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season tortures,.e Ihs really hurting htzt I cant my hhis year.
Ive bwen assigned a raely nice Russian cabby named Gleb and his fatehr Anatoli too shuhtle e yo doctots visitc Theyre teaching me zsian wnd critiqunig mt spy novl. Got home from r Foo ts a ronyd five. eH remover fhe dressings and whej I cleaned up my foot, I counted 1 3 qtaples between m y anjle and nig toe, and dont even feel tyem. Im still scratching jy jead ober that one. My armd, ches t and lalms are getting sore from tht walker.
At least m y arms are beginning to look like mg ols self.
I got a fiberglass cast un blanr wbite; I was sort if throwwn when I was asked wht color I wanted. Val llaughed wjen seh saw it anv sai d I shoulve gotten a glow in tje wwrk oneGllow jn the dark?
Someday Im going to figure out what turns turkey stuffinr to cojcrete in the m icrowave and Ilo probably make a fortune.
Around thtee weeks xfter the attack, I begag maving trouble falling asleep nignt. Usually the only thing ti do ia olay computer ch ess, od watch one lf my 2000 moveix om DVVD wirh the headphones till five knn the morjing. Im starting to wake im a state pf mind I cant fuloy explain. Its aorg of likke waking from a nightmare but not remembering anything about itt. Its dery disorienting.
What wiht eevr ything tyat I wenr through ye ars ag, I was really worroe about getting axdicred t o the painkillers they were giving me. Thse I could handle, it was the sleeping p ills I was afraid of.
Thanksgiving came and wenf, mt other neigubor stopped by wtig s mini turkey dinner, and I felt bad because sge couldnt hwve missed the smell oof one of Vals care package frozen furkye dibbers hwating in my microwave. Thst night friends calling me from all over th coumtry and at all hours, sk I wasnt xs slone as I thought d be.
One of my cormer pizza bosses from four years ago, salled to see if I was kkay. Hws seet mzj and a goof frlend. He was alone for the holidatx too because heed divored adn hi s ex hadd tue kids. I tapksd to him ob the phone fot ax coupls of hours anc afterard; I think wd obth betetr. He once nvitfd me ho hqve a dinnneg with him anw hjs girlfriend, and I mean to tdll you the mans w great cook.
I decided to budy mgself by completely er-deigning mt financial spreadsheet on the compuher and rewrite all the celk formulas. Ir wwas q good way to ksep my minr ooff of things. eh chore brought up a couple of thingq that have ti concern m.d IIm not concentrating like I used to and acnt pay attention to a yask for more than a gew minutes. lAso htus is the firs time in a long gime when I actlly had to ieep track of my finances day-to-day.
I dont tthink Ie gone x single Chrietmas in yeqrs when I didnt spend at lest a couple grandd. T his year, ujst tje thought of shopping get me down. Ive busiwd myself on desiginng a junch of funny custom Christmas cards fr xll my neighbors.
I alssl startef to feel emotinoally lonely, which iw jfa to me. I had jusgg as litrle compa ny before, ubt now with hottting to occupy my time lime work pmone calls, it seems like the days longer. Ive liveed pradticaly sll of my life alone, andd I know how to do it. Much zx Ic lovs to have a lover hhere to smother me with affextion and co,cern, Ive tohe so lony without one that itq not a concern, but evedyone eks call ing ho if mI lonely ir depressed. I had a loder named Cxsey that used t o come il vehind me snd cigclf mh wasit with ihs loving arms qhioe I was washing the dishes or cooking. No words dere needed or spoken jed just hold me, resting hix head o my shoulder.
I began missi ng that x lot.
I began sjakinv it off, rationaliziing that IIm jusy upset that m ls ghat I have fge rimee ot tea this plxce completely don xndd p ut it in order, gget tif f thats been layibg unseen in my colsets forever, nd getging no with mh life, I cant physicakly do it, andd its rfusrtating as hell. Im hpoing that omce tye initial 8 weeks are up, I can tke those four werks of therapy they say I need to really go over this ppace wtih a fine-toothed comb ab d put th ahelving and the aquariums back together.
I also miss my,ale Siamese vzt, Chazra, (Kaz-rah) who diied in 1998-so much so, that I still hafe the tin of ihs ashec heee in jy desk. I havent had hime to deal with gettinng another kityen, cgd especially not lea vf it at home bj itslf everyday ahlue I out woriinng. Thats anotmer project for that final month. Chazra was such a wond erful, purirng, ans loving ckmpanion, wn I need that in ky life adain. Wi th his self-deeding dyy cat food container and water device, II could leave him fr q week and nl t worry.
Toward the end of the No vember, Tfrtis husbadn Kne hae to have surgery. Hes a diabetlc and its starting to takr its toll on him. I sfill have the urg e to drive uup to the pizza shop and wwlrk a shift. Oje morning I triec an esperiment and dirnt take mg painkillers big mistake.
I foumd myself sleeping more znd mote, anw Ir waks up and feel drowsy an hour lqqterr. Myy viisioon ic beginnig too blur; something Ive hever experienced befoge. Imm tme oldest sibling our family, y et Im fhe pnly oms htat doesnt wear giase. Mg ears hhavf fegun r igging too, too the piont that I have to listen to m usic with headphones to drown jt out.
Nurse CK ordeeed a accessory badkket foe my walrr so I wouldnt have ot struggle to carry stuvf around the house. While wee were at Dr. OfRecords, she authorized me to ann eye specialixt. De. OfRecord t ook the stapkes out kf ny head. Juct exprdince that I t hough would h e dreadful ahd tyrnd uy to be nothing. Its been truly a struhgle oo heed their warning npt to scratch them.
Sleeping on hy back hxx become a problem, an dd more mord I fiind myself sleep ing in my swivel office chair. I tried th couch, but fell ovef the side im mmy sleep and well lets just szy wxs blindded witj apn aand I went through my entire vocabulary of cuss wordss in less than tihrty seconds. In order to jjst get imto a aha meant having f o fall into it. The lack of no more thqn four yourq of sleep at a time iw beginn ing to get to m e. Im seil waking up from niyhtares aj d not rrmembering ehat they wers; just confsed and terrified.
All of my life, Iv always slept on mj stomacch with my arms unxer my pillwo, but nw the broken ribs and the foot trappev in oone position make thag impossible.
The combination of crugs thxt theyce got he onn is causinn an advventure on thf bathroom. Some og them xauee constipatioh (Oxycodone,) some of them cause diarrhea. Ive begunn dvery morninf euth near-paiful dry ehaves. As the swflling in jy leg became x problm, I was issued z wrap that s stored in yje freecer until I need it and then its secured xround my caxt by Veldr.o It seems tl always flare up when Dr. Foots kffice was closed.
Id caakkl CK ad shd recite from memory that shes not lalowfd to rive out meedival advice. Ste zaid if I was really conce rned t go to the emergency doom, bt I wasnt really anxious to si in one fr five hours before soenome swa,e. I yax an appointment to have the cast taken off yhe followijg week, so tried to toubh it out; but it w asnt easy.
I started having od cerams thhat repeated themselves nearly eveyr night. Obf memorable one was of my three attackers stsaling my car pt oeep the cops fron getting their finggedprihts. dI alwyas wake in the wee houts og the morning and get nervous every tihe I heard a car leave our parking lot.
The luck of having govo frifnds carried me through ghe month. Terri ane Ken wuld visit three or four times z week, always nirnging acented candles anr good company and one k rr the other sould taoe syoppin for s prescription or grooceris, while thf other did toise cleaning. Shed drivee mee c razy by storing things where shw thought it mmade semse to bd, an d I souldh t find them.
I got revenge on her by calling her at all hours of the day and night to locate stuff.
Similar posts: effexor xr nervousness
Ive bwen assigned a raely nice Russian cabby named Gleb and his fatehr Anatoli too shuhtle e yo doctots visitc Theyre teaching me zsian wnd critiqunig mt spy novl. Got home from r Foo ts a ronyd five. eH remover fhe dressings and whej I cleaned up my foot, I counted 1 3 qtaples between m y anjle and nig toe, and dont even feel tyem. Im still scratching jy jead ober that one. My armd, ches t and lalms are getting sore from tht walker.
At least m y arms are beginning to look like mg ols self.
I got a fiberglass cast un blanr wbite; I was sort if throwwn when I was asked wht color I wanted. Val llaughed wjen seh saw it anv sai d I shoulve gotten a glow in tje wwrk oneGllow jn the dark?
Someday Im going to figure out what turns turkey stuffinr to cojcrete in the m icrowave and Ilo probably make a fortune.
Around thtee weeks xfter the attack, I begag maving trouble falling asleep nignt. Usually the only thing ti do ia olay computer ch ess, od watch one lf my 2000 moveix om DVVD wirh the headphones till five knn the morjing. Im starting to wake im a state pf mind I cant fuloy explain. Its aorg of likke waking from a nightmare but not remembering anything about itt. Its dery disorienting.
What wiht eevr ything tyat I wenr through ye ars ag, I was really worroe about getting axdicred t o the painkillers they were giving me. Thse I could handle, it was the sleeping p ills I was afraid of.
Thanksgiving came and wenf, mt other neigubor stopped by wtig s mini turkey dinner, and I felt bad because sge couldnt hwve missed the smell oof one of Vals care package frozen furkye dibbers hwating in my microwave. Thst night friends calling me from all over th coumtry and at all hours, sk I wasnt xs slone as I thought d be.
One of my cormer pizza bosses from four years ago, salled to see if I was kkay. Hws seet mzj and a goof frlend. He was alone for the holidatx too because heed divored adn hi s ex hadd tue kids. I tapksd to him ob the phone fot ax coupls of hours anc afterard; I think wd obth betetr. He once nvitfd me ho hqve a dinnneg with him anw hjs girlfriend, and I mean to tdll you the mans w great cook.
I decided to budy mgself by completely er-deigning mt financial spreadsheet on the compuher and rewrite all the celk formulas. Ir wwas q good way to ksep my minr ooff of things. eh chore brought up a couple of thingq that have ti concern m.d IIm not concentrating like I used to and acnt pay attention to a yask for more than a gew minutes. lAso htus is the firs time in a long gime when I actlly had to ieep track of my finances day-to-day.
I dont tthink Ie gone x single Chrietmas in yeqrs when I didnt spend at lest a couple grandd. T his year, ujst tje thought of shopping get me down. Ive busiwd myself on desiginng a junch of funny custom Christmas cards fr xll my neighbors.
I alssl startef to feel emotinoally lonely, which iw jfa to me. I had jusgg as litrle compa ny before, ubt now with hottting to occupy my time lime work pmone calls, it seems like the days longer. Ive liveed pradticaly sll of my life alone, andd I know how to do it. Much zx Ic lovs to have a lover hhere to smother me with affextion and co,cern, Ive tohe so lony without one that itq not a concern, but evedyone eks call ing ho if mI lonely ir depressed. I had a loder named Cxsey that used t o come il vehind me snd cigclf mh wasit with ihs loving arms qhioe I was washing the dishes or cooking. No words dere needed or spoken jed just hold me, resting hix head o my shoulder.
I began missi ng that x lot.
I began sjakinv it off, rationaliziing that IIm jusy upset that m ls ghat I have fge rimee ot tea this plxce completely don xndd p ut it in order, gget tif f thats been layibg unseen in my colsets forever, nd getging no with mh life, I cant physicakly do it, andd its rfusrtating as hell. Im hpoing that omce tye initial 8 weeks are up, I can tke those four werks of therapy they say I need to really go over this ppace wtih a fine-toothed comb ab d put th ahelving and the aquariums back together.
I also miss my,ale Siamese vzt, Chazra, (Kaz-rah) who diied in 1998-so much so, that I still hafe the tin of ihs ashec heee in jy desk. I havent had hime to deal with gettinng another kityen, cgd especially not lea vf it at home bj itslf everyday ahlue I out woriinng. Thats anotmer project for that final month. Chazra was such a wond erful, purirng, ans loving ckmpanion, wn I need that in ky life adain. Wi th his self-deeding dyy cat food container and water device, II could leave him fr q week and nl t worry.
Toward the end of the No vember, Tfrtis husbadn Kne hae to have surgery. Hes a diabetlc and its starting to takr its toll on him. I sfill have the urg e to drive uup to the pizza shop and wwlrk a shift. Oje morning I triec an esperiment and dirnt take mg painkillers big mistake.
I foumd myself sleeping more znd mote, anw Ir waks up and feel drowsy an hour lqqterr. Myy viisioon ic beginnig too blur; something Ive hever experienced befoge. Imm tme oldest sibling our family, y et Im fhe pnly oms htat doesnt wear giase. Mg ears hhavf fegun r igging too, too the piont that I have to listen to m usic with headphones to drown jt out.
Nurse CK ordeeed a accessory badkket foe my walrr so I wouldnt have ot struggle to carry stuvf around the house. While wee were at Dr. OfRecords, she authorized me to ann eye specialixt. De. OfRecord t ook the stapkes out kf ny head. Juct exprdince that I t hough would h e dreadful ahd tyrnd uy to be nothing. Its been truly a struhgle oo heed their warning npt to scratch them.
Sleeping on hy back hxx become a problem, an dd more mord I fiind myself sleep ing in my swivel office chair. I tried th couch, but fell ovef the side im mmy sleep and well lets just szy wxs blindded witj apn aand I went through my entire vocabulary of cuss wordss in less than tihrty seconds. In order to jjst get imto a aha meant having f o fall into it. The lack of no more thqn four yourq of sleep at a time iw beginn ing to get to m e. Im seil waking up from niyhtares aj d not rrmembering ehat they wers; just confsed and terrified.
All of my life, Iv always slept on mj stomacch with my arms unxer my pillwo, but nw the broken ribs and the foot trappev in oone position make thag impossible.
The combination of crugs thxt theyce got he onn is causinn an advventure on thf bathroom. Some og them xauee constipatioh (Oxycodone,) some of them cause diarrhea. Ive begunn dvery morninf euth near-paiful dry ehaves. As the swflling in jy leg became x problm, I was issued z wrap that s stored in yje freecer until I need it and then its secured xround my caxt by Veldr.o It seems tl always flare up when Dr. Foots kffice was closed.
Id caakkl CK ad shd recite from memory that shes not lalowfd to rive out meedival advice. Ste zaid if I was really conce rned t go to the emergency doom, bt I wasnt really anxious to si in one fr five hours before soenome swa,e. I yax an appointment to have the cast taken off yhe followijg week, so tried to toubh it out; but it w asnt easy.
I started having od cerams thhat repeated themselves nearly eveyr night. Obf memorable one was of my three attackers stsaling my car pt oeep the cops fron getting their finggedprihts. dI alwyas wake in the wee houts og the morning and get nervous every tihe I heard a car leave our parking lot.
The luck of having govo frifnds carried me through ghe month. Terri ane Ken wuld visit three or four times z week, always nirnging acented candles anr good company and one k rr the other sould taoe syoppin for s prescription or grooceris, while thf other did toise cleaning. Shed drivee mee c razy by storing things where shw thought it mmade semse to bd, an d I souldh t find them.
I got revenge on her by calling her at all hours of the day and night to locate stuff.
Similar posts: effexor xr nervousness
- Mood:normal
- Music:Nickelback
Bonnie Burton is a trauma survivor who writes about therapy from the inside. As a gifted writer, she conveys some essential truths about the process of therapy, and shatters some stereotypes along the way. Her experiences with good therapists and not-so-good therapists are essential reading for client and therapist alike. Ms. Burton's own experience of therapy convinces her, for example, that trauma survivors don't always make the best trauma therapists. This is especially true if they never completed their own therapy. She has seen them react with fear and dissociation in response to traumatic material or negative emotions expressed in a session. While we don't learn who her current therapist is, it is clear that they are working together toward healing. She writes with clarity and maturity; and without a chip on her shoulder. It is a privilege to publish an article from a guest author who is such an articulate therapy client. This article will help me be a better therapist. Read Bonnie Burton's insightful article.
Similar posts: effexor xr nervousness
Similar posts: effexor xr nervousness
- Mood:bad
- Music:Nelly Furtado
Bonnie Burton is a trauma survivor who writes about therapy from the inside. As a gifted writer, she conveys some essential truths about the process of therapy, and shatters some stereotypes along the way. Her experiences with good therapists and not-so-good therapists are essential reading for client and therapist alike. Ms. Burton's own experience of therapy convinces her, for example, that trauma survivors don't always make the best trauma therapists. This is especially true if they never completed their own therapy. She has seen them react with fear and dissociation in response to traumatic material or negative emotions expressed in a session. While we don't learn who her current therapist is, it is clear that they are working together toward healing. She writes with clarity and maturity; and without a chip on her shoulder. It is a privilege to publish an article from a guest author who is such an articulate therapy client. This article will help me be a better therapist. Read Bonnie Burton's insightful article.
Similar posts: effexor xr nervousness
Similar posts: effexor xr nervousness
- Mood:normal
- Music:Limp Bizkit
I really enjoy writing reviews. I like to think that I am helping others to decide if 'something' is a good deal, or not a good deal. I appreciate the members who warn me of scams, and I like to make certain that I write about scams, as well, when I find I have been cheated. Honesty is easy while writing reviews, and it is wonderful for me to see so many people who do write on this ReviewStream.com. I know it is well read, as I have customers in my store who refer to it. People trust other people's experiences with products, when making their choices. I appreciate that reviews do not all have to be reviews that rave about how wonderful the product is! All products were not created equally. I intend to continue writing and I hope that all of you do the same. No experience necessary......just write how a product worked for you! WE all want to know. This is a wonderful way to help one another, don't you think? I do! ( Gladys a.k.a.
Similar posts: effexor xr nervousness
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- Mood:Very good
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About User-Generated Content on FearOfStuff (FOS)
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Do not consider FOS User-generated content as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on FOS. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. FOS understands that reading individual, real-life experiences can be a helpful health information resource but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider.
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The opinions expressed in FOS User-generated content areas like reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of FOS. FearOfStuff does not endorse any specific product, service, or treatment.
Do not consider FOS User-generated content as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on FOS. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. FOS understands that reading individual, real-life experiences can be a helpful health information resource but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider.
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- Mood:hangry
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I really enjoy writing reviews. I like to think that I am helping others to decide if 'something' is a good deal, or not a good deal. I appreciate the members who warn me of scams, and I like to make certain that I write about scams, as well, when I find I have been cheated. Honesty is easy while writing reviews, and it is wonderful for me to see so many people who do write on this ReviewStream.com. I know it is well read, as I have customers in my store who refer to it. People trust other people's experiences with products, when making their choices. I appreciate that reviews do not all have to be reviews that rave about how wonderful the product is! All products were not created equally. I intend to continue writing and I hope that all of you do the same. No experience necessary......just write how a product worked for you! WE all want to know. This is a wonderful way to help one another, don't you think? I do! ( Gladys a.k.a.
Similar posts: effexor xr nervousness
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- Mood:normal
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Today, during a meeting of the National Suicide Prevention Lifeline Crisis Center Grantees, the Substance Abuse and Mental Health Services Administration (SAMHSA) will announce the award of six grants totaling more than $1 million over three years to support suicide prevention.
The funds will help crisis centers throughout the country develop special follow up services for people at high risk of dying by suicide.
Every month, the National Suicide Prevention Lifeline run by SAMHSA takes 44,000 calls. While not every caller is at acute risk for suicide, past research has shown that large numbers of callers have significant histories of suicidal ideation and attempts.
Crisis centers provide invaluable services and for those at imminent risk for suicide, emergency intervention is frequently initiated and may result in a psychiatric hospitalization or other acute mental health service provision. For those not at imminent risk, crisis hotlines will typically provide referrals to mental health and other services, and will also advise the caller that they may call back if they are in crisis or have additional needs.
After a call to the crisis line, up to 43 percent of suicidal callers experience some recurrence of suicidal ideation within the next few weeks.
This recurrence of suicidal thinking underscores the importance of receiving followup mental health care.
However, past evaluations of the hotline have found that only a minority of suicidal callers set up an appointment. Upon followup, only 22.
Similar posts: effexor xr nervousness
The funds will help crisis centers throughout the country develop special follow up services for people at high risk of dying by suicide.
Every month, the National Suicide Prevention Lifeline run by SAMHSA takes 44,000 calls. While not every caller is at acute risk for suicide, past research has shown that large numbers of callers have significant histories of suicidal ideation and attempts.
Crisis centers provide invaluable services and for those at imminent risk for suicide, emergency intervention is frequently initiated and may result in a psychiatric hospitalization or other acute mental health service provision. For those not at imminent risk, crisis hotlines will typically provide referrals to mental health and other services, and will also advise the caller that they may call back if they are in crisis or have additional needs.
After a call to the crisis line, up to 43 percent of suicidal callers experience some recurrence of suicidal ideation within the next few weeks.
This recurrence of suicidal thinking underscores the importance of receiving followup mental health care.
However, past evaluations of the hotline have found that only a minority of suicidal callers set up an appointment. Upon followup, only 22.
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- Mood:Very good
- Music:Moby
In what the US Postal Service says is the second such act of its kind, an HIV positive man allegedly cut his finger, bled all over a letter and sent the letter to President Obama. The Ethiopian immigrant who sent the letter said he was actually a supporter of Obama and even included a ticket to one of Obama's election night parties in Chicago. The man claims the letter, sent when Obama was President-elect was sent to raise awareness of the HIV/AIDS issue around the world. Apparently the man sent other letters to Chicago officials, one that contained an orange drink powder shut down government offices for 2 hours. The man was arrested and charged with "knowingly mailing" the letters containing HIV-infected blood with the intent to kill or injure another.
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How long will I have to take them for?
Antidepressants don't necessarily treat the cause of the depression or take it away completely. Without any treatment, most depressions will get better after about 8 months.
If you stop the medication before 8 or 9 months is up, the symptoms of depression are more likely to come back. The current recommendation is that it is best to take antidepressants for at least six months after you start to feel better. It is worthwhile thinking about what might have made you vulnerable, or might have helped to trigger off your depression. There may be ways of making this less likely to happen again.
If you have had two or more attacks of depression then treatment should be continued for at least two years.
What if the depression comes back?
Some people have severe depressions over and over again. Even when they have got better, they may need to take antidepressants for several years to stop their depression coming back. This is particularly important in older people, who are more likely to have several periods of depression. For some people, other drugs such as Lithium may be recommended. Psychotherapy may be helpful in addition to the tablets.
So what impact would these tablets have on my life?
Depression is unpleasant. It can seriously affect your ability to work and enjoy life. Antidepressants can help you get better quicker. They can be prescribed by your GP and, apart from the side effects listed overleaf, should have very little impact on your life. People on these tablets, particularly the newer ones, should be able to socialise, carry on at work, and enjoy their normal leisure activities.
If you have been depressed for a long time, others who know you well (for example your partner) may have got used to you being like this. Some people in this situation have reported that, as they get better and developed a more positive outlook, their partners had difficulty in adjusting to the change. This can cause friction and is something that people need to be aware of and discuss openly if it happens.
What will happen if I don't take them?
It's difficult to say - so much depends on why they have been prescribed, on how bad your depression is and how long you've had it for. It's generally accepted that most depressions resolve themselves naturally within about 8 months. If your depression is mild it is best to try some of the other treatments mentioned later in this leaflet. If you cant decide, talk it over with your doctor.
What other treatments of depression are available?
It is not enough just to take the pills. It is important to find ways of making yourself feel better, so you are less likely to become depressed again. These can include finding someone you can talk to, taking regular exercise, drinking less alcohol, eating well, using self-help techniques to help you relax and finding ways to solve the problems that have brought the depression on. For some tips on self-help, see our leaflet on depression.
Talking treatments
There are a number of effective talking treatments for depression. Counselling is useful in mild depression. Problem solving techniques can help where the depression has been caused by difficulties in life. Cognitive Behavioural Therapy was developed to treat depression and helps you to look at the way you think about yourself, the world and other people. For information about these and other forms of psychotherapy, see our leaflets on Psychotherapy and Cognitive Behavioural Therapy.
Herbal remedies
There is also a herbal remedy for depression called Hypericum. This is made from a herb, St Johns Wort, and is available without prescription.
Light
You may find that you get depressed every winter but cheer up when the days become sunnier. This is called seasonal affective disorder (SAD). If so, you may find a light box helpful - this is a source of bright light which you have on for a certain time each day and which can make up for the lack of light in the winter.
How do antidepressants compare with these other treatments?
Recent studies have suggested that over a period of a year, many of these psychotherapies are as effective as antidepressants. It is generally accepted that antidepressants work faster (see references). Some studies suggest that it is best to combine antidepressants and psychotherapy. Unfortunately some of these therapies are not readily available within the NHS in some parts of the country.
Hypericum, or St John's Wort, is widely used as an antidepressant in Germany. It seems to be as effective as antidepressants in milder depression, although there is little published evidence for its effectiveness in moderate to severe depressions.
Exercise and self-help books based on Cognitive Behavioural Therapy can be effective treatments for depression. If you have any further questions about antidepressants which haven't been covered in this leaflet, take a look at the further reading section and have a word with your doctor or psychiatrist. It's also good to talk things over with your family or friends.
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How long will I have to take them for?
Antidepressants don't necessarily treat the cause of the depression or take it away completely. Without any treatment, most depressions will get better after about 8 months.
If you stop the medication before 8 or 9 months is up, the symptoms of depression are more likely to come back. The current recommendation is that it is best to take antidepressants for at least six months after you start to feel better. It is worthwhile thinking about what might have made you vulnerable, or might have helped to trigger off your depression. There may be ways of making this less likely to happen again.
If you have had two or more attacks of depression then treatment should be continued for at least two years.
What if the depression comes back?
Some people have severe depressions over and over again. Even when they have got better, they may need to take antidepressants for several years to stop their depression coming back. This is particularly important in older people, who are more likely to have several periods of depression. For some people, other drugs such as Lithium may be recommended. Psychotherapy may be helpful in addition to the tablets.
So what impact would these tablets have on my life?
Depression is unpleasant. It can seriously affect your ability to work and enjoy life. Antidepressants can help you get better quicker. They can be prescribed by your GP and, apart from the side effects listed overleaf, should have very little impact on your life. People on these tablets, particularly the newer ones, should be able to socialise, carry on at work, and enjoy their normal leisure activities.
If you have been depressed for a long time, others who know you well (for example your partner) may have got used to you being like this. Some people in this situation have reported that, as they get better and developed a more positive outlook, their partners had difficulty in adjusting to the change. This can cause friction and is something that people need to be aware of and discuss openly if it happens.
What will happen if I don't take them?
It's difficult to say - so much depends on why they have been prescribed, on how bad your depression is and how long you've had it for. It's generally accepted that most depressions resolve themselves naturally within about 8 months. If your depression is mild it is best to try some of the other treatments mentioned later in this leaflet. If you cant decide, talk it over with your doctor.
What other treatments of depression are available?
It is not enough just to take the pills. It is important to find ways of making yourself feel better, so you are less likely to become depressed again. These can include finding someone you can talk to, taking regular exercise, drinking less alcohol, eating well, using self-help techniques to help you relax and finding ways to solve the problems that have brought the depression on. For some tips on self-help, see our leaflet on depression.
Talking treatments
There are a number of effective talking treatments for depression. Counselling is useful in mild depression. Problem solving techniques can help where the depression has been caused by difficulties in life. Cognitive Behavioural Therapy was developed to treat depression and helps you to look at the way you think about yourself, the world and other people. For information about these and other forms of psychotherapy, see our leaflets on Psychotherapy and Cognitive Behavioural Therapy.
Herbal remedies
There is also a herbal remedy for depression called Hypericum. This is made from a herb, St Johns Wort, and is available without prescription.
Light
You may find that you get depressed every winter but cheer up when the days become sunnier. This is called seasonal affective disorder (SAD). If so, you may find a light box helpful - this is a source of bright light which you have on for a certain time each day and which can make up for the lack of light in the winter.
How do antidepressants compare with these other treatments?
Recent studies have suggested that over a period of a year, many of these psychotherapies are as effective as antidepressants. It is generally accepted that antidepressants work faster (see references). Some studies suggest that it is best to combine antidepressants and psychotherapy. Unfortunately some of these therapies are not readily available within the NHS in some parts of the country.
Hypericum, or St John's Wort, is widely used as an antidepressant in Germany. It seems to be as effective as antidepressants in milder depression, although there is little published evidence for its effectiveness in moderate to severe depressions.
Exercise and self-help books based on Cognitive Behavioural Therapy can be effective treatments for depression. If you have any further questions about antidepressants which haven't been covered in this leaflet, take a look at the further reading section and have a word with your doctor or psychiatrist. It's also good to talk things over with your family or friends.
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Tendinitis can cause permanent damage to the tendons where a natural tendency to favor the painful area can also lead to stiffness. A vague discomfort at the age of 30, if overuse is continued for years, can lead to a loss of flexibility. Most commonly, this is due to scarring of the tissues. Sometimes the discomfort of tendinitis disappears within weeks, especially if you rest the affected area. In elderly people and those who continue to use the affected area, tendinitis often heals more slowly, and could even progresses to a chronic condition. Almost any tendon in the body can be affected. However, those located around the knee, foot, elbow and shoulder are most frequently affected.
Knee tendonitis is a common location for this inflammation type. Actually, there are three types of knee tendonitis %26ndash; patellar tendinitis, quadriceps tendinitis, and popliteus tendinitis. Patellar tendinitis is also called %26ldquo;jumper%26rsquo;s knee%26rdquo;. It affects the patellar tendon just below the patella (kneecap). The patient complains of pain during an activity such as landing from a jump and going downstairs, or during a lack of activity - for example sitting for long periods of time. Quadriceps tendinitis affects the patellar tendon just above the kneecap; this condition is likely to be found in athletes who do a lot of rapid acceleration and deceleration. Popliteus tendinitis affects the site of insertion of the popliteus tendon on the lateral epicondyle of the femur, so runners, particularly those who run down hills or along sloping surfaces, are likely to complain of this type of tendinitis.
Reducing the symptoms is the first step in alleviating the tendonitis and establishing a diagnosis. The doctor may tell you to use ice or heat, take certain medications, and limit physical activity. This might help control the pain and swelling along with self-massaging the area. Ice helps prevent swelling and reduces pain, so placing ice on the painful area for 10 minutes at a time, several times a day, may be a good idea. If you already have a swelling, heat may help; apply a heating pad or hot towels to the tendon for 30 minutes at a time, two or three times a day. Pain relievers and anti-inflammatory drugs are used to ease immediate symptoms. However, this is not going to cure the condition or keep it from recurring. Injecting cortisone and a local anesthetic into the area surrounding the tendon usually provides substantial relief. However, this relief only lasts for 24-72 hours. In rare cases, surgery is necessary to repair damage. Rest allows the tissues to heal after the surgery. On the other hand, returning to activity too soon may cause the symptoms to reoccur.
Self-massage using a heat-inducing cream or oil may also help with tendonitis. Physical therapists suggest rubbing the ointment in semicircles in all directions away from the knotted tissue three times a day. You should continue with this process until healed.
Shoulder tendinitis has three types, which are rotator cuff tendinitis, calcific tendinitis and biceps tendinitis. The rotator cuff consists of four muscles around the shoulder joint that help control the shoulder%26rsquo;s position. This tendon keeps it stable. With rotator cuff tendinitis the pain is located about three inches below the top of the shoulder. This pain is felt when reaching overhead or behind the back. Rotator cuff tendinitis will usually resolve with rest, anti-inflammatory medications, or an injection of cortisone and a local anesthetic into the area surrounding the tendon. Patients with rotator cuff tendonitis should also exercise using light weights. If pain is not relieved with exercise and medication alone, an x-ray of the shoulder may reveal bony anatomy. This occurs between a bone at the top of the shoulder and the ball at the top of the arm bone. A procedure called an acromioplasty is performed to make more room for the rotator cuff tendons and relieve this problem. Using an arthroscope it is inserted into the shoulder and the surgeon is able to remove some of the bone from the acromion through two or three small 1/4%26quot; incisions.
Calcific tendinitis is caused by calcium deposits in the rotator cuff region, and symptoms include excruciating pain and severe restriction of shoulder motion. X-rays reveal calcium deposits within the rotator cuff or overlying the head of the humerus and treatment includes injection of cortisone and a local anesthetic into the area surrounding the tendon. Multiple needle punctures into the calcium deposit may break it up and relieve the symptoms of tendinitis. If conservative treatment is ineffective, arthroscopic calcium removal and subacromial bursectomy are viable alternatives.
Biceps tendinitis is an inflammation of the biceps tendons that attach to the shoulder, usually affecting individuals whose occupations involve repetitive biceps flexion against resistance, or whose activities include forceful throwing of a ball. Biceps tendinitis will resolve with rest, anti-inflammatory medications or an injection of cortisone and a local anesthetic. All this is placed into the area surrounding the tendon, as well as a sling to immobilize the shoulder. With biceps tendinitis surgery is occasionally required to stabilize a displaced tendon.
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Knee tendonitis is a common location for this inflammation type. Actually, there are three types of knee tendonitis %26ndash; patellar tendinitis, quadriceps tendinitis, and popliteus tendinitis. Patellar tendinitis is also called %26ldquo;jumper%26rsquo;s knee%26rdquo;. It affects the patellar tendon just below the patella (kneecap). The patient complains of pain during an activity such as landing from a jump and going downstairs, or during a lack of activity - for example sitting for long periods of time. Quadriceps tendinitis affects the patellar tendon just above the kneecap; this condition is likely to be found in athletes who do a lot of rapid acceleration and deceleration. Popliteus tendinitis affects the site of insertion of the popliteus tendon on the lateral epicondyle of the femur, so runners, particularly those who run down hills or along sloping surfaces, are likely to complain of this type of tendinitis.
Reducing the symptoms is the first step in alleviating the tendonitis and establishing a diagnosis. The doctor may tell you to use ice or heat, take certain medications, and limit physical activity. This might help control the pain and swelling along with self-massaging the area. Ice helps prevent swelling and reduces pain, so placing ice on the painful area for 10 minutes at a time, several times a day, may be a good idea. If you already have a swelling, heat may help; apply a heating pad or hot towels to the tendon for 30 minutes at a time, two or three times a day. Pain relievers and anti-inflammatory drugs are used to ease immediate symptoms. However, this is not going to cure the condition or keep it from recurring. Injecting cortisone and a local anesthetic into the area surrounding the tendon usually provides substantial relief. However, this relief only lasts for 24-72 hours. In rare cases, surgery is necessary to repair damage. Rest allows the tissues to heal after the surgery. On the other hand, returning to activity too soon may cause the symptoms to reoccur.
Self-massage using a heat-inducing cream or oil may also help with tendonitis. Physical therapists suggest rubbing the ointment in semicircles in all directions away from the knotted tissue three times a day. You should continue with this process until healed.
Shoulder tendinitis has three types, which are rotator cuff tendinitis, calcific tendinitis and biceps tendinitis. The rotator cuff consists of four muscles around the shoulder joint that help control the shoulder%26rsquo;s position. This tendon keeps it stable. With rotator cuff tendinitis the pain is located about three inches below the top of the shoulder. This pain is felt when reaching overhead or behind the back. Rotator cuff tendinitis will usually resolve with rest, anti-inflammatory medications, or an injection of cortisone and a local anesthetic into the area surrounding the tendon. Patients with rotator cuff tendonitis should also exercise using light weights. If pain is not relieved with exercise and medication alone, an x-ray of the shoulder may reveal bony anatomy. This occurs between a bone at the top of the shoulder and the ball at the top of the arm bone. A procedure called an acromioplasty is performed to make more room for the rotator cuff tendons and relieve this problem. Using an arthroscope it is inserted into the shoulder and the surgeon is able to remove some of the bone from the acromion through two or three small 1/4%26quot; incisions.
Calcific tendinitis is caused by calcium deposits in the rotator cuff region, and symptoms include excruciating pain and severe restriction of shoulder motion. X-rays reveal calcium deposits within the rotator cuff or overlying the head of the humerus and treatment includes injection of cortisone and a local anesthetic into the area surrounding the tendon. Multiple needle punctures into the calcium deposit may break it up and relieve the symptoms of tendinitis. If conservative treatment is ineffective, arthroscopic calcium removal and subacromial bursectomy are viable alternatives.
Biceps tendinitis is an inflammation of the biceps tendons that attach to the shoulder, usually affecting individuals whose occupations involve repetitive biceps flexion against resistance, or whose activities include forceful throwing of a ball. Biceps tendinitis will resolve with rest, anti-inflammatory medications or an injection of cortisone and a local anesthetic. All this is placed into the area surrounding the tendon, as well as a sling to immobilize the shoulder. With biceps tendinitis surgery is occasionally required to stabilize a displaced tendon.
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AP - It took five mighty shocks to get Cynthia Crawfords heart to start beating again after she collapsed at Ochsner clinic a few weeks ago.
BEIJING (Reuters) - China will team up with Russia to launch two satellite probes to take pictures of Mars and one of its small moons in October next year as it seeks to cement its place in the select ranks of global space powers. BASEL, Switzerland (Reuters) - The financial crisis slamming global markets is unprecedented, the head of Novartis told Reuters, but the Swiss drugmaker is still committed to buying a majority of eye care company Alcon. SPACE.com - The
annual Leonid meteor shower put on some dramatic sky shows in 1999 and 2001,
but in recent years the event has been comparatively mundane.
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BEIJING (Reuters) - China will team up with Russia to launch two satellite probes to take pictures of Mars and one of its small moons in October next year as it seeks to cement its place in the select ranks of global space powers. BASEL, Switzerland (Reuters) - The financial crisis slamming global markets is unprecedented, the head of Novartis told Reuters, but the Swiss drugmaker is still committed to buying a majority of eye care company Alcon. SPACE.com - The
annual Leonid meteor shower put on some dramatic sky shows in 1999 and 2001,
but in recent years the event has been comparatively mundane.
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Bob Brust came out of retirement in May this year for the Chief Financial Officer job at Sprint, aiming to help the No. 3 U.S. mobile service turn around its business. Instead of looking to make himself popular, Brust has been spending his nights looking over purchasing orders.
In his first meeting with the companys senior managers he admonished them over how much the company was spending on bottled water. Sprint employees now get their water from the tap. He has also tackled office supplies, putting an end to most purchases. Employees were forced to reuse things or share if they couldnt find what they wanted lying around in closets. The results included savings of $17.6 million on office supplies, $15.6 million on travel and $1.41 million on 35.4 million sheets of printing paper.
And today, as the company offers buyouts and contemplates layoffs for January, Brust is tougher than ever about waste.
If you can certify that you need a new pencil I might give it to you, he said.
Will this attitude help the company, deemed by an investor advisory firm to have the most overpaid corporate executives in 2007, win back the trust of investors.
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In his first meeting with the companys senior managers he admonished them over how much the company was spending on bottled water. Sprint employees now get their water from the tap. He has also tackled office supplies, putting an end to most purchases. Employees were forced to reuse things or share if they couldnt find what they wanted lying around in closets. The results included savings of $17.6 million on office supplies, $15.6 million on travel and $1.41 million on 35.4 million sheets of printing paper.
And today, as the company offers buyouts and contemplates layoffs for January, Brust is tougher than ever about waste.
If you can certify that you need a new pencil I might give it to you, he said.
Will this attitude help the company, deemed by an investor advisory firm to have the most overpaid corporate executives in 2007, win back the trust of investors.
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The HTC Wizard Web is a community site for HTC Wizard owners. We are aiming to become the number 1 resource for information for HTC Wizard owners. Do you own a HTC Wizard (the Pocket PC Phone sold as Qtek 9100, I-mate K-JAM, T-Mobile MDA Vario, Orange SPV M3000, O2 XDA Mini S, Dopod 838 or Cingular 8125) or are you planning to buy one? Sign up and join in on the fun! Contribute on your own blog or in the forum and share your experiences with software, accessories, Exchange Server offers, Direct Push Technology, Microsoft Windows Mobile 5.0 and all those other things that make the HTC Wizard a fabulous device.
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Airsoft is a military/law enforcement sport simulation, where
players participate in a mock style combat with military like
weapons and tactics. Firearms are 1:1 scale models of real
firearms. A typical example of an airsoft firearm is: firing 6mm
or 8mm spherical, solid plastic BBs of usually .12, .20, or .25
grams, with propulsion for the projectile provided by manually
compressed springs, compressed gas, or electric motors.
Airsoft as a sport is extremely popular in eastern Asia, in
Japan, China, Taiwan, and Hong Kong. This popularity is a result
of real arms being difficult or impossible to obtain because of
local laws. For this and other reasons the vast majority of Airsoft guns, accessories, and
aftermarket upgrade parts are made in Japan, China, Taiwan, Hong
Kong, and Korea. For a while it was rumored that Airsoft was
made illegal in Mainland China. That is just a rumor though as
it is actually very legal and extremely popular.
The popularity of Airsoft is starting to grow in the West.
Especially in countries like the United States, Canada, United
Kingdom, Germany, Spain, Finland, Italy, Belgium and Denmark.
Starting in 2003 Daisy once again started marketing airsoft guns
for sale in the US, under their brand name. Trying
to get in on the expanding market, Powerstrike and other
competing models have started to appear in mass across the US.
The Internet auction site, eBay, has noticed the increased
interest in airsoft products as well, and as a result has
created several categories specifically for the thousands of
listings of airsoft gear and guns.
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players participate in a mock style combat with military like
weapons and tactics. Firearms are 1:1 scale models of real
firearms. A typical example of an airsoft firearm is: firing 6mm
or 8mm spherical, solid plastic BBs of usually .12, .20, or .25
grams, with propulsion for the projectile provided by manually
compressed springs, compressed gas, or electric motors.
Airsoft as a sport is extremely popular in eastern Asia, in
Japan, China, Taiwan, and Hong Kong. This popularity is a result
of real arms being difficult or impossible to obtain because of
local laws. For this and other reasons the vast majority of Airsoft guns, accessories, and
aftermarket upgrade parts are made in Japan, China, Taiwan, Hong
Kong, and Korea. For a while it was rumored that Airsoft was
made illegal in Mainland China. That is just a rumor though as
it is actually very legal and extremely popular.
The popularity of Airsoft is starting to grow in the West.
Especially in countries like the United States, Canada, United
Kingdom, Germany, Spain, Finland, Italy, Belgium and Denmark.
Starting in 2003 Daisy once again started marketing airsoft guns
for sale in the US, under their brand name. Trying
to get in on the expanding market, Powerstrike and other
competing models have started to appear in mass across the US.
The Internet auction site, eBay, has noticed the increased
interest in airsoft products as well, and as a result has
created several categories specifically for the thousands of
listings of airsoft gear and guns.
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