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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 12.

Outpatient Civil Commitment: Coming to Maryland Soon?
Today's blog post is over on Clinical Psychiatry News.  See Dinah's article summarizing a lecture on outpatient commitment, guns, and more, by Duke sociologist Jeff Swanson: Here.As mentioned, Delegate Murphy in Maryland has proposed a bill legislating Outpatient Civil Commitment here in Maryland.  The text of the HB 767 is here.  In it's current form, the bill is not likely to pass.  Please remember, before you comment, this bill was written by a legislator, it is not coming from psychiatrists.  On another note, there is another editorial by Dinah on Psychology Today's website about defining menta...
Source: Shrink Rap - February 7, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

PEBS Neuroethics Roundup (JHU)
Last Edition's Most Popular Article(s): Video: Patricia Churchland on the Colbert Report, Colbert Nation In The Popular Press Darkness sharpens hearing in adult mice, Nature News Psychiatrists Embrace Deep-Brain Stimulation, Scientific American Shooting Pills at Bipolar Disorder, The Atlantic New... (Source: Neuroethics and Law Blog)
Source: Neuroethics and Law Blog - February 6, 2014 Category: Psychiatrists and Psychologists Authors: NELB Staff Source Type: blogs

What's Wrong With Me?
Sorry I have been away, all is not great right now but all is not lost, if that makes sense.  I keep trying to figure out WHAT has got me in this funk, but when my mind tries to pin it on something, later I realize that's not it.  I have no explanation except to chalk it up to my chemical imbalance.I have been totally unmotivated to do anything (like write in my blog), am very anti-social and do not like leaving the house.  I have missed numerous appointments I've made with just about every sort of service simply because I can not make myself leave the house.  It's not anxiety about ...
Source: bipolar.and.me - February 4, 2014 Category: Mental Illness Source Type: blogs

In Honor of a Colored Musician
Ann Althouse makes a blog post about singer Sam Cooke. In the comments I learned the sad story about the death of the man with most melodious voice in pop music. One of the commenters has links to his songs. My favorite is Wonderful World. (Source: a psychiatrist who learned from veterans)
Source: a psychiatrist who learned from veterans - February 4, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Should it be a Crime for a Therapist to Have Sex with a Patient?
Currently, there is a bill before our state legislature [video testimony] that would make it a crime for a therapist to have sexual contact with a patient.  I wondered what our readers think of the idea of criminalizing sexual contact between a therapist and a consenting adult patient.As it stands now, we all agree that it is unethical for a therapist to have sexual contact with a patient.  Therapists are licensed to practice by professional boards (medical, social work, nursing, psychology), and all of these Boards handle complaints about sexual contact.  They are difficult cases, because often the cas...
Source: Shrink Rap - February 4, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

The Anthropology of Addiction
Can we ever integrate neuroscience and social science?Bielefeld, Germany—The last in a series of posts about a recent conference, Neuroplasticity in Substance Addiction and Recovery: From Genes to Culture and Back Again.  The conference, held at the Center for Interdisciplinary Research (ZiF)  at Bielefeld University, drew neuroscientists, historians, psychologists, philosophers, and even a freelance science journalist or two, coming in from Germany, the U.S., The Netherlands, the UK, Finland, France, Italy, Australia, and elsewhere. The organizing idea was to focus on how changes in the brain impact addiction ...
Source: Addiction Inbox - February 3, 2014 Category: Addiction Authors: Dirk Hanson Source Type: blogs

In the Public Interest
When does some public good override psychiatric confidentiality? Dinah's post yesterday outlined the recent issue in the Navy's public release of the shooter's psychiatric treatment information. I wrote about this issue before following the release of the expert behavioral analysis panel's report on the suspected anthrax mailer, Dr. Bruce Ivins. In both cases, the rationale for releasing detailed information about the decedent's psychiatric care was cited as being a need to ensure that the government was taking appropriate steps to safeguard public safety. Following release of the EBAP report, the government---without admi...
Source: Shrink Rap - February 1, 2014 Category: Psychiatrists and Psychologists Authors: ClinkShrink Source Type: blogs

Should Medical Records be Released to the Public Online?
With the adoption of electronic medical records and the advent of CRISP, Maryland's centralized collection of health information (it's an opt-out, if you haven't, you're in it, and if you opt out, they still get your info, they just don't release it), I'm coming to accept that there is no medical privacy.  Before you get distressed, the system does not include physician notes -- it's tests per the labs, medications per the pharmacies, radiology reports, and perhaps hospital discharge notes.  I'm  not aware of any psychiatrists who are feeding information into the system, but if you're in Maryland and you're ...
Source: Shrink Rap - February 1, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

A Humble Father's Simple Autism, Intellectual Disability and Epilepsy Research Questions
We examined 106 patients with autistic disorder divided into three groups on the basis of presence or absence of EEG paroxysmal abnormalities (PA) and/or epilepsy including febrile convulsions (FC). Our patients presented an autistic syndrome unrelated to clear congenital or acquired encephalopathy. The prevalence of epilepsy and EEG PA was 23.6% and 18.9%, respectively. Significant differences between the three groups appeared for (i) familial antecedents for epilepsy/FC and neurologic and psychiatric diseases (P < 0.004), (ii) a different proportion between the three groups for mental retardation (P < 0.0...
Source: Facing Autism in New Brunswick - January 30, 2014 Category: Autism Authors: H L Doherty Source Type: blogs

Prescription Drugs May Cause Forgetfulness
Most of us have had moments of forgetfulness at one time or another throughout our lives. Memory loss is commonly associated with the signs of getting older and is a symptom of Alzheimer’s disease. Alcohol and illicit drug abuse have also been shown to impair memory. What many people are not aware of is that certain commonly prescribed medications can impair memory too. Being aware that a prescription drug may cause memory problems is important information that needs to be shared with patients. “Scientists now know that memory loss as you get older is by no means inevitable,” writes Dr. Armon B. Neel, a geriatric ...
Source: Cliffside Malibu - January 28, 2014 Category: Addiction Authors: Richard Taite Tags: Richard Taite Source Type: blogs

Going Deep: Surgery For Addiction?
Controversial DBS technique shows early promise for Parkinson’s, Tourette’s.Bielefeld, Germany—The third in an irregular series of posts about a recent conference, Neuroplasticity in Substance Addiction and Recovery: From Genes to Culture and Back Again. The conference, held at the Center for Interdisciplinary Research (ZiF) at Bielefeld University, drew neuroscientists, historians, psychologists, philosophers, and even a freelance science journalist or two, coming in from Germany, the U.S., The Netherlands, the UK, Finland, France, Italy, Australia, and elsewhere. The organizing idea was to focus on how changes in t...
Source: Addiction Inbox - January 28, 2014 Category: Addiction Authors: Dirk Hanson Source Type: blogs

Randi Zuckerberg Thinks We Should Untangle Our Wired Lives
how hard could it be, none of those circles are actually connected (Source: The Last Psychiatrist)
Source: The Last Psychiatrist - January 25, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Windy city blues
WINDY CITY BLUESThere is an academic ethics mess brewing in the windy city… at The University of Chicago. It involves a start-up Chicago corporation, a star statistician in the medical school, seed money in the form of NIH research grants, the American Psychiatric Association, and the chairman of the APA’s DSM-5 Task Force. It involves the appearance of self-interested bias in the DSM-5 process. It involves a recidivist pattern of failure to disclose material conflict of interest. And it involves academic journal editors (JAMA and JAMA Psychiatry) who did not do the right thing when the perps were outed.I broke the sto...
Source: Health Care Renewal - January 25, 2014 Category: Health Medicine and Bioethics Commentators Tags: American Psychiatric Assn Bernard Carroll David Kupfer David Weiss DSM-5 Ellen Frank Howard Bauchner JAMA Network Joseph Coyle Paul Pilkonis Robert Gibbons University of Chicago Source Type: blogs

Insurance (or Not), Flotation Tanks, and Involuntary Committment.
This is an around-the-web post.First, my stuff:Over on Clinical Psychiatry News, I have article up about the survey on "Who are the Mentally Ill?"  I talk about how the survey was done and what findings there were, along with a few of my thoughts about those findings.  Click Here.My post on Why Psychiatrists Don't Take Insurance is up on KevinMD.  Lots of comments on Shrink Rap, feel free to comment to a broader medical audience over there.  Click Here.Then Clink's stuff:Over on Clinical Psychiatry News this week, Clink is writing about recreational flotation tanks and their comparison to sensory depriv...
Source: Shrink Rap - January 25, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

It's Official: DSM 5 is a Pissing Contest
First, I want to tell you that I have a conflict of interest when it comes to discussing both Dr. Kupfer and Dr. Frances: they were both my teachers, and they are people I hold in esteem.  Dr. Kupfer ran a summer program in psychiatry for college students, the Mellon Fellowship in Psychiatry for Undergraduates, and in the summer of 1983, as a college student aspiring to go to medical and become a psychiatrist, I was one of 8 students from across the country to receive one of these grants. It was an opportunity that opened doors for me and changed my life, and I remember Dr. Kupfer as a warm, kind teacher and I remain ...
Source: Shrink Rap - January 23, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Cardiovascular and Diabetes Outcomes Among Those taking Novel Antipsychotics
I remember from medical school and the early days of my residency when the only medications available to treat psychosis were the neuroleptics.  Patients hated taking them: the high potency medicines like Haldol and Prolixin left people rigid; they had pill-rolling movements with their fingers, cogwheeling in their joints, and they walked liked zombies.  The lower potency medications like Mellaril left people drooling and sedated.  I once heard these medications described as like having molasses poured into your brain.  We'd cajole people in to taking them, and like all medications, there were some peop...
Source: Shrink Rap - January 20, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

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Yesterday I opened the T.V. and found Whitney Houston. That was strange since it was just the night before that me and my friend were talking about her. The movie entitled "Waiting to Exhale". I remember reading somewhere about the writer, a black American woman, Terry... Terry Mcmillan. The film was in its final minutes. I just took a photo for that final scene. Whitney Houston was laughing in that warm scene.Today I was heading to work with this novel by Burhan Al-Khateeb entitled "An Appartment in Abu-Nawas Street". The story is about Iraq in the 60s when there was political tension. The protagonist, named Sami, walks t...
Source: psychiatry for all - January 19, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

When the Winds seemed Still
The short stories collection of Mahdi Eisa Al-Sigar is interesting. The stories' ends are open and thought provoking. Nevertheless they are gloomy. Two of them about an elderly expecting the near death worried. The first elderly is a female with her cat. She reads in the daily newspaper about the death of another lonely  lady who has 3 cats. The neighbours smell her body after 3 days. Her body is found mutilated since the cats had eaten from her meat. The story goes on describing the elderly's interaction with her cat. The other story is about an elderly with his granddaughter in a garden. A white horse passes nearby ...
Source: psychiatry for all - January 18, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

BROADEN Trial of DBS for Treatment-Resistant Depression Halted by the FDA
Webpage for the BROADEN™ study formerly run by St. Jude MedicalIt's become mainstream these days to say that psychiatric disorders are neural circuit disorders. You can even read all about it in the New York Times! Cognitive training and neuromodulation (“electroceuticals”) are in, and pharmaceuticals are out, as explained by NIMH Director Dr. Tom Insel in a blog post about the Ten Best of 2013:...if mental disorders are brain circuit disorders, then successful treatments need to tune circuits with precision. Chemicals may be less precise than electrical or cognitive interventions that target specific circuits. One o...
Source: The Neurocritic - January 18, 2014 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs

my friend's free associations
Since her death and he is haunted by her. He plays her songs for us. Do we know that "I will always love you" was sung in 1973 for the first time by a blond named Dolly Parton?When that book about her life reached him, he starts telling us about her life. The book is written by her mother, a singer too. Her mother used to call her Nippy. Nippy, was her nickname. Nippy. It was raining today. He promised to lend me the book today. I tell him it is raining and we can postpone our meeting. He insists. He comes covering the book by his coat. "They chose her to sing the USA anthem to the troops who went back to the USA after the...
Source: psychiatry for all - January 17, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Mainly Irish history
Great post on Irish history and Catholic or Protestant massacres including more recent Orthodox Serb history which, not mentioned there but in a book about him, Pius XII supposedy supported. (Source: a psychiatrist who learned from veterans)
Source: a psychiatrist who learned from veterans - January 15, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Why Psychiatrists Don't Participate with Insurance Networks
In 2007, I wrote a post called Why Shrinks Don't Take Insurance.  The post is a bit dated, the CPT codes have changed since then, and the reasons to not take insurance have increased.  Many other doctors don't take insurance now, though psychiatry remains the number one specialty where doctors don't participate in health insurance plans.  This is an updated version of that same post.Many psychiatrists in private practice don't participate with insurance insurance panels. They require the to patient pay  and then the patient has the option to submit a claim to his health insurance company as an "out-of-n...
Source: Shrink Rap - January 13, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Autumn of the Intellectual in Iraq
In one of his articles, Khalid Al-Qishtainy writes about his problem in translating the Arabic word (Muthaq'qaf مثقف) to English. He writes that he lived for years as a translator, and was able to buy his house and car from his work, yet he is unable to translate the word. Thus I am not trying here to translate that same word which confused Al-Qishtainy, and Margaret Thatcher too, but the book I am reading these days is worth noting:The title contains that confusing word (Al-Muthaq'qaf) which I will translate here as "Intellectual". Hence the title will be "The Autumn of the Intellectual in Iraq" by Mohammed Ghazi Al-A...
Source: psychiatry for all - January 12, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Please Don't Batter the Shrink
When I was a child, I lived across the street from a neurologist.  The neurologist shared his office with a psychiatrist, and I was told that one day, a patient walked into the office and shot the psychiatrist.  Last week, in Italy, a psychiatrist was stabbed to death by a patient.  We don't think about how dangerous it may be, but being a shrink has some risks.  Actually, being a person has some risks, and in Baltimore, fourteen people have already been murdered this year, more than one per day.With that as a prelude, I was on vacation briefly in December; a quick trip to visit family.  In the hot...
Source: Shrink Rap - January 12, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Let's Have a Task Force!
I'm going to do a little problem solving here. In the Washington Post yesterday in Virginia Doesn't Need Another Mental Health Task Force,  Pete Earley writes:Virginians should be embarrassed and angry that a newly appointed state mental health task force convened Tuesday in Richmond. It is the 16th task force asked to investigate the state’s mental health system. If you click through to hit the link, you'll note that this 16th task force on mental health has 36 members.  Politicians love task forces, it's a way to look like something is "being done" without actually doing anything.  So now 36 people,...
Source: Shrink Rap - January 11, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Neurocrap Funded by the Masses: NeuroOn and No More Woof
In conclusion, through great sleep efficiency, Polyphasic sleep can give you an extra 4 hours of free time every day. That’s up to 28 hours (1 day+) a week, 1460 hours a year.That’s right - Your year now has over 420 working days! What is polyphasic sleep? It's the division of sleep into several bouts per day, instead of the usual 8 hours or so at night. This schedule is standard in some mammals and may serve a protective purpose, according to Capellini et al. (2008):The duration of [REM and non-REM] cycles varies extensively across mammalian species. Because the end of a sleep cycle is often followed by brief arousals...
Source: The Neurocritic - January 11, 2014 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs

Brainstorm: A New Book that is a Must Read
Dr. Dan Siegel, clinical professor of psychiatry at the UCLA School of Medicine, on faculty of the Center for Culture, Brain, and Development and co-director of the Mindful Awareness Research Center, has written a new book called: Brainstorm: The Power and Purpose of the Teenage Brain. It will be available for purchase on January 7. This is an important reevaluation of adolescence in our society. Dr. Seigel said of the book, “Recent research has illuminated how brain development impacts teenagers’ lives, but much of what is commonly understood offers a very different and often despairing picture.  In Brainstorm I expl...
Source: Cliffside Malibu - January 8, 2014 Category: Addiction Authors: Richard Taite Tags: Richard Taite Source Type: blogs

Let's Keep Guns Out of the Hands of.....
First, the quote of the day,  an explanation to follow:--"I'm a gun owner.  It happens."President Obama has renewed his commitment to keeping guns out of "the hands of the mentally ill."  See the story in Bloomberg here. In my world, I'd like to keep guns away from most people, but no one asked my opinion.  I realize there was a reason for the Second Amendment and that no one is going to go along with a repeal of the right to bear arms, so instead of designating people as targets for legislation based on having received medical treatment for psychiatric disorders, I'd like to talk about who is not ...
Source: Shrink Rap - January 8, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

They Just Don't Give A Damn: 2007 Adult Autism Care and Treatment In New Brunswick Was Abysmal - 2014 Nothing Has Changed, Still Abysmal
Following this comment is a re-posting of a comment I posted on this site 7 years ago in 2007 about the abysmal state of autism youth and adult residential care and treatment in New Brunswick, Canada. 7 years later and nothing has changed. Well, one thing has changed, a very important part of my life has changed.My son with severe autism and intellectual disability is now 7 years older.... and his Mom and Dad are also 7 years older.Time marches on. Our autistic children are becoming autistic adults. Our political and government leaders have sat on the sidelines fiddling and twiddling and doing absolutely nothing to help.&...
Source: Facing Autism in New Brunswick - January 7, 2014 Category: Autism Authors: H L Doherty Tags: newtag Source Type: blogs

Weltanschauung
Part of the cultural background for right and wrong and ideals are readings from the Bible. But the Bible provides angry and empathetic viewpoints that can be hard to reconcile. I came to Jews and Anti-Judaism in the New Testament: Decision Points and Divergent Interpretationsas he commented on Gregory Baum's earlier work. It is an excellent analysis of the problem brought up in its title. It gave me a new perspective on the New Testament. Along with taking the arguments seriously, it occurs to me that in some sense the modern age is anti-Christian just in the thought 'it is hard to consider such things without data.' Neve...
Source: a psychiatrist who learned from veterans - January 6, 2014 Category: Psychiatrists and Psychologists Tags: antisemitism Bible hermeneutics Jew Source Type: blogs

Things That Make Me Crazy
I sometimes think I live in a tight little fantasy bubble where I want life to make sense and be fair.  I want it to be an uncomplicated place where, when resources are limited, we assess the problems and direct the dollars to things we know will efficiently fix the problems.  I'd like us to use our public health  dollars to feed hungry people, to house those without some place warm to stay, to help those in need learn strategies and get jobs so they can help themselves, and to provide health care to those who are ill.  In cases where there are big-picture items that lead to devastating consequences and...
Source: Shrink Rap - January 5, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

The "Mentally Ill" Bucket
Dinah wants me to post more, so she asked me to put up my comment to her post on Results of the Survey on Who are the Mentally Ill. (If you didn't see the original survey, it is here.)So, here's my comment. But I'll begin with the limerick...There once was a man from NantucketWith a thought that was quite a nugget.   "The world is round," he exclaimed;   Which confirmed he's insane.So they placed him in "the mentally ill" bucket.When I first saw this survey, I told Dinah it was a terrible survey and that she should take it down, because by even asking people 'who are "the mentally ill" ', it lends crede...
Source: Shrink Rap - January 3, 2014 Category: Psychiatrists and Psychologists Authors: Roy Source Type: blogs

Results of the Survey on Who Are the Mentally Ill?
Thank you to everyone who participated!The survey was published on Shrink Rap from December 10, 2013 - December 22, 2013.Respondents were solicited through social media, including blogs, listservs, Facebook, and Twitter.  Respondents were not limited to the United States.  Please note that the survey was not validated.  The data below was pasted directly from the Google "Summary of Responses" with no analysis or interpretation.SummaryAnyone who has seen a therapist is mentally illTrue172%False67698%Anyone who has been in psychotherapy with a psychiatrist is mentally illTrue619%False63091%Anyone who take...
Source: Shrink Rap - January 2, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

My New Years Wish to New Brunswick Government, Media re Adult Autism Residential Care:
Happy New Years Wish: Adult Autism Residential Care in New BrunswickDear Honourable Premier Alward, Honourable Ministers, Members of the Legislature, Party Leaders, Civil Servants and Media:I am respectfully writing this letter to deliver a New Year's wish for my son and other autistic adults in New Brunswick who will need residential care as their parents age and ultimately "pass on". I have written many versions of this letter over the years since I began my public advocacy on behalf of autistic persons in New Brunswick. In short I am wishing for a New Brunswick based adult residential care and treatment system that...
Source: Facing Autism in New Brunswick - January 1, 2014 Category: Autism Authors: H L Doherty Source Type: blogs

Top 10 Psychology & Mental Health Topics of 2013
It’s time to wish 2013 goodbye. With its passing, we — like a lot of people — spend some time reflecting upon the year. We’re honored to have so many people check out our mental health and psychology resources and information on Psych Central — over 5 million people a month now. We’re also home to over 200 online support groups with over 315,000 members in two communities. The good news about 2014 is that every new year brings with it the possibility of a new start and changing those aspects about yourself that perhaps could use a little improvement. We’re here to help you with those...
Source: World of Psychology - December 30, 2013 Category: Psychiatrists and Psychologists Authors: John M. Grohol, Psy.D. Tags: Best of the Web General Mental Health and Wellness Psychology 2013 blog network Clinical Psychology Emotion Margarita Tartakovsky Mental Disorder Personality Psychology Psych Central Psychiatry Therese Borchard top 10 World o Source Type: blogs

Treating the nightmares associated with PTSD
A standard part of any psychiatric evaluation involves inquiring about a patient’s sleep.  Hidden in the answers that follow the basic question of, “How are you sleeping?” are the clues that are needed to  diagnose what is ailing the patient seeking help from me. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 29, 2013 Category: Family Physicians Tags: Conditions Psychiatry Source Type: blogs

Psychiatry Articles on the Web
There have been a number of articles I've wanted to mention lately.In the New York Times:When the Right To Bear Arms Includes the Mentally IllIn the Wall Street Journal, set in our own Maryland:For the Mentally Ill, Finding Care Grows HarderandRepresentative Tim Murphy Instroduces Mental Health Legislation From the StarTribune:Minnesota Security Hospital: Staff in Crisis Spreads TurmoilIn Atlantic Monthly, a poignant story about one man's battle with anxiety:Surviving AnxietyAnd finally, on Salon, it's from nearly two years ago, but I ran across Linda Gray Sexton's account of being suicidal and found it to be moving:In the...
Source: Shrink Rap - December 29, 2013 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Where Alzheimer's Starts and How It Spreads
This study has given us a unique opportunity to image and characterize patients with Alzheimer’s in its earliest, preclinical stage.”The 96 adults were followed for an average of 3.5 years, at which time 12 individuals were found to have progressed to mild Alzheimer’s disease. An analysis of the baseline fMRI images of those 12 individuals found significant decreases in cerebral blood volume (CBV) — a measure of metabolic activity — in the LEC compared with that of the 84 adults who were free of dementia.A second part of the study addressed the role of tau and APP in LEC dysfunction. While previous studies have s...
Source: Alzheimer's Reading Room, The - December 28, 2013 Category: Dementia Authors: Bob DeMarco Source Type: blogs

Coursera Opens 2014 With Two Exceptional Neuroscience Offerings
Discussion Forums for both courses are extremely useful. Both courses are offered in English. English subtitles are available. It will be curious if additional subtitles from other languages are made available as Coursera as a platform becomes more comfortable with an international student body. In the first version of the courses, Dr. Lester's course had roughly 64,000 students registered during the final week of the course, of which roughly 9,100 logged in during a typical week in the second half of the course and, of whom, 4,450 students passed the course and received a Statement of Accomplishment. A little over 30% of ...
Source: BrainBlog - December 28, 2013 Category: Neurologists Source Type: blogs

Assisted Outpatient Treatment: Let’s ‘Assist’ Patients By Forcing Them
Assisted outpatient treatment (AOT) is a marketing term for involuntary commitment, but in an outpatient setting. AOT is like putting lipstick on a pig and calling her a princess. Experts on AOT sometimes like to pretend AOT is something different than forced treatment: “Forcing [a person] to take medication is assisting him to make the choice we think he would make if he had a normally functioning brain.” ~ E. Fuller Torrey, MD & Jonathan Stanley, JD Let’s delve into the twisted logic here of assisted outpatient treatment. In the rest of the world, researchers call forced outpatient treatment by i...
Source: World of Psychology - December 27, 2013 Category: Psychiatrists and Psychologists Authors: John M. Grohol, Psy.D. Tags: Bipolar Disorders General Policy and Advocacy Schizophrenia Treatment Violence and Aggression Anosognosia Aot Involuntary commitment Mental Disorder Mental Health Law Mental Illness Munetz New York State Outpatient commitment Source Type: blogs

Teens Medical Cost Less with 12 Steps
Conclusions The findings suggest that 12-step participation conveys medical cost offsets for youth who undergo AOD treatment. Reduced costs may be related to improved AOD outcomes due to 12-step participation, improved general health due to changes in social network following 12-step participation, or better compliance to both AOD treatment and 12-step meetings. Marlon P. Mundt, Sujaya Parthasarathy, Felicia W. Chi, Stacy Sterling, Cynthia I. Campbell. Drug and Alcohol Dependence. Volume 126, Issues 1–2, 1 November 2012, Pages 124–130 (Source: Twelve Step Facilitation.com)
Source: Twelve Step Facilitation.com - December 27, 2013 Category: Addiction Authors: Sparrow Tags: 12-Step Groups Addiction Alcoholics Anon Alcoholism Brief-TSF Mutual-help Narcotics Anon Recovery Relapse prevention Self-help Youth 12-Step participation avoid relapse post-treatment Medical Cost Less remain abstinent Source Type: blogs

Who Smokes Dope, And How Much?
Marijuana stats skew perceptions of use.Most statistical surveys of marijuana focus on a single quantitative measurement: How many people are using? But there’s a problem: More marijuana use does not necessarily translate into more marijuana users. And that’s because a clear majority of the consumption, and black market dollars, come from the heaviest smokers. Drug policy researchers at the RAND corporation decided that frequency of use and amount of consumption were valuable parameters gone missing in most policy discussions. So they put the focus not just on use, but also on “use-days,” and pulled a number of bur...
Source: Addiction Inbox - December 27, 2013 Category: Addiction Authors: Dirk Hanson Source Type: blogs

7 Ways to Stop Obsessing
Mason Cooley once wrote: “The cure for an obsession: get another one.” That’s about as good advice as any that I’ve heard on how to quiet the annoying voices inside your head. They nag, persist, harass, and endure longer than your patience or composure. I haven’t been very successful at managing mine, as I’m usually processing three obsessions at a time. But a few of my strategies have helped me from time to time. Here they are. 1. Get back on track. One of the most helpful visualizations for me to employ when I’m obsessing is to imagine that my mind is a car driving along the highway. When I get going on a...
Source: World of Psychology - December 26, 2013 Category: Psychiatrists and Psychologists Authors: Therese J. Borchard Tags: Brain and Behavior General Mental Health and Wellness OCD Psychology Bruce M Hyman Gordon Livingston Obsessions Obsessive Compulsive Disorder stuck throughts Source Type: blogs

MUNCHAUSEN SYNDROME BY PROXY: The Potential for Medical Profession to be Co-Participants in Child Abuse.
Discussion Blog)
Source: Bioethics Discussion Blog - December 25, 2013 Category: Health Medicine and Bioethics Commentators Source Type: blogs

The Cost of Mental Illness to Employers & Employees
In a previous post, I asserted the need for people with mental illness who are functioning well to speak out about their success with their disease. I also spoke of the importance for people to hold themselves as examples of how one can live successfully and productively with a mental illness. On second thought, you may want to be cautious about doing this at work. Individual contributions help make companies successful, and surely people with mental illness contribute greatly to their employer’s success. However, people with mental illness may also contribute greatly to their employer’s health care and productivity ...
Source: World of Psychology - December 24, 2013 Category: Psychiatrists and Psychologists Authors: George Hofmann Tags: Bipolar Disorders General Industrial and Workplace Personal Policy and Advocacy Professional Success & Achievement Americans With Disabilities Act Bipolar Disorder cost of mental illness Costs employee employer Employment Hea Source Type: blogs

Evidence-based medicine and the limitations of research
Before medical school I worked in a research lab investigating the relationship between stress and memory. As a research assistant, I dutifully administered memory test and collected saliva samples to test for cortisol levels. My boss sent the data to her statistician for analysis, and was thrilled to find that despite the lack of connection between most of the variables of stress and memory studied, there was one positive finding — a connection between hippocampal volume (the part of the brain associated with memory) and life-long stress. I helped to write the article, and it was published in a major medical journa...
Source: Kevin, M.D. - Medical Weblog - December 23, 2013 Category: Family Physicians Tags: Conditions Psychiatry Source Type: blogs

Can Any Good Come From Depression?
Focusing on the negative elements of depression is easy. They include inertia, feelings of hopelessness, worthlessness and despair; the fun being sucked out of life. And worse, when it just feels too painful to go on living. Often — and understandably, especially in our darkest moments — depression in whatever form feels like something from which we can’t learn anything or harness the experience of for the benefit of ourselves or others. We may become depressed because we are depressed and the world and our prospects seem bleak from where we see things. That thought process and perspective alone doesn’t he...
Source: World of Psychology - December 23, 2013 Category: Psychiatrists and Psychologists Authors: Graeme Cowan Tags: Depression Disorders General Mental Health and Wellness Motivation and Inspiration Psychology Bipolar Disorder Dysthymia Graeme Cowan Greg Montgomery Jennifer Hentz Moyer Major Depressive Disorder postpartum psychosis Schizophren Source Type: blogs

Department of Health Protecting and promoting patients’ interests: licence exemptions: guidance for providers All providers of NHS healthcare services in England will need a licence from Monitor from April 2014, unless they are exempt. The licence wil
Department of Health - The directions apply to providers of high security psychiatric services. They set out the requirements for providers to make sure they have robust arrangements for safety and security, and for children visiting patients in high security hospitals. Directions Guidance on directions Directions for children's visits Guidance on directions for children's visits Department of Health - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - December 23, 2013 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Mental Health Source Type: blogs

An Alarming Story
Michael Luo and Mike McIntire: Last April, workers at Middlesex Hospital in Connecticut called the police to report that a psychiatric patient named Mark Russo had threatened to shoot his mother if officers tried to take the 18 rifles and shotguns he kept at her house. Mr. Russo, who was off his medication for paranoid schizophrenia, also talked about the recent elementary school massacre in Newtown and told a nurse that he “could take a chair and kill you or... (Source: Dr. X's Free Associations)
Source: Dr. X's Free Associations - December 23, 2013 Category: Psychiatrists and Psychologists Authors: DrX Tags: Front Page neuropsychology neuroscience & Psychoanalysis Source Type: blogs

Another take on the statin issue: Can lifestyle changes kill?
First a disclaimer: I’m a psychiatrist, not a cardiologist, but I’ve followed with personal interest the discussions about calculating cardiac risk and indications for statin treatment.  Risk is an interesting word, because risk is about populations; it loses the individual. And it seems that statin treatment has taken on a bit of stigma — something we’re used to in psychiatry — now you can eat your cake and have low cholesterol, too!  The articles are all careful to point out that it’s preferable to lower cholesterol with lifestyle changes, that statins are for when such changes fail or for those wh...
Source: Kevin, M.D. - Medical Weblog - December 22, 2013 Category: Family Physicians Tags: Conditions Heart Medications Source Type: blogs