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Ask the Mental Health Expert Archives 2001-2004

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Week of May 12, 2003

    Question: Is there such a thing as a situational manic depressive? I am a paraproffesionals for Children's Mental Health. I function as an advocate and liaison for at risk families. I have been working on a project on my own to help stabilize families by teaming them in a co-housing situation with a "house director"--kind of a hybrid between a half way house and intentional community. The objective is to provide 24 hour intensive support...    Dr. Pies' Answer

    Question: I'm a nanny for a 4-year-old girl. Her parents are sweet, but a tad neurotic about certain things such as cleanliness and germs. The girl is currently in preschool and does not yet wipe her own bottom. If she defecates, she comes out and lays down with her legs up and either her parents or I have to wipe her up. Her mom and dad have not even encouraged her to try to wipe herself. What sort of repercussions do you think this will have on her?    Dr. Pies' Answer

    Question: My boyfriend has a history of intravenous amphetamine abuse and has recently discovered that the son of a friend of his has been prescribed Attenta, a Ritalin brand name. My mate has taken to crushing up these pills, often several at a time (they are 10 mg) adding water and injecting them. Obviously not a pretty picture. What are the effects, long- and/or short-term, of injecting these pills?    Dr. Pies' Answer