Christina Lam is dedicated Nurse Practitioner with years of nursing experience. Her background is in psychiatry, emergency, and critical care. She is a skilled communicator who is professional, personal, and very adaptable. She is self-motivated with energy, initiative, and focus. She has a keen insight into the needs and views of others. She is able to listen and identify issues or problem areas and form innovative solutions. Christina Lam graduated from University of San Diego.
She is board certified as a nurse practitioner. She specializes in Children, Adult, Family, and Geriatric psychiatry. John P. John was born and raised in San Diego.
He is a certified addictions treatment counselor and clinical supervisor. He specializes in facilitating process groups, motivational interviewing, crisis intervention, mindfulness-based cognitive therapy and community building. JP has extensive experience working with the criminal justice, Native American and Female populations. Having gone through treatment himself, JP pursued a career in the field of addiction. David was born in Los Angeles California and raised in Indiana. Eventually residing roots in North County San Diego.
David enjoyed a long successful, yet unfulfilling, career in communications as a fiber optic technician. Through personal recovery, he discovered a true passion for helping others and while on his journey had the pleasure of encountering Director Team Members of Crownview Co-Occurring Institute.
The team requested that David come in to interview and the rest is history. David has held many positions at CCI with a humble beginning as support staff, quickly being promoted to house manager. David has dedicated his personal and professional life to helping others. He believes this is the essence of recovery. Amy Thompson Director of Human Resources. Amy studied business management, finance and accounting at Owens Collage in Toledo Ohio.
Her education and aptitude for management eventually led her to finding a lucrative career as an Operations Director in various industries. Amy found not only a positive work environment but a family, as well as success using her true passion for recovery and her talents in business management.
Amy has come to realize that working with others and helping clients on their own path in treatment and recovery has greatly enhanced her own. Amy believes she has found her true purpose at CCI. Kelly Schwarzer Medical Assistant. She moved to Oceanside in after living in the Inland Empire. She has been married for 25 years and has two amazing children. She has been a medical assistant for 20 years and a vocational nurse for 10 years.
She has worked in several different medical settings including instructing at a vocational school and as a health technician in an elementary school.
Kelly has always had a strong passion to help and advocate for others. She has worked in the mental health and substance abuse field since After having several instances in her life that have involved some form of mental health or substance abuse issue, she felt this field calling to her.
Working here at Crownview Co-Occurring Institute allows her to share her experience, strength and knowledge with our clients on a daily basis. Jovanna Wiggins Administrative Assistant. Jovanna was born and raised in Lancaster, CA and moved to Oceanside in Jovanna worked in the Special Education field for 5 years primarily working with students with autism and behavioral and learning disabilities. After becoming a licensed site supervisor, she managed a licensed childcare facility providing child development, vocational services and providing support to children and families of Oceanside.
After many of those close to her began to struggle with mental health and substance abuse it led her to a change in career where she could help those struggling with mental health and addiction. At Crownview Co-Occurring Institute, every day makes her feel like she is helping others and making a difference, even if it is in the smallest gestures. CCI is about acceptance and positive change.
Working in an environment like CCI has been life-changing to Jovanna and those around her. Brittany Iparaguirre Associate Director of Operations. Brittany possesses a B. Brittany joined the team back in March and knew she found her passion on her first day of work. Brittany works closely with each department and client, ensuring all day to day needs are met. When Brittany is not at work, she is cheering on the Yankees, watching The Office, going to shows, and spending time with her family and friends.
Alexandria is an Associate Clinical Social Worker working towards state licensure. Alexandria also has extensive experience working with current and formerly homeless individuals and their families, spending several years working for the Los Angeles County Social Services as well as with a nonprofit assisting families in the San Diego area that suffer from addiction and mental health issues obtain employment and permanent housing.
Alexandria is passionate about helping her clients achieve self-empowerment and feel heard so they can go on to live healthy and productive lives, something working at Crownview allows her to do on a daily basis. Alexandria enjoys spending time with her family including her cat and dog.
Michelle Ertel Director of Case Management. Over the course of her extensive career in non-profit organizations spanning over two decades, she has held various titles such as Shift Supervisor, Substance Abuse Counselor, Program Manager, and Program Director. Subsequently, as a result of her vast experience and knowledge in the field but more importantly her compassionate heart , Michelle was recruited to the CCI team in February Emily Skillings.
My Love for physical fitness was established at an early age. Dancing, hiking, biking, rollerblading, and snowboarding were many of the activities I enjoyed growing up. Since moving to California, I have furthered my passion for physical activity, utilizing physical fitness to help individuals suffering with mental illness and substance abuse. This is something I identify with due to my own battle with addiction and depression. I personally use physical fitness and proper nutrition as staples in my recovery journey.
Fitness to me, is not just about physical appearance, fitness is a lifestyle choice that requires practice. That practice should continuously evolve in knowledge and experience, just as we do in life. I honestly believe that fitness can support a person healing their mind, body, and soul.
Being a part of the Solutions Wellness Center has changed my life in many positive ways. My hope is the Wellness Center will do the same for the clientele we serve.
Supporting them in finding healthy habits and a renewed sense of self-love and self-confidence. In one-on-one nutrition counseling, Amanda uses a non-diet approach to facilitate long term change in eating behaviors, providing clients with the tools and education necessary to achieve healthier eating habits. In group nutrition sessions, Amanda uses a hands on approach to nutrition education via cooking activities and food demos. Jordan is a PsyD who comes from an in-depth background of psychology specializing in active hands-on and real-time oriented techniques utilizing a broad spectrum of classic and modern oriented therapeutic approaches.
The effects of Xanax are typically strongest between one and two hours after ingestion. The effects of Xanax may include:. If you take Xanax to get high, the effects are a little different. People who abuse Xanax usually take it at larger than normal doses.
In high doses, Xanax effects may include:. Xanax effects peak around one to two hours. They begin to gradually subside after reaching their peak.
Usually any noticeable effects of Xanax are gone within about four hours. People prescribed Xanax for anxiety may take Xanax two or three times a day depending on their needs. There is also an extended release form of Xanax that is taken once a day. Extended release means the effects of the drug are spread out throughout the day instead of being delivered right away. Though effects of Xanax may wear off in four hours, the medication stays in your system longer.
The length a prescription drug stays in your system depends on its half-life. The half-life of Xanax is around 11 hours. This varies depending on factors like how quickly you metabolize drugs. People can metabolize drugs at different rates.
In general, it usually takes two to four days to eliminate Xanax from your system. These may include saliva, blood, urine and hair tests. How long Xanax stays in your system depends on your individual makeup. On average, these are the time periods for detecting Xanax:. These sometimes include:. Xanax may stay in your system for a shorter amount of time if you have high metabolism. Things that impact the way your body metabolizes Xanax may include activity level, ethnicity, muscle mass, age and size.
How long Xanax lasts may also depend on the dose. Higher doses may take longer to metabolize. Xanax comes in. These are called withdrawal symptoms.
They may last for at least 2—4 weeks. This is called protracted withdrawal. A doctor can help a person gradually reduce their Xanax dosage. This is called tapering. Tapering can minimize the risk of serious withdrawal symptoms, including seizures. Although withdrawal can be difficult, tapering is often effective.
A bottle of Xanax should carry an expiration date and the date that the pharmacist filled the prescription. Expiration dates indicate how long the drug is safe and effective to take. This date is based on when the manufacturer made the drug. Taking an expired drug may no longer provide full benefits. Also, there is an additional risk of adverse effects. Storing Xanax correctly helps ensure that the drug will remain effective until its expiration date.
Do not store Xanax in a bathroom, as moisture and humidity can cause the medication to break down sooner. Also, keep the bottle out of direct sunlight and out of the reach of children and pets. Make sure it stays in its original container. If Xanax has expired, it may not be effective or safe. Do not take expired Xanax before consulting a healthcare provider. Because Xanax carries a high risk of dependency, it is important to dispose of expired or unwanted pills correctly.
In the United States, correct disposal means taking the medication to an authorized Drug Enforcement Administration DEA controlled substances disposal location. There are also drug take-back days at select times of the year.
If a person cannot drop off their expired medication at an authorized location, they should follow the instructions for safe disposal in the trash from the Food and Drug Administration FDA.
Factors such as other medications and certain health conditions can affect how Xanax works and how long it stays in the body. Anyone with an anxiety or panic disorder should work with their healthcare provider to develop a safe and effective treatment program. Anxiety and related mental health conditions can cause ear ringing or tinnitus, and tinnitus can exacerbate existing anxiety.
Learn more about the…. Selective mutism is an anxiety disorder that causes an inability to speak in certain situations.
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