Community voices and knowledge sharing

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Community voices and knowledge sharing


Case Studies and Personal Experiences

 

FFakour ---

Urine drug screen

This must have been discussed before but just to gather your input on the best plan of action.

53 years old female with chronic pain and fibromyalgia on codeine contin tablets with no positive UDS s in the past now has cocaine metabolites in her urine. I had just increased her codeine dose due to insufficient pain control. Her current dose id 100 mg bid. She has bipolar disease on mood stabilizers and Crohn's disease.

Would you stop her narcotics with this urine result?

Thank you

6 Replies
Beth Mares ---

New police powers affect confidential medical records

The Missing Persons Act was recently passed without publicity and apparently without opposition from MLAs. However a close look at the wording of the law raises concerns about possible consequences, especially for the practice of psychotherapy, that seem to have been overlooked.

I have explained my concerns at https://www.therapytorontotherapist.ca/pp2.htm

Beth Mares RP

 

7 Replies
Kimberly ---

Resisting Oppression | Seeking Clarity

Ever since I was a child, I have been told to sit down, lower my voice, stop talking to those people. I was pointed in the direction that I was expected to go in and told what I was supposed to like, follow, enjoy and engage in.

 

1 Replies
Community ---

Climate change is threatening mental health

The effects of global climate change on mental health and well-being are integral parts of the overall climate-related human health impacts. Mental health consequences of climate change range from minimal stress and distress symptoms to clinical disorders, such as anxiety, depression, post-traumatic stress, and suicidality.

3 Replies
Community ---

Extreme weather events linked to poor mental health

People with homes damaged by extreme weather events are more likely to experience mental health issues such as depression and anxiety even when the damage is relatively minor and does not force them to leave their homes, a new study suggests.

0 Replies
Community ---

Hardship during the Great Recession linked with lasting mental health declines

People who suffered a financial, housing-related, or job-related hardship as a result of the Great Recession (which officially lasted from December 2007 to June 2009) were more likely to show increases in symptoms of depression, anxiety, and problematic drug use.

0 Replies
Community ---

What Oklahoma's victory against Johnson & Johnson means for the opioid trials

Oklahoma delivered a stinging blow to the drug manufacturing firm Johnson & Johnson on Monday, a landmark victory for the state that may help decide more than 2,000 lawsuits targeting opioid makers and distributors around the US. [CNN / Jacqueline Howard and Wayne Drash]

3 Replies
Community ---

Adults who mix cannabis with opioids for pain report higher anxiety, depression

Adults who take prescription opioids for severe pain are more likely to have increased anxiety, depression and substance abuse issues if they also use marijuana.

"Given the fact that cannabis potentially has analgesic properties, some people are turning to it to potentially manage their pain," Andrew Rogers, said in describing the work.

1 Replies
Community ---

Did scientists really discover that dark chocolate is the cure for depression?

You may have seen one of the following headlines over the past few days:

Suffering from depression? Eat dark chocolatesPeople who eat dark chocolate less likely to be depressedEating lots of dark chocolate 'lowers the risk of depression'Depression, Memory Loss, Heart Problems? Try Chocolate Therapy!

Does this mean therapists should recommend dark chocolate to their clients?

Not quite.

1 Replies