Opana(®) ER induced thrombotic thrombocytopenic purpura.

We present the case of a patient who developed thrombotic thrombocytopenic purpura (TTP) following intravenous injection of Opana(®) ER. TTP reemerged after three months of abstinence with Opana misuse. This case report brings awareness to the possibility of developing TTP in those who misuse Opana, which is a growing concern.

[Treatment of adolescents with identity diffusion: a modification of transference focused psychotherapy].

This paper is an introduction to a treatment for adolescents with identity diffusion that has been modified from a therapy that has been found to be effective in the treatment of adults with significant identity diffusion, namely, Transference Focused Psychotherapy. The central role of differentiating normal Identity Crisis from Identity Diffusion in adolescents, essential to accurately identifying those adolescents appropriate for this treatment, is articulated. The primary modifications of TFP for adolescent treatment described involve changes in frequency and duration of some of the specific techniques (e.