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Psychiatry

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

How a marriage with big pharma ended in divorce
By Sophie Arie, freelance journalist sophiearie@fmail.co.uk The abrupt termination last week of an umbrella group of leading drug companies, royal medical colleges, and leading health organisations comes as no surprise to critics of the body’s pro-pharma statements. Sophie Arie investigates In March 2012 a group of 19 of Britain’s leading pharmaceutical and healthcare bodies1 published two documents that were meant to provide definitive guidance on the interaction between doctors and drug companies and transparency in clinical trials. The short, pamphlet style documents—Guidance on Collaboration between Healthca...
Source: PharmaGossip - October 8, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs

Reader Question – I smoke cigarettes to help me quit marijuana and it doesn’t work?
Many of you might be asking this same question so I’m posting with the answer here. Enjoy. The question is from Mozin I decided a while back that I should smoke a cigarette every time after I smoke a marijuana bowl. This would help me to help me quit smoking marijuana. I heard cigarettes are gross and give you lung cancer so I don’t like it at all. It’s not working though, whats the best way to stop? Answer: The realty is that weed as a drug is addictive, but it has one property that makes it easier to quit, the drug remains in the body for many days after using so there is a natural weaning process as t...
Source: Addiction Recovery Blog - October 7, 2013 Category: Addiction Authors: Addiction Recovery Author Tags: Opiate Treatment Source Type: blogs

Sucker’s Bet
I attended the US Psychiatric and Mental Health Congress meeting last week and actually attended the meetings (the event was held in Las Vegas), but I was disappointed by the absence of lectures about addiction.  There are other mental health groups geared more toward addiction, but one would think that psychiatry would maintain a strong presence […] (Source: Suboxone Talk Zone)
Source: Suboxone Talk Zone - October 7, 2013 Category: Addiction Authors: J T Junig Tags: Benzos Costs pharmacology receptor actions risks side effects Suboxone tolerance treatment detox clinic heal opiate receptors how long does withdrawal last ice caps rapid detox Suboxone withdrawal Source Type: blogs

This Week in Mentalists: The 2012 Winners and Runners-up Edition
Hi everyone. It’s Amanda here from Beauty From Pain Blog. Sorry this is coming to you so late in the weekend. I was being my usual procrastinating self! Now I’m sure you’ve likely seen the announcement of the This Week in Mentalists Awards 2013. (If you haven’t, do please check them out, and get nominating.) In doing this week’s round-up, I thought ‘why not go back and check in with some of last year’s winners and runner-ups?’ Let’s see what they’ve been up to and how they’ve been lately. So here goes. Firstly, I’d like to say that I do look forwa...
Source: Dawn Willis sharing the News and Views of the Mentally Wealthy - October 6, 2013 Category: Mental Illness Authors: Amanda Tags: Mental Health, The News & Policies. Source Type: blogs

Coming Off Medications Guide - In Japanese!
The Harm Reduction Guide to Coming Off Psychiatric Drugs was recently translated in Japanese! Thanks to the amazing translation team of Madness Radio listeners Dr. Tsuyoshi Matsuo, Makoto and Yuko Matsuo, Richard Sadowsky, Kyoko Hamashima, Mari Yamamoto, and Mika Jarmusz, with layout support by Seth Kadish You can download the new guide here. Download the scrambled pages printer version here. (Source: The Icarus Project - Navigating the Space Between Brilliance and Madness)
Source: The Icarus Project - Navigating the Space Between Brilliance and Madness - October 5, 2013 Category: Mental Illness Authors: Icarus Project Tags: alternative treatments books coming off meds/withdrawal community icarus downloads icarus organizational icarus press news popular education materials Source Type: blogs

FDA guidelines for mobile health apps relevant to cognitive/ mental health [feedly]
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Source: Intelligent Insights on Intelligence Theories and Tests (aka IQ's Corner) - October 4, 2013 Category: Neurologists Source Type: blogs

Possible Postpartum Psychosis Behind DC Car Attack
This situation is just sad. Some people will say that if we had better availability of mental health care or greater awareness of mental illness, this might not have happened. I'd make no such assumption. The police reported finding psychiatric medication in her home. Maybe she was in treatment. Maybe the meds were inadequate or the wrong meds. Maybe she went off her medications. Maybe she had a bad reaction to the medications. Psychiatry is anything but an exact science. (Source: Dr. X's Free Associations)
Source: Dr. X's Free Associations - October 4, 2013 Category: Psychiatrists and Psychologists Authors: DrX Tags: Front Page Source Type: blogs

SMART Recovery and AA
SMART Recovery Can be Good Alternative or Addition to AA: Researcher For some people in recovery, SMART Recovery groups are a valuable alternative or addition to traditional 12-step groups, according to a researcher at Penn State University. SMART Recovery groups are facilitator-led, structured discussion groups that are closely aligned with counseling techniques. Unlike Alcoholics Anonymous and other traditional 12-step groups, SMART Recovery focuses on self-empowerment instead of surrendering to a higher power, says Deirdre O’Sullivan, PhD, Professor in the Department of Educational Psychology, Counseling and Specia...
Source: Recovery Is Sexy.com - October 4, 2013 Category: Addiction Authors: Sparrow Tags: Alcoholics Anonymous SMART Recovery SMART Recovery and AA Source Type: blogs

FDA guidelines for mobile health apps relevant to cognitive/ mental health
21 types of health apps the FDA could regulate but won’t (MobiHealthNews): “The FDA final guidance finally published last week and it included very few surprises. One new section in the final guidelines — that was not included in the draft guidance — is a list of the types of apps that the FDA says will fall under its enforcement discretion. That means that these apps may meet the definition of a medical device, but the “FDA intends to exercise enforcement discretion for these mobile apps because they pose lower risk to the public…In the pages to follow is a roundup of the FDA’s list of apps that it does not ...
Source: SharpBrains - October 4, 2013 Category: Neurologists Authors: SharpBrains Tags: Education & Lifelong Learning Health & Wellness Technology anxiety depression FDA medical device mobile apps psychiatric apps Source Type: blogs

The Carlat Reports: Independent Publications You Should be Reading
Back in 2008, I met ground-breaking psychiatrist Danny Carlat. You might remember Dr. Carlat because the year before he started a blog and published an important op-ed in the New York Times about the influence that pharmaceutical companies have in marketing their drugs to physicians. (To learn more, read about it when I interviewed him here.) What you may not have realized is that Dr. Carlat got his start with his own monthly psychiatric newsletter called, fittingly enough, The Carlat Psychiatry Report in 2003. Since its humble beginnings as a single newsletter, the Carlat Publishing empire has grown, now supporting two ad...
Source: World of Psychology - October 4, 2013 Category: Psychiatrists and Psychologists Authors: John M. Grohol, Psy.D. Tags: General Policy and Advocacy Professional Psychiatry Psychology Psychotherapy Carlat Carlat Publishing Consumer Reports coupon code Danny Carlat founder Health Care Mental Disorder Mental Health Mental Health Professional Ph Source Type: blogs

Does Stress Increase Alzheimer's Risk for Women?
Conclusions The study shows that common psychosocial stressors may have severe and long-standing physiological and psychological consequences. More studies are needed to confirm these results and investigate whether more interventions such as stress management and behavioural therapy should be initiated in individuals who have experienced psychosocial stressors. Source BMJ Open, http://bmjopen.bmj.com/content/3/9/e003142.abstract?sid=854b9db2-74d3-4fb2-9307-b9d8ffc45204 This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits ot...
Source: Alzheimer's Reading Room, The - October 3, 2013 Category: Dementia Authors: Bob DeMarco Source Type: blogs

Why the despicable deserve the best care possible
I received a very intriguing question the other day. “What happens when someone despicable, someone who has committed some horrible act or made some terrible decision, comes in for evaluation or treatment and you have to see them?” I have been asked to see child molesters of the worst kind, men (usually) who have done things so vile to children that it would make your stomach turn to hear about them. Having raised three daughters of my own and now having two grandchildren and another on the way, these things brought forth such a visceral reaction from me that it was all I could do sometime to continue the interview and...
Source: Kevin, M.D. - Medical Weblog - October 2, 2013 Category: Family Physicians Tags: Physician Psychiatry Source Type: blogs

Living with Co-Occurring Mental & Substance Abuse Disorders
Substance abuse is defined as a pattern of harmful use of any substance for mood-altering purposes. Mental illness refers to disorders generally characterized by dysregulation of mood, thought, or behavior, as recognized by the Diagnostic and Statistical Manual, 5th edition, of the American Psychiatric Association (DSM-5). When a person is suffering from both a substance abuse and a mental health disorder, it is called a co-occurring disorder. Some people refer to this as “dual diagnosis.” According to the National Alliance on Mental Illness (NAMI), approximately 50 percent of individuals with severe mental hea...
Source: World of Psychology - October 2, 2013 Category: Psychiatrists and Psychologists Authors: Donna M. White, LPCI, CACP Tags: Addiction Alcoholism Disorders General Mental Health and Wellness Substance Abuse Treatment Abnormal Psychology Dual Diagnosis Illness Mental Disorder Mood Disorder Nami other services Psychiatry Psychosis Schizophrenia Source Type: blogs

Navy Yard Shooter Case: Signs of Trouble Missed?
The difference between a clinical sign, an outwardly observable indication of an underlying condition, and a symptom, a person's subjective report of their discomfort, is crucial to understanding how the system can fail to "connect the dots" in time to prevent tragedy.Tags: anxiety and stress, bereavement, law enforcement, news and research, politics, psychiatry (Source: Psychology, Philosophy and Real Life)
Source: Psychology, Philosophy and Real Life - October 2, 2013 Category: Psychiatrists and Psychologists Authors: Dr George Simon, PhD Tags: General anxiety and stress bereavement law enforcement news and research politics psychiatry Source Type: blogs

Who is right? US or EU?
ADHD Pill Faces High Hurdle in Europe as Stigma PersistsThe European debut of a pill to treat children with attention deficit hyperactivity disorder faces a major hurdle: convincing people the condition exists.Shire Plc (SHP), the world’s biggest seller of ADHD drugs, has been rolling out the pill, Vyvanse, in eight countries while discussing the prevalence of the illness with doctors at psychiatry conferences around Europe. More than 90 percent of the Dublin-based company’s sales of ADHD drugs come from the U.S., where the illness is diagnosed about 25 times more frequently than in the U.K.While attitudes va...
Source: PharmaGossip - October 2, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs

Medical Mispronunciations and Misspelled Words: The Definitive List.
Hearing medical mispronunciations and seeing misspelled words are an under appreciated  joy of working in healthcare.  Physicians often forget just how alien the language of medicine is to people who don't live it everyday.  The best part about being a physician is not helping people recover from critical illness. The best part is not  about  listening and understanding with compassion and empathy.  Nope, the best part about being a physician is hearing patients and other healthcare providers butcher the language of medicine and experiencing great entertainment in the process.   Doctors c...
Source: The Happy Hospitalist - October 2, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Why solutions to mental health continue to evade us
Another tragedy, another tragic series of errors, another avalanche of debriefings and politicization, and in Washington, DC, there are 12 more dead.  What can we say about this?  It seems that the standard commentary fails.  Aaron Alexis was not an angry white man, nor a conservative.  He carried no assault rifle and he had a secret security clearance. He doesn’t seem to have been motivated by race.  He was a educated consultant.  He certainly wasn’t a radical Islamist.  In fact, he was allegedly a Buddhist.  (A demographic not known for violent outbursts these days.) Continue reading ... Your patients are ra...
Source: Kevin, M.D. - Medical Weblog - October 1, 2013 Category: Family Physicians Tags: Physician Psychiatry Source Type: blogs

Antidepressants Over the Medium and Long Term: Little to No Evidence
Last month, in two posts - Antidepressants: the Evidence and Antidepressants Over the Short Term - we examined the scientific evidence for treating depression with antidepressants. I principally relied on three major clinical treatment guidelines that were published over 2009-2010.    These included the American Psychiatric Association’s (APA) Practice Guideline for the Treatment of Patients with Major Depressive Disorder, the... (Source: John McManamy's SharePosts)
Source: John McManamy's SharePosts - October 1, 2013 Category: Mental Illness Authors: John McManamy Source Type: blogs

60 Minutes: Connecting Mental Illness to Violence with Little Data, Facts
Last night, a poorly researched piece by Steve Kroft appeared on the television news program, 60 Minutes. I say “poorly researched” because it took me all of five minutes to find problems in what some of those interviewed on the program said. While truthy, it wasn’t exactly the whole truth. The core problem this program displayed is making a post hoc logical fallacy of connecting two seemingly-related things and suggesting a causal relationship exists. Because some of the people who commit mass killings have mental health issues, this is a sign of “a failed mental health system that’s prohibit...
Source: World of Psychology - September 30, 2013 Category: Psychiatrists and Psychologists Authors: John M. Grohol, Psy.D. Tags: General Mental Health and Wellness Minding the Media Policy and Advocacy Psychiatry Psychology Treatment Violence and Aggression Source Type: blogs

Parenting the crying child: Remember to take care of yourself
I don’t think of myself as someone who is easily angered. In my capacity as a mental health provider, I have been called every name in the book, spat at and nearly assaulted. Although these experiences are never pleasant, I can intellectualize away my feelings about patients’ hostile behavior: this is just a part of their illness. While I have certainly felt frustrated after a long night on call, I would not describe myself as feeling genuinely angry toward these patients. I don’t think I knew what real anger was until our daughter arrived. Continue reading ... Your patients are rating you online: How to respond. Ma...
Source: Kevin, M.D. - Medical Weblog - September 30, 2013 Category: Family Physicians Tags: Physician Pediatrics Psychiatry Source Type: blogs

So Many Wings: Re-imagining the Icarus Project’s Blog
The Icarus Project is in the process of redeveloping our front-page blog as a space for powerful, transgressive stories, articles, interviews, and resources that aren’t being widely published in other alternative mental health media outlets. We want to center the voices and badass organizing of people of color, queers, working-class folks, people with disabilities, and other marginalized voices, offering space not only for counter narratives to the biomedical model of psychiatry, but also for a lot more beauty and brilliance in who gets to speak. We want to expand the dialogue regarding mental health, human rights, liber...
Source: The Icarus Project - Navigating the Space Between Brilliance and Madness - September 30, 2013 Category: Mental Illness Authors: Icarus Project Tags: Journal Source Type: blogs

Think about alcohol as a prescription drug
Imagine there was a practice that I could teach you that would reduce your relative risk of having a heart attack by nearly 40%. Imagine also that if you carried out this practice just once a week you’d find yourself feeling less anxious, more confident, better able to enjoy yourself socially, and in general significantly less stressed (at least while actively engaged in it). Imagine finally that the practice itself wasn’t hard but in fact enjoyable. That it would take almost no effort — no activation energy — on your part to engage in it. Would you take my prescription? Continue reading ... Your patients ...
Source: Kevin, M.D. - Medical Weblog - September 29, 2013 Category: Family Physicians Tags: Conditions Psychiatry Source Type: blogs

A Close Encounter with Thich Nhat Hanh
I was eating my California wrap outside at a local coffee shop in Boston when without reason I began to weep. Tears began rolling down my face, which made me feel as if I were sitting in a steady rain. It was as if my eyes had suddenly sprung a leak or a nearby sprinkler had found me. Initially I didn’t have any feeling, but within seconds after the tears began like a fountain, I felt what seemed like an inconsolable pain — a deep sorrow that grew in intensity. It was as profound and moving as any emotion I’ve ever had. Within the space of a brief moment I had gone from enjoying my lunch at a sidewalk café on ...
Source: World of Psychology - September 29, 2013 Category: Psychiatrists and Psychologists Authors: Daniel Tomasulo, Ph.D. Tags: Celebrities General Mental Health and Wellness Mindfulness Proof Positive Amazement Barbara Fredrickson Buddhist Meditation Deep Sorrow Emotion Emotions Human Rights Intensity Jon Kabat Zinn Order of Interbeing Positive Chang Source Type: blogs

#MentalPatient – where it all started and what it all means
When I sneaked a peak at my emails (ironically in the middle of a Time to Change Leeds steering group meeting) and clicked on an Asda link from one of our consultant psychiatrists, @nuwandiss, my heart started palpitating. I couldn’t believe the image in front of me. Surely this Halloween costume was a wind up? But the URL was legit. I shared it with colleagues around the table. We all gasped. http://digitalmentalhealth.co.uk/wp/ Filed under: Mental Health, The News & Policies. (Source: Dawn Willis sharing the News and Views of the Mentally Wealthy)
Source: Dawn Willis sharing the News and Views of the Mentally Wealthy - September 29, 2013 Category: Mental Illness Authors: Quinonostante Tags: Mental Health, The News & Policies. Source Type: blogs

“We can cure the #mentalhealth service crisis” claim professionals. #ukmh
“Mental health services have been under an inordinate amount of pressure over the past few weeks, with no inpatient beds in the public or private sector available in the whole of England, according to several clinicians. Ever since asylums closed down in the 1980s, and their lands sold to property developers to plug budget gaps, pressures on inpatient psychiatric beds have been tremendous, while successive governments have pushed through untested and unproven policies based on ideologies. The so-called Nicholson challenge, to make efficiency savings of £20bn by 2014, has led to major budget cuts in the NHS. These...
Source: Dawn Willis sharing the News and Views of the Mentally Wealthy - September 29, 2013 Category: Mental Illness Authors: Quinonostante Tags: Mental Health, The News & Policies. inpatient beds mental health service psychiatric beds Source Type: blogs

David Healy appeals
Two years ago, the European Ombudsman ruled that the European Medicines Agency should open up access to Clinical Trial Data for anyone who applied from anywhere in the world.  Six months ago two US pharmaceutical companies AbbVie and InterMune took a legal action against EMA that has closed down access to all trial data for all drugs for all doctors and researchers anywhere in the world.. Most people have not heard of AbbVie. Until recently they were Abbott Laboratories, one of the biggest pharmaceutical companies in the world. They make Humira, a monoclonal antibody used for Rheumatoid Arthritis, Croh...
Source: PharmaGossip - September 29, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs

The Somnambulistic and the Sun
She stands before you naked you can see it, you can taste it, and she comes to you light as the breeze. Now you can drink it or you can nurse it, it don't matter how you worship as long as you're down on your knees. He woke up that day feeling numb and while he was taking on his clothes he started regurgitating his dream as a phlegmatic breakfast. He went walking for work feeling dazed with a constant hiss in his ears. While he was walking he noticed that the sun is facing him so he decided to keep "staring at the sun" till somebody looking like Robin Williams appeared and said "hi". The&...
Source: psychiatry for all - September 27, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

Synapse Evolution with Seth Grant (BSP 101)
Seth Grant (click photo to hear interview) Early in his career Seth Grant helped develop the transgenic mice that Eric Kandel used in his studies of how memory works. Since then he has combined his skill in genetics with his work on isolating the proteins that form the functional components of the synapse. (The synapse is a key component in the nervous systems of all multi-cellular animals.) When we last talked back in BSP 51 I was particularly struck by how many of these proteins actually evolved with single celled life--long before the arrival of nervous systems.Recently Grant's work has focused on the ...
Source: the Brain Science Podcast and Blog with Dr. Ginger Campbell - September 27, 2013 Category: Neurologists Authors: Ginger Campbell, MD Tags: Brain Evolution Brain Research Interviews learning Neuroscience Podcast Show Notes Source Type: blogs

We have a Jesuit Pope
Oswald Sobrino has a link to Pope Francis' interview in the Jesuit magazine America. His answers have been celebrated; the interviewer and his questions were excellent in their own right. (Source: a psychiatrist who learned from veterans)
Source: a psychiatrist who learned from veterans - September 27, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

Eating Disorders Coalition Hill Briefing: “Fear of Fat and Weight Stigma: The Intersection of Obesity and Eating Disorders”
Last week the Eating Disorders Coalition held a briefing on Capital Hill that addressed issues around the negative health outcomes that can result from weight-based stigma and discrimination. They also discussed how important it is to take the focus off of obesity and size, and instead shift the focus to healthy behaviors. The panel of speakers included: Rebecca Puhl, PhD, Deputy Director, Rudd Center for Food Policy & Obesity, Yale University B. Timothy Walsh, MD, Ruane Professor of Pediatric Psychopharmacology, Department of Psychiatry at the College of Physicians & Surgeons, Columbia University Chevese Turner, ...
Source: Balanced Health and Nutrition Rebecca Scritchfield's Blog - September 26, 2013 Category: Nutritionists and Food Scientists Authors: rebeccascritchfield Tags: diet health healthcare policy binge eating disorder weight stigma Source Type: blogs

FwdJournal Alert - PSYCHOLOGICAL ASSESSMENT
This study examined the relationship of 6 forms of > implicit cognition about death, suicide, and self-harm with the > occurrence of self-harm in the future. We then attempted to develop a > model using these measures of implicit cognition along with other > psychometric tests and clinical risk factors. We conducted a prospective > cohort of 107 patients (age > 17 years) with a baseline assessment that > included 6 implicit association tests that assessed thoughts of death, > suicide, and self-harm. Psychometric questionnaires were also completed > by the patients, and these included the Beck Hop...
Source: Intelligent Insights on Intelligence Theories and Tests (aka IQ's Corner) - September 26, 2013 Category: Neurologists Source Type: blogs

Unregulated gun access and its drain on medical resources
On September 17, 2013, I joined the growing  ranks of physicians who  have gotten  a message they hoped  never  to  receive: “There has been a mass shooting in the area.  Prepare to receive casualties.” That morning, a  gunman was indiscriminately mowing down people at the US Navy Yard.  Within an hour my hospital had geared up to provide both medical and supportive care, answer calls from those seeking to know the identity of victims, and coordinate other services with the rest of the hospitals in the city. In the end, we provided care to only one bereaved family and treated a few minor injuries. Still, the e...
Source: Kevin, M.D. - Medical Weblog - September 25, 2013 Category: Family Physicians Tags: Physician Psychiatry Source Type: blogs

The #Pillshaming Bingo Card
Reblogged from The Not So Big Society: The #Pillshaming Twitter hashtag was created by @Sectioned_ to refer to condescending articles and viewpoints, deriding the use of psychiatric medication. There's been a fair few of these recently. In the Guardian Giles Fraser and Will Self leapt onto their respective soapboxes to pour forth a series of tired cliches. Today in the Daily Mail, Dr Joanna Moncrief published an article… Read more… 271 more words (Source: Dawn Willis sharing the News and Views of the Mentally Wealthy)
Source: Dawn Willis sharing the News and Views of the Mentally Wealthy - September 25, 2013 Category: Mental Illness Authors: Zarathustra Tags: Mental Health, The News & Policies. Source Type: blogs

How Does The Shutdown Relate To Me?
is Obama there? (Source: The Last Psychiatrist)
Source: The Last Psychiatrist - September 25, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

Real Men Want To Drink Guinness, But Don't Expect Them To Pay For It
the reason the bubbles go down is because of the drag created by the bubbles rising up the center.  yeah, like a metaphor. (Source: The Last Psychiatrist)
Source: The Last Psychiatrist - September 25, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

10 Idiotic Motivational Quotes
I’m not entirely sure if it’s illegal to have a Pinterest account and not post random motivational quotes from time to time, but I suspect it is by the sheer amount of people doing it. And that’s very cool because who doesn’t love a great motivational quote or two? I know I do and I too am ‘guilty’ of posting and sharing the good ones I stumble upon. The problem is though that some people are so eager to demonstrate their insight and understanding they forget to actually use any insight or try to understand what the person quoted really meant. The result is they post quotes that would have not only been better ...
Source: Life Coach Blog: The Discomfort Zone : - September 25, 2013 Category: Life Coaches Authors: Tim Brownson Tags: Life Coaching Source Type: blogs

A symptom that will hasten Medicare’s eventual insolvency
Days from her 80th birthday, “Nancy” (not her real name) is doing well.  She’s active, exercises, drives, travels, and lives alone in a multi-story apartment building without an elevator.  Her busy schedule of weekly activities includes several appointments with physicians.  Nancy’s medical needs are covered by Medicare. Nancy’s been in psychotherapy for a half-century.  She’s seen me, her psychotherapist, for the past three years.  Nancy reports difficulty developing meaningful relationships over the course of her adult life.  On a fixed income funded by Social Security, like many older adults, Nancy’s...
Source: Kevin, M.D. - Medical Weblog - September 25, 2013 Category: Family Physicians Tags: Conditions Psychiatry Source Type: blogs

You Rang?
Mom has called me four times this afternoon which is par for the course on any given day.   First, it was that Mrs. Sandra couldn’t go to the Mexican restaurant this week.  Mom now  just called and asked me if I would take her to eat Reuben sandwiches at Arby’s tomorrow night. I told her I would be happy to take her.  I wouldn’t mind a Rueben myself. “Your mother needs to quit eating out so much,” my father told me last night worried about her weight. My Veterinarian also called this morning and it is time for Maggie’s annual check up and booster shots. I think I am just going to leave ...
Source: The 4th Avenue Blues - September 25, 2013 Category: Mental Illness Authors: Andrew Quixote Source Type: blogs

Dr. David Nutt on Alcohol
Rebutting industry myths. A couple of years ago, the European Alcohol Policy Alliance, known as EuroCare, put together a brochure addressing the common messages the liquor industry attempts to drive home through its heavy spending on advertising. The messages are not just designed to sell product, but also to influence alcohol policy at the political level. According to EuroCare, the “industry”—the alcohol and tobacco companies—“has traditionally worked closely together, sharing information and concerns about regulation. They have used similar arguments to defend their products in order to prevent or delay re...
Source: Addiction Inbox - September 25, 2013 Category: Addiction Authors: Dirk Hanson Source Type: blogs

“RxISK” Database Reports Side Effects, Including Violence, Undisclosed by Pharma Firms - by John Horgan
My previous post considered whether an antidepressant might have served as a catalyst for a gunman’s massacre of 12 people at the Washington Navy Yard last week. Some readers objected to my discussion of this possibility, given the paucity of evidence that psychiatric drugs can trigger violent acts.RxISK gathers and disseminates data on drug side effects, which manufacturers often fail to disclose.The problem with this objection is that negative reactions to medications often go unreported, because of the persistent failure of pharmaceutical companies to disclose adverse effects of their products.This enormous, ongo...
Source: PharmaGossip - September 24, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs

Should Psychiatrists See Patients?
Today's Wall Street Journal has an article on a new model of psychiatric care: the psychiatrist serves as a consultant to the primary care doctors and the psychotherapist.  The psychiatrist hears about the patient, but if my read is right, the psychiatrist has a large caseload and never actually sees the patients.   In Getting Mental-Health Care at the Doctor's Office: Providers Take Integrated Approach, With Patient Numbers Set to Jump Under New Law and Psychiatrists in Short Supply, Melinda Beck writes: As the consulting psychiatrist for four primary-care practices, Dr. Ratzliff confers weekly wit...
Source: Shrink Rap - September 24, 2013 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

'Anti-Psychotic' Drugs and Bipolar Disorder
A few words on the odd seeming fact that all of the drugs for schizophrenia, all of the 'anti-psychotic drugs,' have been found useful for bipolar disorder. Schizophrenia is a disorder characterized by loosening of ego boundaries. As a recent cartoon in the New Yorker captioned 'I can't tell if that is an internal thought or something I already said.' Viewed in a topographic sense, these drugs tighten up those boundaries. I can recall walking down the hall of the ward with the Vice Chief of Psychiatry at the VA and a patient walked up to us and indicated some way in which he had been hostilely treated by Dr. Charles. Dr. C...
Source: a psychiatrist who learned from veterans - September 24, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

Mind Med: Easing ADHD Symptoms Without Medication
Currently available ADHD medications are typically very strong, habit forming drugs, whose side-effects can often be worse than the disorder they are intended to treat. As an ADHD patient, this editor took the liberty of testing an iPhone app designed to help ease the symptoms of the disorder, either as a supplement to medication, or as a standalone treatment option. The ADHD treatment app was designed by Mind Med, a psychiatric disorder neuro-cognitive treatment technology start-up based in Ontario, Canada. According to their website, Mind Med claims their app is based on scientific and clinical research, and is shown to...
Source: Medgadget - September 23, 2013 Category: Technology Consultants Authors: Yona Gidalevitz Tags: Medgadget Exclusive Psychiatry Source Type: blogs

Perspectives on Pain - 19: Interdisciplinary Studies in the Long Nineteenth, No 15 (2012)
This issue of 19, guest edited by Louise Hide, Joanna Bourke, and Carmen Mangion, examines the meaning of pain - for sufferers, physicians, and other witnesses - in the nineteenth century. Articles by social and cultural historians, and by literary scholars, discuss the implications of shifting discourses in personal narratives, in religious communities, and in philosophical, medical, and psychiatric texts. Analysing language in the diverse theories of the period, this issue extends and deepens our understanding of the complex interaction between the body, mind, and culture in order to gain insight into the ...
Source: Psychology of Pain - September 23, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

Top stories in health and medicine, September 23, 2013
From MedPage Today: Type 1 Diabetes Not Controlled in Teens. Glucose control remained inadequate in a cohort of teens with type 1 diabetes, and many of these young patients already had microvascular complications. White House Seeks to Ease Obamacare Fraud Fears. The White House unveiled several steps this week to protect consumers from fraud in the new online health insurance marketplaces, a move that comes after 17 states hostile to the law acted to limit the spread of information about the program, and congressional Republicans raised concerns about the privacy of medical and financial records. Add ‘Shrapnel̵...
Source: Kevin, M.D. - Medical Weblog - September 23, 2013 Category: Family Physicians Tags: News Diabetes Endocrinology Psychiatry Source Type: blogs

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This weekend an APA task force released a report saying that 'antipsychotic drugs' are overused*. The comments at USAToday had a delighted group of psychiatry bashers. In reviewing the literature, I find that other adult bipolar drugs are just not found useful in Adolescents. Further, from a criticism standpoint, the spokesman, Joel Yager, MD is from the same Medical School that treated the man found armed to the hilt at the scene of the Aurora Colorado movie shooting. Presumably he has some prominence at the Medical School as well. Are we to be speculatively happy that the shooter wasn't about to develop diabetes from Ris...
Source: a psychiatrist who learned from veterans - September 23, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

What happens to patients after their doctors die?
Several studies have explored the experience of grief that physicians feel when they lose a patient. But what about when the patient loses a physician — when the doctor dies? Dr. K was a well-known child psychiatrist, a loving husband, a father of two, and an irreplaceable support and friend for a number of children suffering from trauma, schizophrenia, bipolar disorder, autism and other challenging psychiatric conditions. Earlier this year, Dr. K passed away in a tragic accident while vacationing with his family. His loss was nearly unbearable for most of us. Continue reading ... Your patients are rating you online...
Source: Kevin, M.D. - Medical Weblog - September 22, 2013 Category: Family Physicians Tags: Patient Patients Primary care Source Type: blogs

Do Addicts Benefit From Chronic Care Management?
Controversial JAMA study questions orthodox addiction treatment.  What is the best way to treat addiction? The conventional wisdom has been to treat it with chronic care management (CCM), the same approach used for various medical and mental illnesses. But a study in the Journal of the American Medical Association (JAMA) purports to demonstrate that “persons with alcohol and other drug dependence who received chronic care management (CCM)” were no more likely to become abstinent that those who received nothing beyond a timely appointment with a primary care physician, and a list of addiction treatment resource...
Source: Addiction Inbox - September 22, 2013 Category: Addiction Authors: Dirk Hanson Source Type: blogs

So Many Medication Issues....
I made a really dumb mistake.  I *thought* I was being smart by buying little pill boxes and putting morning pills in one and night time pills in the other.  The morning pills were just Prestiq, but I added a bunch of stuff like vitamins since I was taking pills anyway.I've been waking up several times throughout the night and had NO idea why I was sleeping poorly lately.  This morning I went to take my morning pills and realized what I had been doing.  I got the pill boxes mixed up!  I don't know how long I've done it, but I've been taking the night ones in the morning and vice versa. The night on...
Source: bipolar.and.me - September 20, 2013 Category: Mental Illness Source Type: blogs

Sanofi Pays $40M To Settle Suit About Fibs And Its Failed Fat Pill
Six years after Sanofi withdrew its application to sell its troubled Acomplia diet pill in the US over concerns about psychiatric side effects, the drugmaker has agreed to pay $40 million to settle a shareholder lawsuit that alleged misleading statements were made about the safety of the drug. Various pension funds cited statements made by Sanofi that Acomplia, which was sold as Zimulti in Europe, could become a blockbuster seller and had few side effects. But the lawsuit referenced internal documents indicating the drugmaker was aware of cases of suicidal ideation and a statistically significant link to suicidal thoughts ...
Source: Pharmalot - September 20, 2013 Category: Pharma Commentators Authors: esilverman Source Type: blogs