I Guess An Explanation For My Anger
I saw my therapist/psychiatrist yesterday, and I was chomping at the bit to get out what had been bothering me since last weekend.Tara (she was like a little sister when I lived with her family after my mother had kicked me out) had sent out what I considered a frivolous "GoFundMe" page for $7k in donations.  For the record, she received no donations, the group conversation she sent virtually everyone left, and her mother said once she figured out how to deactivate it, she did. I guess I am validating myself - but I am not alone, just saying!  I had NO idea why I wnnt from 0 to 100 when I read the description for...
Source: bipolar.and.me - July 7, 2016 Category: Psychiatry Source Type: blogs

Thoughts Are Scrambled and Everywhere - Maybe I Am Too
It has been really rough lately.  I pretty much ran out of klonipin.  I want to say I do not know how it happens, but obviously I take too much in a certain time frame.  But how could I take THAT MUCH?  Both Adderall and Klonipin - the two worst medications I could take too much of, I usually do within the month.I now have my Klonipin back and have felt so sick for almost a week lately.  I thought I would take it and ta-da, all of my negative thoughts that were keeping me from getting my wreaths done would be gone.  I am so far behind that just that is a lot for me to deal with.  I hate w...
Source: bipolar.and.me - June 14, 2016 Category: Psychiatry Source Type: blogs

Just Deal Already
Once again it is 2:19 am, and I have been up since 12:30 am.  I stayed in bed and slept or just laid there yesterday because I was tired.  I guess that is why - I am not sure.  Spending time with Mark lately is not exactly enjoyable.  Yes, it takes "two to tango".  He has said, even in ..marriage counseling, that he is miserable and it does not matter what happens, he will always be miserable.  I have been thinking about that for a lot.   This has been going on for YEARS!  I do not dare to look back in my blog to when it first started, but I know it is 5+ years that he has been unple...
Source: bipolar.and.me - May 31, 2016 Category: Psychiatry Source Type: blogs

It's 2:00 am I Must Be Lonely
It's 1:42am on Monday, Memorial Day.  I have been up for at least an hour.  I would say "typical", but since I have been taking Zonegran, I have been sleeping SO MUCH, and when I am not sleeping I have zero energy.  It comes in capsules, so I asked my psychiatrist if I could take half last night - just open up the capsule, take half, and put the cap back on.  She said I could.This is new to me.  Normally, and never before would I have asked to do that.  I would have just done it and told my doctor on my next visit.  But she read in my psychiatrist's records that I do that often, so she re...
Source: bipolar.and.me - May 30, 2016 Category: Psychiatry Source Type: blogs

It's 2:00 am I Must Be Lonely
It ' s 1:42am on Monday, Memorial Day. & nbsp;I have been up for at least an hour. & nbsp;I would say " typical " , but since I have been taking Zonegran, I have been sleeping SO MUCH, and when I am not sleeping I have zero energy. & nbsp;It comes in capsules, so I asked my psychiatrist if I could take half last night - just open up the capsule, take half, and put the cap back on. & nbsp;She said I could. < br / > < br / > This is new to me. & nbsp;Normally, and never before would I have asked to do that. & nbsp;I would have just done it and told my doctor on my next visit. & nbsp;But she read in my psychiatrist ' s record...
Source: bipolar.and.me - May 30, 2016 Category: Psychiatry Source Type: blogs

Please Help Convince BC Pharmacare to Cover Long Term ADHD Medications for ADHD Adults And Children
Please tell BC Pharmacare and health minister Terry Lake why they should cover long-acting ADHD medications vs just the short acting ones. CADDAC, CADDRA and some BC Psychiatrists and doctors are organizing this. Deadline is June 1st, 2016. If you live in BC and have a family member with ADHD or have ADHD yourself and already know why this is important, have your say here now . Scroll down to “Therapeutic Review of ADHD Drugs” and chose “Patient Questionnaire” or “Caregiver Questionnaire.” Please follow the instructions carefully. If you are unsure why this is important, please read ...
Source: Adult ADD Strengths - May 26, 2016 Category: Psychiatry Authors: Pete Quily Tags: ADD / ADHD Advocacy ADD / ADHD Medication BC Pharmacare Source Type: blogs

Help Convince BC Pharmacare to Cover Long Term ADHD Medications for ADHD Adults And Children
Please tell BC Pharmacare and health minister Terry Lake why they should cover long-acting ADHD medications vs just the short acting ones. Deadline is June 1st, 2016. If you live in BC and have a family member with ADHD or have ADHD yourself and already know why this is important, have your say here now . Scroll down to “Therapeutic Review of ADHD Drugs” and chose “Patient Questionnaire” or “Caregiver Questionnaire.” Please follow the instructions carefully. If you are unsure why this is important, please read on. I called for BC Pharmacare to cover long-acting (10-13 hour) medicati...
Source: Adult ADD Strengths - May 26, 2016 Category: Psychiatry Authors: Pete Quily Tags: ADD / ADHD Advocacy ADD / ADHD Medication BC Pharmacare Source Type: blogs

Alana freed from her “big, fat bulimic life” by Wheat Belly
Alana shared this instructive story of finally being freed from food binging/bulimia by living the Wheat Belly lifestyle: “Restored, Renewed and Illuminating! “At age 16 I was chubby, self-conscious, and began my 30+ year adventure of my big, fat bulimic life. “I used binging and purging as a way to have my cake and eat it too, and it worked! I lost weight, looked great and loved my delusional life. I tried so many times over the years to get help and recover. Unfortunately, everything I tried failed. Therapist, diet pills, even my son’s Adderall. Finally, at age 50 I said no more purging, which too...
Source: Wheat Belly Blog - March 5, 2016 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories appetite binging bulimia eating disorders gluten grains Weight Loss Source Type: blogs

The psychiatric secrets that harm physicians
I know your secrets. I keep secrets for a living. I know about the eye opener before your shift; the Adderall prescribed for your son that you take in the morning; the Xanax a colleague gave you for upcoming air travel that that you take at night; the near DUI that you got out of by showing your hospital badge, the letters “Dr.” prominent on the left side; your wife who tells white lies about why you can’t attend the retirement party of a colleague’s (“Patient emergency. He has to go to the hospital. I do know you understand.”); or why you didn’t show up for your last appointment w...
Source: Kevin, M.D. - Medical Weblog - February 20, 2016 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

The Good, the Bad, and the Ugly
The urine drug screen commonly utilized in the emergency department is an immunoassay that uses antibodies to detect specific drugs or their metabolites. This allows for rapid screening for drugs of abuse, but it has many limitations.   Gas chromatography-mass spectrometry (GC-MS) is the confirmatory test, but it is more costly, time-consuming, and generally can only be performed by outside laboratories. This confirmatory test is generally not useful in the emergency department, but has a role in cases of pediatric exposures, research, or occupational drug testing.     One of the limitations of a urine drug s...
Source: The Tox Cave - June 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

The Good, the Bad, and the Ugly
The urine drug screen commonly utilized in the emergency department is an immunoassay that uses antibodies to detect specific drugs or their metabolites. This allows for rapid screening for drugs of abuse, but it has many limitations.   Gas chromatography-mass spectrometry (GC-MS) is the confirmatory test, but it is more costly, time-consuming, and generally can only be performed by outside laboratories. This confirmatory test is generally not useful in the emergency department, but has a role in cases of pediatric exposures, research, or occupational drug testing.     One of the limitations of a urine drug screen a...
Source: The Tox Cave - June 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

When Enhancement Isn’t
Enhancement is weird. It seems objectively obvious what is better and what isn’t. But then context goes and screws everything up. The New York Times recently featured a debate series entitled Adderall in the Office (h/t James Hughes) in which a few thinkers (including two of my favorite bioethicists Savulescu and Parens) discussed the merits of using A.D.H.D. drugs [...] (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 29, 2015 Category: Medical Ethics Authors: Kyle Munkittrick Tags: Health Care adderall bioethics enhancement New York Times Parens Savulescu smart drugs syndicated Source Type: blogs

Promoting Amphetamines for Over-Eating - What Could Possibly Go Wrong?
In this study, about 5% of patients given any dosage of Vyvanse had to discontinue its use because of adverse effects.  3/196 patients initially randomized to Vyvanse had serious adverse effects, and one patient died, apparently of an amphetamine overdose.  Oddly, the article declared that the one death, due to methamphetamine overdose, was thought by a study investigator not to be related to treatment with another amphetamine, lisdexamfetamine.  That makes little sense, given that in a randomized controlled trial, the presumption is that differences in groups given different treatments were caused by these ...
Source: Health Care Renewal - February 26, 2015 Category: Health Management Tags: clinical trials conflicts of interest deception evidence-based medicine FDA marketing Shire stealth marketing Source Type: blogs

Is a Sock Drug Paraphernalia?
Jeffrey Miron Yes, according to the attorney general. And the “crime” of possessing drug paraphernalia is serious enough to warrant deportation of a legal permanent resident: At the U. S. Supreme Court Wednesday, the question before the justices boiled down to whether a sock can be considered drug paraphernalia. Each year 30-35,000 people are deported for drug crimes. But federal law does not treat all drug crimes equally. The question before the justices was whether the government can deport legal permanent residents for minor drug offenses. Moones Mellouli came to the U.S. on a student visa from Tunisia in...
Source: Cato-at-liberty - January 16, 2015 Category: American Health Authors: Jeffrey Miron Source Type: blogs

Shire Corporate Integrity Agreement: New Payment Disclosure Requirements
We recently wrote about Shire’s $56.5 million settlement to resolve False Claims Act allegations involving the company’s ADHD drugs Adderall XR and Vyvanse. Shire agreed to a Corporate Integrity Agreement (CIA) with HHS-OIG in exchange for avoiding exclusion from participation in Medicare, Medicaid, or other Federal health care programs. Shire’s agreement became effective September 15; view it here. Shire’s CIA has similar requirements and structure to previous agreements, with some noteworthy changes, especially in the physician payment disclosure category. We have compared Shire’s CIA to the Agreements entered ...
Source: Policy and Medicine - October 20, 2014 Category: American Health Authors: Thomas Sullivan Source Type: blogs