If you read the labels on most SAMe bottles you will
notice the warning not to take if you are manic, manic-depressive
illness or bipolar disorder--different names for approximately the same
disorder.
Why the fuss?
We have found in experience that the dosing for
people prone to mania or milder functional hypo-mania are much lower
than people who merely have different types of
depression.
Mania is often missed. People with depression forget
a period of mild hypomania, they are prone to mania but it has not
occurred yet. Also, mania can make you incredibly irritable, but it can
also make you feel very good, "high or energized" and go unnoticed
because insight is low in the person feeling it. You can feel unusually
high, but think nothing of the fact you are suddenly doing tons of
projects, sleeping 5 hours a night, and talking a bit too fast.
And in people under 20, it is simply possible they
may have only had depression and never had a manic or hypo-manic
experience. Meaning, you are bipolar but your first episode of hypomania
or mania is in the future. (I do not mean to make anyone afraid--there
are reasonable ways of determining if a youth is at risk).
I suggest discussing your experiences with a solid
psychiatrist or psychologist and reading a little. Bipolar is both over
diagnosed and under diagnosed. Some books find it everywhere and some
minimize it. One reason you need someone who knows you and works closely
with you.
- Depression
has a symptom called anhedonia in which fun or pleasure is
decreased.
- If you
work too much regularly you will not easily
bounce back into pleasure. German vs. American (lifestyle
vs. productivity). One reason binge workers are prone to
addictions -- they seek binge pleasure to recover their
contentment.
- Is your
work or daily activity meaningless TO YOU?
Are you doing something you care about?
-
Spirituality
-- practicing presence of God. Fears and weighty things
still exist but shrink.
-
Compassion Fatigue
-- people who spend large amounts of time caring for others,
such as parents, nurses, spouses of ill spouses, adult
children of older ill parents, or therapists with long
hours, can find they are excessively depleted and life feels
flat.
-
Giving
-- stagnation can result if giving nothing back in skills,
wisdom, service or income. Research shows giving helps mood.
Of course if depressed, it may be hard to "give time" since
so tired.
Suboxone
and Opiod
Detox: METHADONE, PERCOCET & OXYCONTIN
I AM
PLEASED TO SEE THAT A GOVERNMENT AGENCY HAS MADE A WAY FOR
SUFFERING ADDICTS, HOOKED ON
METHADONE OR
OXYCODONE
PRODUCTS, TO NOW BE ABLE TO WORK, INSTEAD OF LIVING IN A
METHADONE CENTER. FURTHER, THOSE ABUSING
PERCOCETS AND OTHER
OPIOIDS CAN STOP SEEKING THEM FROM ILLEGAL SOURCES OR
ABUSING AFTER THEIR PAIN IS HEALED.
"The price
of freedom is constant vigilance."
Thomas
Jefferson
I am certified with a second DEA license
to dispense Suboxone, which is a very special
opioid, which
many patients appreciate. In contrast to the struggle many
have with tapering off methadone and other opioids, Suboxone
is quite good at allowing a comfortable taper. And if you do
not want to taper, you can get this medication without the
troubles associated with other opioids. If you are ever in
severe pain, you would simply stop this complex opioid, and
go on common pain medications, and then when healed and the
pain is low, switch back to Suboxone.
This medication is not recommended with
IV benzodiazapines and oral benzodiazapines have to be used
carefully. The number of physicians trained and approved in
prescribing this medication nationally, is still quite
small. I guess many doctors are too busy fighting all those
malpractice lawsuits. Perhaps it is because physicians fear
the state medical boards, the DEA or the FDA, and believe
these entities will harass them. Further, some pharmacists
have said in word and deed, they "hate" dealing with
Suboxone
Suboxone UpdatesMoving Beyond Basic
Certification
Suboxone is truly a
miracle. But because many physicians and pharmacists are
afraid of the DEA and state boards that attack pain treating
physicians, there are not even 7,000 physicians certified
with a special course and second DEA number to offer this
wonderful option.
So in the USA we
have 293 million people and that means we have one Suboxone
trained physician for every 42, 000 people. So much for the
Federalies winning the hearts of doctors.
A
psychiatrist is a medical doctor who specializes in the
diagnosis, treatment and prevention of mental illnesses,
including substance use disorders. Psychiatrists are
qualified to assess both the mental and physical aspects of
psychological disturbance. A psychiatrist has completed
medical school (is an M.D. or D. O.) and an additional four
or more years of residency training in psychiatry.
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