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      National Mental Health Awareness Month, 2016   05/01/2016

      Proclamation 9433 of April 28, 2016 National Mental Health Awareness Month, 2016 A Proclamation Nearly 44 million American adults, and millions of children, experience mental health conditions each year, including depression, anxiety, bipolar disorder, schizophrenia, and post-traumatic stress. Although we have made progress expanding mental health coverage and elevating the conversation about mental health, too many people still do not get the help they need. Our Nation is founded on the belief that we must look out for one another—and whether it affects our family members, friends, co-workers, or those unknown to us—we do a service for each other when we reach out and help those struggling with mental health issues. This month, we renew our commitment to ridding our society of the stigma associated with mental illness, encourage those living with mental health conditions to get the help they need, and reaffirm our pledge to ensure those who need help have access to the support, acceptance, and resources they deserve. In the last 7 years, our country has made extraordinary progress in expanding mental health coverage for more people across America. The Affordable Care Act prohibits insurance companies from discriminating against people based on pre-existing conditions, requires coverage of mental health and substance use disorder services in individual and small group markets, and expands mental health and substance use disorder parity policies, which are estimated to help more than 60 million Americans. Nearly 15 million more Americans have gained Medicaid coverage since October 2013, significantly improving access to mental health care. And because of more than $100 million in funding from the Affordable Care Act, community health centers have expanded behavioral health services for nearly 900,000 people nationwide over the past 2 years. Still, far too few Americans experiencing mental illnesses do not receive the care and treatment they need. That is why my most recent Budget proposal includes a new half-billion dollar investment to improve access to mental health care, engage individuals with serious mental illness in care, and help ensure behavioral health care systems work for everyone. Our Nation has made strong advances in improving prevention, increasing early intervention, and expanding treatment of mental illnesses. Earlier this year, I established a Mental Health and Substance Use Disorder Parity Task Force, which aims to ensure that coverage for mental health benefits is comparable to coverage for medical and surgical care, improve understanding of the requirements of the law, and expand compliance with it. Mental health should be treated as part of a person's overall health, and we must ensure individuals living with mental health conditions can get the treatment they need. My Administration also continues to invest in science and research through the BRAIN initiative to enhance our understanding of the complexities of the human brain and to make it easier to diagnose and treat mental health disorders early. One of our most profound obligations as a Nation is to support the men and women in uniform who return home and continue fighting battles against mental illness. Last year, I signed the Clay Hunt SAV Act, which fills critical gaps in serving veterans with post-traumatic stress and other illnesses, increases peer support and outreach, and recruits more talented individuals to work on mental health issues at the Department of Veterans Affairs. This law will make it easier for veterans to get the care they need when they need it. All Americans, including service members, can get immediate assistance by calling the National Suicide Prevention Lifeline at 1-800-273-TALK or by calling 1-800-662-HELP. During National Mental Health Awareness Month, we recognize those Americans who live with mental illness and substance use disorders, and we pledge solidarity with their families who need our support as well. Let us strive to ensure people living with mental health conditions know that they are not alone, that hope exists, and that the possibility of healing and thriving is real. Together, we can help everyone get the support they need to recover as they continue along the journey to get well. NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of the United States, do hereby proclaim May 2016 as National Mental Health Awareness Month. I call upon citizens, government agencies, organizations, health care providers, and research institutions to raise mental health awareness and continue helping Americans live longer, healthier lives. IN WITNESS WHEREOF, I have hereunto set my hand this twenty-eighth day of April, in the year of our Lord two thousand sixteen, and of the Independence of the United States of America the two hundred and fortieth.  
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melpointy

Abilify Do You Take It At Night Or Morning

9 posts in this topic

Posted

Just curious because I am tempted to switch it to night as it seems I am drowsy after I take it for some reason it seems opposite then when I was on it a few years back.

I am only on 5mg. I also take Remeron 15mg, Ambien, and Klonopin at night...basically I guess this would move all my meds till night. Thing is I do notice energy mid day or later in the day.

Why does this stuff have to be so complicated. I think I may try it tonight worse it will do is make me not sleep??

I have read split reactions on all of this. So I think I will literally take it right before I lay down...not 1hr or so before. See if that works anyways.

Any thoughts on this med. I know it is a low dose but the dr wants it that way since I dont need an antipsychotic it is more for the depressive properties I guess.

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Posted

I think I ended up taking it at night, but basically seems highly individual, I've read of people who got wired on 5 mg and people who got knocked out by it

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Posted

Today I dont seem as tired but I did take sudafed and coffee...:) Maybe I will leave it in the morning for awhile. It could be a slight hangover from remeron.

How are things going Velthir? Did you start your tegretol? Are you doing any better?

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Posted

I take my abilify 5 mg at night primarily. When I miss my dose (which seems to happen often) I take it in the morning. The first month on it, it was making me drowsy, now it just gives me akithisia. I have to be careful when I take it in the morning because I'm just asking for restlessness throughout the day when I do that but I don't experience the drowsiness anymore.

I wouldn't say it was activating though because I always feel tired no matter what.

melpointy likes this

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Posted

Mel, I'm jumping back and forth with your threads but that's ok. I noticed your comment about switching the Abilify to night but " that makes me nervous".

I can so relate and that's part of our illness so don't try and ruminate over it too much. I would keep things as they are when you were discharged as you have to give your brain time to adjust. It could be the Remeron making you a bit drowsy but that will let up. It took me about a week to get over Remeron morning hangover.

And yes, I have problems with akathisia when taking Lithium! as well as a bad case when on Haldol for 4 days while in-patient so if you start feeling anxious or restless, remember it could be a physical side-effect from the Abilify that may dissipate with time. Don't bail on it as your p/doc could adjust the dose or add something like cogentin. That is as long as you feel the Abilify is helping with your mood. Lot's of people can't differentiate between anxiety and akathisia so they stop taking their med thinking it's anxiety.

I googled Abilify dosing and like you say, it seems to be an individual thing with some taking it at night and some in the mourning.

Viceman likes this

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Posted

The good thing is there is a study done showing that Remeron can actually help the restlesness caused by Abilify. Tht is why I asked for the combo. Also for some reason I did not have the original seroquel withdrawals like last time of vomiting, naseau, and itching. I just read that remeron is antiemitec (helps nausea) and works on histamine receptors so could be reason why no withdrawals this time. i am happy about that for sure!

Yes I decided to keep it in the morning. With the long half life of abilify I dont think it matters much anyways. As far as I know it is the remeron. Today I am not so tired though.

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Posted

Remeron is used by some to help combat nausea so it definitely should help you. Ya, the dreaded Seroquel withdrawal can be a nightmare. I tried tapering off and the nausea, cramping, sweats were terrible.

I would also think the Abilify is helping quite a bit with that as I've cold turkey-ed Seroquel (well, my p/doc did) several times when trying different A/P's and I did not experience any of the Seroquel withdrawal.

Glad you're doing better :-)

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Posted

Yes I am glad those past seroquel wds are over. Those days were not fun. Like non stop flu..or pregnancy.

Thanks again

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Posted

Today I dont seem as tired but I did take sudafed and coffee...:) Maybe I will leave it in the morning for awhile. It could be a slight hangover from remeron.

How are things going Velthir? Did you start your tegretol? Are you doing any better?

Started 200 mg/day on Wednesday. Sleeping a bit better I think, although maybe more tired in general. Have to see how it goes.

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