Free Other Notice - District Court of Arizona - Arizona

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Joanne F. Landfair, Esq. 331 North First Avenue Suite 150 Phoenix, AZ 85003-4528 Phone & fax (602) 452-2945 Arizona State Bar # 009173 [email protected] Attorney for Defendant

UNITED STATES DISTRICT COURT DISTRICT OF ARIZONA

) ) Plaintiff, ) vs. ) ) Jose Martin Peña, ) ) Defendant. ) __________________________________)

UNITED STATES OF AMERICA,

No.CR-03-00873-001-PHX-PGR

NOTICE OF FILING OF LETTERS

COMES NOW the defendant Jose Martin Peña, by and through his attorney undersigned, and hereby files the attached letters as an aid to the court in disposition. Excludable delay under 18 U.S.C. § 3161(h) ____ will occur as a result of this motion or an order based thereon.
. RESPECTFULLY SUBMITTED this 19th day of December, 2006.

/s/Joanne F. Landfair Joanne F. Landfair Attorney for Defendant
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CERTIFICATE OF SERVICE I hereby certify that on January 19, 2006, I electronically transmitted the attached document to the Clerk's Office using the CM/ECF System for filing and transmittal of a Notice of Electronic Filing to the following CM/ECF registrants: AUSA Paul Rood /S/ Joanne F. Landfair

Peña notice of letters 01-19-06

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Diagnosis in Adults

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Symptoms & Diagnostic Criteria Dlagnos~s Adults 1r1 Comprehensive Assessment of ADIHD in Ch~ldren Diagnosis in Adults: Short Versron (IRS #I B) Diagnostic & Treatment Guidelines Rating Scales and Checklists Professionals Who Diagnose and Treat ADlHD Treatment Overview Medication Management Behavioral Treatment Parent Education and Training Co-existing Disorders Complementary and Controversial Interventions What is ADIHD? Attention-DeficitIHyperactivity Disorder (ADIHD) is a neurobiological condition that affects an estimated 3-7 percent of the population. In most cases, ADIHD is thought to be inherited, and tends to run in some families more than others. ADIHD is a lifespan condition that affects children, adolescents, and adults of all ages. It affects both males and females, and people of all races and cultural backgrounds Some common symptoms and problems of living with ADIHD include: Poor attention; excessive distractibility Physical restlessness or hyperactivity Excessive impulsivity; saying or doing things without thinking Excessive and chronic procrastination Difficulty getting started on tasks Difficulty completing tasks Frequently losing things Poor organization, planning, and time management skills Excessive forgetfulness Not every person with ADIHD displays all of the symptoms, nor does every person with ADIHD experience the symptoms of ADIHD to the same level of severity or impairment. Some people have mild ADIHD, while others have severe ADIHD, resulting in significant impairments. ADIHD can cause problems in school, in jobs and careers, at home, in family and other relationships, and with tasks of daily living. Individuals wishing to seek an evaluation for ADIHD should use this information and resource sheet as a set of guidelines for what to expect from the clinician conducting the evaluation.

Diagnosis in Adults
Information & Resource Sheet #I : Diagnosis of ADlHD i n Adults D~agnosis ADIHD in Adults (pdf) of El diagnostic0 del TDAIH en 10s adultos This information and resource sheet will describe: the common symptoms of ADIHD in adults how professionals evaluate adults for possible ADIHD what to expect when consulting a professional for an ADIHD evaluation

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Answers to Ycur Questions About Panic Disorder

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Answers to Your Questions About Panic Disorder

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Panic Disorder is a serious condition that around one out of every 75 people might experience. It usually appears during the teens or early adulthood, and while the exact causes are unclear, there does seem to be a connection with major life transitions that are potentially stressful: graduating from college, getting married, having a first child, and so on. There is also some evidence for a genetic predisposition; if a family member has suffered from panic disorder, you have an increased risk of suffering from it yourself, especially during a time in your life that is particularly stressful.

A panic attack is a sudden surge of overwhelming fear that comes without warning and without any obvious reason. It is far more intense than the feeling of being 'stressed out' that most people experience. Symptoms of a panic attack include:
racing heartbeat difficulty breathing, feeling as though you 'can't get enough air' terror that is almost paralyzing dizziness, lightheadedness or nausea trembling, sweating, shaking choking, chest pains hot flashes, or sudden chills tingling in fingers or toes ('pins and needles') fear that you're going to go crazy or are about to die You probably recognize this as the classic 'flight or fight' response that human beings experience when we are in a situation of danger. But during a panic attack, these symptoms seem to rise from out of nowhere. They occur in seemingly harmless situations--they can even happen while you are asleep. In addition to the above symptoms, a panic attack is marked by the following conditions: it occurs suddenly, without any warning and without any way to stop it. the level of fear is way out of proportion to the actual situation; often, in fact, it's completely unrelated. it passes in a few minutes; the body cannot sustain the 'fight or flight' response for longer than that. However, repeated attacks can continue to recur for hours.

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A panic attack is not dangerous, but it can be terrifying, largely because it feels 'crazy' and 'out of control.' Panic disorder is frightening because of the panic attacks associated with it, and also because it often leads to other complications such as phobias, depression, substance abuse, medical complications, even suicide. Its effects can range from mild word or social impairment to a total inability to face the outside world.
In fact, the phobias that people with panic disorder develop do not come from fears of actual objects or events, but rather from fear of having another attack. In these cases, people will avoid certain objects or situations because they fear that these things will trigger another attack.
How to Idcl-slify F " J : ~ c Disorder

Please remember that only a licensed therapist can diagnose a panic disorder. There are certain signs you may already be aware of, though.

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.Diagnosis in Adults
ADIHD is thought to be a biological condition, most often inherited, that affects certain types of brain functioning. There is no cure for ADIHD. When properly diagnosed and treated, ADIHD can be well managed, leading to increased satisfaction in life and significant improvements in daily functioning. Many individuals with ADIHD lead highly successful and happy lives. An accurate diagnosis is the first step in learning to effectively manage ADIHD. How is ADlHD diagnosed? There is no single medical, physical, or genetic test for ADIHD. However, a diagnostic evaluation can be provided by a qualified mental health care professional or physician who gathers information from multiple sources. These include ADIHD symptom checklists, standardized behavior rating scales, a detailed history of past and current functioning, and information obtained from family members or significant others who know the person well. ADIHD cannot be diagnosed accurately just from brief office observations, or just by talking to the person. The person may not always exhibit the symptoms of ADIHD in the office, and the diagnostician needs to take a thorough history of the individual's life. A diagnosis of ADIHD must include consideration of the possible presence of co-occurring conditions. Clinical guidelines for diagnosis of ADIHD are provided in the American Psychiatric Association diagnostic manual commonly referred to as the DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision). These established guidelines are widely used in research and clinical practice. During an evaluation, the clinician will try to determine the extent to which these symptoms apply to the individual now and since childhood. The DSMIV-TR symptoms for ADIHD are listed below: Sympfoms of Inattention

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Q Often fails to give close attention to details or makes careless

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mistakes in schoolwork, work, or other activities Often has difficulty sustaining attention in tasks or play activities Often does not seem to listen when spoken to directly Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions) Often has difficulty organizing tasks and activities Often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort Often loses things necessary for tasks or activities Is often easily distracted by extraneous stimuli Is often forgetful in daily activities Symptoms of Hyperactivity

@. Often fidgets with hands or feet or squirms in seat
11. Often leaves seat in classroom or in other situations in which remaining seated is expected 12. Often runs about or climbs excessively in situations in which it is inappropriate (in adolescents or adults, may be limited to subjective feelings of restlessness) 13. Often has difficulty playing or engaging in leisure activities quietly 14. Is often "on the go" or often acts as if "driven by a motor" Often talks excessively

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