Psychotherapy

Clinical experience shows that people with addiction disorders have diverse biological, psychological and social issues and benefit from individual assessment and treatment. The sensibilities and perspective of the patient are of primary importance when beginning a course of psychotherapy. The therapists identify the main difficulties of the patient that are likely amenable to brief psychotherapy, assign priorities and select a treatment strategy. Therapists assist each patient to activate character functions that permit the enjoyment of sober life. Such mental awareness or state of mind allows each patient to access inner creativity. As each patient learns how to initiate and sustain creative and ordinary living, the patient is better able to manage or overcome particular external stressors that may have contributed to chemical abuse or dependence. As a patient works through particular wounds of life that were factors in their chemical dependency, an abiding connection with the inner creative spirit countervails any illusion of comfort from a drug-induced state. Addiction can affect an entire family. Therefore, the treatment plan for an addict includes the family, spouse and significant others. Therapists customize the family therapy program as required. The entire family should benefit from the program. Family members attend sessions in the counseling office or by phone. A licensed nursing staff supervises medication services and coordinate outside health services. Trained personnel and licensed nurses supervise any self administration of any medications. This staff is present to supervise, support and assist the individual during the treatment stay and 24 hours a day. Additionally the nursing personnel are trained patient advocates and are available to communicate progress to the appropriate team members if they are not immediately available.

Ketamine

At lower doses, ketamine acts a weak stimulant. When dosage increases, ketamine hits users as an intense psychedelic. As a dissociative drug, ketamine causes users to feel painlessness by impeding messages between the brain and body. Ketamine distorts perception and users often experience an effect known as "the K-hole" at high doses, where the reality of a user involves abstracted thought and pseudo-spiritual experiences. In fact, many ketamine users report depersonalization and de-realization, causing out-of-body or near death experiences. While some ketamine users find these dissociative effects pleasant, others experience them as a deep sense of loneliness or emptiness. Hallucinations, both visual and auditory, can also take place during a ketamine trip. Ketamine trips do not tend to lend themselves to social interaction at high doses, but are introspective experiences as users withdraw into themselves. Within 10 to 20 minutes, the effects of ketamine become discernable for users. Muscle paralysis sets in, making it difficult to move. Ketamine users often fall into a "trance" state, finding themselves encountering difficulty speaking and cognitively processing. Ketamine trips are short lived, lasting between 45 minutes and an hour and a half, depending on tolerance. Users often feel drained and exhausted after a ketamine trip and muscle aches often tend to set in as users come down from a ketamine high. Ketamine users experience temporary paralysis of the muscles, loss of physical coordination and become prone to accidental falls and injuries. Research studies indicate that ketamine addiction can lead to brain damage, particularly the formation of vacuoles, also known as "Olney’s lesions." Ketamine use does not usually result in overdoses from self-administered use, largely because unconsciousness sets in before the body reaches the level of overdose. However, if ketamine a user intakes ketamine from a third party, overdose can occur if dosage continues after loss of consciousness.

Poker Omaha Hi-Low Split

Omaha Hi-Low Split

Omaha Hi-Low Split (8 or Better)

Omaha Hi-Low Split is a community card poker game that is played with a standard 52-card deck. In order for a hand to qualify for the low hand, it must contain an 8 or Better (lower) at showdown. The game starts to the left of the dealer button. The blind bets are made from the positions left of the dealer button and are forced bets which must be made before the cards are dealt.

Each player is dealt four cards, one at a time, in turn and face down (hole cards) as their initial hand. A round of betting occurs for players who are continuing to contend for the pot. Three board cards are turned face up (flop) in the middle of the table (community cards). The community cards are available for all players to use. The second round of betting occurs. The fourth community card is turned face up (the turn), followed by a third round of betting. A final community card (the river) is turned up and a fourth and final round of betting occurs. After the final round of betting has been completed, each player may use any two hole cards with three community cards to make the highest five-card poker hand, and any two hole cards with three community cards to make the lowest qualifying five-card poker hand. The lowest qualifying five-card poker hand is Ace, 2, 3, 4, 5. Players must qualify for the low hand with a hand containing an 8 or better (lower). The pot is split equally between the players with the highest ranking hand and lowest qualifying hand. If no player has a low qualifying hand, the player with the highest ranking five-card poker hand wins the entire pot. In the event of a tie, the pot, or portion of the pot, if the tie is for high or low hand only, is split equally.

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History of Poker

The history of poker is a matter of some debate. The name of the game likely descended from the French poque, which descended from the German pochen ('to knock'), but it is not clear whether the origins of poker itself lie with the games bearing those names. It closely resembles the Persian game of as nas, and may have been taught to French settlers in New Orleans by Persian sailors. It is commonly regarded as sharing ancestry with the Renaissance game of primero and the French brelan. The English game brag (earlier bragg) clearly descended from brelan and incorporated bluffing (though the concept was known in other games by that time). It is quite possible that all of these earlier games influenced the development of poker as it exists now.

English actor Joseph Crowell reported that the game was played in New Orleans in 1829, with a deck of 20 cards, four players betting on which player's hand was the most valuable. Jonathan H. Green's book, An Exposure of the Arts and Miseries of Gambling (G. B. Zieber, Philadelphia, 1843), described the spread of the game from there to the rest of the country by Mississippi riverboats, on which gambling was a common pastime.

Harry Truman's poker chips Soon after this spread, the full 52-card English deck was used, and the flush was introduced. During the American Civil War, many additions were made, including draw poker, stud poker (the five-card variant), and the straight. Further American developments followed, such as the wild card (around 1875), lowball and split-pot poker (around 1900), and community card poker games (around 1925). Spread of the game to other countries, particularly in Asia, is often attributed to the U.S. military.

The game and jargon of poker have become important parts of American culture and English culture. Such phrases as ace in the hole, ace up one's sleeve, beats me, blue chip, call one's bluff, cash in, high roller, pass the buck, poker face, stack up, up the ante, when the chips are down, wild card, and others are used in everyday conversation even by those unaware of their origins at the poker table.

Modern tournament play became popular in American casinos after the World Series of Poker began in 1970. It was also during that decade that the first serious strategy books appeared, notably The Theory of Poker by David Sklansky, Super System by Doyle Brunson (ISBN 0931444014), and The Book of Tells by Mike Caro .

Poker’s popularity has experienced an unprecedented spike in recent years, largely due to the introduction of online poker and the invention of the hole-card camera which finally turned the game into a spectator sport. Viewers can now follow the action and drama of the game, and broadcasts of poker tournaments such as the World Series of Poker and the World Poker Tour have brought in huge audiences for cable and satellite TV distributors.

Poker
From Wikipedia, the free encyclopedia
http://en.wikipedia.org/wiki/Poker