Download Acquainted with the Night: A Parent's Quest to Understand by Paul Raeburn PDF

By Paul Raeburn

[b]In the culture of Kay Redfield Jamison’s An Unquiet Mind, Acquainted with the Night is a robust memoir of 1 man’s fight to house the adolescent melancholy and bipolar illness of his son and his daughter.
Seven years in the past Paul Raeburn’s son, Alex, 11, was once admitted to a psychiatric sanatorium after leaving his fifth-grade lecture room in an inexplicable rage. He used to be hospitalized 3 times over the following 3 years till he used to be eventually clinically determined by means of a psychiatrist as an individual displaying a simple case of bipolar ailment. This ended a painful interval of misdiagnosis and beside the point drug treatment. Then Raeburn’s more youthful daughter, Alicia, twelve, used to be clinically determined as being affected by melancholy after episodes of self-mutilation and suicidal suggestions. She too used to be many times admitted to psychiatric hospitals. All in this poor, painful time, Raeburn’s marriage used to be disintegrating, and he needed to ask what he and his spouse may have performed, unwittingly, to give a contribution to their children’s psychological disease. And so, actually to save lots of his children’s lives, he used all of the assets to be had to him as a technological know-how reporter and author to coach himself on their ailments and some of the medicinal drugs and remedies to be had to aid them go back from a land of internal torment.

In Paul Raeburn’s expert palms, this memoir of a relations bothered with the discomfort of melancholy and mania turns into a cathartic tale that any reader can percentage, at the same time mom and dad unfortunate sufficient to be in the same place will locate it of immeasurable functional worth of their personal struggles with the kid psychiatry institution.

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Additional info for Acquainted with the Night: A Parent's Quest to Understand Depression and Bipolar Disorder in His Children

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It is a far more potent α-adrenergic antagonist than haloperidol and is more likely to produce hypotension, particularly when it is combined with other agents. These are potential problems for the medically ill. Although droperidol is more quickly acting than haloperidol, the two agents are equivalent at 1 hour (Thomas et al. 1992). In 2001, the FDA issued a black box warning (the strongest type of warning label for an FDA-approved drug) that droperidol, even at low doses, could cause QT prolongation and/or TDP.

The bedtime dose of antipsychotic (or of a potentiating agent such as lorazepam [Ativan]) should be the last to be withdrawn for patients with disrupted sleep-wake cycles. Specific Agents Table 1–7 and Table 1–8 summarize the recommended doses of haloperidol and the atypical antipsychotics for the treatment of delirium. A brief description of each type of strategy follows. Haloperidol Haloperidol has been the most widely studied neuroleptic for treating delirium. It is a high-potency dopamine-blocking agent with few anticholinergic side effects and minimal cardiovascular or pulmonary side effects.

ADVANTAGES: Highly sensitive to detecting delirium. DISADVANTAGES: High rate of false positives and limited reliability. AVAILABILITY: Psychological Assessment Resources, Inc. com) Symbol Digit Modalities Test (SDMT) Patient has 90 seconds to pair specific numbers with given geometric figures on a reference page. ADVANTAGES: High sensitivity, quick administration, little practice effect, can track cognitive fluctuations over time. com). The Delirious Patient practice effect, and the ability to track cognitive fluctuations over time.

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