Tag Archives: epilepsy

Dagnan Chiropractic – Irving, TX #irving, #tx #chiropractor, #autism, #epilepsy #children, #chronic #fatigue, #chiroprator, #irving,

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Tiffany, Brittney, Dr. Dagnan, Madison, Brenda and Veronica

Our clinic is very unique, because when a patient enters the door, they know they will receive a warm and friendly welcome from me and my staff. We are always striving for excellence by going above and beyond the call of duty. Our patients know they will receive the best of care from our family practice.

I am very passionate about my profession and my business. The clinic and my patients are like part of my family. I truly care about them and have their best interest at heart. I know that when they come in with pain, I can, and will help them. We maintain a very close relationship with our patients. We know our patients on a first name basis � which provides a family like atmosphere. A majority of our patients become personal friends, sharing their life experiences with us. Even though our family approach is special, my adjustments are what keep people happy.

My patients vary in ages from infants to senior citizens. Even though I am located in south Irving, many of my patients come from all over the Metroplex, all over Texas, and some even out of state. They understand that not all chiropractors are created �equal�. That is why I have patients that will make the trip from Frisco, Melissa, McKinney, Mansfield, Sanger, Denton, Ft. Worth, Ponder, and many other cities around the Metroplex.

My clinic maintains current and efficient chiropractic equipment such as; on site X-Ray, Ultrasound, Electro-therapy, Spinal decompression, Cold Laser, Turbo Sonic (Vibration Therapy), an automatic Flexion/Distraction table, on-site Massage Therapy and the new �ACUTRON� � electrical micro current acupuncture with color light therapy.

As a convenience to my patients, I also speak Spanish!

�At Dagnan Chiropractic Clinic you are not just a patient.
you are a friend!�

Designed Maintained by – Designs by Melissa

BYTSYZ E-Learning, online courses training and assessment #online #training,care #training,online #assessment,safeguarding #training, #safeguarding #children, #safeguarding

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Wellness Institute #wellness #institute, #epilepsy, #health, #exercise, #stress, #diet, #nutrition

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Wellness Institute

Welcome to the Epilepsy Foundation Wellness Institute! In 2016, we first introduced the Institute at the Epilepsy Pipeline Community Conference Day to recognize the importance of a holistic approach to health for persons dealing with seizures and epilepsy — one that would support them to live their lives to their fullest potential.

Our Wellness Institute is growing! What started with four pillars or areas of wellness (healthy eating, fitness and exercise, art therapy. and emotional health) has evolved to include more aspects of daily life. All of these areas affect someone who lives with epilepsy and seizures – as well as their family, friends, caregivers, and other supporters. The graphic below shows these areas or “life dimensions” of wellness. They include:

Wellness Wheel (click for higher resolution format)

While each dimension of life can stand alone, they are all connected to each other. As one dimension improves or is challenged, so are the others.

Why is Wellness Important?

A 2016 Epilepsy Foundation community survey focusing on innovation research asked the following question, “Where should epilepsy researchers focus?” Over 1,000 survey participants ranked stopping seizures and improving quality of life as the top areas epilepsy researchers should tackle. This finding suggests that not only are the medical aspects of having seizures important, but the effect they have on daily living deserves just as much attention.

The Wellness Institute Mission

The Epilepsy Foundation’s Wellness Institute believes that everyone, including people with all types of epilepsy and associated conditions, deserves to live a full and productive life to the best of their abilities. By raising awareness about healthy behaviors, promoting evidence-based programs and activities, partnering with local and national organizations, and disseminating research, we hope to share with you practical and effective strategies to enhance your well-being and overall quality of life.

Next Steps

We invite you to join us.

For People Living with Epilepsy:

The Wellness Institute has many helpful and easy-to-use tips and resources for maintaining a healthy lifestyle and maximizing the quality of life for you and your family. Consider the Wellness Institute your stepping stone to improving your overall enjoyment and success.

For Caretakers:

The Wellness Institute provides tools and strategies to better assist your loved one and support you in your important role.

For Professionals:

We ask that you share this information and encourage your patients to use these resources to improve their overall wellbeing.

To stay up to date on everything the Wellness Institute has to offer, subscribe to the Epilepsy Foundation’s weekly newsletter.

Psychopathology and behavioral assessment #vernon #neppe, #medicine, #psychopharmacology, #neuropsychiatry, #forensic #psychiatry, #neuropsychiatric, #institute, #education, #lectures,

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Neuropsychiatry: the Interface Area of Psychiatry and Neurology

What is Neuropsychiatry and Behavioral Neurology?

Neuropsychiatry involves the interface area of psychiatry and neurology. This is a specialist medical discipline involving the behavioral or psychological difficulties associated with known or suspected neurological conditions such as epilepsy, head injury, attention deficit disorder, dementia, tardive dyskinesia, atypical spells, irritability and any organic mental disorder. Technically, Neuropsychiatry concentrates on the abnormalities in those areas of higher brain function such as the cerebral cortex and limbic system. Sometimes difficult to treat psychological or psychiatric conditions. including problems relating to medication. are related to these areas.

The subspecialty of neuropsychiatry is the neurological aspects of psychiatry and the psychiatric aspects of neurology. All neuropsychiatric patients invariably have a psychiatric aspect as well as a higher brain neurological facet.

Neuropsychiatry, now used synonymously with Behavioral Neurology, is the medical subspecialty dealing with the evaluation and management of higher brain functions (cerebral cortex and limbic system).

Although Neuropsychiatry and Behavioral Neurology are regarded as the same specialty, the primary initial specialty directions may be different. (Neuropsychiatrists may come to this specialty through psychiatry, Behavioral Neurologists through Neurology). Because of the highly specialized nature of this specialty, there was technically no board certification in this area until late 2006. This changed when the United Council for Neurologic Subspecialties (UCNS) introduced Subspecialty Certification of Behavioral Neurology and Neuropsychiatry. (BPNP). These two specialties by so doing merged into one. psychiatrists specialize in these behavioral facets as do behavioral neurologists whose discipline is similar. The term Neuropsychiatrist and Behavioral Neurologist should be restricted to those with psychiatric training and special background training in the psychopathology of the cerebral cortex.

A training in Neurology and in Psychiatry alone does not make one a neuropsychiatrist / behavioral neurologist.

One method of training today would be a full four year residency in one or both of Psychiatry or Neurology and then an added Fellowship program e.g. of two years.

Historical Landmarks in Neuropsychiatry in the USA

Dr Vernon M. Neppe MD, PhD, founded the first Division of Neuropsychiatry in a Department of Psychiatry in the USA in 1986 (at the University of Washington (UW), Seattle, WA). He directed this division till 1992, offering also specialized medical student, residency and fellowship rotations in Neuropsychiatry. Dr Neppe was recruited from overseas (South Africa) by the then Chairman of Psychiatry, Gary J. Tucker MD, after a national search had failed. Dr Neppe had previously effectively done what may have been the first unofficial “Fellowship” in Neuropsychiatry and Behavioral Neurology (1982-1983) at Cornell University Medical Center (White Plains, and Manhattan, NY).

Dr. Neppe then founded the Pacific Neuropsychiatric Institute in 1992 (pni.org). This became the first private institute dealing with the area of Neuropsychiatry specifically. The PNI was developed as a model neuropsychiatric and behavioral neurological institute, clinically involving extremely detailed sequential consultations and testing plus detailed analyses of psychopharmacogical elements. The PNI focuses, as well, on research (with the development of numerous questionnaires and tests) and education. Amongst the most important for this subdiscipline are the BROCAS SCAN. the SOBIN and the INSET. which are tests that Dr Neppe has developed and modified over the past two decades and are still in the process of research. The BROCAS SCAN is an examination of higher brain function, the SOBIN and the INSET are structured closed ended and with amplification open ended historical measures of current and past symptoms and signs of neuropsychiatric relevance.

The American Neuropsychiatric Association was established in 1988. It is an organization of professionals in neuropsychiatry and clinical neurosciences (not necessarily MDs) dedicated to understanding the links between neuroscience and behavior, and to developing effective diagnosis and treatment for patients with neuropsychiatric disorders. The ANPA members work together in a collegial and interdisciplinary fashion to: advance knowledge of brain-behavior relations; provide a forum for learning; and promote excellent, scientific and compassionate patient care. The interdisciplinary nature of the membership encourages collaborations in research presentations, symposia, workshops and/or continuing education courses. The Journal of Neuropsychiatry and Clinical Neurosciences is the official publication of the organization, and is a benefit of membership. ANPA was the brainchild of two neuropsychiatrists, Barry Fogel, M.D. and Randolph B. Schiffer, M.D.

There was an indirect label of Neuropsychiatrist previously through the AMA: In late 2003, the AMA recognized Neuropsychiatry as an official subspecialty of Psychiatry. Apparently the first MD so listed was Dr Vernon Neppe.

Over the past few years we are seeing an increasing number of Fellowships in Neuropsychiatry/ Behavioral Neurology which the UCNS are certifying. An early Fellowship program was offered at the University of Washington in the Division of Neuropsychiatry.

In 2006, the People to People Ambassador program had the first delegation in Neuropsychiatry (and Psychopharmacology).
This was a very successful delegation to China. This delegation was led by Dr Vernon Neppe.

Behavioral Neurology and Neuropsychiatry (BN NP) taken together is now a recognized official subspecialty certified by the United Council for Neurologic Subspecialties. (UCNS ). The first examination was administered in Sept 2006.
This certification allows an official subspecialty board certification label. The criteria for admission to this examination are rather stringent and the examination requires a high level of specialized knowledge. The first graduating group of about fifty (including Dr Neppe) can use the official abbreviation for this subcertification, namely BN NP. A major advance is this recognition of BN NP as a subspecialty of Neurology.

The criteria for admission to this examination are rather stringent and the examination requires a high level of specialized knowledge.

The difference between Neuropsychiatrists and Neuropsychologists

Neuropsychiatrists also called Behavioral Neurologists

are MDs: They are physicians, who are medically trained at medical schools and have thereafter specialized in an extremely complex area.

are an unusual, highly educated medical subspecialty.

their background is in psychiatry and neurology

they specialize in pathology of the higher brain at the clinical neurological and psychiatric levels

they are clinicians who focus on managing difficulties, assessing prognosis and prescribing medications

usually perform specialized neuropsychiatric evaluations

use detailed structured history taking questionnaires which are amplified clinically and also use tests that are standardized for a particular population and will commonly find areas of abnormality which may or may not be clinically relevant and also

neuropsychiatric evaluations involve assessments of higher cerebral cortical functions, integration of brain symptomatology such as temporal lobe phenomena, correlations with neurological and psychiatric diagnoses and appropriate prescriptions, and several clinically relevant neuropsychiatric tests.

also rely on neuropsychological tests and such measures as ambulatory electroencephalography.

neuropsychiatrists are often the “captains” of the treating team for neurological conditions with associated psychiatric disorders or psychiatric conditions with neurological disorders.

typical patients with neuropsychiatric conditions include patients who suffer from

seizures with behavioral, emotional or thinking difficulties traumatic head injuries with personality or other changes including post-traumatic stress disorders
headaches or migraines with mood changes, depression or anxiety
movement disorders such as tardive dyskinesia with associated medication or psychiatric elements
brain injuries or disturbances
temporal lobe disease

are not physicians.

generally have PhDs in psychology.

have subspecialized in the psychological assessment and management of higher brain function.

cannot prescribe

usually perform specialized neuropsychological evaluations such as personality, intelligence and specific brain disorder evaluations.

these tests are standardized and will commonly find areas of abnormality which may or may not be clinically relevant.

Seizure (Epilepsy) Symptoms, Treatment, Causes – What Causes Epilepsy? #smoking #and #epilepsy

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Epilepsy (Seizure Disorder)

Quick Guide Epilepsy: Symptoms, Causes and Treatment

What Causes Epilepsy?

Epilepsy is a disorder with many possible causes. Anything that disturbs the normal pattern of neuron activity — from illness to brain damage to abnormal brain development — can lead to seizures.

Epilepsy may develop because of an abnormality in brain wiring, an imbalance of nerve signaling chemicals called neurotransmitters, or some combination of these factors. Researchers believe that some people with epilepsy have an abnormally high level of excitatory neurotransmitters that increase neuronal activity, while others have an abnormally low level of inhibitory neurotransmitters that decrease neuronal activity in the brain. Either situation can result in too much neuronal activity and cause epilepsy. One of the most-studied neurotransmitters that plays a role in epilepsy is GABA, or gamma-aminobutyric acid, which is an inhibitory neurotransmitter. Research on GABA has led to drugs that alter the amount of this neurotransmitter in the brain or change how the brain responds to it. Researchers also are studying excitatory neurotransmitters such as glutamate.

In some cases, the brain’s attempts to repair itself after a head injury, stroke. or other problem may inadvertently generate abnormal nerve connections that lead to epilepsy. Abnormalities in brain wiring that occur during brain development also may disturb neuronal activity and lead to epilepsy.

Research has shown that the cell membrane that surrounds each neuron plays an important role in epilepsy. Cell membranes are crucial for a neuron to generate electrical impulses. For this reason, researchers are studying details of the membrane structure, how molecules move in and out of membranes, and how the cell nourishes and repairs the membrane. A disruption in any of these processes may lead to epilepsy. Studies in animals have shown that, because the brain continually adapts to changes in stimuli, a small change in neuronal activity, if repeated, may eventually lead to full-blown epilepsy. Researchers are investigating whether this phenomenon, called kindling, may also occur in humans.

In some cases, epilepsy may result from changes in non-neuronal brain cells called glia. These cells regulate concentrations of chemicals in the brain that can affect neuronal signaling.

About half of all seizures have no known cause. However, in other cases, the seizures are clearly linked to infection, trauma. or other identifiable problems.

Genetic Factors

Research suggests that genetic abnormalities may be some of the most important factors contributing to epilepsy. Some types of epilepsy have been traced to an abnormality in a specific gene. Many other types of epilepsy tend to run in families, which suggests that genes influence epilepsy. Some researchers estimate that more than 500 genes could play a role in this disorder. However, it is increasingly clear that, for many forms of epilepsy, genetic abnormalities play only a partial role, perhaps by increasing a person’s susceptibility to seizures that are triggered by an environmental factor.

Several types of epilepsy have now been linked to defective genes for ion channels, the “gates” that control the flow of ions in and out of cells and regulate neuron signaling. Another gene, which is missing in people with progressive myoclonus epilepsy, codes for a protein called cystatin B. This protein regulates enzymes that break down other proteins. Another gene, which is altered in a severe form of epilepsy called LaFora’s disease, has been linked to a gene that helps to break down carbohydrates.

While abnormal genes sometimes cause epilepsy, they also may influence the disorder in subtler ways. For example, one study showed that many people with epilepsy have an abnormally active version of a gene that increases resistance to drugs. This may help explain why anticonvulsant drugs do not work for some people. Genes also may control other aspects of the body’s response to medications and each person’s susceptibility to seizures, or seizure threshold. Abnormalities in the genes that control neuronal migration, a critical step in brain development, can lead to areas of misplaced or abnormally formed neurons, or dysplasia, in the brain that can cause epilepsy. In some cases, genes may contribute to development of epilepsy even in people with no family history of the disorder. These people may have a newly developed abnormality, or mutation, in an epilepsy-related gene.

Other Disorders

In many cases, epilepsy develops as a result of brain damage from other disorders. For example, brain tumors, alcoholism, and Alzheimer’s disease frequently lead to epilepsy because they alter the normal workings of the brain. Strokes, heart attacks, and other conditions that deprive the brain of oxygen also can cause epilepsy in some cases. About 32 percent of all cases of newly developed epilepsy in elderly people appears to be due to cerebrovascular disease, which reduces the supply of oxygen to brain cells. Meningitis. AIDS. viral encephalitis, and other infectious diseases can lead to epilepsy, as can hydrocephalus — a condition in which excess fluid builds up in the brain. Epilepsy also can result from intolerance to wheat gluten (also known as celiac disease ), or from a parasitic infection of the brain called neurocysticercosis. Seizures may stop once these disorders are treated successfully. However, the odds of becoming seizure-free after the primary disorder is treated are uncertain and vary depending on the type of disorder, the brain region that is affected, and how much brain damage occurred prior to treatment.

Epilepsy is associated with a variety of developmental and metabolic disorders, including cerebral palsy. neurofibromatosis. pyruvate dependency, tuberous sclerosis, Landau-Kleffner syndrome. and autism. Epilepsy is just one of a set of symptoms commonly found in people with these disorders.

Head Injury

In some cases, head injury can lead to seizures or epilepsy. Safety measures such as wearing seat belts in cars and using helmets when riding a motorcycle or playing competitive sports can protect people from epilepsy and other problems that result from head injury.

Prenatal Injury and Developmental Problems

The developing brain is susceptible to many kinds of injury. Maternal infections, poor nutrition. and oxygen deficiencies are just some of the conditions that may take a toll on the brain of a developing baby. These conditions may lead to cerebral palsy, which often is associated with epilepsy, or they may cause epilepsy that is unrelated to any other disorders. About 20 percent of seizures in children are due to cerebral palsy or other neurological abnormalities. Abnormalities in genes that control development also may contribute to epilepsy. Advanced brain imaging has revealed that some cases of epilepsy that occur with no obvious cause may be associated with areas of dysplasia in the brain that probably develop before birth.


Seizures can result from exposure to lead, carbon monoxide, and many other poisons. They also can result from exposure to street drugs and from overdoses of antidepressants and other medications.

Seizures are often triggered by factors such as lack of sleep. alcohol consumption, stress. or hormonal changes associated with the menstrual cycle. These seizure triggers do not cause epilepsy but can provoke first seizures or cause breakthrough seizures in people who otherwise experience good seizure control with their medication. Sleep deprivation in particular is a universal and powerful trigger of seizures. For this reason, people with epilepsy should make sure to get enough sleep and should try to stay on a regular sleep schedule as much as possible. For some people, light flashing at a certain speed or the flicker of a computer monitor can trigger a seizure; this problem is called photosensitive epilepsy. Smoking cigarettes also can trigger seizures. The nicotine in cigarettes acts on receptors for the excitatory neurotransmitter acetylcholine in the brain, which increases neuronal firing. Seizures are not triggered by sexual activity except in very rare instances.

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