Psycho Social Well-Being - SOMATIC TREATMENT

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PsychoSocialwellbeing:SOMATICTREATMENT
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Sunday,29January2012
SOMATICTREATMENT
CLASSIFICATIONOFPSYCHIATRICDRUGS
ANTIPSYCHOTICS
Antipsychoticdrugsareusedinthetreatmentofpsychoticdisordersandpsychoticsymptoms.Thesemedicinesarealso
knownasmajortranquilizers,neuroleptics,antischizophrenicdrugsandD2receptors.Itiscurrentlybelievedthatthese
arethemosteffectiveinthetreatmentofpsychosisduetotheiractiononD2receptors.Majorantipsychoticmedicines
aretri luoperazine,chlorpromazine,risperidone,clozapine,ziprasidone,aripiprazole,amisulpride,haloperidol,quitepine,
paliperidoletc.
Thesemedicinescanbeadministeredorally,intravenously(I/v)andintramuscularly(I/m).Theantipsychoticdrugsare
highlylipophilicandhighlyproteinbound.Theyeasilyentertheareasofrichbloodsupplylikethebrain,kidneys,lungs
andfetus.Halflifeperiodsofantipsychoticsarelongandasmalldoseperdaycanproducesustainedtherapeuticblood
levels.
Mostoftheantipsychotichaveonetherapeuticwindow.Ifthebloodlevelisbelowthiswindowthedrugisineffective.If
itishigherthananupperlimit,thereistoxicityanditisequallyineffective.
Now,mostly,weusesecondgenerationantipsychotics,knownasatypicalantipsychotics.Thesedrugsareeffectiveanddo
not produce undesirable extra pyramidal side effects [EPS], and do not cause luctuation in the Serum Prolactin levels.
Atypicalantipsychoticsareeffectiveonthepositivesymptoms,aswellasitisbelievedtobeeffectiveinthetreatmentof
negativesymptoms.
ANTIDEPRESSANTS
Theseareusedinthetreatmentofdepressivedisorders.Thesearealsoknownasmoodelevatorsandthymoleptics.Some
studiessaythatitspredominantactionistohelptoincreasethecatecholaminelevelsinthebrain(Aminehypothesis).
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2013(9)
Thetricyclicantidepressantsarealsocalledmonoaminereuptakeinhibitors.Itsactionis:
2012(143)
1.BlockingthereuptakeofNorEpinephrine(NE),Serotonin(5HT)and/orDopamine(DA)atthenerveterminals,
thusincreasingtheNE,5HTandDAlevelsatthereceptorssite.
2.Downregulationofthebetaadrenergicreceptors.
The antidepressants are amitryptiline, notriptyline, luoxetine, luoxamine, citalopram, escitalopram, sertaline,
mirtazepineetc.
Theantidepressantsarealsolikeantipsychotics,highlylipophilicandhighlyproteinbound.Theytendtoaccumulatein
areaswithrichbloodsupply.
MOODSTABILIZINGDRUGS
ThesedrugsareeffectiveasprophylacticsinRecurrentAffectiveDisordersandintreatingAcuteMania.Thethreemain
drugsusedareLithium,CarbamazepineandSodiumValporate.
1.Lithium
Lithium has been found useful in treating depression and bipolar mood disorders. The preparation mostly utilized is
carbonate,thoughcitrateandacetatearealsoequallyeffective.Lithiumisabsorbedrapidlyafteroraldoses.Apartfrom
acute mania and bipolar disorders, lithium is useful in other conditions like impulse control disorders, aggressive
behavior and periodic drinking. Lithium along with anti depressants is better than either of them alone. During the
treatment,itisessentialtoestimatebloodlithiumlevelsatregularintervals.Thebloodsampleforestimationistaken12
hoursafterthelastlithiumdose.Ifanychangesaremadeinthedosage,thenextbloodlevelisestimatedafteratleast7
daysofthelastchange.
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2.Carbamazepine
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Thistricycliccompoundwassynthesizedin1953bySchindler.Theonsetofactionisfasterascomparedtolithium,but
slower compared to valporate. The treatment is best monitored with repeated blood tests. The administration is oral.
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Toxicbloodlevelsarereachedatmorethan15mg/ml.
3.Valporate
Valporate and lithium have been widely used as the main drugs for the treatment of Mania and for the pophylaxis of
bipolarmooddisorder.Availableformsofvalporateare:
i.ValporateSodium
ii.Divalproex(entericcoatedstablecoordinationcompoundcomposedofsodiumvalporateandvalporicacidina1:1
molarrelationship)
iii.Chronopreparations(entericcoatedcompoundcomposedofsodiumvalporateandvalporicacidina3:2ratio)
Itisadministeredorally.Theusualdoseofvalporateis10003000mg/day,orally,individeddoses.Oraladministrationis
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effectiveinthemanagementofacutemania.
FAMOUS
PERSONAL
ITIESwith
M.ILLNESS
Contrasting
Different
Disorders
Valporate is mainly used in the treatment of bipolar disorders, neurological disorders (migraine and pain syndromes,
seizuredisorders)andindisorderslikeAttentionDe icitHyperactivityDisorder(ADHD)andconductdisorders,several
behavioral symptoms in mental retardation, Schizoaffective Disorders (bipolar type), alcohol withdrawal, tardive
dyskinesia,impulsecontroldisorders,panicdisordersandborderlinepersonalitydisorders.
Differences__
BMD
Schizophre
niaMPD
ANTIANXIETYDRUGS
ThesedrugsarealsoknownasMinorTranquilizersandAnxiolytics.Itisclassi iedas:
1.Barbiturates
5Common
Conditions
withBPD
Barbiturates are the derivatives of barbituric acid which was irst synthesized in 1862. It is one of the old psychiatric
drugs,butphysicaldependenceandwithdrawalsymptomsmadethemunpopular.Itcanbedividedintofourmaintypes:
SimilarBPD
andBMD
a.LongActing:Thedurationofactionismorethan8hours.
BMDvs.BPD
b.IntermediateActing:Thedurationofactionis58hours.
Depressive
P.D
c.ShortActing:Thedurationofactionis15hours.
d.UltraShortActing:Thedurationofactionislessthan1hour.
Schizotypal
P.D
Barbiturates can produce sideeffects like excessive sedation, respiratory and circulatory depression, withdrawal
Narcissistic
P.D
symptoms,dependenceetc.
2.Nonbarbiturate,NonbenzodiazepineAntianxietyAgents
3.Benzodiazepines
Dependent
P.D
Presently benzodiazepines are the drugs of irst choice in the treatment of anxiety and for the treatment of insomnia.
AnxiousP.D
Theyareanxiolyticandsedativeandinhighdoseactashypnotics.Theyalsohavemusclerelaxantandanticonvulsive
properties. Administration is through the oral route. Because of their lipophilic nature they readily pass into the brain
Anankastic
P.D
resultinginarapidonsetofeffects.Theyaremainlyusedinthetreatmentofanxietydisordersandwhereanxietyisa
HistrionicP.D
predominant symptom. They are also used in insomnia, phobias, panic disorders, akathesia, tardive dyskenesia and in
withdrawalsymptoms.
Borderline
P.D
Physical and psychological dependence may develop along with withdrawal symptoms. High potency benzodiazepines
canproducedependenceandwithdrawalsymptoms.Thesecanbereversedbythereintroductionofbenzodiazepinein
Impulsive
P.D
smallerdoses.
DissocialP.D
4.Buspirone
SchizoidP.D
An antianxiolytic drug, it does not seem to act on the benzodiazepine receptors. It is anxioselective, with no sedative
action,andnoanticonvulsantormusclerelaxantproperties.Itisanondiazepine,antianxietydrug.Itisadministeredin
adoseof1530mg/day,inathricedailyscheduleduetoashorthalflife.Itissafeinthebraininjuredandelderlypatients.
Theeffectsstartafter24weeks.Sideeffectsareheadache,nausea,dizzinessandoccasionallyinsomnia.
ParanoidP.D
5.Zopiclone
PHOBIA
Zopiclonebelongstoanewclassofnonbenzodiazepinedrugs.Itisashortactinghypnoticcompoundwhichmaintains
sleep architecture betterthanbenzodiazepine.Riskofdependenceislow.Confusion, amnesia and depressed mood are
someofitsadversesymptoms.
Hyperhidrosis
PERSONALIT
YD*
SUICIDE
EXCESSIVE
SWEATING
EATINGD*
ELECTROCONVULSIVETHERAPY(ECT)
SLEEP
DISORDER
S
TwoItalianPsychiatrists,CerlettiandBini irstusedECTasaneffectivetreatmentforpsychiatricdisorders.Inthepresent
era,statisticsrevealthatitisaneffective,speci icandquickmodeofmanagementofseriouspsychiatricdisorders.
ECTsareEffectiveintheCaseof:
2011(53)
MajorSevereDepression
a.withsuicidalrisk
b.withstupor
c.withpoorintakeoffoodand luids
d.withmelancholia
e.withpsychoticfeatures
f.withunsatisfactoryresponsetodrugtherapy
g.wheredrugsarecontraindicated,orhaveserioussideeffects
h.wherespeedierrecoveryisneeded
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SevereCatatonia(NonOrganic)
a.withstupor
b.withpoorintakeoffood
c.withunsatisfactoryresponsetodrugtherapy
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d.wheredrugsarecontraindicated,orhaveserioussideeffects
e.wherespeedierrecoveryisneeded
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SeverePsychosis(SchizophreniaorMania)
a.withriskofsuicide,homicideordangerofphysicalassault
b.withunsatisfactoryresponsetodrugtherapy
c.wheredrugsarecontraindicated,orhaveserioussideeffects
d.withprominentdepressivefeatures
psych...
ACASEPRESENTATION
CASEPRESENTATIONTheclientis
XYZ,38yearsoldmarriedhousewi
bornofaconsanguineousunion,
educatedupto10thstandard,ha.
ECTisusuallyadministeredinthemorningafteranovernightfast.Nooralmedicationshouldbegiveninthemorning.
Thebladderandbowelshouldbeemptiedjustbeforethetreatment,becauseincontinencecanoccurduringtheinduced
seizure.Tightclothingandmetallicandsharpobjectsshouldberemovedfromthepersonsbody.Thetotaldurationof
treatmentgivendependsonthediagnosis,presenceofsideeffectsandtheresponsetothetreatment.Usually610ECTs
aresuf icient.Upto15canbegivenifrequired.
SYMPTOMSANDSIGNSINPSYCHIATRY6
12.DisordersofIntelligenceMentalretardatio
subnormallevelofintellectualfunctioning.Iti
severalgrades:mild,moderate,...
(notitle)
WorldMentalHealthDay10thO
2013ofErnakulamPsychiatricSo
TheTheme:MentalHealthandOld
Adults...
COMMONPSYCHIATRICDRUGSUSEDINTHETREATMENTOFVARIOUSMENTALILLNESSES
AntiPsychotics
Olanzapine=Oleanz,Olimelt,Meltolan
Risperidone=Risdone,Peridone
Risperidone2mg+Trihexyphenidyl2mg=RisdoneLS
PHOBIA
PHOBIAPhobiaisanexcessivefear
objectsorspecificsituationswhich
oftenunreasonableandnotbased
reality.Thetermpho...
Risperidone3mg+Trihexyphenidyl2mg=Risdoneplus,
Risperidone4mg+Trihexyphenidyl2mg=RisdoneForte.
Haloperidol=TrancodolDT,Serenace,Halocer
Tri luoperazine=Trinicalm,Relicalm
Hyperhidrosis
HYPERHIDROSISImaginegetting
forworkandhavingtochangeclot
beforeyouevenleavethehousebe
you'vealreadyswe...
Tri luoperazine5mg+Trihexyphenidyl2mg+LacalmPlus,NeocalmPlus,TrazineS
Tri luoperazine5mg+Trihexyphenidyl2mg+Chlorpromazine50mg=NeocalmForte,
LacalmForte,TrazineSC
Thioridazine=Tenzaril,Thioril
Pimozide=Mozep,Larap,Rzep
Chlorpromazine=Emetil,Zicot
Quetiapine=Qutan,Quel
Ziprasidone=Zipsydon
PSYCHOSOCIALTREATMENT
PSYCHOSOCIALTREATMENTFORMENTALLY
eryfewservices,otherthanthemedicaltreatm
havebeenavailabletopersonsaffectedby...
Aripiprazole=Aspirito,Arpizol
Hallucinogensdrugs
COMMONDRUGSOFABUSE
Hallucinogens1.DrugName:Ecsta
(MDMA)StreetName:Ecstasy,XT
tasy,gox,AdamHugdrug
Clozapine=Skizoril,Sizopin
Amisulpride=Soltus,Sulpitac
Levosulpiride=Nexipride,Levipride
PaliperidoneER=PalidoOD3
HistrionicP.D
HistrionicPersonalityDisorder
desiretheadmirationofothers,bu
Histrionicpersonalitieshavean
unhealthyneedforcons...
FlupenthixolDecanoteFluanxolDepot,SpenzoDepot
ZuclopenthixolDecanoteClopixolDepot
HaloperidolDecanote50mg=SenoramLA,RelinaseLA
FluphenazineDecanote=Prolinate,FTensil
S+P+C=Serenace5mg+Phenergan50mg+Calmese4mg=Trancodol+Phenergan+Lopez
AntiDepressants
Sertaline=Sertima,Serta
Amitriptyline=Amitone,Sarotena.
Imipramine=Depsol,Depranil
Mirtazepine=Mirnite,Mirtaz
Nortriptyline=Sensival,Primox.
Fluoxetine=Flunil,Fludac
Clomipramine=Clonil,Clomip
Trazodone=Trazonil,Trazaril
EscitalopramRexipra,Nexito
ParoxetinePexepCR,Pexidep
DuloxetineDuvanta,Duzac
Etizolam=Etilam
Moda inil=Moda
Moda il,Modalert
Moda
AntiMDPDrugs
SOMATICTREATMENT
CLASSIFICATIONOFPSYCHIATRIC
DRUGSANTIPSYCHOTICS
Antipsychoticdrugsareusedinthe
treatmentofpsychoticdisordersan
HISTORYTAKING&M.S.E
HISTORYTAKING1.Identification
DemographicalDetailsName,Ag
Address,Maritalstatus,Socioecon
status,Education...
Labels
10DIVINECOMMANDSOFMENTALHEALTH
12StepsofRecovery
2ndPhaseMiddlePhase
3rdPhaseChronicPhase
5MostCommonCoOccurringConditionswith
BorderlinePD
ACASEPRESENTATION
AbodeofWisdom2
AbodeofWisdom3
LithiumCarbonate=Lithosun,Lithoril,Intalith
Oxcarbazepine=Oxetol,Zenoxa.
AbodeofWisdom4
OCDTreatment
AbodeofWisdom6
Fluvoxamine=Frext,Fluvoxine
Clomipramine=Clonil,Clomip
Buspirone=Buscalm,Buspin
AntiConvulsants
SodiumValporate=ValprolCR,ValrateCR,EncorateChrono
Carbamazepine=Oxetol,Zenoxa
AbodeofWisdom5
ACUTEANDTRANSIENTPSYCHOTICDISORD
AddictionCounselling
AFFECTIVEDISORDERS
AFTERINSTITUTIONALIZATION..WHAT?
3/12
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Hydantoins=Eptoin(PhenytoinSodium),Epsolin(PhenytoinSodium)
Pregabalin=Pregabid
AnankasticPersonalityDisorder
Clonazepam=Zapiz,Clonotril,Lonazep
ANXIETYDISORDER
Clobazam=Cloba,Frisium
AnxiousPersonalityDisorder
Gabapenntin=Gabapin,Gabantin
Lamotrigine=LamezandLamepil,Lamosyn
Topiramate=Topaz,Topirol
Divalproex=Divaa(OD)Depakote,Valkem(OD)
Levetiracetam=Epictal
AttentionDeficitHyperactivityDisorder
BEGOODTOYOURBRAIN
BehaviourchangestotheBloodLevelofAlcoh
SedativesandTranquilizers
BenefitsofPositiveAttitude
Diazepam=Valium,Calmpose
BMDvs.BPD
Alprazolam=Restyl,ZolaxSR
Zolpidem=Zolway,Nitrest,Sove
Eszopiclone=Fulnite,Justsleep
Chlordiazepoxide=Librium,Calmtech
Oxazepam=Serepax
Buspirone=Buscalm,Buspin
Lorazepam=Lopez,Ativan,Lorel,Orazep
Zaleplon=Zaplon
Anxiolytics
Alprazolam=Restyl,Zolax
Lorazepam=Lopez,Ativan,Lorel,Orazep
Nitrazepam=Nitrosun,Nitravet
Hypnotics
Nitrazepam=Nitrosun,Nitravet
Diazepam=Valium,Calmpose
Zopiclone=Zona,
DrugscontrollingRigidityandTremors
Lecodopa=Levopa
Carbidopa=Syndopa110,LevopaC
Tetrabenazine=Revocon
Ropinirole=Ropark,Ropitor
Bromocriptine=Encript
Amntadine=Amentrel
DrugsusedfortreatingMigraine
Propranolol=Inderal,Provnol
Ergatomine=Vasograin
Sumitriptan=Suminat
CerebralActivators
Piracetam=Ceracetam,Nootropil
Pyritinol=Encephabol
Donepezil=Alzil,Donecept(TreatmentofAlzhemersdisease)
BodyLanguage
BorderlinePersonalityDisorder
BRAINSTEMKeepsYouBreathingandMore
Buildup+vePersonality
BywaytoSobriety
Caffeine
Cannabinoids
Cannabis
CategoriesOpioids
CategoriesofSubstanceAlcohol
ChaitanyaCochin
Cocaine
COMMUNITYSUPPORTPROGRAMS
CONCEPTANDDEFINITIONPSR
ConsequencesofNegativeAttitude
ContinuingCare
ContrastingtheThreeVeryDifferentDisorders
DanceTherapy
DefineMENTALHEALTH
DELIRIUM
DELUSIONALDISORDERS
DEMENTIA
Nimodipine=Nimotide
Galantamine=Galamer(TreatmentofAlzhemersdisease)
AtomoxetineHydrocloride=Attentrol,Axepta(TreatmentofADHD)
Memantine=Nemeda,Admenta(TreatmentofDementia)
DependentPersonalityDiso
AntiParkinsonism
Detoxification/Stabilization
Procyclidine=Dine
TrihexyphenidylHcl=Pacitane,Bexol,Dyskinil(Parkinsonism,DruginducedEPS,Spasticity)
Carbidopa=Syndopa110,LevopaC
Depressants
DepressivePersonalityDisorder
Differences__BMDSchizophreniaMPD
DisabilityCertification1
AntiEmetics
DisabilityCertification2
Ondansetron=Emset
Promethazine=phenergan
DisabilityCertificationconted...
WithdrawalManagement
Stoppage of addictive substances produce mild to severe withdrawal symptoms (depends on the drug, duration and
amount) like tremors, sweating, tachycardia, Palpitations, Hyperplasia, high blood pressure, nausea and vomiting,
sleeplessness,depressionetc.Withdrawalseizuresalsomayoccurin5to10%ofpatients.
Thedrugsusedforwithdrawalmanagement:
a.AlcoholWithdrawal
Benzodiazepines:
Chlordiazepoxide=Librium
Diazepam=Valium
Lorazepam=Lopez
Clonazepam=Zapiz
Alprazolam=Restyl
b.OpioidWithdrawal
Benzodiazepines
Clonidine=Arkamin
VitaminTablets:Thiamine=Benalgis
VitaminB12:BcomplexwithvitaminC=CobadexForte
DISORDERSOFEATING
DissocialPersonalityDisorder
DISSOCIATIVEDISORDER
Don'tfear
EducateOurself
EffectofAlcoholtoOrgans
EMOTIONLOCATION
EPILEPSY
Examreaults
FactorsDetermineAttitude
FAMOUSPERSONALITIESWITHMENTALILLN
FormattogetInformation
4/12
15/05/2016
IVFluids=RL,DNS,NS
Vitamininjections:Inj.Optineuron;Inj.Neurobion;Inj.MVI(MultiVitaminInjections)
GamesIcebreakers1
GamesIcebreakers2
GamesIcebreakers3
GamesIcebreakers4
PSYCHIATRICDRUGSANDTHEIRINDICATION
ALPRASOLAM
Indication:Anxietydisorder,Agoraphobia,Panicdisorder,Depression.
Brands:Alap,Albiz,Alcalm,Alep,Alltop,Alpra,Alprasolam,Alprose,Alprax,Alpronit,Alama,Alzolam,Anxit,Benzolam,
Kalm,Loral,ProcalmRestyl,Recalm,Zeprax,Zolax,ZolmXR,Zopic,Zozo.
GamesIcebreakers5
GamesIcebreakers6
GamesIcebreakers7
GamesIcebreakers8
AMISULPRIDE
Indication: Sulpitac is indicated in acute and chronic Schizophrenia disorders, in which positive symptoms (such as
delusions,hallucinations,andthoughtdisorders)and/ornegativesymptoms(suchasbluntedaffect,emotionalandsocial
withdrawal)areprominent,includingpatientscharacterizedbypredominantnegativesymptoms.
Sideeffect:Themostcommonlyreportedadverseeffectswithamisulprideincludeinsomnia,anxietyandagitation.The
other commonly reported adverse effects include somnolence, gastrointestinal disorders such as constipation, nausea,
vomiting,drymouth,weightgain.
Brands:Sulpitac,Soltus,Amazeo,Amival,Amigold.
AMITRIPTYLINEHCL
Indication:MajorDepression.Maybeusedinanxietyandsleepdisordersandincaseofmigrainealso.
Brands:Amit,Amitone,Amitryn,Tryptomer,Amixide,Limbival,Mitryp,Normaline,Serotena.
GAMESHowtoformGroups2
GroupGames1
GroupGames2
GroupGames3
GroupGames4
GroupGames5
ARIPIPRAZOLE
Indication:PsychoseslikeSchizophrenia.
Sideeffect: The most commonly reported adverse effects are headache, asthenia, fever, nausea, vomiting, constipation,
anxiety,insomnia,lightheadedness,somnolence,akathisia,tremor,rhinitis,coughing,rashandblurredvision.
Brands:Aria,Aridus,Arilan,Aripra,AripraMT,Arrive,Arole,Arza,Arpizol,Asprito,Elrip,PipraA,Realone.
GroupGames6
GroupIntervention1
GroupIntervention2
GroupIntervention3
BUSPIRONE
Indication:MildtomoderateAnxietydisorders,notusefulinsevereanxiety.
Brands:Buscalm,Buson,Buspidac,Buspn,Tamspar.
CLOBAZAM
Indication: Used as an adjuvant in partial seizures secondary generalized tonic clonic seizures, absence, myoclonic
seizuresamecasesofrefractoryepilepsyandLennoxgestaut.syndrome.
Brands:Aedon,Cloba,Clodus,Clozam,Gabaplus,Frisium,Lobazam,Zae.
CLONAZEPAM
Indication: Absence seizure, as an adjuvant in myoclonic and akinetic epilepsy acute mania, status epileptics and
infatilespasmas.
Brands:Aspax,clonapx,Clonotril,Clozep,Epcan,Cerona,Zicam,Epizam,Lonazep,Lozep,Norep,Anza,Onzepam,Petril,
Rivotril,Zozep.
CLOMIPRAMINEHCL
Indication:Depression,PanicstatesandObsessivecompulsivedisorders.
Brands:Anafranil,Clofranil,Clomilent,Conil,Clamip,Clomizil,Depnil,Syconil.
GroupIntervention4
GroupIntervention5
GroupIntervention7
GroupIntervention8
GroupIntervention9
GroupInterventions10
GroupInterventions6
GROUPORIENTEDINTERVENTIONS
Hallucinogens
Hallucinogensdrugs
HISTORYTAKINGM.S.E
HistrionicPersonalityDisorder
CITALOPRAM
Indication:Depression.MaybeusefulinStressdisordersandPanicdisorders.
Brands:Cpram,Ctralo,Ctalop,Citopam,Lopram,Zetalo.
CHLORDIAZEPOXIDE
Indication:Anxietydisorders,ManagementofAlcoholwithdrawal,Psychosomaticdisorders,Phobias.
Brands: Anxizide, Cloxide, Eelibrium, Librium, Amitryn, Amixide, AmixideH, Andep, Chlozep, Libotryp, Libral, peacep,
Raipex,Sidep,Spasrax,Tribs,Trisar,Trixia
CARBAMAZEPINE
Indication: It is the most effective drug for complex partial seizures also used in simple partial and generalized tonic;
clonic seizure may be used in an alternative to lithium in bipolar and maniac disorder. Other uses trigeminal, post
herpeticandrelatedneurolgaos,painfuldiabeticneuropathyandwithdrawalsyndrome.
Brand:Acetol,Biocarb,carbatol,Epinil,Mezapin,Mazetol,Tegrital,Zen,ZenRetard,Zeptol,
CLOZAPIN
Indication:Schizophreniarefractorypsychosis,barelivedyeskinesia.
Brands:Chrozap,Clomach,Ekloz,Korans,Losapin,Clocer,Lozine,Pyne,Sizopin,Skizoril,Syclop,Zepin,Zopizone.
HowlongTherapytake
HowPsychotherapyHelp
HowtoformGroups
Hyperhidrosis:EXCESSIVESWEATING
Hyperhidrosis:EXCESSIVESWEATING2
HYPOTHALAMUSControlsTemperature
ImpulsivePersonalityDisorder
IndividualTherapyCounseling
Inhalants
InterpersonalSkills
IsYourChildSuffering
KeyPlayersontheBrainTeam
CHLOPROMAZINE
Indication: Schizophrenia organic brain syndrome, Affective disorders, Paranoid states, a typical psychosis, Mania,
Hypomania,EmesisandIntractablebicoug.Rarelyusedintetanus.
Brand:Chlorpromazine,Colzine,Emetil,Korzine,Megatil,Reletil,Serectil,Sunparzin,Tranchlor,Clozineplus,Normazine
plus,NormazineH.
CLONIDINEHCL
Indication:Hypertensionofallgrades.AlsousedforsymptomaticreliefinOpioidwithdrawals,Alcoholwithdrawalsand
Smokingcessation.
Brand:Arakamine,Catapres,Clothalton.
MaincategoriesofdisordersinICD10
MajorCategoriesaccordingtoDSMIV
MAKEAPERSONSUCCESSFUL
MakingaDecision
MAPPINGTHEMINDSuitableCareers
MENTALHEALTH
5/12
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DULOXETINE
Indication:DuloxetineisindicatedforthetreatmentofMajorDepressiveDisordersinadults.
Brands:Duvanta
DIAZEPAM
Indication: Anxiety, Tension, Insomnia, Psychosomatic disorders, Behavioral disorders, Acute alcohol withdrawal
syndrome, Psychoneurotic states, Preoperative medication adnunt for relief of muscle sprain, associated with cerebral
palsy,spastichemiplegia,athetosis,paraplegia,febrileconvulsionsinchildren.
Brands: Anxol, Calmoid, Calmpose, CamreleaseTR, Diaze, Direc, Diazep, Dizepax, Junix, Neone smar, Nupose, Paxum,
Valium,Zeporos.
DIVALPROEXSODIUM(ExtendedReleasetablets)
Indications:DiproexERisindicatedasmonotherapyandadjunctivetherapyinthetreatmentofadultsandchildren10
yearsofageandolderwithcomplexpartialseizuresthatoccureitherinisolationorinassociationwithothertypesof
seizures.Itisalsoindicatedforuseassoleandadjunctivetherapyinthetreatmentofsimpleandcomplexabsenceseizure
inadultsandchildren10yearsofageandolderandadjunctivelyinadultsandchildren10yearsofageandolderwith
multipleseizuretypesthatincludeabsenceseizure.
Sideeffect: Nausea, Dyspepsia, Diarrhoea, Vomiting, Abdominal pain, Respiratory infection, Somnolence, Infection,
Increased appetite, Weight gain, Peripheral edema, dizziness, insomnia, nervousness, abdominal thinking, tremor,
tinnitus, headache, asthenia, fever, anorexia, constipation, phryngits, rhinitis, dispenia, diplopia, bronchitis, alopepsia,
weightloss,thrombocytopeniaanddepression.
BrandS:Diva,Divalpro,Depakote,Valkem(OD),DayoDilexDiproex
DONEPEZIL
Indication:Alzheimersdisease.
Brand:Alzil,Donecept,Donep,Depezil.
ESCITALOPRAM
Indication:Cipralexisusedforthetreatmentofdepression.Depressionischaracterizedbylow/depressedmood,lackof
energy, feeling low, feelings of little or no worth, disturbances in sleep, withdrawn and unable to cope with daily
activities. Depression may also be accompanied by suicidal thoughts. Depressed patients may further suffer from
symptomsofanxiety.
Sideeffects: Commonly seen are nausea, Sinusitis (blocked or running nose) decreased appetite, dif iculties falling as
sleep, feeling sleepy, dizziness, yawning, diarrhea, constipation, increased sweating, sexual disturbances ejaculation,
problemswitherection,decreasedsexualdriveandwomenmayexperiencefatigueandfever.
Brands:Celexeis,Deplam,Escitapax,EsdepEstomin,Rexipra,Ndexito,Stalopam,Zotalr,Cipralex,Felizs
MENTALHEALTHLAWS
MentalHealthanOverview
MENTALHEALTHGenInfo.
MENTALRETARDATION
Motivation
NarcissisticPersonalityDisorder
NERVOUSSYSTEM
NEUROTICANDSOMATOFORMDISORDER
Nicotine
OBSESSIVECOMPULSIVEDISORDER
ObstaclestoSuccess
ORGANICMENTALDISORDERS
OtherStimulants
ParanoidPersonalityDisorder
PERSONALITYDISORDERS
Phasesofaddiction1stEarlyPhase
PHOBIA
PITUITARYGLANDControlsGrowth
POSTPARTUMPSYCHOSIS
PRINCIPLESOFPSR
ProfessionalIntervention5
ProfessionalIntervention6
ProfessionalIntervention7VocationalRehabil
PROFESSIONALINTERVENTIONS1
FLVOXAMINE
Indication: Major depression, Anxiety states specially obsessive compulsive disorder and bulimia nervosa, also panic
disorderandotherwhichdontrequiresedationcatalepsy,narcolepsy.
Brands: Caddy, Depzac, Fadep, Faxtine, Fludac, Flood, Flunac, Flutine, Flunil, Flux, Fluxal, Mentol, Platin, Oxidep, S.R.B,
Trizae,Xetine,Frext.
GBAPENTIN
Indication: Used in addiction to other drugs for treatment of partial seizure or without generalization. Especially in
refractorycases.Itisalsobeingusedinchronicpain,migraineandbipolardisorder.
Brands:Gabalept,Gabantin,Gabapin,Gabata,GabatolNeuropin,Neurotin.
ProfessionalInterventions2
PSRGOALSANDOBJECTIVES
PSRActivities
Psychiatricrehabilitation
PSYCHIATRICSEQUELAEOFPHYSICALDISOR
HALOPERIDOL
Indication:PsychosislikeSchizophrenia,Acutemania,GillesdeiatourettesyndromeandHuntingtondisease.
Brands:Halocer,Benzydol,Mindwel,Combidol,Depidol,Halo,Halopace,Halopidol,Hexidol,Mindol,Normadol,Peridol,
Relinace,Schizol,Serenace,Senoram,Tendol,Trinace,Trinoram,Trancodol.
LOXAPINE
Indication:Schizophrenia
BrandsLoxapac,Loxabol
LITHIUMCARBONATE
Indication:Acutemania,Recurrentbipolardisorders,adjuvanttoantidepressantsinsevererecurrentdepressionandin
selectedcasesofhypothyroidism.InappropriateceoretionofADHanddruginducedleukopenias.
Brands:Alith, Alkalith, Carbolith, Cylith, Elceb, Genlith, Hethium, Intalith, Licab, Lithium, Lithocep, Lithosun, Loponet,
Manicarb,Monolith,Prolithium,Salith,Zecarb
LEVOSULPRIDE
Indication:NexiprideisindicatedforthetreatmentofSchizophrenia.
Side effects: with prolonged administration of levosulpride, disturbances such as amenorrhea, gynecomastia,
galactorrhea,hyperprolactinemiaandchangesinlibidoareobserved;inparticularcases,reversibleeffectsoflevosulpride
onfunctioninghypothalamicpituitarygonadolaxisareobserved.
Brands:Nexipride.
PSYCHOSOCIALTREATMENTFORMENTALLY
PSYCHOLOGICALASSESSMENT
QualitiesmakeSuccess
ReadyforExams
Rehabilitation
RehabilitationServices
RelaxationTherapy
ResidentialAlternatives
rightbehaviour
saywhtuwant
SCHIZOAFFECTIVEDISORDERS
SchizoidPersonalityDisorder
SCHIZOPHRENIA
SchizotypalPersonalityDisorder
LORAZEPAM
Indication:Anxietydisorders,Preanestheticmedication,Reliefanxiety,(itissimilartodiszepaminaction)
Brands: Almazine, Anxipose, Antipam,Ativan, Benj, Biokalm, Biclar, Calmes, Lorpose, Lopez, Lorazine, Lerolel, Cerpam,
Loripam,Lorivan,Olrav,Trapex,Zepnap.
SedativeandHypnotics
SelfEsteem
SimilarBPDandBipolarDisorderSymptoms
MAGNESIUMVALPROATEEntericCoatedTablets
Indication:Epilepsy(generalizedandpartialseizures,asmonotherapyoradjunctivetherapy),Mania,Migraine
Brands:Macorate
SLEEPDISORDERS
SocialWork
6/12
15/05/2016
METADOXINE
Indication:Peripheral,Druginduced,DiabeticandAlcoholicneuropathies.
Brand:Alcoliv,Atnuron,Cobalvit,Varnuron,Zonuron.
MIRTAZEPINE
Indication:Depression
BrandsMaitz,Mirnite,Mirfe,Mirtaz,Mitazep15,Nasdep,Zipdep
SOMATICTREATMENTFORMENTALLYILL
SOMATOFORMDISORDER
SpecialroleofA.A
StepstochangeAttitude
Stimulants
MODAFINIL
MODA
Indication: Moda il is indicated to improve wakefulness in patients with excessive daytime sleepiness associated with
narcolepsy,obstructivesleepapnoeaorhypopnoeasyndrome.
Side effect: The most commonly reported adverse effect of moda inil is headache, chest pain, abdominal pain,
tachycardia, palpitation, vasodilatation, dry mouth, diarrhea, decreased appetite, dyspepsia, constipation, dizziness,
depression,abdominalthinking,confusion,paresthesia,hypertoniaandblurredvision.
Brands:Modalert,Moda
Moda
Moda il,
STRESSRELATEDDISORDERS
NITRAZEPAM
Indication:shorttermtreatmentofInsomnia.
Brands:Baronite,Dormina,Hypnonexy,HypnorilHypnotexInsominForte,Nipam,Nigap,Nitravet,NitrazSR,Nitrosun
SYMPTOMCHECKLIST
STRESSEStoBODY
studythemind
SuccessStoryofDr.JonNash
SUICIDEANDPARASUICIDE
NORTRIPTRYLINEHCL
Indication:AlltypesofDepression,alsousedinphobiasandpanicdisorders,noctomalenuresisinchildren,chronicpain
andsleepdisordersinadults.
Brands:Nordep,Nortin,Primox,Seemin,Sensival,Trip.
NALTREXONE
Indication:Opioiddependenceasadjunctalcoholdependence.
Brands:Naltima
NEMDAA(MEMANTINEHydrochlorideTablets)
Indications:NemdaisindicatedforthetreatmentofmoderatetoseveredementiaoftheAlzheimerstype.
Side effect: Urinary incontinence, diarrhea, insomnia, dizziness, headache, coughing, hallucination, fall, constipation,
vomiting,backpain,dyspnea,confusion,urinarytractinfection,hypertension,nauseaandanorexia.
Brands:Admenta
OLANZAPINE(MouthDissolvingtablet)
Indication:Schizophrenia,Mooddisorders.
Brands:Biolance,Cansern,Joysol,Meltolam,Normapac,Olance,Ola,Olan,Olandus,Olanex,Olanz,Olanzep,Olapax,Olay,
Oleanz,Olina,Ozap,Pitol,Schizol,Skyzol,Zepol,Zyolan,Zypine.
OXCARBAZEPINE
Indication: Used in an adjuvant in partial seizure in adults and children with or without secondary generalized toxic,
clonicseizure.
Brands:Carbox,Mezalog,Oleptal,Oxana,Oxcarb,OxeptalOetolZenoxa,Selzic.
PALIPERIDONEExtendedReleaseTablets
Indication:AcuteandmaintenancetreatmentofSchizophrenia
AdverseReaction:Headache,increasedappetite,drowsinessandsedation
Brands:PalidoOD,Paliris
PROPRANOLOLHCL
Indication:prophylaxisofmoderatetosevermigraine.
Brands:BetacapTrBetabloc,Ciplax,Corbeta,Inderal,Propsr,Pral,Prop40,Propal,Trilol,Migrabeta.
takecareofourself
TheBiggestPart:theCEREBRUM
TheCEREBELLUM'sBalancingAct
THEHUMANBRAIN
Therapy
TYPESOFREHABILITATION
Understandourattitude
VolatileSolvents
Whatholdingusback
whatI'm
Whatisanaddiction?
WinnersvsLosers
Toknowmore...
APsychologyClassRoom
ChaitanyaPsychologicalHelp
IndiaTogetherMentalHealth
PROCYCLIDINE
Indication: They are synthetic anticholinergic drugs, having higher cerntral, peripheral, anticholinergic action.
Parkinsonsdisease.
Brands:Dine,Kemadrni.
PROMETHAZINEHCL
Indication:Antimetic,antihistamineandsedative.Itisprescribedinthetreatmentofmentionsickness,nausearhinitis,
Itching and skin rashes. It can be used as preanesthetic medication in early stages of Parkinsonism and acute muscle
dystonia.
Brands:Avamin,Emin,Emispar,Fevril,Metacef,Phena,Phenargan,Phenmol,Phenzee,Primozyn,Promogum.
IndianPsychiatricSociety
InternationalFederationofSocialWorkers
NationalAssociationofSocialWorkers
NationalAssociationOfSocialWorkersinIndia
NationalInstituteofMentalHealth
NodalAssociationforMentallyillIndia
SocialWorkMagazine
PENFLURIDOE
Indication:ChronicSchizophrenia
Brands:Flumap,Sernap
PAROXETINE
Indication:UsedinDepression,ObsessivecompulsivedisordersandPanicdisorders.
Brands:Mado ine,Parof,Panex,Pari,Parotin,Pexep,Raxip,Xef.
PIMOZIDE
Indication:Tourettssyndromesevereticsandinvoluntaryvocalization.AlsoinchronicSchizophreniaandMania.
Brands:Larap,Medip,Monozide,Mozep,Nearap,Orap,Pimodac,RZep.
moda
PREGABALINCapsules
Indication:Neuropathicpain,postherpeticneuralgiaandasadjunctivetherapyinthetreatmentofPartialSeizures.
TheBritishAssociationofSocialWorkers
WebSitesofInteresttoSocialWorkers
WorldFellowshipforSchizophrenia
MyBlogList
ForChildrenofMotherswithborderlin
personalitydisorder
JustQuitJustin
7/12
15/05/2016
Brands:Pregabid
8hoursago
QUETIAPINEFUMARATE
Indication:Schizophreniaandotherpsychosis
Sideeffect:Somnolence,hypotension,headache,asthenia,abdominalpain,constipation,drymouth,rash.
Brands:Qutipine,Qminde,Placidine,Quel,Qpin,Qutace,Qutan,Quticol,Qutipin,Sizoquit,Focalm.
WisdomQuarterly:AmericanBuddhist
Journal
MegaL.A.radioconcert(livestream)
QUETIAPINESR(Sustainedrelease)
Indication:Quetiapinefumaratesustainedreleasetabletsareindicatedforthetreatmentofschizophrenia.
Sideeffect:BodyasawholeHeadachepain,asthenia,abdominalpain,backpainandfever.Cardiovasculartachycardia
andposturalhypotension.
DigestiveDrymouth,constipation,vomiting,dyspepsia,gastroenteritisandincreasedgammaglutamyltranspeptidase.
Brands:QuelSR
REBOXETINE
Indication:Depression
Brands:Reboot,Rebotin,Reboxine
RESPERIDONE
Brands: Genrest, Neudon, Reridon, RDon, Rasin, Respid, Respimed, Riscan, Respidon, Risper, Rize, Sizodon, Zisper,
Peridone.
RIVASTIGMINECapsules
Indications:MildtomoderateseveredementiaoftheAlzheimerstype
Sideeffects:Nausea,vomiting,anorexia,dyspepsia,asthenia,dizziness,somnolenceandweightloss.
Brands:Rivamer
SERTRALINE
Indication: Used in treatment and prophylaxis of depression. Also used in anxiety states like obsessive compulsive
disorderandpanicdisorder.
Brands: Actiser, Episod, Inosert, Daxid, Depsert, Insert, Lindep, Normast, Serlift, Serve, Serline, Seron, Serta, Sertima,
Setal,Setaline,Setex,Sertaline,Traline,Zolo it,Zotral,Lincer.
SODIUMVALPORATE
Indication:Absenceofseizureandasanadjuvantdrugforgeneralizedandpartialseizure,topreventrecurrentfebrile
seizureinchildren,samecaseofmyoclonic,atonicsseizureandpetimalseizure
Brands:Valpro,Valrate,Valance,ValanceD,CervalCR,Enchorate,Chorona.
TRYHEXYPHENIDYL
Indication:Parkinsonsdisorders.
Brands:Bexol,Clonize,forte,cerexy,Lahexy,Manchexy,Pacetane,Parkine,Triphen.
TRIFLOPERAZINE
Indication:PsychosislikeSchizophrenia,schizoaffectivedisordersandsamecaseofmania.
Brand:Benzyzine,neocalmp,Arcane,Trazine,Sycot,Serentine
TRIFLUOPERAZINE
IndicationPsychosislikeschizophrenia,Schizoaffectivedisorderandsamecasemania.
Brands: Arkan, Arkazine, Benzyzaine, Carekul, Dipicalm, Fist, Gastabid, Libronit, Neocalm, Trinicalm, Psycalm, Sycot,
serentin,Trazine,TrizepWipetri,Xypine.
13hoursago
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TOPRAMETE
Indication: Used in refractory partial seizure or without secondary generalization, may be used in same case of
generalizedtonicclonicseizureassociatedandlenoxgastantsyndrome.
Brands:Epimate,Epitop,Topamac,Topamate,Topex,TopicanTopazTopiram
ProzacMonologues
NotJustUpandDownANewMapfor
Bipolar
AMITRYPTILINE
Brands:Amitone,Tryptomer
MornaCritesMoore*wickedwaif
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3monthsago
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TRAZODONEHCL
Indication:Depression,Mildanxietydisorder.MaybeusefulinInsomnia,PsychoticDepression,ChronicAlcoholism.
Brands:Depryl,Razocon,Trazonil,Trazolon,Trazaril,Traze.
HealthyandBeautyTips
HowtoRemoveDarkCirclesUnderEyes
3monthsago
VENILAFAXINE
Indication:Majordepression
Brands:Dalium,Envilat,Flavix,Sentosa,VendepXR,VenOD,VentaxPR,Vanish,Venlift.
TheCharacterTherapist
NoInterestinLovebyCassieMae
ZIPRASIDONE
Brands:Azona,Zipsydone.
TheCarlatPsychiatryBlog
BostonGlobeArticleaboutGeneticTestingin
Psychiatry
6monthsago
7monthsago
ZOLPIDEM
Indication:ShorttermtreatmentofInsomnia.
BrandsDactive,Dem,Nitrest,Pedo,Restem,Sobrium,Sove,Soza,Zanlop,Zen,Zeep,Zolpidem,Zolip,Zolpid,Zolway.
ARDSIPUNECHAPTER
PicturesOfSmallBathrooms
ZALEPLON
Indication: Short term treatment of Insomnia. Zaplom has been shown to decrease the time to sleep onset and not
increasetotalsleeptimeordecreasethenumberofawakening.
EvolutionaryPsychiatry
CocoaLove
9monthsago
11monthsago
8/12
15/05/2016
Sideeffect:Bodyasawholeheadache,asthenia,backpain,chestpain.
Cardiovascularsystem:Migraine
Digestivesystem:Nausea,dyspepsia,constipationdrymouth.
Musculoskeletalsystem:Myalgia,arthritis
Nervoussystem:Somnlence,dizziness,depression,hypertonic,nervousness,thinkingabnormal.
Respiratorysystem:Bronchitis
Urogenitalsystem:Dysminorrhea
Brands:Si lnite,Zalep,ZalpilO,Zanlop,Zaplon,Zaso,Zolium.
INJECTIONS
CLOPIXOLDEPOT(ZuclopenthixolDecanoateInj.BP)
Indication:Fordeepintramuscularinj.Acuteandchronicschizophreniaandotherpsychoses,especiallywithsymptoms
suchashallucinations,delusions,thoughtdisturbance,aswellasagitation,restlessness,hostilityandaggressiveness.
Sideeffect:Drowsinessinitially,drymouth,disturbancesofaccommodation,urinaryretentionconstipationtachycardia,
moda
orthostatic,hypotensionanddizziness.
CLOPIXOLACUPHASE(ZuclopenthixolAcetateInj.BP)
Indications:Initialtreatmentofacutepsychoses,includingmania,andexacerbationsofchronicpsychoses.
SENORMLA(HaloperidolInj.)
Indications: Senorm LA is a long acting Parenteral antipsychotic drug intended for use in the management of patients
requiringprolongedParenteralantipsychotictherapy(patientswithchronicschizophrenia)
OLANZAPINEInj.
Indications: Olanzapine Inj. is indicated for the rapid control of agitation and disturbed behaviors in patients with
schizophreniawhenoraltherapyisnotappropriate.TreatmentwiththeInj.shouldbediscontinuedandtheuseoforal
Olanzapineshouldbeinitiatedassoonasclinicallyappropriate.
FLUANXOLDEPOT(FlupenthixolInj.BP)
Indications: Schizophrenia and allied psychoses, especially with symptoms such as hallucinations, paranoid delusions
andthoughtdisturbancesalongwithapathy,energyandwithdrawal.
Doulala
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20comments:
Autism:WhatScienceRefusestoKnow
DSMVANDRECLASSIFICATIONOF
ASPERGER'S
2yearsago
RituGupta 5August2013at15:29
Naltimaalsoavailableatpremiumrxdrugs.com
Reply
Dr.BasimElhabashy 28October2014at11:50
NicePost!!!!!
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EdwardJCejka 29October2014at17:08
Veryniceandgoodinformation.
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AribaKhanam 11March2015at17:28
Hiiii.GreatPost.!
Weallknowthatitisverydif iculttogetawayfrombadaddictions.Changeispossiblewithanherbaltreatment
andsupport.
Formoreinfovisithere:
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Asweareawarethattherearemanywaystoincreasesexpower.Butsomemedicineforsexaresuccessfuland
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RozinaFaridi 11June2015at10:57
Hi..
Ilikethispost...
Ireadthismatterthoroughly.IhaveabetterideaofAlcoholtreatmentbyHerbalMedicine.Asitisagoodoption
becausetherearenosideeffects....
SoforHerbalAlcoholtreatmentmedicine
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BlakeBilly 18June2015at01:03
Thanksforsharingtheinformationadmin.Ayurvedicmedicineshelpstoremovetheproblemsfromtherootlevel.
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medicinearebesttosolveyourmarriedlife.
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Your description is truly very fascinating and looks very appreciable in which you have described the fact that
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Alittlebitofthisandnotsomuchof
that
SaimanAmbros 27July2015at16:09
Your description is really very helpful in which there is information about somatic treatment, which helps in
severepain.Thanksforsharingthisinfoandpleasekeepsharing.
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Mrs.Patricia 25September2015at17:02
MysonwasvictimofamentalintriguingdisordercalledSchizophreniaunabletodistinguishbetweenfantasyand
reality.AndIhavelookedforsolution,gavehimSeroquel,Zyprexaandmanymedicationbutallthismedication
worsenedthesituation,AllhopewaslostbeforeImetamanwhodirectedmetowhereIgotmymedication.Itisa
herbalmedication,Itisareallygoodforschizophreniatreatment,ItisbetterthanthoseIhavebeenusingover
theyears,Ifyouhavingsuchproblemforadviceandnecessarysolution,contactdoson080@gmail.com
Reply
mehrotra001 4October2015at22:11
Please separate new generation drugs with minimum side effects, dependency problems and non dependency
drugs and dosages according to body weight too...this may help many for discussions with their
psychotherapists....
Reply
JeffreyLeonard 11November2015at03:59
My son was a victim Chronic Schizophrenia for many years, He was unable to distinguish between fantasy and
reality,antipsychoticmedicine(Seroquel,Zyprexa,Haloperidol,Amisulpride)werenothelpingratherworsened
thesituation,Homeopathymedicationisgoodbuthasalotoflimitationtooasitwasnotworkingformyson.I
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have look for solution everywhere all to no avail until I contacted a Herbal Doctor whose medicine works
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Reply
Nicole.lascurain@healthline.com 19January2016at15:00
HiCince,
First off, I came across your site and wanted to say thanks for providing a great resource to the mental health
community.
Ithoughtyoumight indthisbipolardisorderfactsheethelpfulforyourreaders,asitshowssymptoms,treatment
andstatsaboutthedisorder:http://www.healthline.com/health/bipolardisorder/factsheet
Naturally,
Id
be
delighted
if
you
share
this
embeddable
graphic
on
http://ornatethinking.blogspot.com/2012/01/somatictreatment.html , and/or share it with your followers on
social.Eitherway,keepupthegreatworkCince!
Allthebest,
NicoleLascurain|AssistantMarketingManager
p:4152813100|e:nicole.lascurain@healthline.com
Healthline
660ThirdStreet,SanFrancisco,CA94107
www.healthline.com|@Healthline
Reply
HumaunKabir 25February2016at20:04
HiThere,Ijustspentalittletimereadingthroughyourposts.Pleasecontinuetowritemorebecauseitsunusual
thatsomeonehassomethinginterestingtosayaboutthis.Willbewaitingformore!
risperidonesideeffects
Reply
AlexNeil 22March2016at20:55
Feeling abnormally sleepy or tired during the day is commonly known as drowsiness. Drowsiness may lead to
additionalsymptoms,suchasforgetfulnessorfallingasleepatinappropriatetimes.
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DavidSmith 26March2016at13:38
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Psycho Social Well-Being - SOMATIC TREATMENT

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