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The intended use is as an educational aid and does not cover all possible uses generic ciplox 500 mg visa, actions 500 mg ciplox fast delivery, precautions discount ciplox 500 mg otc, side effects, or interactions of any of these medications. This information is not intended as medical advice for individual problems or for making an evaluation as to the risks and benefits of taking a particular drug. The information here should not be used as a substitute for a consultation or visit with your family physician or other health care provider. We bring personal stories of what life is like living with a mental illness. Our goal is to let others facing similar challenges know they are not alone in their feelings and experiences. In the second half of the show, we open it up to you, our viewers. Croft your personal questions about anything you wish concerning mental health. Croft will give you an easy-to-understand straight answer. The show airs live on Tuesday evenings at 8:30p ET, 7:30 CT, 5:30p PT. You can watch the show from the player on the TV Show homepage. If you happen to miss the live show, simply click on the word "on-demand" at the bottom of the player and select the recorded version of the show. If you have a blog or website and would like to embed the player on your page, click the word "embed" and you can obtain the embed code for the player. At the first of each month, our producer, Josh Nowitz, will be posting a list of the topics that will be discussed on the show. If you are interested in being a guest on the show, drop Josh an email (producer AT healthyplace. We interview all our guests remotely, so of course, you must have a webcam. We also have other ways of participating in the show. Question for our guest: During the interview, Ruth will mention that we are now taking questions for our guest. All you have to do is type your question on the chat screen. Croft: You can email your question to our producer by Monday at 5 p. We will also be taking a few questions through the chat screen. Make a Video: We want to personally encourage you to participate in the show. So many people will benefit by what you have to say. Each week, after Ruth finishes interviewing our guest, we will run a 2-3 minute video of viewers talking about their personal experiences with the subject matter we are discussing on the show that week. We need the video by the Sunday before the Tuesday show so we have enough time to edit the clips together. The HealthyPlace TV Show tagline is: "Real People, Real Stories, Real Hope. Feel free to email Josh anytime with your suggestions, concerns, well wishes or comments. A lot of work goes into putting on a good television show each week. The key people associated with The HealthyPlace TV Show are:Dr. Army Medical Corps from 1973-1976, when he received the U. Croft has been educating the public about mental health on television and radio for many years. He appeared on evening TV newscasts for over 17 years with his national award-winning mental health feature: "The Mind is Powerful Medicine. She is a true Texan and proud to say she is born and raised in San Antonio. While working for a large, San Antonio-based financial services company for many years, she knew it was time to call it quits and pursue her childhood dream of working in the television broadcast industry. After a lot of struggling and late nights, she was able to obtain her degree in Television Broadcasting from Our Lady of the Lake University. At the University, she was instrumental in reviving the television station, KOLL-TV, where she served as anchor and reporter. During college, she interned at KSAT-12, an ABC affiliate and the Guadalupe Radio Network, a non-profit organization. In addition to educating viewers about the different facets of living with a mental illness, I want to let them know they are not alone with their feelings and experiences. And in some small way, if the show helps reduce the stigma surrounding mental health, I think that would be a great thing. She also enjoys reading, exercising (when she has the time) and online shopping. To access the private area of this site, please log in. We provide authoritative information and support to people with mental health concerns, along with their family members and other loved ones. One in five Americans has some form of mental illness in any given six months. That means between 30 million and 45 million people, possibly your friends, family members and co-workers, suffer from symptoms that cause distress in their lives, but that can be effectively treated. With the proper information, you can find out what you, a loved one or friend is dealing with, and then make the appropriate choices. And with the proper support, you can weather the ups and downs of life and move forward to a positive spot that you feel good about. This special section on treating bipolar disorder provides an in-depth look at all aspects of treating bipolar disorder.

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The DSM IV-TR 500mg ciplox fast delivery, the bible of mental health disorders order ciplox discount, does not regard abusive behaviours as one of the criteria of NPD buy ciplox on line amex. It does, however, mention the precursors of abuse: exploitativeness, an exaggerated sense of entitlement and, above all, a lack of empathy. So, I think it is safe to say that abuse does characterise the behaviour of narcissists. Narcissists are terrified of intimacy because they are afraid of being exposed as frauds (the False Self) or of being hurt (especially the borderline narcissists). So, they cope either by exerting minute control over their nearest and dearest - or by being emotionally absent. There are numerous abuse strategies and they are detailed here. David: Many of the visitors to are, unfortunately, very familiar with "abuse. Vaknin: Sexual and psychological abuse are subsumed by narcissistic abuse. The narcissist abuses his spouse, children, friends, colleagues, and just about everyone else in whichever way possible. There are three important categories of abuse:Overt Abuse - The open and explicit abuse of another person. Covert or Controlling AbuseAbuse in response to perceived loss of controlThere are many types of abuse: Unpredictability, Disproportional Reactions, Dehumanization and Objectification, Abuse of Information, Impossible Situations, Control by Proxy, Ambient Abuse. David: What, then, can the other person in this relationship expect from the narcissist? Vaknin: The narcissist regards the "significant other" as one would regard an instrument or implement. It is the source of his narcissistic supply, his extension, a mirror, an echo chamber, the symbiont. In short, the narcissist is never complete without his spouse or mate. The spouse (or mate, or love, or friend, or child, or colleague) of the narcissist is supposed to supply the narcissist with his drug by adoring him, admiring him, paying attention to him, providing him with adulation, or affirmation and so on. This often requires self-denial as well as a denial of reality. It is a dance macabre in which both parties collaborate in a kind of mass psychosis. David: So, if you are the victim of the narcissist, what kind of life can you look forward to? Vaknin: You will be required to deny your self: your hopes, your dreams, your fears, your aspirations, your sexual needs, your emotional needs, and sometimes your material needs. Most victims feel that they are going crazy or that they are guilty of something obscure, opaque, and ominous. It is Kafkaesque: an endless, on-going trial without clear laws, known procedures, and identified judges. Generally speaking, there are two broad categories of partners of narcissists. One category consists of healthy people, with a stable sense of self worth, with self-esteem, professional and emotional independence, and a life, even without the narcissist. The second category consists of co-dependendents of a specific type, which I call "Inverted Narcissists" (FAQ 66). These are people who derive their sense of self worth from the narcissist, vicariously, by proxy as it were. They maintain a symbiotic relationship with the narcissist and mirror him by negation - by being submissive, sacrificial, caring, empathic, dependent, available, self-negation (in order to aggrandize him)David: The FAQs (frequently asked questions) Dr. Vaknin: It depends what is the source of the weakness. If it is objective - money matters, for instance - it is relatively easy to solve. But if the dependence is emotional, it is very difficult because the relationship with the narcissist caters to very deep-set, imprinted, emotional needs and landscape of the partner. The partner perceives the relationship as gratifying, colourful, fascinating, unique, promising. It is a combination of adrenaline-rush and Land of Oz fantasy. Only professional intervention can tackle real co-dependence. Having said that, the most important thing is to provide an emotional alternative by being a real friend: understanding, supportive, insightful, and non-addictive (i. It is a long, arduous process with uncertain outcomes. David: Your answer then brings us to this question:kodibear: If the abuser is a narcissist, how do we get away permanently? It is far more difficult to get rid of the narcissist. There are two types: the vindictive narcissist and the unstable narcissist. The vindictive narcissist regards you as an extension of himself. Your express wish to leave is a major narcissistic injury. Such narcissists at first devalue the sources of their pain ("sour grapes" syndrome) - "She is no good, anyhow. Now I can do what I really wanted and be who I really am, and so on. If you are such defective merchandise - how do you dare desert him? So, he sets out to "fix" the situation but trying to "amend" the relationship (often by stalking, harrassing) or by trying to "punish" you for having humiliated him (thus restoring his sense of omnipotence). The second type, the unstable narcissist, is much more benign. He simply moves on once he is convinced that you will never provide him with narcissistic supply.

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Obvious signs of physical abuse are often physical in nature buy ciplox 500 mg amex. These may include:Restraint or grip markingsUnusual pattern of injury cheap 500mg ciplox fast delivery; repeated trips to the emergency roomAnd while these signs of physical abuse may seem obvious generic ciplox 500mg overnight delivery, most victims will try to cover them up so as to hide the abuse due to fear of the abuser or shame about the abuse. While physical violence is never okay, and physical abuse is never the fault of the victim, many victims feel the abuse is their fault. While not strictly physical, many behavioural patterns can also be signs of physical abuse. However, if physical abuse is truly suspected, local authorities should be alerted by contacting the police or your county social services agency. Characterized by a pattern of dominance and control in an intimate relationship, all types of domestic abuse occurs in every imaginable societal and cultural sector. People just like you???from all across the cultural spectrum???can find themselves at risk of sliding into the dangerous cycle of violence in the home. From the most opulent penthouse luxury apartment to private homes in gated communities to urban projects and rural homesteads, the many types of domestic abuse visit upon victims without discrimination. Learn about the four general types of domestic violence:Physical Domestic Violence ??? Intentional use of force to cause injury or harm. Physical violence may involve weapon use or the abuser may simply use his larger physical size and strength to cause the harm. Examples of physical domestic abuse include: punching, whipping, biting, choking, restraining (More information on physical abuse )Sexual Domestic Violence ??? In addition to the act of forcing an unwilling partner to engage in sex, sexual domestic violence includes forcibly having sex with someone who cannot refuse due to illness, disability, influence of drugs, or fear of retaliation. An abusive partner may force his victim to engage in sex acts that are offensive to her (i. Withholding information or giving false information, for the purpose of causing psychological pain and suffering, also constitutes emotional abuse. Multiple research studies show that the types of domestic violence present in a family environment tend to worsen and intensify over time. Staying in an abusive environment not only causes devastating harm to the immediate victim, but also seriously affects children who witness the abuse even if they never experience it firsthand. Learn to recognize the types of domestic abuse and speak out for yourself and others who you feel may be in an abusive situation. Learning to recognize the signs of domestic violence represents the first step toward getting help for yourself or someone you know. Every relationship has its challenges and the majority of couples argue once in a while, but domestic abuse goes beyond the typical problems of those in intimate relationships. You can learn to recognize abusive patterns in relationships by familiarizing yourself with the warning signs of domestic abuse. These signs of domestic abuse point to probable psychological and emotional abuse. The victim may experience physical violence as well, even if you cannot see any visible signs like bruises. Verbal cruelty ??? perpetrator verbally abuses and berates his or her intimate partner. Domestic abusers frequently use obscene language targeting the victim. If your partner escalates to name-calling and put-downs during normal disagreements, this could indicate a pattern of abuse that may intensify if left unchecked. Physical and Emotional Control ??? Abusers do not allow their partners to enjoy the independence that other adults have over their lives. This extreme control may manifest through displays of extreme jealousy and possessiveness, or threats and coerciveness. This represents just one scenario in a multitude of ways abusers exert tremendous control over their victims. Lack of Respect (publicly, privately, or both) ??? Abusers often belittle or nullify the opinions of their victims. Many abusers are very careful to mask abuse as diminutive affection or protectiveness in public settings. The abuser may make unilateral decisions about important issues that affect both people in the relationship without consulting his or her spouse. Fear and Anxiety ??? Victims of domestic violence and abuse often live in fear of their partners. Although they may tell friends and family that everything is fine, they often seem overly anxious when their partner is around, or may exhibit visible signs of fear (i. Signs of domestic violence often show up as visible injuries on victims. Read these examples of both visible signs of violence and other non-visible indicators. Bruises or injuries that appear to result from choking, punching, or from an object, such as a belt or similar item. Attempt to cover up bruises with heavy makeup or with clothing. The person may wear long sleeve t-shirts or a jacket in the heat of summer. Victims often attempt to cover bruises with heavy makeup on the face, neck or arms. Victim comes up with unlikely excuses for how they obtained bruises or injuries. Frequently, their stories seem inconsistent with their injuries. They may say they tripped and fell, which caused their black eye. Victim has few or no friends outside of the primary relationship. Victims of domestic violence and abuse often live isolated lives, cut off from the healthy social network most adults enjoy.

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Gastric lavage (after intubation purchase ciplox with visa, if patient is unconscious) and administration of activated charcoal together with a laxative should be considered ciplox 500mg lowest price. The possibility of obtundation purchase ciplox uk, seizures, or dystonic reaction of the head and neck following overdose may create a risk of aspiration with induced emesis. Cardiovascular monitoring should commence immediately and should include continuous electrocardiographic monitoring to detect possible arrhythmias. Therefore, appropriate supportive measures should be initiated. Hypotension and circulatory collapse should be treated with appropriate measures such as intravenous fluids and/or sympathomimetic agents. Symptoms of overdose may include drowsiness and slurred speech. Other symptoms may include may include somnolence, mydriasis, blurred vision, respiratory depression, hypotension, and possible extrapyramidal disturbances. Usual Dose -- Oral olanzapine should be administered on a once-a-day schedule without regard to meals, generally beginning with 5 to 10 mg initially, with a target dose of 10 mg/day within several days. Further dosage adjustments, if indicated, should generally occur at intervals of not less than 1 week, since steady state for olanzapine would not be achieved for approximately 1 week in the typical patient. When dosage adjustments are necessary, dose increments/decrements of 5 mg QD are recommended. Efficacy in schizophrenia was demonstrated in a dose range of 10 to 15 mg/day in clinical trials. However, doses above 10 mg/day were not demonstrated to be more efficacious than the 10 mg/day dose. An increase to a dose greater than the target dose of 10 mg/day (i. The safety of doses above 20 mg/day has not been evaluated in clinical trials. Dosing in Special Populations -- The recommended starting dose is 5 mg in patients who are debilitated, who have a predisposition to hypotensive reactions, who otherwise exhibit a combination of factors that may result in slower metabolism of olanzapine (e. When indicated, dose escalation should be performed with caution in these patients. Maintenance Treatment -- While there is no body of evidence available to answer the question of how long the patient treated with olanzapine should remain on it, the effectiveness of oral olanzapine, 10 mg/day to 20 mg/day, in maintaining treatment response in schizophrenic patients who had been stable on ZYPREXA for approximately 8 weeks and were then followed for a period of up to 8 months has been demonstrated in a placebo-controlled trial ( see CLINICAL PHARMACOLOGY ). Patients should be periodically reassessed to determine the need for maintenance treatment with appropriate dose. Usual Monotherapy Dose -- Oral olanzapine should be administered on a once-a-day schedule without regard to meals, generally beginning with 10 or 15 mg. Dosage adjustments, if indicated, should generally occur at intervals of not less than 24 hours, reflecting the procedures in the placebo-controlled trials. When dosage adjustments are necessary, dose increments/decrements of 5 mg QD are recommended. Short-term (3-4 weeks) antimanic efficacy was demonstrated in a dose range of 5 mg to 20 mg/day in clinical trials. The safety of doses above 20 mg/day has not been evaluated in clinical trials. Maintenance Monotherapy -- The benefit of maintaining bipolar patients on monotherapy with oral ZYPREXA at a dose of 5 to 20 mg/day, after achieving a responder status for an average duration of two weeks, was demonstrated in a controlled trial ( see Clinical Efficacy Data under CLINICAL PHARMACOLOGY ). The physician who elects to use ZYPREXA for extended periods should periodically re-evaluate the long-term usefulness of the drug for the individual patient. Bipolar Mania Usual Dose in Combination with Lithium or Valproate -- When administered in combination with lithium or valproate, oral olanzapine dosing should generally begin with 10 mg once-a-day without regard to meals. Short-term (6 weeks) antimanic efficacy was demonstrated in a dose range of 5 mg to 20 mg/day in clinical trials. The safety of doses above 20 mg/day has not been evaluated in clinical trials. Administration of ZYPREXA ZYDIS (olanzapine orally disintegrating tablets)After opening sachet, peel back foil on blister. Immediately upon opening the blister, using dry hands, remove tablet and place entire ZYPREXA ZYDIS in the mouth. Tablet disintegration occurs rapidly in saliva so it can be easily swallowed with or without liquid. Usual Dose for Agitated Patients with Schizophrenia or Bipolar Mania -- The efficacy of intramuscular olanzapine for injection in controlling agitation in these disorders was demonstrated in a dose range of 2. If agitation warranting additional intramuscular doses persists following the initial dose, subsequent doses up to 10 mg may be given. However, the efficacy of repeated doses of intramuscular olanzapine for injection in agitated patients has not been systematically evaluated in controlled clinical trials. Also, the safety of total daily doses greater than 30 mg, or 10 mg injections given more frequently than 2 hours after the initial dose, and 4 hours after the second dose have not been evaluated in clinical trials. Thus, it is recommended that patients requiring subsequent intramuscular injections be assessed for orthostatic hypotension prior to the administration of any subsequent doses of intramuscular olanzapine for injection. The administration of an additional dose to a patient with a clinically significant postural change in systolic blood pressure is not recommended. If ongoing olanzapine therapy is clinically indicated, oral olanzapine may be initiated in a range of 5-20 mg/day as soon as clinically appropriate ( see Schizophrenia or Bipolar Disorder under DOSAGE AND ADMINISTRATION ). Intramuscular Dosing in Special Populations -- A dose of 5 mg per injection should be considered for geriatric patients or when other clinical factors warrant. Administration of ZYPREXA IntraMuscular ZYPREXA IntraMuscular is intended for intramuscular use only. Directions for preparation of ZYPREXA IntraMuscular with Sterile Water for Injection Dissolve the contents of the vial using 2. The resulting solution should appear clear and yellow. ZYPREXA IntraMuscular reconstituted with Sterile Water for Injection should be used immediately (within 1 hour) after reconstitution.