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weee [Nov. 27th, 2009|05:19 am]
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Originally published at emogency!. Please leave any comments there.



weee, originally uploaded by xxrobot.

team black!

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Dubloons! [Nov. 21st, 2009|10:08 pm]
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Originally published at emogency!. Please leave any comments there.



Dubloons!, originally uploaded by xxrobot.
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Bucket soda [Nov. 21st, 2009|07:57 pm]
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Originally published at emogency!. Please leave any comments there.



Bucket soda, originally uploaded by xxrobot.

this is supposed to be a large

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Black Student Association [Nov. 17th, 2009|06:47 pm]
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Originally published at emogency!. Please leave any comments there.



Black Student Association, originally uploaded by xxrobot.

lulz

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1110092118.jpg [Nov. 10th, 2009|10:19 pm]
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Originally published at emogency!. Please leave any comments there.



1110092118.jpg, originally uploaded by xxrobot.

my name is dick lover

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12 Hours [Nov. 10th, 2009|12:59 pm]
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Originally published at emogency!. Please leave any comments there.

omgomgogmogomgogomg

I know its gonna be anti-climactic because I’ve been drinking, but still. Being 21 is gonna be awesome.

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Major Depressive Disorder [Nov. 8th, 2009|02:27 pm]
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Originally published at emogency!. Please leave any comments there.

Major Depressive Disorder

Scott Sasaki

Nature of Disorder

Major Depressive Disorder is a very serious and widespread mental illness that affects 10% to 25% for women and from 5% to 12% for men (mentalhealth.com). This is a mental disorder that effects the mood of a person and is nondiscriminatory meaning that it can affect anyone regardless of race, ethnicity, or income. This mental illness is more commonly diagnosed in women than men, especially in adolescent years. Depression in children is relatively balanced.

The cause of major depressive disorder is a combination of brain chemistry, family history, and psychosocial environment. It is not certain which of these factors dominates, but abnormal levels of the neurotransmitters norepinephrine, serotonin, and dopamine are closely linked with depression (mentalhealthchannel). A person has a 27% chance of inheriting a mood disorder from one parent, and this chance doubles if both parents are affected.(mentalhealthchannel).

People that are in an environment that includes abuse, neglect, divorce or addiction are at a higher risk of developing Major Depressive Disorder.

Signs and Symptoms of the Disorder

Major Depressive Disorder is more than a brief feeling of “the blues”, this disorder has specific criteria defined by the Diagnostic and Statistical Manual IV (DSM-IV-TR) as

A minimum of five symptoms from the following list have been present during the same 2-week period and represent a change from previous functioning. One of the symptoms must be #1 or #2, as listed below:
1) Depressed mood most of the day, nearly every day, as indicated either by subjective report (e.g. feels sad or empty) or observation made by others (e.g. appears tearful)
2) Markedly diminished interest or pleasure in all, or almost all, activities most of the day,nearly every day,as indicated either by subjective account or observation made by others.Do not include symptoms that are clearly due to general medical condition or mood-incongruent delusions or hallucinations
3) Significant weight loss when not dieting or weight gain (e.g. a change of more than 5% of body weight in a month) or decrease or increase in appetite nearly every day
4) Insomnia or hypersomnia nearly every day
5) Psychomotor agitation or retardation nearly every day (observable by others,not merely subjective feelings of restlessness or being slowed down)
6) Fatigue or loss of energy nearly every day
7) Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick) 8) Diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others)
9) Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan,or a suicide attempt or specific plan for committing suicide

Persons diagnosed with Major Depressive Disorder may refuse to eat or not feel hunger. On the opposite side of the spectrum they may overeat because they find comfort in foods. It is important to note that some disorders may happen concurrently, such as bulimia and depression but one disorder may be a result of the other disorder leading to tricky diagnosis.

Most people diagnosed with Major Depressive Disorder experience difficulty falling asleep and staying asleep known as insomnia. The opposite, excessive sleeping, which occurs in a minority of depressed patients is known as hypersomnia . It is also common to have profound fatigue and lack of energy (PsychNet-UK). You may notice that people with this disorder walk slower and have late reaction times.

A big giveaway that someone may be at risk for Major Depressive Disorder is a loss of interest or pleasure in activities that were once enjoyed (Medline Plus). You may notice that they no longer have an interest in their favorite hobby and instead choose to do something more passive such as sleeping or watching T.V. Diminished sex drive is also listed under this symptom. Sex may become unenjoyable or so severe that they no longer are able to achieve a climax.

People at risk for suicide give off many warning signs such as giving away close personal belongings, making suicide plans, or writing suicide notes. People contemplate suicide because their pain outweighs their available coping resources (Metanoia). It is important to note that pain in this sense applies to mental pain which may come from internal chemical imbalance in the brain or an outside environmental factor such as losing a loved one.

Treatments for the Disorder

Treatment of Major Depressive Disorder falls into two categories: pharmaceutical treatments and psychotherapy. Pharmaceutical treatments use drugs and Electroconvulsive therapy (ECT) to correct chemical imbalance.

Selective Serotonin Reuptake Inhibitors are known as SSRI’s work by preventing serotonin from becoming reabsorbed back into the sender cell allowing the receptor cell to receive more serotonin. These are the most commonly prescribed drugs to treat depression. Our brain sends messages using these chemicals, if there is a problem with that communication our brain becomes unbalanced. The SSRI theory is that the serotonin that is sent from the first cell doesn’t make it to the receiving cell and essentially is “returned to sender” and becomes reabsorbed. The SSRI binds to the sending cell blocking sent serotonin from reentering the first cell.

Zoloft, Celexa, Lexapro, Prozac and Paxil are trade names of different SSRI’s. Each of these represent a different chemical and each have varying side effects. These are all approved and marketed for treating depression in patients over 18 years old. Many of these drugs are also approved for treating Obsessive Compulsive Disorder and General Anxiety Disorder. Not all of these drugs work for a specific patient, a patient may need to try two or three different SSRI’s before the patient finds one that is suitable. The patient must gradually introduce the drug to the body usually over the course of a week until they reach their effective dose. The effective dose is the amount in milligrams that a person must take to experience the positive effects of the drug while minimizing adverse side effects. The typical testing period of a SSRI is around four weeks. If at that point the psychiatrist or patient sees no influence on their mood, they may switch to a different SSRI. If they see a mild improvement the dosage may be adjusted. If the negative side effects outweigh the benefits then the doctor may switch to a new treatment option.

SSRI’s come with very serious warnings and indications that are mandated by the Federal Drug Administration. SSRI warnings have been changed many times since the first SSRI was introduced to the market. The most notable warning is that Antidepressants increased the risk compared to placebo of suicidal thinking and behavior (suicidality) in children, adolescents, and young adults in short-term studies of major depressive disorder (MDD) and other psychiatric disorders (”Zoloft”, Sertraline HCL). This information originally appeared in an informational packet sent along with the SSRI but has since been required by the FDA to be displayed in a “black-box” warning in a prominent location either on the product box or information packet.

Electroconvulsive therapy or ECT is a procedure that dates back to the 1930’s. This treatment works by stimulating the brain with targeted electric current and inducing seizure of the brain. This treatment is used only when a patient hasn’t responded positively to any type of drug. New age ECT has been proven to be effective in patients however this treatment still has the stigma of old ECT where patients were essentially tortured. Today the most prominent side effect is memory loss. (MedHelp)

Psychotherapy is better known as counseling and includes meeting with a psychologist, psychiatrist, or therapist. These specialists will help the patient try to correct their disorder by changing how the patient thinks. Psychotherapists focus on behavioral adjustments such as setting goals and working with patients on how to achieve them. A psychotherapist may coach a patient on how to be successful such as teaching them to stop thinking negatively and how to manage stressful situations that lead them to being depressed. The psychotherapist offers insight to patients that they may not see from close personal friends or family, the psychotherapist is a 3rd and neutral party with strict confidentiality.

References

“All about ECT – Electroconvulsive Therapy.” Medical Information & Answers to Medical Questions – MedHelp. Web. 08 Nov. 2009. <http://www.medhelp.org/lib/ect.htm>.

“Major depression: MedlinePlus Medical Encyclopedia.” National Library of Medicine – National Institutes of Health. Web. 06 Nov. 2009. <http://www.nlm.nih.gov/medlineplus/ency/article/000945.htm>.

“Suicide: Read This First.” Metanoia: online therapy e-therapy mental health education suicide prevention internet counseling help psychotherapy spirituality consumer advocacy Martha Ainsworth. Web. 06 Nov. 2009. <http://www.metanoia.org/suicide/>.

“Major Depressive Disorder – Causes & Risk Factors – mentalhealthchannel.” Mentalhealthchannel, Your Mental Health Community – mentalhealthchannel. Web. 08 Nov. 2009. <http://www.mentalhealthchannel.net/depression/causes.shtml>.

“Major Depressive Episode.” Mental Health – Psychlogy – Psychiatry – PsychNet-UK. Web. 08 Nov. 2009. <http://www.psychnet-uk.com/dsm_iv/major_depression.htm>.

“Major Depressive Disorder Diagnostic Criteria”. The American Psychiatric Association, 2001. Diagnostic and Statistical Manual IV. <http://www.psych.org>

“Zoloft (Sertraline Hcl) Drug Information: Uses, Side Effects, Drug Interactions and Warnings at RxList.” Web. 08 Nov. 2009. <http://www.rxlist.com/zoloft-drug.htm>.

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whippity wipes [Nov. 7th, 2009|10:33 pm]
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Originally published at emogency!. Please leave any comments there.



whippity wipes, originally uploaded by xxrobot.
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Big Blue [Nov. 6th, 2009|08:41 pm]
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Originally published at emogency!. Please leave any comments there.



Big Blue, originally uploaded by xxrobot.

With Natural and Artificial Flavors, nope, just artificial. Nothing real in here.

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Carls Jr Green Burrito Bean and Cheese Burrito [Nov. 4th, 2009|10:56 am]
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Originally published at emogency!. Please leave any comments there.

OMFG.

green burrito bean and cheese

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Hot Angel Boy [Nov. 2nd, 2009|10:33 pm]
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Originally published at emogency!. Please leave any comments there.

This hot angel fell straight from heaven. Imagine my surprise when he said he was straight.

halloween 101

halloween 111

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sex toy [Nov. 2nd, 2009|10:31 pm]
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Originally published at emogency!. Please leave any comments there.



sex toy, originally uploaded by xxrobot.

It was a present from mariah. it moans if you give it cpr.

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I’m a jew! [Oct. 31st, 2009|06:47 pm]
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Originally published at emogency!. Please leave any comments there.

</p>

I'm a jew! by you.

I’m a jew!, originally uploaded by xxrobot.

happy halloween!

I got an authentic Kippah (Yamaka) from a Jewish store in Vegas. The lady at the counter asked me what I needed it for, I replied it was “for a friend” I didn’t want to insult her saying it for a costume. They had lots of great things there like dradle games and snap on watches with stars of david. They also had really old people stuff like gems and rocks and stuff to decorate just so people know you’re rich and/or Jewish.

They had a light up sign on the front window that said ‘SHALOM’ instead of open, it was lulzy.

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Mushroom cup [Oct. 30th, 2009|11:18 pm]
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Originally published at emogency!. Please leave any comments there.



Mushroom cup, originally uploaded by xxrobot.

mushroom cup

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Improvments in Treating Mental Illness [Oct. 30th, 2009|03:31 pm]
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Originally published at emogency!. Please leave any comments there.

Scott Sasaki
October 30, 2009
Discussion Topic 1

Improvments in Treating Mental Illness

The treatment of mental health disorders has greatly improved from ancient times. No longer do people rely on magic and spells to cure internal demons, but rely more on the scientific method.
In the beginning there were mental health problems, as these caused distress civilizations tried to treat these conditions. Ancient Egyptians treated mental disorders using spells and bodily fluids (Nasser, M). People of India used charms and herbs to cure personality disorders (Bhugra, D). These early treatments focused mainly on using nature to treat mental health, as times moved forward treatment and diagnosis were shifted to a more spiritual standpoint.
The early Christian faith around the times of the Middle Ages classified mental disorders as punishment for sins or disconnection from God (Laffey, P). People of the times looked to the bible to cure all of their ailments. Similarly, Muslim people studied the Qur’an in search of answers and explanations to their issues with mental health. Cures from these times include beating out demons, and bloodletting. Clearly we understand now that people aren’t possessed by inner demons.
Finally in the 19th century asylums were set up to house and monitor those with mental health problems. These asylums did little to help the contained, however this lead to the development of psychiatry. People housed in asylums were watched and monitored, and eventually studied. Diagnoses were made as to why inmates were housed in the asylum. I believe this was the first positive step in treating mental illness.
During the late 20th century the most developmental time for the psychiatry profession. This was the age of modern medicine for mental health. In 1949 research by John Cade found that lithium could control mania in schizophrenic patients (Cade J.). Solid evidence was documented but not used widely until later because lithium was very dangerous to dose accurately. The first Benzodiazepine was discovered by Leo Sternbach in 1955 (Shorter E). Benzodiazepines are useful in treating anxiety and widespread usage and research began. Research in benzos produced effective drugs we use today such as Valium and Xanax. It is also important to note that benzodiazepines are prone to addiction and dependence. The careful documenting and research done on drugs in trials are vital to the effectiveness of the drug. I believe that the method used to evaluate these drugs can help us identify what works and what doesn’t leading to better drugs in the future.
Another great invention was the Diagnostic and Statistical Manual of Mental Disorders or DSM. This publication allowed psychiatrists and psychologists to gather research and share it efficiently. The fist manual was published in 1952, since then there have been five major revisions to the text. This manual provided a uniform method to diagnose mental disorders. With this publication psychiatrist across America could agree upon the diagnosis of a patient and share with others treatment methods.

Works Cited

Bhugra, D. (1992) Psychiatry in ancient Indian texts: a review History of Psychiatry, Vol. 3, No. 10, 167-186 DOI: 10.1177/0957154X9200301002

Cade J. F. J. (1949). “Lithium salts in the treatment of psychotic excitement” (PDF). Medical Journal of Australia 2: 349–52. PMID 18142718. http://www.who.int/docstore/bulletin/pdf/2000/issue4/classics.pdf.

Nasser, M. (1987) Psychiatry in Ancient Egypt Bulletin Of The Royal College Of Psychiatrists, Vol 11, December.

Laffey, P. (2003) Psychiatric therapy in Georgian Britain. Psychological Medicine, Oct;33(7):1285-97 PMID 14580082
Shorter E (2005). “Benzodiazepines”. A Historical Dictionary of Psychiatry. Oxford University Press. pp. 41–2. ISBN 0-19-517668-5.

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Yamaka! [Oct. 28th, 2009|02:15 pm]
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Originally published at emogency!. Please leave any comments there.



Yamaka!, originally uploaded by xxrobot.

my first kippah

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Face Down Ass up! [Oct. 24th, 2009|10:17 pm]
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Originally published at emogency!. Please leave any comments there.



Face Down Ass up!, originally uploaded by xxrobot.

Found on edwins wall

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GAY BALLS [Oct. 24th, 2009|10:03 pm]
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Originally published at emogency!. Please leave any comments there.



GAY BALLS, originally uploaded by xxrobot.

Available at Pier 1 for $2.

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weener [Oct. 23rd, 2009|11:38 pm]
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</p>

1023092247.jpg, originally uploaded by xxrobot.

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Baileys Bum Cushion [Oct. 23rd, 2009|11:36 pm]
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Originally published at emogency!. Please leave any comments there.



Baileys Bum Cushion, originally uploaded by xxrobot.

Are you tired of always bumping your butt? with baileys bum cushion no more worries!

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