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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 2.

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

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

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

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

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

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

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

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

Integrating psychiatric care into primary care: The VA example
For the better part of the last two decades I have practiced psychiatry in a variety of different American health care systems, and over these years I have, on numerous occasions, heard psychiatric services referred to in manner that imply (often subtly) that such services are not medical care.  These references come not only from patients, but nurses and doctors (including myself) too. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 19, 2014 Category: Journals (General) Authors: Tags: Physician Primary care Psychiatry Source Type: blogs

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

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

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

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

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

Thoughts about suicide post-stroke: A most difficult intervention
The interview had lasted fifteen minutes so far, and we’d made minimal progress. I was a medical student doing a rotation at a physical medicine and rehabilitation clinic back in my home state, Wisconsin. It was the end of the day; to save time, the senior resident, Paul, had joined me in the exam room so that we could hear Leora’s medical history together. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 15, 2014 Category: Journals (General) Authors: Tags: Patient Neurology Psychiatry Source Type: blogs

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

Don’t make these mistakes when starting Wheat Belly!
Follow our discussions here and on the Wheat Belly Facebook page, and you will see that newbies make the same mistakes, over and over again. While all of these issues are discussed in the original Wheat Belly book, and even more extensively in the soon-to-be-released in September, 2014 Wheat Belly Total Health book, somehow they missed some crucial pieces of the message. So, to help you avoid such common mistakes that booby trap both health and your ability to lose weight, here is the list. Don’t make these common mistakes: Eat gluten-free foods–Gluten-free foods made with cornstarch, tapioca starch, potato fl...
Source: Wheat Belly Blog - July 14, 2014 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle Fat gluten-free hydration opiate organic Source Type: blogs

Black Hole in the East River
The New York Times, for all it's flaws, is still indispensable as one of the last redoubts of journalism. This should make your blood boil. According to an internal study, which the New York City Department of Health and Mental Hygiene tried to keep secret, prison guards at Rikers Island assaulted and seriously injured 129 inmates over an 11 month period. That's "serious injuries" only, which means they were too severe to be treated in the prison clinics. More than 3/4 of the victims have mental illness diagnoses.There have been a couple of recent incidents of mentally ill Rikers Island inmates dying from neglect. One guy ...
Source: Stayin' Alive - July 14, 2014 Category: American Health Source Type: blogs

Young People on Psychosis
Hands on description of psychosis and it’s consequences. An enthralling short film made by John Richardson (former service user) and Belinda Giles. Surrounding the experience of psychosis and the positive role the Early Intervention service can play in that often rocky voyage. Featuring captivating personal insights alongside a tightly woven narrative. Provocatively packed with vintage newsreel footage, humorous animations and imaginative imagery. You can read an interview with the 25-year-old filmmaker John Richardson here. He and two other young people recount their personal stories of psychosis and the help they r...
Source: Dr Shock MD PhD - July 14, 2014 Category: Psychiatrists and Psychologists Authors: Walter van den Broek Tags: Psychiatry psychosis Source Type: blogs

RIP Diagnostic Psychiaty: My Take on an Edge Question
Several months ago, I began doing pieces based on Edge questions. Edge, which bills itself as an online salon, annually asks a provocative question of leading scientists and writers and the like. The answers are published as a series of  books.      You can find my three previous bipolar takes to the following questions by clicking the links below:   What Have You Changed Your Mind About? Why? What Scientific Concept... (Source: John McManamy's SharePosts)
Source: John McManamy's SharePosts - July 13, 2014 Category: Mental Illness Authors: John McManamy Source Type: blogs

Scientology Tropes Enter Mainstream Neuroscience?
via @mallelisAt the literary/pop culture/feminist/humor blog known as The Toast, the hilarious Mallory Ortberg has skewered those ubiquitous ads from brain training behemoth Lumosity.The Five Stages Of LumosityStage I – Initiation. . .Friend, are you troubled by persistent waking blackouts? Do you tremble and shudder and flicker out of consciousness when asked to recall basic facts about your acquaintances? Does your right eye fill with blood whenever you have to try to remember your PIN? Let Lumosity patch over those mysterious missing blank spots in your sick and addled mind. “Lumosity: Improving your brain through t...
Source: The Neurocritic - July 13, 2014 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs

Recognizing and treating self-injurious behaviors in teens
“Is it weird that I cut myself on purpose?” A 14-year-old girl from a local middle school asked me this question at work last week. In my years as a Teen Xpress counselor, I have been asked about self-injurious behaviors many times. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 11, 2014 Category: Journals (General) Authors: Tags: Conditions Pediatrics Psychiatry Source Type: blogs

Learning about human nature after a cancer diagnosis
Recently, in front of my family, friends, colleagues, and teachers, I accepted my diploma during the graduation ceremony for the UCLA psychiatry residency program. While it wasn’t my real diploma — it’s been months since I’ve been able to work, so when I’m better I need to go back and finish some requirements — my residency program coordinator put together an awesome fake diploma so I would have something to pick up when my name was called. It looks just like the real thing but reads, in small letters, ”Elana Halks Miller has almost completed training in the UCLA Psychiatry Residency Program.” Co...
Source: Kevin, M.D. - Medical Weblog - July 10, 2014 Category: Journals (General) Authors: Tags: Conditions Cancer Source Type: blogs

Can a Failed Schizophrenia Drug Prevent PTSD?
This study also provides a perfect example of NIMH's new mandate for specifying a hypothesized mechanism of action for interventions that will be tested in funded clinical trials. Does peri-trauma osanetant (vs. placebo) reduce later development of PTSD symptoms and attenuate amygdala activation to trauma script-driven imagery in fMRI? Is TAC3 gene expression altered in primate models? [The distribution of Nk3R likely differs between mice and primates.] Are there declines in PACAP blood levels in traumatized individuals given osanetant (vs. placebo)? Are there longer-term effects on methylation of ADCYAP1R1 in peripheral b...
Source: The Neurocritic - July 10, 2014 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs

The clear, killing acid of modern life
Floor technician. Environmental technician. Life coach. Investment and retirement strategist. Facility safety coordinator. Interventional cardiologist. Cardiothoracic and vascular surgeon. Neurodevelopmental psychologist. Are we hiding behind out words? Worse yet, are we afraid to be who we really are? Maintenance man. Trash man. Knowledgeable and experienced friend. Salesman. Security guard. Doctor. Psychologist. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 9, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

Shrink Notes: what does your doc think of you?
I've written before about shrink notes back in 2011.  See Here and Here.With the increasing transparency we're seeing with electronic records, there are now systems that allow patients to access their doctor's notes.  The first time one of my patients did this, he casually mentioned that the record included the wrong dose of a medication, and I suggested my patient might want to tell his doctor about this.  In psychiatry, we've been a bit touchy about this.  Patients might be distressed to see what we write about them, they may see some of the terms we use to describe them (like delusional?) as bei...
Source: Shrink Rap - July 9, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Ailments are big business
Back when Prozac (fluoxetine) and Zoloft (sertraline) were new, I remember the mental acrobatics doctors made to justify giving these drugs to anxious patients. The drugs were approved for treating depression, but we knew they often seemed to help anxiety. The reason, we were told, was that some anxious patients were actually depressed, deep down, and we had just failed to recognize their depression. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 8, 2014 Category: Journals (General) Authors: Tags: Meds Primary care Psychiatry Source Type: blogs

Great article on the Brazil vs. Columbia soccer game. (Source: a psychiatrist who learned from veterans)
Source: a psychiatrist who learned from veterans - July 8, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

3 innovations to improve mental health treatment
Our nation has recently witnessed another tragedy involving a young adult, with young adult victims. Facts often emerge slowly and it is important not to speculate about diagnoses through the news media; however, it seems clear in this case that mental illness is a factor — even though few people living with mental illness are violent. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 6, 2014 Category: Journals (General) Authors: Tags: Conditions Psychiatry Source Type: blogs

Guest blogger Dr. Sana Johnson-Quijada on Freedom and Self Care
I met Dr. Sana Johnson-Quijada at the APA Annual Meeting this year in New York.   Sana has her own blog Friend to Yourself, and I invited her to do a guest blog on Shrink Rap.  In honor of Independence Day, she sent the following post.  Self-Care is Freedom, is Democracy, is Because We Are Accountableauthenticsociety.comSelf-Care Tip #159 – Be accountable for and to yourself.It was about 100 degrees Fahrenheit, which in my part of the world is considered hot.  But in Washington D.C., I considered that temperature general anesthesia.  I was breathing it in and trying hard to remain alert...
Source: Shrink Rap - July 6, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

The troubling deficiencies in our mental health system
Mental health patients and their families already pay a hefty price with the stigma of mental illness and the emotional roller coaster they often face dealing with symptoms. But insufficient mental health resources across the United States also means that they must pay a financial price as well in the form of lost productivity, out-of-pocket costs for treatment and sometimes periods of unemployment. A recent USA Today special report estimates that benefits for those who cannot support themselves, cost of care and lost productivity cost the U.S. economy more than $444 billion each year. Continue reading ... Your patien...
Source: Kevin, M.D. - Medical Weblog - July 4, 2014 Category: Journals (General) Authors: Tags: Policy Psychiatry Source Type: blogs

As usual he avoids all videos of violence in his country (his country?) published in He starts listening to songs. In T.V. he starts watching an Arabic Lebanese series named لو (=If), which is about romantic relationships. He chooses to write a new article on an Arabic website about some old paintings about hypnosis. He opens the newspaper less often and prefers to see anything but the first three pages. The other day he liked this picture in the first page of his newspaper. But as he flips the first three pages to that page of culture he found this caricature.As he sees that caricature he remembers tha...
Source: psychiatry for all - July 3, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Global Institute for Psychosocial, Palliative and End-of-Life Care (GIPPEC)
This week, the University of Toronto and the University Health Network (UHN) launched a new institute dedicated to end-of-life issues and the treatment of patients with life-threatening terminal diseases: the Global Institute for Psychosocial, Palliative and End-of-Life Care (GIPPEC).   GIPPEC will have its formal inauguration in October 2014, and will be functioning within the next year. It will include a core staff of about six people, and will have numerous Canadian and international researchers contributing part-time.  It will be an interdepartmental and interdivisional research centre devoted to promoting an...
Source: - July 3, 2014 Category: Medical Ethics Authors: Thaddeus Mason Pope Tags: Health Care medical futility blog syndicated Source Type: blogs

CNN anchor tries a "schizophrenia simulator" for a day (video)
CNN's Anderson Cooper tries to go through a normal day using a schizophrenia simulator: Posted at Clinical Cases and Images. Stay updated and subscribe, follow us on Twitter and connect on Facebook. (Source: Clinical Cases and Images - Blog)
Source: Clinical Cases and Images - Blog - July 2, 2014 Category: Universities & Medical Training Tags: CNN Psychiatry Source Type: blogs

People on Autism Spectrum at Increased Risk for Substance Abuse
Generally, people on the autism spectrum tend to be personally cautious and socially withdrawn. As you would expect, previous research shows that people with autism tend to have low rates of substance abuse – the preference for low risk and avoidance of social situations means less drinking or drug use. But new research from the Washington University School of Medicine found the opposite: in their study of 3,080 Australian twins, people with symptoms of autism were more likely than people without symptoms to abuse alcohol and marijuana. The interesting reason why and perhaps implications for protecting both autistic peop...
Source: Cliffside Malibu - July 1, 2014 Category: Addiction Authors: Richard Taite Tags: Richard Taite Source Type: blogs

The Myths that Society Holds About Mental Illness
It is an undisputed fact that individuals who experience mental health issues are often faced with discrimination that results from misconceptions of their illness. As a result, many people who would benefit from mental health services often don't seek treatment for fear that they will be viewed in a negative way. The World Health Organization agrees and says that in the 400 million people worldwide who are affected by mental illness, about twenty percent reach out for treatment.Take a look at the common myths society holds about mental illness. MYTH: Mental illness is not a true medical illness like heart d...
Source: Dr. Deborah Serani - July 1, 2014 Category: Psychiatrists and Psychologists Tags: stigma Source Type: blogs

Hospital Clowns meet the Boston Globe
Hearts & Noses The Hearts & Noses Hospital Clown Troupe, where I’m chairman of the board, is a great organization that provides professionally trained volunteer clowns to hospitalized children in Massachusetts, and trains other hospital clowns from around the US and the world. So I’m excited to see a feature article about the clowns (Getting silly where the work is serious) on the front cover of the Boston Globe’s “g” section. Author Joseph P. Kahn does an excellent job of explaining what the clowns do to empower children, and the amount of effort and training that goes into preparin...
Source: Health Business Blog - June 26, 2014 Category: Health Managers Authors: David Williams Tags: Announcements Hospitals Patients Michael Agus Source Type: blogs

Young children are silenced by psychiatric medication
Tom Insel, director of the National Institute of Mental Health (NIMH) in his recent blog post, “Are Children Overmedicated?” seems to suggest that perhaps more medication is in order. Comparing mental illness in children to food allergies, he dismisses the “usual” explanations given for the increase prescribing of medication.  In his view these explanations are; blaming psychiatrists who are too busy to provide therapy, parents who are too busy to provide a stable home environment, drug companies for marketing their products, and schools for lack of recess.  Concluding that perhaps the explanatio...
Source: Kevin, M.D. - Medical Weblog - June 26, 2014 Category: Journals (General) Authors: Tags: Physician ADHD Primary care Source Type: blogs

Finally, stigma rears it's ugly head.
I don't even want to write about this because I've cried enough and just don't want to think about it, push it out of my mind.I had been feeling really awful for several days. One night, I went to bed and got up about 5 times in 3 hours and drank an entire bottled water each time. I would still be thirsty but drinking so much water so quickly gave me a gagging feeling so I would go back to bed still thirsty. Then wake up and do it all over again.Finally around 1:30am I got tired of it and just stayed up. The longer I was up, the more extremely fatigued I felt, and it was extreme. Didn't matter if I drank coffee, took an en...
Source: - June 25, 2014 Category: Mental Illness Source Type: blogs

The progression of the Diagnostic Codes in Psychiatry and archaeological implications
All official diagnoses have a numeric code attached to them. It struck me a while back that there is a bit of history implied in those codes. Attention Deficit Hyperactivity Disorder, combined type is 314.01, inattentive type alone is 314.00, but hyperactive type alone is 314.01 which I suppose suggests that the original perception of the diagnosis was of something associated with hyperactivity and only later was it seen as useful to consider the criteria and make a diagnosis in the absence of hyperactivity. Perhaps there is a psychiatric resident's progress or the fields progress implied in the mood disorder codes. As a f...
Source: a psychiatrist who learned from veterans - June 25, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

NIMBY: New Brunswick Sends Severely Autistic Adults to NB's Northern Border with Quebec and To Maine, Far From Most Families
NIMBY, Not In My Back Yard: Severely autistic NB youth and adults are sent out of the province to the Spurwink facility in Maine and to the Restigouche Regional Psychiatric Hospital in Campbellton on NB's northern border with Quebec far from families and communities in NB's more heavily populated south. The UK Daily Mail has reported the story of a family whose severely autistic  son who was sent 250 miles away for treatment including for severe self injurious behavior.  The distance involved during his stay of more than 2 years meant 500 mile round trips to visit their son who had never met his sister:Josh ...
Source: Facing Autism in New Brunswick - June 25, 2014 Category: Autism Authors: H L Doherty Source Type: blogs

Casey Kasem’s Living Will Did Not Work for Dementia: How to Make Sure Your Advance Directive Works
Discussion. How to get physicians to comply? (The "Ironclad Strategy") (Source:
Source: - June 23, 2014 Category: Medical Ethics Authors: Thaddeus Mason Pope Tags: Health Care medical futility blog syndicated Source Type: blogs

Assistant Physicians Coming to Missouri
Missouri is planning to allow medical school graduates who have not completed residency to treat patients in underserved parts of the state. Bills that would allow medical school graduates to provide medical care have passed the General Assembly and are awaiting Governor Jay Nixon’s signature. The newly-minted physicians would receive “assistant physician” licenses and would be able to treat patients in collaboration with a licensed physician – much in the way a physician assistant does. However, the new graduates will be able to call themselves “doctor” while physician assistants will...
Source: WhiteCoat's Call Room - June 22, 2014 Category: Emergency Medicine Authors: WhiteCoat Tags: Policy Source Type: blogs

Starting Again.
Just made my blog public again, so sure there aren't many who find this site or read it, but it has given me some clarity as to writing for myself. This was simply to be a type of diary that I could look back and see where I had become depressed/hypomanic and see if there was any triggers or long it could have been going on.  I guess it is what many bipolars would call a type of mood marker, although I guess it has turned into so much joy.I'm sure I mentioned it, but I made it public because  my husband asked me to.  He had applied for CIO job and didn't want it to be found since he is the only person that I...
Source: - June 22, 2014 Category: Mental Illness Source Type: blogs

NB'ers with Severe Autism Disorders Are Not Included in New Brunswick's "Inclusive Community"
New Brunswick's "inclusive" "community living" model is not a bridge to a better life for adults with autism disorders.  There are huge gaps in the model.  Group home staff are not autism trained and are not professionally supervised.  Those who don' fit in, including those with severe autism disorders are excluded, banished to live in psychiatric hospitals in New Brunswick and outside the country.New Brunswick tells the world that it is "inclusive" and talks incessantly about our "community living".   In fact if a child, youth or adult suffers from a severe autism disorder they are not included in a co...
Source: Facing Autism in New Brunswick - June 22, 2014 Category: Autism Authors: H L Doherty Source Type: blogs

Living with my son’s schizophrenia: From fear to hope
When my son Ben was 20-years-old, he was finally diagnosed with schizophrenia after five years of chaos and frustration — what I later came to know had been symptoms of the gradual onset of his illness. At the time, I’d thought he was just having a tough adolescence. I’d thought perhaps he needed more father figures (Ben’s father had deserted the family when Ben and his sister were little, and had been missing ever since). I tried everything to help: therapy, tough love, letting go, stepping in, humor, punishment, family time, letting him hit bottom so he’d learn his lessons, and almost a year in a teen wild...
Source: Kevin, M.D. - Medical Weblog - June 21, 2014 Category: Journals (General) Authors: Tags: Patient Psychiatry Source Type: blogs

Top stories in health and medicine, June 20, 2014
From MedPage Today: The Uninsured: 33 Million and Counting. In the last full year before the Affordable Care Act went into effect, more than 33 million Americans had been without health insurance for more than a year, according to CDC survey. Gross Anatomy: A Real Twisted Heart. It’s nothing but heartache for a 48-year-old Italian man, who presented to the emergency department with dextrocardia after a motorcycle accident crushed his chest, and spun his heart right round. Antidepressants Not Tied to Heart Defects. Antidepressant use during the first trimester of pregnancy was not associated with a greater risk of c...
Source: Kevin, M.D. - Medical Weblog - June 20, 2014 Category: Journals (General) Authors: Tags: News Heart Obesity Pediatrics Psychiatry Source Type: blogs

Tired. Just Tired.
For years, I've absolutely loved having  Shrink Rap.  I've loved having a place to write, to vent, to share something cool I've learned, and I've learned so very much from readers who have really changed my life.  What a great experience from a thought at the kitchen table that started, "I want a blog.  What's a blog?"  Shrink Rap has inspired me to keep current with psychiatry and to learn about things to write about that I might otherwise just skip.  I love having a place to ask questions, especially when they're about things that make my brain start doing somersaults (--well, not really, I ...
Source: Shrink Rap - June 20, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs