Medications as Part of a Successful Journey: The Realities

1. Always Leading & Inspiring 2017 Fall Conference

2. Medications as Part of the Path of a Successful Journey- The Realities Emmet M. Kenney Jr., M.D. Child/Adolescent and General Psychiatrist President & CEO Saint Sophie’s, LLC President North Dakota Psychiatric Society Clinical Associate Professor in Psychiatry & Pediatrics, UND School Of Medicine

5. 4. Figure Out I have a Psychiatric Illness and How to Deal with it.

6. Objectives: To be able to identify the role of common medications in common illnesses for which they are prescribed, both in children and adults

7. Objectives: To Incorporate the phenomena Surrounding medicines being prescribed into treatment planning, whether the prescriber, counselor, or case manager

8. Objectives: To Be educated about pharmacokinetics , how the body modifies medications taken, to include Rationales for prescribing uncommon doses in uncommon cases.

9. Which is More Surprising? That Psychiatric Medications don’t work more often or that they work as often as theY do?

10. Objectives: To be able to identify the role of common medications in common illnesses for which they are prescribed, both in children and adults

11. Role of Psychotropic Medications In a Bio-Psycho-Social- Spiritual Model of Comprehensive Care provision, Medications approach the Biological components of treatment

12. Typically, used for: Sleep Role of Psychotropic Medications

13. Typically, used for: Attention Role of Psychotropic Medications

14. Typically, used for: MOOD Role of Psychotropic Medications

15. Typically, used for: Freedom from Psychosis Typically, used for:Freedom from Psychosis Typically, used for:Freedom from Psychosis Role of Psychotropic Medications

16. Controlling urine flow Role of Psychotropic Medications

17. Controlling fecal flow Role of Psychotropic Medications

18. Typically, used for: Energy and Stamina Role of Psychotropic Medications

19. Anxiety Role of Psychotropic Medications

20. Aggression Role of Psychotropic Medications

21. Increased sex drive/ability Role of Psychotropic Medications

22. Decreased sex drive/ability Role of Psychotropic Medications

23. Typically, used for: Pain Role of Psychotropic Medications

24. Weight control Role of Psychotropic Medications

25. Role of Psychotropic Medications Typically, Used for:substance abuse

26. Role of Psychotropic Medications So, in general, to either increase or decrease a certain body function where there is thought to be a biological mediator to the end-organ

27. Role of Psychotropic Medications or to Modify expressed emotion, feeling or Behavior

28. Role of Psychotropic Medications Often, in an anti-dote fashion:antidepressantsanxiolyticsMood stabilizersSleep AidsStimulants

30. Role of Psychotropic Medications In Depression: Depression affects 3% of children aND Adolescents and 20% of women and 10% of men

31. Role of Psychotropic Medications In Depression: Since Suicide is the leading cause of death in adolescents and young adults and 90% of these cases are people with Depression, depression is their biggest killer

32. Role of Psychotropic Medications In Anxiety: Some are known as Benzodiazepines and block receptors called Benzodiazepine receptors

33. How these medication work between nerve cells

34. Role of Psychotropic Medications In Anxiety: Some are known as Antihistamines and block receptors For histamine

35. Role of Psychotropic Medications In Anxiety: Some are known as Second Generation Neuroleptics and Block serotonin and dopamine re-uptake

36. Role of Psychotropic Medications In Bipolar Disorder: Some mood stabilizers work by affecting The transmission of electrical impulses across nerve Cells (anticonvulsants and lithium)

37. Role of Psychotropic Medications In other Dorders: IN general, use the same med for kids and adults except less benzodiazepines and more antihistamines in kids

38. Role of Psychotropic Medications In other Dorders: There are more, but we are running out of

40. Objectives: To Incorporate the phenomena Surrounding medicines being prescribed into treatment planning, whether the prescriber, counselor, or case manager

41. Realistic Expectations

42. What is the biggest reason psychotropic medications do not work?

43. What is the biggest reason psychotropic medications do not work?

44. Adopting the Sick Role hy is that?

45. Adopting the Sick Role It’s more than just putting on an uncomfortable and revealing gown

46. Adopting the Sick Role It’s admitting you are sick which goes against the moral fiber of priding yourself in being well

47. Adopting the Sick Role It’s Expensive in the lost opportunities of being sick and in the suffering involved which most people would prefer to avoid

48. Adopting the Sick Role It’s Expensive in $ for treatment and time/transportation for them, including just getting to the Pharmacy

49. Adopting the Sick Role It’s Admitting the need to seek help for healing you can’t achieve on your own

50. Adopting the Sick Role When working with multiple care-givers, there can be mis-communication and genuine differences of opinion about what is best