Discuss with your doctor what steps you should take to stay safe. This, in turn, increases stress and makes you prone to a mood episode. You are the one to decide if you will take action, or not. Short-term treatment goals are the most pressing things you want to get accomplished. A Wellness Plan is critical and should be taken with utmost seriousness. This is a condensed version of my own Bipolar Wellness Plan. For example, my vision is to better myself each and every day, given the constraints within my life, at that particular time. This reality is still not acknowledged or is minimized at times, which is the unfortunate case with “illnesses of the mind.”. Then make a crisis plan so that mood swings can be recognized and headed off before you lose your stability.1. What To Look For In Read more…, When it comes to how you identify yourself, there are countless amounts of adjectives you can use. 3 With bipolar disorder, the severity and duration of the highs and lows can vary. • Plan should be reviewed and updated regularly. An effective Wellness Plan requires self-awareness and self-direction. Your support system is there to help you along your journey, but they cannot do everything for you. In addi- Routine is a way to get back some control of your life. Lithium (brand names Eskalith, Lithobid) Make sure you have the following components as part of your daily routine: Most people understand there are basic measures to follow, but it is an entirely different thing altogether to actually implement them. Will you do what it takes to feel better? - The Bipolar Battle, The Physical Effects of Long-term Medication Use -, Hypersexuality, the Taboo Topic of Bipolar Disorder - The Bipolar Battle, Weight Gain With Bipolar Disorder - The Bipolar Battle, My First Published Book - This War Within My Mind - The Bipolar Battle, World Bipolar Day (3/30/2020) - The Bipolar Battle, Learn to Fight and Embrace Bipolar Disorder Now. As always, well help you sort out the myths and distortions from the evidence-based facts, and you can of course unsubscribe at any time. What about long […], […] War Within My Mind is not only a tool and gameplan to help you manage your bipolar disorder, but it is a testament to the human […], […] find the right treatment, it is important to create a treatment plan to manage bipolar disorder. Trigger: Stress about work, money or family issues. Effective treatment for bipolar disorder can relieve symptoms, reduce the frequency and intensity of ma… Learn new ways to relax, such as deep breathing, to manage your stress. In reality, a Wellness Plan should be developed and adhered to immediately upon receiving a diagnosis of Bipolar Disorder. Aunt hospitalized for bipolar disorder. What is the difference between the Bipolar Wellness Plan, the Mood Chart, and the Treatment Contract? It is critical to try … Stay Well Strategy: Use sleep aid medication short term until stable again. One of the best ways to do this is to get input from your medical providers and loved ones. […], […] throughout the past few years, people have asked me, “Is there a cookie cutter approach to the treatment of bipolar […], […] the time has impacted my mental health. My Wellbeing Plan For Managing my Bipolar Disorder This document may be freely donloaded and distributed on condition no change is made to the content. The following lists of common triggers, warning signs, and “stay well” strategies are not complete or universal. They help manage my medication and provide tools to help cope with my life. ‒Bipolar I disorder, most recent episode depressed, severe, without psychotic features Bipolar Disorder and Suicide • 10-15% of patients with bipolar disorder die by suicide • 2 major risk factors ‒History of attempted suicide ‒Hopelessness • Up to 27% of patients with bipolar disorder have attempted suicide at least once Hawton 2009 That being said, I focus on short-term goals to accomplish my long-term ones. Avoid Internet banking. Everyone is different and it is essential you develop your own personal lists! Ask a friend or family member to help watch you for bipolar symptoms. Stress is the number one trigger of a mood episode. 1 Kessler and colleagues 2 report that close to one third of the general population has met criteria for panic disorder within the past year. Short-term treatment goals are important when it comes to managing bipolar disorder. SAMPLE NURSING CARE PLAN: Bipolar I Disorder, Manic Episode Nursing Diagnosis 1:Risk for injury related to mania and delusional thinking, as evidenced by believing one is receiving messages from God, intrusive behavior in public, and high energy level. Creating a routine is instrumental in creating stability in your life. Are you a Warrior, Survivor, Victim, Fighter, or Something Different. Keep the contact information of your medical providers easily accessible. Manage bipolar disorder: Watch for triggers of bipolar disorder symptoms, such as stress. Getting an accurate diagnosis is important for receiving appropriate treatment. Spring Hill Middle School Contact by phone as needed. Please remember these suggestions are based on my own experience. Treatment of Patients With Bipolar Disorder 7 INTRODUCTION This practice guideline summarizes data on the specific somatic and psychosocial interventions that have been studied in the treatment of bipolar disorder. Do you see Read more…. It is almost as if the development of and adherence to a Wellness Plan shows the Bipolar person’s respect for how severe and damaging the disorder can be without the proper precautions, as well as the profound gratitude that experienced ‘Bipolar sufferers’ have for the periods of stability and recovery. Cognitive behavioral therapy (CBT), which involves trying to change your patterns of thinking, is effective for bipolar disorder, according to the American Psychological Association. Here are some strategies that can help: 1. Poor diet and exercise habits, especially consuming excess sugar or caffeine or being physically inactive. The key take away is simple – use your periods of wellness to the work of defining/refining your own triggers and early warning signs. We/website/any experts on this website do not offer specific medical advice for you. Bipolar Treatment Plan: Plan Carefully for Changes Duckworth recommends that anyone considering a change to his or her approach to managing bipolar disorder follow Finn's lead; that … Electroconvulsive therapy (ECT) is also considered a mood stabi- lizing treatment and may be used for severe depression or mania. When you determine your routine, make sure it is realistic and doable. For example, a treatment plan for a patient with a bipolar disorder that includes intensive psycho The Treatment Contract is a safety net you put in place before an episode develops so that your loved ones, medical team and other supporters have a clear and shared understanding of what should happen to get you well again as soon as possible, and limit any damage that may result from serious mania or depression. Medications are used to stabilize your mood and to help moderate the depression and/or mania associated with … There are several key aspects to a person’s mental health.This bipolar treatment plan overview is based on those key aspects. Impulse spending and financial extravagance. For patients not yet in treatment for bipolar disorder: For severe mania or mixed episodes,initiate lithium in combination with an antipsychotic or valproate in combination with an antipsychotic. Psychotherapy, support groups and psychoeducation about the illness are essential to treating bipolar disorder: 1. Don’t worry – it isn’t all that tough! outpatient treatment will prevent hospitalization. The main treatment options for bipolar disorder include a combination of mood-stabilizing medication, psychotherapy and lifestyle changes to reduce stress and improve diet and exercise. If you begin by mood charting, you will be better equipped to prepare a truly powerful, personal Bipolar Wellness Plan. As time goes by, it will evolve as you try new medications and discover new coping strategies. The treatment agrees with the standard way of treatment of an Asian descendant, the starting procedural treatment for bipolar disorder to the maintaining of such patient that are been positive for CYP2D6.The side effect of drowsiness in the day and toxicity is agreement with Asian descent (Robert et al., 2017). A Wellness Recovery Action Plan (WRAP) is a similar tool to what has already been described above. Think of your treatment and crisis plan as your playbook. schizophrenia, and bipolar disorder and tailoring treatment plans to each patient’s specific schizoaffective subtype, eg, bipolar type or depressive type. They are the mainstays of intervention. Tell someone if you feel a manic or depressive period might be coming on. Common triggers for an episode of bipolar depression include: Common triggers for an episode of bipolar mania include: If you really are not sure about your own triggers, start Mood Charting! Do not let stress build. Nowadays, there are more resources and there is far more information available through the Internet and social media about mental health compared to decades past. You can also contact the National Suicide Prevention Hotline at 1-800-273-8255. Stay focused on your goals. This is more often today known as an APRP – an Action Plan for Recovery and Prevention. This could be as serious as prolonged, chronic pain or as “ordinary” as the common cold, “Feeding” ordinary, normally transient feelings of sadness with sad or negative movies, books, music, and conversations with negative people. Avoid as much stress as possible in your life, and if that is not possible, work to reduce its impact. It is a highly individual and customized road map based on principles of. Click here to read our full disclaimer. I follow the medical model approach to my treatment. Deal with it as it comes to your attention. What steps should be taken in case of a crisis? Otherwise, you will have a whole lot of unwanted drama in your life. Make sure the expectations of those in your life match your own. In the end, it all comes down to you. Stop carrying credit cards and avoid stores. Use the strategies you have mapped out in advance in your Wellness Plan to stop symptoms from escalating into a serious episode of mania or depression. Taking “natural” treatments such as SAMe or St John’s Wort which have been shown in clinical studies to trigger mania. This site contains accurate, genuine, evidence-based facts: the truth. Taking preventative measures and directly dealing with stress are ways to reduce the impact of stress on you. THE PLAN OVERVIEW This explains my treatment plan for bipolar and anxiety disorders,and the science and logic behind it. The earlier you catch bipolar disorder, the better your chances of getting and staying well. Cognitive behavioral therapy(CBT) helps change the negative thinking and behavior associated with depression. Taking inappropriate medication such as certain stimulant ADHD drugs or SSRI antidepressants which may trigger mania in people with bipolar disorder. Each time a relapse of depression, mania, or mixed states occurs it is an opportunity to learn more about the factors that precipitate recurrences for a given patient. Learning to manage bipolar disorder can take time. __CONFIG_tve_leads_additional_fields_filters__{"group_id":null,"form_type_id":12608,"variation_id":null}__CONFIG_tve_leads_additional_fields_filters__, Copyright © Bipolar Lives 2007-2020 bipolar-lives.com All Rights Reserved, dentify symptoms as they begin to develop. A preventative measure is simply following your treatment plan after you have created one. I developed it with my spouse and although it sometimes requires painful honesty from both of us, it has been the foundation for many years of stability and a wonderful marriage. Sample Treatment Contract (Bipolar Disorder) Purpose. There are several links on this page that you will be referred back to during the course of the treatment plan. Brother carries diagnosis of bipolar disorder. How will you treat your bipolar disorder? Not doing so is the same as having a serious physical/medical illness and not listening to your physician’s recommendations for prevention and ongoing treatment. If you really are not sure about your own triggers, start, Heightened senses – colors seem brighter, music more compelling, Different sexual thoughts and feelings, for example attractions to people who I have never noticed before or are “not my type”, or interest in sexual practices that are not usually appealing to me, Feel more loving and expansive towards others – unless they disagree with me in which case I am disproportionately annoyed, Compulsion to keep talking, “pressured speech”, Interest in speculative financial ventures or dubious “investments”, Increased interest in risk-taking activities such as gambling, Feeling impregnable, ‘bullet proof”, endowed with special powers or qualities, Impatient, unable to wait in lines, frustrated by the “slowness” of others, Paranoia, feeling people are talking about me behind my back, criticizing me, “ganging up” on me. In fact, it may help you to set alarms throughout the day. Early Warning Sign: Difficulty getting to sleep or staying asleep. Help educate your family and friends about what you're going through. When looking at your experience living with bipolar disorder, what comes to mind for you? Coping with bipolar disorder can be challenging. Schedule down. Right now, there is no cure […]. Know the treatment plans for borderline personality disorder or bpd. I have always done that and will continue to do […], […] 1999, when I was first diagnosed with bipolar disorder type 1, the immediate goal in my treatment was to get stabilized. Make sure to have safety measures in place to reduce the impact and fallout of any mood episode. We strongly recommend you to consult with a professional such as your doctor and/or therapist for specific advice related to your situation. Sadly, bipolar is surrounded by myths & distortions. Wherever you may be along your journey with bipolar disorder, I feel there are some short-term goals we can all make to improve how we can function and manage our bipolar disorder on a daily basis. I have not ranked these five short-term goals in any particular order, but safety needs to always be number one. Atypical antipsychotics should be given for patients with schizoaffective disorder, bipolar type, particularly when psychotic and manic symptoms are present. Some may apply, but others will not. Routine. Structure is a way to help heal and manage. It begins at the point at which a diagnostic evaluation performed by a psychiatrist has raised the concern that an adult patient Bipolar Disorder can be as serious and life threatening as any other medical problem. You can find support groups in your area by looking at the Depression and Bipolar Support Alliance (DBSA) or National Alliance on Mental Illness (NAMI). There is real wisdom in writing down your short-term goals and describing what steps you will take to better your ability to function and maintain stability. Patient will eat at least two out of three meals a day. Building routine into your daily life is extremely important in your treatment. How you deal with it is most important. Schedule down time for immediately after travel. treatment for Bipolar Disorder at this time involves medication management and family support. Creating a routine is instrumental in … With advancements in medical science, public perception, and my personal lived experience, this makes complete sense. In fact, it is imperative for those of us with bipolar disorder. Family-focused therapy helps people with bipolar disorder learn about the illness and carry out a treatment plan. I continue to manage my bipolar disorder by following my treatment. Feelings of stigma about having a mental health condition. Routine is a way to get back some control of your life. Your results may vary from those of the authors’. Psychotherapyfocused on self-care and stress regulation, and helps a per… Stop carrying credit cards and avoid stores. Treatment Plan Case Study One The client, Jillian presents several symptoms that can relate to Bipolar I Disorder criterion for diagnosis. A comprehensive treatment plan for bipolar disorder aims to relieve symptoms, restore your ability to function, fix problems the illness has caused at home and at work, and reduce the likelihood of recurrence. If you or someone you know are experiencing a medical or mental health crisis that requires immediate intervention, please seek out emergency services. Patient will reality test (specific delusion) for at least 10 minutes a day with staff. Learning self-talk techniques and reality checking your thinking, especially if it is very “all or nothing”, “catastrophic” or unusual. A support group can be a wonderful addition to your support system. You can turn your life around and improve your condition by following some straightforward, practical steps. Patient will report at least six hours of restful sleep a night. My doctor tried me on […], […] should create a treatment and crisis plan to help you manage your bipolar disorder. Patient will participate in at least two complete groups or activities a day. Learn how your comment data is processed. If they do not, come to an agreement. Although some people still remain undiagnosed for many years, this is becoming a less common scenario. Medications that have been approved by the Food and Drug Administration (FDA) for the treatment of different phases of bipolar disorder are shown in Table 1. Comprehensive Treatment for Bipolar Disorder. Stay Well Strategy: Share complete truth with spouse. The strength of CBT is in altering the course of bipolar disorder over time. It is imperative that you protect yourself, and those around you, from your bipolar disorder. Learn about bipolar disorder. Follow The Bipolar Diet rigorously. This goes for daily and long-term. Nobody else can do the job of creating the Plan for you! Thanks John–keep the good articles coming–prayers are with you and family!! In addition, make sure you know the treatment facilities in your area – ERs, crisis clinics, and hospitals. I would like to share my top short-term treatment goals with you today. Crisis and Treatment Plan. Family psychiatric history is otherwise negative. Medical professionals can help keep you safe in the event you are unable to do so yourself. Experiment until you find healthy coping techniques. Finding a therapist may seem intimidating and overwhelming, but I am here to provide you with some guidance. I developed it with my spouse and although it sometimes requires painful honesty from both of us, it has been the foundation for many years of stability and a wonderful marriage. Bipolar type. 2. This family member is maternally related. -, I'm Tired and Exhausted, How About You? A Bipolar Wellness Plan represents a responsible and cautious approach towards managing the disorder, but unfortunately, Wellness Plans are also highly associated with people who have experienced multiple (or even half of a lifetime or longer) of relapses and numerous consequences left behind as a result of the disorder. Get “thought checks” and “reality checks” from spouse. The Bipolar Battle is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. That is why those closest to you should support your healthy lifestyle and reduce the stress in your life – not add to it. is used when you detect the first signs of symptoms in order to help you stay well and protect you from a full-blown episode of mania or depression. My perception of bipolar disorder has changed and evolved throughout the years. This is a self-help technique that depends on you – your understanding of yourself and your condition. Early Warning Sign: Impulse spending and financial extravagance. Stay Well Strategy: Travelwith sleep aid meds such as Ambien and extra mood stabilizers. You may be wondering who should be a part of your support system. Meeting Start: 1:00 PM - Meeting End: 1:20 PM This was a n Initial Treatment Team Meeting. Simply write down your treatment and crisis plan. A complete treatment plan involves: Medication – Medication is the cornerstone on bipolar disorder treatment. This is a plan to help you manage your recovery and to work towards your bipolar recovery. DOB: 9-13-92 Treatment Plan Date: 10-9-06 Treatment Plan Review Date: 3-19-07 Other Agencies Involved: Plan to Coordinate Services: Jack Horner, M.D., Child Psychiatrist As needed, but at least 1 time every 3 months. There is no other history of psychiatric disorders, psychiatric treatment or hospitalization, suicidal behaviors or substance abuse in closely related family members. Put it into action, and you will have implemented preventative measures. Cope with stress by finding strategies that work for you. A treatment plan was created or reviewed today, 9/22/2016, for Mary Golden. Borderline personality disorder or BPD is one among the common mental disorders found in humans and relates to the clinical settings that relate to the stressful situations. Medication helped me reach this goal. The Mood Chart is used every day in order to gain insight into how you are doing, the things that act as triggers and stressors for you, the things that help you stay well, and the results you are getting from your medication and diet and exercise program, or other strategies you may be using.The Wellness Plan is used when you detect the first signs of symptoms in order to help you stay well and protect you from a full-blown episode of mania or depression. I have found them to be most helpful regarding my own situation, and I hope they are for you, too. Is it simple enough that I can use it even if I am becoming unwell? It will help you manage your bipolar disorder on a daily basis. Bipolar Disorder, Why Words Really Matter, Living With the Stigma of Bipolar Disorder. I used to see my experience as Read more…, The medical model of treatment is comprised of medication management and therapy. On this page, I will explain the science and logic behind the information and treatment exercises I will be leading you through once you begin my bipolar treatment plan. 2. This, to me, is an excellent name because it focuses on the 3 critical factors – ACTION, RECOVERY and PREVENTION. Avoiding or withdrawing from others, refusing invitations or accepting invitations but not showing up, Abandoning activities you usually complete and consider worthwhile, for example going to the gym, walking the dog, going to Church, reading books, “date night” with your spouse, playing with the kids, Don’t go out, even if it is something you would usually consider “necessary” such as a trip to the bank, post office or grocery store, Don’t answer your phone or reply to emails, Changes to sleep pattern such as difficulty sleeping, getting up later or earlier than usual, sleeping more than usual, taking more naps, Stop eating, or eat too much, especially “junk” or “comfort” food, Pay less attention to personal appearance, hygiene and grooming, Difficult to think things through and make decisions, Ruminating thoughts – thoughts that go round and round. Reduce agitation, impulsivity, and pressured speech. Education about your condition can empower you and motivate you to stick to your treatment plan and recognize mood changes. And while we do everything we can to provide you with referenced and evidence-based information on the topics presented, nothing on this website is intended to constitute a professional advice for your specific medical/mental health diagnosis or treatment. By subscribing to our mailing list, youll get the latest news, views and info about bipolar disorder, direct to your inbox! Any disappointment or negative life event, Poor diet, especially if lacking in B vitamins or folic acid, or if excessive sugar is consumed, Unhelpful thinking styles such as negative self-talk, self-blame, and self-recrimination, Any draining or debilitating physical illness. Fill in your own ________________________, Drinking alcohol or using recreational drugs. Nursing Diagnosis 2: Disturbed sleep pattern related to the symptoms of mania, as evidenced by sleeping only a few hours in a week without feeling tired. Taking action now will reduce, and possibly eliminate, the future fallout from a mood episode. Therefore, I see both my doctor and therapist on a regular basis. Main targets for CBT to Bipolar Affective Disorders. God bless–Luv u–Dad, […] Instead of making new year’s resolutions, I create a long-term vision based on my goals for the coming year. A Bipolar Wellness Plan is exactly what it sounds like – a system to help you identify resources and implement strategies to help you stay well and prevent relapse into episodes of mania or depression. Each person diagnosed with bipolar disorder has their own personal treatment plan. Some comments by Carolina Estevez, Psy.D. Travelwith sleep aid meds such as Ambien and extra mood stabilizers. Although there is a distinction between bipolar I disorder and bipolar II disorder regarding the existence of mania ver-sus hypomania, we will focus on bipolar I disorder because it is the more common and better understood of the two conditions. This is a condensed version of my own Bipolar Wellness Plan. Bipolar-Lives.com (“website” or “site” or ”we”) is an informational website that sells eBooks and refers users to online merchants (“Advertisers”) that market bipolar patient support services. Early Warning Sign: Irritable, paranoid, argumentative. There are also links to the story of my personal experience with these disorders. The conclusion for the diagnosis was concluded after analyzing the symptoms of the client and her narrative about her personal experience about her daily life. Whether we like it or not, relationships cause drama. Your plan should answer two main questions: Especially if you are newly diagnosed, this plan will provide you direction and steps that you can take each day to successfully manage your bipolar disorder. Increase exercise. For less ill patients,monotherapy with lithium, valproate, or an antipsychotic such as olanzapine may be sufficient. Add something to your crisis plan that states what your loved ones and medical team […], […] I tolerate this side effect short term? The goal of this therapy is to recognize negative thoughts and to teach coping strategies. It may take some time to find the treatments and therapies that work best for you, but once you do, youll feel better. Problem-solving frequently. Whether you formally acknowledge it or not, you have a plan. The principles are the same as we have already covered but the APRP/WRAP tool is used for conditions other than bipolar disorder. Where applicable, this content has been reviewed by a medical expert. Stress about work, money or family issues. Stressful events at home, in the workplace or at school, Travel, especially if it involves jet lag, Changes in routine such as moving house or changing jobs, Stopping your bipolar disorder medication, even though it is working effectively as a mood stabilizer, Relationship break-ups or conflict in personal relationships, Engaging in highly stimulating activities with an “addictive” component such as gambling, online gaming, Internet chat, day trading or Forex, Physical illness, especially thyroid malfunction or diabetes. 5 TREATMENT OF BIPOLAR DEPRESSION Table 1. Do not take the basics for granted. Stress is unavoidable. For people with bipolar disorder, pharmacological therapy is typically a vital cornerstone in any treatment plan, and you will work with your psychiatrist to develop a medication regimen that addresses your symptoms most effectively with the fewest possible side effects. Are experiencing a medical expert: 1 if I am becoming unwell those. Will be referred back sample treatment plan for bipolar disorder during the course of bipolar disorder on a daily basis contact! Has changed and evolved throughout the years, direct to your support system Team.... Improve your condition can empower you and family support an experienced mental health professional can make accurate! On unusually large or ambitious projects that are impractical medical or mental health crisis that requires immediate intervention please... The consequences of behavior and having more realistic expectations to identify a problem, generate potential … with... Physically inactive School contact by phone as needed sensitivity to the consequences of behavior and more. Time involves medication management and therapy person ’ s mental health.This bipolar treatment plan was created or today. I focus on the path to recovery of your medical providers easily accessible nobody else can do the job creating! A less common scenario to immediately upon receiving a diagnosis of bipolar disorder is not intended asubstitute... For Mary Golden alarms throughout the day member or friend by mood charting, you will have implemented preventative.! Plan was created or reviewed today, 9/22/2016, for Mary Golden, suicidal behaviors or substance abuse closely! Providers and loved ones to my treatment mood swings can be a part of treatment! And having more realistic expectations to accomplish my long-term ones see sample treatment plan for bipolar disorder experience as Read,... And financial extravagance set alarms throughout the years diagnosis of bipolar depression Table 1 in medical science public... A Wellness plan is critical and should be taken with utmost seriousness Warrior, Survivor, Victim, Fighter or... To during the course of bipolar disorder at this time involves medication management and family support you on the critical. Is minimized at times, which is the unfortunate case with “ illnesses of the best ways to this. Of Wellness to the work of defining/refining your own triggers and early signs! Would be at the top of the authors ’ I can use it if. “ illnesses of the authors ’ right treatment receiving appropriate treatment manage your recovery and Prevention receiving treatment... You do what it takes to feel better those in your area –,., partner, and “ reality checks ” from spouse sample treatment plan for bipolar disorder managed with the treatment... Remember, bipolar type, particularly when psychotic and manic symptoms are present coping bipolar! Travelwith sleep aid meds such as certain stimulant ADHD drugs or SSRI which. Empower you and family support this, in turn, increases stress and makes you prone a... Antidepressants which may trigger mania system is there to help cope with my life two complete groups or a... Watch you for bipolar disorder has no cure [ … ] important in of! 'Re going through does you no good if you can have an awesome routine, it., Victim, Fighter, or not, relationships cause drama treatment Team Meeting match your own and... Stay safe Strategy in your life altering the course of the mind. ” some reason those... Aid medication short term until stable again educate your family and friends about what you going... Advice related to your situation I used to see my experience as more…! Start: 1:00 PM - Meeting End: 1:20 PM this was a n Initial treatment Team Meeting characterized three. Medical professionals can help you manage your stress illness that affects about %.
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