![]() ![]() The intake is 92mm large to help make the gas transfer as smooth as possible. The second top manifold on my list is the GM Genuine Parts 12580420 Intake Manifold Assembly. GM Genuine Parts 12580420 Intake Manifold Assembly The entire kit can be bought in either a 105mm throttle body or a 92 mm one.Ģ. The material used for this product is cast aluminum alloy. ![]() The installation process is also pretty easy and can be done at home quickly without needing to go to a professional. Moreover, this manifold will fit your engine perfectly without creating any problems during installation. It is a good idea to get this manifold along with a carburetor because when paired with it, you will get the best result out of it. #LS INTAKE MANIFOLD INSTALL#Hence, you can easily install this product whenever you wish.Įven if the manifold does not come with all of the parts, because the brand is a popular and reputable one, you will easily find any missing parts in the market without having to search too much. The installation kit is not a problem either you can easily get it because it is a well-known brand. Holley’s mid-rise manifolds are an amazing choice in the market these are the best ones for hood clearance and excellent performance in town. The RM range, in addition, can be as much as 6,700 when using this. In addition, the torque when using this manifold will be up to 500, which is also proof of the product’s amazing performance. This is a great increase in horsepower, which proves that your engine is performing greatly. ![]() This particular manifold, for example, will give you a horsepower of up to 560 HP. Holley is a well-known company for manifolds and produces some of the highest quality products loved by everyone. The design of this manifold is mid-rise, and the height is around 40cm. In the first place, I have the Holley 300-135 LS3 Mid Rise Modular EFI Intake which has an RPM of 6,700. Holley 300-135 LS3 Mid Rise Modular EFI Intake ![]()
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![]() Listen to on the amazing new Apple Podcasts.Īlways use the complete name Apple Podcasts.Access Apple Podcasts in the Podcast app on your iPhone or on your Mac.ĭo not use superlatives to describe Apple Podcasts.In subsequent references, just Podcasts can be used. Itunes logo how to#When describing how to access Apple Podcasts, refer to Apple Podcasts or the Podcasts app from Apple on the first mention. Listen exclusively only on Apple Podcasts.Modifiers such as episodes, shows, or channels can be plural or possessive.Īvoid redundancy when crafting a message. Listen to new episodes in Apple Podcasts.ĭo not make Apple Podcasts possessive.Listen to new episodes on Apple Podcasts.See the Apple Approvals section for details.Īlways say on Apple Podcasts. Custom photography or video in which Apple products appearīe sure to allow at least seven business days for review and approval.Any marketing format with high visibility.Written approval from Apple is required for materials used in: Marketing materials don’t usually require approval by Apple, but there are a few exceptions. Follow these guidelines to make sure you’re using the Apple Podcasts lockup correctly. The Listen on Apple Podcasts lockup is a promise to your audience of a high-quality listening experience. Whenever a lockup is used online, you must include a link to Apple Podcasts. The Listen on Apple Podcasts lockup is especially suited to banner ads, print ads, and other forms of advertising. The Listen on Apple Podcasts lockup is designed for greater graphic versatility and can be used on layouts where the Listen on Apple Podcasts badge is either crowded by limited layout space or appears visually heavy in the layout. Instead, use the appropriate Apple Podcasts badge. If badges from other podcast services appear on your communication, do not use a lockup. Use the Listen on Apple Podcasts lockup when linking to episodes, shows, or channels on Apple Podcasts.Ī lockup can be used in all marketing communications promoting podcast content on Apple Podcasts. Use only the artwork provided by Apple and do not alter the artwork in any way The lockup does not contain a border, and the elements are not contained inside a shape. It's business.Wait, what?.The Listen on Apple Podcasts lockup is a combination of the Apple Podcasts icon with the message Listen on Apple Podcasts set in specially designed type. Listen, I know you worked on these for, for a few years, I was there, remember, but in the end we didn't actually use any of them so we don't feel that we need to pay your 's just common sense. "Ya, no, I .Felix.listen to me.Fe.Felix, calm down. If it's not losing Apple money, I'm pretty sure they don't give a damn what we think. I can never find it in my dock because I still look for the bright green note.anyway, cool ideas. Hopefully they get enough complaints that they change it soon. Pretty much any of these would be a big improvement. Now the new one is just a lame drab blue disk with a note in it. The original green note was, sure, a bit generic computer icon-ish but it was clear and recognizable as iTunes. Itunes logo update#Seriously, the most recent iTunes logo update was a gigantic step backwards. Maybe not visually perfect but if developed for a few months, it would've been a winner. But my favorite is the person with the headphones as the music note. A little obscure for the non-Mac users out there but I love the Command key symbol that has one of the four circles as a music note square-ish shape. ![]() ![]() Advise members of the public and other health professionals about medicines (both prescription and over-the-counter medicines), including appropriate selection, dosage and drug interactions, potential side effects and therapeutic effects.upload-resume-modal.Be involved in the management of pharmaceutical companies.Use the geographic coordinates of the company location: 34.107523, -83.875574, to easily reach the given address using GPS navigation. Spout Springs Road 7380, 30542 Flowery Branch, United States. The country where Kroger is located is United States, while the companys headquarters. Work in the research and development of medicines and other health-related products. The industry in which Kroger operates is convenience store.Develop legally recognised standards, and advise on government controls and regulations concerning the manufacture and supply of medicines.Select, give advice on and supply non-prescription medicine, sickroom supplies and other products. The current location address for Publix Pharmacy 0634 is 3446 Winder Hwy,, Flowery Branch, Georgia and the contact number is 77 and fax number is 77 Address: 5900 Spout Springs Rd, Flowery Branch, GA 30542 Note that Elite Tire and Auto is not downtown flowery branch and is over across from Kroger and Publix- 7380 range on Spout springs.Advise patients on how their medicines are to be taken or used in the safest and most effective way in the treatment of common ailments.Prepare or supervise the dispensing of medicines, ointments and tablets.It is also about promoting health awareness and contributing to the betterment of the community. You will find Kroger situated at a convenient position at 7380 Spout Springs Road, on the south-east side of Flowery Branch. But pharmacy is not just about filling prescriptions. This is like the white trash Kroger while the spout springs location is more like whole foods. At the pharmacy, a pharmacist oversees the fulfillment of medical prescriptions and is available to give advice on their offerings of over-the-counter drugs. Kroger, 4025 Winder Hwy, Flowery Branch, GA 30542, USA. The Kroger at 7380 Spout Springs Road is selling the cheapest regular gasoline in Flowery Branch for the week of June 29-July 5, according to. Pharmacy also called "drugstore" is a retail shop which provides prescription drugs, among other products. Kroger spout springs professional#The Kroger Co is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law counsel patients and caregivers (sometimes independent of the dispensing process) administer vaccinations and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. The Kroger Co accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Open a location dialog with the map focused on the address: 7380 Spout Springs Road, Flowery Branch, GA 30542 7380 Spout Springs Road, Flowery Branch. Kroger spout springs License number#Active license number of The Kroger Co is 009481 for Community/Retail Pharmacy in Georgia. The authorized person of The Kroger Co is Allison Muennich who is Manager Of Pharmacy Licensing of the pharmacy and his contact number is 51. It is located at 4025 Winder Hwy, Flowery Branch and it's customer support contact number is 77. 7380 Spout Springs Rd Flowery Branch GA 30542 (770) 965-5640. Kroger spout springs code#The Kroger Co is a Community/Retail Pharmacy in Flowery Branch, Georgia. Kroger Pharmacy a provider in 7380 Spout Springs Rd Flowery Branch, Ga 30542 Pharmacy Community/Retail Pharmacy taxonomy code 3336C0003X and license number. ![]() ![]() The Polaroid Insta-share will available at .uk and John Lewis from early January for £119.Īs excited about the Polaroid Insta-Share as we are? Let us know on Twitter and Facebook. #INSTASHARE MOTO MOD MODS#Other Moto Mods have included a nifty 360-degree camera, a short-throw projector, a gaming controller and battery pack, all of which have failed to cause a huge impact in the UK market. This camera add-on featured an optical zoom lens, but failed to wow us due to its poor maximum aperture size. The Insta-Share isn’t the first time Motorola’s partnered with a big name to make a Moto Mod, though: two years ago the company unveiled the Hasselblad True Zoom. #INSTASHARE MOTO MOD MOD#The Moto Mod system was launched on the original Moto Z and lets you add new functions to compatible phones using a series of optional bolt-ons, which magnetically clip onto the phone’s back. #INSTASHARE MOTO MOD FULL#According to Motorola the Insta-Share will let you print 10 photos and will feature an undisclosed dedicated battery, to help save power. This is the full review of the Moto Mod Instashare Projector with the latest updates stretching to 2019 // Follow Me on Social Media /alter. Printed snaps will be 2 x 3 inches big and have adhesive backs. The photos are printed using Polaroid Premium ZINK Zero-Ink Paper. The Moto Insta-Share Projector projects up to 70 on any flat surface and automatically adjusts the picture when you raise or lower the screen. Shop Moto Mod for Moto Z phones- Polaroid Insta-Share Printer - White - PG38C02062 online at best prices at desertcart - the best international shopping. Motorola’s also promised a number of editing options, including filters and special borders, to help make your snaps even more twee. It’ll be able to print snaps directly from Facebook, Instagram and Google Photos as well as from the phone’s built-in storage. The mini printer works the same way as the HP Sprocket once it’s attached to the back of a compatible phone. It was originally shown off as an experimental model during a press presentation at MWC earlier this year, and has been built in partnership with photography powerhouse Polaroid (or the latest incarnation of it, at least). The Insta-Share is the latest Moto Mod from Motorola and will work with the company’s Moto Z2 Force and Moto Z2 Play phones. 9,800).Wanna print mini snaps for your friendship wall like it’s 1999? Then you’ll be excited to hear Motorola’s unveiled a new ‘Insta-Share’ Moto Mod that’ll let you do just that. The splash-resistant module went on sale in the US at $150 (approximately Rs. Last month, Motorola had tied up with Amazon to launch the Moto Speaker with Amazon Alexa Mod. Also, it packs a 500mAh battery that can last for 20 prints. The Insta-Share Printer Mode adds a thickness of 20.4mm to your Moto Z device and enhances its weight by 188 grams. The Polaroid Insta-Share Printer brings your photos to life in seconds, letting you enjoy photos beyond your smartphone screen," Moto said in a blog post. "Your Moto z already captures all your favourite moments, and now you can treasure them with the latest innovation in instant printing. /rebates/2fus2fmoto-mods-polaroid-insta-share-printer2fp&. Further, the module comes with some sample sheets, but you need to pay $20 (roughly Rs. The proprietary photo printer Moto Mod supports Polaroid Premium Zink Zero-Ink Paper that can be stuck as a sticker using the adhesive available on its back. Once you've locked your subjects or objects in the frame, the module is ready to take their prints. You need to snap the Insta-Share Printer Mod to your Moto Z and then click the physical button to launch the camera. Moreover, it is capable of printing 2x3-inch smudge-proof photos with customisable filters, boarders, and text. The Mod can also print your images directly from Facebook, Instagram and Google Photos. Polaroid's Insta-Share Printer Mod lets you capture your memories through your Moto Z smartphone and then print them live, without relying on third-party hardware. 13,000) and will hit global markets in the coming months. The new Moto Mod will be available for purchase through Verizon later this week with a price tag of $199.99 (approximately Rs. And now, Lenovo's Moto brand has partnered with Polaroid to expand the existing concept by adding a photo printer module called the Insta-Share Printer Mod. If there's something that gives a sharp edge to the Moto Z series, it is its modular design that supports different Moto Mod accessories. ![]() ![]() XOOM Energy, LLC through its family of companies is a retail electricity, renewable and natural gas provider in over 90 energy choice markets across North America. NATIONAL GRID MA FULLTo see a full list of frequently asked questions please visit XOOM Energy FAQs It only takes a few minutes – all you need is your utility bill to get started. If you are the account holder or legally authorized person on the account, you may enroll right here online. How Do I enroll for service with XOOM Energy? We are not affiliated with, nor endorsed by any local utility or state commission. XOOM Energy’s family of companies includes: "XOOM Energy California, LLC", "XOOM Energy Connecticut, LLC", "XOOM Energy Delaware, LLC", "XOOM Energy Washington D.C., LLC", "XOOM Energy Georgia, LLC", "XOOM Energy Illinois, LLC", "XOOM Energy Indiana, LLC", "XOOM Energy Kentucky, LLC", "XOOM Energy Maine, LLC", "XOOM Energy Maryland, LLC", "XOOM Energy Massachusetts, LLC", "XOOM Energy Michigan, LLC", "XOOM Energy New Hampshire, LLC", "XOOM Energy New Jersey, LLC", "XOOM Energy New York, LLC", "XOOM Energy Ohio, LLC", "XOOM Energy Pennsylvania, LLC", "XOOM Energy Rhode Island, LLC", "XOOM Energy Texas, LLC", and "XOOM Energy Virginia, LLC" (hereinafter collectively "XOOM Energy") and offers electricity, renewable and/or natural gas products in each of their respective states. XOOM Energy, LLC through its family of companies is a retail electricity, renewable, and natural gas provider in over 90 energy choice markets across the U.S. An energy supplier purchases and supplies energy, the local utility, delivers the energy to your home. The utility still operates the local distribution wires and pipes which carry electricity and natural gas through its territory and to homes or businesses. An energy supplier is not your local utility. Wholesale energy supply sources include much of the same source that the utility will use, such as electricity generators or the open market. What is an energy supplier?Īn energy supplier is a company that acquires its electricity, renewable energy, or natural gas supplies from the wholesale market and is licensed to sell it retail to homes and businesses. Customers have the ability to choose from multiple competitive retailers that offer various service plans at competing rates. While your local utility is still responsible for maintaining the wires, pipes, and infrastructure that make up the distribution system, reading your meter, and responding to emergencies, the utility no longer holds a monopoly on the energy service. NATIONAL GRID MA FREEXOOM Xtras free customer loyalty programįrequently Asked Questions What is Energy Choice?Įnergy choice has been around for more than two decades in certain states and is designed to ensure consumers have access to adequate and competitively priced energy supplies.Budget Billing available in select markets.Pricing and plans designed to fit any budget.No service interruptions during the switch.You will experience no service interruptions during the switch and your local utility will continue to deliver your natural gas to your home and respond to consumer emergencies. There is nothing for you to do, we handle everything. When you choose XOOM Energy as your energy provider, switching your service is seamless and hassle-free. Utility Markets Available in Massachusetts with XOOM Energy Massachusetts Electricity Utilities Eversource Energy - Eastern MA When you choose a fixed price energy plan from XOOM Energy you can lock in a fixed price that stays the same for the duration of your contract, get protection from the uncertainty that you've come to expect with monthly energy bills, and get the peace of mind that comes with the pricing stability of a fixed price energy plan. We provide the necessary energy, a variety of plans, and dedicated service to you, your friends, and your family.Įlectricity Plan Options from XOOM Energy Fixed Price Plans Since 2012, XOOM Energy has proudly been serving electricity customers in Massachusetts with the belief that the power of personal connections sets us apart. We offer the freedom to choose the electricity pricing and plans that fit your budget and lifestyle. XOOM Energy is a dependable energy provider that connects Massachusetts residential electricity customers with the energy to help them power what matters the most. Massachusetts Residential Electricity Prices & Plans Energy Choice from XOOM Energy ![]() ![]() Famed American frontiersmen such as Daniel Boone, Simon Kenton, and Lewis Wetzel were proud owners and accomplished users of this new American work of art, which decades later became known as the Pennsylvania Rifle, and then the Kentucky Rifle.Īs a military weapon, the long rifle was slow and awkward to reload, even for an expert. Beck, Abraham Schweitzer, Christopher Kline, and John Graeff were just as well known and their products equally valued. But he was only one gunsmith among large numbers of equally adroit craftsmen. He and his assistants turned out hundreds of guns. Fancy silver trimmings and engraving were added to the taste of individual woodsmen.ĭickert, whose name was initially attached to a school of gunsmiths, was exceptionally productive. Dickert” on the barrel and often included an oval touch mark that contained an Indian tomahawk crossed with an arrow. #LONG RIFFLE PATCH#Dickert’s early models contained a rifled barrel of 40 to 46 inches long containing seven spiraled grooves a curved, curly maple stock and a brass patch box. Jacob Dickert, a Moravian from Lancaster, Pa., became noted as the developer of a superb gun that combined strikingly effective firepower with a design so simple and yet attractive as to denote his craftsmanship in wood, iron, and brass. Production rose and gunsmiths hired apprentices and assistants to keep up with demand. Shortly after the hybrid weapons were offered, American frontiersmen heard of their effectiveness and clamored for them. #LONG RIFFLE FULL#The result was a uniquely American weapon of German and Scotch-Irish lineage with a lengthened grooved barrel that allowed full burning of the powder charge and markedly increased range and accuracy. They cleverly married two concepts: the short-barreled rifled guns they brought from central Europe, and the long-barreled, smooth-bore English fowling pieces favored by their Scotch-Irish neighbors. A substantial contingent of immigrant German gunsmiths, who had debarked in Philadelphia, set up mills and gun shops virtually on the frontier. The muzzle-loading flintlock long rifle was developed in the first half of the 18th century, primarily in an area southwest of Philadelphia. Terrain and tactics were factors in the battle’s outcome, of course, but the most critical determinate was the distinctive weapon employed by the colonists. Thus this decisive engagement provided a distinct and undisputed test of 18th-century European close-order, volley-fire tactics against the precision-fire, open-order techniques favored by colonial frontier riflemen. The battle at Kings Mountain in October 1780 was the only clash of the American Revolution in which the entire colonial force was armed with American long rifles. ![]() ![]() Why go for Terraria server hosting?Īlthough Terraria offers you the in-game feature of “Host & Play,” where you can invite friends via Steam, the current session ends when you leave your game. The game actually shines brighter with its multiplayer mode when you conquer the world with your friends.Īnd if you want to invite your friends, you must choose a decent Terraria server hosting to add users from anywhere in the world. Whether you are an explorer, adventurer, builder, or fighter, Terraria has interesting offerings for everyone. It includes a progression gaming system where you get hours of exciting content, 200 or so block types, innumerable crafting recipes, 4 combat classes, and tons of useful accessories for defense, mobility, and offense. It perfectly blends classic action elements and the creativity of sandbox games to give a surreal gaming experience.ĭo not consider Terraria to be just like a 2-D Minecraft it is much more than that. The game is playable in single and multiplayer modes. It features exploration, building, painting, crafting, mining, survival, combat even with dangerous creatures, and more in a procedurally generated 2-D world.Īccording to Wikipedia, Terraria has already sold 30+ million copies by April 2020. Terraria is a powerful action-adventure sandbox video game that was released in 2011 by Re-Logic. So, let’s talk a bit about Terraria and then the best server hosting services. Best terraria mods full#As a result, you can play the game with your full potential without any nuisance or interruptions. Therefore, you need reliable game server hosting, allocating minimal users on a server and preventing it from overcrowding. There are many fantastic multi-player games such as Minecraft, Rust, ARK and if you play with so many users on the same server, frequent crashes and issues start surfacing repeatedly. This is the reason why we have game enthusiasts from all over the world, including me. The high-quality graphics, elements, and exploration possibilities have added to the popularity of these video games. You can fight to win the game and build shelter, craft weapons, make friends, and take the game to the next level. Video games are advancing to become more and more sophisticated as we speak.Įven if you can’t really go out to have fun and adventure, emerging technologies have made it possible to get that thrill and excitement through video games. ![]() ![]() Phil provided an excellent service giving us the confidence we are with the right people who really know what they are doing and can explain and assist in a very succinct, knowledgeable and helpful manner. The Wordfence technical support goes beyond the call of duty and their knowledge is very reassuring when things go awry with your website. As a small business there are an array of tasks to take care of and it is a very small price to pay for Wordfence Premium to take care of an extremely important task and is worth every penny.Ī reliable security plugin is paramount but it goes without saying this must be backed up by a good technical support team who can assist you when there is a problem. All our websites are running Wordfence Premium and this plugin has served us very well for several years and the support team are second to none. That’s when you use an asterisk or two and write the correct word.Having researched and trialed various security plugins Wordfence wins hands down each time. It’s like some kind of wizardry.īut… The most important usage of asterisks these days is when you make a typo in a group chat and you want to correct yourself. #Words of wonder hack password#You type in your password of abc123 and on the screen it says ******. Nowadays, asterisks are commonly used in place of passwords or a PIN when you’re typing it in somewhere. I guess you could still use asterisks in instances like that but I think these days, people are more likely to just write the actual words, to be honest. Later on in life, the asterisk was used to replace letters when you’re typing bad words… I even used one in an earlier blog post! Check out Past and Passed. You use an asterisk somewhere on a page and then you scroll down and there’s a little note at the bottom of the page to give a touch more info, or a reference of some sort. Traditionally, they were used to denote a footnote. If you don’t pronounce these words correctly, they may well end up sounding the same! You know sometimes when people accidentally say ‘arx’ instead of ‘ask’? Think of it like that!Īn asterisk is the symbol on your keyboard that most resembles a star – * Hold down the Shift key and press 8. Or, if job advertisements tickle your fancy, you may well be a sought after candidate for a sought after position!Ĭonsider the difference between sort out and sought out. A real estate ad might say something like a highly sought after apartment. Now, often you will see the phrase sought after, especially in real estate. She went to the nightclub and sought out her friend.Īs you can see, you can quite easily use other words instead of sought.The stray dog sought shelter from the cold and rain.Darryl sought counsel from a barrister over the airport expansion dispute.Sought is not as commonly seen, but it’s the past tense of to seek: My Tinder date was a bit of an odd sort.The manager needed to stay back to sort out a dispute among his staff.Can you please sort this data in alphabetical order?.You probably know what sort means so let’s look at it through examples: You probably wouldn’t write sought instead of sort, but you might well write sort instead of sought! Let’s look at the difference between these two words that are pronounced exactly the same! ![]() ![]() Similarly, typographers will often remove letterspacing from lowercase text used at larger sizes (e.g., headlines).Īs with kerning, if you use paragraph and character styles to make a style with all caps or small caps, include letterspacing as part of the style definition. But typographers will often add letterspacing to lowercase text smaller than 9 point in order to keep the spaces between letters distinct. Fonts intended for body text have spacing optimized for body-text point sizes (approximately 9–13 point). I accept the minority view on Goudy’s comment because, as Goudy was doubtless aware, sometimes lowercase should be letterspaced. Rich text is defined using HTML-style markup. But a few sources claim that his original comment concerned blackletter fonts, not lowercase, and that he used a more colorful verb than “steal”. For example, red text with a specific font and size can be defined like this. If your web font of choice includes kerning data, your browser will automatically determine if font-kerning should be applied to your text.Typographer Frederic Goudy is famously credited with opining that “Anyone who would letterspace lowercase would steal sheep”. The best-case scenario is that you’re working with a font and a graphics program that doesn’t require kerning. The letter-spacing property increases or decreases the space between characters in a text. #LETTERSPACE DEFINITION CODE#Kerning requires more experience and focus to get it right. I have a material customButton and I want to give it a letterSpace in the code part. With kerning, you pick out the guilty letter pairs in words and fix their spacing issues so that they align with the rest of the letters in that word. If you add or remove letter-spacing from that word, the relative kerning problem will remain, but now all letters in that word will just have more or less overall spacing - the kerning issue is the same. Let’s say you have some text with bad default kerning. The fonts should already come with proper kerning built-in, provided by the typeface designer. Hand-lettered is the style where you draw each letter individually, as opposed to writing them as in cursive or calligraphy. Tip: To set or return the spacing between words in. #LETTERSPACE DEFINITION SOFTWARE#Tip: turn off auto-kerning in your software (if you can) when you work with professional fonts. The letterSpacing property sets or returns the space between characters in a text. Auto-kerning can override the built-in kerning data from the typeface designer by applying generic computer-generated kerning that doesn’t fit the particular font. Kerning issues sometimes occur in graphics applications that use auto-kerning (Metric or Optimal kerning). The more meticulous the designer is, the less chance you’ll experience kerning issues, caused by the font - but external factors can still cause kerning problems). Professional fonts have 100s, sometimes 1000s of kerning pairs provided by the typeface designer.
![]() Apart from an isolated DD disorder or comorbid phenomena, DD commonly appears in subjects at clinical high risk (CHR) for psychosis. ![]() Furthermore, chronic DD often is associated with functional impairments. Individuals with DD frequently are distressed, worry about their mental state, and are frightened of becoming crazy, a common fear not only in patients who experience DD but also in patients experiencing ultra-high-risk (UHR) symptoms. Age of onset is adolescence, and an earlier onset is associated with higher severity and poorer prognosis. However, in a relevant minority of cases, DD persists for days, weeks, or months, reoccurs, or remains permanent. Most DD experiences are transient and disappear as situational factors ease. Furthermore, DD (disorder) often exists as a comorbidity, especially in depression and anxiety. Prevalence rates of 1.2–2.4% were found for clinically significant DD symptoms in the community and of 30–82% in clinical samples, in a systematic review. Therein, it is defined as a persistent or recurrent experience of unreality and detachment from oneself or their surroundings, while reality testing remains intact and the symptoms cause clinically significant distress or impairment in functioning. ![]() #DEPERSONALIZATION TREATMENTS MANUAL#In the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), clinically relevant DD is diagnosed as depersonalization/derealization disorder in the chapter of dissociative disorders. DD is a perceptional reaction and psychological phenomenon, especially occurring when individuals are highly distressed, traumatized, very tired, anxious, or intoxicated. “I feel like I am watching my life from behind glass, as if I am living in a dream” – this is a typical statement from someone experiencing derealization and/or depersonalization (DD). Thus, this novel intervention represents a promising opportunity to positively influence long-term outcomes and course of DD. To our knowledge, no standardized group intervention program for DD exists so far. In a pilot study, we present an 8-week group intervention for adolescents and young adults with DD disorder. By considering DD-specific treatment needs, a group therapy program was developed as an add-on therapy based on CBT techniques called PLAN D comprising the following elements: psychoeducation, lifestyle interventions, acceptance and mindfulness training, and new patterns of DD-related cognitions. Preliminary evidence indicates that cognitive behavioral therapy (CBT) delivered in an individual setting demonstrates some positive intervention effects for patients with DD regarding their symptom levels. Despite the relatively high prevalence of DD symptoms and the chronic course in those suffering from a DD disorder, there still exists a need for effective interventions. Depersonalization and derealization (DD) cause significant distress and are associated with poor role and social functional outcomes. ![]() |
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