Dr Michael Sheehan  
     
     
Patient Education

Patient Education Resources
Note: Links are provided as a service.They are not an endorsement of the information on those sites. /  WebLink
Help for addiction to narcotics /  WebLink
Free Cognitive Behavioral Therapy Site (CBT) /  WebLink

Frequently Asked Questions
Medline Search Mental Health /  WebLink
Mental health and self help information/books /  WebLink

New Patient Information
You ARE fortunate /  WebLink

Medical Search Databases
Cochrane database /  WebLink
tripwire database /  WebLink
National Library of Medicine Databases /  WebLink
National Guideline Clearinghouse /  WebLink
emedicinehealth: References /  WebLink
Find a Child/Adolesc Psychiatrist /  WebLink
SearchMedica /  WebLink

National Organizations
National Institute on Alcohol Abuse and Alcoholism /  WebLink
NatCouncilAlcoholismDrug DependenceTampa NCADD /  WebLink
Support the Silver Ribbon Coalition /  WebLink
American Psychiatric Association /  WebLink
National Depressive and Bipolar Support Alliance /  WebLink
Alcoholics Anonymous /  WebLink
National Institute for Drug Abuse /  WebLink
Substance Abuse and Mental Health Administration /  WebLink
National Institute of Mental Health /  WebLink
Royal College of Psychiatrists London England /  WebLink
National Alliance for the Mentally Ill (NAMI) /  WebLink
National Mental Health Association /  WebLink
National Institute on Drug Abuse /  WebLink
National Institute on Alcohol Abuse and Alcoholism /  WebLink

Anxiety
Social Anxiety Institute /  WebLink
Medline Help: Anxiety /  WebLink
Medline Help: Post Traumatic Stress Disorder /  WebLink
Medline Help: Panic /  WebLink
Medline Help: Phobias + Social Phobia /  WebLink
Medline Help: Obsessive Compulsive Disorder /  WebLink
Obsessive Compulsive Anonymous /  WebLink
Obsessive Compulsive Foundation /  WebLink
Anxiety Disorders Association of America /  WebLink

Depression
MedlineHelp:Depression /  WebLink
Men and Depression NIMH /  WebLink
Govt. Antidepressant Suicide Advisory /  WebLink
Vagal Nerve Stimulator for Resistant Depression /  WebLink
Seasonal Affective Disorder.  /  WebLink
Depression Self Assesment /  WebLink
Families of Kids with mood & Anxiety Disorders /  WebLink
Tampa Bay Depressive and Bipolar Support Alliance /  WebLink
Depression Sanctuary /  WebLink

Bipolar Disorder
Dr Goldberg Depression/Bipolar Central /  WebLink
Medline Help: Bipolar Disorder /  WebLink
Lilly Help for Bipolar Pts and families /  WebLink
Bipolar for Significant others /  WebLink
Dr Phelps' Bipolar Pages /  WebLink
MacMan Dep/Bipol site /  WebLink
MentalHealth Family Tree /  WebLink
Mass General Bipolar Information/resources /  WebLink
Depressive and Bipolar Support Alliance Tampa Bay /  WebLink
Bipolar Sanctuary /  WebLink

Alcohol
Self test: Do you drink to much? /  WebLink
What are the signs of Alcoholism? /  WebLink
Drinkers Checkup. Web based eval and recommendations /  WebLink
Alcohol assesment /  WebLink
Live outside the bottle /  WebLink
Rethinking Drinking /  WebLink

Illegal Drugs
Post Hallucinogen Perceptual Disorder /  WebLink
Parents: The Antidrug /  WebLink
The Vaults of Erowid (Drug Information) /  WebLink

Drug Testing
Amer Assoc Medical Review Officers /  WebLink
Pill Identifier /  WebLink
Drug Testing Kits /  WebLink

Addiction/ Recovery
Meds for Alcoholism /  WebLink
Gamblers Anonymous /  WebLink
Gamblers Anonymous Florida Meetings /  WebLink
NA Tampa Funcoast /  WebLink
NA Pinellas /  WebLink
Secular Organisation for Sobriety SOS /  WebLink
Treatment provider finder(SAMHSA) /  WebLink
Jointogether.org :Subs Abuse (+Gun violence) News /  WebLink
Marijuana Anonymous /  WebLink
Web of Addiction (useful links) /  WebLink
Faces and Voices of Recovery Advocacy Group /  WebLink
Moderation Management /  WebLink
Alcohol/drug Validated questionnaires /  WebLink
"SMART Recovery". Abstinence based, non AA /  WebLink
Behavioral Treatment + monitoring for alcohol problems  /  WebLink
Alcohol self monitoring software: Free! /  WebLink
AA Big Book search engine /  WebLink
Dual Recovery Anonymous /  WebLink
Hazelden :Resources /  WebLink
Sex &Love Addicts :Tampa Bay (SLAA) /  WebLink
Evidence Based Addiction Treatment /  WebLink
Florida Council on Compulsive Gambling /  WebLink
Christians in Recovery. Online services /  WebLink
Co-Occurring Disorders /  WebLink
Addiction Resource Council list /  WebLink
AlAnon Tampa Bay /  WebLink
Understanding addiction: HBO /  WebLink
AAOnline meeting /  WebLink
Find an Addiction Treatment Program /  WebLink
Advocate for Recovery from Addiction /  WebLink
Methadone Anonymous /  WebLink
AA member: Medications and other Drugs: Brochure /  WebLink
Operation PAR Inc /  WebLink
Tampa Bay area Alcoholics Anonymous /  WebLink
Addiction Resource Guide /  WebLink
Narcotics Anonymous /  WebLink
Addiction Science Made Easy /  WebLink
AA Pinellas County /  WebLink
Al-Anon.Alateen /  WebLink
Cocaine Anonymous /  WebLink
Sexaholics Anonymous /  WebLink
National Clearing House Alcohol & Drug Information /  WebLink
Recovery Online /  WebLink
Florida Lawyers Assistancce /  WebLink
Dual Recovery Anonymous /  WebLink
Recovery Resources (Addiction) /  WebLink
Rational Recovery /  WebLink
Codependence Anonymous /  WebLink
how to stop marijuana use /  WebLink
Internet Based Addiction Treatment (egetgoing) /  WebLink

Quit Cigarette Smoking
quitting Cigarettes PhilipMorris /  WebLink
Quitnet /  WebLink
Quit Smoking. Government Helpline website /  WebLink
Try to stop smoking /  WebLink
Freedom from smoking: Am Lung Assoc. /  WebLink
Nicotine cessation medication: Am. Lung Assoc. /  WebLink
Smoke Clinic /  WebLink
Quit Smoking help /  WebLink

Pain
pain management policies /  WebLink
Pain management issues /  WebLink
American Acad. of Pain Management  /  WebLink
American Academy of Pain Medicine /  WebLink
American Board of Pain Medicine /  WebLink
American Pain Foundation /  WebLink
National Foundation for the Treatment of Pain /  WebLink

Attention Deficit Disorder
CHADD Tampa Bay Area /  WebLink
Medline Help: AttentionDeficit /  WebLink
Adult ADHD website helpline /  WebLink
CHADD /  WebLink

Womens' Mental Health
Women's Mental Health MassGen Hosp /  WebLink
Lactation and Drug risks /  WebLink
Post Partum Depression /  WebLink

Free/Cheap Medication Programs
Free meds: PhRMA *NEW* /  WebLink
RxAssist program /  WebLink
Walmart $4 generic drugs /  WebLink
Xubex cheap generic mail order /  WebLink
RxOutreach cheap generic mail order /  WebLink
The free Medicine Program /  WebLink
Needy Meds (Free Meds) /  WebLink

Medications
Strattera /  WebLink
Ambien /  WebLink
Xanax XR  /  WebLink
Psych Drugs in Pregnancy /  WebLink
Cymbalta (duloxetine) /  WebLink
Campral (acamprosate) /  WebLink
Campral: Forest Site /  WebLink
Vivitrol /  WebLink
Buprenorphine/ Suboxone /  WebLink
Risperdal /  WebLink
Zyprexa /  WebLink
Seroquel /  WebLink
Abilify /  WebLink
Geodon /  WebLink
Lithium /  WebLink
Lamictal /  WebLink
Topamax /  WebLink
Tegretol /  WebLink
Trileptal /  WebLink
Provigil /  WebLink
Prozac /  WebLink
Paxil /  WebLink
Zoloft /  WebLink
Lexapro /  WebLink
Effexor /  WebLink
Wellbutrin /  WebLink
Serzone /  WebLink
Remeron /  WebLink
Depakote /  WebLink

Suboxone/Buprenorphine
Buprenorphine info for pts & families CSAM /  WebLink
BUPRENORPHINE SAMHSA /  WebLink
Buprenorphine resource /  WebLink
Rapid Opiate Detox not more effective /  WebLink
Buprenorphine waiting list /  WebLink
Suboxone: Basics: Reckitt /  WebLink
Opiates: Medical treatment issues /  WebLink
Methadone support + Suboxone /  WebLink

Therapies
Cognitive Therapy Primer / Anon. edited by Dr Sheehan
Light therapy etc /  WebLink
Sex Therapy: Dr Bonnie SaksMD /  WebLink
Free Cognitive Behavioral Therapy Site (CBT) /  WebLink
Rational Emotive Behavior Therapy /  WebLink
Cognitive Behavioral Therapy (National Org) /  WebLink

Anger Management
Anger Management /  WebLink
Anger Management info /  WebLink
Fl Coalition against DOMESTIC VIOLENCE /  WebLink
Anger Management Manual /  WebLink

For Inspiration
Inspiration (various flash movies) /  WebLink

Recommended Books
Earl's Pearls on Enjoying Excellence /  WebLink
The Anxiety Disease David V Sheehan /  WebLink
When I say No, I Feel Guilty; Manuel Smith: Assertiveness Training /  WebLink
I Hate you, Don't Leave me /  WebLink
DBSA Bookstore /  WebLink
Exuberance by Kay Jamison /  WebLink
On Mindfulness Meditation; Kabat Zinn /  WebLink
Bipolar Books MGH /  WebLink
Feeling Good: the new Mood Therapy. Cognitive Behavioral Therapy for Depression /  WebLink
Best Doctors Tampa Bay 2008 (My Listing) /  WebLink

Staying Healthy
Values Clarification Self help /  WebLink
Personal Journaling /  WebLink
Intensive Journal workshop Schedule /  WebLink
Progoff Intensive Journal System /  WebLink
Medline Help: Stress /  WebLink
Dieting:emotional aspects /  WebLink
The Infinite Mind: /  WebLink
Mindfulness meditation /  WebLink
Florida Peer Network /  WebLink
Authentic Happiness: Seligman /  WebLink
Sharpen Your Brain /  WebLink
HeartProfilers on American Heart Association: Your Risks /  WebLink
Weight Loss ebook $15 /  WebLink
Weight loss information /  WebLink
Eli-Lilly's Free Weight control program Solns for wellness 03 00291870 /  WebLink
Progressive Relaxation: How to relax............... /  WebLink

Miscellaneous
Pinellas Cares 211 /  WebLink
Health Scams: Science and Pseudoscience /  WebLink
Virtual Body Map /  WebLink
Quest Lab nearest you /  WebLink
Medline Help: Schizophrenia /  WebLink
Counsellors in Tampa Bay area /  WebLink
Movietherapy /  WebLink
Community resources 211 /  WebLink
The Infinite Mind: Index & Audio files /  WebLink
FMLA Form WH380 /  WebLink
Recommend your psychiatrist to others /  WebLink
Rate your psychiatrist; MDJunction /  WebLink
HealthyPlace Community Info & Boards /  WebLink
Check your Florida Physician /  WebLink
Mental Health information /  WebLink
Co occurring disorders (Dual Diagnosis) /  WebLink
Centerwatch Research Trials /  WebLink
Clinical Research Trials /  WebLink
Borderline Personality Disorder /  WebLink
Mental Health Sanctuary /  WebLink
Self cutting behaviors /  WebLink
Download MINI International Neuropsychiatric Interview /  WebLink

For Mental Health Providers
Drug intel /  WebLink
DrugNet information /  WebLink
Effective Alcoholism Treatment elements /  WebLink
Best Medical News Site for MDs 2003 /  WebLink
Checkup on your health risks /  WebLink
Best CME site 2003 /  WebLink
Best MD Internet Resource Guide /  WebLink
buprenorphine counselling /  WebLink
living in balance curriculum /  WebLink
Audit :Alcohol assesment /  WebLink
Psychopharm of Addiction /  WebLink
Alcohol Screening, for MDs /  WebLink
Baker Act Law + Forms /  WebLink
DSM/ICD codes /  WebLink
medscape psychiatry library (log in) /  WebLink
Physician Leadership on National Drug Policy /  WebLink
Sleep Disorders Info /  WebLink
Medscape /  WebLink
Am Acad Addiction Psychiatry /  WebLink
am acad clin Psychopharmacology /  WebLink
World Psychiatric Association /  WebLink
Internat Conf on Bipolar Disorder /  WebLink
MD Net Guide /  WebLink
substance abuse fellowships etc /  WebLink
Epocrates Software /  WebLink
PsychLink CME /  WebLink
Merck Manual Psychiatric /  WebLink
Merck Manual Searchable /  WebLink





























































































































































































































































































































































New Rx 4 Alcoholics


Topiramate (Trade Name: Topamax)
Improves Abstinence From Drinking
Patients taking oral topiramate were 6
times more likely to be alcohol-free for
a month during trial

SAN ANTONIO, TX -- May 16, 2003 --
Hailed as a landmark discovery that is
likely to change the direction of clinical
alcoholism treatment, researchers at
The University of Texas Health Science
Center at San Antonio yesterday
announced that topiramate, a derivative
of the naturally occurring sugar
monosaccharide D-fructose, is effective
at promoting abstinence among
alcohol-dependent individuals.

Reported in the May 17 issue of The
Lancet, this study conducted by
Professor Bankole A. Johnson, M.D.,
Ph.D., and colleagues was carried out at
the Health Science Center's dynamic
South Texas Addiction Research &
Technology (START) Center, where more
than 100 professionals develop new
medications for treating alcohol and
drug dependence. Dr. Johnson is the
William and Marguerite Wurzbach
Distinguished Professor at the Health
Science Center, professor of psychiatry
and pharmacology, deputy chairman for
research in the department of
psychiatry, chief of the division of
alcohol and drug addiction, and START
Center director.

"Remarkably, all 150 patients were
enrolled into this clinical trial while they
were still drinking heavily (defined as
more than five standard drinks a day for
men and more than four for women),"
Professor Johnson said. "Next, these
patients were randomized to receive
either oral topiramate (up to 300
milligrams a day) or the placebo for
three months along with a minimum
intervention behavioral treatment.
Patients who took topiramate were six
times more likely than those who
received placebo to be continuously
abstinent for at least one month during
the three-month trial. Over the same
period, those taking the placebo were
four times more likely to drink heavily
for an entire month during the trial."

Alcohol-dependent patients frequently
have liver disease, one indicator of
which is a rise in the plasma level of the
enzyme gamma glutamyl transferase
(GGT). "It is of considerable clinical
importance that topiramate was
superior to placebo at significantly
reducing the plasma GGT levels during
the trial," Professor Johnson said.
"Further, topiramate was shown to be
effective treatment for all types of
alcohol-dependent patients."
Topiramate already is an approved anti-
seizure drug.

Leading researchers in the field
welcomed the news. "Professor Bankole
Johnson and colleagues have made a
landmark discovery by demonstrating
the utility of topiramate in the
treatment of alcohol dependence," said
Domenic Ciraulo, M.D., professor and
chairman of the department of
psychiatry at Boston University. "This
finding is a major scientific advance in
the treatment of alcoholism, and
considerably increases our
understanding of the neurobiology of
the alcoholism disease process. The
research design used, which enrolled
drinking patients who plan to become
abstinent, affords the practical
innovation of delivering immediate help
to those in crisis. The results of this
remarkable study open up new and
exciting directions for the
pharmacological treatment of alcohol
dependence."

"The strength of their findings is likely
to change the direction of clinical
alcoholism treatment and will be
welcome news for practitioners," said
Robert Malcolm, M.D., of the Center for
Drug and Alcohol Programs at the
Medical University of South Carolina,
where he is associate dean and
professor of psychiatry and family
medicine. He said "the results of
Professor Johnson's study suggest that
topiramate, even in low doses early in
treatment, has the capacity to
ameliorate the turbulence of anxiety
and mood instability that accompanies
cessation from alcohol. Topiramate also
produced a robust effect on improving
maintenance of abstinence and reduced
alcohol use. A single pharmacologic
agent that enhances early abstinence,
stabilizes mood and anxiety symptoms,
and promotes long-term abstinence
with only modest psychosocial
intervention is indeed a remarkable
treatment advance."

R. Adron Harris, Ph.D., the M. June and
J. Virgil Waggoner Professor and
director of the Waggoner Center for
Alcohol and Addiction Research at The
University of Texas at Austin, said
topiramate is from a different class of
drug than those previously used in the
treatment of alcoholism. "It offers a new
choice for alcoholism," he said.
"Certainly not every patient will benefit
from this drug or others, but because it
is a different kind of drug than what is
currently approved or in trials, it offers
the possibility of bringing benefits to
patients for whom other drugs are not
successful. If this were a 'me-too' drug,
or a variation on an existing drug, it
would not be as important as a new
class of drug being applied in this way."

Otto Michael Lesch, M.D., Ph.D.,
secretary of the European Society of
Biomedical Research on Alcoholism,
said scientists should confirm the
finding in an American-European-
Australian trial. He said "this study is
much better than other studies," but
noted that further clinical trials are
needed to identify the optimum dosage
of topiramate in the treatment of
alcohol dependence.

"Although at present we have few
pharmacologic agents to treat
alcoholism, research groups such as
Professor Johnson's are working hard to
provide new treatment alternatives,"
said Raye Z. Litten, Ph.D., chief,
Treatment Research Branch, National
Institute on Alcohol Abuse and
Alcoholism (NIAAA). "If this promising
finding is replicated and topiramate is
approved by the FDA (U.S. Food and
Drug Administration), it should bring
new hope to many who struggle with
this devastating disorder."
Charles L. Bowden, M.D., professor of
psychiatry and pharmacology and the
Nancy Ullman Karren Chair in Psychiatry
at the Health Science Center, said "the
evidence of topiramate's benefits on
cessation of alcohol dependence is
noteworthy on two intriguing accounts.
Not only was self-reported drinking
reduced, but a strictly objective lab test
measure for evidence of recent alcohol
use (plasma GGT) showed the benefit of
topiramate."

The investigation team included
Nassima Ait-Daoud, M.D.; Professor
Bowden; John D. Roache, Ph.D.; Kevin
Lawson, Ph.D.; Martin A. Javors, Ph.D.;
and Jennie Z. Ma, Ph.D., all of the START
Center at the UT Health Science Center,
and Carlo C. DiClemente, Ph.D.,
professor and chairman of psychology
at the University of Maryland.

Nearly 14 million Americans - 1 in every
13 adults - abuse alcohol or are
alcoholic, according to the NIAAA.
Several million more adults engage in
risky drinking that could lead to alcohol
problems. This behavior includes binge
drinking and heavy drinking on a
regular basis. In addition, 53 percent of
men and women in the United States
report drinking problems in close
relatives. Alcohol-related problems cost
society about $185 billion per year, the
NIAAA estimates.


SOURCE: University of Texas Health
Science Center at San Antonio
http://www.docguide.com/news/
content.nsf/news/
8525697700573E1885256D280054886
5?OpenDocument&c=Addictions&count
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