FROM OUR EXPERTS
Psychotherapy Among the various psychotherapeutic "talk therapies," cognitive-behavioral therapy appears to be the most effective approach. If psychotherapy is used alone without medications, benefits should be evident within 8 weeks and symptoms should be fully resolved by 12 weeks. If these conditions are not met, then the patient should strongly consider antidepressant drugs. Cognitive Behavioral Therapy For many patients, cognitive behavioral therapy (CBT) works as well as antidepressants in treating severe depression. Like all psychotherapies, much of the success depends on the skill of the therapist. Many studies suggest that combining cognitive therapy with antidepressants offer the greatest benefits. Studies also indicate that the benefits of cognitive therapy persist after treatment has ended. Best Candidates . Although helpful for all patients with depression, CBT may be particularly helpful for the following patients: Patients with atypical depression or dysthemia Patients with a ...
Shock - cardiogenic
Cardiogenic shock is a medical emergency. Treatment requires hospitalization, usually in the Intensive Care Unit. The goal of treatment is to identify and treat the cause of shock in order to save your life.
Medications may be needed to increase blood pressure and improve heart function, including:
When a heart rhythm disturbance (dysrhythmia) is serious, urgent treatment may be needed to restore a normal heart rhythm. This may include:
Electrical "shock" therapy (defibrillation or cardioversion)
Implanting a temporary pacemaker
Medications given through a vein (intravenous)
You may receive pain medicine if necessary. Bed rest is recommended to reduce demands on the heart.
Receiving oxygen, either by a nasal tube or mask over the mouth, lowers the workload of the heart by reducing tissue demands for blood flow.
I was brushing my teeth one morning with my electric toothbrush, just as I did every morning for years, and my life changed forever. Suddenly there was a shock in my mouth, as if there was a lightning storm on my teeth. I immediately dropped my toothbrush, but it did not stop. Tears were streaming down my face because of the most intense pain I could ever imagine. When it stopped, my jaw continued to ache. I was exhausted and scared. What had just happened? Trigeminal Neuralgia (TN) happened, and it happened again before I put away my electric toothbrush for good. I did not have another attack for months, but by then I knew what was happening. My doctor told me I have tic doloureux which is another name for trigeminal neuralgia. It’s also known as prosopalgia or facial pain , and it has a nickname of “the suicide disease.” TN is rare for MSers, about 4 percent. Initial attacks are most common in the mid-40s or 50s, and for me it was mid-50s, soon after some major...
You should know
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