#maniaa

[star-mania]

Shantae Fanart by Star-Mania

A colorful Shantae drawing

Posted using PostyBirb

#ShantaeFanArt #StarJamProject #Shantae #VideoGameArt #HalfGenieHero #DigitalIllustration #GamingInspired #RetroGamingArt #CharacterDesign #MagicalGirl #FantasyArtwork #GenieMagic #ShantaeTheGenie #IndieGameFanArt #WayForwardGames #ColorfulArt #GameCharacter #HairWhip #AnimeStyle #MagicalAdventure #CuteGenie #ShantaeSeries #ArtisticTribute #DigitalDrawing

[pupucino]

mä jotenki en tykkää täst sexmanen mania-biisist, koska se ei tunnu yhtään kuvaavan nimenomaan maniaa, ihan vaan semmost yleist mielenterveyongelmaisuutta. plus miltä tää edes kuulostaa sit livenä ilman tota vitun autotunee? nyt ei osu.

#umk #euroviisut #suomeksi

[masked-and-doomed]

WHEN THE HITOMANIA GETS MANIAA

#I'm gonna sleeo i cant do it I'm gonna throw up and die #ah rambling

[lupine-publishers-rrhoaj]

Lupine Publishers|Pediatric Bipolar Disorder: Diagnosis and Management

Pediatric Bipolar Disorder: Diagnosis and Management 

       Lupine Publishers | Journal of Health Research and Reviews

       Introduction

Bipolar disorder in children and adolescents is characterized by recurrent episodes of elevated mood (mania or hypomania) that exceed what is expected for the child’s developmental stage  and are not better accounted by other psychiatric and medical conditions. In addition, youth with bipolar disorder usually have  recurrent episodes of major depression [1-3]. Identification of  the illness and initiation of treatment occurs, on average, 10 years after its manifestation [4]. that is a grave problem that could be  avoided if pediatricians become more aware of the warning signs  of mental illness in children, to help us treat the problem early on. It’s absolutely necessary to obtain a good history from parents  and caregivers, to help diagnose the child and help decide on the   appropriate line of management. The child will also need proper education about his condition in a way that is easy to understand  for their age. The following symptoms are suspicious of pediatric bipolar disorder:

a) Decreased need for sleep for a long period of time.

b) Increased activity, beyond what is expected for the  developmental age of the child.

c) Inappropriate sexual behaviors, that occur without a history of exposure to sexual activity (eg. Abuse or videos).

d) Psychosis (eg, hallucinations and/or delusions) may be  present.

       Assessment

We use structured and semi-structured interviews and rating  scales; as well as careful examination and observation of the child in more than one setting, after obtaining a detailed history.

       Diagnosis

We use the criteria in the American Psychiatric Association’s  Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition(DSM-5) [5].

       Mania

a) Grandiosity

b) Decreased need for sleep

c) More talkative than usual

d) Flights of ideas

e) Distractibility

f) Increase in goal-directed activity or psychomotor agitation

g) Excessive involvement in pleasurable activities (eg, shopping or sexual indiscretions)

       Depression

a) Depressed mood most of the day, nearly every day (dysphoria).

b) Diminished pleasure in nearly all daily activities(anhedonia).

c) Insomnia or hypersomnia nearly every day.

d) Psychomotor agitation or retardation.

e) Fatigue nearly every day.

f) Inappropriate guilt nearly every day.

g) Diminished ability to think nearly every day.

h) Recurrent thoughts of death or suicidal ideations, or suicidal attempts.

Episodes of mania, hypomania and major depression can be  accompanied by symptoms of the opposite polarity and are referred  to as mood episodes with mixed features.

       Differential Diagnosis

The main psychiatric conditions that can be difficult to differentiate from bipolar disorder in youth are:

a) Attention deficit hyperactivity disorder (ADHD).

b) Autism spectrum disorder.

c) Conduct disorder.

d) Disruptive mood dysregulation (DMDD).

e) Oppositional defiant disorder.

f) Schizophrenia.

g) Substance use disorder.

h) Unipolar depression.

The diagnosis of bipolar disorder in youth can be complex as bipolar disorder id often accompanied by comorbid disorder. The management of bipolar disorder involves:

a) Pharmacotherapy.

b) Psychotherapy.

c) Brain Synchronization Therapy (if indicated).

For more information about The Research and Reviews on Healthcare: Open Access Journal Archive page click on below link https://lupinepublishers.com/research-and-reviews-journal/archive.php For more information about lupine publishers page click on below link https://lupinepublishers.com/index.php

#Lupine publishers #Lupine Publishers LLC #Lupine Publishers Group

[tropicalscream]

ooohh i get whats happening Im havign A maniaa episode plus weed is making me go insane

[spaceexfloor]

Embrace the Evolution: Stay Updated with Our Latest Innovations!

[benihana-circumcision]

evil mania - it's maniaa but you Feel Bad

[terasbiker]

Monster Energy Yamaha MotoGP Launching Yamaha YZR-M1 2023 Livery Baru

TerasBiker.com – Halo Sobat GP Maniaa…Semua mata tertuju pada tim Monster Energy Yamaha MotoGP saat memperkenalkan Yamaha YZR-M1 2023 livery baru di Jakarta, 17 Januari 2023, pada “3S Dealer Meeting” Yamaha Indonesia Motor Manufacturing. Di event yang merupakan meeting terbesar dealer di jaringan Yamaha, menjadi momen yang tepat untuk pertama kalinya memperlihatkan livery terbaru tim pabrikan…

View On WordPress

#MotoGp #Yamaha MotoGP 2023

[necklacings]

sent my song out to 5 labels, collected 62 images in a dropbox for a possible zine. all before noon hell yeahh maniaa

[raitnrong]

so close to posting the first chapter of my weird little vampire njilee au :))) im so excited i could barely make myself crank out the last few words!!!!!!

blerghh this is a rly weird au but im hoping itll look more cohesive by the later chapters. lol me and my self-indulgent need for angst (tho this is more drama rly lol)

#rnr says #rnr writes #bro im so restless i want to explode and i wast to chew on all my pens until theres ink in my mouth n i want to pull on my dogs furrrrs #spit black like im purging my maniaa

[star-mania]

Eliz0r Redesign By Star-Mania

A Redesign of Eliz0r's Angel OC Based on a challenge from twitter. Eliz0r and his works: https://twitter.com/Eliz0r

Posted using PostyBirb

#angel #halo #digitalart #fanart #heaven

[poolbacktelphoe-blog]

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    Kan Hong

abstract • Experience novel interactive fish feeding gameplay. • Supports tablets

languages Korean

In-app Gem Pack D

Size 166970368 Byte

Version info • General fixes and improvements

publish date 2016-05-14

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[niilaruin]

Oon kirjottanut nyt viidestä (kun nousin sängystä) lähtien ryhmätsättiin siitä kuin epäilen mulla olevan taas manian esioireet meneillään, mut sit kukaan ei sanonut mitään niihin juttuihin vaan alko heti valittaa jostain omista jutuistaan. Jos mä oon koko aamun lukenut asiasta ja pohtinut juttuja sinne niin musta olis kiva et joku sanois jotain niihin pohdintoihin tai laittais vittu vaikka jonku emojin siihen et tiedostan ongelmasi ja otan osaa, toivotaan että asiat paranevat eikä sulle tule maniaa nyt. Nyt taas heti ärtymys alkoi, muuten aamu on ollut tosi kiva ja mukava ja oon ollut hyvällä tuulella, mut toi ignooraaminen saa mut nyt kärttyseksi. Mutta niin että mulla on aikalailla kaikki samat esioireet kun viimeksi kun tuli mania. Enkä nyt ihan mielelläni haluis maniaa kun siinä menee sit taas kaikki kuviot sotkuun ja tuhlaan kaikki rahat viidessä minuutissa kaikkeen mitä en tarvii. Sit nää tuhannet projektit joita ei ikinä saa loppuun. Ainoo asia joka on kiva siinä et on mania on se et musta tulee aikalailla ekstrovertti ja en pelkää ihmisiä niin paljoa. Puhun jopa tuntemattomille niitänäitä. Ja tietty se et on vähän euforinen olo lähes kokoajan. Euforia on kiva. Mut manian jäälkeen ryshtää aina sinne ihan pohjalle niin ehkä jätän nyt manian välistä.

#personal #bipo #kaksisuuntainen #kaksisuuntainenmielialahäiriö #vihaan ryhmätsättejä välillä niin paljon

[johnjamesrambo86]

Off Road Maniaa 😄👍 (at Proyek Jln.tol Sigli Banda Aceh) https://www.instagram.com/p/B74sNxJgDFLJZxC9V5LI4YTyezKywwR35YrAh00/?igshid=su2ybusyyok6

[junio26]

Se lo dedique, a ella. Solo a ella...

Me he perdido en tu mirada, esa que dice veinte veces por segundo lo mucho que me quieres. En tu sonrisa, que me hace estallar de felicidad. En tu voz y como suena mi nombre cuando sale de tu boca. Me he perdido en la calma que me haces sentir. En como le plantas cara a mis miedos. En tu magia de hacer que todo sea mejor contigo a mi lado. Me he perdido en tu increible manera de pensar y ver la vida. En tu enorme corazon y todo el amor que desbordas. En tu valentoa y como luchas por lo que te importa. Me he perdido en tus maniaa y en cada uno de tus detalles. En tus brazos, a los que llamo hogar. En tu alma, que me transmite tanto amor; ese que nunca nos falta. Me he perdido entre tus sabanas, esas que guardan tantos recuerdos, orgasmos y risas. En tu pecho, mi lugar favorito de largas sesiones de caricias y sudor. En tus labios, que me saben a paraiso. Me he perdido en ti, amor, y mas que nunca, siento que estoy justo donde quiero estar.

[adesejei]

EU E ESSA MINHA MANIAA DE SAIR FALANDO COM TUDO COM TODOS, Eu to é morta KKKKKKKKKKKKKKK Rindo de nervoso! 😂😂😂

O bom que você tem eu kkkkk já conheci tanto louco por aqui, da pra fazer uma listona 😂😂