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Mental health resources across Canada

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NATIONAL CRISIS HOTLINES

Kids Help Phone

1-800-668-6868

Crisis Services Canada

1-833-456-4566 or text CONNECT to 686868

First Nations and Inuit Hope for Wellness Help Line

1‑855‑242-3310

Indian Residential School Survivors and Family Crisis Line

1-800-721-0066

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Trans Lifeline

1-877-330-6366

Canada Drug Rehab Addiction Services Directory

1-866-693-5053

National Eating Disorder Information Centre

1-866-633-4220

 

NATIONAL MENTAL HEALTH AND COUNSELLING RESOURCES

Canadian Association for Suicide Prevention (not a crisis line)

613-702-4446

Canadian Mental Health Association

416-646-5557

Canadian Psychological Association

1-888-472-0657

Mood Disorders Society of Canada

613-921-5565

Schizophrenia Society of Canada

1-204-320-3188

Mental Health Commission

613-683-3755

 

CRISIS HOTLINES BY PROVINCE

British Columbia

Crisis Centre

1-800-784-2433

No area code needed: 310-6789 (mental health support line)

Alberta

Distress Centre

403-266-4357

Saskatchewan

Saskatoon Crisis Intervention Service

306-933-6200

Mobile Crisis Services

306-757-0127

Manitoba

Manitoba Suicide Prevention Line “Reason to Live”

1-877-435-7170

Klinic Crisis Line

1-888-322-3019 or 204-786-8686

Manitoba Sexual Assault Crisis Line

1-888-292-7565 or 204-786-8631

Yukon

Canadian Mental Health Association – Yukon

1-844-533-3030

Nunavut

Nunavut Kamatsiaqtut Help Line

1-800-265-3333 or 867-979-3333

Ontario

Good2Talk

1-866-925-5454 or text GOOD2TALKON to 686868

Gerstein Crisis Centre

416-929-5200

Mental Health Crisis Line

In Ottawa: 613-722-6914

In the larger Ottawa area: 1-866-996-0991

ONTX Ontario Online & Text Crisis Service

Text 258258

Quebec

Centre de Prevention du Suicide de Quebec

1-866-277-3553

New Brunswick

Chimo Helpline

1-800-667-5005

Newfoundland and Labrador

Canadian Mental Health Association – Newfoundland and Labrador Division

1-888-737-4668

Mental Health Crisis Line

811

Prince Edward Island

PEI Mental Health and Addictions phone line

1-833-553-6983

Nova Scotia

Mental Health Mobile Crisis Line

1-888-429-8167

 

MENTAL HEALTH AND COUNSELLING RESOURCES BY PROVINCE

British Columbia

Canadian Mental Health Association – British Columbia Division

1-800-555-8222

HeretoHelp

1-800-661-2121

Youth in B.C. online chat

Greater Vancouver Area: 604-872-3311

Howe Sunshine & Sunshine Coast: 1-866-661-3311

First Nation Health Authority

604-693-6500 or 1-866-913-0033

B.C. Psychological Association – Find a Psychologist

604-730-0501

B.C. Problem Gambling Help Line

1-888-795-6111

Alberta

Canadian Mental Health Association – Alberta Division

780-482-6576

Red Deer Outreach Centre – Serving Central Alberta

1-866-347-2480 or 403-347-2480

Psychologists Association of Alberta – Find a Psychologist

1-888-424-0297

Saskatchewan

Canadian Mental Health Association – Saskatchewan Division

1-800-461-5483 or 306-525-5601

Psychology Association of Saskatchewan – Find a Psychologist

Manitoba

Canadian Mental Health Association – Manitoba Division

204-982-6100

Klinic Community Health

204-784-4090

Mental Health Education Resource Centre of Manitoba

1-855-942-6568 or 204-942-6568

Manitoba Psychological Society – Find a Psychologist

204-787-7424

Yukon

Depression Understood – Yukon

403-668-9111

Yukon Health and Social Services

1-866-456-3838 (area code 867)

Mood Disorders Society of Canada – Yukon Division

1-867-667-8346

Canadian Mental Health Association – Yukon

1-867-668-6429

Nunavut

Nunavut Health services

Isaksimagit Inuusirmi Kataujjiqatigiit Embrace Life Council

1-866-804-2782

Northwest Territories

Mental Health Resources and Supports

867-767-9061

Northern Mosaic Network

867-444-7295

Ontario

Ontario Psychological Association – Find a Psychologist

416-961-5552

Canadian Mental Health Association – Ontario Division

1-800-875-6213

Reconnect

416-248-2050

Ontario Victim Support Line

1-888-579-2888

Ontario 211

1-877-330-3213

Toronto Distress Centre

416-408-4357

Toronto Rape Crisis Centre

416-597-8808

Connex Ontario

1-866-531-2600

Quebec

Action on Mental Illness

1-877-303-0264 or 514-486-1448

Centre de Prevention du Suicide du Haut-Richelieu

450-348-6300

Movement Sante Mentale Quebec

514-849-3291

Newfoundland and Labrador

Mental Health and Addictions Services triage line

1-844-353-3330

Association of Psychology in Newfoundland and Labrador – Find a Psychologist

709-739-5405

New Brunswick

Canadian Mental Health Association – New Brunswick Division

506-455-5231

College of Psychologists of N.B. – Find a Psychologist

506-382-1994

Prince Edward Island

Canadian Mental Health Association – Prince Edward Island Division

902-566-3034

Psychological Association of Prince Edward Island – Find a Psychologist

Nova Scotia

Canadian Mental Health Association – Nova Scotia Division

1-877-466-6606

Association of Psychologists of Nova Scotia – Find a Psychologist

902-422-9183

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Health Canada reviewing safety of controversial breastfeeding drug – CBC.ca

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Health Canada has launched a safety review of the psychological withdrawal symptoms associated with stopping or reducing use of a drug commonly prescribed to help women breastfeed.

The agency confirmed the review in an email to CBC News.

“A safety review is currently under way for domperidone and drug withdrawal symptoms after stopping or reducing the dose of domperidone used to stimulate lactation,” the statement said. 

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Domperidone is approved in Canada to treat gastrointestinal disorders. Health Canada has never authorized its use as a lactation aid, but it is widely prescribed off-label for this purpose. 

The Health Canada review follows a CBC News investigation into severe psychological effects that can occur when some women stop taking the drug. Women who spoke to CBC described anxiety, lack of sleep and thoughts of self-harm severe enough that in some cases they became incapable of caring for their children or returning to work. One woman described multiple attempts to take her own life. 

CBC’s investigation also found domperidone is prescribed by some doctors to stimulate lactation at doses three to five times higher than what is recommended by both Health Canada and the drug manufacturer. Because this is not an approved use or dosage anywhere in the world, there are no large-scale clinical trials that shed any light on how often these side effects occur. 

This makes it challenging for regulators like Health Canada to evaluate the safety of a drug for an off-label purpose, said Mina Tadrous, an assistant professor at the Leslie Dan Faculty of Pharmacy at the University of Toronto who specializes in drug safety.

Toronto pharmacist Mina Tadrous says it is challenging for regulators to evaluate the safety of a drug used for off-label purpose. (CBC)

“The company may not have intended it for that, so the original clinical trials were not designed for that. And so it means that they have to look at different mechanisms to be able to evaluate the safety of these drugs,” he said.

That can include looking at data from other countries with larger populations, according to Tadrous.

Case studies document concerns

There are, however, case studies documenting the withdrawal effects, including three published in November 2022 in the peer-reviewed journal Breastfeeding Medicine. Domperidone blocks dopamine receptors in the brain, which stimulates the release of prolactin. This causes lactation, the authors note, but can also cause domperidone to act as an antipsychotic. The authors also noted withdrawal symptoms are typically less severe when women taper off the drug slowly.

The most recent case studies are from the United States, where domperidone is not approved by the Food and Drug Administration for any purpose. CBC’s investigation found some American women get the drug from doctors in Canada.

Health Canada will review “all relevant domestic and foreign case reports,” the statement said.

Reviews can result in Health Canada requesting more information, studies or monitoring by the manufacturer. They can also result in warnings to patients and health care providers, changes to how a drug is labelled or, if necessary, the withdrawal of a drug from the market “if the benefits no longer outweigh the risks of the product,” according to the statement released by the department.

“The decision to take action, including issuing a warning, is not based solely on the number of case reports, but on a comprehensive assessment of the information contained in these case reports,” Health Canada’s statement said. 

“Should new safety risks be confirmed, Health Canada will take appropriate action and continue to keep Canadians informed.”

WATCH | Women report alarming withrawal effects after taking domperidone as a lactation aid:

Women report alarming withdrawal effects from drug prescribed for breastfeeding

2 months ago

Duration 7:08

WARNING: This story contains distressing details about suicidal thoughts and attempts. Correction: A previous version of this video included inaccurate Health Canada data about the number of domperidone prescriptions that were filled in 2020. That publicly available data has since been updated to show that 1.7 million prescriptions were filled that year.

The distinction between quantity and quality of reports is important, Tadrous said, because large numbers of reports, especially from non-clinicians, may only indicate people believe there’s a connection between a drug and a reaction. 

“That’s the lesson we’ve learned with vaccines, for example, where these adverse event systems are flooded,” he said.

“And so if you base something just on the number of reports without doing a thorough investigation and a different type of study design that reduces bias … you might reach a false conclusion.”

Health Canada has conducted multiple safety reviews of domperidone, most recently in 2021. Previous reviews confirmed the risk of serious abnormal heart rhythms and sudden cardiac death related to domperidone use. These reviews resulted in Health Canada introducing a maximum daily dose recommendation of 30 mg and restricting its use in patients with certain cardiac conditions or taking other drugs.

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The Holocaust strikes our very being

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Holocaust

To be a Jew is not something special,
being a human being is normal.
Dealing with prejudice, hatred, and oppressive action,
now that’s something special for the Jewish Nation.

Oppression, hatred, and genocide besides,
is not just a Jewish person’s situation.
Armenian, Cambodian and Jewish Peoples deal,
with a national eradication event.

People of the world unit,
genocide is an international delight.
Oppress your people, crush opposition too.
The elites of the world are making exceptions for you.

Don’t be weak, allowing excuses to be made,
but lift your hands in justice’s cruel wave.
Hatred knows no reasonability, it knows no mercy.
Hatred, oppression, and prejudice need no exception.

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Long ago Jews were murdered by the millions,
Cambodians died at the hands of their neighbors.
Palestine still walks within the borders of other nations,
and peace is nowhere to be found, my friend.

If your arms are in righteous ways demand justice for all,
for the people who hate will not see our peaceful ways.
A gun, a bayonet, and a saber be brought,
for the right to justice begins today,
and ends with blood if the opposition has any say.

Gandhi spoke of peaceful ways,
while Martin Luther Jr surrendered his life. to the cause.
Young blacks die each and every day,
while the power of prejudice wins the day.

My first lifts in anger that is for sure,
while the average person just shrugs this day.
But the goose-stepping troops may one day march on,
and the ignorance that prevails will let them carry on.

Open our eyes to the wrongs before us,
clear our minds and accept what bothers us.
Injustice is a prevailing horrid thing,
and ONLY YOU CAN BRING IT TO AN END.

Steven Kaszab
Bradford, Ontario
skaszab@yahoo.ca

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Parliamentarians kick off return to House of Commons with debate on child care

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Parliamentarians kick off return

The economy was top of mind for members of Parliament as they returned to the House of Commons Monday, with the Liberal government kicking off the new sitting with a debate on child care.

Families Minister Karina Gould tabled Bill C-35 last December, which seeks to enshrine the Liberals’ national daycare plan into law — and commit Ottawa to maintaining long-term funding.

The federal government has inked deals with provinces and territories in an effort to cut fees down to an average of $10 per day by 2026.

During a debate today, Gould said all parties should support the bill, and the national plan has begun saving families money.

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But Conservative MP Michelle Ferreri said the plan is “subsidizing the wealthy” while failing to reduce wait times for child-care spaces and address labour shortages in the sector.

Ferreri told MPs that the Conservatives would be presenting “strong amendments” to the legislation.

The debate comes amid concerns about a possible recession this year, with both Prime Minister Justin Trudeau and Conservative Leader Pierre Poilievre saying their focus will be on the cost of living.

But Poilievre’s Tories may have little room to manoeuvre in the legislature.

NDP Leader Jagmeet Singh told reporters upon his return to the House of Commons that he does not believe there is any room to work with the Conservatives during the upcoming sitting.

Instead, the NDP says it plans to push the Liberals to fulfil the terms of the parties’ confidence-and-supply agreement, such as the planned expansion of federal dental care.

Under the deal signed last March, the NDP agreed to support the minority government on key House of Commons votes in exchange for the Liberals moving ahead on New Democrat policy priorities.

This report by The Canadian Press was first published Jan. 30, 2023.

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