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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 13.

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

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

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
Source: Twelve Step - 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

The Unmet Needs of Dementia Patients and Caregivers
This Johns Hopkins study found that 99 percent of people with dementia, and 97 percent of caregivers have unmet needs. This comes as no surprise to me.+Alzheimer's Reading Room The finding below should be read by Alzheimer's caregivers and their families.A disturbing finding of this study is that 60 percent of people with dementia needed medical care for conditions related or unrelated to their dementia. A big big problem considering that those with dementia are more likely to have other serious illnesses for which they may eventually be hospitalized.One aspect of this study that did not surprise me was the finding thatMor...
Source: Alzheimer's Reading Room, The - December 22, 2013 Category: Dementia Authors: Bob DeMarco Source Type: blogs

The DSM Bipolar Diagnosis - A Clear Case of Not Valid
Last week, in a piece on the bipolar diagnosis, I asked, how reliable is reliable? My answer, in effect, amounted to “not nearly reliable enough.” This is based on the DSM-5’s own reliability data. In a commentary in the American Journal of Psychiatry, the authors of the DSM-5 are far more charitable in their assessment. (For more on the reliability controversy, please check out my earlier piece.)    Moving on... (Source: John McManamy's SharePosts)
Source: John McManamy's SharePosts - December 21, 2013 Category: Mental Illness Authors: John McManamy Source Type: blogs

When The First Treatment Doesn’t Improve Your Depression
If your first treatment didn’t improve your depression, you’re not alone. About 40 to 50 percent of people don’t respond to the first antidepressant they take. The reality is that medication is limited, and a person might need to try three different medications before they get better, according to Jonathan E. Alpert, M.D., Ph.D, the associate director of the Massachusetts General Hospital Depression Clinical and Research Program. There are many reasons why the first treatment may not work. For instance, medications, such as steroids or hormones, can hinder the effectiveness of antidepressants. Even having a glass of ...
Source: World of Psychology - December 21, 2013 Category: Psychiatrists and Psychologists Authors: Margarita Tartakovsky, M.S. Tags: Depression Disorders General Mental Health and Wellness Psychotherapy Self-Help Treatment Antidepressants Bipolar Disorder Cognitive Behavioral Therapy Major Depressive Disorder Source Type: blogs

The This Week in Mentalists 2013 Awards – The Winners
It gives me great pleasure to announce the This Week in Mentalists Awards 2013, recognising the best in mental health blogging (and for the first time this year, vlogging). You can view the results for 2012 here. 2013 was a year in which the weekly This Week in Mentalists blogging roundups stopped running. I don’t think this is because people aren’t writing blogs anymore – far from it; in fact there’s more and more. I think it’s more due to changes in the way blogs are used. Whereas before they acted as self-contained online communities, they’re now more part of a multi-platform social m...
Source: Dawn Willis sharing the News and Views of the Mentally Wealthy - December 21, 2013 Category: Mental Illness Authors: Zarathustra Tags: Mental Health, The News & Policies. TWIM awards Source Type: blogs

Cymbalta Goes Generic
On December 11th, the FDA approved the use of generic Cymbalta.  The generic version, Duloxetine, delayed release,  became available in the USA four days ago.Generics generally work just fine and they cost less.  Now and again, some people have side effects or feel the generic is not as effective effective, and for those individuals, it makes sense to remain on the name brand medication.  Generics cost less and the active ingredients are the same.  Oh, but there was a little issue with the efficacy of one pharmaceutical company's preparation of Wellbutrin, XL, 300mg.  See the In The Pipeline d...
Source: Shrink Rap - December 21, 2013 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

When Waking Up Becomes the Nightmare: Hypnopompic Hallucinatory Pain
In conclusion, to our knowledge this is the first report of a NREM parasomnia associated with painful paroxysms, for which we postulate the following underlying pathophysiological mechanism: an internal or external stimulus triggers arousal, facilitating the activation of innate motor pattern generators in the brainstem and activating somatosensory cortical areas to produce hypnopompic hallucinatory pain.So instead of the more typical visual hallucinations, the patient experiences pain hallucinations that originate.... where?? It seems to me that the sleep EEG could be analyzed more thoroughly, beyond merely ruling out sei...
Source: The Neurocritic - December 21, 2013 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs

Liaison psychiatry for every acute hospital: integrated mental and physical healthcare
This report summarises existing evidence of need for liaison psychiatry services in all acute hospitals and then provides evidence for the range of problems addressed, and range of interventions required, to meet core mental health demands in acute hospitals. It also contains case examples that demonstrate the benefit of services; provide detailed considerations for service design, including principle organisational standards, access and response standards, hours of operation, remit and staffing; governance is addressed as a range of clinical and organisational risks and how these can be reduced by liaison psychiatry servi...
Source: Health Management Specialist Library - December 20, 2013 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Mental Health NHS measurement and performance Source Type: blogs

AA and Alcoholism
A.A. is concerned solely with the personal recovery and continued sobriety of individual alcoholics who turn to the Fellowship for help. Alcoholics Anonymous does not engage in the fields of alcoholism research, medical or psychiatric treatment, education, or propaganda in any form, although members may participate in such activities as individuals. The Fellowship has adopted a policy of “cooperation but not affiliation” with other organizations concerned with the problem of alcoholism. Traditionally, Alcoholics Anonymous does not accept or seek financial support from outside sources, and members preserve personal anon...
Source: Recovery Is - December 19, 2013 Category: Addiction Authors: Sparrow Tags: Alcohol Alcoholics Anonymous Alcoholism Relapse Sobriety Spirituality aa GENERAL SERVICE OFFICE Source Type: blogs

Journal Intelligence--Special Issue on the Flynn Effect
This study examined the Flynn effect (FE; i.e., the rise in IQ scoresover time) in Estonia using the Estonian version of the NationalIntelligence Tests (NIT; Haggerty, Terman, Thorndike, Whipple & Yerkes,1919; National Research Council, 1920). Using secondary data from twocohorts (1934, n = 890 and 2006, n = 913) of students, we analyzed theNIT's subtests using item response theory (IRT). For each subtest, wefirst examined invariance in all the items and then linked the latentvariable (theta) scores between the two cohorts using the invariantitems. The results showed that there was a FE in theta for all subtestsexcept ...
Source: Intelligent Insights on Intelligence Theories and Tests (aka IQ's Corner) - December 19, 2013 Category: Neurologists Source Type: blogs

Your at-a-glance guide to psychology in 2013 - Part 1
JAN The year began with fall-out from the final report into the fraud of social psychologist Diederik Stapel. The scale was shocking - 55 journal papers published over 15 years are tainted. The Levelt investigating committee pointed the finger at the research culture in social psychology, but the British Psychological Society's own Social Psychology Section rejected this. So too did the European Association of Social Psychology, who argued that the discipline has actually suffered fewer frauds than other branches of science. In other news, a team of researchers in Canada attracted criticism when they spun their research to...
Source: BPS RESEARCH DIGEST - December 18, 2013 Category: Psychiatrists and Psychologists Authors: Christian Jarrett Source Type: blogs

2013 Neuroscience Highlights (BSP 104)
Discussion of The Autistic Brain: Thinking Across the Spectrum by Temple GrandinBSP 99: Interview with Temple Grandin, Phd (The Autistic Brain)BSP 100: Interview with Alvaro Fernandez, co-author of The SharpBrains Guide to Brain Fitness: How to Optimize Brain Health and Performance at Any AgeBSP 101: Interview with Seth Grant about how the synapse has evolvedBSP 102: Interview with Dr. Allen Frances, author of Saving Normal: An Insider's Revolt Against Out-of-Control Psychiatric Diagnosis, DSM-5, Big Pharma, and the Medicalization of Ordinary LifeBSP 103: Interview with Olaf Sporns, PhD, author of Discoverin...
Source: the Brain Science Podcast and Blog with Dr. Ginger Campbell - December 17, 2013 Category: Neurologists Authors: Ginger Campbell, MD Tags: Autism Books Brain Evolution Brain Plasticity Brain Research Interviews Neuroscience Podcast Show Notes Source Type: blogs

Social Change as an example of Punctuated Equilibria
Five Germanys I Have Knownis partly written in response to the question of how the Nazi period came to be. The question lingers. Various factors are discussed. I wonder if it isn't useful in considering this issue to have lived inside a cultural shift; such a thing happened in the late 60's. There was the suppression of leftist viewpoints in the 50s, the discovery of the pill, the real price of the 'pay any price' anticommunism for a generation raised in part according to the doctrine of tell the child why. Suddenly there was a change; ultimately I think because the youth wanted to go there reorganizing the factors just me...
Source: a psychiatrist who learned from veterans - December 17, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

What are teens hoping to feel when they self-harm?
This study has made an important contribution to an under-researched aspect of self-harm, although it leaves many questions unanswered. For instance, one explanation for the more frequent self-harming observed among those who say they self-harm because they want to experience pain, is that the act triggers pain-relief mechanisms in the brain - a form of euphoria. And yet, self-harming was less frequent among those who said they self-harmed for satisfaction. This potential contradiction could be due to vagueness in the meanings of the words used - is the pursuit of euphoria (via pain) different from the pursuit of satisfact...
Source: BPS RESEARCH DIGEST - December 17, 2013 Category: Psychiatrists and Psychologists Authors: Christian Jarrett Source Type: blogs