Helping ‘Them’: Our Role in Recovery From Opioid Dependence

... Helping 'Them': Our Role in Recovery From Opioid Dependence - Loxterkamp 4 (2): 168 - Annals of Family Medicine HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: Annals of Family Medicine 4:168-171 (2006) © 2006 Annals of Family Medicine, Inc.

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Essay Helping ‘Them’: Our Role in Recovery From Opioid Dependence David Loxterkamp, MD Private practice, Belfast, Me CORRESPONDING AUTHOR: David Loxtercamp, MD, Seaport Family Practice, PA, 41 Wight St, Belfast, ME 04915, dr.loxterkamp{at}verizon.net ABSTRACT The crisis of opioid addiction in America has been fueled by the diversion of prescription pain pills and the emergence of pure and inexpensive heroin.

Until recently, benefits of and access to therapy were limited.

This situation changed in 2003 with Food and Drug Administration approval of buprenorphine for the office-based treatment of opioid dependence.

Now armed with a potent drug, primary care physicians can treat addicted patients in their own practice and from their own neighborhood, but first we...

In the name of Free speech

... In the name of Free speech Volume 23 - Issue 06 :: Mar.

25 - Apr.

07, 2006 INDIA'S NATIONAL MAGAZINE from the publishers of THE HINDU • Contents ANALYSIS In the name of Free speech A.G.

NOORANI Defining the issues - textual, legal and political - behind the Danish cartoons is essential to understand the rage it provoked in the Muslim world.

ZAHID HUSSEIN/REUTERS A PROTEST IN Karachi against the Danish cartoons.

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When panic strikes

...ba href=/panic disorder/a/b from their father.In the world of behavioral therapists, however, panic attacks begin and end not with brain chemicals but with thoughts and actions.Therapists say particular types of people are most prone to panic attacks.

Perfectionists and overachievers are more likely to have anxiety overflow.No matter what causes panic attacks, doctors and therapists agree that the real trouble starts after the first panic attack.

Singer Carly Simon once confessed not only to panic attacks but also to a secondary and just as crippling fear, the fear of more panic attacks.A fear of an attack returning can cause the development of other phobias, such as performance anxiety, claustrophobia or the fear of the outdoors.“I’ve talked to people who won’t go to the dentist or go get their hair cut because they don’t want to have a panic attack in a place where they cannot easily flee,” says Margaret Summy, a Fort Worth therapist.Often, those people assume their fear is of the dentist or of the hairstylist.“That’s not it,” Summy says.

“After the first attack, they start analyzing it and say, ‘I’m not going to do that again.’ ”One woman whom Vinson treated had refused to leave her house without her husband for 11 years, so fearful was she that another panic attack would occur.She told Vinson that one day she left the house by herself and tried to spark another panic attack.“You can’t have one when you want to,” he told her.

“You have to fear it or it won’t appear.”The woman has since...

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