NEW MEDICINES: Questions to ask Doctor’s LINK

http://www.healthlinkbc.ca/healthwise/includes/media/pdf/hw/form_zm2260.pdf?lang=en-ca

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Antipsychotics for the Treatment of Bipolar Disorder

Antipsychotics for the Treatment of Bipolar Disorder

Examples

First-generation, or typical, antipsychotic medicine

Generic Name
haloperidol

Second-generation, or atypical, antipsychotic medicines

Generic Name Brand Name
aripiprazole Abilify
olanzapine Zyprexa
quetiapine Seroquel
risperidone Risperdal
ziprasidone Zeldox

These medicines are available in liquid, tablet, or injectable form.

How It Works

These medicines balance certain chemicals in the brain (neurotransmitters). It is not clear exactly how these medicines work for the treatment of bipolar disorder. But they quickly improve manic episodes.

Why It Is Used

Each of these medicines has been approved by Health Canada’s Therapeutic Products Directorate (TPD) to treat bipolar disorder. Some medicines work better for some people than for others. Second-generation antipsychotic medicines may have fewer side effects than first-generation antipsychotic medicines. Be sure to talk with your doctor about how the medicine is working for you. Sometimes you might need to try more than one type of medicine before you find one that works best for you.

These medicines have all been found to be an effective treatment of manic episodes. Other antipsychotic medicines, such as olanzapine, are also being studied for the treatment of depression in bipolar disorder.

How Well It Works

Drugs in this classification work quickly in the treatment of bipolar disorder, especially in older adults. These medicines have all been found to be an effective treatment of manic episodes. Some studies show the combination of an antipsychotic and a mood stabilizer may be more effective than a mood stabilizer alone. 1

Side Effects

All medicines have side effects. But many people don’t feel the side effects, or they are able to deal with them. Ask your pharmacist about the side effects of each medicine you take. Side effects are also listed in the information that comes with your medicine.

Here are some important things to think about:

  • Usually the benefits of the medicine are more important than any minor side effects.
  • Side effects may go away after you take the medicine for a while.
  • If side effects still bother you and you wonder if you should keep taking the medicine, call your doctor. He or she may be able to lower your dose or change your medicine. Do not suddenly quit taking your medicine unless your doctor tells you to.

Call 911 or other emergency services right away if you have:

  • Trouble breathing.
  • Swelling of your face, lips, tongue, or throat.

Call your doctor if you have:

  • Hives.

Neuroleptic malignant syndrome (NMS) is an extremely rare but serious side effect that has been reported by people who take antipsychotic medicines. NMS causes life-threatening problems with your body’s ability to regulate its temperatures.

Call 911 or other emergency services right away if you have a fever and:

  • Muscle rigidity.
  • Fast or irregular heartbeat.
  • Rapid breathing.
  • Severe sweating.

Other side effects of antipsychotic medicines include:

Managing side effects

It may take several attempts to find the right dose and medicine to treat your bipolar symptoms. Effectiveness and side effects for each medicine vary from person to person.

Some side effects are minor. You can manage these through lifestyle changes such as exercise, relaxation techniques, and diet changes. Other side effects can be more serious and require changes to the dose or type of medicine.

See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)

What To Think About

Before you take an antipsychotic medicine, be sure to tell your doctor if you have:

  • A heart condition.
  • A seizure disorder.
  • Problems with liver function.
  • Problems with blood pressure.
  • Diabetes or high blood sugar.
  • Constipation.
  • A history of breast cancer.
  • Problems with swallowing.
  • Problems with fainting.

These medicines should be started in low doses. Talk with your doctor about any other medicines you may be taking to make sure there are no negative drug interactions.

You may need regular liver tests, blood tests, and blood pressure monitoring while taking an antipsychotic medicine. Your doctor may also monitor your weight and blood sugar.

Avoid herbal stimulants (such as ma huang, ginseng, or kola) while taking an antipsychotic medicine.

Talk to your doctor or pharmacist about drinking grapefruit juice while taking an antipsychotic medicine. Grapefruit juice can increase the level of these medicines in your blood. Having too much medicine in your blood increases the chances of having serious side effects.

Taking medicine

Medicine is one of the many tools your doctor has to treat a health problem. Taking medicine as your doctor suggests will improve your health and may prevent future problems. If you don’t take your medicines properly, you may be putting your health (and perhaps your life) at risk.

There are many reasons why people have trouble taking their medicine. But in most cases, there is something you can do. For suggestions on how to work around common problems, see the topic Taking Medicines as Prescribed.

Advice for women

Women who use this medicine during pregnancy have a slightly higher chance of having a baby with birth defects. If you are pregnant or planning to get pregnant, you and your doctor must weigh the risks of using this medicine against the risks of not treating your condition.

Checkups

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take.

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Progress in Bipolar Disorder

Progress in Bipolar Disorder—Update from Harvard Review of Psychiatry

Newswise — November 11, 2014 – Several lines of research have opened exciting new frontiers in scientific understanding and clinical management of bipolar disorder. Recent advances in bipolar disease research are described in this month’s special issue of Harvard Review of Psychiatry. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.

Bipolar disease is a “prevalent, complex, and hard-to-treat illness [leading] to extreme and erratic shifts of mood, thinking, and behavior, with a very high risk of suicide as well as increased risks of dying from common medical disorders,” write Guest Editors Dost Öngür, MD, PhD, of McLean Hospital, Belmont, Mass., and Ayşegül Yildiz, MD, of Dokuz Eylül University, Izmir, Turkey. The special issue presents concise updates on recent advances in basic science and clinical research into bipolar disorder, contributed by internationally renowned experts in the field.

Experts’ Perspectives on Recent Advances in Bipolar Disorder
The papers grew out of a recent meeting of leading researchers in bipolar disorder in Cappadocia Turkey, sponsored by the Depression & Bipolar Disorder Foundation (DUVAK). The DUVAK is a foundation raised for investigating the frequency and prevention of suicidal acts and deaths associated with psychiatric disorders such as bipolar or manic depressive disorder, depression, anxiety disorders, and substance abuse. Dr Yildiz, the president of the meeting and DUVAK, notes that Cappadocia was selected as the meeting place because bipolar, or manic-depressive, disorder was first described by Aretaeus in Cappadocia nearly 2,000 years ago.

The experts who spoke at the conference were asked to contribute brief reports for the special issue, highlighting important new findings in the pathophysiology, neurobiology, and treatment of bipolar disorder. The papers provide accessible updates in critical areas of bipolar disease research, including:

The role of white matter disease. Studies have linked the cognitive and emotional difficulties in bipolar disease to “widespread signs of disrupted white matter microstructure.” There’s evidence that long-term treatment with lithium—a mainstay of treatment for bipolar disorder—counteracts this effect, increasing functional connectivity between key brain areas. Further studies of white matter structure may help to explain the biological underpinnings of bipolar disorder.

Stress and HPA axis function. Researchers exploring new approaches to understanding the interrelated effects of stress and genetic factors in patients vulnerable to dipolar disorder. Dysfunction of the hypothalamic-pituitary-adrenal (HPA) axis—which plays a critical role is stress responses—could contribute to the neurocognitive impairment seen in this condition. This line of research could lead to new “testable hypotheses” regarding the development of bipolar disorder.

Effectiveness of lithium. About one-third of patients treated for bipolar disease have an excellent response to lithium. Research has identified a wide range of factors associated with lithium responsiveness, including patient, clinical, and, more recently, genetic characteristics. Ongoing studies will provide new insights into the genes and pathways affecting lithium responsiveness.

Stimulants for bipolar disorder.There is continued debate over the use of stimulants for depression, especially bipolar depression. Research suggests that some stimulants—particularly modafinil and related drugs—can have augmentative effects to standard treatment for bipolar disorder, including possible reduction in manic behaviors.

Functional remediation. Although many interventions have been proven effective in the treatment of bipolar disorder, only a few studies have addressed the issue of functional recovery. A Spanish group reports on a functional remediation program for bipolar disorder, including training in neurocognitive skills for patients to incorporate into their daily routines. This “neuro-cognitive-behavioral” approach shows promise in improving functioning for some groups of patients.

Issues in network meta-analysis. Network meta-analysis—a technique enabling indirect comparison of treatment alternatives—is a promising approach to comparing the benefits, risks, and costs of specific treatments. However, some important cautions need to be observed, especially in attempting to compare studies that are not closely similar and in situations where outcomes are typically assessed by rating scales rather than objective biological measures—as is the case in bipolar disorder.

“We are pleased to share these brief reports in this most important field with a wider audience,” Drs Öngür and Yildiz conclude. Together with the editors of Harvard Review of Psychiatry, they hope the perspectives presented in their special issue will increase awareness and stimulate further research to better understand bipolar disorder and to develop effective treatments for the millions of affected patients worldwide.

Click here to read the special issue of the Harvard Review of Psychiatry.

Source- Wolters Kluwer Health: Lippincott Williams and Wilkins

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Understanding Tardive Dyskinesia!

Understanding tardive dyskinesia.

Imagine for a moment that you’ve lost control of your body. Your leg is moving on its own and your lips are smacking against your will. This may seem like a nightmare for most. But for those suffering from tardive dyskinesia – it’s a frightening reality. A reality that goes beyond the physical features of the condition. Many sufferers feel socially isolated which can be just as daunting as the involuntary movements themselves. For those with TD, it can become increasingly uncomfortable to be out in public and participate in the daily activities they once loved.

Tardive dyskinesia – or TD – is a neurological disorder resulting in involuntary, repetitive body movements. It can be the result of long-term or high-dose use of certain medications. These involuntary movements can include grimacing, tongue protrusion, lip smacking, and rapid eye blinking. Involuntary movements of the limbs, torso, fingers, feet, and toes may also occur.

Whether or not you’ve been formally diagnosed with TD, we invite you to learn more about the Kinect 3 Study. For examples of movements of TD, please contact your local research site.

Click here to find a participating doctor

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Jan’s fav Quotes

Keep doing what you’re doing, and you will keep getting what you’re getting….

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Jan’s fav quotes

Every day u live is a gift. Spend it on things that matter, don’t dwell on the unhappiness…….

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Valuable *RESOURCES* Links!

Be AWARE some links may be broken:

“United States”

Depression and Related Affective Disorders Association (DRADA) Meyer 3-181, 600 North Wolfe Street Baltimore, MD 21287-7381 Phone: (410) 955-4647

The Child and Adolescent Bipolar Foundation (CABF) ll87 Wilmette Avenue, #33l Wilmette, IL 6009l Phone: (847) 256-8525 Fax: (847) 920-9310 Email:cabf@bpkids.org

A parent-led group providing education, support, and advocacy for children, adolescents, families and professionals.

Federation of Families for Children’s Mental Health 1021 Prince Street Alexandria, VA 22314-2971 Phone: (703) 684-7710 Fax: (703) 836-1040 Email:ffcmh@ffcmh.org

A group for families, especially low-income families, who are caring for a child with a mental illness.

National Alliance for the Mentally Ill (NAMI) Colonial Place Three 2107 Wilson Blvd. – Suite 300 Arlington, VA 22201-3042 Phone: (703) 524-7600 or (800) 950-NAMI (Helpline) Fax: (703) 524-9094 TDD: (703) 516-7227

NAMI is the largest organization for mentally ill people and their families in the US. It has state and local chapters around the country, sponsors legislation, advocates for mentally ill people, and provides excellent information via its web site and publications.

National Depressive and Manic-Depressive Association 730 N. Franklin Street, Suite 501 Chicago, IL 60610-3526 Phone: (312) 642-0049 or (800) 826-3632 FREE Fax: (312) 642-7243

This support and advocacy group specifically for people with depression or bipolar depression has chapters throughout the US and an informative web site.

“Canada”

Canadian Mental Health Association Simon Fraser Branch #3-260 Twelfth Street New Westminster, BC Canada V3M 4H2 Phone: (604) 524-2821Fax: (604) 524-2870 Email: cmha@radiant.net

Integrated Network of Disability Information and Education Email: info@indie.ca

Mood Disorders Association of British Columbia 2730 Commercial Drive, #201 Vancouver, BC

Canada V5N 5PN Phone: (604) 873-0103 Fax: (604) 873-3095 Email: mda@lynx.bc.ca

“United Kingdom”

Glasgow Association for Mental Health Melrose House, First Floor

15/23 Cadogan Street Glasgow, G2 6QQ Phone: (0141) 204 2270 Fax: (0141) 204 2770 Email: GAMH@colloquium.co.uk

Manic Depression Fellowship 8-10 High Street

Kingston-upon-Thames Surrey KT1 1EY UK Phone: (0181) 974 6550 Email: mdfgl@mdfglmhmip.u-net.com

This organization has regional offices in Wales, Greater London, and Manchester, as well as 125 local groups throughout the UK. It provides support, advice, and information for people with manic depression, their families, friends, and carers.

Mental Health Foundation 20/21 Cornwall Terrace

London NW1 4QL Phone: 0207 535 7400 Fax: 0207 535 7474 Email: mhf@mentalhealth.org.uk

National Alliance of the Relatives of the Mentally Ill (NARMI) Tydehams Oaks Tydehams, Newbury

Berks RG14 6JT Phone: (01635) 551923

National Disability Council Caxton House, Level 4A Tothill Street London SW1H 9NA Phone: 0207 273 5636 Fax: 0207 273 5929

Minicom: 0207 273 5645 Email: chairman.ndc@dfee.gov.uk

Northern Ireland Association for Mental Health Beacon House 80 University Street Belfast BT7 1HE Phone: 028 9032 8474

Fax: 028 9023 4940

SANE 1st Floor, Cityside House 40 Adler Street London E1 1EE Phone: (0171) 724 6520 (office) National Helpline: 0345 67 8000 (daily 2:00 pm to midnight)

SANE is a mental health charity which campaigns to improve attitudes and services for sufferers and their families.

UK Advocacy Network Volserve House 14-18 West Bar Green Sheffield S1 2DA Phone: (0114) 272 8171

Young Minds 102-108 Clerkenwell Road, 2nd Floor London EC1M 5SA

Phone: (0171) 336 8445 (office) or (0800) 018 2138 FREE (Parents Hotline) Fax: (0171) 336 8446 Email: enquiries@youngminds.org.uk

“Ireland”

AWARE 147 Phipsborough Road Dublin 7 Ireland

Phone: (01) 830 8449 or (0) 679 1711 (Helpline)

AWARE offers help by phone, sponsors support groups in 38 locations around Ireland, provides information and literature, does public advocacy, and supports research.

Mental Health Association of Ireland Mensana House, 6 Adelaide Street Dun Laoghaire, County Dublin Ireland Phone: (01) 284 1166 Fax: (01) 284 1736 Email:info@mensana.org

“Australia”

Action Resource Network Inc. 266 Johnston Street Abbotsford, Victoria 3067 Phone: (03) 9416-3488 or (800) 808-126 Fax: (03) 9416-3484 TTY: (03) 9416-3491

Association of Relatives and Friends of the Mentally Ill (ARAFMI)

c/o Mental Health Resource Centre 1 Richmond Road Keswick, SA 5035 Phone: (08) 8221 5166 Fax: (08) 8221 5159

ARAFMI has chapters in most Australian states.

Disability Action Inc.

62 Henley Beach Road Mile End, SA 5031 Phone: (08) 8352 8599 or 1(800) 805 495 Fax: (08) 8354 0049 TTY: (08) 8352 8022 Email:email@disabilityaction.in-sa.com.au Contact: Brad or Jen

Mood Disorders Association (SA) Inc./Self-Help (MDP) Inc.

MHRC Building, 1 Richmond Road Keswick, SA 5035 Phone: (08) 8221-5170 Fax: (08) 8221-5159

MDA offers education and support services to those who may be suffering from depression and manic depression.

SANE Australia PO Box 226 South Melbourne, Victoria 3065

Phone: (61) 3 9682 5933 Fax: (61) 3 9682 5944 Email: sane@sane.org

“New Zealand”

Richmond Fellowship 249 Madras Street, Level 3 Christchurch, NZ

Phone: (64) 3 365-3211 Fax: (64) 3 365-3905 Email: national@richmond.org.nz

“Books and Publications”

Berger, Diane, et al. We Heard the Angels of Madness: A Family Guide to Coping with Manic Depression. New York: Quill, 1992.

Bipolar Disorders Letter

This is an online newsletter, mostly for professionals but of interest to parents as well. It summarizes recent studies on treatments. You’ll need the free program Acrobat Reader to look at it.

Bipolar Network News (newsletter). Stanley Foundation Bipolar Network, Bethesda, Maryland.

Fieve, Ronald R. Moodswing: Dr. Fieve on Depression (revised edition). New York: Bantam Books, 1997.

Guiness, David. Inside Out: A Guide to Self-Management of Manic Depression (booklet). The Manic Depression Fellowship (UK), 1998.

Halebsky, Mark. Surviving the Crisis of Depression and Bipolar Illness: Layperson’s Guide to Coping with Mental Illness Beyond the Time of Crisis and Outside the Hospital. Arvada, Colorado: Personal and Professional Growth Organization, 1997.

Jamison, Kay Redfield. An Unquiet Mind. New York: Random House, 1997. Dr. Jamison is one of the most prominent experts on bipolar disorders–and is herself a manic-depressive. This is her fascinating (and for worried parents, heartening) memoir.

Jamison, Kay Redfield. Touched with Fire: Manic-Depressive Illness and the Artistic Temperament. New York: Free Press, 1996.

Walsh, Mitzi. Bipolar Disorders: A Guide to Helping Children and Adolescents. Sebastopol: O’Reilly, 1999. A comprehensive book for parents that covers diagnosis, family life, medications, talk therapies and other interventions, insurance, and school. The book from which these resources are taken.

“Web sites”

Bipolar Disorders Center

For parents and caregivers of bipolar children and teens. Substantial excerpts from the the book Bipolar Disorders by Mitzi Walsh and other news and content.

BiPolar Children and Teens

This parent-run page features lots of supportive information and personal stories, including an incomplete list of support groups in the US and Canada for parents of children with mental illness, and links to an AOL chat room and several mailing lists.

BipolarKids list

This fabulous list for parents of bipolar children and teens is moderated by parent volunteers, and sponsored through the generosity of Active-Websites, owned by Steve Worden. It’s an excellent source of support and reliable information. To subscribe, see the requirements at their web site.

Bipolar (Mining Co.)

A collection of articles, links, and a Web chat group about bipolar disorders.

BPSO list Email: majordomo@ipl.co.uk

For parents, spouses, siblings, and friends of people with bipolar disorder. To subscribe, send email, and in the body of the message, write: subscribe bpso.

FyrenIyce

Information about bipolar disorders, and links to support and advocacy groups in Australia and elsewhere. There’s also a FyrenIyce email list.

Harbor of Refuge

Volunteer run organization that offers peer to peer support for people with bipolar disorder and those that care about them.

Massachusetts General Hospital Neurology Forums

This site features discussion groups (live and bulletin board style) on almost every known neurological disorder, including bipolar disorders.

Moodswing.org

Home of the Bipolar FAQ (frequently asked questions list).

Pendulum Resources

You can find up-to-date information on bipolar disorders here, with a strong mental health consumer orientation.

WalkersWeb

WalkersWeb is the home of several mailing lists geared toward people with bipolar disorders or depression. It also has excellent links to mental health sites, its own informational files, and online chat groups.

“Related Conditions and Symptoms”

If your child has multiple diagnoses or simply shares symptoms with another condition, these books and online resources may help.

Hallowell, Edward. When You Worry About the Child You Love: Emotional and Learning Problems in Children. New York: Simon & Schuster, 1996. This book provides a good introduction to the whole spectrum of psychiatric, emotional, developmental, and learning disorders in young children. It’s very readable.

ADD/ADHD

Hallowell, Edward. Driven to Distraction: Recognizing and Coping with Attention Deficit Disorder from Childhood Through Adulthood. Reading, Massachusetts: Addison-Wesley, 1994. The classic book on ADD/ADHD.

Hallowell, Edward, and John Ratey. Answers to Distraction. New York: Bantam Books, 1996. A companion to Dr. Hallowell’s Driven to Distraction, this book provides behavior management and learning strategies to help the ADD/ADHD child.

ODD/Conduct disorders

Oppositional Defiant Disorder: What is it?

A Place for Us

This web site includes a parent message board, information, and links about conduct disorders, ODD, and related problems.

Eating disorders

Eating Disorders Association Resource Centre Phone: (07) 3352 6900 Email: eda.inc@uq.net.au

Most services are limited to Australia, but does contain a comprehensive list of related links, books and FAQ’s.

Eating Disorders Shared Awareness (EDSA)

This site includes links to US and Canadian support and informational sites on anorexia and bulimia.

Eating Disorders Association Wenson House, 1st Floor 103 Prince of Wales Road Norwich NR1 1DW UK Phone: (0160) 362-1414

Seasonal affective disorder

Rosenthal, Norman E., MD. Winter Blues. New York: The Guilford Press, 1993.

National Organization for Seasonal Affective Disorder (NOSAD) PO Box 40190 Washington, DC 20016 Phone: (301) 762-0768

SAD Homepage

Environmental Health and Light Research Institute 16057 Tampa Palms Boulevard, Suite 227 Tampa, FL 33647 Phone: (800) 544-4878 FREE

Light system vendors:

Apollo Light Systems Inc. 352 West 1060 South

Orem, UT 84058 Phone: (801) 226-2370

Hughes Lighting Technologies 34 Yacht Club Drive Lake Hopatcong, NJ 07849 Phone: (973) 663-1214 or (800) 544-4825 FREE Fax: (973) 663-3496

The SunBox Company

19217 Orbit Drive Gaithersburg, MD 20870 Phone: (301) 869-5980 or (800) 548-3968 FREE Email: sunbox@aol.com

Self-injurious behavior (SIB)

Strong, Marilee. A Bright Red Scream: Self-Mutilation and the Language of Pain. New York: Viking Press, 1998.

Levenkron, Steven. Cutting: Understanding and Overcoming Self-Mutilation. New York: W. W. Norton & Company, 1998.

Alderman, Tracy. The Scarred Soul: Understanding and Ending Self-Inflicted Violence. Oakland, California: New Harbinger Publications, 1997.

Bodies-Under-Siege mailing list Email: majordomo@majordomo.pobox.com

Bodies-Under-Siege is an online support group for people with self-injurious behavior. May not be appropriate for all teens with SIB, but some may find this therapeutic. To subscribe, send email, and in the body of the message, write: subscribe bus.

Secret Shame

Secret Shame is a web site about self-injury, offering information and support to people with SIB and their families.

Suicide prevention

The National Alliance for the Mentally Ill Phone: (703) 524-7600

NAMI is the largest support group for people with mental illness in the US. Its national information line or web site can help you find local resources right away.

National Suicide Prevention Hotline (US) Phone: (800) 999-9999 FREE

Call this number to get information about the closest suicide prevention hotline.

Suicide Awareness/Voices of Education (SA/VE)

Suicide Information and Education Centre (SEIC)

SEIC maintains a list of suicide prevention hotlines and services in the US and Canada.

Befrienders International Online

The Befrienders maintain a list of crisis and suicide counseling centers throughout the world.

Substance abuse

Adolescent Substance Abuse and Recovery Resources

Includes links to AA, NA, and many other groups that can help young people stop using drugs and alcohol.

Canadian Centre on Substance Abuse 75 Albert Street, Suite 300 Ottawa, ON K1P 5E7 Canada Phone: (613) 235-4048 Fax: (613) 235-8101

Drugline Ltd. 9A Brockley Cross

Brockley, London SE4 2AB UK Phone: (0181) 692-4975

“Special-Needs Parenting”

Bending the Rules: A Guide for Parents of Troubled Children. Michael McDonald Productions, 1996. Made by the Southern California chapter of the Tourette Syndrome Association, this is an excellent video on handling problem behaviors that are driven by brain dysfunction. It comes highly recommended by parents. Call (818) 881-3211 to order.

Bruun, Ruth Dowling, MD, et al. Problem Behaviors and Tourette’s Syndrome (pamphlet). Bayside, New York: Tourette Syndrome Association, 1993. Contact information: 42-40 Bell Boulevard, Bayside, NY 11361-2820, (718) 224-2999.

Budman, Cathy, MD, and Ruth Dowling Bruun, MD. Tourette Syndrome and Repeated Anger Generated Episodes (RAGE) (pamphlet). Bayside, New York: Tourette Syndrome Association, 1998.

Greene, Ross. The Explosive Child: A New Approach for Understanding and Parenting Easily Frustrated, “Chronically Inflexible” Children. New York: HarperCollins, 1998. The title says it all: This may be the best book ever on raising a child with bipolar disorder, or even just a “difficult” temperament. Full of parent-tested strategies for defusing behavior problems.

Greenspan, Stanley I., with Jacqueline Salmon. The Challenging Child. Reading, Massachusetts: Addison-Wesley, 1995. Dr. Greenspan explains why some kids have a “challenging” temperament, and offers excellent ideas for turning down the volume of outbursts, anxiety, and other behavior problems.

Greenspan, Stanley I., with Jacqueline Salmon. Playground Politics: Understanding the Emotional Life of Your School-Age Child. Reading, Massachusetts: Addison-Wesley, 1993. Help for parents with children who don’t fit in.

Greenspan, Stanley I., and Serena Wieder, with Robin Simons. The Child with Special Needs. Reading, Massachusetts: Addison-Wesley, 1998. This book concentrates on working with developmentally or emotionally challenged children from infancy through school age. Highly recommended, especially if your child has an additional diagnosis of PDD/autism, ADHD, etc.

Kurcinka, Mary Sheedy. Raising Your Spirited Child. New York: HarperPerennial, 1991. Covers handling sensory defensiveness and other contributors to “spirited” behavior.

Marsh, Diane T., Rex M. Dickens, and E. Fuller Torrey. How to Cope with Mental Illness in Your Family: A Self-Care Guide for Siblings, Offspring, and Parents. New York: Putnam Publishing Group, 1998.

Meyer, Donald, editor. Uncommon Fathers: Reflections on Raising a Child with a Disability. Rockville, Maryland: Woodbine House, 1995.

Naseef, Robert A. Special Children, Challenged Parents: The Struggles and Rewards of Raising a Child with a Disability. New York: Birch Lane Press, 1997.

Phelan, Thomas W. 1-2-3 Magic: Effective Discipline for Children 2-12. Glen Ellyn, Illinois: Child Management Inc., 1996. Phelan has devised a workable system for managing behavior without getting physical, especially for strong-willed kids. Many parents swear by it. Also available on tape.

Wollis, Rebecca, and Agnes Hatfield. When Someone You Love Has a Mental Illness: A Handbook for Family, Friends, and Caregivers. Los Angeles: J. P. Tarcher, 1992.

“Sibling Issues”

Meyer, Donald, and Patricia Vadasy. Living with a Brother or Sister with Special Needs. Seattle: University of Washington Press, 1996.

Meyer, Donald, editor. Views from Our Shoes: Growing up with a Brother or Sister with Special Needs. Rockville, Maryland: Woodbine House, 1997.

Sib Kids Club

A web site for kids who have a sibling with a disability.

SibShops/Sibling Support Project Children’s Hospital and Medical Center PO Box 5371, CL-09 Seattle, WA 98105 Phone: (206) 368-4911 Fax: (206) 368-4816

SibShops are special support groups for children dealing with a sibling’s disability. This site provides information on SibShops and related topics, and can help you find a SibShop program in your area.

“Special Education”

Anderson, Winifred, Stephen Chitwood, and Dierdre Hayden. Negotiating the Special Education Maze: A Guide for Parents and Teachers, 2nd ed. Rockville, Maryland: Woodbine House, 1990. Well-written and very complete. A new edition with information on the changes wrought in IDEA 97 was said to be in production at press time.

Cutler, Barbara Coyne. You, Your Child, and “Special” Education: A Guide to Making the System Work. Baltimore: Paul H. Brookes Publishing, 1993. A guide to fighting the system on your child’s behalf.

Dornbush, Marilyn P., and Sheryl K. Pruitt. Teaching the Tiger: A Handbook for Individuals Involved in the Education of Students With Attention Deficit Disorders, Tourette Syndrome, or Obsessive Compulsive Disorder. Duarte, California: Hope Press, 1995. This is a wonderful book, full of practical suggestions, organizing aids, and ideas for teachers, parents, and students. Very applicable to children with bipolar disorders, with or without ADD/ADHD.

Advocating for the Child

Maintained by the mother of neurologically challenged children, this site is an all-purpose guide to advocating for your child’s educational rights in the US. Information-rich, with great links and lots of inspiration.

The Special Ed Advocate/Wrightslaw

This is the place to find the actual text of special education laws, information on the latest court battles, and answers to your special education questions.

Special Education and Disabilities Resources

US information and links on special education law, assistive technology, and related topics.

“Healthcare and Insurance”

Beckett, Julie. Health Care Financing: A Guide for Families. To order, contact: the National Maternal and Child Health Resource Center, Law Building, University of Iowa, Iowa City, IA 52242, (319) 335-9073. This overview of the healthcare financing system includes advocacy strategies for families, and information about public health insurance in the US.

How to Get Quality Care for a Child with Special Health Needs: A Guide to Health Services and How to Pay for Them. To order, contact: The Disability Bookshop, PO Box 129, Vancouver, WA 98666-0129, (206) 694-2462 or (800) 637-2256 FREE.

Larson, Georgianna, and Judith Kahn. Special Needs/Special Solutions: How to Get Quality Care for a Child with Special Health Needs. St. Paul: Life Line Press, 1991.

Neville, Kathy. Strategic Insurance Negotiation: An Introduction to Basic Skills for Families and Community Mental Health Workers (pamphlet). To order, contact: CAPP/NPRC Project, Federation for Children with Special Needs, 95 Berkeley Street, Suite 104, Boston, MA 02116. Single copies available at no cost.

Association of Maternal and Child Health Programs (AMCHP) 1220 19th Street, N.W., Suite 801 Washington, DC 20036 Phone: (202) 775-0436Fax: (202) 775-0061

Email: info@amchp.org

Call AMCHP to locate your state’s Children with Special Health Care Needs Program.

National Association of Insurance Commissioners (NAIC) Hall of States 444 North Capitol Street NW, Suite 701 Washington, DC 20001-1512 Phone: (202) 624-7790

Call NAIC to locate your state insurance commissioner, who can tell you about health insurance regulations in your state regarding bipolar disorders.

Association for the Care of Children’s Health ACCH Publications 19 Mantua Road Mt. Royal, NJ 08061 Phone: (609) 224-1742

This group offers a variety of publications on child healthcare, including guides to prepare a child for the hospital and many items for parents of special-needs children.

Mail order pharmacies

CanadaRx

This is a consortium of Canadian pharmacies set up specifically to provide discounted prescriptions to US customers, although Canadians and others can use the service as well. Mail-order arrangements must be made over the Net, or directly through one of the consortium members (their addresses are available on the web site).

Continental Pharmacy PO Box 94863 Cleveland, OH 44101-4863 Phone: (216) 459-2010 or (800) 677-4323 FREE Fax: (216) 459-2004

Farmacia Rex S.R.L. Cordoba 2401 Esq. Azcuénaga 1120 Buenos Aires, Argentina Phone: (54-011) 4961-0338 Fax: (54-011) 4962-0153

Deeply discounted prices, and they mail anywhere.

GlobalRx 4024 Carrington Lane Efland, NC 27243 Phone: (919) 304-4278 or (800) 526-6447 FREE Fax: (919) 304-4405 Email:info@globalrx.com

Masters Marketing Company, Ltd.

Masters House No. 1 Marlborough Hill Harrow, Middlesex HA1 1TW England Phone: (011) 44-181-424-9400 Fax: (011) 4481 427 1994

Carries a limited selection of European pharmaceuticals, as well as a few American-made drugs, including Prozac.

No Frills Pharmacy

1510 Harlan Drive Bellevue, NB 68005 Phone: (800) 485-7423 FREE Fax: (402) 682-9899 Email: refill@nofrillspharmacy.com

Peoples Pharmacy

This Austin, Texas-based chain provides Net-only mail-order service, and can compound medications as well.

Pharmacy Direct 3 Coal Street Silverwater, NSW 2128 Australia Phone: (02) 9648 8888 or (1300) 656 245 Fax: (02) 9648 8999 or (1300) 656 329 Email:pharmacy@pharmacydirect.com.au

You must have a prescription from an Australian doctor to use this mail-order service.

The Pharmacy Shop (Drugs By Mail) 5007 N. Central Phoenix, AZ 85012 Phone: (602) 274-9956 or (800) 775-6888 FREE Fax: (602) 241-0104 Email:sales@drugsbymail.com

Preferred Prescription Plan 2201 W. Sample Road, Bldg 9, Ste 1-A Pompano Beach, FL 33073 Phone: (954) 969-1230 or (800) 881-6325 FREE Fax: (800) 881-6990 Email:cust-svc@DrugPlace.com

Stadtlanders Pharmacy 600 Penn Center Boulevard Pittsburgh, PA 15235-5810 Phone: (800) 238-7828 FREE Email: enroll@stadtlander.com

Stadtlanders Pharmacy has a stellar reputation in the disability community.

Victoria Apotheke (Victoria Pharmacy) Bahnhofstrasse 71 Postfach CH-8021 Zurich, Switzerland Phone: (01) 211-2432 (Europe) or (011) 411-211-24 32 (US) Fax: (01) 221-2322 (Europe) or (011) 411-221-2322 (US) Email: victoriaapotheke@access.ch

“General Medical Information”

Medscape

Searchable, online index to hundreds of medical journals. Many articles are available in full, others as abstracts only.

PubMed

Free interface for searching the MEDLINE medical database, which can help you find out about studies, medications, and more.

“Medications”

There are a number of books available that list side effects, cautions, and more regarding medications. The biggest and best is the Physicians Desk Reference (PDR), but its price is well out of the average parent’s league. You may be able to find a used but recent copy at a good price.

If your child is allergic to food dyes, or to corn, wheat, and other materials used as fillers in pills, you should consult directly with the manufacturer of any medications he takes.

The British National Formulary (BNF). British Medical Association and the Royal Pharmaceutical Society of Great Britain, 1998. The standard reference for prescribing and dispensing drugs in the UK, updated twice yearly.

Preston, John D., John H. O’Neal, and Mary C. Talaga. Consumer’s Guide to Psychiatric Drugs. Oakland, California: New Harbinger Publications, 1998.

Silverman, Harold M., editor. The Pill Book, 8th ed. New York: Bantam Books, 1998. A basic paperback guide to the most commonly used medications in the US.

Sullivan, Donald. The American Pharmaceutical Association’s Guide to Prescription Drugs. New York: Signet, 1998.

Wilens, Timothy E., MD. Straight Talk About Psychiatric Medications for Kids. New York: Guilford Press, 1998.

Canadian Drug Product Database

The DPD contains product specific information on drugs approved for use in Canada. The database is managed by the Therapeutic Products Programme and includes human, veterinary and disinfectant products.

Dr. Bob’s Psychopharmacology Tips

Excellent information on psychiatric drugs, including things like the MAOI dietary restrictions and common SSRI interactions.

Federal Drug Administration (FDA)

Official US information on new drugs and generic versions of old drugs, FDA warnings and recalls, etc.

The Internet Drug List

MedEc Interactive/PDR.net

This medical info site includes a link to a Web-accessible version of the PDR.

Pharmaceutical Information Network

PharmWeb

The Royal Pharmaceutical Society’s Technical Information Center

There is a nominal fee for use of the RPS database, but one might be able to have it waived.

RXmed

“Alternative Medicine Resources”

Balch, James F., MD, and Phyllis A. Balch, CNC. Prescription for Nutritional Healing. Garden City Park, New York: Avery Publishing, 1997.

Baumel, Syd. Dealing with Depression Naturally. New Canaan, Connecticut: Keats Publishing, 1995.

Elkins, Rita. Depression and Natural Medicine. Pleasant Grove, Utah: Woodland Publishing, 1995.

Murray, Michael T., ND. Natural Alternatives to Prozac. New York: William Morrow and Company, 1996.

Norden, Michael J., MD. Beyond Prozac. New York: HarperCollins, 1995.

Stoll, Andrew L., MD. Omega-3 Fatty Acid User Guide. 1998. Available from: Psychopharmacology Research Laboratory, McLean Hospital, 115 Mill Street, Belmont, MA 02478.

“Supplement Suppliers”

The Vitamin Connection 72 Main Street Burlington, VT 05401 Phone: (802) 846-2026 or (800) 760-3020 FREE

Fax: (802) 846-2027

Martek Biosciences 6480 Dobbin Road Columbia, MD 21045 Phone: (410) 740-0081 or (800) 662-6339 FREE Fax: (410) 740-2985 Email:glampf@martekbio.com

Sagami Chemical Research Center Nishi-Ohnuma 4-4-1, Sagamihara Kanagawa 229-0012, Japan Phone: (011) 81-427-42-4791 Fax: (011) 81-427-49-763 Contact: Dr. Kazunaga Yazawa

Source for omega-3 fish oils.

Omega Protein

PO Box 1799 Hammond, LA 70404-1799 Phone: (504) 345-6234 Fax: (504) 345-5744 Email: kshort@i-55.com Contact: Kelsey Short

Source for omega-3 fish oils.

“Medical Facilities”

Sometimes a child’s symptoms are so challenging that your local psychiatrist may want to seek the help of experts. These facilities are among the world’s best-known centers for treating bipolar disorders.

“United States”

KidsPeace: The National Hospital for Kids in Crisis 5300 KidsPeace Drive Orefield, PA 18069-9101 Phone: (800) 334-4KID Email:admissions@kidspeace.org

Mood Disorders Clinic Children’s Hospital 300 Longwood Avenue Boston, MA 02115 Phone: (617) 355-6000

National Institutes of Mental Health (NIMH) Biological Psychiatry Branch Building 10, Room 3N212

9000 Rockville Pike Bethesda, MD 20892 Phone: (301) 496-6827 or (800) 4ll-l222 (Recruitment and Referral) Email: prcc@cc.nih.gov

Stanford Bipolar Disorders Clinic 401 Quarry Road Stanford, CA 94305-5723

Phone: (650) 498-4689 Fax: (65) 723-2507 Email: bipolar.clinic@forsythe.stanford.edu

The Stanley Clinical Research Center Case Western Reserve University/University Hospitals of Cleveland Department of Psychiatry 11100 Euclid Avenue

Cleveland, OH 44106 Phone: (216) 844-3880 Fax: (216) 844-1703

The Stanley Center for the Innovative Treatment of Bipolar Disorders 3811 O’Hara Street, Suite 279 Pittsburgh, PA 15213 Phone: (412) 624-2476or (800) 424-7657 FREE Fax: (412) 624-0493

Stanley Foundation Bipolar Network 5430 Grosvenor Lane, Suite 200 Bethesda, MD 20814 Phone: (800) 518-7326 FREE Fax: (301) 571-0768 Email:info@bipolarnetwork.org

This is a multi-center research effort, including the Stanley Foundation Center at Johns Hopkins University, NIMH, and several other institutions.

University of Texas Southwestern Bipolar and Research Program 8267 Elmbrook Drive, Suite 250 Dallas, TX 75247 Phone: (214) 689-3765 Fax: (214) 689-3751 Email: mwestl@mednet.swmed.edu Contact: Mary Ann Westlake

“Canada”

Canadian Network for Mood and Anxiety Treatments (CANMAT)

This is a consortium of university medical schools and other research organizations concentrating on depression, bipolar disorders, and anxiety disorders. Their web site can link you with a CANMAT center near you, and also provides information about diagnosis and treatment options.

University of British Columbia Mood Disorders Clinic Department of Psychiatry Vancouver Hospital & Health Sciences Centre, UBC Site 2211 Wesbrook Mall

Vancouver, BC V6T 2A1 Canada Phone: (604) 822-9745 Fax: (604) 822-7922

“Public Mental Health Agencies”

“United States”

Alabama

Department of Mental Health and Mental Retardation

RSA Union 100 N. Union Street Montgomery, AL 36130-1410 Phone: (334) 242-3417 Fax: (334) 242-0684

Alaska

Division of Mental Health and Developmental Disabilities 350 Main Street, Room 217

PO Box 110620 Juneau, AK 99811-0620 Phone: (907) 465-3370 or (800) 465-4828 FREE Fax: (907) 465-2668 TDD: (907) 465-2225Email: Director@health.state.ak.us

Arizona

Department of Health Services Behavioral Health 2122 E. Highland Phoenix, AZ 85016 Phone: (602) 381-8999 Fax: (602) 553-9140 Email:adelatr@hs.state.az.us

Arkansas

Department of Human Services Division of Mental Health 4313 West Markham Little Rock, AR 72205 Phone: (501) 686-9164 TTD: (501) 686-9176 Fax: (501) 686-9182

Colorado

Mental Health Services 3824 W. Princeton Circle Denver, CO 80236 Phone: (303) 866-7400 Fax: (303) 866-7428

District of Columbia

DC Commission on Mental Health Services Child Youth Services Administration 2700 Martin Luther King Avenue SE St. Elizabeth’s Hospital, L Bldg. Washington, DC 20032 Phone: (202) 373-7225

Florida

Children’s Medical Services (CMS)

Department of Health and Rehabilitative Services 1311 Winewood Boulevard Building 5, Room 215 Tallahassee, FL 32301 Phone: (904) 488-4257

Georgia

Department of Human Resources 2 Peachtree Street NW, Suite 22-205

Atlanta, GA 30303 Phone: (404) 657-2260 Email: xwiggins@dmh.dhr.state.ga.us

Hawaii

Department of Human Services 1000 Bishop Street, No. 615 Honolulu, HI 96813

Phone: (808) 548-4769

Idaho

Department of Health and Welfare 450 W. State Street Boise, ID 83720-0036 Phone: (208) 334-5500

Illinois

Department of Mental Health and Developmental Disabilities

402 Stratten Office Building Springfield, IL 62706 Phone: (217) 782-7395

Indiana

Division of Mental Health Family and Social Services Administration 402 W. Washington W353 Indianapolis, IN 46204

Phone: (317) 232-7841 TDD: (317) 232-7844 Fax: (317) 233-3472

Iowa

Hoover Building, 5th Floor Des Moines, IN 50310 Phone: (515) 278-2502

Kansas

Child & Adolescent Mental Health Programs 506 N. State Office Building Topeka, KS 66612 Phone: (913) 296-1808

Kentucky

Department of Mental Health and Mental Retardation Services 100 Fair Oaks Lane, 4th Flr.

Frankfort, KY 40621 Phone: (502) 564-7610

Louisiana

Department of Health and Human Resources PO Box 4049 655 N. 5th Street Baton Rouge, LA 70821 Phone: (504) 342-2548

Maine

Department of Mental Health and Mental Retardation State House Station 40 Augusta, ME 04333 Phone: (207) 287-4200 or (888) 568-1112 FREE (Crisis number) TTY: 207-287-2000 Fax: 207-287-4268

Maryland

Department of Health and Mental Hygiene

201 W. Preston Street O’Connor Building, 4th Floor Baltimore, MD 21201 Phone: (410) 767-6860 TDD: (800) 735-2258 FREE

Massachusetts

Department of Mental Health

25 Staniford Street Boston, MA 02214 Phone: (617) 727-5600 Fax: (617) 727-4350

Minnesota

Children’s Mental Health c/o Minnesota Department of Human Services 444 Lafayette Road

St. Paul, MN 55155 Phone: (651) 297-5242

Minnesota Children with Special Health Needs 717 Delaware Street SE PO Box 9441 Minneapolis, MN 55440-9441 Phone: (612) 676-5150 or (800) 728-5420 FREE Fax: (612) 676-5442

Email: mcshn@kids.health.state.mn.us

Mississippi

Department of Mental Health 1101 Robert E. Lee Building 239 N. Lamar Street Jackson, MS 39201 Phone: (601) 359-1288

Fax: (601) 359-6295

Missouri

Children’s Mental Health c/o Department of Mental Health 1706 East Elm Street PO Box 687 Jefferson City, MO 65102 Phone: (573) 751-3070 or(800) 364-9687 FREE

Email: dmhmail@mail.state.mo.us

Montana

Department of Public Health and Social Services PO Box 4210 111 Sanders, Room 202 Helena, MT 59604 Phone: (406) 444-2995

Nebraska

Nebraska Health and Human Services Office of Community Mental Health PO Box 95007 Lincoln, NE 68509 Phone: (402) 471-2330Email:hhsinfo@www.hhs.state.ne.us

Nevada

Department of Human Resources State Capitol Complex 505 E. King Street Carson City, NV 98710 Phone: (702) 687-4440

New Hampshire

Division of Mental Health c/o Department of Health and Human Services State Office Park South 105 Pleasant Street Concord, NH 03301 Phone: (603) 271-5065

New Jersey

“Services for Children with Special Health Care Needs”

New Jersey Department of Health and Senior Services PO Box 364 Trenton, NJ 08625 Phone: (609) 984-0755

New Mexico

Human Services Department 1190 S. St. Francis Drive

P.O. Box 2348 Santa Fe, NM 87504 Phone: (505) 827-7750 or (800) 432-6217 FREE TDD: (800) 609-4TDD Email:marty.eckert@state.nm.us

New York

New York State Office of Mental Health

44 Holland Avenue Albany, NY 12229 Phone: (518) 474-6540 Fax: (518) 473-3456

North Carolina

Division of Mental Health Department of Health and Human Services Albemarle Building

325 N. Salisbury St. Raleigh, NC 27603 Phone: (919) 733-7011 Fax: 919-733-9455

North Dakota

Department of Human Services State Capitol Building 600 E. Boulevard Avenue, Dept 325

Bismarck, ND 58505 Phone: (701) 328-2310 or (800) 472-2622 FREE TTY: (800) 366-6888 Fax: (701) 328-2359 Email: sosteh@state.nd.us

Ohio

Department of Mental Health

State Office Tower 30 E. Broad Street, 8th Floor Columbus, OH 43266-0414 Phone: (614) 466-1483 Email: helpdesk@mhmail.mh.state.oh.us

Oklahoma

Department of Mental Health and Substance Abuse

1200 NE 13th Street PO Box 53277 Oklahoma City, OK 73152-3277 Phone: (405) 522-3908 or (800) 522-9054 FREE (Hotline)

Oregon

Office of Mental Health Services Department of Human Resources 2575 Bittern Street NE

Salem, OR 97309-0740 Phone: (503) 975-9700 Fax: (503) 373-7327

Pennsylvania

Special Kids Network Department of Health PO Box 90 Harrisburg, PA 17108

Phone: (800) 986-4550 FREE

Rhode Island

Department of Mental Health, Retardation, and Hospitals Aime J. Forand Building 600 New London Avenue Cranston, RI 02920 Phone: (401) 464-3291

South Carolina

Department of Mental Health 2414 Bull Street, Room 304 Columbia, SC 29202 Phone: (803) 898-8581 Email: scdmh@yahoo.com

South Dakota

Division of Developmental Disabilities

Department of Human Services Hillsview Plaza, E. Hwy 34 c/o 500 East Capitol Pierre, SD 57501-5070 Phone: (605) 733-3438 Email:infodd@dhs.state.sd.us

Tennessee

Department of Mental Health and Mental Retardation 3rd Floor, Cordell Hull Building 425 Fifth Avenue North Nashville, TN 37243 Phone: (615) 532-6500

Texas

Department of Mental Health and Mental Retardation 909 West 45th Street

PO Box 12668 Austin, TX 78711 Phone: (512) 454-3761

Utah

State Division of Mental Health Department of Human Services 120 N. 200 W., Room 415 Salt Lake City, UT 84145

Phone: (801) 538-4270

Vermont

Department of Developmental and Mental Health Services 103 S. Main Street Weeks Building Waterbury, VT 05671-1601 Phone: (802) 241-2609

Virginia

Department of Mental Health, Mental Retardation, and Substance Abuse Services PO Box 1797 Richmond, VA 23218 Phone: (804) 786-3921 or (800) 451-5544 FREE TDD: (804) 371-8977 Fax (804) 371-6638

Washington

Mental Health Division

Health and Rehabilitative Services Administration PO Box 1788, OB-42C Olympia, WA 98504 Phone: (800) 446-0259 FREE

West Virginia

Department of Health and Human Resources Capitol Complex Bldg. 3 Room 206

Charleston, WV 25305 Phone: (304) 348-0627

Wisconsin

Bureau of Community Mental Health Department of Health and Family Services 1 W. Wilson Street, Room 433 PO Box 7851

Madison, WI 53707 Phone: (608) 261-6746 Fax: (608) 261-6748

Canada

British Columbia

British Columbia Ministry of Health Parliament Buildings Victoria, BC V8V 1X4

Phone: (250) 952-1742 or (800) 465-4911 FREE

Manitoba

Manitoba Health Legislative Building Winnipeg, MB R3C 0V8 Phone: (204) 786-7111 or (877) 218-0102 FREE

New Brunswick

New Brunswick Health and Community Services PO Box 5100 Fredericton, NB E3B 5G8 Phone: (506) 453-2536 Fax: (506) 444-4697

Newfoundland and Labrador

Newfoundland Department of Health and Community Services Division of Family and Rehabilitative Services

Confederation Building, West Block PO Box 8700 St. John’s, NF A1B 4J6 Phone: (709) 729-5153 Fax: (709) 729-0583

Nova Scotia

Nova Scotia Department of Health PO Box 488

Halifax:, NS B3J 2R8 Phone: (902) 424-5886 or (800) 565-3611 FREE

Prince Edward Island

Prince Edward Island Health and Social Services Second Floor, Jones Building 11 Kent Street PO Box 2000

Charlottetown, PE C1A 7N8 Phone: (902) 368-4900 Fax: (902) 368-4969

Quebec

Quebec Ministére de la Santé et Services Sociaux 1075 Chemin Sainte-Foy, R.C. Québec, QC G1S 2M1

Phone: (418) 643-3380 or (800) 707-3380 FREE Fax: (418) 644-4574

Saskatchewan

Saskatchewan Health T.C. Douglas Building 3475 Albert Street Regina, SK S4S 6X6 Phone: (306) 787-3475

Fax: (306) 787-3761

“United Kingdom”

People in England, Scotland, Wales, and Northern Ireland will generally need to be referred to a specialist at a clinic or hospital by their general practitioner.

The National Health Service Confederation

This site lists all local NHS authorities and boards, as well as specific sites for healthcare (including mental health services).

Ireland

Eastern Health Board

Dr. Steevens Hospital Dublin 8 Phone: 1800 520 520

Midland Health Board, Arden Road Tullamore, County Offaly (0506) 21868

North Eastern Health Board

Kells, County Meath (046) 40341

North Western Health Board Manorhamilton, County Leitrim Phone: (072) 55123 Fax: (072) 20431

Southern Health Board

Wilton Road County Cork Phone: (021) 545011 Fax: (021) 545748

Western Health Board Merlin Park Regional Hospital Galway Phone: (091) 757631

Fax: (091) 770203

Australia

Australian Capitol Territory Commonwealth Department of Health and Family Services Child Health and Development Service Weingarth Street at Blackwood Terrace Holder, ACT 2611 Phone: (02) 6205-1277

New South Wales

Commonwealth Department of Health and Family Services 1 Oxford Street Darlinghurst, NSW Phone: (02) 9263-3555 or (800) 048-998

Northern Territory

Northern Territory Health Services PO Box 40596

Casuarina, NT 0811 Phone: (08) 8999-2400 Fax: (08) 8999-2700

Queensland

Commonwealth Department of Health and Family Services 340 Adelaide Brisbane, Queensland Phone: (07) 3360-2555

South Australia

Commonwealth Department of Health and Family Services 55 Currie Street Adelaide, SA 5000 Phone: (08) 8237-6111 Fax: (08) 8237-8000

Tasmania

Commonwealth Department of Health and Community Services Child and Family Services

4 Farley Street Glenorchy, Tasmania Phone: (03) 6233-2921

Victoria

“Department of Health and Family Services”

Disability Programs Casselden Place 2 Lonsdale Street GPO Box 9848

Melbourne, Victoria 3001 (03) 9285-8888

Western Australia

Department of Health and Family Services Central Park, 12th Floor 152 St. George Terrace Perth, WA 6000 Phone: (08) 9346-5111 or (800) 198-008

Fax: (08) 9346-5222

New Zealand

New Zealand Ministry of Health 133 Molesworth Street PO Box 5013 Wellington, NZ Phone: (04) 496-2000 Fax: (04) 496-2340

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Valuable *ORGANIZATIONS* Resources!

BE AWARE some Links may be broken:

Bipolar Disorder and other serious brain diseases are an extreme challenge not only for the person afflicted, but for the entire family. It helps a great deal to be able to talk with other people who have, or are, going through the same things that you are – to share tips and local resources in coping, and to work together in getting the best possible treatment in your city or area.

Below are good sources for finding such a support group. Also listed are the National Mental Health Offices that should be able to help with regard to the governmental services for mental health. If there isn’t a support group in your area start one – the national offices of each of these organizations are usually more than willing to help!

For quick and immediate support – join in “our” forums @ www.bipolar4lifesupport.co !

In the USA

BipolarCentral.com – The number #1 site in the world devoted to bipolar disorder.

We recommend you contact your local office of NAMI:

National Alliance for the Mentally Ill (NAMI)

In Canada Join the Mood Disorders Society of Canada

Here is a good example of a more progressive approach to providing information to the public,: PsychosisSucks

Canadian Mental Health Association – Office Locator

International Support Organizations:

Manic Depression Fellowship – U.K. based support and services organization

International Society for Bipolar Disorders- requires a membership fee to join, but has some info available for free as well Mood Disorders Associaton of Manitoba, Canada

Balance: New Zealand Manic Depressive Network

Dutch Association for Manic-Depressives (Netherlands) – site in Dutch only

Fundacion de Bipolares de Argentina (FUBIPA) – Spanish support organization and website w/ thirteen regional groups in Argentina

German Society for Bipolar Disorder – site in German only

For other countries please visit: Worldwide Support Organizations List

Visit the World Fellowship for Schizophrenia and Allied Disorders – it is a worldwide support organization for family-oriented support groups.

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*Suicide HOT LINE #’S WORLD WIDE*

“USA Suicide Hot Lines”
1-800-SUICIDE FREE (1-800-784-2433 FREE)
1-800-273-TALK FREE (1-800-273-8255 FREE)

SUICIDE PREVENTION LINES:

USA States: Please select your state below:

Alabama Suicide Hotlines
Alaska Suicide Hotlines
Arizona Suicide Hotlines
Arkansas Suicide Hotlines
California Suicide Hotlines
Colorado Suicide Hotlines
Connecticut Suicide Hotlines
Delaware Suicide Hotlines
Florida Suicide Hotlines
Georgia Suicide Hotlines
Hawaii Suicide Hotlines
Idaho Suicide Hotlines
Illinois Suicide Hotlines
Indiana Suicide Hotlines
Iowa Suicide Hotlines
Kansas Suicide Hotlines
Kentucky Suicide Hotlines
Louisiana Suicide Hotlines
Maine Suicide Hotlines
Maryland Suicide Hotlines
Massachusetts Suicide Hotlines
Michigan Suicide Hotlines
Minnesota Suicide Hotlines
Mississippi Suicide Hotlines
Missouri Suicide Hotlines
Montana Suicide Hotlines
Nebraska Suicide Hotlines
Nevada Suicide Hotlines
New Jersey Suicide Hotlines
New Mexico Suicide Hotlines
New York Suicide Hotlines
North Carolina Suicide Hotlines
North Dakota Suicide Hotlines
Ohio Suicide Hotlines
Oklahoma Suicide Hotlines
Oregon Suicide Hotlines
Pennsylvania Suicide Hotlines
Rhode Island Suicide Hotlines
South Carolina Suicide Hotlines
South Dakota Suicide Hotlines
Tennessee Suicide Hotlines
Texas Suicide Hotlines
Utah Suicide Hotlines
Vermont Suicide Hotlines
Virginia Suicide Hotlines
Washington Suicide Hotlines
Washington D.C. Suicide Hotlines
West Virginia Suicide Hotlines
Wisconsin Suicide Hotlines
Wyoming Suicide Hotlines

Suicide Hot Lines:
Please select your Country below:

Argentina Suicide Hotlines
Armenia Suicide Hotlines
Australia Suicide Hotlines
Austria Suicide Hotlines
Barbados Suicide Hotlines
Belgium Suicide Hotlines
Botswana Suicide Hotlines
Brazil Suicide Hotlines
Canada Suicide Hotlines
China Suicide Hotlines
Croatia Suicide Hotlines
Cyprus Suicide Hotlines
Denmark Suicide Hotlines
Egypt Suicide Hotlines
Estonia Suicide Hotlines
Fiji Suicide Hotlines
Finland Suicide Hotlines
France Suicide Hotlines
Germany Suicide Hotlines
Ghana Suicide Hotlines
Gibraltar Suicide Hotlines
Hong Kong Suicide Hotlines
Hungary Suicide Hotlines
India Suicide Hotlines
Ireland Suicide Hotlines
Israel Suicide Hotlines
Italy Suicide Hotlines
Japan Suicide Hotlines
Liberia Suicide Hotlines
Lithuania Suicide Hotlines
Malaysia Suicide Hotlines
Malta Suicide Hotlines
Mauritius Suicide Hotlines
Namibia Suicide Hotlines
Netherlands Suicide Hotlines
New Zealand Suicide Hotlines
Norway Suicide Hotlines
Paupua New Guinea Suicide Hotlines
Philippines Suicide Hotlines
Poland Suicide Hotlines
Portugal Suicide Hotlines
Russian Federation Suicide Hotlines
Somoa Suicide Hotlines
Serbia Suicide Hotlines
Singapore Suicide Hotlines
South Africa Suicide Hotlines
South Korea Suicide Hotlines
Spain Suicide Hotlines
Sri Lanka Suicide Hotlines
St. Vincent Suicide Hotlines
Sudan Suicide Hotlines
Switzerland Suicide Hotlines
Taiwan Suicide Hotlines
Thailand Suicide Hotlines
Tobago Suicide Hotlines
Tonga Suicide Hotlines
Trinidad and Tobago Suicide Hotlines
Turkey Suicide Hotlines
Ukraine Suicide Hotlines
United Kingdom Suicide Hotlines
Zimawe Suicide Hotlines

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Listening Fully: The Hidden Motivator

Listening Fully: The Hidden Motivator Karen W. Pool

“Until we are free to think for ourselves, our dreams are not free to unfold.” —Nancy Kline What motivates us to progress or change? Opportunity? Additional responsibility? Setting goals? Meaning? Incentives? In all I’ve studied, motivation is not connected with listening. Being listened to—receiving full attention and respect without criticism or interruption—is the simplest and most overlooked key to motivation. Several individuals who were listened to instead of advised in coaching sessions responded when asked about their experience: Jan related, “I discovered that my deepest insights came as a result of hearing myself think aloud.” Mary wrote, “I enjoy talking things out with someone who had no bias toward me. The knowledge and direction I now have has given me a sense of hope. I find myself thinking and acting differently—with a real sense of purpose.

” Shawn expressed this, “Being listened to helped lift my belief in myself and my thoughts, and helped me act on my ideas.” To begin to speak—and actually hear our thinking—is to transform our place in the universe. Brenda Ueland writes in Strength to Your Sword Arm, Selected Writings, “When we are listened to, it creates us, makes us unfold and expand. Ideas actually begin to grow within us and come to life.

This creative fountain of our imagination inside all of us begins to spring and cast up new thoughts, unexpected laughter, and wisdom.” In her book, Time to Think, Nancy Kline observes, “Everything we do depends for its quality on the thinking we do first. The most important thing we can do is listen to people so expertly, to give them attention so respectfully they could begin to think for themselves, clearly and afresh.”

There are three basic skills to practice and request to receive full listening. These include 1) releasing personal agendas, 2) not interrupting, and 3) letting go of the assumption that people always need advice. First, if we are to listen, we must release our personal agendas in order to be quiet in our minds while someone stops to think while they are talking. Usually, as soon as the speaker thinks aloud, the listener in us moves into problem-solving mode or judgment, rather than attentive curiosity. Even if we are silent while another speaks, our “thinking wheels” churn up ideas. And when we’re invested in the outcome, we may not listen at all.

However, when we listen with our full attention, others are able to clear away the clutter and obstacles until they see clearly what they desire. Second, we choose not to interrupt. We usually interrupt because we think we’ve already figured out what a person will say. As soon as we begin looking for a pause in another person’s thinking so we can say something, we have stopped listening.

Alternatively, we create breathing room when we resist the pressure to fill the space immediately. The best conditions for thinking are unrushed. Those who experience full attention become more intelligent and imaginative.

Finally, be wary of giving advice. In our society, helping people has usually meant giving them our ideas. We unconsciously assume that the person who presents the problem is asking for our assistance because he or she doesn’t have a solution. Consequently, we listen only long enough for our brain to think of an idea. Most of us are totally unaware of the subtle insult that accompanies advice, because it seems such an appropriate response—either to request it, or to give it. Our advice usually points one way: that we know best the direction a person is to take. It implies that he or she doesn’t know and can’t figure it out. Nancy Kline suggests: “Real help consists of paying respectful attention to people so that they can access their own ideas first. First listen. And then listen some more. And just when they say they can’t think of anything else, you can ask them the question, ‘What else do you think about this? What else comes to your mind to say?’ While you wait, you may be tempted to give a little piece of advice or encouragement. Resist this; when they are done, they will say they are done.”

Practice requesting a safe listening environment: open-hearted full attention, without criticism, interruption, or advice. The following coaching participants told of their experience of receiving the gift of a safe listening environment:

Heather: “I was able to get past a stuck place because I was encouraged to think creatively for myself and felt rewarded and not devalued.” Shari: “I feel more empowered to solve my problems.” Holly: “I’ve loved having someone listen to me and support me in figuring things out. I’ve never thought to request it myself; I’m usually on the other end without anyone listening.” Lindy: “Being listened to has helped me re-evaluate things and look at them differently—to see new options and open up my perspective. The challenges at work aren’t so overwhelming.” In the same listening fashion, we can observe what works for us individually to hear the inner voice of our heart. Clarity in the form of answers and insights comes in quiet moments while listening to this inner voice. Notice when insights come, what distracts you or creates discomfort, and what brings peace. Intentionally include more activities on a regular basis that allow for listening to the ideas of your heart’s voice. Examples include meditating, being in nature, listening to quiet music, walking, doing handwork or gardening, building things, and my favorite from Brenda Ueland— moodling (long, inefficient, happy idling, dawdling, and puttering). I keep 3×5 cards and sticky notes readily available, because ideas often come at the spur of the moment.

Listening to each other requires discipline and attention. What if we gave each other the gift of listening without judgment, and with respect and interest? This kind of atmosphere—where genuine, respectful listening occurs—provides space for alignment between the person and what he or she desires.

In C. William Pollard’s words, “When this happens, move over—because there will be extraordinary performance.”

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