Harry Croft, MD  is the Medical Director of HealthyPlace.com.

Dr. Croft is a private practice psychiatrist from San Antonio, Texas who is triple board certified in: Adult Psychiatry, Addiction Medicine, and Sex Therapy. His background includes training in both OB-GYN and PSYCHIATRY at the University of Texas Medical Branch in Galveston, Texas. In addition, he trained with the famed sex therapy team of Masters and Johnson. He is also the co-author of the highly acclaimed new book on combat PTSD: "I Always Sit With My Back To The Wall." (visit Dr. Croft's combat PTSD website.)

He came to San Antonio to serve in the U.S. Army Medical Corps from 1973-1976, when he received the US Army Meritorious Service Medal. He has been in private practice since 1976.

In addition to his private practice, Dr. Croft serves as the Medical Director of the San Antonio Psychiatric Research Center, and has been the principal investigator in over four dozen clinical trials since 1986.

He has published papers in The American Journal of OB-GYN, Clinical Therapeutics, Journal of Clinical Psychiatry,Psychiatric Annals The Journal of Sex & Marital Therapy, and others, and has presented at the annual meetings of: The American Medical Association, The American Psychiatric Association, The American College of OB-GYN, The European Congress of Psychopharmacology and others.

In addition to lecturing to over 1000 groups of physicians, and mental health professionals in all of the 50 United States, he has also lectured in: Canada, Mexico, France, England, St. Thomas, and San Juan.. He appeared on evening TV newscasts for over 17 years with his national award-winning mental health feature, "The Mind is Powerful Medicine." He is the author of the popular audio book for depressed patients, "Treating Your Depression: Finding Light at the End of the Tunnel."

Dr. Croft is the winner of over 20 national and state awards, and has been listed in Who's Who in America for over 29 years. He's been married to his present wife for 40+ years and has 3 grown children and 2 granddaughters.

Dr. Croft's website is here. He is also on Facebook, Google+ and @MyBackToTheWall on Twitter.

Mental health articles by Dr. Croft.

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next: Dr. Croft's CV and Full-Disclosure Information

For those of you who don't know what OCD is, it's a neurological Anxiety Disorder that may have genetic origins and is caused by an imbalance of Serotonin. Serotonin is a neurotransmitter (a chemical that acts as as messenger in the Brain) between the Orbital Cortex (the front of the Brain) and the Basal Ganglia (deeper structures of the Brain). When the Serotonin levels are imbalanced, the messages that go from one part of the Brain to the other are messed up, resulting in repetitive "worry thoughts" over and over - sort of like a CD skipping!

These repetitive "worry thoughts" are known as OBSESSIONS and they drive people experiencing them to act out time-consuming rituals known as COMPULSIONS.

Brain scans taken of people with OCD have actually shown that the Orbital Cortex in OCD patients is overactive.

To sum up, OCD is like having your worst fears in life, the things that you hate the most and that make you feel absolutely terrified, constantly put in front of you and placed at the front of your mind. This means that there seems to be no escape from them and, whether you like it or not, you are continually made aware of and feel threatened and in danger from them.

Below is a checklist of some common OCD symptoms:

• Cleaning and washing compulsions: Excessive, ritualized hand washing, showering, bathing or teeth brushing. The unshakable feeling that household items, such as dishes, are contaminated or cannot be washed enough to be "really clean."

• Obsessive need for order or symmetry: An overwhelming need to align objects "just so." Abnormal concerns about the neatness of one's personal appearance or environment.

• Obsessions about hoarding or saving: Stashing away useless trash, such as old newspapers or items rescued from trash cans. The inability to discard anything because it "may be needed sometime." A fear of losing something or discarding something by mistake.

• Repetitive rituals: Repeating routine activities for no logical reason. Repeating questions over and over. Rereading or rewriting words or phrases.

• Nonsensical doubts: Unfounded fears that one has failed to do some routine task, such as paying the mortgage or signing a check.

• Obsessions with aggressive content: The fear of having caused some terrible tragedy, such as a fatal fire. Repeating intruding images of violence.

• Superstitious fears: The belief that certain numbers or colors are "lucky" or "unlucky."

• Compulsions about having things "just right." The need for symmetry and total order in one's environment. The need to keep doing things until things are "just right."

• Checking compulsions: Repeatedly checking to see if a door is locked or an appliance is turned off. Checking and rechecking for mistakes, such as when balancing a checkbook. Checking associated with bodily obsessions, such as repeatedly checking oneself for signs of a catastrophic disease.

• Other compulsions: Blinking or staring rituals. Asking over and over for reassurance. Behaviors based on superstitious beliefs, such as fixed bedtime rituals to "ward off" evil or the need to avoid stepping on cracks in the pavement. A feeling of dread if some simple act is not performed. The need to touch, tap or rub certain objects repeatedly. Counting compulsions, such as counting panes in windows or signs along the road. Mental rituals, such as reciting silent prayers in an effort to make a bad thought go away.

• Excessive list making.

next: Obsessive Facts and Fiction
~ ocd library articles
~ all ocd related disorders articles

Find out why ReVia is prescribed, side effects of ReVia, ReVia warnings, effects of ReVia during pregnancy, more - in plain English.

ReVia Patient Information Overview

Pronounced: reh-VEE-uh
Generic name: Naltrexone hydrochloride
Pronounced: nal-TREX-own hye-dro-klor-ide
Category: Opiod Receptor Antagonist Medication

ReVia Full Prescription Information

Why is this drug prescribed?

ReVia is prescribed to treat alcohol dependence and narcotic addiction. ReVia is not a cure. You must be ready to make a change and be willing to undertake a comprehensive treatment program that includes professional counseling, support groups, and close medical supervision.

Most important fact about this drug

Before taking ReVia for narcotic addiction, you must be drug-free for at least 7 to 10 days. You must also be free of any drug withdrawal symptoms. If you think you are still in withdrawal, be sure to tell your doctor, since taking ReVia while narcotics are still in your system could cause serious physical problems. Your doctor will perform tests to confirm your drug-free condition.

How should you take this medication?

It is important to take ReVia on schedule as directed by your doctor, and to follow through with your counseling and support group therapy.

If you take small doses of heroin or other narcotic drugs while taking ReVia, they will have no effect. Large doses combined with ReVia can be fatal.

 

--If you miss a dose...

Take the missed dose as soon as possible. If you do not remember until the next day, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

--Storage instructions...

No special measures are needed.

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What side effects may occur?

Side effects cannot be anticipated. If any side effects develop or change in intensity, tell your doctor immediately. Only your doctor can determine whether it is safe for you to continue taking ReVia.

• More common side effects of treatment for alcoholism may include: Dizziness, fatigue, headache, nausea, nervousness, sleeplessness, vomiting

• Less common side effects of treatment for alcoholism may include: Anxiety, sleepiness

• More common side effects of treatment for narcotic addiction may include: Abdominal pain/cramps, anxiety, difficulty sleeping, headache, joint and muscle pain, low energy, nausea and/or vomiting, nervousness

• Other side effects of treatment for narcotic addiction may include: Acne, athlete's foot, blurred vision and aching, burning, or swollen eyes, chills, clogged and aching ears, cold sores, cold feet, confusion, constipation, cough, decreased potency, delayed ejaculation, depression, diarrhea, disorientation, dizziness, dry mouth, fatigue, feeling down, fever, fluid retention, frequent urination, gas, hair loss, hallucinations, head "pounding", heavy breathing, hemorrhoids, hoarseness, "hot spells", increased appetite, increased blood pressure, increased energy, increased mucus, increased or decreased sexual interest, increased thirst, irregular or fast heartbeat, irritability, itching, light sensitivity, loss of appetite, nightmares, nosebleeds, oily skin, pain in shoulders, legs, or knees, pain in groin, painful urination, paranoia, restlessness, ringing in ears, runny nose, shortness of breath, side pains, sinus trouble, skin rash, sleepiness, sneezing, sore throat, stuffy nose, swollen glands, tremor, throbbing heartbeat, twitching, ulcer, weight loss or gain, yawning

Why should this drug not be prescribed?

If you are sensitive to or have ever had an allergic reaction to ReVia, you should not take it. If you have acute hepatitis (liver disease) or liver failure, do not start therapy with ReVia. Remember, too, that you must be narcotic-free before beginning ReVia therapy.

Special warnings about this medication

Since ReVia may cause liver damage when taken at high doses, if you develop symptoms that signal possible liver problems, you should stop taking ReVia immediately and see your doctor as soon as possible. These symptoms include abdominal pain lasting more than a few days, white bowel movements, dark urine, or yellowing of your eyes. Your doctor may periodically test your liver function while you are on ReVia therapy. Caution is also advisable if you have kidney problems.

If you are narcotic-dependent and accidentally take ReVia, you may experience severe withdrawal symptoms lasting up to 48 hours, including confusion, sleepiness, hallucinations, vomiting, and diarrhea. If this occurs, seek help immediately.

Do not attempt to use narcotics while taking ReVia. Small doses will have no effect, and large doses could lead to coma or even death.

Ask your doctor to give you a ReVia medication card to alert medical personnel that you are taking ReVia in case of an emergency. Carry this card with you at all times. If you do require medical treatment, be sure to tell the doctor that you are taking ReVia. You should also tell your dentist and pharmacist that you are taking ReVia.

The safety of ReVia in children under 18 years of age has not been established.

Possible food and drug interactions when taking this medication

Since studies to evaluate the interaction of ReVia with drugs other than narcotics have not been performed, do not take any medications, either over-the-counter or prescription, without first notifying your doctor.

Do not use Antabuse while you are taking ReVia; both drugs can damage your liver.

Do not take Mellaril (a drug used to treat depression and anxiety) while on ReVia therapy, as the combination may make you feel very sleepy and sluggish.

While taking ReVia avoid medicines that contain narcotics, including cough and cold preparations, such as Actifed-C, Ryna-C, and Dimetane-DC; antidiarrheal medications such as Lomotil; and narcotic painkillers such as Percodan, Tylox, and Tylenol No. 3.

Special information if you are pregnant or breastfeeding

The effects of ReVia during pregnancy have not been adequately studied. If you are pregnant or are planning to become pregnant, tell your doctor immediately. ReVia should be used during pregnancy only if clearly needed. ReVia may appear in breast milk. If this medication is essential to your health, your doctor may tell you to discontinue breastfeeding your baby until your treatment with ReVia is finished.

Recommended dosage

ALCOHOLISM

The usual starting dose is 50 milligrams once a day. Return to top

NARCOTIC DEPENDENCE

The usual starting dose is 25 milligrams once a day. If no withdrawal symptoms occur, the doctor may increase the dosage to 50 milligrams a day.

Overdosage

Any medication taken in excess can have serious consequences. If you suspect an overdose of ReVia, seek medical attention immediately.

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ReVia Full Prescription Information

Detailed Info on Signs, Symptoms, Causes, Treatments of Addictions

back to: Psychiatric Medication Patient Information Index

Find out why Haldol is prescribed, side effects of Haldol, Haldol warnings, effects of Haldol during pregnancy, more - in plain English.

Generic name: Haloperidol
Brand name: Haldol

Pronounced: HAL-dawl

Why is this Haldol prescribed?

Haldol is used to reduce the symptoms of mental disorders such as schizophrenia. It is also prescribed to control tics (uncontrolled muscle contractions of face, arms, or shoulders) and the unintended utterances that mark Gilles de la Tourette's syndrome. In addition, it is used in short-term treatment of children with severe behavior problems, including hyperactivity and combativeness.

Some doctors also prescribe Haldol to relieve severe nausea and vomiting caused by cancer drugs, to treat drug problems such as LSD flashback and PCP intoxication, and to control symptoms of hemiballismus, a condition that causes involuntary writhing of one side of the body.

Most important fact about Haldol

Haldol may cause tardive dyskinesia--a condition characterized by involuntary muscle spasms and twitches in the face and body. This condition can be permanent, and appears to be most common among the elderly, especially women. Ask your doctor for information about this possible risk.

How should you take Haldol?

Haldol may be taken with food or after eating. If taking Haldol in a liquid concentrate form, you will need to dilute it with milk or water.

You should not take Haldol with coffee, tea, or other caffeinated beverages, or with alcohol.

Haldol causes dry mouth. Sucking on a hard candy or ice chips may help alleviate the problem.

--If you miss a dose...

Take it as soon as you remember. Take the rest of the doses for that day at equally spaced intervals. Do not take 2 doses at once.

 

--Storage instructions...

Store away from heat, light, and moisture in a tightly closed container. Do not freeze the liquid.

What side effects may occur with Haldol?

Side effects cannot be anticipated. If any side effects develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Haldol.

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• Side effects of Haldol may include: Abnormal secretion of milk, acne-like skin reactions, agitation, anemia, anxiety, blurred vision, breast pain, breast development in males, cataracts, catatonic (unresponsive) state, chewing movements, confusion, constipation, coughing, deeper breathing, dehydration, depression, diarrhea, dizziness, drowsiness, dry mouth, epileptic seizures, exaggerated feeling of well-being, exaggerated reflexes, excessive perspiration, excessive salivation, hair loss, hallucinations, headache, heat stroke, high fever, high or low blood pressure, high or low blood sugar, impotence, inability to urinate, increased sex drive, indigestion, involuntary movements, irregular menstrual periods, irregular pulse, lack of muscular coordination, liver problems, loss of appetite, muscle spasms, nausea, Parkinson-like symptoms, persistent abnormal erections, physical rigidity and stupor, protruding tongue, puckering of mouth, puffing of checks, rapid heartbeat, restlessness, rigid arms, feet, head, and muscles, rotation of eyeballs, sensitivity to light, skin rash, skin eruptions, sleeplessness, sluggishness, swelling of breasts, twitching in the body, neck, shoulders, and face, vertigo, visual problems, vomiting, wheezing or asthma-like symptoms, yellowing of skin and whites of eyes

Why should Haldol not be prescribed?

You should not take Haldol if you have Parkinson's disease or are sensitive to or allergic to the drug.

Special warnings about Haldol

You should use Haldol cautiously if you have ever had breast cancer, a severe heart or circulatory disorder, chest pain, the eye condition known as glaucoma, seizures, or any drug allergies.

Temporary muscle spasms and twitches may occur if you suddenly stop taking Haldol. Follow your doctor's instructions closely when discontinuing the drug.

This drug may impair your ability to drive a car or operate potentially dangerous machinery. Do not participate in any activities that require full alertness if you are unsure of your reaction to Haldol.

Haldol may make your skin more sensitive to sunlight. When spending time in the sun, use a sunscreen or wear protective clothing.

Avoid exposure to extreme heat or cold. Haldol interferes with the body's temperature-regulating mechanism, so you could become overheated or suffer severe chills.

Possible food and drug interactions when taking Haldol

Extreme drowsiness and other potentially serious effects can result if Haldol is combined with alcohol, narcotics, painkillers, sleeping medications, or other drugs that slow down the central nervous system.

If Haldol is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Haldol with the following:

Antiseizure drugs such as Dilantin or Tegretol
Antispasmodic drugs such as Bentyl and Cogentin
Blood-thinning medications such as Coumadin
Certain antidepressants, including Elavil, Tofranil, and Prozac
Epinephrine (EpiPen)
Lithium (Eskalith, Lithobid)
Methyldopa (Aldomet)
Propranolol (Inderal)
Rifampin (Rifadin)

Special information if you are pregnant or breastfeeding

The effects of Haldol during pregnancy have not been adequately studied. Pregnant women should use Haldol only if clearly needed. If you are pregnant or plan to become pregnant, inform your doctor immediately. Haldol should not be used by women who are breastfeeding an infant.

Recommended dosage for Haldol

ADULTS

Moderate Symptoms

The usual dosage is 1 to 6 milligrams daily. This amount should be divided into 2 or 3 smaller doses.

Severe Symptoms

The usual dosage is 6 to 15 milligrams daily, divided into 2 or 3 smaller doses.

CHILDREN

Children younger than 3 years old should not take Haldol. For children between the ages of 3 and 12, weighing approximately 33 to 88 pounds, doses should start at 0.5 milligram per day. Your doctor will increase the dose if needed.

For Psychotic Disorders

The daily dose may range from 0.05 milligram to 0.15 milligram for every 2.2 pounds of body weight.

For Non-Psychotic Behavior Disorders and Tourette's Syndrome

The daily dose may range from 0.05 milligram to 0.075 milligram for every 2.2 pounds of body weight.

OLDER ADULTS

In general, older people take dosages of Haldol in the lower ranges. Older adults (especially older women) may be more susceptible to tardive dyskinesia--a possibly irreversible condition marked by involuntary muscle spasms and twitches in the face and body. Consult your doctor for information about these potential risks. Doses may range from 1 to 6 milligrams daily.

Overdosage

Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical help immediately.

Symptoms of Haldol overdose may include: Catatonic (unresponsive) state, coma, decreased breathing, low blood pressure, rigid muscles, sedation, tremor, weakness

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Full Haldol Prescribing Information

Detailed Info on Signs, Symptoms, Causes, Treatments of Schizophrenia

back to: Psychiatric Medications Pharmacology Homepage

Find out why Luvox is prescribed, side effects of Luvox, Luvox warnings, effects of Luvox during pregnancy, more - in plain English.

Generic name: Fluvoxamine maleate
Brand name: Luvox

Pronounced: LOO-voks

Luvox (fluvoxamine) Full Prescribing Information

Why is Luvox prescribed?

Fluvoxamine is prescribed for obsessive-compulsive disorder. An obsession is marked by continual, unwanted thoughts that prevent proper functioning in everyday living. Compulsive behavior is typified by ritualistic actions such as repetitious washing, repeating certain phrases, completing steps in a process over and over, counting and recounting, checking and rechecking to make sure that something has not been forgotten, excessive neatness, and hoarding of useless items.

Most important fact about Luvox

Before starting therapy with fluvoxamine, be sure your doctor knows what medications you are taking--both prescription and over-the-counter--since combining fluvoxamine with certain drugs may cause serious or even life-threatening effects. You should never take fluvoxamine with thioridazine (Mellaril) or pimozide (Orap). You should also avoid taking fluvoxamine within 14 days of taking any antidepressant drug classified as an MAO inhibitor, including Nardil and Parnate.

How should you take Luvox?

Take this medication only as directed by your doctor.

Fluvoxamine may be taken with or without food.

--If you miss a dose...

If you are taking 1 dose a day, skip the missed dose and go back to your regular schedule. If you are taking 2 doses a day, take the missed dose as soon as possible, then go back to your regular schedule. Never take 2 doses at the same time.

 

--Storage instructions...

Store at room temperature and protect from humidity.

What side effects may occur when taking Luvox?

Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor immediately. Only your doctor can determine if it is safe for you to continue taking fluvoxamine.

• • More common side effects of Luvox may include: Abnormal ejaculation, abnormal tooth decay and toothache, anxiety, blurred vision, constipation, decreased appetite, diarrhea, dizziness, dry mouth, feeling "hot or flushed," "flu-like" symptoms, frequent urination, gas and bloating, headache, heart palpitations, inability to fall asleep, indigestion, nausea, nervousness, sleepiness, sweating, taste alteration, tremor, unusual tiredness or weakness, upper respiratory infection, vomiting

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• Less common side effects may include: Abnormal muscle tone, agitation, chills, decreased sex drive, depression, difficult or labored breathing, difficulty swallowing, extreme excitability, impotence, inability to urinate, lack of orgasm, persistent erection, yawning

Why should Luvox not be prescribed?

If you are sensitive to or have ever had an allergic reaction to fluvoxamine or similar drugs, such as Prozac and Zoloft, do not take this medication. Make sure your doctor is aware of any drug reactions you have experienced.

Never combine fluvoxamine with Mellaril or Orap, or take it within 14 days of taking an MAO inhibitor such as Nardil or Parnate. (See "Most important fact about this drug.")

Special warnings about Luvox

You should discuss all your medical problems with your doctor before starting therapy with fluvoxamine, as certain physical conditions or diseases may affect your reaction to it.

If you suffer from seizures, use this medication cautiously. If you experience a seizure while taking fluvoxamine, stop taking the drug and call your doctor immediately.

If you have or have ever had suicidal thoughts, be sure to tell your doctor, as your dosage may need to be adjusted.

If you have a history of mania (excessively energetic, out-of-control behavior), use this medication cautiously.

If you have liver disease, your doctor will adjust the dosage.

Fluvoxamine may cause you to become drowsy or less alert and may affect your judgment. Therefore, avoid driving, operating dangerous machinery, or participating in any hazardous activity that requires full mental alertness until you know your reaction to this medication.

Fluvoxamine can also deplete the body's supply of salt, especially in older adults and people who take diuretics or suffer from dehydration. Under these conditions, your doctor will check your salt levels regularly.

If you develop a rash or hives, or any other allergic-type reaction, notify your physician immediately.

Possible food and drug interactions when taking Luvox

Do not drink alcohol while taking this medication. If you smoke, be sure to tell your doctor before starting fluvoxamine therapy, as your dosage may need adjustment.

If fluvoxamine is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining fluvoxamine with the following:

Anticoagulant drugs such as Coumadin
Antidepressant medications such as Anafranil, Elavil, and Tofranil, as well as the MAO inhibitors Nardil and Parnate
Blood pressure medications known as beta blockers, including Inderal and Lopressor
Carbamazepine (Tegretol)
Clozapine (Clozaril)
Diltiazem (Cardizem)
Lithium (Eskalith, Lithobid)
Methadone (Dolophine)
Mexiletine (Mexitil)
Phenytoin (Dilantin)
Pimozide (Orap)
Quinidine (Quinidex)
Sumatriptan (Imitrex)
Tacrine (Cognex)
Theophylline (Theo-Dur)
Thioridazine (Mellaril)
Tranquilizers and sedatives such as Halcion, Valium, Versed, and Xanax
Tryptophan

Special information if you are pregnant or breastfeeding

The effects of Luvox in pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, consult your doctor immediately. Fluvoxamine passes into breast milk and may cause serious reactions in a nursing baby. If this medication is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment with Luvox is finished.

Recommended dosage for Luvox

ADULTS

The usual starting dose is one 50-milligram tablet taken at bedtime. Your doctor may increase your dose, depending upon your response. The maximum daily dose is 300 milligrams. If you take more than 100 milligrams a day, your doctor will divide the total amount into 2 doses; if the doses are not equal, you should take the larger dose at bedtime.

Older adults and people with liver problems may need a reduced dosage.

CHILDREN

For children aged 8 to 17, the recommended starting dose is 25 milligrams taken at bedtime. The dose may be increased to a maximum of 200 milligrams daily for children under 11, and 300 milligrams for children aged 11 to 17. Young girls sometimes respond to lower doses than boys do. Larger daily dosages are divided in two, as for adults.

Overdosage of Luvox

Any medication taken in excess can have serious consequences. An overdose of Luvox can be fatal. If you suspect an overdose, seek medical help immediately.

• Common symptoms of Luvox overdose include: Coma, breathing difficulties, sleepiness, rapid heartbeat, nausea, vomiting
• Other possible symptoms include convulsions, tremor, diarrhea, exaggerated reflexes, and slow or irregular heartbeat. After recovery, some overdose victims have been left with kidney complications, bowel damage, an unsteady gait, or dilated pupils.

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Luvox (fluvoxamine) Full Prescribing Information

Detailed Info on Signs, Symptoms, Causes, Treatments of OCD

back to: Psychiatric Medication Patient Information Index

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Just a note to say thank you for your web site and service you provide. A couple of weeks ago, I was really down and out. I had no one to turn to and I sent an email for advice. One of the HealthyPlace.com people, provided advice to me on two occasions. I feel better after communicating with her. I probably will seek out a counselor for face-to-face meetings when I get home, but it sure made a difference communicating via the internet when no other means existed for me. Again, thank you for your service.

Dave

There were times in the recent past that I was alone at night and scared. Thank you for offering this service. I can say it truly played a part in "saving" me. Because of the information I read on your site, I am in counseling and on medications, but nothing else is twenty-four hours....and nights are the hardest to deal with. It is great to know I am not alone, even when I feel like I am. I have told friends in trouble about this site and hope that they too will use it.

Thanks again. Lexie

I'm touched that you are doing so (adding me to the email list), but I'd rather not be. My parents feel that I complain too much, and I know it's true. They don't know about me visiting your web site. It's the only place I can get any help and support. I enjoy it and you're doing a great job. Thanx again. You're really helping alot of people.

:) Gunslinger

I'm so glad I have you and the chat room. It made me feel so much better. I spoke with a young girl who was trying to kill herself and a few of us talked to her. She felt better when we got off. I felt useful for the first time in a long time.

Theresa

I'll also take this opportunity to thank you for the HealthyPlace.com site. The first time I found it, the Wednesday night conference was on "grief", with Dr. Slap-Shelton. I will always remember it. I had recently experienced a loss, and decided to sit in on the conference. I had never been to a chat room before, so had a bit of a time figuring it all out. When the conference was over I decided to try out the actual chat. It was pretty fun & interesting, and eventually everyone left except me, and a person on the other side of America from me. *grin* To make a long story short, she & I continued to meet and chat at your site, and we became very good friends. It's uncanny how much easier it is to speak my truth from my heart in this way. I think it's because I'm obviously not at all influenced by the other person's responses via facial expressions & body language. At any rate, she's coming out here for a visit this summer, and I just want to thank you for giving me the opportunity to find such a dear friend and confidant. Also, kudos to you for providing a place where people can develop a network of support.

Sincerely, Jenna

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Find out why Antabuse is prescribed, side effects of Antabuse, Antabuse warnings, Antabuse drug interactions, more - in plain English.

Brand name: Antabuse
Generic name: Disulfiram

Pronounced: dye-SULL-fur-am
Category: _ Medication

Antabuse (Disulfiram) Prescribing Information

Patient Information Overview

Important Note: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

 

WARNING:
Disulfiram must never be given to a patient without their permission, nor to a patient under the influence of alcohol.

USAGE:
This medication is used to help treat alcoholism.

This drug is not a cure for alcoholism and must be used in combination with supportive therapy and counseling.

This medication must never be used without a person's knowledge.

HOW TO USE
Take this medication by mouth, usually one or two tablets daily as directed by your doctor. Tablets can be crushed or mixed with liquid if swallowing is a problem.

Do not take this medication for at least 12 hours after drinking alcohol.

While taking this medication, it is extremely important you avoid alcohol in all forms including beer, wine, aftershave lotions, mouthwash, colognes, liquid medications. Read labels carefully, including those of nonprescription products, and ask your pharmacist about the alcohol content if you are uncertain.

SIDE EFFECTS:
This medication may cause headache, drowsiness, restlessness, skin rash, acne, garlic-like aftertaste, changes in vision. Inform your doctor if any of these effects persist or worsen.

Remember that your doctor has prescribed this medication because the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

 

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Unlikely to occur but report immediately: tingling hands or feet, fatigue, weakness, loss of appetite, nausea, vomiting, strong stomach pains, dark urine, yellowing of the eyes or skin.

If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS:
Tell your doctor your medical history, especially: heart disease, liver or kidney disease, psychiatric problems, diabetes, any allergies (especially to rubber or pesticides).

This medication causes an intolerance to alcohol. Drinking alcohol while on this medication can cause serious effects that can last from 30 minutes to several hours. It produces an unpleasant reaction of flushing, headache, nausea, vomiting, dizziness, sweating, pounding heart (palpitations), blurred vision or weakness when even small amounts of alcohol are ingested. These disulfiram-alcohol reactions can occur up to two weeks after the medication has been stopped.

Because disulfiram can cause drowsiness, use caution when driving or engaging in activities requiring alertness.

Disulfiram should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor.

It is not known if disulfiram is excreted into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS:
Disulfiram can affect the way your body reacts to other drugs. Tell your doctor about all the medications you use (both prescription and nonprescription), especially: amitriptyline, isoniazid, metronidazole, theophylline, phenytoin, warfarin.

Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE:
If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include unsteadiness, unusual bleeding or bruising, facial flushing, decreased sexual ability, fainting, memory loss, garlic or rotten egg breath, metallic taste, and seizures.

NOTES:
Do not allow anyone else to take this medication.

Laboratory and/or medical tests (e.g., liver function and blood counts) may be performed to monitor your progress.

MISSED DOSE:
If you miss a dose, take as soon as remembered if it is within 12 hours of the missed dose. If it is past 12 hours when you remember, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

STORAGE:
Store at room temperature between 59 and 86 degrees F (between 15 and 30 degrees C) away from moisture and sunlight. Do not store in the bathroom.

MEDICAL ALERT:
Your condition can cause complications in a medical emergency. For enrollment information call MedicAlert at 1-800-854-1166 (USA), or 1-800-668-1507 (Canada).

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Antabuse (Disulfiram) Prescribing Information

Detailed Info on Signs, Symptoms, Causes, Treatments of Addiction

back to: Psychiatric Medication Patient Information Index

Pyschotherapist shares her guiding principles for conducting psychotherapy.

In considering what I have learned over the years that has served to guide me, I feel that the following principles have heavily influenced my work.

1) The relationship between therapist and client is not, in reality, a partnership after all. It is the therapist's role to serve the client. Declaring purpose and (with assistance) direction, becomes in my view, the responsibility of the client while the therapist develops the road map so to speak. How can one promote autonomy and independence when steering the course? If the process of therapy was like that of a journey across the ocean, then the individual served would be the captain while the therapist faithfully navigated.

2) The length of treatment is not a primary concern. Outcome, efficiency, quality of service, and timeliness is.

3) A therapist should be a visionary while sticking to the facts at-hand. Though it is important that we remain focused in our work, possessing a clear vision for which we strive is of equal value. Webster's dictionary defines a visionary as, "a dreamer; one who tends to accept fancied things as facts; one who is not a realist." My definition is, "one who believes in possibilities; one who is not immobilized by the realities in the present but pushes forward to transform 'fancies' into facts." When a client tells us, "I can't", the visionary in us might respond, "You just haven't yet". When we hear, "It will never happen to me," we might reply, "It hasn't happened yet." We must believe in possibilities, and our language should consistently reflect faith in our client's abilities to transcend their limitations and achieve their goals.

4) Utilizing time creatively and flexibly should not remain a good idea to be implemented as often as possible (or when demanded by managed care), but rather a standard by which the conscientious therapist consistently operates. This is far from a novel idea and has been suggested by many such as Gelso (1980), Wilson (1981), and Rabkin (1977). The creative and flexible use of time places a premium on the needs of the client versus the convenience of the therapist. As Wilson points out, the 50 minute once-per-week format is much more conducive to a predictable schedule for the therapist rather than to what might best meet the unique requirements of the client. For one client, 50 minutes once per week eventually shifting to every other week might make sense. Another client may need one-100 minute session on a bi-monthly basis; while still another benefits from one session per month.

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Further, Rabkin appears to reject the common notion that we are always working towards termination. He chooses to define the relationship between client and therapist as intermittent. In fact, he does not view the relationship as terminating at all, suggesting instead that we remain available to our clients on an as-needed basis.

5) There is no ultimate formula for providing the best possible treatment to all clients. Each client is unique, with differing needs, motivational levels, resources, etc. In order to meet the needs of each individual, treatment must respond to these differences.

6) Therapists must never presume to have all the answers. Our client's generally want answers from us, and sometimes we are in a position to deliver. They expect wisdom, too, and we should once again do everything in our power to oblige them. Still, as Sheldon Kopp has reminded us, "In the world of adults, there are no mothers and fathers, only brothers and sisters." While we can act as guides and facilitators, we must never forget what we know deep down in our hearts, and that is, that we are all in the stew together. We must not inflict our values and opinions on our clients. When we offer advice, we must always be aware that the price our clients may pay (in addition to dollars and cents) is of far greater value--and that is their autonomy. It is flattering to be made larger than life, to be sought for our knowledge, and professional opinions. It is gratifying to know that those who seek us out do so often with a significant degree of faith in our abilities. Faith is defined in part by Webster's dictionary as, ''...trust and confidence in another..." We must never violate the trust and confidence placed in us. When we even imply that we know what is best for another individual, then we do exactly that: violate their trust and confidence. We can never truly know what is best for another in spite of our ideas from time to time to the contrary.

I recall a client who I referred to a psychiatrist for a consultation. The psychiatrist told her in no uncertain terms that she must leave her husband and that until she did, she would be wasting her time in therapy. The client canceled her next three sessions and her depression deepened. I was furious. How could this doctor possibly know after a brief meeting that this woman should terminate her 14-year marriage? What if the psychiatrist was right that she should leave her husband? What if the woman was in no position at the time to act upon this reality? If she cannot leave him for real or imagined reasons at this time, does this mean that therapy is useless? What if the therapy were aimed at assisting her in acquiring the resources she will need to possess in order to carry out any decision she may make? We can present, point out, clarify, encourage; but we should never dictate.

7) It is not a treatment issue that walks into our office, but a whole person complete with emotions, thoughts, a unique history, set of circumstances, a physical body, and a spirit. To not consider the effects of each aspect of a person is to fail to respond to that person in his or her entirety. While most (if not all) of us acknowledge the truth of this, we all too regularly do not proceed to operate in a way which reflects this information. How can one attend to each aspect of an individual within the framework of brief treatment? The answer is by addressing the presenting problem in a focused and yet holistic manner. If, for example, Mary has panic attacks, we might explore how her thoughts, emotions, physical status and manner of self-care may or may not be contributing to them. Initially, every therapist would probably respond that they do in fact consider these factors. But do they? In cases such as this, do they always inquire about caffeine intake, thyroid conditions, level of exercise, present stresses, self-care behaviors, etc.? In my experience, this is not always done. Further, in addition to our work with her on attitudes, thoughts, relaxation techniques, we might also strongly urge her to participate in activities such as yoga, exercise, meditation, a change in diet, etc. outside of therapy.

8) The client must be ultimately held responsible for treatment outcome. Clients need to understand that while therapy may be part of the solution, by itself, it is not the answer. While I have encountered many forms which are given to clients outlining their responsibilities (pay on time, give a 24 hour notice prior to cancellation, etc.), I have never seen a form outlining client's responsibilities that included such items as:

a) You will need to identify that which you specifically wish will be different when you have completed therapy.

b) It is expected that you will work on your goals outside of the therapist's office.

c) You will need to assess your own level of progress in addition to receiving feedback from your therapist.

next:The Contributions of Feminist Therapy

Find out why Dalmane is prescribed, side effects of Dalmane, Dalmane warnings, effects of Dalmane during pregnancy, more - in plain English.

Generic name: Flurazepam hydrochloride
Brand name: Dalmane

Pronounced: DAL-main

Dalmane (flurazepam) Full Prescribing Information

Why is Dalmane prescribed?

Dalmane is used for the relief of insomnia, defined as difficulty falling asleep, waking up frequently at night, or waking up early in the morning. It can be used by people whose insomnia keeps coming back and in those who have poor sleeping habits. It belongs to a class of drugs known as benzodiazepines.

Most important fact about Dalmane

Tolerance and dependence can occur with the use of Dalmane. You may experience withdrawal symptoms if you stop using this drug abruptly. Discontinue or change your dose only in consultation with your doctor.

How should you take Dalmane?

Take this medication exactly as prescribed.

--If you miss a dose...

Take the dose you missed as soon as you remember, if it is within an hour or so of the scheduled time. If you do not remember it until later, skip the dose you missed and go back to your regular schedule. Do not take 2 doses at once.

--Storage instructions...

Store away from heat, light, and moisture.

What side effects may occur when taking Dalmane?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Dalmane.

• • More common side effects of Dalmane may include: Dizziness, drowsiness, falling, lack of muscular coordination, light-headedness, staggering

  • Less common or rare side effects may include: Apprehension, bitter taste, blurred vision, body and joint pain, burning eyes, chest pains, confusion, constipation, depression, diarrhea, difficulty in focusing, dry mouth, exaggerated feeling of well-being, excessive salivation, excitement, faintness, flushes, genital and urinary tract disorders, hallucinations, headache, heartburn, hyperactivity, irritability, itching, loss of appetite, low blood pressure, nausea, nervousness, rapid, fluttery heartbeat, restlessness, shortness of breath, skin rash, slurred speech, stimulation, stomach and intestinal pain, stomach upset, sweating, talkativeness, vomiting, weakness

  • Side effects due to rapid decrease or abrupt withdrawal from Dalmane: Abdominal and muscle cramps, convulsions, depressed mood, inability to fall asleep or stay asleep, sweating, tremors, vomiting

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Why should this drug not be prescribed?

 

If you are sensitive to or have had an allergic reaction to Dalmane or similar drugs such as Valium, you should not take this medication. Make sure your doctor is aware of any drug reactions you have experienced.

Special warnings about Dalmane

Dalmane will cause you to become drowsy or less alert; therefore, you should not drive or operate dangerous machinery or participate in any hazardous activity that requires full mental alertness after taking Dalmane.

If you are severely depressed or have suffered from severe depression, consult with your doctor before taking this medication.

If you have decreased kidney or liver function or chronic respiratory or lung disease, discuss use of this drug with your doctor.

Possible food and drug interactions when taking Dalmane

Alcohol intensifies the effects of Dalmane. Do not drink alcohol while taking this medication.

If Dalmane is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Dalmane with the following:

Antidepressants such as Elavil and Tofranil
Antihistamines such as Benadryl and Tavist
Barbiturates such as Seconal and phenobarbital
Major tranquilizers such as Mellaril and Thorazine
Narcotic painkillers such as Demerol and Tylenol with Codeine
Sedatives such as Xanax and Halcion
Tranquilizers such as Librium and Valium

Special information if you are pregnant or breastfeeding

Do not take Dalmane if you are pregnant or planning to become pregnant. There is an increased risk of birth defects. This drug may appear in breast milk and could affect a nursing infant. If this medication is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment with Dalmane is finished.

Recommended dosage for Dalmane

ADULTS

The usual recommended dose is 30 milligrams at bedtime; however 15 milligrams may be all that is necessary. Your doctor will adjust the dose to your needs.

CHILDREN

Safety and effectiveness of Dalmane have not been established in children under 15 years of age.

OLDER ADULTS

Your doctor will limit the dosage to the smallest effective amount to avoid oversedation, dizziness, confusion, or lack of muscle coordination. The usual starting dose is 15 milligrams.

Overdosage

Any medication taken in excess can cause symptoms of overdose. If you suspect an overdose of Dalmane, seek medical attention immediately.

• The symptoms of Dalmane overdose may include: Coma, confusion, low blood pressure, sleepiness

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Dalmane (flurazepam) Full Prescribing Information

Detailed Info on Signs, Symptoms, Causes, Treatments of Anxiety Disorders

back to: Psychiatric Medication Patient Information Index

Why You Should Sponsor HealthyPlace.com

A bond with our visitors

HealthyPlace.com is a UNIQUE place on the web. We have a bond with our visitors, which comes as a result of them knowing that we care about them, their issues, and they can visit HealthyPlace.com and feel safe. We get about 100 emails a day from our visitors, asking questions and telling us what a wonderful place HealthyPlace.com is. We respond to EVERY ONE. We know our visitors and they know us.

Any sponsor will be happy to affiliate with our award-winning site. We WANT to get the word out about any product that would benefit our visitors. Whereas on many sites, the sponsor places a banner and "hopes" someone will click on it, at HealthyPlace.com we actually encourage our visitors to take a look at the information...and they do because it's relevant to them and they trust us to lead them in the right direction.

1. We offer a large, growing, loyal and highly receptive audience for your message.

2. Your message is going to a very targeted audience vs. a scattered (shotgun) approach.

3. You can run one network spot and in 30-60 seconds your message is over. For the same price or less, you can sponsor the entire HealthyPlace.com website 24/7 for an entire month and provide in-depth information about your product or service. And we actively promote your message, so our visitors are aware of it. For even less, you can target individual topic-specific communities.

4. We go out of our way to make you look good. You are sponsoring a site that is helping the audience you are trying to target. You can feel good about that.

In addition, at HealthyPlace.com, you get:

• Choice: any single or combination - HealthyPlace.com website, email newsletter sponsorships, social network sponsorships. Banners, skyscrapers and more.
• Flexibility: we can help you develop an advertising approach that will work best for your needs.
• High traffic: over 2 Million visitors per month and growing.
• Target specific or general audience
• Highly attentive, curious audience: visitors are involved with our site through interactives and information about their own lives.

At the HealthyPlace.com website, we offer "sponsorships". We identify your product/service with our site. If you wish, we can establish pages explaining your product/service and how our visitors could benefit from it. Then we give people a way of communicating with you by filling out a form or going directly to your website. We actually "promote" your product/service.

In addition, if you are looking for clinical study participants or you are doing an online research study/survey, we can help with that too.

We have 6 sponsorship opportunities:

1. You can be a site-wide sponsor.
2. You can sponsor a single HealthyPlace.com community or multiple communities.
3. You can sponsor a specially developed co-branded area of the site.
4. You can sponsor our weekly newsletter.
5. You can sponsor our social network.
6. You can sponsor our blogger community.

Of course, we'll be happy to consider any other alternative marketing opportunities that you suggest. We will work with you to produce the best results possible.

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