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Mania is the word that describes the activated phase of bipolar disorder. The symptoms of mania may include:
* either an elated, happy mood or an irritable, angry, unpleasant mood
* increased physical and mental activity and energy
* racing thoughts and flight of ideas
* increased talking, more rapid speech than normal
* ambitious, often grandiose plans
* risk taking
* impulsive activity such as spending sprees, sexual indiscretion, and alcohol abuse
* decreased sleep without experiencing fatigue
What are the symptoms of depression?
Depression is the other phase of bipolar disorder. The symptoms of depression may include:
* loss of energy
* prolonged sadness
* decreased activity and energy
* restlessness and irritability
* inability to concentrate or make decisions
* increased feelings of worry and anxiety
* less interest or participation in, and less enjoyment of activities normally enjoyed
* feelings of guilt and hopelessness
* thoughts of suicide
* change in appetite (either eating more or eating less)
* change in sleep patterns (either sleeping more or sleeping less)
What is a state?
A mixed state is when symptoms of mania and depression occur at the same time. During a mixed state depressed mood accompanies manic activation.
What is rapid cycling?
Sometimes individuals may experience an increased frequency of episodes. When four or more episodes of illness occur within a 12-month period, the individual is said to have bipolar disorder with rapid cycling. Rapid cycling is more common in women.
What are the causes of bipolar disorder?
While the exact cause of bipolar disorder is not known, most scientists believe that bipolar disorder is likely caused by multiple factors that interact with each other to produce a chemical imbalance affecting certain parts of the brain. Bipolar disorder often runs in families, and studies suggest a genetic component to the illness. A stressful environment or negative life events may interact with an underlying genetic or biological vulnerability to produce the disorder. There are other possible of bipolar episodes: the treatment of depression with an antidepressant medication may trigger a switch into mania, sleep deprivation may trigger mania, or hypothyroidism may produce depression or mood instability. It is important to note that bipolar episodes can and often do occur without any obvious trigger.
How is bipolar disorder treated?
While there is no cure for bipolar disorder, it is a treatable and manageable illness. After an accurate diagnosis, most people can achieve an optimal level of wellness. Medication is an essential element of successful treatment for people with bipolar disorder. In addition, psychosocial therapies including cognitive-behavioral therapy, interpersonal therapy, family therapy, and psychoeducation are important to help people understand the illness and to internalize skills to cope with the stresses that can trigger episodes. Changes in medications or doses may be necessary, as well as changes in treatment plans during different stages of the illness.
It is useful to know whether the mood stabilizing medication prescribed has been approved by the FDA for use in bipolar disorder:
Medications for Mania:
Currently FDA approved: lithium (Eskalith or Lithobid), divalproex sodium (Depakote), carbamazepine (Tegretol), olanzapine (Zyprexa), risperidone (Risperdal), quetiapine (Seroquel), ziprasidone (Geodon), aripiprazole (Abilify)
At least one adequate well controlled study with positive data: haloperidol (Haldol)
Medications for bipolar depression:
Currently FDA approved: combination of olanzapine and fluoxetine (Symbyax)
Also at least one adequate well controlled study with positive data: quetiapine (Seroquel) and lamotrigine (Lamictal)
Medications for preventing (or delaying) recurrence:
Currently FDA approved: lithium (Eskalith or Lithobid), lamotrigine (Lamictal), olanzapine (Zyprexa), and aripiprazole (Abilify)
Frequently a combination of two or more medications is used, especially during severe episodes of acute mania or depression.
Medication specifics and possible side effects:
Lithium has long been used as a first line treatment for acute mania in people with bipolar disorder for more than 50 years. It generally has more positive impact when used earlier, rather than later, in the course of bipolar disorder. Research shows it is most effective in those individuals with a family history of the illness, and in those experiencing the bipolar I sequence of swings between mania and depression with return to normal function between episodes.
Like all medications, lithium treatment produces side effects. The most common ones are dose-related and can be effectively managed, but for about 30 percent of people who try it, lithium is not tolerable. Lithium side effects may include frequent urination, excessive thirst, weight gain, memory problems, hand tremors, gastrointestinal problems, hair loss, acne, and water retention. There are two important lithium side effects, that can be effectively monitored by a simple blood test: 1)hypothyroidism, which mimics depression and can be easily treated, and 2) less commonly, damage to kidney functions.
Anti-convulsants: The Food and Drug Administration (FDA) approved divalproex sodium (Depakote) in 1995 for treating bipolar episodes. Originally approved in 1983 as a drug to treat epilepsy, Depakote was found to be as effective as lithium for treating acute mania, and appears to be better than lithium in treating the more complex bipolar subtypes of rapid cycling and dysphoric mania, as well as co-morbid substance abuse. In addition, Depakote may be safely given in larger doses to treat acute episodes, and works faster in this situation than lithium. The generic version of this drug is valproic acid. Some people find that the generic version produces more gastrointestinal distress than Depakote.
Depakote may also produce sedation and gastrointestinal distress, but these side effects often resolve during the first six months of treatment, or with dose adjustment. Another dose-related side effect is weight gain, and rare liver and pancreatic function problems may develop while taking Depakote. However, Depakote is generally well-tolerated, and is now prescribed far more often then lithium. Recent controlled trials indicate that the combination of Depakote and lithium is more effective in preventing relapse and recurrence than treatment with lithium alone.
Lamictal (lamotrigine), another anti-convulsant, is effective in the treatment of acute depression in bipolar I and II and in promoting remissions between episodes. For most people, Lamictal has a very tolerable side effect profile. Rarely, this medication can cause a rash serious enough to cause a medical emergency. The risk of this one potentially serious side effect can be reduced by starting with a low dose and going slowly in increasing the dose.
Use of Antidepressants
Standard antidepressant medications (those approved for the treatment of unipolar depression) have not yet been proven effective for bipolar depression. Although the evidence supporting their use for bipolar depression is limited to small or less rigorous studies, these medications remain the most commonly used treatment for bipolar depression. The data from larger studies finds neither evidence of benefit nor evidence that these agents cause large numbers of depressed patients to switch into mania.
Use of Antipsychotic Medications as Mood Stabilizers
To control acute episodes, antipsychotic medications may be used alone (monotherapy), or added to anti-convulsant medications (combination therapy). Medication guidelines now recommend the combination of these two medications as most effective for acute manic episodes. Because the older typical antipsychotic medications run the risk of causing permanent movement disorder, and have been associated with depression when used over the long term, the new atypical antipsychotics are now preferred for this purpose. All the new atypicals are effective in the treatment of acute and mixed mania. Olanzapine (Zyprexa) and risperidone (Risperdal) are FDA-approved for this purpose.
Finding the right preventive/maintenance medicine is an art informed by science and your own observations. Not all medicines that work in the acute phase of mania are as strong in preventing the next episode, so this is an area to explore.
Side effects of the atypicals are different than with first-generation antipsychotics (such as Haldol), although sedation, weight gain, and risk of diabetes are problems associated with many of the new antipsychotics. Clozapine and olanzapine, both effective antipsychotics and mood stabilizers, offer the most risk in this area. Weight gain is a serious clinical concern related to all atypical antipsychotics, and to anti-convulsants as well. Not only can weight gain lead to adult onset also known as type 2 diabetes and cardiovascular diseases, but being overweight is also now the leading cause of medication non-adherence. Doctors advise weekly monitoring of weight in the early stages of taking these medications, along with regular exercise and healthy diets, and people must be willing to make lifestyle changes to maintain optimal health. The FDA has noted an association between all atypical antipsychotics and the risk of diabetes. As the science develops in this area, it will continue to inform medicine choices for the person that best reflect their risks and benefits.
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January 26, 2009
How Obama's New Rules Keep Intact
The Torture Ban That Doesn't Ban Torture By ALLAN NAIRN
If you're lying on the slab still breathing, with your torturer hanging over you, you don't much care if he is an American or a mere United States - sponsored trainee.
When President Obama declared flatly this week that "the United States will not torture" many people wrongly believed that he'd shut the practice down, when in fact he'd merely repositioned it.
Obama's Executive Order bans some -- not all -- US officials from torturing but it does not ban any of them, himself included, from sponsoring torture overseas.
Indeed, his policy change affects only a slight percentage of US-culpable tortures and could be completely consistent with an increase in US-backed torture worldwide.
The catch lies in the fact that since Vietnam, when US forces often tortured directly, the US has mainly seen its torture done for it by proxy -- paying, arming, training and guiding foreigners doing it, but usually being careful to keep Americans at least one discreet step removed.
That is, the US tended to do it that way until Bush and Cheney changed protocol, and had many Americans laying on hands, and sometimes taking digital photos.
The result was a public relations fiasco that enraged the US establishment since by exposing US techniques to the world it diminished US power.
But despite the outrage, the fact of the matter was that the Bush/Cheney tortures being done by Americans were a negligible percentage of all of the tortures being done by US clients.
For every torment inflicted directly by Americans in Iraq, Afghanistan, Guantanamo and the secret prisons, there were many times more being meted out by US-sponsored foreign forces.
Those forces were and are operating with US military, intelligence, financial or other backing in Egypt, Israel, Saudi Arabia, Ethiopia, Pakistan, Jordan, Indonesia, Thailand, Uzbekistan, Colombia, Nigeria, and the Philippines, to name some places, not to mention the tortures sans-American-hands by the US-backed Iraqis and Afghans.
What the Obama dictum ostensibly knocks off is that small percentage of torture now done by Americans while retaining the overwhelming bulk of the system's torture, which is done by foreigners under US patronage.
Obama could stop backing foreign forces that torture, but he has chosen not to do so.
His Executive Order instead merely pertains to treatment of "...an individual in the custody or under the effective control of an officer, employee, or other agent of the United States Government, or detained within a facility owned, operated, or controlled by a department or agency of the United States, in any armed conflict..." which means that it doesn't even prohibit direct torture by Americans outside environments of "armed conflict," which is where much torture happens anyway since many repressive regimes aren't in armed conflict.
And even if, as Obama says, "the United States will not torture," it can still pay, train, equip and guide foreign torturers, and see to it that they, and their US patrons, don't face local or international justice.
This is a return to the status quo ante, the torture regime of Ford through Clinton, which, year by year, often produced more US-backed strapped-down agony than was produced during the Bush/Cheney years.
Under the old -- now new again -- proxy regime Americans would, say, teach interrogation/torture, then stand in the next room as the victims screamed, feeding questions to their foreign pupils. That's the way the US did it in El Salvador under JFK through Bush Sr. (For details see my "Behind the Death Squads: An exclusive report on the U.S. role in El Salvadors official terror," The Progressive, May, 1984 ; the US Senate Intelligence Committee report that piece sparked is still classified, but the feeding of questions was confirmed to me by Intelligence Committee Senators. See also my "Confessions of a Death Squad Officer," The Progressive, March, 1986, and my "Comment," The New Yorker, Oct. 15, 1990,[regarding law, the US, and El Salvador]).
In Guatemala under Bush Sr. and Clinton (Obama's foreign policy mentors) the US backed the army's G-2 death squad which kept comprehensive files on dissidents and then electroshocked them or cut off their hands. (The file/ surveillance system was launched for them in the '60s and '70s by CIA/ State/ AID/ special forces; for the history see "Behind the Death Squads," cited above, and the books of Prof. Michael McClintock).
The Americans on the ground in the Guatemalan operation, some of whom I encountered and named, effectively helped to run the G-2 but, themselves, tiptoed around its torture chambers. (See my "C.I.A. Death Squad," The Nation [US], April 17, 1995, "The Country Team," The Nation [US], June 5, 1995, letter exchange with US Ambassador Stroock, The Nation [US], May 29, 1995, and Allan Nairn and Jean-Marie Simon, "Bureaucracy of Death," The New Republic, June 30, 1986).
It was a similar story in Bush Sr. and Clinton's Haiti -- an operation run by today's Obama people -- where the DIA (Defense Intelligence Agency) helped launch the terrorist group FRAPH, the CIA paid its leader, and FRAPH itsef laid the machetes on Haitian civilians, torturing and killing as US proxies. (See my "Behind Haiti's paramilitaries: our man in FRAPH," The Nation [US], Oct 24, 1994, and "He's our S.O.B.," The Nation [US], Oct. 31, 1994; the story was later confirmed on ABC TV's "This Week" by US Secretary of State Warren Christopher).
In today's Thailand -- a country that hardly comes to mind when most people think of torture -- special police and militaries get US gear and training for things like "target selection" and then go out and torture Thai Malay Muslms in the rebel deep south, and also sometimes (mainly Buddhist) Burmese refugees and exploited northern and west coast workers.
Not long ago I visited a key Thai interrogator who spoke frankly about army/ police/ intel torture and then closed our discussion by saying "Look at this," and invited me into his back room.
It was an up to date museum of plaques, photos and awards from US and Western intelligence, including commendations from the CIA counter-terrorism center (then run by people now staffing Obama), one-on-one photos with high US figures, including George W. Bush, a medal from Bush, various US intel/ FBI/ military training certificates, a photo of him with an Israeli colleague beside a tank in the Occupied Territories, and Mossad, Shin Bet, Singaporean, and other interrogation implements and mementos.
On my way out, the Thai intel man remarked that he was due to re-visit Langley soon.
His role is typical. There are thousands like him worldwide. US proxy torture dwarfs that at Guantanamo.
Many Americans, to their credit, hate torture. The Bush/Cheney escapade exposed that.
But to stop it they must get the facts and see that Obama's ban does not stop it, and indeed could even accord with an increase in US-sponsored torture crime.
In lieu of action, the system will grind on tonight. More shocks, suffocations, deep burns. And the convergence of thousands of complex minds on one simple thought: 'Please, let me die.
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The FDA has received 23 reports of Hydroxycut-related adverse effects, including liver damage requiring a liver transplant, seizures, cardiovascular disorders, elevated liver enzymes (an indicator of potential liver injury), and jaundice. In 2007, a 19-year-old man died of liver failure after using Hydroxycut.
In addition to urging consumers to stop using Hydroxycut products, the FDA advises consulting a physician if you're experiencing symptoms that could be associated with use of Hydroxycut. Symptoms of liver injury include jaundice, brown urine, nausea, vomiting, light-colored stools, excessive fatigue, weakness, stomach or abdominal pain, itching, and loss of appetite.
Hydroxycut contains a variety of ingredients, including hydroxycitric acid (a botanical extract linked to liver damage in a number of case reports). The FDA has yet to determine which Hydroxycut ingredients or doses might lead to liver problems.
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There’s a familiar rhythm to the most prominent autism gene hunt publications. Their authors hype their newly minted study aggressively in the media. The prestigious journals that publish them lend their imprimatur to press releases that say, “this study is a big deal.” The findings sound impressive in the press release (and the authors get plenty of time on camera and in leading newspapers to tell us how truly impressive they are). In the meantime--in papers that are so densely written that making sense of what they really say requires far more reflection than the media hype cycle permits--skillfully concealed evidence reveals the truly important news in the findings: the authors whisper quietly (if at all) that the new analysis negates the most important findings of some of the most prominent previous gene hunts, while crucial detail on their new findings is often relegated to “supplementary material” that’s not available on the publication date.
All of these patterns will almost certainly be on display today as the latest missive from the autism-genetics establishment bursts forth in the form of not just one, but two major papers in the journal Nature. But I warn you, don’t be fooled by the hype. These two studies report a few moderately interesting findings, which isn’t a bad thing. Broadly speaking, trustworthy and actionable biological findings about autism are something all autism parents should welcome, whether they’re about genes or the environment or the interaction between the two. And indeed, most autism parents I know generally agree that there OUGHT to be some kind of genetic susceptibility that we can discover in autism.
But what’s truly remarkable in these two papers is how so much will be made about so very little.
--
That said, the publication of these two papers--one on the risk of rare mutations (copy number variants) in “autism genes”, the other on common inherited genes (reported here in the form of “single nucleotide polymorphisms” or SNPs) that may increase autism risk--creates an opportunity to review the current state of the great autism gene hunt, something I’ve wanted to do for a while. I’ll break the review into four pieces
1.What you should know about the lead authors and their funding
2.What the paper on “copy number variants” really says
3.Why the paper on common genetic variations will get the most hype
4.
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You need to fold more than 3 out of 4 hands to win over the longer term and the inability to do this is a common mistake made by novice players.
The adrenalin and the desire to win quickly, means a novice player ends up playing far too many hands, as they have no idea of the importance of folding to make longer term gains
Lets look at why the importance of folding when playing Texas Holdem.
Fact: A good player will need fold most hands, approximately 80% in a 10-player game.
You will often see novice players in Texas holdem making the mistake of paying to see the flop and then chasing straight and flush draws or hoping a low pair stands up against other players.
Holdem is HIGH card game!
The players holding two good high cards have the best chance at the best hand or a draw to the best hand after the flop.
Therefore only play strong hands that will stand a raise or multiple raises from an early betting position.
Play medium strength and other playable hands from the later positions if, you have a good chance of seeing the flop at a good price to you.
Play strong high hands MOST of the time, and when you receive them play them very aggressively.
You need to take all the raises you can get. If you dont reduce the number of players your chances of taking the pot are considerably reduced.
A high cards game requires patience
Always remember: Texas Holdem, more than anything else, is a game of high cards and therefore a game of patience. Low cards will simply not pay for themselves in the long run.
The importance of your starting hand
When you look at your two hole cards, if theyre not both big enough, you dont belong in the pot, its as simple as that.
The decision you make on how to play your first two cards is of vital importance to your probability of winning the pot, so you need to make the right decision at this vital point in the game.
Determining a good hand
Keep in mind two points:
1. The two cards you hold are the only cards that set you apart from other players at the table and give you a chance to win.
2. All of the face-up cards are community cards, shared by you and ALL the other players
You need to concentrate on what those cards mean to someone elses hand, as much as concentrating on what they could mean to your hand.
Focus on your opponents possibilities of getting a straight or a flush.
How do you know if your cards are good?
This depends on how many players are in the game, but as a general rule you should consider folding before the flop if you have two non-pair cards, both less than 10.
After seeing the flop, dont be afraid to cut your losses, it will save you money longer term.
A common mistake made by novices is to decide their in anyway, so they may as well chance their luck.
The probability of winning however is firmly against them.
Texas holdem is a game of patience and you need to learn the importance of folding to win big longer term.
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After multiple daily dosing of risperdal finally a diagnosis, an identifying lable, schizophrenia such a big word at last finally I had something I could learn about.
I couldnt concentrate much at the time and when she said that I probably had it all of my life that I just hid it I was unable to explain the events of my entire life off of the top of my head.
I thought my disease was getting worse well my symptoms were I couldnt concentrate as well and I was more tired out than before. It could have been that the disease had gotten progressively worse. It could have been from the nerve damage caused by the haldol. It could have been that the risperdal was causing my symptoms to get worse since I thought it was causing me other problems also. When she told me that it takes a while before the drug risperdal helps I thought it must be the disease if the risperdal hasnt started working yet because if it was because of the haldol damage it should get better as more time went by not worse.
I thought it was very interesting how she had used her psychiatric craft to determine through esoteric processes of mystical proportion for the divination of my lifes history of mental health, a feat which no doctor had ever demonstrated before. I thought it was a good idea to review my lifes health history even thogh I had never felt this sickness before.
Some of the logic in her abstract reasoning lost merit upon closer observation such as how could I hide something for 37 years without ever knowing that I was hiding it and how could I hide something if I didnt know what it was that I was hiding. I thought it was worth a look anyway just to see what I might find.
The doctors Prophesy of the future didnt have the same effect on me as it did my wife.
It was pretty grim alright but I didnt know enough about schizophrenia other than what she told me to determine how accurate her prophesy of the future might be and since I found holes in the logic that she divined mysteriously about my past I was more skeptical of her ability to accurately predict the future. I knew she was basing her knowledge on the treatment outcomes that she was familiar with and I considered that the reason patients brains deteriorated and their conditions got worse each time they were hospitalized then perhaps it might be directly related to the method of treatment rather than the disease itself.
I was glad she helped me to identify it so I could learn about it.
I wondered how she learned my diagnosis if the risperdal hadnt started working yet she must have learned from the nerve damage caused by the haldol, yeah that must have been it because she changed the haldol as it was contra-indicated to risperdal and yet she didnt change the daily dosing of risperdal when she revealed her diagnosis.
I felt a little more ill than I did before when I was in college but I thought it was the progression of the disease, I didnt know if it was fatal or how much time I would have to be able to learn about it before it deteriorated by brain to the point that I was completely unable to learn about it. I had a sense of urgency to learn as much as I could as fast as I was able to.
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Bear in mind I said I feel , meaning it is an impression . I am familiar with the traditional neurotransmitter abnormality explanation . However I cant say that I have seen many people with schizophrenia who benefitted from pharmacotherapy . In fact, I know 2 sisters who killed themselves in spite of being on treatment . I also remember one young man who presented with paranoia and violent tendencies, I saw him when he was brought in, then I saw him next day, with part of the hair on his head shaved after he had ECT, it was SCARY, the guy was walking around like a zombie, drooling and with a vacant look on his face . I began to have serious doubts about both the diagnosis standards and the treatment . For example, I failed to comprehend exactly how these people were organically ill, since many of their complaints were common to any person who has been through stressful or painful events in life, although in less severe forms .
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Bear in mind I said I feel , meaning it is an impression . I am familiar with the traditional neurotransmitter abnormality explanation . However I cant say that I have seen many people with schizophrenia who benefitted from pharmacotherapy . In fact, I know 2 sisters who killed themselves in spite of being on treatment . I also remember one young man who presented with paranoia and violent tendencies, I saw him when he was brought in, then I saw him next day, with part of the hair on his head shaved after he had ECT, it was SCARY, the guy was walking around like a zombie, drooling and with a vacant look on his face . I began to have serious doubts about both the diagnosis standards and the treatment . For example, I failed to comprehend exactly how these people were organically ill, since many of their complaints were common to any person who has been through stressful or painful events in life, although in less severe forms .
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Ghost Town was a big hit in 1981: what a year - passed my driving test, riots on English streets, Chas Di got hitched; I remember one of us unfortunately won a commemorative metal tray while playing bingo or such for a laugh at the Southsea amusements (Billy Manning's was it?) where we'd waste half our Saturday nights on pinball machines before grabbing some chips hitting the boozers. Naturally enough, he wasn't best pleased, and felt it best suited to use as a frisbee, then later a football of sorts... we got quite some abuse from patriotic passers by; bloody youth of today - no respect at all.
If The Specials aren't familiar to you, don't for heaven's sake dismiss 'em as just another 2 Tone/Ska band; this is only a taste of course, and superficially not one of their best, or most memorable; but the soporific backing, and Terry Hall's fondly acid, typically deadpan description of a normal night out at The Locarno, actually capture the experience rather well (there was a Locarno Ballroom in Portsmouth too, and handbags were indeed danced around). You're sucked in, immersed in another blandly entertaining Friday night - Beer, Birds with Bags, Bouncers - and ultimately it's a Bust, as you always knew it would be. You're waiting to get home, piss-heads, pies punch-ups; hopes dashed, already imagining how next week'll be better... happy days eh.
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That said, there are some things about airport security that just didnt make sense when I had the pleasure of walking through those metal detectors earlier today on my way from Boston to San Francisco on Virgin America. First, there was no line, so I thought, . Im going to be able to move right on through. Not correct. There were no travelers but about 7 bored secuirty personnel. I get through and start filling my pockets back up with phone, wallet, keys, you know the drill. Then someone comes up and says Im going to need to check your messenger bag closer. I say fineit was one of those randomized check things.
I continue to regroup I put on my jacket, my belt then another person comes up to me and says Im going to need to check your shoes. I laugh and say, wow, things are really hopping around here. I must be one suspicious character. I say fine. What in the world are they going to find on or around my casual white shoes.
This is when things are starting to get frustrating. In my messenger bad, a very deadly looking little yellow umbrella is found. I personally liked this umbrella it was very bright yellow, very compact, and had a fun handle with a round happy face that was suspended in a tiny bit of water. What better to brighten up a rainy day! Out of the whole umbrella, they need to take this handle with the happy face. I think, I take that back. I actually say aloud, I say, but theres a small enough amount of liquid in there that it shouldnt matter. They explain that they need to take it because it falls under the snow globe category. I laugh, and tell myself aloud, I wish they were busier so that I didnt get quite so much attention.
The attention was great. It was the fact that out of all of there carefulness, the little, yellow, suspended, snow-globe-like, happy face ball is what they picked to confiscate. Now my umbrella is handle-less! They didnt take the much more weapon-like expandable umbrella-part with several sharp corners. They didnt even notice that I forgot to take my small bottles of liquids out of my suitcase. I even asked them to try to explain why they just confiscated the least dangerous part of my umbrella, and they reminded me of this snow globe rule.m done. I just needed to get that out of my system. On a brighter note, Virgin America isnt bad at all. Here I am on the plane with my computer plugged in and with wireless internet access.
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Anyway, my point was that there is nothing more relaxing than plopping into bed to watch I Love Lucy on DVD and feeling that warm, comforting, dizzying fog of pain relief descend upon me. And I have all these deep thoughts while it happens. Things you ponder only in that barely conscious state of mind. I don't remember any of those ponderings, but I know that they were profound and full of wisdom.
I think.
Jaymes too is on drugs. We switched from the Clondine pill 4 times a day to the patch. It is so much simpler, so much less stressful. No forgetting to do a dose, no peaks and valleys of behavior. It's all a fairly stable, consistancy of mood. He's cranky, but not hysterically so. He's cuddly, but not comatose. It works well for me.
School hates it, I guess he's not as good there now. I hate to be cruel, but it kind of serves them right, for doubting me when I said he's a holy terror at home and an angel for them. See now, I really was not lying! I'm sure it's just a temporary thing for him, and he'll settle down at school. He has had a weird schedule, missing a lot the last couple weeks and that is most likely his trouble.
Moving on with this post, i'm just curious about something medication related. Why are so many people so rabidly against medications? And against Risperdal in particular? I remember making a very innocent comment on Squid's blog post aobut Risperdal working so well for her son, said something along the lines of "Well, Risperdal has been the miracle drug for Jaymes." and I got (supposedly, I never saw it before it was deleted) an earful about how horrible Risperdal was.
On the broader subject of medication in general, I'll say that at first I really did avoid it. I hated the thought of drugging my child, because that's what was done to me from an early age. I remember how sick and uncomfortable the meds made me feel, or the swings in mood and energy level. I remember spitting the pills to avoid how sick I knew they'd make me feel. When I got older, I felt like I was different and messed up, and thats why I was being forced to take pill after pill.
From day one, I have always known I never want my kids to feel like they are broken or messed up, or that they have to be medicated to be tolerated. I didn't want to sedate my son to make life easier for me. I didn't want to put chemicals into his body when it was all just behavioral anyway.
But I finally gave in, gave it a try, and realized that while, yes, I am medicating Jaymes and pretty much sedating him... It's helping him and us. He can't function when he is so worked up over tiny things. He doesn't like to be angry all the time. The medication helps him even out his mood so that he can learn and play and be a regular kid. Our doctors understand my dislike of sedating him, and they are very careful to use only the smallest effective dose. We don't want him comatose on the couch (as quiet and convenient as that may be), nor do we want him bouncing off the walls.
It took me a long time to figure out that no, there is not a magical pill that will make life simple and relaxing again. Nothing is going to immediately change who Jaymes is, make him more manageable, no chemical babysitters for me. I was annoyed at first in seeing no real difference, nothing I could notice really.
We changed meds a few times. Some he did ok on, some he did better on, some he didn't do well at all on. Some made him sleep, some made him angry, some made him bounce off the walls like Flubber. We learned that there is no one medication that will help everyone, and there is NO medication that will FIX the problem.
Risperdal was, for us, the miracle drug. It made Jaymes calm enough to handle in public, kept him quiet enough to play and perform basic tasks without getting upset. It saved us hours of screaming crying fits and we appreciated that. We did realize that after awhile, the Risperdal seemed to work a little less and less. We also found out, much later on, that he was being overdosed horribly on it by a doctor who hasd no clue what she was talking about, and that that might veyr well be the reason for it not working anymore.
We got him on a regular, small dose. We added the Clonidine. We tweaked dosages and pills vs patches vs liquids. Finally we found a happy medium. We'll see how long it lasts. maybe a month, maybe 5 years. You never know. I'm glad I relented and gave the meds a try, it has probably saved my sanity and kept Jaymes from some serious injuries he would have inflicted on himself.
I guess I just don't understand why some people feel the need to crucify others for using medication or for saying a particular medication worked wonders for their child. Why get angry over it? I guess I'm just a laid back type of person about things. Most things anyway.
What is so horrible about Risperdal in general? Does it have a reputation I'm not aware of? I was told that it's the most commonly used medication for young kids with autism, and it has worked better fo us than anything else has. anyone have horror stories?
I've got Prozac, Ritalin, adderal horror stories, myself.
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