Depression series part 2 my antidepressant doesn t work what can my psychiatrist do

Maria has been increasingly depressed for the past few years. She has tried at least four newer antidepressants but so far, she doesn’t seem to respond. Unable to work, she’s now feeling helpless and hopeless. Likewise, her family is discouraged. Frustrated and baffled by Maria’s lack of progress, the family doctor refers her to a psychiatrist.

What can the psychiatrist do to help Maria? The psychiatrist has several options in dealing with a treatment-resistant or refractory depression. First, Maria’s psychiatrist can optimize the dose of her antidepressant. Maria has been taking low doses of antidepressants.

In spite of her lack of response, the medication dosage has not been increased. To obtain a clinical response, her psychiatrist should increase the dose every two to three weeks. The antidepressant can be adjusted up to the maximum allowable dose if no or only partial response is observed. Second, her psychiatrist can choose to augment the effect of her antidepressant with another medication such as lithium, triiodothyronine (T3), or buspirone. Among augmenters, lithium and triiodothyronine have the best support from the literature. Despite lithium’s efficacy, some doctors avoid this drug because it requires regular blood monitoring and has unfavorable side effect profile such as acne, tremors, and thyroid and renal dysfunction. Recently, studies have shown atypical neuroleptics such as olanzapine and risperidone to be good augmenters.

In my opinion, further studies are necessary to establish these two drugs as standard augmenter. Indeed, research studies and clinical experience have found augmentation strategy to be effective. Third, combination strategy is worthwhile to try. Maria’s psychiatrist can add another antidepressant to boost the effect of her current antidepressant. For instance, trazodone can be added to an SSRI (serotonin reuptake inhibitor e. g. citalopram). Literature suggests that combining two drugs with different mechanisms of action and drugs that involve several brain chemicals has resulted in clinical improvement. In this scenario, one antidepressant plus another antidepressant is equal to three, or four or even ten, not two. Fourth, the psychiatrist can switch from one antidepressant to another. Previous studies have shown that when making a switch, a drug should be replaced by a drug from a different class e. g. from SSRI to SNRI (serotonin and norepinephrine reuptake inhibitor e. g. venlafaxine), or from TCA (tricyclic agent e. g. nortriptyline) to SSRI. But recent studies show that switching drugs within the same class (e. g. SSRI to another SSRI) is just as effective. Fifth, Maria’s psychiatrist can also treat other ongoing symptoms or drug-related problems that further complicate her depression. If she is anxious and agitated, then her psychiatrist should prescribe antianxiety drug (e. g. lorazepam) or if Maria is psychotic then adding an antipsychotic drug should help. Moreover, medication side effects (such as insomnia, dryness of mouth, constipation, etc.) that negatively affect Maria’s compliance to the drug should be addressed promptly. Lastly, if despite above measures Maria doesn’t respond to antidepressants, then electroconvulsive therapy should be entertained. Of course, this procedure should be done with her consent. In summary, Maria’s psychiatrist can optimize the dose, augment or combine treatment, switch the medication, treat side effects and ongoing symptoms, or use electroconvulsive therapy for treatment-resistant or refractory depression.

Depression series part 2 my antidepressant doesn t work what can my psychiatrist do

Maria has been increasingly depressed for the past few years. She has tried at least four newer antidepressants but so far, she doesn’t seem to respond. Unable to work, she’s now feeling helpless and hopeless. Likewise, her family is discouraged. Frustrated and baffled by Maria’s lack of progress, the family doctor refers her to a psychiatrist.

What can the psychiatrist do to help Maria? The psychiatrist has several options in dealing with a treatment-resistant or refractory depression. First, Maria’s psychiatrist can optimize the dose of her antidepressant. Maria has been taking low doses of antidepressants.

In spite of her lack of response, the medication dosage has not been increased. To obtain a clinical response, her psychiatrist should increase the dose every two to three weeks. The antidepressant can be adjusted up to the maximum allowable dose if no or only partial response is observed. Second, her psychiatrist can choose to augment the effect of her antidepressant with another medication such as lithium, triiodothyronine (T3), or buspirone. Among augmenters, lithium and triiodothyronine have the best support from the literature. Despite lithium’s efficacy, some doctors avoid this drug because it requires regular blood monitoring and has unfavorable side effect profile such as acne, tremors, and thyroid and renal dysfunction. Recently, studies have shown atypical neuroleptics such as olanzapine and risperidone to be good augmenters.

In my opinion, further studies are necessary to establish these two drugs as standard augmenter. Indeed, research studies and clinical experience have found augmentation strategy to be effective. Third, combination strategy is worthwhile to try. Maria’s psychiatrist can add another antidepressant to boost the effect of her current antidepressant. For instance, trazodone can be added to an SSRI (serotonin reuptake inhibitor e. g. citalopram).

Literature suggests that combining two drugs with different mechanisms of action and drugs that involve several brain chemicals has resulted in clinical improvement. In this scenario, one antidepressant plus another antidepressant is equal to three, or four or even ten, not two. Fourth, the psychiatrist can switch from one antidepressant to another. Previous studies have shown that when making a switch, a drug should be replaced by a drug from a different class e. g. from SSRI to SNRI (serotonin and norepinephrine reuptake inhibitor e. g. venlafaxine), or from TCA (tricyclic agent e. g. nortriptyline) to SSRI. But recent studies show that switching drugs within the same class (e. g. SSRI to another SSRI) is just as effective. Fifth, Maria’s psychiatrist can also treat other ongoing symptoms or drug-related problems that further complicate her depression. If she is anxious and agitated, then her psychiatrist should prescribe antianxiety drug (e. g. lorazepam) or if Maria is psychotic then adding an antipsychotic drug should help. Moreover, medication side effects (such as insomnia, dryness of mouth, constipation, etc.) that negatively affect Maria’s compliance to the drug should be addressed promptly. Lastly, if despite above measures Maria doesn’t respond to antidepressants, then electroconvulsive therapy should be entertained. Of course, this procedure should be done with her consent. In summary, Maria’s psychiatrist can optimize the dose, augment or combine treatment, switch the medication, treat side effects and ongoing symptoms, or use electroconvulsive therapy for treatment-resistant or refractory depression.

Formula d racing series events and venues

Formula D Racing Series Events and Venues Formula D Racing, also commonly referred as a Formula Drifting, is a popular sport. That sport has recently started gaining popularity in the United States. In fact, a few years ago, a professional drifting series was created. This group of drivers and the series that they race in is sometimes referred to the Formula Drift Championship. In the Formula Drift Championship, around fifty drivers compete to be known as the best professional drifter in the United States. Like all other professional racing events, these events take place in a series of different locations, namely professional race tracks. When it comes to all racing events, including Formula D Racing, you will find that it is hard to examine all of the different racing venues. This is because they tend to change. As Formula D continues to rise in popularity, there is a good chance that additional tracks will be added, in the years to come. However, you if you interested in learning more about the tracks which have already hosted an event, you are advised to pick a season and research those specific venues. For this article, we will focus on the 2006 Formula Drifting season. Atlanta, Georgia is one of the stops on the Formula Drifting series. Their events take place on Road Atlanta. Road Atlanta is known as one of the best road courses in the United States. In fact, it is also known on a worldly level. In 2004, the staff at Road Atlanta added another horseshoe turn just for the Formula Drifting series. This new paved turn helps to add extra excitement to the events being hosted at Road Atlanta. In addition to Formula D Racing, Road Atlanta is also home to a number of other popular racing events. These events include, but are not limited to the AMA Suzuki Superbike Showdown, the Audi Driving Experience, and the Kevin Schwantz Suzuki School. The Formula Drift series also makes a stop in Sonoma, California. That stop is to the Infineon Raceway. The Infineon Raceway is popular due to its location. It is located near the Golden Gate Bridge in San Francisco; in fact, it is located only thirty miles from there. In addition to the Formula Drift series, the Infineon Raceway is also home to a number of other popular racing events. These events include, but are not limited to, NASCAR, drag racing, and the AMA Superbike tour. Unlike the above mentioned tracks, Formula Drifting also takes place at Solider Field in Chicago, Illinois. If you are familiar with Soldier Field, the football stadium, you may be wondering how drifting can take place there. Despite what you may believe, the event does not actually take place inside the stadium; instead it takes place outside of it, in the parking lot. During the Formula Drift event, the lot is transformed into an amazing drifting course. Although it may not be on a track, the excitement is still the same, if not better. One of the reasons why this event is so popular is because, aside from New Jersey, Formula D Racing usually does not usually come up to the mid or upper north east area. In addition to the above mentioned venues, the Formula Drift series also makes stops in Long Beach and Irwindale, California, Seattle, Washington, and Wall, New Jersey. In Wall, New Jersey, the action takes place at the Air Force Reserve Wall Speedway. In Long Beach California, the action takes place in the Streets of Long Beach. In Irwindale, California, the events take place at the Irwindale Speedway. As you can see, a number of these events are hosted at well-known racetracks and others are hosted in other locations, such as city streets or parking lots. As previously mentioned, the above mentioned venues were on the 2006 Formula Drifting circuit. In the future, additional stops may be added and some of the above mentioned stops may even be eliminated. If you are interested in watching a live Formula D event, you are advised to obtain an up-to-date schedule for the year or years which you would like to attend. Word Count 643

5 tips to coping with bipolar disorder

Bipolar disorder is the medical name for manic-depressive illness and doesn't just effect sufferers but can have a serious effect on family members and friends. Early diagnosis can be a big factor in the effective combating or this serious mental illness and without diagnosis it can become much more serious possibly leading to suicide. Bipolar disorder effects over 2 million American adults every year so it is by no means a rare disorder and doctors and psychiatrists alike are on hand to help you or your family member or friend through it. If you think someone you know is suffering from bipolar disorder the best thing you can do for them is to take them to see their doctor. 1- Long term preventative treatment is likely to be required because bipolar disorder is a recurrent illness. Stopping the medication or psychological treatment received can cause a regression to the mood swings associated with the disease. 2- If you or someone you know has a bipolar disease then it is recommended that you see a psychiatrist and not your general physician although your GP can refer you to a specialist in the field that will be in the best position to offer you the help, support and information you need to beat it. 3- There are medications known as mood stabilizers available and a person who suffers from bipolar disorder is likely to be prescribed these by their psychiatrist. They will normally have to take these for the rest of their lives because bipolar disease is recurrent. Sometimes other drugs are combined with mood stabilizers but this will probably only be over a short period of time. 4- Therapy should be combined with medication and can be attended in one on one sessions or at group therapy classes. by talking to somebody who understands the patient's problems the support can often lead to a very desirable outcome. Consult your psychiatrist about where to go to attend these group talks. 5- Always be prepared for the worst. Don't forget that bipolar disease will mean constant ups and downs and many patients try to commit suicide because they see it as their only way out. Be prepared and always be ready to call 911 if you think this is going to be the case. Don't be afraid that you will be wasting their time if your family member or friend is just having a down day because if you don't ring the consequences could be a lot worse.

5 tips to coping with bipolar disorder

Bipolar disorder is the medical name for manic-depressive illness and doesn't just effect sufferers but can have a serious effect on family members and friends. Early diagnosis can be a big factor in the effective combating or this serious mental illness and without diagnosis it can become much more serious possibly leading to suicide. Bipolar disorder effects over 2 million American adults every year so it is by no means a rare disorder and doctors and psychiatrists alike are on hand to help you or your family member or friend through it. If you think someone you know is suffering from bipolar disorder the best thing you can do for them is to take them to see their doctor. 1- Long term preventative treatment is likely to be required because bipolar disorder is a recurrent illness. Stopping the medication or psychological treatment received can cause a regression to the mood swings associated with the disease. 2- If you or someone you know has a bipolar disease then it is recommended that you see a psychiatrist and not your general physician although your GP can refer you to a specialist in the field that will be in the best position to offer you the help, support and information you need to beat it. 3- There are medications known as mood stabilizers available and a person who suffers from bipolar disorder is likely to be prescribed these by their psychiatrist. They will normally have to take these for the rest of their lives because bipolar disease is recurrent. Sometimes other drugs are combined with mood stabilizers but this will probably only be over a short period of time. 4- Therapy should be combined with medication and can be attended in one on one sessions or at group therapy classes. by talking to somebody who understands the patient's problems the support can often lead to a very desirable outcome. Consult your psychiatrist about where to go to attend these group talks. 5- Always be prepared for the worst. Don't forget that bipolar disease will mean constant ups and downs and many patients try to commit suicide because they see it as their only way out. Be prepared and always be ready to call 911 if you think this is going to be the case. Don't be afraid that you will be wasting their time if your family member or friend is just having a down day because if you don't ring the consequences could be a lot worse.

From the couch to the deathbed

In many Western countries, going to a psychiatrist for therapy and counseling is well-accepted as a means to maintain mental and emotional health. For most patients, the psychiatrist is considered a source of calmness, reason, and understanding. Seen as a professional counselor who possess the right knowledge and skills about handling life problems and personal conflicts, the psychiatrist is often seen as the “last straw” of an emotionally disturbed and desperate patient. However, not too many people see psychiatrists as normal people who also encounter difficulties and struggles in life. In truth, at the very core, they are also vulnerable to pain and frustration. Known as the Father of Psychoanalysis, the famous psychiatrist Sigmund Freud was widely acclaimed for his writings and theories of psychology. Freud became an instant celebrity in different medical and psychological associations for his theory about the unconscious mind and how he believed that sexual desire was a strong determinant or motive for human though and action. Credited with the such remarkable psychological concepts such as the id, ego, and the superego, Freud became a highly respected yet controversial figure in the European scientific community. Even today, pictures of Freud are used in pop culture are symbols of human intellectual intricacy and discernment.

In real life, according to his biographers, Freud also faced stress and anxiety in the same manner that his patients did. After carefully studying his early life, biographers believe that they have unlocked the secret to Freud's own secret fears and frustration, which would later become anchors to his theories. As a young medical practitioner, Freud dissected hundreds of eels to look for “eel testicles.” At that time, the origins, reproductive processes, and migratory behavior of eels were still mysteries that challenged the scientific community. After failing to locate the reproductive organs of the eels, Freud abandoned his study and chose the another field on which he could pour out his complete devotion as a man of science. His biographers often refer to this time in Freud's life as the starting point for the psychiatrist's focus on human sexuality.

In his writings, Freud conveyed his belief that sexual desire was somewhat a “motivational energy for life” and viewed psychosexual development as the explanation for specific human thought and behavior. Aside from his work on psychosexual development, Freud was also concerned about overcoming depression through the use of cocaine. It is not widely known that the psychiatrist was a user of cocaine, a substance that he believed to be useful as a stimulant and cure for depression. Long before antidepressant prescriptions were formulated and sold in pharmacies as doctor-prescribed drugs, Freud was already convinced about the use of chemicals and other drug formulas to address emotional problems. Surely, if he were alive today, Freud's use of cocaine would be frowned upon and will be considered illegal. In fact, recent journals have focused on the correlation between Freud's cocaine use and his preoccupation with sexual desire as motivating factor.

Far from the pop image of the psychiatrist as a stable, rational dispenser of reason and understanding, Freud himself came to a point where he found no more reason to live. Perhaps like many of his patients who came to him out of despair, Freud also reached a point where he thought that no more help was available to him --- whether it was from the field of medicine or psychiatry. On September 23, 1939, Freud asked his doctor-friend to assist him in committing suicide. After almost a lifetime of helping other people deal with their own problems, Freud chose to escape his own troubles through a morphine overdose.

Bring an end to depression

Everybody gets the blues once in a while. It’s normal to feel sad on a rainy day, get sentimental over a lost love, or feel so terribly lonely during really low moments of your life. But once depression gets out of hand, it can wreak havoc on your mental state and drive you to such emotional lows - to the point that you might seriously choose ending your life. So if you think you’re experiencing extreme emotional lows, then you’d better do something about it. What are the signs of depression? 1. Feeling sad without any apparent reason. 2. Getting mad at anything, everything, anyone, and everyone around you. 3. Thinking that your life is getting nowhere. 4. Feeling that whatever you do is not enough. 5. Feeling that you’re not good enough for anything. 6. Always feeling tired. 7. Feeling that there is no more hope for whatever troubles you. 8. Feeling that you don’t deserve to live in this world anymore. These are some of the most common symptoms of depression. Recognizing these telltale signs can help lead you to take action before it becomes more serious. Knowing the root cause of these symptoms further boosts the chance of recovery. Whatever the reason behind depression, it is always related to your state of mind, environment, and/or present circumstance. You may feel low if you are facing issues on work, marriage, or your financial status. The process of resolving these issues, however important, will inevitably result in stress and/or body aches. Emotional pain coupled with physical ills can really affect the way you view your life. Another cause of depression is bad experiences: the death of someone important, loss of something significant, or similar unpleasant experiences that would haunt you for a long time. This could mean a humiliating event at your workplace or school, traumatic environment at home, etc. The best way to treat depression is to think positively. Thinking negatively about an already gloomy situation would only aggravate your mental state. It’s not the end of the world, and there’s a solution to every problem, yours included. Moping and sulking about it won’t do any good. Unfortunately, not all people see it that way. This is when depression starts to settle in. You think you’re the unluckiest person alive. No one is there when you need help the most. It’s better to die than suffer all the injustice being delivered to you. Going to a psychiatrist to ask for help is one step toward finding the cure for depression. Various drugs can help you cope. However, these medications treat not the actual cause of depression, but only the symptoms. Complete recovery rests solely on your ability to have a positive outlook in life. Admittedly, this is easier said than done, so going to a psychiatrist doesn’t immediately mean that you’re going to ask medication for your depression. You could also ask your psychiatrist for help in developing a positive outlook and in controlling your depressive mood swings. Depression is a serious matter. It causes emotional and mental breakdown, and it can result to suicide if left untreated. This is why depression should be diagnosed immediately. It is not a disorder that is easy to cure; but always remember: you’re not alone in the world. Even if you live your life as a recluse, there’s at least one person out there who cares for you and would be devastated if you allow yourself to lose the battle. You’re a strong person. You’re not alone. Keep your loved ones close to you and you will feel invincible.

Email marketing

Technology with its advent has taken a toll even in the field of marketing at last. E-mail also known as electronic mail, is now turning out as an indispensable medium of marketing on internet. Internet as whole has a wide marketing area because of the fact that it is spread whole and wide over the whole word. This makes it accessible to almost every country and eventually to the people in the country. E-mails are very techno-savvy and more effective and fast. This is the reason that we can now see e-mails developing as an indispensable media of marketing. Over the years people and corporate houses have started realizing the advantages of e-mail marketing.

E-mail marketing carries a lot of advantages along with it. Some of the benefits are: a) Speed: This is the main factor as to why e-mail marketing is considered better and over the other Medias of marketing. E-mail marketing along with it brings the advantage of high speed. E-mail marketing has a very high speed of information transfer. It just takes a second for the person to transfer information from his working place to the internet worldwide, where everyone can view it worldwide. b) Reach: One another factor as to why e-mail marketing is considered a better option is because of the fact that it has a better reach to the people worldwide than the other medias of marketing. E-mail marketing knows no boundaries and this helps the people to continue or conduct their marketing work in larger scale. The higher reach of e-mail marketing, attracts more people towards it and thereby assists the whole marketing process. c) Inexpensive: E-mail marketing is comparatively much and more cheap than that of the other medias of marketing. The people do not have to incur any special or extra cost to market their product or point of view. Being inexpensive it suits the people and they thereby resort to e-mail marketing than the other Medias. d) Effective: E-mail marketing is very effective than the other medias of marketing. The reason being, that they are very techno-savvy, very fast and still pretty cost effective. This whole package makes e-mail marketing very cheap and pretty attractive. This is the reason that e-mail marketing is pretty effective and thus more approachable. e) Personalized marketing: E-mail marketing avails the people the opportunity to avail and conduct personalized marketing. In this the people can send mails only to people whom they think that they would be interested in it. In this the mails will only be forwarded to people on whom the concern is interested. Thus we see that why and how e-mail marketing has turned out to be an indispensable tool in marketing.

10 ways to protect against mail theft

1. Never put outbound mail into an unsecured mailbox, especially if it contains checks or sensitive personal information. Instead, take it to a U. S. Post Office branch or place it in a U. S.P. S. mail collection box. 2. Always use a locking mailbox for incoming mail. Install a locking mailbox approved as secure by the U. S. Postal Service or use a U. S. Post Office box. Contact your local Postmaster for regulations and specifications regarding locking mailboxes. 3. Remove mail from your mailbox promptly, especially if your mailbox is not secure. If you won't be home when sensitive or valuable mail is delivered, have it held or have a trusted neighbor or friend retrieve it. 4. Don't have blank checks delivered to your home address. Instead, have them held at your bank branch until you can pick them up personally. 5. Don't have mail delivered while you're out of town. Have the post office hold your mail if you'll be away for an extended period. 6. Reduce the number of credit offers sent to you by mail. Contact the three major credit reporting agencies and have your credit report marked "no solicitation." 7. Make sure you're informed when sensitive mail has been sent to you, and follow up quickly if it doesn't arrive as expected. 8. Consider starting or joining a Neighborhood Watch program. If you see a mail theft in progress, be a good witness by calling 911 and providing the best possible description of any persons and vehicles involved. 9. At the workplace, watch out for "Financial Friday" mail theft. Leaving mail in insecure locations over the weekend in order to leave work a little earlier is a dangerous practice that identity thieves know and exploit. 10. If you feel you've been victimized in a mail fraud scheme that involves the U. S. Mail, submit a Mail Fraud Complaint Form to the U. S. Postal Inspection Service. If you have become a victim of identity theft, contact the FTC, the credit bureaus, and your bank, and obtain expert guidance immediately to resolve your problem as quickly as possible. http:// identitytheft911.com/education/article/idtheft_20040128_mail-02.jsp All Rights Reserved

The significance and benefits of email marketing

There is no dismissing the fact that e-mail, also known as electronic mail, is an indispensable medium of marketing on the internet. Internet as whole has a wide marketing area because of the fact that it is available high and wide throughout the world. This makes it accessible to almost every country and eventually to the people in those countries. E-mails are very techno-savvy and also very effective and fast. This is the reason that we can now see e-mails developing as an indispensable media of marketing. Over the years individuals and businesses have started realizing the advantages of e-mail marketing. E-mail marketing carries a lot of advantages along with it. Some of the benefits include: Speed: This is the main factor as to why e-mail marketing is considered advantageous over other medias of marketing. E-mail marketing along with it brings the advantage of high speed. E-mail marketing has a very high speed of information transfer. It just takes a second for the person to transfer information from his working place to the internet, where anyone can view it worldwide. Reach: Another factor as to why e-mail marketing is considered a good option is because of the fact that it has a better reach to the people worldwide than other medias of marketing. E-mail marketing knows no boundaries and this helps people to continue to conduct their marketing work on a large scale. The higher reach of e-mail marketing attracts more people towards it and thereby assists the whole marketing process. Inexpensive: E-mail marketing is comparatively cheaper than that of some other medias of marketing. Individuals and businesses do not have to incur any special or extra cost to market their product or point of view. Being inexpensive, it suits many and thereby a lot of people resort to e-mail marketing for a large part of their online marketing efforts. Effective: E-mail marketing is very effective and a very popular form of marketing. The reason being, that they are very techno-savvy, very fast and still pretty cost effective. This whole package makes e-mail marketing very cheap and pretty attractive. This is the reason that e-mail marketing is effective and thus more approachable. Personalized marketing: E-mail marketing avails the opportunity to conduct personalized marketing. In this, people can send e-mails only to people whom they think would be interested in the topic of the message. Thus we see why and how e-mail marketing has turned out to be an indispensable tool in marketing.

E mail marketing turns small biz into big biz

Small businesses - from florists to realtors-are quickly catching on that e-mail marketing can be an effective way to quickly reach thousands of customers inexpensively. E-mail marketing refers to the communications that businesses have with current customers who have given permission to receive e-mails about special offers and new products or services. By categorizing customers by their buying preferences and creating e-mail offers that address those preferences, a small business can personalize their marketing for the cost of a mouse click. Instant Sales E-mail marketing helps businesses create instant sales from existing customers. It also helps maintain and build long-lasting relationships with repeat customers, which are at the core of most successful businesses. And yet, in a recent poll conducted by research firm Greenfield Online (on behalf of FileMaker, Inc.), 49 percent of small businesses said they were not even considering e-mail marketing. What is the other half of small businesses doing with e-mail marketing? Making money. For example, the Tara Bella Winery used e-mail marketing software based on FileMaker Pro to send an e-mail to its customers about a special wine package. Within 24 hours, they had sold out their inventory and grossed $8,500. They spent less than three hours writing the e-mail and sending it out Almost any business can im-prove its profitability using e-mail marketing. Even nonprofits are using e-mail marketing for fund-raising. New database software and the Internet have made it quite inexpensive and, now, easy to do. All you need is a Windows or Macintosh computer, an Internet connection, an e-mail account and easy-to-use database software such as FileMaker Pro. In some instances, the rewards of your first successful e-mail campaign can even pay for these affordable technology tools. Free 46-Page Guide But to make the most of your e-mail marketing, you'll want to do it efficiently and effectively, using the right tools the right way. A free 46-page guide is now available that helps first-timers and experienced e-mail marketers develop and execute an effective e-mail campaign with customers. Titled How to Start Email Marketing in 10 Easy Steps, the how-to guide can be downloaded from filemaker. com/emk. The guide takes you through each of the key steps, from building your customer e-mail list and selecting the right customers for a specific e-mail to writing the e-mail and sending it out. A Toast-One company sent an e-mail to customers about a special wine package and sold out.

Your dolphin e mail caught in spam tuna net

Let me ask a couple of questions: If (potential) customers sends an e-mail to your company, do they want to receive an answer? If you, in return, e-mail your customer, do you expect that your e-mail is delivered to the customer? Well, in my case, I answered "YES" on both questions. After all, the customer asks for an answer, so it's normal to expect that when you send an e-mail in return, that the customer receives it. Unfortunately, this is no longer the case. It is highly important that you get this point, so let me rephrase that: If you send an e-mail to a customer that the customer wants and expects, it may be that (s)he never receives it! I've investigated this issue, and the cause of this is the filtering of e-mail by the ISP of the customer, to prevent unwanted SPAM (unsollicited e-mail) to make its way into their mailbox. But not only genuine SPAM is filtered out. Even e-mail that the customer wants (and often expects) to receive, may be caught up in this filter. It's happening so often, there's even a term for it: "false positives". Sometimes this stays unnoticed, because the customer doesn't get a mail telling her that it was filtered out. Or you don't get a reply from the ISP/filter that your mail didn't pass. Your "dolphin" e-mail can essentially be caught in SPAM filter "tuna nets". This can impact businesses on many levels: Potential customers do not convert into real customers, because they never "heard from you". Unhappy customers as they "never get an answer on their support requests". Unhappy Customers that don't get the info / product they paid for (download instructions for digital products are often delivered by e-mail) When this happens, the customer usually points the finger to the business... ...YOUR business was not responsive; ...YOUR business didn't resolve the customer's issues; ...YOUR business did not deliver! But, of course, you are not to blame. You responded! You resolved! you delivered! It's the customer's ISP that didn't deliver. An e-mail your customer wanted, and expected. Mistakes do happen. But sometimes, ISP's and mail service businesses have no interest in righting what went wrong. And since they are not blamed, they get away with doing nothing. But in the mean time, your and my business is hurt by this. So, it is time to point customers in the right direction. If more and more customers know where to complain if they do not get the e-mail they wanted, chances are that the ISP and/or mail service are forced into action. There's a lot an ISP or mail service can do. Customers should have the possibility to "whitelist" you. A "whitelist" is a list of e-mail addresses or domains from which the customer allows mail to continue, even when the filter thinks it's "junk". One option that's not an option is to ask customers to switch off the filter. SPAM is just too big a problem for this. Another company that have taken the heat for filtered mail is SiteSell. They're blamed for not delivering as promissed, because their e-mail was filtered out. And they hit a wall of unresponsiveness when they tried to right this. Or was it that their requests were filtered out? ;-) As they understood how this is hurting their business, and many other businesses around the globe, they decided to take action, and point customers in the right direction when wanted e-mail doesn't make it into their mailboxes. So they created the "Deliver my mail!" initiative, which I fully support. I invite you to join them and me. Read more about "Deliver my Mail!" on: http://deliver-my-mail. sitesell. com/sls. html Let's take a stand, and educate customers on what to do if they do not receive e-mail they really wanted to get. Let customers demand:

Your dolphin e mail caught in spam tuna net

Let me ask a couple of questions: If (potential) customers sends an e-mail to your company, do they want to receive an answer? If you, in return, e-mail your customer, do you expect that your e-mail is delivered to the customer? Well, in my case, I answered "YES" on both questions. After all, the customer asks for an answer, so it's normal to expect that when you send an e-mail in return, that the customer receives it. Unfortunately, this is no longer the case. It is highly important that you get this point, so let me rephrase that: If you send an e-mail to a customer that the customer wants and expects, it may be that (s)he never receives it! I've investigated this issue, and the cause of this is the filtering of e-mail by the ISP of the customer, to prevent unwanted SPAM (unsollicited e-mail) to make its way into their mailbox. But not only genuine SPAM is filtered out. Even e-mail that the customer wants (and often expects) to receive, may be caught up in this filter. It's happening so often, there's even a term for it: "false positives". Sometimes this stays unnoticed, because the customer doesn't get a mail telling her that it was filtered out. Or you don't get a reply from the ISP/filter that your mail didn't pass. Your "dolphin" e-mail can essentially be caught in SPAM filter "tuna nets". This can impact businesses on many levels: Potential customers do not convert into real customers, because they never "heard from you". Unhappy customers as they "never get an answer on their support requests". Unhappy Customers that don't get the info / product they paid for (download instructions for digital products are often delivered by e-mail) When this happens, the customer usually points the finger to the business... ...YOUR business was not responsive; ...YOUR business didn't resolve the customer's issues; ...YOUR business did not deliver! But, of course, you are not to blame. You responded! You resolved! you delivered! It's the customer's ISP that didn't deliver. An e-mail your customer wanted, and expected. Mistakes do happen. But sometimes, ISP's and mail service businesses have no interest in righting what went wrong. And since they are not blamed, they get away with doing nothing. But in the mean time, your and my business is hurt by this. So, it is time to point customers in the right direction. If more and more customers know where to complain if they do not get the e-mail they wanted, chances are that the ISP and/or mail service are forced into action. There's a lot an ISP or mail service can do. Customers should have the possibility to "whitelist" you. A "whitelist" is a list of e-mail addresses or domains from which the customer allows mail to continue, even when the filter thinks it's "junk". One option that's not an option is to ask customers to switch off the filter. SPAM is just too big a problem for this. Another company that have taken the heat for filtered mail is SiteSell. They're blamed for not delivering as promissed, because their e-mail was filtered out. And they hit a wall of unresponsiveness when they tried to right this. Or was it that their requests were filtered out? ;-) As they understood how this is hurting their business, and many other businesses around the globe, they decided to take action, and point customers in the right direction when wanted e-mail doesn't make it into their mailboxes. So they created the "Deliver my mail!" initiative, which I fully support. I invite you to join them and me. Read more about "Deliver my Mail!" on: http://deliver-my-mail. sitesell. com/sls. html Let's take a stand, and educate customers on what to do if they do not receive e-mail they really wanted to get. Let customers demand:

Depression series why don t i respond to medications part 1

Maria has been feeling depressed for at least two and a half years. About three years ago, her husband of 20 years left her for another woman. Devastated, she became despondent and tearful almost daily. Eventually, her depression got worse associated with inability to function. Her appetite, energy, concentration, and sleep became impaired.

She also felt hopeless and suicidal. Her psychiatrist put her on a starting dose of antidepressant. She responded initially but after a few days, she felt just like before taking the medication. For the past two years, Maria has tried four types of antidepressants. She has taken the usual adult doses of these drugs. Although she somewhat improves, she has virtually remained the same — depressed and disabled. Maria seems to be taking the medications regularly. But why is she not responding to her antidepressants?

Maria is just one of the many depressed individuals who don’t feel “normal” despite treatment. Depression is a treatable disease but how come some people don’t do well on medications? There are many reasons why depressed patients like Maria don’t improve on antidepressants. First, is the diagnosis correct? Depression can be caused by many clinical entities.

Sometimes, knowing the right diagnosis is a challenge. Medical disorders, medications such as beta-blockers and benzodiazepines (e. g. clonazepam), and various psychiatric disorders can cause depression and they all require different treatment. If your doctor fails to identify and treat the true cause of your depression, you will remain depressed despite the use of antidepressant. Second, are there co-morbid disorders? Depression can exist along with other psychiatric disorders such as anxiety disorder, alcohol or drug problems, personality disorder, dementia, and psychosis.

Depression will persist if these co-morbid disorders are not treated. For instance, depressive disorder with psychosis cannot be adequately treated just with antidepressant alone. You need an antipsychotic drug added to an antidepressant to treat the illness. Third, is there an ongoing neurological or medical disorder that precipitates, aggravates, or complicates depression? Hypothyroidism, hyperthyroidism, vitamin B-12 deficiency, pancreatic cancer, brain tumor, Parkinson’s disease, and stroke can all cause depression. If any of these disorders are present, antidepressants are less likely to help.

The goal in these situations is to treat the underlying medical condition. A 65 year-old lady came to see me complaining of severe depression. On evaluation, she disclosed that she had been on three types of antidepressants for the past four years with minimal response. I checked her recent laboratory results which showed an abnormal thyroid! No wonder, she was not responding to the medication. Fourth, are there ongoing psychosocial issues? Financial problems, family conflict, work-related stress can all precipitate and complicate depression. Despite adequate medication treatment, some individuals will remain depressed especially if such problems are not addressed by the therapist or psychiatrist. Is there any way you can reduce the stressors?

Please do so the earliest you can. The treatment of depression is frequently straightforward. Occasionally however, various factors complicate it. For antidepressant to be effective, a psychiatrist should ensure that the diagnosis is correct, that co-morbid psychiatric disorders and medical problems are treated, and that psychosocial issues are adequately addressed. Maria’s doctor should explore further the real problem and provide the most appropriate intervention.

Depression series why don t i respond to medications part 1

Maria has been feeling depressed for at least two and a half years. About three years ago, her husband of 20 years left her for another woman. Devastated, she became despondent and tearful almost daily. Eventually, her depression got worse associated with inability to function. Her appetite, energy, concentration, and sleep became impaired.

She also felt hopeless and suicidal. Her psychiatrist put her on a starting dose of antidepressant. She responded initially but after a few days, she felt just like before taking the medication. For the past two years, Maria has tried four types of antidepressants. She has taken the usual adult doses of these drugs. Although she somewhat improves, she has virtually remained the same — depressed and disabled. Maria seems to be taking the medications regularly.

But why is she not responding to her antidepressants? Maria is just one of the many depressed individuals who don’t feel “normal” despite treatment. Depression is a treatable disease but how come some people don’t do well on medications? There are many reasons why depressed patients like Maria don’t improve on antidepressants.

First, is the diagnosis correct? Depression can be caused by many clinical entities. Sometimes, knowing the right diagnosis is a challenge. Medical disorders, medications such as beta-blockers and benzodiazepines (e. g. clonazepam), and various psychiatric disorders can cause depression and they all require different treatment. If your doctor fails to identify and treat the true cause of your depression, you will remain depressed despite the use of antidepressant. Second, are there co-morbid disorders? Depression can exist along with other psychiatric disorders such as anxiety disorder, alcohol or drug problems, personality disorder, dementia, and psychosis. Depression will persist if these co-morbid disorders are not treated. For instance, depressive disorder with psychosis cannot be adequately treated just with antidepressant alone.

You need an antipsychotic drug added to an antidepressant to treat the illness. Third, is there an ongoing neurological or medical disorder that precipitates, aggravates, or complicates depression? Hypothyroidism, hyperthyroidism, vitamin B-12 deficiency, pancreatic cancer, brain tumor, Parkinson’s disease, and stroke can all cause depression. If any of these disorders are present, antidepressants are less likely to help. The goal in these situations is to treat the underlying medical condition. A 65 year-old lady came to see me complaining of severe depression. On evaluation, she disclosed that she had been on three types of antidepressants for the past four years with minimal response.

I checked her recent laboratory results which showed an abnormal thyroid! No wonder, she was not responding to the medication. Fourth, are there ongoing psychosocial issues? Financial problems, family conflict, work-related stress can all precipitate and complicate depression. Despite adequate medication treatment, some individuals will remain depressed especially if such problems are not addressed by the therapist or psychiatrist. Is there any way you can reduce the stressors? Please do so the earliest you can. The treatment of depression is frequently straightforward. Occasionally however, various factors complicate it. For antidepressant to be effective, a psychiatrist should ensure that the diagnosis is correct, that co-morbid psychiatric disorders and medical problems are treated, and that psychosocial issues are adequately addressed. Maria’s doctor should explore further the real problem and provide the most appropriate intervention.