Doctor insights on:
Medicine For Dissociative Disorders
Dissociative D/O: "dissociative disorders" means a group of 4 disorders having in common: memory loss for certain periods of time, events, & people; sense of being detached from self (depersonalization); perception that things around you are distorted & unreal (derealization); blurry sense of identity; disturbed functioning in life, work, etc. Reality testing is intact, unlike psychotic illnesses. ...Read more
With dissociation,: I think healing is a more accurate term. Mental processes are like a dance, and we're always balancing something. With treatment of dissociative disorders, one may become more resilient to the things which previously triggered dissociation, so that this is no longer the automatic coping response. One has more gears, in a way. Dissociation leaves you without choice -- treatment provides these. ...Read more
Very weird indeed: The weirdness can consist of the following: receiving directions to go somewhere, including out of country, by someone or for reasons you do not know, coming home after a night out and finding blood and semen and bruises on you that you have no recollection of. Having alters that think they are animals, eating dog food for years and not knowing it, being tortured at night, having spirit alters etc. ...Read more
If bipolar, standard bipolar treatments, if depressed I try to pick something like zoloft or Paxil to treat depression and ptsd. If self-harming, I add in Hydroxyzine 20-25 mg up to four times a day to decrease the frequency of the thoughts and the intensity of the urges. If there is an underlying ptsd with true psychosis in addition to the psuedopsychosis I add in an atypical or typical anti-psychotic as indicated. With generalized anxiety disorder I use buspar (buspirone). Panic anxiety is treated in the standard fashion. Dissociative crises are treated by an increase in the antipsychotic if there is one on board or by adding in an anti-psychotic if one is not already being used. Remember however that psychotherapy by a trained and experienced psychotherapist is absolutely necessary in this condition. The therapist must have experience in long term in working with dissociative disordered individuals. There are entirely too many
types of therapy and a broad mixture of therapies that have to be added in together to treat a condition this complex. It is not a situation for amateurs. The worst thing you could do would be to treat with a clinician who does not even believe in this condition. Also, make sure that your therapist has had supervised treatment of di d in the course of their training or career. Best wishes and good luck to you. My experience is that d id patients thrive in therapy and do very well. I greatly admire their sense of survival their creativity, their ingenuity, and their deep underlying sense of right and wrong as well as justice. I have learned as much or more from them as they have learned from me. ...Read more
Dissociative: Dissociation is a defensive operation that the human mind engages in unconsciously in order to avoid painful stimuli or memories. ...Read more
Not medication: Medication is not the primary treatment for dissociative disorders -- various kinds of talk therapy (including cognitive therapy) are. Also, expressive art therapies can increase self-awareness, cope with symptoms and traumatic experiences, and promote positive integration. Sometimes hypnosis can be helpful. Medications might be used for accompanying symptoms like anxiety & depression, though. ...Read more
Dissociative DO: This is controversial. Some believe it is due to childhood traumas & disorganized attachments. A recent review article by dr. Stern in the psychoanalytic quarterly journal jan. 2012, supports the hypothesis that current or recent trauma may affect one's assessment of the more distant past, changing the experience of the past & resulting in dissociative states. ...Read more
Not really: The conflicts between alters are more internal than external. ...Read more
Not alone: Neurologists may treat some people who also have dissociative disorders, but would not be doing this by themselves unless they also have full training in psychiatry. A typical scenario might be a patient who has both a seizure disorder and dissociative disorder -- needs care from both psychiatry and neurology working together. Such a person will also need psychotherapy. ...Read more
What could be a physiological explanation to dissociative disorders? What are the part of the brain that are involved?
Multiple areas: Correlations have been demonstrated between the symptoms of dissociation and the right temporo parietal junction, an area involved in perspective taking, sense of self and integration of information between self and environment. There are several aspects of mental dissociation, and brain areas involved in those domains, e.g., visual/auditory/tactile processing, attention, are associated with each. ...Read more
Although available, experimental drugs are given in clinical trials, usually in academic or private institutions with doctors involved in research, where patients that have failed to existing treatment are treat. There are a variety of immunotherapy medications like Remicade (infliximab) that are available for Crohn's you could discuss with your doctor about.
Ustekinumab is a clinical trial drug for Crohn's ...Read more
Some injections: Non-surgical treatments for peyronie's include: waiting (as some penises improve without treatment), or injections of medications such as verapamil or interferon (medications that can decrease the collagen fibrous material in the plaque). An experienced urologist can evaluate to be sure peyronie's is cause of the curvature, and then he may recommend non-surgical treatments as a first step. ...Read more
Wilson's disease: Check out http://www. Mayoclinic. Com/health/wilsons-disease/ds00411 for info re wilson's disease which is autosomal recessive cause of excess copper. Both Penicillamine & trientine are used to chelate & remove excess copper. There's no best drug for everyone but rather a best drug for you. Talk to your doc about what's available to you, what's affordable, and what side effects are tolerable to you. ...Read more
Yes: I would have no problem dealing with someone on psychiatric medication as long as I knew that persons history ...Read more
Testing: Unfortunately, without knowing what part of your testing was abnormal, it is not possible to suggest a treatment. Please give some more specifics, or go see a doctor to review your test results. ...Read more
Daily a little bit sticky semen like substance come out once or twice in a day. Medicines to cure this disease.
Can you tell me an example of a time when medicine was shipped elsewhere to another country in order to stop an epidemic or disease?
Yes: The Canadian Health Minister indicated that Canada will donate between 800 to 1, 000 of their 1, 500 doses of an experimental Ebola Vaccine - VSV-EBOV to help with the Ebola-Zaire outbreak in West Africa. ...Read more
Immunosuppresents: Since autoimmune diseases are a diverse group of diseases which have in common activation of the immune system which leads to different complications (depending upon the disease) the best way to treat is to use medications which suppress the immune system (such as steroids and sometimes chemotherapy). ...Read more
A variety: Of non steroidal anti inflammatory medication as long as there are no contraindications like allergies, use of blood thinners, kidney or liver disease or ulcer/reflux issues. Tylenol (acetaminophen) is an option. Other types of drugs like cymbalta, Elavil and neurontin/lyrica may also help. Ideally, not smoking, regular exercise and weight control are also helpful. Good levels of vitamin d also are important. ...Read more
No!!!!!: Many people live with celiac disease and are highly functioning professionals. Strict adherence to a gluten-free diet is crucial. That also means reading labels very carefully. You should shop at the gluten-free section, available in most groceries, be under competent medical supervision. Also see www. Celiac. Nih. Gov/materials. Aspx; www. Celiac. Org/ ...Read more