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

Medicine has allowed me to intellectualize my mother’s illness
Somewhere late morning, after rounding on my first day of internship, I received a call from my sister. “She wants to kill herself. What do I do?” We had been through this before with our mother, fifteen years ago, the week I moved out of her house. She ended up in the psychiatric unit as we packed our bags to move in with our grandmother. This time, fifteen years later, things were different. I was an adult, and since May, I had been a doctor, in title at least. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, ...
Source: Kevin, M.D. - Medical Weblog - August 7, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

Romantic Chemistry
Highlights from a talk by Larry Young about the brain chemistry of love. From bonded-for-life prairie voles to human partnerships, chemistry plays a role in romantic attraction and staying with a mate. Lessons from research into the science of love may be useful for other applications in psychiatric conditions, including autism spectrum disorders. An animated short excerpt from a presentation at the Brain Matters! conference held in Vancouver, BC in March, 2014. (Source: Channel N)
Source: Channel N - August 6, 2014 Category: Neurologists Authors: sandra at (Sandra Kiume) Tags: All Lecture autism brain Love neuroscience psychiatry research video Source Type: blogs

Physician Payments Sunshine Act: Over 100 Medical Associations and Societies Urge CMS To Reconsider CME Exemption and Open Payments Timeline
Medial associations and specialty societies have been understandably frustrated with the way the Physician Payments Sunshine Act has rolled out so far. Yesterday, over 100 medical societies including the American Medical Assocation--49 state medical societies and 64 medical specality societies--sent a letter to Marilyn Tavenner, Administrator of the Centers for Medicare and Medicaid Services (CMS) asking for redress over three problematic issues: (1) the expansion of reporting requirements for educational activities, (2) Open Payments’ condensed timeframe for physician registration, and (3) the complicated r...
Source: Policy and Medicine - August 6, 2014 Category: American Health Authors: Thomas Sullivan Source Type: blogs

Sectioned -- on involuntary treatment in the U.K.
In America, people enter the hospital involuntarily in a process known as civil commitment.  On the other side of the pond, in Great Britain, it's known as being "sectioned."My thanks to Mental Health @sectioned_ on Twitter who linked to this BBC radio program called "Shrink Wrapped" (not, not, not Shrink Rap) and a one-hour show on being Sectioned -- they interview a psychiatrist, a patient who has been sectioned roughly 10 times, and the police.  Here's the Link if you'd like to listen.  The issues sound to be the same on both sides of the Atlantic Ocean.  If you'd like to listen, it may only be avail...
Source: Shrink Rap - August 6, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Stop comparing depression to diabetes
At the recent gubernatorial candidates forum on mental health, Martha Coakley repeated the oft-heard phrase that depression is like diabetes. Her motivation was good, the idea being to reduce the stigma of mental illness, and to offer “parity” or equal insurance coverage, for mental and physical illness. However, I am concerned that this phrase, and its companion, “ADHD is like diabetes,” will, in fact, have the exact opposite effect. 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 - August 6, 2014 Category: Journals (General) Authors: Tags: Conditions Diabetes Endocrinology Psychiatry Source Type: blogs

Government, Pay to Play business, Corruption in Dallas
The problem and mechanisms complete with deniability and, yes, ambiguity of government corruption were on display in last Sunday's, July 27, Dallas Morning News. The problem: 'Entities backing the Dallas hub filed for Chapter 11 bankruptcy in 2010. Allen, who had guaranteed loans for the project, filed for personal bankruptcy later that year.' 'Allen, who declined to hire Price's consultants, had refused the effort to shake him down.' Price's alleged scheme impeded economic development and was unjust to Mr. Allen and his investors. Eerily, we also had the story of Bill Moore and Recognition equipment which 25 years ago was...
Source: a psychiatrist who learned from veterans - August 4, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

How hospitals help people through social media
by Nancy Cawley Jean It's no secret that people take to social media when they have a complaint. It's been said many times that brands need to be in social media, because even if the brand isn't out there, people can still mention it, in both good and bad ways. A hospital is certainly no exception to this rule, especially when you think about how important quality of care is to people when their health is threatened and they face a hospital visit. When it comes to healthcare, expectations are high. So when their care isn't up to par, it's a safe bet people will shout it from their Facebook status updates, tweets and mor...
Source: hospital impact - August 3, 2014 Category: Health Managers Authors: Wendy Johnson Source Type: blogs

A cruel paradox when it comes to mental disorders
I am a great supporter of mental health research but worry that it has lost its sense of proportion and is chasing the wrong priorities. The really glamorous stuff consumes almost all of the enormous NIMH budget and now has behind it the huge addition of a $650-million private donation aimed at solving the genetics of mental illness. 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 - August 3, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

Hello Kettle? Calling the Pot Black Again?
So tonight I decide to stop by the voluntarily homeless guy’s blog after not visiting for about a month.  He is actually alluding to doing something nefarious or illegal “to survive” – a system he has perfected over the years as a marginally housed person.  He also talks about some mumbo jumbo nonsense that no one can judge him if they don’t really know him and he says nobody but him knows his true self aka Mr. Mysterioso.  I am pretty sure he is mentally ill so I try to cut him some slack. Lord knows I've done some crazy stuff in the throes of my mental illness as well over the years (pot calling ...
Source: The 4th Avenue Blues - August 3, 2014 Category: Mental Illness Authors: Andrew Quixote Source Type: blogs

The Creative Brain : Links to Mental Illness?
If you're a psychiatrist, you likely know who Nancy Andreasen is.  For as long as I've been around, she's been one of those big names in psychiatry and someone who leaves you to wonder if she ever sleeps, or if she has a clone, because it's hard to imagine that one human being can accomplish so much.  She has a Ph.D in English literature, and she's a psychiatric researcher who studies schizophrenia, neuroimaging, genomics and schizophrenia, and she directs every organization she belongs to and has won more prizes than I care to mention. She's a former editor of The American Journal of Psychiatry, the Chair of the...
Source: Shrink Rap - August 2, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Why Do Therapists Summer in Cape Cod?
Cape Cod is a wonderful summer destination for hundreds of thousands of people each year. Some of those thousands are therapists. But unlike most vacationers, the therapists don’t head to the Cape for just the beaches and sun. They’re coming to hone their therapeutic skills, while maintaining their license. One of the ways to do that is to attend the Cape Cod Institute, the successful continuing education program for mental health professionals run by my friend and colleague, Gil Levin, Ph.D. The Boston Globe (Sunday) Magazine recently featured him and his ground-breaking Institute. Gil and I have known each o...
Source: World of Psychology - August 1, 2014 Category: Psychiatrists and Psychologists Authors: John M. Grohol, Psy.D. Tags: General Professional Psychology Cape Cod Cape Cod Institute CE credits Continuing Education Gil Levin Mental Health Professional professional education Psychotherapy Source Type: blogs

Shift Work Tied to Increased Type 2 Diabetes Risk
By Diane Fennell Shift work is linked to an increased risk of developing Type 2 diabetes, according to new research from China. An estimated 25.8 million people in the United States and 108 million people in China now have Type 2, with a predicted total of 380 million people expected to have the condition worldwide by 2025. Previous research has linked shift work to a variety of health problems, including cardiovascular disease, digestive disorders, and certain cancers, as well as to both reduced glucose tolerance and an increased risk of Type 2 diabetes in women. The results regarding diabetes, however, have been incons...
Source: Diabetes Self-Management - August 1, 2014 Category: Diabetes Authors: Diane Fennell Source Type: blogs

It’s time we stood up for the orphan of organs: the brain
It was with much distress that I read a New York Times front page article by Benedict Carey about the heart wrenching plight of the Serpico family in their journey to get proper psychiatric treatment for their two sons. As a child and adolescent psychiatrist who has served children and families for more than 30 years, trained many child psychiatrists, and served as president of the American Academy of Child and Adolescent Psychiatry, I am deeply disturbed by the current psycho-pharmacologic practice of psychiatry. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A s...
Source: Kevin, M.D. - Medical Weblog - July 31, 2014 Category: Journals (General) Authors: Tags: Conditions Psychiatry Source Type: blogs

Romney may be making his contribution to America by highlighting a good hiking trail. I think Romney is showing off. The comments about him are positive. I think maybe Romney here gives me an insight into Mormonism as a super Protestantism. The Calvinists saw God as having an elect; and it was by faith that you might be a member. No works, i.e. charity, were required. So ostentatious displays of material success show that you are part of the elect. Inriguining that those following and commenting on Ann Althouse's blog, she being raised, I speculate, as a secular Jew, are of that persuasion. (Source: a psychiatrist who learned from veterans)
Source: a psychiatrist who learned from veterans - July 31, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Twitter Psychosis as a Cultural Artifact
The creation of the category “Twitter Psychosis" tells us more about the culture of contemporary psychiatry than it does about the purported dangers of social media overuse. Can Twitter really “cause” psychotic symptoms in predisposed individuals? Or is Twitter merely the latest technical innovation that influences “the form, origin and content of delusional beliefs” (Bell et al., 2005)? Twitter as the new telephone tower, radio waves, microchip implant or personal TV show, if you will.Via Twitter (@DrShock, @vaughanbell), of course, comes news of a one page paper entitled, Twitter Psychosis: A Rare Variation or ...
Source: The Neurocritic - July 31, 2014 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs

The voices heard by people with schizophrenia are friendlier in India and Africa, than in the US
When a patient with schizophrenia hears voices in their head, is the experience shaped by the culture they live in? Tanya Luhrmann and her colleagues investigated by interviewing twenty people diagnosed with schizophrenia living in San Mateo, California; twenty in Accra, Ghana; and twenty others in Chennai India. There were similarities across cultures, including descriptions of good and bad voices, but also striking differences.In San Mateo the interviewees talked about their condition as a brain disease, they used psychiatric diagnostic terms to describe themselves, and their experiences were almost overwhelmingly negati...
Source: BPS RESEARCH DIGEST - July 31, 2014 Category: Psychiatrists and Psychologists Authors: Research Digest Source Type: blogs

Good Guys and Guns
Just in case there’s anyone left who hasn’t heard, there was a shooting in a hospital last Friday. A mentally ill patient brought his legally-owned gun into his psychiatrist’s office, where he proceeded to shoot and kill his case worker. He then pointed the gun at the doctor, who ducked behind a chair, drew his own legally-owned, concealed-carry pistol, and proceeded to shoot the patient in the arm and torso, disabling him and preventing him from utilizing the rest of his ammo (approximately 40 bullets total). Official comment was swift and relatively unanimous: Yeadon Police Chief Donald Molineux said t...
Source: Musings of a Dinosaur - July 30, 2014 Category: Primary Care Authors: notdeaddinosaur Tags: Politics Source Type: blogs

New Allegations About Universal Health Services Inc - Why We Should Not be Surprised
Current Allegations of Poor Treatment and Threats to a Whistle Blower This month, a Boston Globe article reported trouble at a local hospital,Arbour HRI, a Brookline psychiatric hospital in recent trouble with regulators, disciplined a mental health worker for talking to the Boston Globe about problems there — an action the employees’ union is fighting.The hospital also required all staff to sign a policy forbidding them from speaking with the media about Arbour — or risk losing their jobs, according to the union.An article that appeared in the Globe on May 30 described findings of federal investigators that the hosp...
Source: Health Care Renewal - July 29, 2014 Category: Health Management Tags: corporate integrity agreements crime fraud hospital systems kickbacks legal settlements Universal Health Services Source Type: blogs

Real-time functional MRI neurofeedback: a tool for psychiatry
Authors: Kim S, Birbaumer NAbstract. PURPOSE OF REVIEW: The aim of this review is to provide a critical overview of recent research in the field of neuroscientific and clinical application of real-time functional MRI neurofeedback (rtfMRI-nf). RECENT FINDINGS: RtfMRI-nf allows self-regulating activity in circumscribed brain areas and brain systems. Furthermore, the learned regulation of brain activity has an influence on specific behaviors organized by the regulated brain regions. Patients with mental disorders show abnormal activity in certain regions, and simultaneous control of these regions using rtfMRI-nf may affect t...
Source: Positive Technology Journal - July 29, 2014 Category: Technology Consultants Tags: Biofeedback & neurofeedback Neurotechnology neuroinformatics Source Type: blogs

A new government for Gaza
A government that deliberately puts children next to offensive rockets for the purpose of their being killed as propaganda pieces is committing a war crime. Hamas has shown itself thus criminal and an improper government, the UN an unreliable interlocutor. Ideally the Israelis should remove Hamas and give the territory to the Egyptians, who have done the only surprising thing in this conflict, blowing up Hamas tunnels or allow the people there to choose another protectorate such as the Arab League. (Source: a psychiatrist who learned from veterans)
Source: a psychiatrist who learned from veterans - July 29, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Mother and Severely Autistic Son Evicted by Fredericton Non-Profit Housing Corporation Will Be Homeless Friday, August 1
"People with Autism Spectrum Disorder may be overly dependent on routines, highly sensitive to changes in their  environment, or intensely focused on inappropriate items. ... the symptoms of people with ASD will fall on a continuum, with some individuals showing mild symptoms and others having much more severe symptoms"American Psychiatric Association, Autism Spectrum Disorder Fact Sheet   [Underlining added for emphasis - HLD]Mistie Delorey is a single mother currently residing in a property of the Fredericton Non-Profit Housing Corporation.  Her son  with severe autism will turn 7 two days from n...
Source: Facing Autism in New Brunswick - July 29, 2014 Category: Autism Authors: H L Doherty Source Type: blogs

Which Antidepressant is Right for You? Short Answer: It's Still a Crap-Shoot
There are more than two dozen FDA-approved antidepressants out there. How can you determine which one is the best for you? This is the question posed by Steve Blatt MD in an article in Psychiatric Times, a publication of the American Psychiatric Association.   Dr Blatt’s short answer: We have no idea. Finding the right antidepressant is a crap-shoot.   His long answer has to do with the fact that untold clinical efficacy... (Source: John McManamy's SharePosts)
Source: John McManamy's SharePosts - July 28, 2014 Category: Mental Illness Authors: John McManamy Source Type: blogs

Study: Neurofeedback treatment for ADHD in only 12 sessions?
In this study, behavior improvements, gains in a computerized measure of attention, and corresponding EEG changes were all observed after only 12 25 minute training sessions, i.e., only 3 total hours of training. Whether this is because of the specific training protocol used in this study, i.e., the Peak Achievement training system, or could be attained with other training protocols, is unclear. It is important to emphasize that this was not a randomized controlled trial — in fact, there was not even a control group. Thus, reliable conclusions about the clinical efficacy of this approach cannot be made from this study al...
Source: SharpBrains - July 28, 2014 Category: Neurologists Authors: Dr. David Rabiner Tags: Attention and ADD/ADHD Education & Lifelong Learning Health & Wellness Technology ADHD-Treatment EEG-Biofeedback hyperactivity IVA Plus medication-treatment Neurofeedback Neurofeedback-Treatment Peak Achievement theta/beta ratio Source Type: blogs

Why this is an exciting time to work in psychiatry
Today, I celebrated mental health care.  And this was after a morning of battling with insurance companies, patching together community care plans, trying to create an inpatient bed for a suicidal patient where none exist, and arguing with agencies for better patient support. I work on a busy inpatient psychiatric unit that provides a daily reminder of the beauty, heartache, and pain that define living with mental illness.  The diverse stories of each patient I treat range from energizing to hilarious to heart-wrenching.  They are always unique and ever compelling. Continue reading ... Your patients are rating you on...
Source: Kevin, M.D. - Medical Weblog - July 27, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

Societal Effects on Schizophrenia or Sampling Problems?
Boston Globe: Surprising new research on schizophrenia suggests, however, that people with mental illness may have stronger, stranger ties to their societies than we commonly assume. In a new article in the British Journal of Psychiatry, Stanford anthropologist Tanya Luhrmann explains that for schizophrenics experiencing auditory hallucinations, the cultures they live in shape the voices they hear in their minds. Most psychiatric research is conducted by scientists. Luhrmann argues, though, that the same psychiatric condition can express itself differently in... (Source: Dr. X's Free Associations)
Source: Dr. X's Free Associations - July 26, 2014 Category: Psychiatrists and Psychologists Authors: DrX Tags: Front Page neuropsychology neuroscience & Psychoanalysis Source Type: blogs

Can medical students lean in to psychiatry?
I recently read an interesting article in Glamour about why Zosia Mamet, an actress on HBO’s Girls, refuses to “lean in.”  While the column focuses on the influence of modern-day feminism on notions of professional success, her words resonated with me as a medical student and an aspiring psychiatrist. “I have been incredibly blessed with success in my chosen career. I’ve worked my a** off and had the support and encouragement of those around me to keep climbing. But what if tomorrow I decided I was content with the place I’d reached in acting and planned to open a small coffee shop in Vermont?” Mamet writ...
Source: Kevin, M.D. - Medical Weblog - July 26, 2014 Category: Journals (General) Authors: Tags: Education Medical school Psychiatry Source Type: blogs

Of Guns and Ducks
Around the web, I thought I'd point out some interesting stories: A federal court upheld the legality of a Florida law which forbids doctors to discuss gun ownership with patients. The law, passed in 2011, was challenged as being a violation of a doctor's right to free speech.  Apparently, the second amendment is more important than the first amendment.  Why stop at gun ownership, perhaps every aspect of medical care should be legislated?  What right does my doctor have to pester me about whether I smoke or how much I drink or whether or not I'm getting enough calcium?  From the StarTribune:The rul...
Source: Shrink Rap - July 26, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Present Day
My daughter spent almost five months in the UCSD Adolescent Eating Disorder Treatment Program in 2012 and six weeks in their adult program in 2013, after a relapse. She continues to check in with her (phenomenal) psychiatrist regularly. She has found art to be an important tool for her to maintain her recovery. Recovery: A Magical Word Kinsey’s been in recovery for 16 months. She’s completed three semesters of college in another state and is planning on a study abroad in Australia. Every day, either in person or on social media, I do what I will do for the rest of her life; scan her face for the softness that, for her,...
Source: Conversations with Dr Greene - July 25, 2014 Category: Pediatricians Authors: Jennifer Denise Ouellette Tags: Perspectives Eating Disorders Teens & Behavior Teens & Health Teens & Nutrition Source Type: blogs

FBT What?
Family Based Treatment (FBT) understands this truth: recovery from an eating disorder cannot be made without full weight restoration and ongoing full nutrition. There is another important acknowledgement FBT makes which conventional (and markedly less effective) treatments don’t: when the symptom of a disease is anosognosia (inability to recognize one is ill), waiting for the sufferer to choose to get help is a losing proposition. Compare a 20% mortality rate for conventional treatment to 3% for adolescents treated with FBT.  Food is medicine for these diseases. Just as as parents would insist on chemotherapy or insulin...
Source: Conversations with Dr Greene - July 25, 2014 Category: Pediatricians Authors: Jennifer Denise Ouellette Tags: Perspectives Eating Disorders Teens & Behavior Teens & Health Teens & Nutrition Source Type: blogs

A mixed-methods study exploring therapeutic relationships and their association with service user satisfaction in acute psychiatric wards and crisis residential alternatives
This study aimed to test the hypothesis that stronger therapeutic alliances are achieved in crisis houses than in hospital. It also aimed to develop a model of service user satisfaction with acute services, exploring its relationship to service type, service user characteristics, therapeutic relationships, perceived peer support, recovery and negative events experienced as well as trying to understand the factors that impede and facilitate good staff–service user relationships in acute settings. Full report Scientific summary NIHR - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - July 24, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Local authorities, public health and health inequalities Source Type: blogs

Stanley Family Foundation gives $650 million for Psychiatric Research
From the New York Times, In Spark for a Stagnant Search, Carl Zimmer and Benedict Carey write:Late on Monday, the Broad Institute, a biomedical research center, announced a $650 million donation for psychiatric research from the Stanley Family Foundation — one of the largest private gifts ever for scientific research.It comes at a time when basic research into mental illness is sputtering, and many drug makers have all but abandoned the search for new treatments.Despite decades of costly research, experts have learned virtually nothing about the causes of psychiatric disorders and have developed no truly novel drug treat...
Source: Shrink Rap - July 23, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

The Broad Gets $650 Million For Psychiatric Research
The Broad Institute seems to have gone through a bit of rough funding patch some months ago, but things are looking up: they've received a gift of $650 million to do basic research in psychiatric disorders. Believe it, that'll keep everyone busy, for sure. I enjoyed Eric Lander's characterization of much of the 1990s work on the genetic basis of mental illness as "pretty much completely useless", and I don't disagree one bit. His challenge, as he and the rest of the folks at the Broad well know, is to keep someone from being able to say that about them in the year 2034. CNS work is the ultimate black box, which makes a pe...
Source: In the Pipeline - July 22, 2014 Category: Chemists Tags: The Central Nervous System Source Type: blogs

World Psychiatric Association
The WPA is an association of national psychiatric societies aimed to increase knowledge and skills necessary for work in the field of mental health and the care for the mentally ill. Its member societies are presently 135, spanning 117 different countries and representing more than 200,000 psychiatrists. The WPA organizes the World Congress of Psychiatry every three years. It also organizes international and regional congresses and meetings, and thematic conferences. It has 65 scientific sections, aimed to disseminate information and promote collaborative work in specific domains of psychiatry. It has produced several educ...
Source: PsychSplash - July 21, 2014 Category: Psychiatrists and Psychologists Authors: Psych Central Resource Editor Tags: Anyone Articles Books Clinical Psychology Collaborative News Commentary and Blogs Common Factors Community and Social Networking Educational Psychology Emotional Health Features For Foundation Website General Psychology Informa Source Type: blogs

Tech Will Transform the Doctor-Patient Relationship
This article was originally published in the Health Service Journal — Jen Hyatt is founder and chief executive of Big White Wall and  a Disruptive Woman to Watch in 2014.  (Source: Disruptive Women in Health Care)
Source: Disruptive Women in Health Care - July 21, 2014 Category: Consumer Health News Authors: DW Staff Tags: Access Advocacy HIT/Health Gaming Innovation Source Type: blogs

Free-Standing Emergency Rooms; A New Type of Healthcare Facility
Free-standing emergency rooms seem to be emerging as a new category of healthcare facilities, at least in New York City. This according to a recent article about this trend (see: E.R., Not a Hospital, Is Set to Open at St. Vincent’s Site). Below is an excerpt from the article: The shiplike building on Seventh Avenue that used to house part of St. Vincent's Hospital is reopening in the coming days as a stand-alone emergency room and medical care center....The new E.R. [called HealthPlex], however, is part of a trend that has as much to do with a hospital’s bottom line as it does with providing acute care. Free-stand...
Source: Lab Soft News - July 21, 2014 Category: Pathologists Authors: Bruce Friedman Tags: Cost of Healthcare Healthcare Delivery Medical Consumerism Source Type: blogs

It's Still "Gotta Be Genetic" as Autism Genetic Research Re-Invents Itself Yet Again
  National Institute of Environmental Health Sciences:  Gene-Environment Interaction: Nearly all diseases result from a complex interaction between an individual’s genetic make-up and the environmental agents that he or she is exposed to.Genetic research has maintained a near monopoly over autism causation research dollars for many years and with that financial monopoly the belief that autism disorders are necessarily genetically caused or triggered. If holes appear in existing gene theories of autism causation the autism research world regroups and sends up a new model.  As always with autism researc...
Source: Facing Autism in New Brunswick - July 21, 2014 Category: Autism Authors: H L Doherty Source Type: blogs

Hunting For the Marijuana-Dopamine Connection
Why do heavy pot smokers show a blunted reaction to stimulants?Most drugs of abuse increase dopamine transmission in the brain, and indeed, this is thought to be the basic neural mechanism underlying the rewarding effects of addictive drugs. But in the case of marijuana, the dopamine connection is not so clear-cut. Evidence has been found both for and against the notion of increases in dopamine signaling during marijuana intoxication. Marijuana has always been the odd duck in the pond, research-wise. Partly this is due to longstanding federal intransigence toward cannabis research, and partly it is because cannabis, chemic...
Source: Addiction Inbox - July 21, 2014 Category: Addiction Authors: Dirk Hanson Source Type: blogs

The Neurocritic Critiques Critical Neuroscience
I wanted to submit a paper for the Frontiers in Human Neuroscience Research Topic on Critical Neuroscience: The context and implications of human brain research, but I couldn't decide what I should write about.Could I just submit a blog post like Professor of Literary Neuroimaging that critiqued the entrée of fMRI into Literature Departments?“So literature is abandoning Marxism and psychoanalysis in favor of neuroimaging!! Meanwhile, key neuroimagers have taken up psychoanalysis (Carhart-Harris & Friston, 2010) and socialism (Tricomi et al., 2010).”Would they accept short humorous pieces like this...Tenure-Track P...
Source: The Neurocritic - July 21, 2014 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs

Drugs and Disease: A Look Forward
First published 2/18/2014. Former National Institute on Drug Abuse (NIDA) director Alan Leshner has been vilified by many for referring to addiction as a chronic, relapsing “brain disease.” What often goes unmentioned is Leshner’s far more interesting characterization of addiction as the “quintessential biobehavioral disorder.”Multifactorial illnesses present special challenges to our way of thinking about disease. Addiction and other biopsychosocial disorders often show symptoms at odds with disease, as people generally understand it. For patients and medical professionals alike, questions about the disease aspe...
Source: Addiction Inbox - July 20, 2014 Category: Addiction Authors: Dirk Hanson Source Type: blogs

Does Anti-psychotic Withdrawal Make People Kill?
So here's an interesting article in the Irish Times: Niamh O'Donoghue writes in "Murderer accused was unable to refrain from killing the deceased because of medication withdrawal, psychiatrist tells court."  I'll let you surf over there if you want to read more, the title says enough for me.My first thought was :  Really?  People stop their medications all the time, cold turkey, without doctor supervision or approval, and they don't generally kill people.  So how do you know if someone's "symptoms" --like agitation -- are he result of medication withdrawal, or the result of a recurrence of the original ...
Source: Shrink Rap - July 20, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Integrating psychiatric care into primary care: The VA example
For the better part of the last two decades I have practiced psychiatry in a variety of different American health care systems, and over these years I have, on numerous occasions, heard psychiatric services referred to in manner that imply (often subtly) that such services are not medical care.  These references come not only from patients, but nurses and doctors (including myself) too. 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 - July 19, 2014 Category: Journals (General) Authors: Tags: Physician Primary care Psychiatry Source Type: blogs

An Optimum Diet for Mood Stability and Long-Term Good Health   #notjustbipolar
Quinonostante:Excellent article! I for one would like to see more of these evidence based studies presented to a Government who feel medication is the only way to treat mental ill health. Originally posted on Rethinking Bipolar: Real Food: The Best Diet - Andrew Weil, M.D. explains what to eat and drink more and less of: (This talk is largely about USA diet. USA has the highest incidence of bipolar and many other modern disorders. Elsewhere in the world we need to learn from America’s mistakes.) Can there really be an optimum diet? It perhaps depends on what we mean by optimum (or maybe it is optimal?). If opti...
Source: Dawn Willis sharing the News and Views of the Mentally Wealthy - July 19, 2014 Category: Mental Illness Authors: Quinonostante Tags: Mental Health, The News & Policies. Source Type: blogs

My Remarks from Eliminating Telehealth Barriers Briefing
Thank you for inviting me to share my perspective on telehealth barriers as a physician who is specialized in the care of older adults, people with disabilities, and technology. Much of my clinical experience has been house calls to visit patients who are too frail to leave their home. Currently I am the Chief Medical Information Officer at the VNA Health Group, a nonprofit with a mission to care for as many vulnerable and underserved patients as possible in their homes and communities. I have spent more than a decade watching technologies that would be helpful to people with sickness or disability. However, while many tel...
Source: Disruptive Women in Health Care - July 18, 2014 Category: Consumer Health News Authors: Wen Dombrowski Tags: HIT/Health Gaming Policy Technology Source Type: blogs

The economic case against the death penalty
I am not strongly against the death penalty on principle or on moral grounds — assuming, of course, that it could somehow be narrowly and efficiently restricted to a very few egregiously deserving and certainly guilty criminals. I don’t even find it particularly appalling (or cruel and unusual) punishment that a killer may have some few minutes of physical discomfort before expiring during a clumsily administered execution. My experience as a doctor teaches that dying is never that much fun, and I don’t see why a heinous criminal should expect a completely free terminal ride when this is not guaranteed to...
Source: Kevin, M.D. - Medical Weblog - July 17, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

Election 2014: Will Severely Autistic Adults Continue to Suffer Under An Alward Government As They Have Since 2010?
New Brunswick has made progress in early intervention and student autism services but adult autistic needs, particularly severely autistic adults, have been ignored, completely ignored during the last 4 years.  The article below originally appeared during the last provincial election period posted on Tuesday, September 14, 2010.   Zero progress, absolutely zero progress has been seen in adult autism care under the Alward government. Everyone has their priorities but for David Alward adults with severe autism disorders are not even on his list. Today we still banish severely autistic adults to the Rest...
Source: Facing Autism in New Brunswick - July 16, 2014 Category: Autism Authors: H L Doherty Source Type: blogs

What’s it Like to Experience and Recover from Psychosis?
Simon Says: Psychosis is a fantastic documentary featuring three people who’ve experienced psychosis, talking about what it’s like, and their recovery journeys assisted by the Early Intervention in Psychosis Service provided by the Sussex Partnership NHS Foundation Trust in the UK. The film was created by John Richardson, a person with lived experience of psychosis, giving it special insight, empathy, and an insider perspective. For more background about the filmmaker’s process and intent, follow this link. You can follow the filmmaker on Twitter at @insipidmedia, and also interact with a special account ...
Source: Channel N - July 15, 2014 Category: Neurologists Authors: sandra at (Sandra Kiume) Tags: Documentary General brain film lived experience peer psychiatry psychosis recovery uk video Source Type: blogs

Thoughts about suicide post-stroke: A most difficult intervention
The interview had lasted fifteen minutes so far, and we’d made minimal progress. I was a medical student doing a rotation at a physical medicine and rehabilitation clinic back in my home state, Wisconsin. It was the end of the day; to save time, the senior resident, Paul, had joined me in the exam room so that we could hear Leora’s medical history together. 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 - July 15, 2014 Category: Journals (General) Authors: Tags: Patient Neurology Psychiatry Source Type: blogs

21 Signs That You Might Need a Therapist and What to Do About It
Marie MarleyAlzheimer's Reading Room Jenny is a depressed, stressed out Alzheimer’s caregiver who has tried two different support groups and even formal group therapy. She also has support from a few close friends and some members of her family. She even tried pastoral counseling from her minister. But nothing has helped. She feels more stressed and more depressed with each passing day. It’s significantly interfering with her daily life activities. Maybe it’s time for Jenny to see a therapist.How I Use the Term “Therapist.”  In this article I use the term “therapist” to denote any one of many types of he...
Source: Alzheimer's Reading Room, The - July 15, 2014 Category: Dementia Tags: Alzheimer's Dementia Alzheimer's stress alzheimers caregiver symptoms depression alzheimers depression alzheimers therapy health life news Source Type: blogs