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Two neurotransmitters that tend to be out of balance in depressive people are serotonin and norepinephrine discount 20mg benicar with mastercard blood pressure log. An imbalance in serotonin may cause the sleep problems cheap benicar 10mg with visa blood pressure up at night, irritability and anxiety characteristic of depression, while an imbalance of norepinephrine, which regulates alertness and arousal, may contribute to the fatigue and depressed mood of the illness. Researchers have also found that depressed people have imbalances in cortisol, another natural biochemical the body produces in response to extreme cold, anger or fear. They do know, however, that cortisol levels will increase in anyone who must live with long-term stress. Studies indicate that depression is three times more common in children whose biological parents suffer from depression, even if the children have been adopted into a family whose members do not have the illness. Other research indicates that if one identical twin develops depression, the other twin has a 70 percent chance of also suffering from it. These studies suggest that some people inherit a susceptibility to the illness. A drug-dependent or alcoholic parent cannot always provide the consistency a child needs. The loss of a loved one through divorce or death is stressful, as is enduring the long-term illness of a parent, a sibling or the child himself. A child living with a parent who is psychologically, physically or sexually abusive must cope with incredible stress. Many youngsters from stable and loving environments also develop the illness. For this reason, scientists suspect that genetics, biology and environment work together to contribute to depression. Therapy is essential for children struggling with depression so that they can be free to develop necessary academic and social skills. Young people respond well to treatment because they adapt readily and their symptoms are not yet entrenched. Psychotherapy is a very effective treatment for children. During therapy, the child learns to express his feelings and to develop ways of coping with his illness and environmental stresses. Researchers have also looked at the effectiveness of medications and have found that some children respond to antidepressant medications. However, the use of medications must be closely monitored by a physician with expertise in this area, usually a child psychiatrist. The American Academy of Child and Adolescent Psychiatry emphasizes that psychiatric medication should not be the only form of treatment but, rather, part of a comprehensive program that usually includes psychotherapy. You may hear this condition called by various names: hyperactivity, minimal brain dysfunction, minimal brain damage and hyperkinetic syndrome. Attention-deficit disorder affects from three to 10 percent of all children in America. Thought to be 10 times more common in boys than in girls, this disorder often develops before the age of seven but is most often diagnosed when the child is between ages eight and 10. In addition, children may have specific learning disabilities that can lead to emotional problems as a result of falling behind in school or receiving constant reprimands from adults or ridicule from other children. As with depression, scientists suspect that a combination of heredity, environment and biological problems contribute to development of the disorder. For example, studies show that parents of some children suffering from ADHD also were diagnosed as having the illness. Investigators have suggested many other theories, but their validity has not been established. A child should undergo a complete medical evaluation to ensure an accurate diagnosis and proper treatment. Or another physical or emotional illness may be contributing to the behavioral problem.

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ZYPREXA (olanzapine) is not approved for the treatment of patients with dementia-related psychosis (see WARNINGS ) trusted benicar 20 mg hypertension young age. ZYPREXA (olanzapine) is a psychotropic agent that belongs to the thienobenzodiazepine class buy 40mg benicar free shipping blood pressure khan academy. The chemical designation is 2-methyl-4-(4-methyl-1-piperazinyl)-10H-thieno[2,3-b] [1,5]benzodiazepine. The molecular formula is CS, which corresponds to a molecular weight of 312. The chemical structure is:Olanzapine is a yellow crystalline solid, which is practically insoluble in water. ZYPREXA tablets are intended for oral administration only. Inactive ingredients are carnauba wax, crospovidone, hydroxypropyl cellulose, hypromellose, lactose, magnesium stearate, microcrystalline cellulose, and other inactive ingredients. The color coating contains Titanium Dioxide (all strengths), FD&C Blue No. ZYPREXA ZYDIS (olanzapine orally disintegrating tablets) is intended for oral administration only. Each orally disintegrating tablet contains olanzapine equivalent to 5 mg (16 emol), 10 mg (32 emol), 15 mg (48 emol) or 20 mg (64 emol). It begins disintegrating in the mouth within seconds, allowing its contents to be subsequently swallowed with or without liquid. ZYPREXA ZYDIS (olanzapine orally disintegrating tablets) also contains the following inactive ingredients: gelatin, mannitol, aspartame, sodium methyl paraben and sodium propyl paraben. ZYPREXA IntraMuscular (olanzapine for injection) is intended for intramuscular use only. Each vial provides for the administration of 10 mg (32 emol) olanzapine with inactive ingredients 50 mg lactose monohydrate and 3. Hydrochloric acid and/or sodium hydroxide may have been added during manufacturing to adjust pH. Olanzapine is a selective monoaminergic antagonist with high affinity binding to the following receptors: serotonin 5HT=4 and 11 nM, respectively), dopamine D=7 nM), and adrenergic (alpha) 1 receptors (K=19 nM). Olanzapine binds weakly to GABA, BZD, and (beta) adrenergic receptors (KThe mechanism of action of olanzapine, as with other drugs having efficacy in schizophrenia, is unknown. The mechanism of action of olanzapine in the treatment of acute manic episodes associated with Bipolar I Disorder is unknown. Antagonism at receptors other than dopamine and 5HTwith similar receptor affinities may explain some of the other therapeutic and side effects of olanzapine. Olanzapine is well absorbed and reaches peak concentrations in approximately 6 hours following an oral dose. It is eliminated extensively by first pass metabolism, with approximately 40% of the dose metabolized before reaching the systemic circulation. Food does not affect the rate or extent of olanzapine absorption. Pharmacokinetic studies showed that ZYPREXA tablets and ZYPREXA ZYDIS (olanzapine orally disintegrating tablets) dosage forms of olanzapine are bioequivalent. Olanzapine displays linear kinetics over the clinical dosing range. Its half-life ranges from 21 to 54 hours (5th to 95th percentile; mean of 30 hr), and apparent plasma clearance ranges from 12 to 47 L/hr (5th to 95th percentile; mean of 25 L/hr). Administration of olanzapine once daily leads to steady-state concentrations in about one week that are approximately twice the concentrations after single doses. Plasma concentrations, half-life, and clearance of olanzapine may vary between individuals on the basis of smoking status, gender, and age ( see Special Populations ). Olanzapine is extensively distributed throughout the body, with a volume of distribution of approximately 1000 L. It is 93% bound to plasma proteins over the concentration range of 7 to 1100 ng/mL, binding primarily to albumin and (alpha) 1 -acid glycoprotein. Metabolism and Elimination -- Following a single oral dose of 14 C labeled olanzapine, 7% of the dose of olanzapine was recovered in the urine as unchanged drug, indicating that olanzapine is highly metabolized. Approximately 57% and 30% of the dose was recovered in the urine and feces, respectively.

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Dr Howard says many of the attempted suicides occur before the teenagers become sexually active generic 40mg benicar amex prehypertension 131, and openly identify themselves as gay safe 40 mg benicar pulse pressure and stroke volume, so they are unlikely to use programs targetting gay men. He reccommended strategies to stop homphobia and bullying. At home, as well as at school, providing a sympathetic and low-stress environment and making some adaptations may be helpful to aid a child or adolescent with bipolar disorder. Children whose behavioral symptoms make life stressful for the whole family are most likely vulnerable people who wish they could be "normal" like other kids. It is also important to keep in mind that because children with bipolar disorder are frequently quite impulsive, their actions "in the moment" may not reflect behavioral lessons they have already learned. Daily frustrations and social isolation can foster low self-esteem and depression in these children. The simple experience of being listened to empathically, without receiving advice, may have a powerful and helpful effect. Parents should not let their own worries prevent them from being a strong source of support for their child. Distinguish between symptoms, which are frustrating, and the child. Sometimes it is useful to help the child distinguish himself or herself from the illness ("It sounds like your mood is not very happy today, and that must make it extra hard for you to be patient"). Anticipating and planning for these transition times may be helpful for family members. Helping a child make more attainable goals when symptoms are more severe is important, so that the child can have the positive experience of success. A parent may need to choose which issues are worth having an argument over (such as hitting a sibling) and which issues are not worth an argument (tonight choosing not to brush teeth). These decisions are not easy, and at times everything may appear to be important. Parenting a child with bipolar disorder requires flexibility that will reduce conflicts at home and instill healthy habits in the child. For guidance on how to "keep the small stuff small," visit the Collaborative Problem Solving Institute web site. Such well-intended efforts to support a child may actually delay the development of new coping strategies and reduce the benefits of behavior therapy. Finding the balance between supportive flexibility and appropriate limit setting is frequently challenging for parents and may be aided by the guidance of a trained professional. Talk as a family about what to say to people outside of the family. Even if the decision is made not to discuss this medical condition with others, having an agreed-on plan will make it easier to handle unexpected questions and minimize family conflicts about this. Children tend to benefit from behavioral plans that reward good behaviors (rather than punish misbehaviors) because they may otherwise feel as though they get feedback only about their mistakes. Experts encourage doing this six times per hour at home. This pattern may not be one parents grew up with, but it is an easy and effective means to help a child develop new habits. Avoiding a tantrum, demonstrating flexibility in a potentially difficult situation, or increasing times without a rageful episode can all improve daily life and warrant reward or acknowledgment. Praise, gold stars on a calendar, or sitting beside a parent in the car can all be effective rewards. Parents will need to determine with their child what the reward is, and will need to be consistent with the plan for it to be effective. Tangible reminders help children learn that they can be responsible for their actions and will be recognized for their good efforts. A chart system is often effective, in which a certain number of stars per day may be "cashed in" for the reward (an extra story with parent, a trip for ice cream, etc.

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Are you inexplicably fatigued or cold in temperature? Do you avoid foods because of the fat buy benicar 20mg otc blood pressure chart readings for ages, carbohydrate benicar 10mg visa blood pressure 8860, or sugar content in them? Are you secretive or do you lie about your eating practices, do you think they are abnormal? Do you find you seek approval from people, and/or have a hard time saying "no" and/or a perfectionist, or an overachiever? Do you think you are not good enough, stupid, and/or worthless or people are always judging you in a negative way? Do you think life would be better and/or people would like you more if you were thin/thinner? Do you eat, self-starve, restrict, binge, purge, and/or compulsively exercise when you are feeling lonely, badly, or when you are feeling emotional pressures? While eating, self-starving, binging and/or purging do you feel comforted, relieved, like emotional pressures have been lifted, or like you are in more control? Do you feel guilty following a binge and/or purge episode, after eating or during and/or after periods of restriction/self-starvation? When eating do you ever feel out of control or like you will lose control; do you try to avoid eating because of this fear? Do you find that you bruise easily, have a very high tolerance for pain, and/or you are extremely noise sensitive? Do you spend a lot of time obsessively cooking for others, reading recipes, and/or studying nutritional information on food? Do you use self-injury (cutting yourself, burning yourself, pulling out your own hair) as a way to cope with things? Would you worry about a friend or family member that came to you with similar weight-loss/coping methods? Each of these eating disorder quiz questions can indicate an eating disorder if answered "yes" or "constantly. Print and take this quiz, along with your answers, and discuss the outcome with your health professional. Answering more than three questions with "maybe" or "often" should also be discussed with a health professional. Those answers indicate you may have an eating disorder or be at risk for developing an eating disorder. There are almost as many types of treatment for eating disorders as there are types of eating disorders themselves. This is because different eating disorders require different approaches and the severity of the eating disorder may dictate the treatment method chosen. The key lies in finding the right type of eating disorder treatment that works best for the individual. Help for anorexia and bulimia is generally available at medical care facilities, through private practitioners and through community or faith-based groups. Treatment types include:Acute, medical care, typically through a hospitalOngoing psychiatric care, possibly including medicationInpatient or outpatient programs, typically eating disorder specializedNutritional counselingPsychological counselingGroup therapy / Self-pacedMedical treatment for eating disorders, particularly acute, inpatient admission, is not generally required. The exception is when an eating disorder is so severe that the physical damage must be handled immediately, as in the case of an esophageal tear in a bulimic ( bulimia side effects ) or in the case of severe starvation in an anorexic ( anorexia health problems ). Medical treatment of an eating disorder that includes prescription medication is needed more frequently. In this case, medications are prescribed, generally by a psychiatrist and may be intended to help treat the eating disorder itself or any possible co-occurring mental illnesses, such as depression, which is common in those with anorexia or bulimia. Medications used in the treatment of eating disorders typically include:Selective serotonin reuptake inhibitors (SSRIs) - the preferred type of antidepressant; thought to help decrease the depressive symptoms often associated with some eating disorders. Fluoxetine (Prozac)Tricyclics (TCAs) - another type of antidepressant thought to help with depression and body image. TCAs are generally only used if SSRIs treatments fail. Desipramine (Norpramin)Antiemetics - drugs specifically designed to suppress nausea or vomiting. Ondansetron (Zofran)The type of program that is chosen depends on the severity and duration of the eating disorder.

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