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Pilot Study of High Frequency TMS for Bipolar Depression - The Journal of Clinical Psychiatry

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Pilot Study of High Frequency TMS for Bipolar Depression  The Journal of Clinical Psychiatry

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Traditionally, our holistic emphasis on a wellness model as opposed to a medical model has been touted as a unique aspect of our professional identity as counselors. Many counselors feel more comfortable with humanistic, existentialist and postmodern theories that seem to clash with the medical model. The Diagnostic and Statistical Manual of Mental Disorders ( DSM ), published by the American Psychiatric Association (APA), is one of the most salient symbols of that model, so why should we care about it? The ability to diagnose using a medical model is integral to much of what we want for our profession, such as Medicare parity, licensure portability, fair and equal access to psychological tests, and integrated care. For this reason, counseling associations have advocated relentlessly for state legislators to include the diagnosis of mental disorders in the scope of practice of licensed counselors. According to the National Conference of State Legislature's

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If you live with bipolar disorder, you may have wondered if you can prevent manic or depressive episodes. While everyone is different, there may be some options that can help you. Bipolar disorder is a complex condition. Some people may find that they are able to prevent some manic and depressive episodes. Others may find that, while they are not able to prevent episodes completely, they can lessen or manage the symptoms. We asked two experts for tips on how to cope. You may find that some depressive and manic episodes are preventable to some extent, though this may not be with 100% accuracy. That's because bipolar disorder is caused by a combination of factors that are unique to you — some factors that are in your control and some that are not. These include: brain chemistry family history environmental factors With that said, there are some preventive measures that can be put in place in order to decrease the frequency, intensity, or duration of manic and depressive episodes, say

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Driving With Bipolar Disorder: Research, Risks, and Precautions - Healthline

While many people with bipolar disorder can drive safely, there are several important factors that could affect your driving fitness. These include having severe episodes of psychosis or mania, being on medication that prohibits driving, or having another health condition that makes driving unsafe. Bipolar disorder is a chronic mental health condition characterized by extreme shifts in mood. There are several types of bipolar disorder, but the most common are bipolar disorders type 1 and 2. There's not a lot of research on bipolar disorder and driving fitness, and existing study results are mixed. If you have questions or concerns about your ability to drive because of your bipolar disorder, talk with a doctor. Safety always comes first, and sometimes taking a break from driving while you adjust your treatment plan may be advised. Driving fitness refers to your physical and mental capability to drive safely. Bipolar disorder has been found to affect cognition (your thought processe

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By the time Amanda Stern was in her mid-40s, she no longer suffered from clinical depression. And her panic attacks, which had started in childhood, were mostly gone. But instead of feeling happier, she said, "I felt wallpapered in an endless, flat sadness." Confused, she turned to her therapist, who suggested that she had dysthymia, a mild version of persistent depressive disorder, or P.D.D. Ms. Stern, an author based in New York City, often writes about mental health, but she had never heard the term. She soon realized that she had experienced dysthymia on and off for decades. "I am not suffering from it right now," she added, "but I imagine I'll live with it again." She decided to write about it in her newsletter, How to Live, describing what it felt like to exist in a "constant state of 'emptiness'" and sharing the tools that eventually helped her feel better. It is not well understood why some cases of depression persist, but The

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