The Advantage Of Wearing A Girdle

do not know why, my Irish day, gray, rainy, cloudy, I appear more profitable. more intimate, too, and are greater the desire to be home alone ...

Today I have taken the time to read food. I forget the hustle and bustle outside I forgot the car, and I was with my computer, but his back and reading beside a window that lets pass the light of day.

infraordinario

The George Perec has been my choice. Perhaps because it is a convenient format book, small, easy to carry in the bag ...

must have patience to read Perec. You have to taste the word at every turn, no rush, no noise, without expecting anything in the next row.

And so I read almost half the book. Luckily there was no hurry ...

"... for there a smart dog trainer installed with careful attention to its alfonbrillas, its staircase and the fragile platform whose top will gracefully their puppies to put on two legs count thirteen with the tail, beyond, jugglers, unicycles, cuddles, the organ, and beyond, a lone saxophone player improvising on My Funny Valentine ... "

PS Prince, I will send the Chapter TENTATIVE INVENTORY OF LIQUID AND SOLID FOOD swallowed DURING THE YEAR NINETEEN SEVENTY-FOUR.

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From My Funny Valentine



the people affected.
Mario Benedetti
How do you know that there is time?



That one only has to look and pass.



Nobody lays down except life.



That life is lost without some rules.



That is not lost to open up.



That's not to love indiscriminately open up.



That is not forbidden to love.



you can also hate.



not hatred and love are affected.



That the aggression because yes, it hurts a lot.



That the wounds are closed.



That should not close doors.



That door is the greatest affection.


That affects
define us.



That is defined not swim against the current.



Not the stronger is the most expressive drawing.



That does not mean a balance to be lukewarm.



That involves opening words deny distances.



That encounter is very beautiful.



That sex is part of the beauty of life.



That part of sex life.



That "why" of children have a why.



we want to know someone is not just curiosity.



That to know everything is all unhealthy curiosity.



That is never more appreciated.



That determination is not doing it alone.



Nobody wants to be alone.



That is not to be alone to give.


That to
we had received earlier. That



to give us also have to know how to ask.



That know how to ask is not given away.



That gift is definitely do not want.



That to which we must show what we want. That



for someone to be there to help him.



That help is to encourage and support.



That flattery is not helping.



That flattery is as harmful as turning your face.



That things are honest face to face.



No one is honest because it does not steal.



That is not a thief stealing pleasure. That



when there is no pleasure in things you are not living. That



to feel life should not be forgotten that there is death.



What can be the living dead.



does it feel with the body and mind. That



with ears hear.



It costs to be sensitive and avoid injury.



That injury is not bleeding to death. That



not to be injured create walls.


who sows walls
That does not include anything.



That most of us are builders of walls.


You better
build bridges.



on them is going to the other side and turns.



That does not mean back again.



That may also be moving back.



Not much advance closer to the sun is dawning.







How you know that no set rules unless life?

Sim 2 How To Get Boats For Pc

ADHD ADHD IN ADULTS

Occasionally it is good to an adult ADHD resumend lest we miss the basic idea of \u200b\u200bADHD in adults and therefore I put this summary of ADHD in adults

• Introduction

• Epidemiology

• Clinical manifestations of ADHD in adults

• Evolution of ADHD in adults

• Assessment of ADHD in adults

• Pharmacological treatment of ADHD in adults

• Psychological treatment of ADHD in adults

INTRODUCTION Since 1976 he has published several studies that have provided strong evi

trends about the validity of

l

diagnosis of ADHD in adults. Thus, both clinical correlates, family history, treatment response, laboratory studies, the course and evolution, supporting its validity in adults.

In adults with ADHD have abnormalities in the academic performance, ada

ptación the workplace, interpersonal relationships, problems in driving, as well as mental state and a high risk of substance abuse.

EPIDEMIOLOGY

In adult population is less available epidemiological data, but studies also indicate that ADHD manifested in adults and more often highlighted. The results of these studies have found prevalence of ADHD between 4% and 5%. Currently in Spain have been diagnosed only 3% of adults with ADHD, and

n many primary care and psychiatry, many adults come to them and are treated pat

ologies such as anxiety, depression, abuse disorder substances, when really at the bottom of these pathology

comorbid ies are pictures of an undiagnosed adult ADHD.

CLINICAL

OF ADHD IN ADULTS

From DSM-III (1980) means that the disorder can affect adults

. From DSM-III-R is formally described

the possibility of diagnosing ADHD in adults.

order to make a diagnosis of ADHD in an adult needs to estépresente disorder from childhood, from at least 7 years. The subject must continue to present a significant clinical disorder or impairment in more than two important areas of activity such as social work, labor, academic or familial. Adults with ADHD often manifest primarily symptoms of inattention and impulsivity, and that hyperactivity decreases with age.

Also, the symptoms of hyperactivity tend to have slightly different clinical manifestations found in children. For example, one of the symptoms of hyperactivity in children may be the run around, climb furniture steadily, whereas in adulthood the same symptoms manifested as a subjective feeling of restlessness. UNmotor it takes to be continually generating activities, is an endogenous activity that generates anxiety in the adult.

EVOLUTION OF ADHD IN ADULTS

Overall, ADHD patients achieved a lower educational background (school failure in some cases) compared with control groups, even with similar levels of intelligence. Bilderman said to feed you with ADHD reach a notch below what your level of inteligiencia could obtain, for example a patient with ADHD with a coefficient of

intligencia sure you would get a higher level university degree, come to a diploma, and if able to take a high school diploma would take the top and so on. The studies report that people with ADHD have a worse job adaptation with respect to individuals without a discontinuity trastorno.presentando work, especially if your job is very specialized. The difficulties in social adaptation may persist in adults with ADHD, even worse, if one takes into account growing social demands that must be confronted in adulthood.

have been reported more difficulties in interpersonal relationships and, more specifically, in relationships. With a double-figure divorce than the general population in different publications have shown that the ability to drive vehicles can be found altered in ADHD, with serious consequences from a social point of view and personal.

Persistence of ADHD in adulthood, comorbid psychiatric disorders and substance abuse

In the review by Goldstein of studies on the evolution of ADHD in adulthood, the author concludes that 10 -20% of adults with ADHD experience history of minor problems, 60% continue to have symptoms of ADHD, and changes in social adjustment, academic and emotional problems clinically significant, and 10-30% develop problems associated with antisocial behavior to disturbances caused by ADHD and other comorbid disorders. As happens in childhood, the presence of other psychiatric disorders associated with ADHD is common in adults. It is considered that 70% of adults with ADHD have psychiatric comorbidity.

psiquiátricoscomórbidos disorders with ADHD in adults are similar to those found in childhood, with

the difference in the increased prevalence of drugs and the emergence of personality disorders. Of possible comorbid psychiatric disorders in adults with ADHD include drug addiction. Studies show that people with ADHD in childhood initiate substance use at an earlier age and that the evolution to an abuse or dependence is faster than in people without ADHD.

ASSESSMENT OF ADHD IN ADULTS

A standardized protocol should include a patient history, self-administered questionnaires of symptoms, neuropsychological performance and assessment of comorbid psychopathology. Will be followed by a list of those measures that are translated and / or validated in our environment. There are also structured interviews with this goal:

- Conners Adult ADHD Diagnostic Interview for DSM-IV (CAAD-Party II). Conners et al. 1999.

- Entrevista para TDAH

de Barkley. Barkley et al. 1998.

- ADHD Rating Scale-IV. DuPaul et al. 1998.

- ADHD Symptom

Rating Scale. Barkley et al. 1998.

- Adult Self-Report Scale (ASRS). WHO and Workgroup on Adults ADHD: Adler, Kessler et Spencer, 2003.

- Conners Adult ADHD Rating Scale (CAARS). Conners et al. 1999.

- ADHD Screening Checklist.

- Wender Utah Rating Scale (WURS). Ward et al. 1993, Rodríguez-Jiménez et al. 2001.

- ADHD Symptom Rating Scale. Barkley et al. 1998.

DRUG TREATMENT OF ADHD IN ADULTS

Psychodrugs used in the treatment of adult ADHD are the same as losutilizados in childhood ADHD. The best-studied drugs in adults are methylphenidate and atomoxetine.

efficacy of psychostimulants Of

different psychostimulants, we have controlled clinical trials have studied its efficacy in adults with ADHD in the case of immediate release methylphenidate and prolonged. You can also use modafinil. The meta-analysis on efficacy and safety of methylphenidate in adults with ADHD were included a total of 243 patients. Of these, 140 received methylphenidate, while 113 received placebo. The results showed that methylphenidate was more effective than placebo in the treatm

ent of ADHD, especially when the dose was equal to or greater than 0.9 mg / kg / day. Psychostimulants not only increase the risk of abuse or dependence substances, but it decreases in adulthood.

Effectiveness of psychostimulant drugs not

currently have controlled clinical trials and numerous non-stimulant drugs to treat ADHD in adults: atomoxetine, bupropion, tricyclic antidepressants, MAOIs , alpha-2 adrenergic agonists such as guanfacine and nicotinic drugs.

PSYCHOLOGICAL TREATMENT OF ADHD IN ADULTS

Psychoeducational Therapy

calls psychoeducational interventions can be used as therapies themselves, or as a component of a broader therapy (Murphy, 1998, Brown, 2000; Young, 2002). These interventions can be carried out under an individual or group format.

Cognitive-behavioral

The most effective approach to treat ADHD in adults is the cognitive behavior therapy, both individual and group intervention (Brown, 2000;

McDermott, 2000; Young, 2002).

The results referenced in this consensus show that ADHD in adults is a clinically relevant. Following the disorder, patients experience significant changes that affect their quality of life. The current literature has provided sufficient evidence of the persistence of ADHD into adulthood. Therefore, we believe that identifying the disorder and appropriate treatment is critical.

Often women are diagnosed after having previously been his child, and when this happens it is easier to work voluntarily in treatment. Women are also more prone to autoculpación, hence, when they are diagnosed have a temporary euphoria to know that your problem has a name.

Many girls and women who have comorbid psychiatric disorders, particularly apathy, depression, bipolar disorder, anxiety and substance abuse, usually alcohol, which almost always hidden. For that reason, before prescribing a neurostimulator has had to discard a dependency. Women are more likely to focus on the responsibility of

keep house and raise children, but in this case is more important to conduct a regulated work hours and specific functions, since the home were less structure. Women with ADHD, its dynamism, can be a super busy mom. However, the greater the number of children more sources of distraction will have.

Coaching.

Adult patients with ADHD, they must be followed by a "COACH" O CAOCHING Ayue him to control his ADHD, to achieve their personal and working objeivos to leave himself and in defenitiva to control their ADHD.

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Methylphenidate significantly improves declarative memory performance of adults with ADHD

E No ADHD news blog attached to this, I have this news on the effect of treatment with methylphenidate in declarative memory, is that he is responsible for memories you data, life events, and information about our environment

adult ADHD in the declarative memory deficits are common in untreated adults with attention deficit disorder and hyperactivity disorder (ADHD) but there is limited evidence to support the improvement after treatment with methylphenidate. In children with ADHD, it is the same, but when we children, we see only what we can measure, and treatment when we look at the effects that we can quantify, such as academic performance, the notes and do not appreciate that memory declarative, which is what really makes the child enjoys their environment, which really does not enjoy being dispersed by the lack of attention, with hyperactivity, and impulsivity and inattention improved with treatment.

PHOTO MARIA MUÑOZ