Depression Series (Part 2): My Antidepressant Doesn’t Work. What Can My Psychiatrist Do?

Written by Michael G. Rayel, MD


Continued from page 1

Fourth,repparttar psychiatrist can switch from one antidepressant to another. Previous studies have shown that when making a switch, a drug should be replaced by a drug from a different class e.g. from SSRI to SNRI (serotonin and norepinephrine reuptake inhibitor e.g. venlafaxine), or from TCA (tricyclic agent e.g. nortriptyline) to SSRI. But recent studies show that switching drugs withinrepparttar 115456 same class (e.g. SSRI to another SSRI) is just as effective.

Fifth, Maria’s psychiatrist can also treat other ongoing symptoms or drug-related problems that further complicate her depression. If she is anxious and agitated, then her psychiatrist should prescribe antianxiety drug (e.g. lorazepam) or if Maria is psychotic then adding an antipsychotic drug should help. Moreover, medication side effects (such as insomnia, dryness of mouth, constipation, etc.) that negatively affect Maria’s compliance torepparttar 115457 drug should be addressed promptly.

Lastly, if despite above measures Maria doesn’t respond to antidepressants, then electroconvulsive therapy should be entertained. Of course, this procedure should be done with her consent.

In summary, Maria’s psychiatrist can optimizerepparttar 115458 dose, augment or combine treatment, switchrepparttar 115459 medication, treat side effects and ongoing symptoms, or use electroconvulsive therapy for treatment-resistant or refractory depression.



Copyright © 2003. All rights reserved. Dr. Michael G. Rayel – author (First Aid to Mental Illness–Finalist, Reader’s Preference Choice Award 2002), speaker, workshop leader, and psychiatrist. Dr. Rayel pioneers the CARE Approach as a first aid for mental health. To receive free newsletter, visit www.drrayel.com. His books are available at major online bookstores.


Low Carb Christmas Enchiladas!

Written by Jan McCracken


Continued from page 1

Sauté onion in butter and add other ingredients. Set aside while preparing tortillas for BUILDING enchiladas!

Now let’s build enchiladas...

Olive oil 12 low carb tortillas 2 cups cream 1 cup chicken stock 1 1/2 cups Jack cheese grated

Heat oil in heavy skillet and cook tortillas just a few seconds. Combinerepparttar cream and chicken stock until well blended.

After cooking each tortilla, dip each one inrepparttar 115455 chicken stock and cream mixture. Spread filling mixture onrepparttar 115456 tortillas (kinda like peanut butter on a sandwich), rollrepparttar 115457 tortilla, placingrepparttar 115458 seam side down on a baking dish. Byrepparttar 115459 way, this dish should be big enough to hold 12 of these puppies!

After all tortillas are filled and rolled, pourrepparttar 115460 remaining liquid over them. Sprinkle with cheese and bake in a 350° oven until hot and cheese is melted... about 25 minutes.

Serves 12

Carb count for Total Recipe: 107 grams carbs/19 grams fiber = 88 net grams of carbs ADDrepparttar 115461 carb count for your tortillas! WOW... this is ONLY 7.3 grams of carbs per serving and if you ADD 3 net grams forrepparttar 115462 tortilla it is still only 10.3 grams for a very special treat.

Who says low carb cooking is boring??

VIVA FIESTA and FELIZ NAVIDAD... IT’S A LOW CARB CALIFORNIA FIESTA CHRISTMAS!

Recipe fromrepparttar 115463 FIRST Low Carb Christmas Cookbook! by Jan McCracken Now ONLY $9.95 Low Carb Christmas Cookin'- With an Old-Fashioned Cook! 224 fun-filled, sometimes hysterical pages! http://www.lowcarbcookin.com



Jan McCracken is author and self-publisher of 39 gift books & cookbooks. Born in the Midwest & former owner/innkeeper of a country bed and breakfast in Branson, MO, she has been cooking since she was seventeen years old (she won’t tell us how many years that is)!

Jan has been living the low carb lifestyle for 8 years. Her long-term goal is helping people understand that food is truly the great medicine, prevention and healer of disease.




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