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Psychiatry

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

Can New Talents Develop After a Diagnosis of Alzheimer’s Disease?
I am asked if this type of cognitive ability can slow down the process of deterioration from Alzheimer's disease. It seems that it could be beneficial in this regard. By Max Wallack +Alzheimer's Reading Room I would like to introduce you to the work of Dr. Daniel C. Potts, a neurologist in Alabama. Dr. Potts’s father died of Alzheimer’s disease in 2007. Having never painted previously, Dr. Potts’s dad became an acclaimed watercolor artist after his Alzheimer’s diagnosis. Here is an amazing video of this artist’s work: Dr. Potts is now, “Very interested in improving quality of life for those with Alzheimer...
Source: Alzheimer's Reading Room, The - September 18, 2013 Category: Dementia Authors: Max Wallack Source Type: blogs

6 strategies hospitals should steal from the airline industry
Conclusion: Although air traffic flow is simpler and easier to manage than healthcare, the industry can offer many lessons that will enable us to treat patient flow systemically as a 24/7, inpatient/outpatient, continuous operation that requires continuous management and oversight to standardize processes, exploit bottle-necks, manage random variation and eliminate non-random variation. By doing so, we can reduce costs, improve quality/safety/service and successfully compete globally for high quality-low costs services. Jonathan H. Burroughs, MD, MBA, FACHE, FACPE is a certified physician executive and a fellow of the Am...
Source: hospital impact - September 17, 2013 Category: Health Managers Authors: Wendy Johnson Source Type: blogs

Revisiting Glasser’s Controversial Choice Theory
When I was in graduate school, I took a course on Dr. William Glasser’s controversial choice theory. I had never heard of the man before I signed up for the class and had no idea that he was a psychiatrist with some controversial ideas. Until recently, when I read that Dr. Glasser had passed away, I had completely forgotten about choice theory and my experience in the class. After I read Dr. Glasser’s obituary, I started to think about what had been covered in my course and how I had initially reacted to it. The first thing I learned about Dr. Glasser was that he did not believe in mental illness. He believed that eve...
Source: World of Psychology - September 16, 2013 Category: Psychiatrists and Psychologists Authors: Tracey Silver Tags: Books Brain and Behavior College Disorders General Medications Mental Health and Wellness Policy and Advocacy Psychiatry Psychology Students Choice Theory Controversial Ideas Dr Glasser Dr William Glasser Elective Credit Gr Source Type: blogs

Ariel Castro: That could be your patient they’re talking about
I thought I’d share what I saw on my Twitter feed as soon as I got up recently. I immediately felt a blog post coming on, particularly after reading the Twitter comments as they rolled in. I felt a bit sick, knowing what some of my colleagues in Ohio must be going through right now. This post is for you. When it comes to patient suicide, correctional psychiatry is probably one of the higher risk subspecialties within psychiatry. The average prisoner has three risk factors for suicide before he even steps into the facility: he’s male, young, and has an active substance abuse problem. There’s even a recent...
Source: Kevin, M.D. - Medical Weblog - September 16, 2013 Category: Family Physicians Tags: Physician Psychiatry Source Type: blogs

The Mass in the setting of Yom Kippur
After going to Yom Kippur Saturday, I heard Mass differently. The opening prayer, after greetings, in the Mass is: Brethren (brothers and sisters), let us acknowledge our sins, and so prepare ourselves to celebrate the sacred mysteries. I confess to almighty God and to you, my brothers and sisters, that I have greatly sinned, in my thoughts and in my words, in what I have done and in what I have failed to do, through my fault, through my fault, through my most grievous fault; therefore I ask blessed Mary ever-Virgin, all the Angels and Saints, and you, my brothers and sisters, to pray for me to the Lord our God In the Jewi...
Source: a psychiatrist who learned from veterans - September 16, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

Is it ethical to instil false hope in people with mental illness?
There's an ethical consensus in medicine that it's wrong to give patients with physical illness false hope. But what about patients with mental health problems? Might the provision of unrealistic optimism be a vital part of their treatment? Or might this serve only to prolong their suffering? Psychiatrist Justine Dembo at the Sunnybrook Health Sciences Centre has explored these delicate issues in a thought-provoking essay. Dembo highlights research showing the numerous positive illusions to which most psychologically healthy people are prone. This includes feelings that we're better than average, that we have more control...
Source: BPS RESEARCH DIGEST - September 16, 2013 Category: Psychiatrists and Psychologists Authors: Christian Jarrett Source Type: blogs

Vanity Came Knocking: Being Safe with My Bipolar
I nearly checked myself into the mental ward recently. I’ve been once, and it is no vacation. But, one ordinary day in September, I was in that much pain. And I didn’t trust myself enough to be safe — all over some vanity and pride. For the most part, over the years, my bipolar disorder has been tamped down with medication, therapy and stress reduction. And, until that day, I thought I was in remission. But I was wrong. Remission for me meant experiencing episodes that weren’t much worse than having a bad cold. I didn’t have any mixed episodes, full-blown mania or crushing depression.1 I like the idea ...
Source: World of Psychology - September 15, 2013 Category: Psychiatrists and Psychologists Authors: Meaghan Tags: Bipolar Brain and Behavior Depression Disorders General Mania Medications Mental Health and Wellness Personal Treatment Arrogance Blah Bp Breadwinner Chantix Daily Basis Day In September Ego Failed Attempt Medication Source Type: blogs

Antipsychotics in the Long Term: Zero Evidence
Last week’s post, Antipsychotics Over the Long Term: Thomas Insel Weighs In, elicited 20 comments. First, a quick summary of the post:   In his NIMH Director’s Blog, Dr Insel cited research in support of the proposition that, contrary to conventional psychiatric wisdom, antipsychotic medications may not always be a wise long-term option. According to Dr Insel:   It appears that what we currently call... (Source: John McManamy's SharePosts)
Source: John McManamy's SharePosts - September 15, 2013 Category: Mental Illness Authors: John McManamy Source Type: blogs

Is There a True Medical Benefit From Knowing Your APOe4 Genotype?
Would the availability of helpful drugs change your decision about being tested for Alzheimer's disease? By Max Wallack +Alzheimer's Reading Room Last month I wrote an article, Would You Want to be Tested for the APOe4 Gene? I asked the reasons why people would, or would not, want to know their APOe4 genotype. In other words, I was asking if people would want to know if they are genetically predisposed to Alzheimer's disease. I received many interesting responses. Many people did want to know. Among the people who did not want to know, there were two major reasons. Lack of confidence in the security of the inform...
Source: Alzheimer's Reading Room, The - September 15, 2013 Category: Dementia Authors: Max Wallack Source Type: blogs

Staple a Kid's Head and Eat a Few Knives?
~ There's an article on mental health stigma in The New York Times by Pauline Chen, worth the read: Caring for a Mind in Crisis. ~Since I like to gripe about electronic records and privacy, I'll add this to my list of you-don't-want-to-believe privacy issues: On Campus, A Faculty Uprising Over Personal Data.   Penn State administrators quietly introduced the plan, called “Take Care of Your Health,” this summer in the deadest part of the academic calendar. But that didn’t prevent some conscientious objectors from organizing a protest online and on their campuses, culminating last week in an emotionall...
Source: Shrink Rap - September 15, 2013 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Small Acts of Kindness Can Have Big Effects
I live in Rochester, Minnesota, which basically is famous only for being home to the Mayo Clinic. My biggest health problem is mental, not physical (I’m bipolar). Several years ago, my internist snagged me a consultation with the psychiatrist who is nationally known for his work with bipolar disorder. After a three-hour discussion that felt like it ranged from birth to present day, he asked if I had questions. I said yes, just one: “Is this ever going to get any better?” He then felt compelled — after all that time — to tell me the research showed it got worse as people aged, not better, and he wa...
Source: World of Psychology - September 14, 2013 Category: Psychiatrists and Psychologists Authors: Candy Czernicki Tags: Bipolar Brain and Behavior Disorders General Industrial and Workplace Mental Health and Wellness Personal Psychiatry Relationships Bottom Floor Consultation Followup Visits Health Problem Hospitalization Mayo Clinic Present D Source Type: blogs

6 More Ways to Manage Clinical Depression
In a prior blog post, I listed seven ways to manage severe, clinical depression when you can’t get out of bed. The suggestions are different than the popular tips most depression experts give for boosting your mood, which are usually written for those with mild or moderate depression — or the really lucky people who just want to feel better. I thought it would be helpful to expand my list and give you six more ways to manage severe depression. 1. Remember your heroes. When making it to the breakfast table is a humble feat, it helps to remember I’m in good company with depressives past and present: Abraham Linc...
Source: World of Psychology - September 14, 2013 Category: Psychiatrists and Psychologists Authors: Therese J. Borchard Tags: Brain and Behavior Depression Disorders General Mental Health and Wellness Self-Help Abraham Lincoln Art Buchwald Black Dog Breakfast Table British Prime Minster Brooke Shields Death Thoughts Good Company Kay Redfield Jamison Source Type: blogs

OCD: Sometimes It’s Not You, It’s the Situation
Virginia Woolf, the 20th century English author who also suffered from mental illness, once wisely wrote “You cannot find peace by avoiding life.” Recently, I was talking to my psychiatrist. It was another one of those “Do I or don’t I?” medication moments that people with mental illness routinely have to live with. He had treated me for my obsessive-compulsive disorder (OCD) for about six months before I decided to be treated by another facility. I didn’t like the new facility’s recommendations, so I had gone back to this doctor for a second opinion. Since I had been treated by him for at leas...
Source: World of Psychology - September 13, 2013 Category: Psychiatrists and Psychologists Authors: Keith Fraser Tags: Brain and Behavior Disorders General Medications Mental Health and Wellness OCD Personal Success & Achievement Treatment anhedonia Coping With Mental Illness English Author Enjoying Life Insights Intrusive Thoughts People Wit Source Type: blogs

Anxiety treatment app from Mayo Clinic: "Anxiety Coach" ($5)
"Mayo Clinic Anxiety Coach is designed to help people start mastering their fears and worries one step at a time. Watch this video to learn more about this iOS app and whether it might be helpful for you." For more information go to: https://itunes.apple.com/us/app/anxietycoach/id565943257 Description Mayo Clinic Anxiety Coach is a comprehensive self-help tool for reducing a wide variety of fears and worries from extreme shyness to obsessions and compulsions. Anxiety Coach helps you make a list of feared activities and then guides you through mastering them one by one. Through this experience you can increase your con...
Source: Clinical Cases and Images - Blog - September 13, 2013 Category: Professors and Educators Tags: Mayo Clinic Apps Psychiatry iPhone iPad Psychology Source Type: blogs

Ketamine, A Darling of the Club Scene, Inspires Next-Generation Antidepressants [Part 3]
Recent experimental research showing that ketamine, an anesthetic and club drug (Special K), can relieve depression quickly has intrigued a number of major pharmaceutical companies. Depression, it goes without saying, affects huge numbers and a fundamentally new and effective pharmaceutical approach to treating the disorder hasn’t emerged in decades. The enthusiasm for ketamine is such that physicians, often working out of small clinics, have already started prescribing low doses of the generic anesthetic off-label for fast relief of le cafard—and drug companies are contemplating whether to get into the act by creatin...
Source: PharmaGossip - September 13, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs

Loneliness Increases Dementia Risk, Heart Attacks and Stroke
A recent study published in the Journal of Neurology Neurosurgery & Psychiatry (Source: Minding Our Elders)
Source: Minding Our Elders - September 13, 2013 Category: Caregivers Authors: Carol Bradley Bursack Source Type: blogs

What keeps some people from feeling that they really matter?
“Yeah, Doc, I drink. I drink a lot. Some nights I drink a case of beer and a half pint. Can’t sleep if I don’t drink. Relaxes me. Pure and simple. Numbs me up like novocaine.” A toothless grin. “It’s the feeling of floating away. I don’t know, I just keep coming back to it. Stuff goes in, feel a little flushed, a little rush, then I go somewhere else, you know? I just kinda float off on a cloud for a while. Things back here hurt. I don’t have a job. I can’t buy my kids stuff. I can’t provide. I’m nothing, Doc. I’m nothing to nobody.” One tear, sliding silently down the weathered cheek like a raind...
Source: Kevin, M.D. - Medical Weblog - September 12, 2013 Category: Family Physicians Tags: Physician Psychiatry Source Type: blogs

The Problem with Labeling Children with a Psychiatric Disorder
The way we label children who do poorly in school has taken a dramatic turn — in many ways for the better, in some ways for the worse. In yesteryear, kids who didn’t perform well in school would have been labeled as no-good, lazy, defiant, incorrigible, or just plain stupid. They would be disciplined by being shamed, blamed, hit, scolded, punished, ridiculed or simply written off as hopeless cases. Progress has been made. For the most part, we have eliminated such verbal and physical abuse. But we still must question the progress that’s been made when we replace the old labels with psychiatric diagnoses that ref...
Source: World of Psychology - September 12, 2013 Category: Psychiatrists and Psychologists Authors: Linda Sapadin, Ph.D Tags: ADHD and ADD Children and Teens Disorders General Medications Parenting Personality Policy and Advocacy Psychology Self-Esteem Students Treatment Attention Deficit Disorder Cher Class Clown Conduct Disorder Defiant Disorder Source Type: blogs

Had the Dosages Wrong AGAIN!
I got my blood test results - picture of perfect health, so apparently no thyroid problem but I'm going to request a copy.  It annoyed me that the nurse called me to give me the results so I then assume my family doctor is now "done" with me because she didn't say anything about coming back in.  All of these symptoms he did find so concerning that I didn't even go to him about and he's no longer concerned or wants to find out medically why I have them?  I guess he's blowing me off because, you know, I'm "bipolar".  That's merely speculation however.So right away I made an appointment with my psychiatris...
Source: bipolar.and.me - September 11, 2013 Category: Mental Illness Source Type: blogs

Book of Nurses: Angela.
Angela is an Enrolled Nurse working in North-West Tasmania. And don’t forget….We would love to read YOUR story. Click on the ‘Share your Story’ link below for more info.   I’m a student EN in Tasmania, and Nursing has always been a dream career. I started studying the Bachelor of Nursing at UTAS in 2006 at 18, and completed over half of the degree before I realised that I have a massive difficulty in communicating openly and honestly with people. I failed one of the practical components of an assessment, mainly due to the fact that I couldn’t talk to the mannequin I was bandaging. I...
Source: impactEDnurse - September 11, 2013 Category: Nurses Authors: impactEDnurse Tags: ectopics Source Type: blogs

ADHD Awareness Week October 14-20th 2013. Want To Help Change Some Minds?
Post from: Adult ADD Strengths This is cross posted to my new blog BC ADHD. Canadian ADHD Awareness Week is October 14th to 20th 2013.  The US has ADHD Awareness month, all of October. CADDAC, The Center for ADHD Awareness will be soon putting out more information on ADHD Awareness Week. Many adult and children with Attention Deficit Hyperactivity Disorder in British Columbia are 3rd class citizens. The health bureaucracy refuses to demand doctors, psychologist and psychiatrists in BC be properly trained to diagnose and treat adults and children with ADHD. At UBC, medical students only get one hour of training on ADHD. Th...
Source: Adult ADD Strengths - September 9, 2013 Category: Psychiatrists and Psychologists Authors: Pete Quily Tags: ADD / ADHD Awareness Vancouver Source Type: blogs

ADHD Awareness Week October 14-21st 2013. Want To Help Change Some Minds?
Post from: Adult ADD Strengths This is cross posted to my new blog BC ADHD. Canadian ADHD Awareness Week is October 14th to 21st 2013.  The US has ADHD Awareness month, all of October. CADDAC, The Center for ADHD Awareness will be soon putting out more information on ADHD Awareness Week. Many adult and children with Attention Deficit Hyperactivity Disorder in British Columbia are 3rd class citizens. The health bureaucracy refuses to demand doctors, psychologist and psychiatrists in BC be properly trained to diagnose and treat adults and children with ADHD. At UBC, medical students only get one hour of training on ADHD. Th...
Source: Adult ADD Strengths - September 9, 2013 Category: Psychiatrists and Psychologists Authors: Pete Quily Tags: ADD / ADHD Awareness Vancouver Source Type: blogs

What are You Afraid to Ask About Psychiatry?
On Thursday, ClinkShrink and I will be speaking at the Johns Hopkins University's  Fall Odyssey Program.  It's a lecture series, and we'll be speaking at the kick-off reception for a program called Mini-Med School.  We were asked and, flattered, we said "Yes!"  I didn't ask what they'd like us to speak about, and I started hearing details from people after the brochure came out.  Our talk is titled,   "Everything you always wanted to know about psychiatry but were afraid to ask."  One hour.  Two speakers.  Please leave lots of time for questions.  Okay, so I'm tasked with c...
Source: Shrink Rap - September 9, 2013 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

What Happens To Our Children When We Die? Maine Man Killed Himself and Adult Autistic Son in 2010
"Ginger Taylor  commented on the pressures on families with autism and on the greatest fear of many parents of autistic children: "That is the big question -- what happens to our child when we die. .... We understand their needs better than anyone else. It really breaks my heart hearing what happened to this family. It shouldn't be like that."" The Portland Press Herald , April 28, 2010 The recent murder and attempted murder/suicide cases involving mothers and their children with severe autism disorders are not the first such tragedies to occur.  Unfortunately the same patterns are unfolding ... the...
Source: Facing Autism in New Brunswick - September 9, 2013 Category: Autism Authors: H L Doherty Source Type: blogs

emergency nursing #101.
Received the following question today from Sophie: Love your blog, been a follower for a long time! Just writing for some advice.. So I’m an EEN, studying B. Nursing (graduating next year) I’ve been hiding in Theatres for the last 5yrs doing Anaesthetics, I have just accepted a job at a major Sydney ED as I needed a little change.. Anyways, do you have any advice on textbooks, literature or anything that I can use to make me a half decent ED Nurse? As in ED Nursing 101.. I have played in ED previously, but that was a while ago.. Thanks Sophie….a good question. To tell you the truth, if I spin around and look at the b...
Source: impactEDnurse - September 9, 2013 Category: Nurses Authors: impactEDnurse Tags: the nurses desk: Source Type: blogs

The wounded healer is sometimes the best choice of therapist
Sometimes, it really does take one to know one.  Not every counselor can work well with every patient.  It is hard to understand how people can presume to know bereavement and grief when they have lost no one of significance in their lives.  Surely everyone has experienced loss at some time.  However, the death of a tame woods animal is usually, qualitatively, very different from the death of one’s parent or sibling or spouse or child. 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 - September 8, 2013 Category: Family Physicians Tags: Patient Patients Psychiatry Source Type: blogs

The Falling Leaves of Arabic Communism
The papers of both novels started to come in my hands as I turn them and the two books ended like trees in autumn, devoid of their fallen yellow leaves. The first novel was bought from Algeria, the second form Iraq. Both about a life of a communist. Both written by a communist. An ex-communist?Both main characters are ill. In the Algerian novel he had paranoid delusions and spending the time in a mental hospital, the Iraqi novel he had paraplegia, spending the time in a wheelchair. Both are men who are taken care by a European woman. Selene, the French, takes care of the Algerian anonymous protagonist, and Maria, that nurs...
Source: psychiatry for all - September 8, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

The Mysteries of Sleep Explained
We know we need it. If we don’t get it, we’re cranky, have trouble concentrating, tend to overeat and are more likely to make mistakes.  Yet, with the crush of demanding schedules, bad habits, or sleep disturbances, we don’t always get enough. So what is happening during those precious hours when we’re asleep?  Is it really a time of restoration for our brains?  And is it possible that it’s more than that? What happens in our brains while we’re asleep is a question neuroscientist Penelope Lewis is trying to answer. Lewis directs the Sleep and Memory Lab at the University of Manchester in England. In he...
Source: World of Psychology - September 8, 2013 Category: Psychiatrists and Psychologists Authors: Christy Matta, MA Tags: Antidepressant Books Brain and Behavior Depression Dreams General Habits Happiness Health-related Memory and Perception Mental Health and Wellness Research Sleep “Spring Cleaning” for the Brainanti-depressant drugs Bad Habi Source Type: blogs

7 tips to stay away from misery on vacation
This year my wife and I decided to compile a list of all of the holidays we’ve had since we had kids. Its a nice list and we’re lucky to have traveled as well as we have. I always get excited about going. There’s the anticipation of downtime away from work (and other peoples’ problems), time for relaxation, sleeping, eating, reading, and some quality time with my family. Life is just going to be better on holidays. I just know it is going to be. Of course it is. But as Robert Louis Stephenson said , “It is better to travel hopefully than to arrive.” Continue reading ... Your patients are rating you onl...
Source: Kevin, M.D. - Medical Weblog - September 7, 2013 Category: Family Physicians Tags: Physician Psychiatry Source Type: blogs

Update on Ketamine in Palliative Care Settings
Many recent headlines have heralded a new use for the old veterinary anesthetic ketamine, which can provide rapid-onset (albeit short-lived) relief for some patients with treatment-resistant depression (aan het Rot et al., 2012). This finding has been inflated into “arguably the most important discovery in half a century” by Duman and Aghajanian (2012). While finding a cure for refractory depression is undoubtedly an important research priority, might ketamine be useful for other conditions that cause profound human misery? The care of terminally ill patients suffering from unbearable pain is not a sexy topic, and hosp...
Source: The Neurocritic - September 7, 2013 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs

Borderline: Understanding the Patients that Psychologists Fear
This article explores what it’s like to live with borderline personality disorder. What Causes BPD? Sufferers of BPD often experienced neglect, abuse or unstable attachments as children. Borderlines lack coping skills because they failed to learn them as children. Borderline sufferers did not have their emotions regularly validated as children. They were taught that the world and those closest to them in it should be expected to be unstable and unpredictable and their responses should coincide accordingly. Have more questions? Check out this frequently asked questions guide to BPD. What is the Treatment for BPD? Dia...
Source: World of Psychology - September 7, 2013 Category: Psychiatrists and Psychologists Authors: Amanda O'Donnell Tags: Borderline Personality Disorders General Psychotherapy Treatment Borderline Patients Borderline Personality Disorder Borderline Personality Disorder Bpd Borderlines Demystification Dialectical Behavioral Therapy Emotional Reactions Source Type: blogs

Is there an acceptable way to end friendships?
When I was in first grade, my teacher once called the class together and said, “Glen is feeling bad because no one will play with him. Will anyone here play with Glen?” Glen was new (I think he moved to the area mid-year) and awkward-looking, and I remember how bad I felt for him when she said that. So I raised my hand. “I’ll play with Glen,” I said. To this day, I still remember the abashed smile he gave in response. So we arranged a play date, and I went over to Glen’s house. And I discovered that Glen was nice — but boring. I don’t remember if he ever asked me to play again, but I do remember how unc...
Source: Kevin, M.D. - Medical Weblog - September 6, 2013 Category: Family Physicians Tags: Physician Psychiatry Source Type: blogs

A Glut of Antidepressants
By RONI CARYN RABINOver the past two decades, the use of antidepressants has skyrocketed. One in 10 Americans now takes an antidepressant medication; among women in their 40s and 50s, the figure is one in four.Experts have offered numerous reasons. Depression is common, and economic struggles have added to our stress and anxiety. Television ads promote antidepressants, and insurance plans usually cover them, even while limiting talk therapy. But a recent study suggests another explanation: that the condition is being overdiagnosed on a remarkable scale.The study, published in April in the journal Psychotherapy and Psy...
Source: PharmaGossip - September 6, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs

The Circle of Zero
On of the worst things of living in a country like mine, Iraq, is that there is no liberty of thinking. Since childhood and we were being trained about what is permitted to think about, about what is permitted to write and read. Liberty to read whatever you like was actually present since there is nothing available to read only after it passes through the filters of censorship: governmental, religious, and social. Before 2003 I didn't know about Iraq history. And this is bad because you get hold of the continuity of what you are living in.After 2003 every former Iraqi politician that was regarded by Saddam's regime as bad,...
Source: psychiatry for all - September 5, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

Most mental health patients prefer psychotherapy over drugs
A line was crossed in 2005 as anti-depressant medication became the most widely prescribed class of drug in the USA. Here in England, the use of anti-depressants has risen to its highest ever level with 50 million prescriptions written last year. And yet a new meta-analysis finds that, given the choice, the vast majority of patients would prefer to receive psychotherapy over drugs. "It is unclear why the shift toward pharmacologic and away from psychological treatment is occurring," the researchers said, "although limited access to evidence-based psychological treatments certainly plays some role." Kathryn McHugh and her...
Source: BPS RESEARCH DIGEST - September 5, 2013 Category: Psychiatrists and Psychologists Authors: Christian Jarrett Source Type: blogs

To Think That Only Yesterday I Was Cheerful, Bright and Gay
I can't say I was "just fine" because I had slept for several hours this afternoon, having NO energy today.  I can always explain things away..."it was because of this", "it was because of that".  I do that for EVERYTHING I don't understand.  Mark calls them "my stories" because they can be so random about strangers, but doesn't everyone want a reason for things?So I had just woken up, it was around 4:30p, making my second cup of coffee to get some energy, and it just hit.  I think my thoughts were in a slow dissension, pondering the reason for this and that for awhile without realizing it, I'm not...
Source: bipolar.and.me - September 4, 2013 Category: Mental Illness Source Type: blogs

False Claims, Off-Label Prescribing And Doctors, Part Two
Over the past few years, an attorney has been waging a seemingly Quixotic battle to reduce off-label prescriptions for medicines – specifically, antipsychotics for children. Concerns over such prescribing have, in fact, been rising. Recently, the Office of Inspector General at the US Department of Health & Human Services began investigating the trend and asked the states to tighten their Medicaid oversight. But to achieve his goal, Jim Gottstein has taken a novel approach. He has been urging the US government to pursue physicians for violating the False Claims Act. In his view, off-label prescribing would be reduced ...
Source: Pharmalot - September 4, 2013 Category: Pharma Commentators Authors: esilverman Source Type: blogs

Are ADHD drugs responsible for mental illness in college?
Recently, I “launched” my oldest off to college. As anticipated, it was an intense emotional experience full of joy, sadness, and many things in between. (I have to tip my hat to Beverly Beckham for her piece I was the sun, the kids were my planets that was very helpful. However, I might have written that my child was the sun, a burst of light in our household, and the experience of leaving her is like being temporarily knocked out of orbit as our family re-orients to life without her.) The same week I received in the mail, in exchange for filling out a questionnaire about a study on diversion — use o...
Source: Kevin, M.D. - Medical Weblog - September 4, 2013 Category: Family Physicians Tags: Meds Medications Pediatrics Psychiatry Source Type: blogs

The EMRs You Don’t Hear About
The best-known EMRs got that way because they target the masses. About a third of the country’s physicians focus on primary care, with the remainder fragmented across dozens of specialties and subspecialties. It’s easy to see, then, why the major EMRs are primary-care centric. For specialists, the solution is often to use a general EMR and tailor it, with templates and other features, for the field’s common diagnoses and treatments, as well as its workflow. The question is whether the customization is enough. After all, the practice of, say, a nephrologist, who focuses on kidney ailments, doesn’t look much like tha...
Source: EMR and HIPAA - September 4, 2013 Category: Technology Consultants Authors: James Ritchie Tags: EHR Electronic Health Record Electronic Medical Record EMR EMR Selection EMR Technology Healthcare HealthCare IT Meaningful Use Practice Management EHR Companies EHR Selection EHR Software EHR Stimulus EHR Vendor EHR Vendors Source Type: blogs

Hospitalizing people against their will: 4 questions to ask
Involuntary commitment refers to hospitalizing people against their will for psychiatric reasons. It is a controversial topic because this is where medicine and civil liberties intersect: Physicians have the ability to take away the rights of fellow citizens. (I suspect that few people who become psychiatrists realize that making recommendations about involuntary commitment is part of the job. I certainly did not know this. I also did not appreciate the ramifications until I was well into my residency training. It is the worst part of my job.) Involuntary commitment laws differ in each state. In general, there are three cr...
Source: Kevin, M.D. - Medical Weblog - September 4, 2013 Category: Family Physicians Tags: Conditions Hospital Psychiatry Source Type: blogs

Your Patient Died. Who Cares?
    I thought I'd share what I saw on my Twitter feed as soon as I got up this morning. I immediately felt a blog post coming on, particularly after reading the Twitter comments as they rolled in. I felt a bit sick, knowing what some of my colleagues in Ohio must be going through right now. This post is for you. When it comes to patient suicide, correctional psychiatry is probably one of the higher risk subspecialties within psychiatry. The average prisoner has three risk factors for suicide before he even steps into the facility: he's male, young, and has an active substance abuse problem. There's even a ...
Source: Shrink Rap - September 4, 2013 Category: Psychiatrists and Psychologists Authors: ClinkShrink Source Type: blogs

In retrospect Foursquare’s lack of celebratory badges for visiting hospitals, funeral homes,...
In retrospect Foursquare’s lack of celebratory badges for visiting hospitals, funeral homes, and psychiatric facilities was a smart move. — Joshua Schwimmer (@joshuaschwimmer) September 4, 2013 Posted on infosnack. (Source: Kidney Notes)
Source: Kidney Notes - September 4, 2013 Category: Urologists and Nephrologists Authors: Joshua Schwimmer Source Type: blogs

Identity and Medical Theft
Wow, so not feeling good.  I have not felt this amount of panic in so, so long!  Yes, my husband is probably right.  I've been very "intense" lately.  I feel very passionate about things, I guess I am being a bit extreme emotionally.  If I'm explaining or describing something to him that at that moment is incredibly important to me and I feel a certain way about it, I don't understand and am not happy if I do not get the reaction out of him that I think he should have.  I may be happy one moment, and then just a look on his face can completely deflate me.  My moods are VERY irrational rig...
Source: bipolar.and.me - September 4, 2013 Category: Mental Illness Source Type: blogs

The voices of schizophrenia: Treatment still has a long ways to go
Read the original op-ed from the TED speaker who inspired this post: “Why I Thank the Voices in My Head.” Eleanor Langdon is an extraordinary woman who has shown remarkable grit and creativity in transforming her disturbing symptoms into useful tools. Hats off to her for finding such a fruitful path to personal recovery and for sharing her techniques and inspiring story so that others may benefit from what she has learned. There are many precious lessons we can draw from this tape — never give up hope; never forget the person who is ill by focusing only on the illness; normalize the experience of mental...
Source: Kevin, M.D. - Medical Weblog - September 3, 2013 Category: Family Physicians Tags: Conditions Psychiatry Source Type: blogs

Article: Former DSM Chairman Says The Psychiatric Manual Is Attempting To Turn Eccentricity Into An Illness
Former DSM Chairman Says The Psychiatric Manual Is Attempting To Turn Eccentricity Into An Illnesshttp://disinfo.com/2013/05/former-dsm-chairman-says-the-psychiatric-manual-is-attempting-to-turn-eccentricity-into-an-illness/Sent via Flipboard (Source: Intelligent Insights on Intelligence Theories and Tests (aka IQ's Corner))
Source: Intelligent Insights on Intelligence Theories and Tests (aka IQ's Corner) - September 3, 2013 Category: Neurologists Source Type: blogs

A Chemical Peek at Modern Marijuana
Researchers ponder whether ditch weed is better for you than sinsemilla. Australia has one of the highest rates of marijuana use in the world, but until recently, nobody could say for certain what, exactly, Australians were smoking. Researchers at the University of Sydney and the University of New South Wales recently analyzed hundreds of cannabis samples seized by Australian police, and put together comprehensive data on street-level marijuana potency across the country. They sampled police seizures and plants from crop eradication operations. The mean THC content of the samples was 14.88%, while absolute levels varie...
Source: Addiction Inbox - September 3, 2013 Category: Addiction Authors: Dirk Hanson Source Type: blogs

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Gerald Ford said in his taking over the presidency from Nixon, 'Our long national nightmare is over;' rather the reverse happened when James Earl Ray killed Martin Luther King, Jr. As David Brooks said this week*: The idea was to reduce ugliness in the world by reducing ugliness in yourself. King argued that “unearned suffering is redemptive.” It would uplift people involved in this kind of action. It would impose self-restraint. The strategy of renunciation and the absorbing of suffering was meant to guard against all that. In short, the method relied upon a very sophisticated set of paradoxes. It relied on leaders wh...
Source: a psychiatrist who learned from veterans - September 2, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

Deeds, not Diagnosis.
Here on Shrink Rap, we've talked at length about the implications of having a psychiatric diagnosis on one's future occupational endeavors.  For example: We've talked about whether you can have bipolar disorder and be a doctor. We've talked about the fact that a psychiatric diagnosis prevents you from being a pilot. We've talk about psychiatric disorders and being in a powerful political office. We've noted that the New York Times recently ran an article on psychiatric diagnoses and how it affects one's ability to be admitted to the Bar Association. We've discussed mental illness and gun legislation.   Wha...
Source: Shrink Rap - September 2, 2013 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

When Patients Don't Pay
Before we start, some housekeeping issues: First, I want to say that I was misled.  I was told that gazpacho freezes well, and following such advice, I can say with impunity that fresh gazpacho is far better than defrosted gazpacho. Second, I want to say that when I deactived my personal Facebook account, I lost access to the ShrinkRapBook Facebook account where I post new Shrink Rap articles and other links to Shrinky Things of Interest.  Instead, please follow us on Twitter: ShrinkRapDinah, ShrinkRapRoy, and ClinkShrink.  I'm slowly transferring my social media addiction.   Third, ClinkShrink ...
Source: Shrink Rap - September 1, 2013 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Deadly Medicines and Organized Crime by Peter Gøtzsche
'The main reason we take so many drugs is that drug companies don't sell drugs, they sell lies about drugs. This is what makes drugs so different from anything else in life...Virtually everything we know about drugs is what the companies have chosen to tell us and our doctors...the reason patients trust their medicine is that they extrapolate the trust they have in their doctors into the medicines they prescribe. The patients don't realise that, although their doctors may know a lot about diseases and human physiology and psychology, they know very, very little about drugs that hasn't been carefully concocted and...
Source: PharmaGossip - September 1, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs