we learn to like ourselves and trust that others will accept us. This extraordinary book has changed countless lives. This book is written from a (mildly) Christian perspective, and has a lot of helpful advice about how to change how we see ourselves, and how we relate to others. Christina86 Sat, 08 Mar 2008 22:26:57 +0000 Wellbutrin XL <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: AliceXCullen<br /><br />Description: Depression medication AliceXCullen Thu, 10 Jan 2008 03:19:21 +0000 Norpramin (desipramine) <a href="" target="_blank"><img border="0" src="" alt="" /></a><br /><br />by: DocJohn<br /><br />Description: Desipramine (known by brand names such as Norpramin or Pertofrane) displays an antidepressant property similar to that of other tricyclic antidepressants. It is the active &quot;in vivo&quot; metabolite of imipramine and as such, shares many of imipramine's pharmacologic effects. The anticholinergic actions of desipramine are responsible for many of the commonly observed side effects of the drug. Desipramine causes ECG changes such as prolongation of the P-R interval and a decreased magnitude with an increased width of the T wave. These ECG changes are seen most frequently in elderly patients as is postural hypotension. Desipramine is known to lower the convulsive threshold. Desipramine increases the percentage of Stage 4 sleep (deep sleep) and decreases the percentage of REM sleep. A partial recovery of REM sleep is seen after 3 to 5 weeks of drug administration. However, in spite of this recovery, a REM rebound occurs following rapid drug withdrawal, which is experienced as an increase in dreaming. The significance of these effects on the sleep cycle remains to be clarified. An increase in psychomotor activity is observed as an early manifestation of the effects of desipramine; however, a significant antidepressant effect should not be expected before the end of the second week. Desipramine is easily absorbed from the gastrointestinal tract following oral administration and is extensively bound to tissue and plasma proteins in the order of 90 to 95%. It is inactivated by hydroxylation and by further demethylation in the liver. Desipramine is excreted as a glucuronide largely in the urine (approximately 70%) and partly in the bile. Therapeutic actions of tricyclic antidepressants seem to be related to their plasma steady state which, given the same oral dosages, can vary considerably from one individual to another. The largest influence on steady state levels seems to be genetic; however, the influence of concomitant drug administration is also of some practical clinical significance (see Dosage). &lt;h3&gt;Indications&lt;/h3&gt; Treatment of endogenous depressive illness, including the depressed phase of manic depressive illness, involutional melancholia and psychotic depression. It may also be indicated in the management of depression of a nonpsychotic degree such as in selected cases of depressive neurosis. Patients with transient mood disturbances or normal grief reaction are not expected to benefit from tricyclic antidepressants. &lt;h3&gt;Contraindications&lt;/h3&gt; Desipramine should not be given in conjunction with, or within 2 weeks of, treatment with a MAO inhibitor; hyperpyretic crises, severe convulsions and death have occurred in patients receiving MAO inhibitors and tricyclic antidepressants. When desipramine is substituted for an MAO inhibitor, at least 2 weeks should elapse between the treatments; administration of desipramine should then be started cautiously and should be increased gradually. The drug is contraindicated in the acute recovery period following myocardial infarction or in cases of poorly controlled cardiac decompensation. It should not be used in those who have shown prior hypersensitivity to the drug. Cross-sensitivity between this and other dibenzazepines is a possibility. &lt;h3&gt;Warnings&lt;/h3&gt; Extreme caution should be used when desipramine is given in the following situations: (1) In patients with cardiovascular disease, because of the possibility of conduction defects, arrhythmias, tachycardias, strokes and acute myocardial infarction. (2) In patients with a history of urinary retention or glaucoma, because of the anticholinergic properties of the drug. (3) In patients with thyroid disease or those taking thyroid medication, because of the possibility of cardiovascular toxicity, including arrhythmias. (4) In patients with a history of seizure disorder, because this drug has been shown to lower the seizure threshold. &lt;strong&gt;Occupational Hazards:&lt;/strong&gt; Desipramine may impair the mental and/or physical abilities required for the performance of potentially hazardous tasks such as driving a car or operating machinery; therefore, the patient should be cautioned accordingly. &lt;strong&gt;Pregnancy and Lactation:&lt;/strong&gt; Safe use of desipramine during pregnancy and lactation has not been established; therefore, if it is to be administered to pregnant patients, nursing mothers, or women of childbearing potential, the possible benefits must be weighed against the possible hazards to mother and child. Animal reproductive studies have been inconclusive. &lt;strong&gt;Children:&lt;/strong&gt; Not recommended for use in children since safety and effectiveness in the pediatric age group have not been established (see Adverse Effects, Cardiovascular). &lt;h3&gt;Precautions&lt;/h3&gt; It is important that this drug be dispensed in the least possible quantities to depressed outpatients, since suicide has been accomplished with this class of drug. Ordinary prudence requires that children not have access to this drug, or to potent drugs of any kind; if possible, this drug should be dispensed in containers with child-resistant safety closures. Storage of this drug in the home must be supervised responsibly. If serious adverse effects occur, dosage should be reduced or treatment altered. Desipramine therapy in patients with manic-depressive illness may induce a hypomanic state after the depressive phase terminates. The drug may cause exacerbation of psychosis in schizophrenic patients. There is limited clinical experience in the concurrent administration of ECT and antidepressant drugs. Thus, if such treatment is essential, the possibility of increased risk relative to benefits should be considered. Both elevation and lowering of blood sugar levels have been reported. Leukocyte and differential counts should be performed in any patient who develops fever and sore throat during therapy; the drug should be discontinued if there is evidence of pathological neutrophil depression. &lt;strong&gt;Drug Interactions:&lt;/strong&gt; Norpramin may potentiate the effect of a variety of drugs. Close supervision and careful adjustment of dosage are required when this drug is administered concomitantly with anticholinergic or sympathomimetic drugs. Patients should be warned that, while taking desipramine, their response to alcoholic beverages or other CNS depressants may be exaggerated. This drug should be discontinued as soon as possible prior to elective surgery because of possible cardiovascular effects. Hypertensive episodes have been observed during surgery in patients on desipramine. The contraindication regarding its concomitant use with MAO inhibitors should be noted, as well as the warning regarding patients taking thyroid medication. Desipramine, on the other hand, may decrease the action of other drugs; it is capable of blocking the antihypertensive effect of guanethidine and similarly acting compounds by blocking their uptake into adrenergic neurones. There have been greater than twofold increases of previously stable plasma levels of tricyclic antidepressants when fluoxetine has been administered in combination with these agents. &lt;h3&gt;Adverse Effects&lt;/h3&gt; The more common adverse reactions involve anticholinergic effects such as dry mouth, disturbances of visual accommodation, constipation and mild urinary retention. Also commonly seen are light headedness, drowsiness, increased perspiration and mild tremors as well as insomnia. Adverse reactions of the cardiovascular system may be much more serious, however, these occur less frequently. Note: Included in the listing that follows are a few adverse reactions that have not been reported with desipramine. However, the pharmacological similarities among the tricyclic antidepressant drugs require that each of the reactions be considered when desipramine is administered. Cardiovascular: Hypotension, hypertension, tachycardia, palpitation, arrhythmias, heart block, myocardial infarction, stroke, premature ventricular contractions, ventricular tachycardia, ventricular fibrillation, sudden death. There has been a report of an acute collapse and sudden death in an 8-year old (18 kg) male, treated for 2 years for hyperactivity. There have been additional reports of sudden death in children. Psychiatric: Confusional states (especially in the elderly) with hallucinations, disorientation, delusions; anxiety, restlessness, agitation; insomnia and nightmares; hypomania; exacerbation of psychosis. Neurological: Numbness, tingling, paresthesias of extremities; incoordination, ataxia, tremors; peripheral neuropathy; extrapyramidal symptoms; seizures; alteration in EEG patterns; tinnitus. Anticholinergic: Dry mouth, and rarely associated sublingual adenitis; blurred vision, disturbance of accommodation, mydriasis; constipation, paralytic ileus; urinary retention, delayed micturition, dilatation of urinary tract. Allergic: Skin rash, petechiae, urticaria, itching, photosensitization (excessive exposure to sunlight should be avoided), edema (of face and tongue or general), drug fever, cross sensitivity with other tricyclic drugs. Hematologic: Bone marrow depressions including agranulocytosis, eosinophilia, purpura, thrombocytopenia. Gastrointestinal: Anorexia, nausea and vomiting, epigastric distress, peculiar taste, abdominal cramps, diarrhea, stomatitis, black tongue, hepatitis, jaundice (simulating obstructive), altered liver function, elevated liver function tests, increased pancreatic enzymes. Endocrine: Gynecomastia in the male, breast enlargement and galactorrhea in the female; increased or decreased libido, impotence, painful ejaculation, testicular swelling; elevation or depression of blood sugar levels; syndrome of inappropriate antidiuretic hormone secretion (SIADH). Other: Jaundice (simulating obstructive), altered liver function; weight gain or loss; perspiration, flushing, urinary frequency, nocturia; parotid swelling; drowsiness, dizziness, weakness and fatigue, headache; alopecia; elevated alkaline phosphatase. Withdrawal Symptoms: Though not indicative of addiction, abrupt cessation of treatment after prolonged therapy may produce nausea, headache, malaise and abdominal cramping. &lt;h3&gt;Overdose&lt;/h3&gt; Symptoms: In patients presenting with signs of peripheral atropine effects, agitation and cardiac arrhythmias, the possibility of tricyclic antidepressant overdosage should be entertained. In view of the extensive tissue and protein binding of these drugs, blood and urine levels may not accurately reflect the extent of intoxication but may be helpful in identifying the presence of the drug. The following signs and symptoms of overdosage may occur; reflecting CNS intoxication, the patient may exhibit pressure of speech, agitation, hallucinations, hyperacusia, choreoathetoid movements and myoclonus which may be mistaken for seizures, increased tendon reflexes, Babinski reflex, grand mal seizures and hyperactive coma progressing to flaccid coma; the cardiovascular complications are the most life threatening and may involve arrhythmias including tachycardia, nodal tachycardia, atrioventricular block, intraventricular conduction delays and asystole as well as myocardial damage, congestive heart failure and shock; in general, other signs of intoxication would also resemble those of atropine poisoning and would include flushed skin, dry mouth, dilated pupils, pyrexia, urinary retention with distended bladder and rarely, adynamic ileus. Treatment: General management measures as in other cases of coma and shock would be applicable including bladder catheterization, cardiac monitoring, etc. Early appropriate evacuation of the ingested material and/or the use of activated charcoal is indicated. Injectable physostigmine salicylate is presently considered the treatment of choice in the reversal of the more severe CNS and cardiovascular complications of poisoning from tricyclic antidepressants. However, in uncomplicated cases the use of this drug may not be indicated, or, may be used as a therapeutic trial only, in a reduced dosage of 1 mg injected slowly i.v. In adults, the usual dosage of physostigmine in severe cases of poisoning would be 1 to 2 mg injected i.v. over a period of about 2 minutes. The therapeutic response may be seen, often dramatically, within 5 minutes of the injection. Since physostigmine is a short-acting drug, repeat injections in more severe, responsive, cases may be needed at 30 to 60 minute intervals, provided there are no serious signs of cholinergic effects. According to one author the initial pediatric dose should be 0.5 mg administered slowly i.v. in cases of acute tricyclic antidepressant poisoning. If toxic signs persist and no serious cholinergic effects are produced, the drug can be re-administered at 5 minute intervals until a maximum dose of 2 mg is obtained. If physostigmine salicylate is used, atropine sulfate should be available to reverse excessive cholinergic effects such as bradycardia, marked salivation, emesis and bronchospasm. In the event of such a cholinergic crisis, atropine sulfate in a dosage equal to one-half of the physostigmine dosage may be given in order to control the muscarinic effects of the physostigmine. Other measures of the value in tricyclic antidepressant overdose may include: diazepam for the control of persistent seizures; and careful management of electrolyte and acid-base balance. The various dialysis techniques are relatively ineffective in reversing signs of overdosage because of the low free plasma levels and the firm tissue and protein binding of these drugs. Forced diuresis is of limited value. Digitalis, if possible, should be avoided due to its tendency to aggravate cardiac conduction problems. Prolonged observation of at least a week is strongly recommended since deaths attributed to arrhythmias have been reported many days following an apparent recovery from a tricyclic antidepressant overdose. &lt;h3&gt;Dosage&lt;/h3&gt; Not recommended for use in children. Lower dosages are recommended for elderly and debilitated patients. Lower dosages are also recommended for outpatients compared to hospitalized patients, who are closely supervised. Dosage should be initiated at a low level and increased according to clinical response and any evidence of intolerance. Following remission, maintenance medication may be required for a period of time and should be at the lowest dose that will maintain remission. &lt;strong&gt;Adults:&lt;/strong&gt; The usual adult dose is 100 to 200 mg/day. In more severely ill patients, dosage may be further increased gradually to 300 mg/day if necessary. Dosages above 300 mg/day are not recommended. Dosages should be initiated at a lower level and increased according to tolerance and clinical response. Treatment of patients requiring as much as 300 mg should generally be initiated in hospitals, where regular visits by the physician, skilled nursing care and frequent ECGs are available. The best available evidence of impending toxicity from very high doses of desipramine is prolongation of the QRS or QT intervals on the ECG. Prolongation of the PR interval is also significant, but less closely correlated with plasma levels. Clinical symptoms of intolerance, especially drowsiness, dizziness, and postural hypotension, should also alert the physician to the need for reduction in dosage. Plasam desipramine measurement would constitute the optimal guide to dosage monitoring. Initial therapy may be administered in divided doses or a single daily dose. Maintenance therapy may be given on a once-daily schedule for patient convenience and compliance. &lt;strong&gt;Geriatrics and Debilitated:&lt;/strong&gt; Patient dose: The usual elderly and debilitated patient dose is 25 to 100 mg daily. Dosage should be initiated at a lower level and increased according to tolerance and clinical response to a usual maximum of 100 mg daily. In more severely ill patients, dosage may be further increased to 150 mg/day. Doses above 150 mg/day are not recommended in these patients. Initial therapy may be administered in divided doses or a single daily dose. Maintenance therapy may be given on a once-daily schedule for patient convenience and compliance. DocJohn Fri, 04 Jan 2008 20:23:14 +0000 Feeling Good: The New Mood Therapy <a href="" target="_blank"><img title="1897221lu2Irl_WL_PIsitb-dp-arrow_TopRight_21_-23_SH30_OU01_AA115_.jpg" border="0" src="" alt="1897221lu2Irl_WL_PIsitb-dp-arrow_TopRight_21_-23_SH30_OU01_AA115_.jpg" /></a><br /><br />by: wbl526<br /><br />Description: Dr. Burns describes how to combat feelings of depression so you can develop greater self-esteem. This best-selling book has sold over 4 million copies worldwide to date. In a recent national survey of mental health professionals, Feeling Good was rated #1--out of a list of 1000 books--as the most frequently recommended self-help book on depression in the United States. wbl526 Fri, 07 Sep 2007 10:25:37 +0000 The Bipolar Disorder Survival Guide: What You and Your Family Need to Know <a href="" target="_blank"><img title="18972amazonbook.jpg" border="0" src="" alt="18972amazonbook.jpg" /></a><br /><br />by: wbl526<br /><br />Description: From Library Journal Hard on the heels of Fuller Torrey and Michael B. Knable's excellent Surviving Manic Depression: A Manual on Bipolar Disorder for Patients, Families and Providers (LJ 1/02) comes another strong title. Both books cover the origins, symptoms, and treatments for bipolar disorder, with emphasis on current medications. The main difference between the two books is that the current title by Miklowitz (psychology, Univ. of Colorado, Boulder) is intended for patients. It spends a good deal of time on issues exclusive to the sufferer how to come to terms with the diagnosis, whom to confide in, and how to recognize one's own mood swings. More concise in its treatment of the issues just mentioned, Torrey and Knable's title is addressed to a more general audience, spends more time reviewing the scientific evidence concerning the origins of the disease, and has a much more useful resource list. On the whole, Surviving Manic Depression would be the first choice for most libraries, with Miklowitz's book recommended for patient education libraries and medium and large public libraries. Mary Ann Hughes, Neill P.L., Pullman, WA Copyright 2002 Reed Business Information, Inc. Demitri F. Papolos, MD, and Janice Papolos, authors of Overcoming Depression and The Bipolar Child &quot;This book should be required reading for people with the disorder, their family members, and the therapists who treat them.&quot; --This text refers to the Hardcover edition. wbl526 Tue, 28 Aug 2007 00:05:32 +0000 Anger Management <a href="" target="_blank"><img title="25357book_ajng_CoverNew_x140.jpg" border="0" src="" alt="25357book_ajng_CoverNew_x140.jpg" /></a><br /><br />by: arinovick<br /><br />Description: Anger Management for the Twenty-first Century is a client workbook which teaches skills in anger and stress management. This model teaches the 8 tools of anger control and is used by certified anger management providers of Century Anger Management. It is also a great self-help book for individuals struggling with anger related issues. More information can be found at or arinovick Fri, 24 Aug 2007 01:24:57 +0000