Need a drug and alcohol rehab center in Glendale, Arizona? Contact Renaissance Recovery Center☎️
https://www.renaissancerecoverycenter.com/drug-and-alcohol-addiction-addiction-treatment-glendale-az/
Need a drug and alcohol rehab center in Glendale, Arizona? Contact Renaissance Recovery Center☎️
https://www.renaissancerecoverycenter.com/drug-and-alcohol-addiction-addiction-treatment-glendale-az/
Master-level counselors with extensive training in treating addiction and mental health issues at the top drug and alcohol treatment center in Peoria, AZ
https://www.renaissancerecoverycenter.com/drug-and-alcohol-treatment-in-peoria-az/
10 Most Promising Rehabilitation Centers to Watch in 2021 Vol-1.insightscare
The latest edition, '10 Most Promising Rehabilitation Centers to Watch in 2021-Vol 1' features few rehabilitation centers doing yeoman service in healing alcohol & substance abusers, mental health patients & those with medical issues.
Master-level counselors with extensive training in treating addiction and mental health issues at the top drug and alcohol treatment center in Peoria, AZ
https://www.renaissancerecoverycenter.com/drug-and-alcohol-treatment-in-peoria-az/
10 Most Promising Rehabilitation Centers to Watch in 2021 Vol-1.insightscare
The latest edition, '10 Most Promising Rehabilitation Centers to Watch in 2021-Vol 1' features few rehabilitation centers doing yeoman service in healing alcohol & substance abusers, mental health patients & those with medical issues.
The Newsletter for the friends and internal community at Sarah A Reed Children's Center in Erie,PA. which recaps some of our efforts during the last few months during this COVID -19 Cloud.Covers all five campuses. sarahreed.org
Child and Clinical Psychologist Treatment for mental illness – Dr. Deepali Batradeepalibatra
Deepali Batra a well-known child and clinical psychologist along with her team offer Neuro psychiatrist services. Based in west Delhi, she and her experienced team offers treatment for mental illness, psychiatric & Neuro psychiatrist services.
Our Vision for Patients
Educated, engaged and empowered patients actively managing their health and becoming advocates for healthy living within their family and the community, inspiring
others to value that good health is true wealth.
Cover Letter, Resume, and Portfolio Toussaint Casimir.docxmarilucorr
Cover Letter, Resume, and Portfolio
Toussaint Casimir
Walden University
NURS 6660 PMH Nurse Practitioner Role I: Child and Adolescent
February 3, 2019
Personal Philosophy Statement
Patient care is complex system that is delivered by a multidisciplinary team. Its success requires perfect harmony between the all the involving members. It is vital that the care we deliver as healthcare professional is patient – centered. Therefore, it is important to know the population that we are serving, its needs and its cultural background. In the United States more than any other country, healthcare providers should develop their cultural awareness and competence.
The stigma around the mental illness and the quality of treatment that mentally ill individuals receive have inspired me to become a psychiatric mental health nurse practitioner (PMHNP). I have felt the necessity to stand up and do what is right as my contribution to fix this urgent issue. In our society, physical or medical diseases provoke empathy, but we demonstrate disdain for people impacted by mental conditions. Like we always say, “See it and fix it”. So, passivity is as wrong as the wrong doing.
As a psychiatric mental health nurse practitioner, I will have the opportunity to care for a multicultural population with different conceptions or point of view about mental health. It is my role and responsibility to understand the cultural differences and provide support to those in need. I have learned that in the healthcare system, we should not be judgmental. My personal philosophy is to treat each and every patient as I would like to be treated. It is a moral obligation to use my knowledge to serve and educate individuals in my community. As a healthcare professional, I believe that I have the capability to change to way mentally ill individuals are viewed and treated. Through my philosophy, I will be able to advocate for holistic and empathic care for individuals with mental health conditions.
Self – Assessment
I have decided to transition from registered nurse (RN) to psychiatric mental health nurse practitioner (PMHNP) to better serve my community. So, I have always said and believe that the more someone has the he/she can give. When I decided to go back to school to pursue my goal, I said to myself “I have to choose one of the best schools”. Finally, I have chosen Walden University that I believe meet my expectations. For my Practicum, I have chosen the Compass Health System which has been established in the South Florida since 1990, and it is well respected in the community. They offer their services through their offices and most of the hospital with mental health crisis. They are one the major teaching facilities in mental health in the South Florida.
I have selected preceptors who have been working with Compass Health System for several years. So, they acquired a very solid experience in the field. I have taken great advantage of their experience to strengthen my assessment s.
Community Allied Health Service Centre specialising in Sensory Processing Disorder, Autism, ADHD, Anxiety and General Learning Difficulties. Assessment, Diagnosis and Therapy.
Voyage Recovery Center provides addiction rehabilitation treatment for young adult men with substance use disorders, and intensive family programming in Hobe Sound, Florida. CALL (772) 245-8345. Visit: https://www.voyagerecovery.com/
Senior Home Care Services in South Orange and North San Diego CountiesBrightStar Care CA
BrightStar provides homecare, including elder care, childcare and qualified caregivers along with medical staffing solutions in South Orange and Northern San Diego Counties. Proudly Serving from Laguna Niguel to Carlsbad and Vista including Oceanside and Fallbrook.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
1. `xÇàtÄ [xtÄà{ TááÉv|tà|ÉÇ Éy fÉâà{ãxáà YÄÉÜ|wt
Educating Southwest Florida on Mental Wellness since 1957
55 Years of
providing Services January 2012
throughout
SWFL
A New Year Has Begun
We are proud that our Professional
Coming Events: Membership has increased by 35%
for 2012. I certainly also want to
♦ January 7, 2012 Thank our Professional Members who
Putting Children First joined us this year not only as mem-
♦ January 21, 2012 bers, but giving their time by
Putting Children First performing pro bono work, writing
articles, and helping us meet the needs
♦ February 11, 2012 It’s hard to believe it is 2012 already. of the community. Also the businesses
Putting Children First The Mental Health Association of and individuals who support us
♦ February 25, 2012 Southwest Florida is grateful for such a financially and through volunteering
Putting Children First successful year. It has been a year of make it possible for us to continue our
change. At the MHA there has been a work.
♦ March 3, 2012
great deal of change as well. We Ex-
Diversity Festival We are committed throughout 2012
panded our Gollee Gator Program.
to provide services that enhance our
We also have strengthened our
community, are culturally diverse, and
Caregiver for Seniors Program and
are progressive.
we are looking forward to seeing a
continuation of a valuable service to
Support Groups: the community. We continue to revise
our present programs to be of a
• Here for Life
timely and cost effective nature. We
1st Tuesday every Month
are proud to say we have kept
7:00 PM
expenses down and by owning our
• Veterans office space we were able to provide
Wednesday many programs for our Professional
7:00 - 8:30PM
members and the public at no cost.
• Depression We have enhanced our web site and
Thursday published 12 newsletters to keep our
10:30AM - Noon members and the public informed.
2. Page 2 Mental Health Matters
Welcome New Member Hannah Waterman
She is trained in individual, Hannah’s experience is that
family, and group every individual has
psychotherapy, including untapped strengths and
adjustment to life transitions resources, of which they may
and grief counseling for not yet be aware. It is
traumatic loss. She also has through the therapeutic
experience in working with a relationship she believes that
sexual assault response team these strengths can be
and crisis hotline. In addition, discovered and employed to
she facilitated family help foster true healing and
Hannah Waterman, MSW advocacy, trained parents growth in a client's life.
of peer support groups, and
Hannah Waterman, MSW is coordinated the services of I am conveniently located at:
a Registered Clinical Social a family resource center.
Work Intern in the State of Further knowledge includes 4500 Executive Dr Ste 100
Florida and is currently in pregnancy counseling and
training with Kimberly infant adoption services, Naples FL 34119
Rodgers of Monarch consisting of adoptive Phone: 239-325-9210
Therapy, LLC to complete parent preparation,
her licensure. education, and support.
Welcome Dr. Daniel A. Deutschman
Reserve University and has Psychiatry.
Daniel A. Deutschman MD
been on the medical school
is a board certified
psychiatrist and faculty of Harvard
addictionologist. University. He has been an
He specializes in differential examiner for the American
diagnosis and Board of Psychiatry and
psychopharmacology. Neurology. He is Board
He is field testing the Certified in Geriatric
American Psychiatric
Psychiatry, Adolescent
Association’s new diagnostic
system (DSM V) which is Psychiatry,
due for launch in 2013. Psychopharmacology and
He is Clinical Assistant Addiction Medicine in
Professor of Psychiatry at addition to General
Case Western Psychiatry and Addiction Dr. Daniel A. Deutschman
Dr. Deutschman is on the staff of Naples Community Hospital and Physicians
Regional Medical Center. He has been Medical Director of Hazelden Addiction Treatment Center, Naples, FL and has
been on the staff of David Lawrence Center Mental Health Center. He has lectured for the Collier County Medical
Society and Mental Health Association of Southwest Florida (MHASWFL).
Dr Deutschman’s practice is patient focused. His practice employs many features of concierge medicine. He provides
extra time and focus for his patients and is available 7 days a week by phone. He does not take Medicare or Medicaid.
Phone: (239) 591-6736
Address: 1415 Panther Lane #219
Naples, FL 34109
Website: www.dandeutschman.com Email: drdan@dandeutschman.com.
3. January 2012 Page 3
Welcome Dr. Patrice C Mack
I am a Board Certified Child, Adolescent, and Adult Psychiatrist in private practice in Naples for
34 years. I trained as a pediatrician and did fellowships in medical genetics and child develop-
ment. I am a Distinguished Life Fellow of the American Psychiatric Association and a Life Fellow of
the American Academy of Child and Adolescent Psychiatry.
I am conveniently Located at:
801 Laurel Oak Dr, Suite 618 Naples FL 34108
239-254-0535
www.pcmackmd.com
Patrice C Mack, MD
Welcome New & Returning Members
Ashley Allain, LMHC
Audrey Boxma, LMHC
Leo D’Anniballe, LCSW
Michelle Hamilton, LMFT
Elaine Hankin, PhD
Peggy Jones, LMHC
Nolan Katz, PhD
Brent Lovett, MD
Miguel Mandoki, MD
Maxine Russell, LMHC
Jane Schwartz, LCSW
Peggy Thompson, LCSW
Jill Wheeler, LMHC
4. Page 4 Mental Health Matters
Join us in Celebrating 55 Years of Service to Southwest Florida!!
The Mental Health Association of Southwest Florida identifies unmet needs and
develops culturally sensitive services and programs to improve the lives of those
facing the many challenges of today’s world in our community. We pride ourselves
on being the “link” for mental health and mental wellness.
“We’re Making A Difference”
5. January 2012 Page 5
Monarch Therapy, LLC expanding
“Just when the Caterpillar thought the world was over, it became a Butterfly.”
~Unknown
Monarch Therapy, LLC embraces the New Year with further expansion and
growth. Their transformation includes the addition of more services to em-
power children, adolescents, and adults to “Transform, Emerge, Become”
through emotional and behavioral metamorphosis.
In addition to professional counseling and play therapy, the practice has teamed
up with behavioral consultant, Jill Emmerich, Board Certified Assistant Behavior
Analyst. Jill offers on-site applied behavior analysis of challenging individual or
group behaviors, treatment utilizing positive approaches to improve problem
solving, communication, and skill development, and parent and organizational
training and support.
Monarch Therapy’s expansion into a holistic healing center includes yoga classes for families, children,
adolescents, adults, and couples. Massage therapy will also be available for more comprehensive healing of
body, mind, and spirit.
Founder Kimberly Rodgers, Licensed Clinical Social Worker and Registered Play Therapist-Supervisor,
and Hannah Waterman, MSW and Registered Clinical Social Work Intern, continue to offer counseling ser-
vices, including traditional talk therapy and specialized therapeutic interventions such as play therapy
(counseling using a child’s natural language of play), sand tray therapy (building a visual “world” in sand using
miniatures to process one’s reality), and EMDR (trauma specific therapy). They also continue to work with
adoptions, including pre and post placement counseling and home studies, and are adding a support group
for birth parents.
Kimberly continues to serve as the Vice-President of the SWFL chapter of the Association for Play
Therapy and Editor-In-Chief of IFitFamily.com, a website providing practical information and inspiration to
everyday families to live healthier every day. Monarch Therapy also looks forward to further collaboration
with Naples’ new non-profit community center, House of Gaia.
Monarch Therapy, LLC specializes in resolving stress, anxiety, trauma, and assisting with adjustment
to life transitions. As a butterfly transforms through its metamorphosis, the therapeutic healing process em-
powers one to emerge with freedom, a positive perspective, and motivation to fulfill his/her life purpose.
Research demonstrates the effectiveness of treatment that facilitates whole brain integration for complete
healing. More information, including schedule and upcoming open house, is available at
www.MonarchTherapy.com,
www.facebook.com/monarchtherapyllc,
www.IFitFamily.com,
and (239) 325-9210.
6. Page 6 Mental Health Matters
Gollee’s Tip
Talking to Kids about School Safety
Encourage children to talk about their concerns
and to express their feelings.
Some children may be hesitant to initiate such
conversation, so you may want to prompt them by asking if
they feel safe at school. When talking with younger
children remember to talk on their level. For example,
they may not understand the term “violence” but can talk
to you about being afraid or a classmate who is mean to
them.
Empower children to take action regarding
school safety.
Encourage them to report specific incidents (such as
bullying, threats or talk of suicide) and to develop
problem solving and conflict resolution skills. Encourage
older children to actively participate in student-run
anti-violence programs.
Seek help when necessary.
If you are worried about a child’s reaction or have
ongoing concerns about his/her behavior or emotions,
contact a mental health professional at school, your
community mental health center, or
Discuss the MHASWFL at 261-5405.
safety
procedures
with your
child.
7. January 2012 Page 7
Support Group: Grandparents Caring
for their Grandchildren
The Mental Health Association of Southwest Florida in
partnership with Tim’s Kids is providing a free support group
for Grandparents caring for their grandchildren.
The schedule is as follows:
1st and 3rd week of each month Mondays starting at 10am,
and 2nd and 4th week of each month Mondays starting at 6:30 pm.
Please contact Peggy Thomson, LCSW at (239) 287-2862
for further information.
Groups will be held at:
Therapeutic Integration Services
2960 Immokalee Rd Suite 3 Naples, FL 34110.
9. January 2012 Page 9
Schizoaffective Disorder
Schizoaffective disorder symptoms look like a mixture of two kinds of major mental illnesses that are usually
thought to run in different families, involve different brain mechanisms, develop in different ways, and respond
to different treatments: mood (affective) disorders and schizophrenia.
Symptoms of Schizoaffective Disorder
The two major mood disorders are unipolar depression and bipolar or manic-depressive illness.
Seriously depressed people:
Feel constantly sad and fatigued
Have lost interest in everyday activities
Are indecisive and unable to concentrate
Sleep and eat too little or too much
Complain of various physical symptoms
May have recurrent thoughts of death and suicide
People experiencing a manic mood are:
Suffering from sleeplessness
Compulsively talkative
Agitated and distractible
Convinced of their own inflated importance
Susceptible to buying sprees
Prone to cheerfulness turning to irritability
Indiscreet sexual advances, and foolish investments
Paranoia, and rage
People with chronic schizophrenia:
Appear apathetic
Are emotionally unresponsive
Have limited speech
Have confused thinking
May suffer from hallucinations and delusions
Perplex others with their strange behavior
And inappropriate emotional reactions
10. Page 10 Mental Health Matters
Peer Counseling Corner
Margot Escott, LCSW Training Coordinator
As the year ends and a new one begins, we are happy to report that the Peer Counseling for
Caregivers program has continued to grow and thrive. Although we had to say “goodby” to
some wonderful volunteers, we have been blessed with two new volunteers in training and
beginning this January.
The growth in our client population has been very significant too. In just one week we received
eight phone calls from caregivers interested in our program. In most cases these heroic
caregivers are appropriate for our program. Occasionally people call that do require help
from some of the other agencies that we work with. In those cases, we help with referrals and
follow through with these clients. Our case load is now higher than it’s been in over two years.
We still need volunteers that want to help others, having been a caregiver is helpful, but not
necessary. Having compassion and commitment to our clients is the most important qualities a
volunteer needs!
We are not too busy to take new clients as well. If you know a caregiver of a person over 60
years of age, let them know that we are here for them!
11. January 2012 Page 11
Volunteers Needed:
“Peer Counselors Find Meaning in Retirement”
By Margot Escott, LCSW, Senior Peer Counseling Coordinator
for the Mental Health Association of Southwest Florida
Learn about Peer Counselors and a Vital Community Project
Give Purpose to Your Retirement Years
Make a Difference in Someone’s Life Today
Peer counselors are men and women from diverse backgrounds and experiences, who are selected for
their warmth and caring for others. They receive extensive training and earn a Peer Counseling
Certificate after successful completion of the training program. Ongoing supervision and continuing
training is also an essential part of their experience. These counselors utilize their skills and life
experiences to provide emotional support and guidance to their peers. The target population for the
Peer Counseling Program is caregivers and seniors.
Please contact The Mental Health Association to learn more,
Call 239.261.5405 or email mescott@mhaswfl.org
“We Are Making A Difference”
13. January 2012 Page 13
Depression: Yes you can!
Daniel A. Deutschman MD, DLF APA
Depression affects many. It can be subtle or profound. It saps a person’s
energy and takes the joy out of everyday pleasures. The diagnosis is
based on two major symptoms: 1) depressed mood/blue/down/moody and
2) anhedonia, i.e. things aren’t fun (not as much fun as before/as they ought
to be). If either or both symptoms are present for a significant period of
time the individual is depressed. Grief and response to loss don’t qualify as
depression unless they are intense or persistent.
Treatments for depression and their outcomes are improving all the time!
Medications can be very effective. Literature studies report success rates of 29%. This hides the fact that re-
sults with knowledgeable clinicians approach 100%! Family genetic information is beginning to help us choose
the antidepressant that will work for a specific patient.
Initial medication approaches are Serotonin antidepressants. They are all equally effective but the side effect
burdens vary. Zoloft, Prozac and Lexapro have the smallest burden of side effects; Celexa, Paxil and Effexor
have the largest.
Doses often have to be increased over the first few weeks to maximize benefit. The stair step increase in dose
is called a “titration”. Depression may improve after a few weeks but might take one to two months from the
full dose to be fully improved. If weight gain or sexual side effects appear (10% of patients) Wellbutrin or
other antidepressants can be used to eliminate these.
Cognitive Behavioral Therapy can be very useful. This approach requires the patient to spend significant time
on a daily basis working on the drills and behaviors that their clinician has outlined for them. Patients with se-
vere depression may not have the energy and focus for this approach until medications have relieved the worst
of their symptoms.
Current national guidelines state that depression should be completely improved before the medication adjust-
ment is considered complete. This ensures a good prognosis, i.e. guards against future relapse. We have bor-
rowed the US Army slogan “Be the best you can be”.
Depression not only takes a toll on the individual, it also burdens her/his loved ones.
If you or someone you love is depressed, contact you doctor or mental health professional.
Daniel A. Deutschman MD, DLF APA
Clinical Assistant Professor
Case Western Reserve University
Examiner
American Board of Neurology and Psychiatry
14. January 2012 Mental Health Matters Page 14
Our Mission
To Advocate for Mental Wellness through Education,
Prevention, and Support
The Mental Health Association of Southwest Florida identifies unmet needs and
develops culturally sensitive services and programs to improve the lives of those
If you are interested in becoming a member, e-mail us at info@mhaswfl.org Or Simply fill out the application and mail a check
payable to MHASWFL or donate online using a credit card. Your contribution is tax-deductible and crucial to helping us continue
our work. If you have any questions about Membership please contact our office by phone at (239) 261-5405
or mail The Mental Association of Southwest Florida 2335 Tamaimi Trail N, Ste 404, Naples FL 34103.