Is SAMe Ever Useful in Bipolar Patients or Those Who Might Have Bipolar Disorder?

 

 

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.

 

Is Life Feeling Too Routine, Boring or Flat?

 

  1. Depression has a symptom called anhedonia in which fun or pleasure is decreased.
  2. 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.
  3. Is your work or daily activitymeaningless TO YOU? Are you doing something you care about?
  4. Spirituality -- practicing presence of God. Fears and weighty things still exist but shrink.
  5. 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.
  6. 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 Updates Moving 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.

What is a Psychiatrist?

 

 

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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