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

Weltanschauung
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 Facilitation.com)
Source: Twelve Step Facilitation.com - 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 Sexy.com - 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

"Antidepressants"
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 http://hcrenewal.blogspot.com/search/label/medical%20record%20privacy) ... 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