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

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

I put the title of this post in quotation marks because I believe that even the name of these chemicals is misleading. Alan Frances, who led development of the DSM-IV, pretty much stands by that work but he really, really doesn't like the DSM-V. (I don't particularly like either one of them, but Frances is reasonably up-front about the limitations of psychiatric nosology, and his contribution to the debate over the DSM-V has been largely helpful.) Anyway, in the linked essay Frances and Christopher Dowrick offer the astonishing factoid that 11% of the U.S. population over the age of 11 currently takes an anti-depressant.Wo...
Source: Stayin' Alive - December 16, 2013 Category: Health Medicine and Bioethics Commentators Source Type: blogs

The Bipolar Diagnosis: How Reliable Is Reliable?
Last week, I posted Is the Diagnosis Worse Than the Illness? This was in response to some reader comments, in particular, Donna, who wrote that: “Honestly, sometimes I think being diagnosed did me in.”   Misdiagnosis is common, not to mention overdiagnosis and underdiagnosis. A psychiatrist, after all, unlike a radiologist, can’t exactly pull up the equivalent of a mammogram. If only, but wait ...   How reliable... (Source: John McManamy's SharePosts)
Source: John McManamy's SharePosts - December 16, 2013 Category: Mental Illness Authors: John McManamy Source Type: blogs

Top stories in health and medicine, December 13, 2013
From MedPage Today: Tx, Transplant Predict Multiple Myeloma Survival. Only about one multiple myeloma patient in 13 will live more than 10 years. Psychiatrists Top Cash-Only MD List. Nearly 45% of psychiatrists refuse private insurance or Medicare payments for services, and more than half do not take Medicaid — vastly higher percentages than in other specialties. Mobile Apps Can Save Billions in Health Costs. If Omri Bob Shor’s father doesn’t take his diabetes medication or accidentally takes too much insulin, Shor gets an alert to his phone telling him so. 3 Meds Better Than 2 for Older Myeloma Patient...
Source: Kevin, M.D. - Medical Weblog - December 13, 2013 Category: Family Physicians Tags: News Cancer Mobile health Psychiatry Source Type: blogs

4 Ways To Reach Out When Depressed
Many people feel that depression is ‘their’ illness — they are the only ones suffering in this way — and that they either can’t talk to others or ask for help, or don’t want to. This was certainly the case for Lora Innman, a long-term depression sufferer and now a mental health advocate interviewed in ‘Back From The Brink’. When she tried to find somebody to talk to about the depression she was suffering, she found that people backed off and were unwilling or unable to hear about it. Combine this with several failed marriages, moving around the U.S. and trying to raise her son on her own, and the s...
Source: World of Psychology - December 12, 2013 Category: Psychiatrists and Psychologists Authors: Graeme Cowan Tags: Bipolar Depression Disorders General Mental Health and Wellness alone Bipolar Disorder Clinical Depression Dysthymia Graeme Cowan Loneliness Major Depressive Disorder melancholia Psychcentral reach out Suicide Support Group Source Type: blogs

Recognize the blessings that you previously overlooked
As a fourth year medical student I did my “sub-internship” in oncology. I hoped that this rotation would help me choose what specialty to pursue: internal medicine or psychiatry. One of “my” patients was a woman with breast cancer that had spread to her liver and lungs. Fluffy brown hair fell to her shoulders. Wrinkles surrounded her puffy eyes that held jade green irises. Though she was in pain, she was patient and kind. On the evening of her second day in the hospital, I came to her room and asked if there was anything else we could help with that day. Her pale, thin lips stretched into a sad smile. “No, thank ...
Source: Kevin, M.D. - Medical Weblog - December 12, 2013 Category: Family Physicians Tags: Physician Cancer Hospital Source Type: blogs

Insights into neurocognition via clock drawing
Short version: Having a client draw you an analog clock (especially one pointing to a specific time) gives valuable insight into their current neurocognitive abilities with regards to problem-solving, sequencing, following directions, visual field, and more.  Longer version:Check out this clock. It was done by an adult artist with developmental delays. I saw it in an airport exhibit. Very cool and thought provoking. I learned during my fieldwork/internship days in the locked geriatric psychiatric ward and rehab hospitals that one of the fastest ways to get a handle on an adult's level of cognitive functioning is to a...
Source: Occupational Therapy Students (B)e(LO)n(G) - December 12, 2013 Category: Occupational Therapists Source Type: blogs

Sandy Hook: Administration Promises $100 Million in Mental Health Funding, But There’s a Few Problems
From 2009 until 2013, states have cut more than $4.35 billion from mental health funding for treatment and related services for those most in need in America. Yes, you read that right — $4.35 billion. In tough times, states always turn to cutting social services first. The message states seem to be sending is, “Hey, we know you’re already poor, so if we cut services to you, well, how much worse could your life be?” So it comes as a relief — well, a little relief — that the White House announced the rejiggering of some budgets to free up $100 million in funding of mental health services ...
Source: World of Psychology - December 11, 2013 Category: Psychiatrists and Psychologists Authors: John M. Grohol, Psy.D. Tags: Aspergers Autism Disorders General Mental Health and Wellness Parenting Policy and Advocacy Students Trauma Violence and Aggression adam lanza America Asperger Syndrome Biden Columbine High School massacre Health Services h Source Type: blogs

The Biggest Lesson I’ve Learned in Managing My Bipolar Disorder
When Andy Behrman was diagnosed with bipolar disorder over 20 years ago, he didn’t know anyone who had the illness. He didn’t even know what it was. “I remember asking the doctor if I needed to have an MRI and if I would live to see my next birthday.” For about 10 years he struggled with stabilizing his disorder, which included being misdiagnosed by seven mental health practitioners, taking over 40 medications and receiving ECT. It’s a period he chronicles in his book Electroboy: A Memoir of Mania. One of the biggest lessons he’s learned in managing his bipolar disorder and living a successful life is to embra...
Source: World of Psychology - December 11, 2013 Category: Psychiatrists and Psychologists Authors: Margarita Tartakovsky, M.S. Tags: Bipolar Disorders General Mental Health and Wellness Psychotherapy Self-Help Treatment Andy Behrman Bipolar Disorder Coping Skills Elaina J. Martin Ellen Forney Hypomania Jennifer Marshall Julie A. Fast Kevin Hines Laura SQ Source Type: blogs

We need a movement to deconstruct the ADHD diagnosis
When the American Academy of Pediatrics changed the guidelines for ADHD to expand age of diagnosis to include children from age 4-18 (from 6-12), that number of cases would rise was, by definition, inevitable. The recent survey by the CDC, published in the current issue of the Journal of the American Academy of Child and Adolescent Psychiatry, indicating that one in 11 children in the US carry a diagnosis of ADHD, confirms just that. 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 10, 2013 Category: Family Physicians Tags: Conditions Pediatrics Psychiatry Source Type: blogs

Who are the Mentally Ill? Please take my Brief Survey!
We hear about "the mentally ill" all of the time.  They shouldn't have guns.  They die an average of eight years younger than those without mental illness.  We don't have enough hospital beds for them.  They're filling our prisons and some of them are homeless... oh, the list goes on.Defining the term is important because we single this group out for all types of discriminatory practices related to employment, driving, gun ownership, and even the ability to enter the United States for a vacation (at least on a few occasions).  We also single this group out for special benefits such as being allowed...
Source: Shrink Rap - December 10, 2013 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

But Don't Worry, Your Health Information is Secure: the Enforcers are Themselves Incompetent and Broke
Another in my "But Don't Worry, Your Health Information is Secure" series (see ... a promise blindly made by the healthcare information technology hyper-enthusiasts.The Office of the Inspector General for HHS just issued a report finding that the Office of Civil Rights (OCR), which is charged with enforcing the HIPAA/HITECH law, had itself failed to adequately protect the security of the health information it handled. Specifically OIG found that OCR “focused on system operability to the detriment of system and data security.”From “The Office for C...
Source: Health Care Renewal - December 9, 2013 Category: Health Medicine and Bioethics Commentators Tags: computer security HHS HIPAA medical record confidentiality medical record privacy OCR Source Type: blogs

Death By Stubbornness: What’s A Doctor To Do?
Over the years that I’ve worked in acute inpatient rehab centers, I have been truly vexed by a particular type of patient. Namely, the stubborn patient (usually an elderly gentleman with a military or armed forces background). I know that it’s not completely fair to generalize about personality types, but it seems that the very nature of their work has either developed in them a steely resolve, or they were attracted to their profession because they possessed the right temperament for it. Either way, when they arrive in the rehab unit after some type of acute illness or traumatic event, it is very challenging t...
Source: Better Health - December 9, 2013 Category: Health Medicine and Bioethics Commentators Authors: Dr. Val Jones Tags: Opinion True Stories Acute Inpatient Rehab anorexia Downward Spiral Ex-military Infection Motivation Patient Autonomy Physical Medicine And Rehabilitation Physical Therapy Police Officers Psychiatry Stubbornness Veterans Wive Source Type: blogs

Alliance for CEHP Hosts Sunshine Act Webinar: Sunshine Effects on CME Left Open; Attendee Meals at CME Events Still Up for Interpretation
The Alliance for Continuing Education in the Health Professions (CEHP) hosted a webinar to discuss federal perspectives on the implementation of the Sunshine Act. Dr. Shantanu Argawal, Medical Director at the Center for Program Integrity at the Centers for Medicare and Medicaid Services (CMS), outlined the objectives of the Sunshine Act, and addressed specific questions with respect to the Act's exemption for accredited continuing medical education (CME) activities. Dr. Argawal described the Sunshine Act as essentially a balance between the beneficial aspects of industry-physician relationships, which encourage discovery...
Source: Policy and Medicine - December 9, 2013 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs

Andrew Solomon on Shameful Profiling of the Mentally Ill by Immigration Officials
In Today's New York Times, Andrew Solomon, author of The Noonday Demon and Far From the Tree, has an opinion piece on "Shameful Profiling of the Mentally Ill."  It's on a topic that ClinkShrink has been very interested in: the disturbing issues that arise when the immigration department  ("ICE") decides the fate of psychiatric patients. I'll leave you to read Mr. Solomon's article about tourists who were not allowed to enter the United States because they had been hospitalized for depression in Canada.  One woman was simply traveling through the US to get to her cruise ship, stringed lights in hand to m...
Source: Shrink Rap - December 8, 2013 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Nominate your favourite #mentalhealth tweeters in the #Twentalhealthawards 2013
Last year the first #Twentalhealthawards were held on the World of Mentalists blog, recognising the best in mental health tweeting. It’s now returning for a second time, and you lot get to decide the winners. Meanwhile, the judges for the This Week in Mentalists Awards 2013 have been voting on the shortlist of mental health blogs and vlogs, and the results will be announced publicly on 21st December. Meanwhile, you can still nominate up to that date in the Best New Blog/Vlog and Most Sadly Missed Blog/Vlog categories by clicking here and leaving a comment. For the #Twentalhealthawards, the categories are: Patient Exp...
Source: Dawn Willis sharing the News and Views of the Mentally Wealthy - December 7, 2013 Category: Mental Illness Authors: Zarathustra Tags: Mental Health, The News & Policies. TwentalHealthAwards Source Type: blogs

Can Laypeople Replace Psychologists, Psychiatrists in the Treatment of Depression?
I was recently intrigued by the claims made — and that went completely unchallenged — by Vikram Patel, a psychiatrist who was interviewed by Wired Science’s Greg Miller. I guess my expectations for something appearing on Wired should be readjusted. Patel claimed that specially-trained health professionals could provide enough care to people that they may be able to treat clinical depression successfully. (The article suggests these are the same as “laypeople,” but really, they’re not.) With skills learned in as little as 2 days. An amazing claim? You bet. One based in reality? Let’...
Source: World of Psychology - December 6, 2013 Category: Psychiatrists and Psychologists Authors: John M. Grohol, Psy.D. Tags: General Health-related Mental Health and Wellness Minding the Media Policy and Advocacy Psychology Psychotherapy Treatment America Clinical Psychology Cochrane Database Systematic Review Depression Depression (mood) Family Physic Source Type: blogs

Substance Use & Addiction
This article is not going to cast many moral judgment or advocate any side, but instead will lay out the latest research and knowledge about this subject. Symptoms of Substance Use In the past year, the main psychiatric diagnostic manual (DSM-5) updated its criteria for what constitutes substance "abuse" and "dependence" (addiction), into what is now called a "substance use disorder", which has levels of severity. The symptoms related to substance use issues are below. Take the number of them that are experienced and plot them on the continuum below to determine what the level of concern should be. 1. Using the substanc...
Source: Staff Psychologist - December 6, 2013 Category: Psychiatrists and Psychologists Tags: Blog Source Type: blogs

Guest Blogger Dr. Erik Roskes with an Update on Gun Legislation and the Mentally Ill
In case you haven't heard enough from the Shrink Rappers on mental illness and gun legislation, I'm stealing a synopsis of the recent legislative changes from The Crime Report, a blog by forensic psychiatrist Dr. Erik Roskes.  Taken verbatim, with permission of course:--------On October 1, 2013, Maryland’s modified firearms safety law took effect.  Passed in the aftermath of the Newtown massacre, this law expanded the group restricted from owning certain firearms.  This blog will focus only on the mental health aspects of the law, as I have no claim to expertise outside the mental health arena.  ...
Source: Shrink Rap - December 6, 2013 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

At Least One of These Things Most People Get Wrong About Depression
Depression and bipolar are often misunderstood, sometimes even by those afflicted. Unfortunately, misconceptions can be stumbling blocks to taking the action needed to overcome depression, which may prolong the illness and worsen its effects over time. Just ask Tricia Goddard, well-known TV talk show host and mental health advocate. Goddard shares her long and difficult relationship with mental health issues, a part of her and her family’s life for many years. But by working to understand depression and how she can influence and manage her own relationship with the illness, she built up the knowledge, resources and supp...
Source: World of Psychology - December 6, 2013 Category: Psychiatrists and Psychologists Authors: Graeme Cowan Tags: Bipolar Books Brain and Behavior Depression Disorders General Mental Health and Wellness Bipolar Disorder Breast Cancer Dysthymia Godard Major Depressive Disorder Mental Disorder Psychology Schizophrenia Suicide The Brink Source Type: blogs

Should a Guardian Science Blog be Recommending an App Based Upon a Single Pilot Study?
Suzi Gage, over in her Guardian science blog Sifting the Evidence, suggests that based upon a single pilot study (that didn’t even use the app she’s recommending), you should purchase an app for your phone that purports to treat depression. It’s a glorious 771 word advertisement for a for-profit company’s app. Now Gage, a PhD student, I’m sure is well-intentioned with her recommendation. Even if she has an undisclosed conflict of interest in writing about this app. But if you’re going to write a blog called “Sifting the Evidence,” one would hope you’d dig a little deep...
Source: World of Psychology - December 5, 2013 Category: Psychiatrists and Psychologists Authors: John M. Grohol, Psy.D. Tags: Depression Disorders General Minding the Media Research Technology Treatment Depressed depression app Emotion Experiment Jericoe Major Depressive Disorder Munafò Randomized Controlled Trial representative Scientific Method Source Type: blogs

Bipolar, Pregnant & Visiting the UK? They May Take Your Unborn Baby
Yesterday I brought you the unfortunate story of a Canadian turned away from our borders not because she was a terrorist or criminal — but because she simply had a diagnosis of depression and, more than a year ago, was hospitalized for treatment of it. Just to show you that the United States isn’t the only backwards country in the world when it comes to discriminating against those with a mental illness, I bring you the much sadder story of an Italian woman who had bipolar disorder, went to the UK for a training course, and wound up being forced to have a C-section without her consent. Wait, what? Worse, this ...
Source: World of Psychology - December 4, 2013 Category: Psychiatrists and Psychologists Authors: John M. Grohol, Psy.D. Tags: Bipolar Disorders General Policy and Advocacy Women's Issues Bipolar Disorder Britain Canada Italy Mental Disorder Pregnancy Psychiatry Relapse Ryanair Social Services Suicide United Kingdom Source Type: blogs

My 40 year love of internal medicine
Last night, while interviewing an intern applicant, I realized that 40 years ago I discovered that I was an internist. My performance the first two years of medical school were acceptable, but no “great shakes”. I suppose that I was going through the motions. Passion had not engulfed me. As the 3rd year started medicine became more exciting. Still I did not know what I was going to do. I flirted with ideas of ophthalmology, adolescent medicine, psychiatry and pediatrics. At that point internal medicine was mysterious. In November 1973 on my first VA ward month, I realized that I was a future internist. Like ma...
Source: DB's Medical Rants - December 4, 2013 Category: Health Medicine and Bioethics Commentators Authors: rcentor Tags: Medical Rants Source Type: blogs

Guest Blogger Dr. Ronald Chase on Historical Misuses of Psychiatry
Dr. Ronald Chase is the author of  Schizophrenia: A Brother Finds Answers in Biological Science.   Today, he joins us as a guest blogger to talk about his recent trip to Heidelberg and the atrocities committed by the Nazis under the guise of psychiatry and a reminder for all of the things psychiatry should not be.  Dr. Chase is a biologist who taught neurobiology at McGill and now writes about mental illness.  As per the title of his book, the topic can be very personal.   A Memorial is a Reminder To research a book I am writing about the 19th century origins of modern psychiatry, I recently travel...
Source: Shrink Rap - December 4, 2013 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

How can our society regain respect?
“I don’t get no respect!” -Rodney Dangerfield He was a little guy, munching on the taco lunch that his mother had brought into my office for him, his younger sister and herself. I was a little miffed, I won’t lie, that the family knew they had an appointment with me right after lunch, but they decided to make the appointment itself lunch. I tried to concentrate on my interview questions and assessment, shredded lettuce and ground beef flying onto the floor as I did so. I could overlook the need to vacuum my office after the visit. Continue reading ... Your patients are rating you online: How to respond. Manage y...
Source: Kevin, M.D. - Medical Weblog - December 4, 2013 Category: Family Physicians Tags: Physician Psychiatry Source Type: blogs

Gene-Environment Autism Disorder Research CHARGEs Ahead With New Air Pollution Study
The belief that autism is 100% genetics has always seemed to me to be nothing more than that ... a belief ... a non-evidence based ... unscientific belief. But what do I know? I'm not a scientist, just a parent with a keen interest in autism disorders.  I was privileged to attend, courtesy of an invitation from Autism Speaks Canada, the IMFAR 2012 conference in Toronto but was disappointed, with respect to autism cause research,  that most of the environment oriented autism research was consigned to the "boards" posted outside of the main presentation rooms.  Very little that I could find was actually featur...
Source: Facing Autism in New Brunswick - December 2, 2013 Category: Autism Authors: H L Doherty Source Type: blogs

Dementia and Delusion
Dementia sufferers are often prescribed psychotropic drugs to mitigate symptoms such as delusions. This tactic can cause more harm than good.+Alzheimer's Reading Room *Dementia — an acute loss of cognitive ability — can be marked by memory loss, decreased attention span, and disorientation. It occurs in severe disorders such as Alzheimer's disease. Despite the fact that the condition is common, especially among older persons, there is still a lack of an effective treatment. **Please consider sharing this article in support groups and via social media (Facebook, Google, Twitter, and message boards). Subscribe to the Alz...
Source: Alzheimer's Reading Room, The - December 2, 2013 Category: Dementia Authors: Bob DeMarco Source Type: blogs

Alzheimer’s Risk for Older Adults is on the Decline
“Our findings suggest that, even if we don't find a cure for Alzheimer's disease and dementia, there are social and lifestyle factors we can address to decrease our risk.”+Alzheimer's Reading RoomPeople are less likely to experience dementia and Alzheimer's disease today than they were 20 years ago.And, those who do may be developing it later in life – says a new perspective article in the New England Journal of Medicine that examines the positive trends in dementia.“Of course, people are tending to live longer, with worldwide populations aging, so there are many new cases of dementia; but, some seem to be developi...
Source: Alzheimer's Reading Room, The - December 2, 2013 Category: Dementia Authors: Bob DeMarco Source Type: blogs

AA Works & Costs Less
Reduced Costs for Participants of Alcoholics Anonymous The people in this study had never sought treatment for alcoholism. A comparison was made between those who wished to attend AA and those who were seeking professional outpatient help. At entry to the study AA participants had less education, less income, more adverse effects of alcohol, a higher score on alcohol dependence scales, a higher (detrimental) depression score, but were similar in all other ways. 8.1% of AA attenders sought detoxification. 6.1% of outpatient seekers sought detoxification. Similar percentages (18%) of both groups were admitted for inpatient...
Source: Recovery Is - December 2, 2013 Category: Addiction Authors: Sparrow Tags: Alcohol Alcoholics Anonymous Alcoholism Relapse Sobriety Treatment aa detoxification outpatients Source Type: blogs

Celebrity Tips For Beating Depression
When we suffer from depression, including bipolar disorder and postpartum depression, we may feel responsible for the depressive feelings. Like somehow it’s our fault. We may also feel alone in battling the illness and lack support or inspiration from others. Sometimes this may cause us to give up hope and feel like there’s no end to how low we’re feeling; after all, if there’s nothing we can do and nobody we can turn to for help, there’s no point in trying to get better. Celebrities Can’t Get Depressed, Can They? After all, only ordinary people like you can suffer from depression. High-flying celebrit...
Source: World of Psychology - December 1, 2013 Category: Psychiatrists and Psychologists Authors: Graeme Cowan Tags: Bipolar Books Depression Disorders General Industrial and Workplace Psychology Substance Abuse Treatment Alastair Campbell Bipolar Disorder Celebrities celebrity depression Cliff Richey Clinical Depression Depressed postpar Source Type: blogs

Quantifiable Goals
A local hospital was recently reviewed by one of those hospital accreditation agencies.  It did well-- passed with bells and whistles -- but for a few citations for psychiatry.Individual Treatment Plans (ITP)s:"Surveyors cited us for not having measurable goals in the ITPs. So, changes were made to [the electronic records system] to  clarify the requirement for objective and measurable patient goals as well as the patient’s progress toward those goals."Okay, so help me with this.  Two decades of trying to come up with acceptable, measurable goals and I'm left with the idea that therapy has a limited number...
Source: Shrink Rap - December 1, 2013 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Hunger Games Catching Fire: Badass Body Count
sorry old man, I have a dress fitting to go to (Source: The Last Psychiatrist)
Source: The Last Psychiatrist - December 1, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

Should we consider an integrative psychiatry model?
As a psychiatrist who is passionate about integrative mental health treatments, I was excited to spend five days recently in St. Petersburg, Florida for the annual conference of the American Board of Integrative and Holistic Medicine. At the conference, I learned that even more than I previously realized, our ecosystem and environment have a profound effect on our happiness and wellness, and can either give us easy access to good food and healthy activities, or add toxins and contaminants to our already stressed bodies. I learned about botanical and herbal treatments for anxiety and insomnia, including lemon balm, skullcap...
Source: Kevin, M.D. - Medical Weblog - November 29, 2013 Category: Family Physicians Tags: Conditions Psychiatry Source Type: blogs

Patient Modesty: Volume 60
Discussion Blog)
Source: Bioethics Discussion Blog - November 28, 2013 Category: Health Medicine and Bioethics Commentators Source Type: blogs

Happy Thanksgiving! Free Novels Now through Black Friday.
Happy Thanksgiving!Now through Black Friday (November 27-29, 2013), three of my novels will be available as free downloads to Kindle. No cost.  No parking.  No crowds.  No Kindle, you say?  There is a link below to download a free Kindle app onto your computer, phone, or tablet.  Double Billing is the story of a woman whose life changes when she discovers she has an identical twin she never knew existed. It's a short book and a quick read with some plot twists.  So far, I think it's my best fiction. Home Inspection is a story told through psychotherapy sessions in a format that is similar...
Source: Shrink Rap - November 28, 2013 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Do I Need to Go Back on Psychiatric Medication?
It’s not the first time I have pushed it. This time, it was my (new) son. After being on a number of different medications for different diagnoses for the past 10 years, I went off my medicine two months into my first pregnancy. I haven’t known life without medication in 10 years. Except that one time. And let’s just say I was put on a medical leave from university, sent 4,000 miles back to my parents — and it wasn’t pretty. And that’s putting it lightly. Much to my amazement now, I live a pretty normal life. Parts of me wondered how I’d ever do normal things like be in steady relatio...
Source: World of Psychology - November 27, 2013 Category: Psychiatrists and Psychologists Authors: Jillayna Adamson Tags: Disorders General Medications Mental Health and Wellness Parenting Personal Treatment Women's Issues getting off of meds Psychiatric Drugs Psychiatric Medication psychiatrid meds Source Type: blogs

Hearing Voices? It’s OK, It’s Part Of Who We Are
In my 30′s my life was turned upside down by a huge psychotic breakdown.  I was terrorised by auditory and visual hallucinations.  The voices I heard provided a relentless commentary on what was happening in my mind.  I link my psychotic episode to traumatic events during my dysfunctional childhood and first, abusive marriage.  I am in no doubt about this and challenge those who say “it would have happened anyway” because in no way was it biological in origin.  I first heard voices at 14, just after the death of my grandmother.  I was anxious and depressed and my parents took me, without telling me,...
Source: Dawn Willis sharing the News and Views of the Mentally Wealthy - November 27, 2013 Category: Mental Illness Authors: judithhaire Tags: *Special Guest Writers* Hallucination Hearing Voices Movement Member of Parliament Mental disorder National Health Service NHS Psychosis Rufus May Source Type: blogs