By Sonya Nimri

Beadalicious: 25 clean, Unforgettable jewellery initiatives for Beads outdated and New КНИГИ ; ХОББИ и РЕМЕСЛА Автор: Sonya Nimri Название: Beadalicious: 25 clean, Unforgettable jewellery tasks for Beads previous and New Издательство: Watson-Guptill Год: 2008 Формат: PDFРазмер: 7.35 Mb Страниц: 118 Язык: английский Для сайта: www.mirknig.comВ книге много идей по изготовлению модной бижутерии: серьги, кольца, браслеты, ожерелья..com sixty eight

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Extra info for Beadalicious: 25 Fresh, Unforgettable Jewelry Projects for Beads Old and New

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The SSRIs have an alerting and, perhaps, an appetite suppressant action in some patients, and should be used cautiously in patients with anorexia nervosa. Drugs such as lofepramine and nefazodone could be used in this group. In patients with bulimia nervosa at normal weight, fluoxetine has been shown to have an anti-bulimic effect, and would seem to be the drug treat­ ment of choice in a patient with bulimia nervosa who is depressed and requires an antidepressant. Its use as a first-line treatment for bulimia nervosa should be discouraged, as psychological treatments, described below, are more effective and their action lasts well beyond the end of therapy, which may not be the case for fluoxetine.

In order to address this, a number of questions can be asked: 1. Why have specialist services at all? 2. What sort of services should there be? 3. What sort of treatment needs to be offered? 1. Why have specialist services at all? The evidence in favour of specialist services comes not from controlled studies but from clinical experience. Although patients with uncompli­ cated bulimia nervosa can be treated effectively by a lone psychologist using published techniques, patients with severe bulimia, with self-harm and alcohol misuse, and those with severe anorexia nervosa, do not fit in well to generic services.

Although patients with uncompli­ cated bulimia nervosa can be treated effectively by a lone psychologist using published techniques, patients with severe bulimia, with self-harm and alcohol misuse, and those with severe anorexia nervosa, do not fit in well to generic services. Admission to a medical ward is usually appro­ priate for a patient who is collapsing from low potassium or low weight, but as soon as the acute medical problem subsides, and the patient starts to refuse food, or behave in other ways characteristic of her eating disorder, management becomes the realm of the psychiatric team who are cordially invited to take over the patient.

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Beadalicious: 25 Fresh, Unforgettable Jewelry Projects for Beads Old and New by Sonya Nimri


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