Tag: counseling

Tourette Syndrome: Know The Basics

“Dropping F Bombs”

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Tourette’s disorder, or Tourette syndrome

(TS) as it is frequently called, is a neurologic syndrome. The essential feature of Tourette’s are multiple tics that are sudden, rapid, recurrent, non-rhythmic, stereotypical, purposeless movements or vocalizations.

 
 What are the symptoms of Tourette syndrome?
 
  • Both multiple motor and one or more vocal tics are present at some time during the illness, although not necessarily simultaneously
  • Occurrence many times a day nearly every day or intermittently throughout a span of more than one year
  • Significant impairment or marked distress in social, occupational, or other important areas of functioning.
  • Onset before the age of 18.

 Symptoms can disappear for weeks or months at a time and severity waxes and wanes.

  

What are the first tics that may be characteristic of Tourette’s syndrome?

Usually, the facial tic, such as rapid blinking of the eyes or twitches of the mouth, may be the first indication a parent has that their child may have Tourette’s syndrome. Involuntary sounds, such as throat clearing and sniffing, or tics of the limbs may be an initial sign in other children.

  

Are any other symptoms associated with Tourette’s syndrome?

Approximately 50 percent of patients meet criteria for attention deficit hyperactivity disorder (ADHD) and this may be the more impairing problem. Approximately one-third of patients meet criteria for obsessive-compulsive disorder (OCD) or have other forms of anxiety. Learning disabilities are common as well as developmental stuttering. Social discomfort, self-consciousness and depressed mood frequently occur, especially as children reach adolescence.

 

Yelling and irrational

What causes these symptoms?

Although the cause has not been definitely established, there is considerable evidence that Tourette’s syndrome arises from abnormal metabolism of dopamine, a neurotransmitter. Other neurotransmitters may be involved.

 

Can Tourette’s syndrome be inherited?

Genetic studies indicate that Tourette’s syndrome is inherited as an autosomal dominant gene but different family members may have dissimilar symptoms. A parent has a 50 percent chance of passing the gene to one of his or her children. The range of symptomatology varies from multiple severe tics to very minor tics with varying degrees of attention deficit-disorder and OCD.

  

Are boys or girls more likely to have Tourette’s syndrome?

The sex of the child can influence the expression of the Tourette’s syndrome gene. Girls with the gene have a 70 percent chance of displaying symptoms, boys with the gene have a 99 percent chance of displaying symptoms. Ratios of boys with Tourette’s syndrome to girls with Tourette’s syndrome are 3:1. 

  

How is Tourette’s syndrome diagnosed?

No blood analysis, x-ray or other medical test exists to identify Tourette’s syndrome. Diagnosis is made by observing the signs or symptoms as described above. A doctor may wish to use a CAT scan, EEG, or other tests to rule out other ailments that could be confused with TS. Some medications cause tics, so it is important to inform the professional doing the assessment of any prescribed, over-the-counter, or street drugs to which the patient may have been exposed.

  

What are the benefits of seeking early treatment of Tourette syndrome symptoms?

When a child’s behavior is viewed as disruptive, frightening, or bizarre by peers, family, teachers, or friends, it provokes ridicule and rejection. Teachers and other children can feel threatened and exclude the child from activities or interpersonal relationships. A child’s socialization difficulties will increase as he reaches adolescence. Therefore, it is very important for the child’s self-esteem and emotional well-being that treatment be sought as early as possible.

  

What treatments are available for Tourette syndrome?

Not everyone is disabled by his or her symptoms, so medication may not be necessary. When symptoms interfere with functioning, medication can effectively improve attention span, decrease impulsivity, hyperactivity, tics, and obsessive-compulsive symptomatology. Relaxation techniques and behavior therapy may also be useful for tics, ADD symptoms, and OCD symptoms. 

  

How does Tourette syndrome affect the education of a child or adolescent with Tourette syndrome?

Tourette syndrome alone does not affect the IQ of a child. Many children who have Tourette syndrome, however, also have learning disabilities or attention deficits. Frequently, therefore, special education may be needed for a child with Tourette syndrome. Teachers should be given factual information about the disorder and, if learning difficulties appear, the child should be referred to the school system for assessment of other learning problems.

  

What is the course of Tourette syndrome?

Some people with Tourette syndrome show a marked improvement in their late teens or early twenties. However, tics as well as ADD and OCD behavior, may wax and wane over the course of the life span.   

  

Reviewed by Charles T. Gordon, III, M.D., 2003

 

For more help go to: http://www.nami.org/   and  http://www.tsa-usa.org/

 

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2010 Links, Favorites

Below you will find internet links.  I have gathered these up, finding them useful, entertaining and a blessing.  Some of these are mental illness links, others quote links.  Some are quite general, and others much more specific.  There are also a few Bible study aids, and these are quite valuable as ‘good ones’ are hard to find.

I am sorry that they are just laid out like this, but to categorize them would be difficult.  My apologies.  I realize that this pretty raw, but I hope you’ll be able to ‘mine’ something out of them.  I skimmed through and left a comment on some the url’s.  Handling some of these may require some patience.

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http://www.biblegateway.com/, perhaps the best Bible/versions

http://www.thegracetabernacle.org/quotes/gracequotes.html

http://bipolar.alltop.com/

http://www.dbsalliance.org/site/PageServer?pagename=about_publications

http://newstracts.org/christiansites.html, great collection

http://www.internetmonk.com/archive/imonk-101-when-i-am-weak-why-we-must-embrace-our-brokenness-and-never-be-good-christians, the Monk is always good, this is one of my personal favs

http://www.gotquestions.org/, hundreds of questions, good site

http://www.moodyradio.org/brd_AudioMin.aspx?id=13144, interesting, and Moody as a rule is solid

http://www.preceptaustin.org/, good site, but take your time with it.

http://net.bible.org/home.php

http://www.roundtripmissions.com/, planning STM trip?

http://www.soulshepherding.org/, very good with strong discipleship msg.

http://christian-quotes.ochristian.com/

http://hub.webring.org/hub/quotations

http://www.pietyhilldesign.com/gcq/index.html, quotes

http://coolquotescollection.com/

http://www.blogigo.com/discernment/Discipleship-quotes/32/

http://www.goodquotes.com/

http://wholelifeliving.ning.com/, seems good, haven’t spent time with it

http://crossquotes.org/, my own quote site, small but intense

http://www.tentmaker.org/Quotes/quotesindex.htm

http://www.thetravelingteam.org/node/196

http://www.christianquotes.org/

http://mentalhealthministries.net/links_resources/other_resources.html

http://www.canadianchristianity.com/christianliving/070809ill.html, great site

http://www.aesham.com/murphy.html, whatever, Murphy’s Laws rehashed

http://www.stumbleupon.com/su/6ezJa9/www.energyfiend.com/death-by-caffeine/, funny

http://aceonlineschools.com/25-awesome-virtual-learning-experiences-online/, this is very interesting

http://popurls.com/, new edition everyday, smart

http://www.biblesearchengine.com/, looks really useful

http://www.fracturedsaints.com/, blog similar to BB, but different

http://www.stumbleupon.com/su/9LspdV/www.rense.com/general72/size.htm, sort stumbleupon out and you won’t regret it.

http://www.ukapologetics.net/08/BCL.htm, pretty solid

http://walk-this-way.com/

http://www.christianstories.com/categories/funnychristian.html, funny

http://www.godtube.com/, Christian youtube

http://lifestream.org/blog/

http://www.beliefnet.com/Faiths/Christianity/2006/02/Whats-A-Red-Letter-Christian.aspx, one of my favs

http://alaskabible.org/, My Bible school, a great place to learn

http://www.biologos.org/, science and faith dialogue, stretching

http://www.relevantmagazine.com/, online Christian magazine, cutting edge articles

Get the Nail Gun: Understanding Your Guilt

But you, dear friends, carefully build yourselves up in this most holy faith by praying in the Holy Spirit, staying right at the center of God’s love, keeping your arms open and outstretched, ready for the mercy of our Master, Jesus Christ. –Jude 1:21

 

The world does not know what to do with all our guilt.  It affects every person and what we think about.  Guilt is much more destructive then Hurricane Katrina ever was. People talk about being crippled by guilt.  Psychiatrists have come out and said that 80% of their patients could be healed if people could resolve their guilt and their remorse for their past sins.  So much drinking and drug abuse is simply trying to numb yourself, if just for a little while.  Forgiving yourself is not an easy thing.  We must remember that all sin committed ultimately is against Jesus, and we must put our hearts in position for grace and mercy to fill us.  The Holy Spirit hovers over us, and yet He does not condemn.  He is not the accuser; He is the Helper and the Comforter.  The Holy Spirit convicts but He will not condemn.

Satan has a ministry–it is to accuse you before the Father.  He is malicious and savage.  He delights in reminding you of your sin and evil. He unceasingly pounds you.  The devil has an evil plan for your life, and works continuously to implement it.  Guilt and remorse are just two weapons at his disposal.

We honor God when we accept our sin, and His forgiveness.  Our verse from Jude declares that we must keep ourselves in the love that God has for us.  It takes intentional effort.  Our guilt is heavy, so we must put it down.  And then we must deliberately stand and purposefully open our outstretched arms to His forgiveness.  We need to “keep ourselves in the love of God”.  I get out my “spiritual nail gun” and fix myself in His love.

Guilt is like wounding ourselves.  Satan pokes our wound in order irritate it.  We learn to hide it from God, and others.  But these things are killing us. It’s like having gangrene. And the brutal sorrow and regret consume us.  I guess that is why we have Jude 1:21 in the first place.

All About Meds for Depression

Depression is commonly treated with antidepressant medications. Antidepressants work to balance some of the natural chemicals in our brains. These chemicals are called neurotransmitters, and they affect our mood and emotional responses. Antidepressants work on neurotransmitters such as serotonin, norepinephrine, and dopamine.

The most popular types of antidepressants are called selective serotonin reuptake inhibitors (SSRIs). These include:

  • Fluoxetine (Prozac)
  • Citalopram (Celexa)
  • Sertraline (Zoloft)
  • Paroxetine (Paxil)
  • Escitalopram (Lexapro).

Other types of antidepressants are serotonin and norepinephrine reuptake inhibitors (SNRIs). SNRIs are similar to SSRIs and include venlafaxine (Effexor) and duloxetine (Cymbalta). Another antidepressant that is commonly used is bupropion (Wellbutrin). Bupropion, which works on the neurotransmitter dopamine, is unique in that it does not fit into any specific drug type.

SSRIs and SNRIs are popular because they do not cause as many side effects as older classes of antidepressants. Older antidepressant medications include tricyclics, tetracyclics, and monoamine oxidase inhibitors (MAOIs). For some people, tricyclics, tetracyclics, or MAOIs may be the best medications.

What are the side effects?

Antidepressants may cause mild side effects that usually do not last long. Any unusual reactions or side effects should be reported to a doctor immediately.

The most common side effects associated with SSRIs and SNRIs include:

  • Headache, which usually goes away within a few days.
  • Nausea (feeling sick to your stomach), which usually goes away within a few days.
  • Sleeplessness or drowsiness, which may happen during the first few weeks but then goes away. Sometimes the medication dose needs to be reduced or the time of day it is taken needs to be adjusted to help lessen these side effects.
  • Agitation (feeling jittery).
  • Sexual problems, which can affect both men and women and may include reduced sex drive, and problems having and enjoying sex.

Tricyclic antidepressants can cause side effects, including:

  • Dry mouth.
  • Constipation.
  • Bladder problems. It may be hard to empty the bladder, or the urine stream may not be as strong as usual. Older men with enlarged prostate conditions may be more affected.
  • Sexual problems, which can affect both men and women and may include reduced sex drive, and problems having and enjoying sex.
  • Blurred vision, which usually goes away quickly.
  • Drowsiness. Usually, antidepressants that make you drowsy are taken at bedtime.

People taking MAOIs need to be careful about the foods they eat and the medicines they take. Foods and medicines that contain high levels of a chemical called tyramine are dangerous for people taking MAOIs. Tyramine is found in some cheeses, wines, and pickles. The chemical is also in some medications, including decongestants and over-the-counter cold medicine.

Mixing MAOIs and tyramine can cause a sharp increase in blood pressure, which can lead to stroke. People taking MAOIs should ask their doctors for a complete list of foods, medicines, and other substances to avoid. An MAOI skin patch has recently been developed and may help reduce some of these risks. A doctor can help a person figure out if a patch or a pill will work for him or her.

How should antidepressants be taken?

People taking antidepressants need to follow their doctors’ directions. The medication should be taken in the right dose for the right amount of time. It can take three or four weeks until the medicine takes effect. Some people take the medications for a short time, and some people take them for much longer periods. People with long-term or severe depression may need to take medication for a long time.

Once a person is taking antidepressants, it is important not to stop taking them without the help of a doctor. Sometimes people taking antidepressants feel better and stop taking the medication too soon, and the depression may return. When it is time to stop the medication, the doctor will help the person slowly and safely decrease the dose. It’s important to give the body time to adjust to the change. People don’t get addicted, or “hooked,” on the medications, but stopping them abruptly can cause withdrawal symptoms.

If a medication does not work, it is helpful to be open to trying another one. A study funded by NIMH found that if a person with difficult-to-treat depression did not get better with a first medication, chances of getting better increased when the person tried a new one or added a second medication to his or her treatment.

Good source for personal research: http://www.nimh.nih.gov/index.shtml

Healthy Place on Depression Meds: http://www.healthyplace.com/depression/antidepressants/list-of-antidepressants/menu-id-68/

And Buzzle’s List:  http://www.buzzle.com/articles/depression-medication-list-of-antidepressants.html