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

A Call To Rein In Phase III Trials
Here's a very nice perspective on what gets funded in drug research and why. Robert Kocher and Bryan Roberts bring their venture-capital viewpoint (Venrock) to the readers of the NEJM: It is not mysterious why projects get funded. As venture-capital investors, we evaluate projects along four primary dimensions: development costs, selling costs, differentiation of the drug relative to current treatments, and incidence and prevalence of the targeted disease (see table). For a project to be attractive, it needs to be favorably reviewed on at least two of these dimensions. Many drugs designed for orphan diseases and cancers a...
Source: In the Pipeline - February 28, 2014 Category: Chemists Tags: Clinical Trials Source Type: blogs

Top stories in health and medicine, February 28, 2014
From MedPage Today: A Targeted Treatment for Scleroderma? A monoclonal antibody that binds to the type 1 interferon-alpha receptor showed an acceptable safety profile in a phase I trial for systemic sclerosis, but efficacy was less clear. CMS: More ‘Meaningful Use’ Exemptions Coming. Some healthcare providers struggling to meet the second stage of the incentive program for electronic health records (EHRs) may receive a bit of relief. MRSA: Physician Clean Thy Stethoscope. Stethoscopes carried more methicillin-resistant Staphylococcus aureus (MRSA) and other bacteria after a physical exam than most areas of th...
Source: Kevin, M.D. - Medical Weblog - February 28, 2014 Category: Family Physicians Tags: News Infectious disease Psychiatry Rheumatology Source Type: blogs

The 100 most followed psychologists and neuroscientists on Twitter
Updated for 2014, here are the 100 most followed psychologists and neuroscientists on Twitter based on follower counts recorded over the last few weeks. You can follow all 100 as a Twitter list here (thanks @psychoBoBlogy). If we've missed anyone who should be in the top 100, please let us know via comments and we'll add them in to future iterations of the list. This is an update to our July 2013 post. Check the comments to that earlier post for even more psychologists on Twitter than we were able to include here.Andrew Mendonsa. Clinical psychologist. Followers: 364822Sam Harris. Neuroscientist, author. Fol...
Source: BPS RESEARCH DIGEST - February 28, 2014 Category: Psychiatrists and Psychologists Authors: Christian Jarrett Source Type: blogs

14 Recommended Books for Psychiatry Patients
An effective psychiatrist or psychologist will own a bookshelf stocked with recommended reading for his patients.  He will have read a host of books on various topics, from sleep strategies to marital advice, so he knows what he is recommending. My psychiatrist has compiled the following list of recommended books for patients. It may be helpful to you too. 1. “A Deeper Shade of Blue” by Ruta Nonacs. Nonacs, the associate director of the Center for Women’s Mental Health at Massachusetts General Hospital and an instructor in psychiatry at Harvard Medical School, offers a comprehensive guide on depression during ...
Source: World of Psychology - February 27, 2014 Category: Psychiatrists and Psychologists Authors: Therese J. Borchard Tags: Books General Mental Health and Wellness Motivation and Inspiration Psychiatry Psychology Relationships Self-Help An Unquiet Mind Anne Sheffield Bipolar Disorder Center for Women's Mental Health Cognitive Behavioral Therapy Colle Source Type: blogs

Interview with Dr. Szilard Voros, CEO and Co-Founder of Global Genomics Group
Dr. Szilard Voros, CEO and co-founder of Global Genomics Group (G3), is currently heading the international GLOBAL study, which will enroll up to 10,000 patients with coronary artery disease. The coronary atherosclerotic disease of each patient will be precisely phenotyped with advanced CT angiography; subsequently, each patient’s blood sample will undergo a panomic analysis that includes genomics, epigenomics, transcriptomics, proteomics, metabolomics, lipidomics, lipoprotein and proteomics. The trillions of data points collected from the phenotyping and the panomic analyses will be analyzed with specially designed bioi...
Source: Medgadget - February 27, 2014 Category: Technology Consultants Authors: Tom Fowler Tags: Genetics Medgadget Exclusive Source Type: blogs

The Trials of Parenting Teens with Mental Health Concerns
Perhaps the biggest problem of being a parent of an adolescent, particularly a teen that might be exhibiting symptoms of mental illness, is whether to consider your child’s behavior normal for the adolescent stage of life. For instance, your child is sleeping more than he used to. He hardly responds to your questions about his day at school, whereas he used to tell you in detail. He used to help with the yard afterschool. Now, every afternoon, he closes the door to his bedroom, hides away for hours, and remains glued to his Ipad. You begin to wonder about depression. But it’s not until you notice that his grades are dr...
Source: Mental Nurse - February 27, 2014 Category: Nurses Authors: Author123 Tags: Mental health adolescent mental illness Parenting Teens Source Type: blogs

Coping with Heightened Emotions When You Have ADHD
People with ADHD tend to have a hard time regulating their emotions. For instance, they report going from zero to 100 in just several seconds, according to Roberto Olivardia, Ph.D, a clinical psychologist and clinical instructor in the department of psychiatry at Harvard Medical School. “They report being emotionally hypersensitive, as long as they can remember.” Their feelings also may be more intense. “[W]atching a sad movie can push them into an episode of depression or crying. A happy event can bring on almost a manic type of excitement,” said Terry Matlen, MSW, ACSW, a psychotherapist and ADHD coach. In anoth...
Source: World of Psychology - February 27, 2014 Category: Psychiatrists and Psychologists Authors: Margarita Tartakovsky, M.S. Tags: ADHD and ADD Disorders General Mental Health and Wellness Self-Help Stress Attention Deficit Hyperactivity Disorder Emotion Emotion Regulation Emotions Feeling heightened emotions Mood Roberto Olivardia Terry Matlen Source Type: blogs

ICU brain (long term cognitive defects after critical illness)
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - February 26, 2014 Category: Internists and Doctors of Medicine Tags: critical care neurology psychiatry Source Type: blogs

5 Tips for Good Patient Engagement while Using an EHR Software
Electronic medical records offer a number of efficiency and accuracy benefits for physicians offices, but a new study shows tech tools can also reduce patient engagement when not used correctly. During the study, researchers from the University of Wisconsin and Northwest University analyzed 100 doctors visits that involved physicians accessing patient data through electronic health records. Researchers noted that physicians looked at the computer screen for one-third of the visit. The patient also looked at the screen more, even though researchers pointed out that the patients didn't always know what they were looking at. ...
Source: EMR EHR Blog for Physicians - February 26, 2014 Category: Technology Consultants Authors: Alok Prasad Source Type: blogs

HIMSS gossip
ORLANDO, Fla.—Two days of HIMSS14 have come and gone, and I’m not bouncing off the walls just yet. But I did bounce off the pavement Monday night when I tripped exiting a shuttle bus, and have some facial scrapes to show for it. You will see the evidence whenever Health Innovation Media gets around to posting a video interview I conducted Tuesday afternoon. Health Innovation Media’s Gregg Masters and Dr. Pat Salber have been camped out near the HIMSS press room since Sunday with their video equipment, querying various newsmakers on various health IT topics, and occasionally having guest interviewers. As I wal...
Source: Neil Versel's Healthcare IT Blog - February 26, 2014 Category: Technology Consultants Authors: Neil Versel Tags: care coordination EMR/EHR health IT health reform Healthcare IT HHS HIMSS humor Innovation meaningful use mobile ONC personal notes physicians politics social media vendors video athenahealth Farzad Mostashari Healt Source Type: blogs

Why Getting Good Mental Health Treatment is Complicated
As long-time readers of World of Psychology know, there’s no easy fix to the convoluted, second-class mental health care system in the United States. People with mental disorders — like depression, anxiety, ADHD or bipolar disorder — are shunted away from the mainstream healthcare system into a patchwork quilt of “care” that varies greatly depending upon where you live, what kind of insurance you have (if you have any), and whether you want to pay cash for treatment instead of using your insurance. It shouldn’t be this way. It shouldn’t be so hard to find a good treatment provider....
Source: World of Psychology - February 25, 2014 Category: Psychiatrists and Psychologists Authors: John M. Grohol, Psy.D. Tags: General Mental Health and Wellness Minding the Media Policy and Advocacy Professional Psychiatry Psychology Psychotherapy Treatment Health Care System Medication Mental Health Professional Mental Health Treatment Source Type: blogs

HIMSS, Continua launch Personal Connected Health Alliance
ORLANDO, Fla.—As HIMSS President and CEO hinted at yesterday in his podcast with me, HIMSS today announced the formation of the Personal Connected Health Alliance, in conjunction with the Continua Health Alliance and the HIMSS-owned mHealth Summit. This short video from HIMSS explains: Also, Lieber mentioned that HIMSS has not signed on to a letter from 48 organizations—led by CHIME—to HHS Secretary Kathleen Sebelius, calling for more time and flexibility in meeting Meaningful Use Stage 2 requirements., Lieber said HIMSS declined to sign because the requests were, in his opinion, “very vague.” Today, the...
Source: Neil Versel's Healthcare IT Blog - February 24, 2014 Category: Technology Consultants Authors: Neil Versel Tags: CIOs CMS consumerism EMR/EHR health IT health reform Healthcare IT HHS HIMSS Innovation meaningful use mobile ONC regulations remote monitoring video CHIME Continua Health Alliance Kathleen Sebelius mHealth Summit P Source Type: blogs

Don’t worry, be happy: Could optimism counteract negative effects of pain?
Warning: there is an earworm contained in this post! How on earth could anyone be happy when they have pain, huh? Well, more about that in a minute, first let’s look at this interesting study from Maastricht University by Jantine Boselie, Linda Vancleef, Tom Smeets and Madelon Peters. We know that having chronic pain reduces a person’s ability to undertake complex cognitive tasks, particularly those that involve making decisions or problem solving. People become overwhelmed, fatigued and then perform poorly when they need to maintain concentration when they’re experiencing pain, and researchers have foun...
Source: HealthSkills Weblog - February 23, 2014 Category: Occupational Therapists Authors: adiemusfree Tags: Coping strategies Pain Pain conditions Research Resilience Health Source Type: blogs

When not to implant an ICD?
There are certain situations when the implantation of an implantable cardioverter defibrillator (ICD) may not be ideal. Some of the following situations may be considered in that category: Since ICD is an expensive device and the implantation procedure is not totally devoid of morbidity, it may be better to defer implantation when survival beyond 1 year with reasonable quality of life (QOL) is unlikely due other co-morbidities like a malignant disease. Those with incessant ventricular tachycardia or fibrillation may also not be ideal candidates for the simple reason that multiple ICD shocks will be unbearable and the ICD b...
Source: Cardiophile MD - February 22, 2014 Category: Cardiology Authors: Johnson Francis Tags: Electrophysiology Source Type: blogs

Should Insight (or "Anosognosia") be Considered in Involuntary Outpatient Treatment Orders?
Today's post can be found over on Clinical Psychiatry News where I address a NAMI member's concern's about anosognosia and forced outpatient care.  You may want to read the article she was responding to first, and do check out the comments on that article:Is Forced Treatment in our Outpatients' Best Interests? and today's post: Insight and Involuntary Outpatient TreatmentBy all means, return here to tell us your stories about AOT.  ----- Listen to our latest podcast at mythreeshrinks.com or subscribe to our rss feed. Email us at mythreeshrinks at gmail dot com Our book is out now. (Source: Shrink Rap)
Source: Shrink Rap - February 22, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

This and that from the BMJ
Yes yes, America is the Greatest Nation on Earth, a Beacon to All the Nations, with better Pizza than Italy and better marijuana than Mexico. That said, we don't have the greatest medical journal, in my opinion. BMJ gets the honor because for them, medicine is just as much about society as it is about biology. A few tidbits from this week that caught my eye:Switzerland, which has the second most costly health care in the world because it essentially has Obamacare, which is better than whatever it was we had before but not by much, is considering dismantling its screening mammography program. That's because their medical bo...
Source: Stayin' Alive - February 21, 2014 Category: Health Medicine and Bioethics Commentators Source Type: blogs

FDA: Policies and Procedures for Proposed Trial Design Aimed at Multiple Chronic Conditions
In a recent staff memo, Dr. Robert Temple, Deputy Director for Clinical Science at the FDA's Center for Drug Evaluation and Research (CDER) laid out a new policy in the Manual of Policies and Procedures (MAPP) that FDA staff should follow in reviewing proposed trial designs. This is part of the Department of Health and Human Services' Initiative on Multiple Chronic Conditions. In his memo, Dr. Temple stressed the FDA's interest in encouraging a broad population sample in the development of new drugs. He writes: "This is reflected in the required (by regulation) analyses of safety and effectiveness by demographic and othe...
Source: Policy and Medicine - February 21, 2014 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs

Parent Observation Based Study: Children With Autism Disorders as Early as 12 Months Display Highly Elevated Range of Repetitive Behaviors
Conclusions"These findings suggest that as early as 12 months of age, a broad range of repetitive behaviors are highly elevated in children who go on to develop ASD. While some degree of repetitive behavior is elemental to typical early development, the extent of these behaviors among children who develop ASD appears highly atypical." Jason J. Wolff1,*, Kelly N. Botteron3, Stephen R. Dager4, Jed T. Elison5, Annette M. Estes6, Hongbin Gu2, Heather C. Hazlett1,2, Juhi Pandey7, Sarah J. Paterson7, Robert T. Schultz7, Lonnie Zwaigenbaum8, Joseph Piven1,2The IBIS Network†Although our son Conor's autism diagnosis was received ...
Source: Facing Autism in New Brunswick - February 21, 2014 Category: Autism Authors: H L Doherty Source Type: blogs

Itching: More Than Skin-Deep - NYTimes.com
The experiment was not for the squirmish. Volunteers were made to itch like crazy on one arm, but not allowed to scratch. Then they were whisked into an M.R.I. scanner to see what parts of their brains lit up when they itched, when researchers scratched them and when they were finally allowed to scratch themselves. The scientific question was this: Why does it feel so good to scratch an itch? "It's quite intriguing to see how many brain centers are activated," said Dr. Gil Yosipovitch, chairman of dermatology at the Temple University School of Medicine and director of the Temple Center for Itch (he conducte...
Source: Psychology of Pain - February 18, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Problem Found
An 8 year old girl was brought in for a psychiatric evaluation. The child’s mother had a laundry list of abnormal behavior in which the child was engaging. The child allegedly scratched the eyes out of all her dolls – except her stuffed cat, of course. The patient breaks glass on the bathroom floor so no one can use the bathroom. She also screams incessantly. Oh, and today she threatened to burn down the house. According to the patient’s mother, she was suffering from post-traumatic stress disorder after being beaten by her stepfather as an infant. Then, a couple of years ago, her pet kitten was found dea...
Source: WhiteCoat's Call Room - February 18, 2014 Category: Emergency Medicine Doctors Authors: WhiteCoat Tags: Patient Encounters Source Type: blogs

Addicts and Disease
Commentary.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 aspect of addiction ...
Source: Addiction Inbox - February 18, 2014 Category: Addiction Authors: Dirk Hanson Source Type: blogs

Hiv Infection Risk Higher In Patients Receiving Mental Health Care
Of that group, several new HIV cases were detected, suggesting that not all patients are getting tested in mental health care settings, despite recommendations to do so from the CDC and the Institute of Medicine. The study is one of the largest studies to date to estimate HIV prevalence and risk factors among persons receiving treatment in mental health settings and included researchers from the Centers for Disease Control and Prevention (CDC), as well as the University of Maryland and Columbia University Medical Center. “These findings paint a recent picture of HIV infection rates in the community, and reinforce how...
Source: aids-write.org - February 17, 2014 Category: HIV AIDS Authors: aidswrite Tags: current news Source Type: blogs

Maximizing Independence Keeps Dementia Patients at Home Longer
A program that brought resources and counselors to elderly residents with dementia and other memory disorders significantly increased the length of time they lived successfully at home.Does this remind you of anyone?The issue: could a successful community-based care program result in financial savings, better quality of life, and cause more health insurers to cover the cost of programs like this in the future?Alzheimer's Reading RoomSubscribe to the Alzheimer's Reading RoomEmail: Experimental Care Program Keeps People With Dementia at Home Longer, Study ShowsThe GistAn 18-month pilot program that brought resources and coun...
Source: Alzheimer's Reading Room, The - February 17, 2014 Category: Dementia Authors: Bob DeMarco Source Type: blogs

Stamp Out Alzheimer's
This is a picture of the Alzheimer's commerative stamp that was issued in 2008.It did not raise money for Alzheimer's research.By Max WallackAlzheimer's Reading RoomLynda EvermanHelp Stamp Out Alzheimer'sAs all of us on the Alzheimer’s Reading Room know Alzheimer’s is one of the greatest and most costly medical and social problems facing our nation today.It is a cruel disease which extracts a tremendous physical, emotional, and financial toll from all it touches. We must continue our support for those with this disease and their care partners, but we must also fight to stop this disease by finding varied innovative way...
Source: Alzheimer's Reading Room, The - February 16, 2014 Category: Dementia Authors: Max Wallack Source Type: blogs

Trying to Overcome
My husband gave me an iPad for Valentine's Day and I'm trying to get used to the keyboard so I am begging for patience!I traded in my car for a Range Rover Sport. It's absolutely ridiculous when you get stuck in snow half a block from your house because the roads haven't been plowed yet!My therapist is doing phone sessions with me now. I had my first one last week and today will be my second. It helps tremendously talking to someone who understands and gives suggestions. One suggestion was light therapy so I bought one of those things that reminds me of a very bright lite-brite but have only used it once.I asked my husband...
Source: bipolar.and.me - February 15, 2014 Category: Mental Illness Source Type: blogs

TED talks
In case you're interested, I hate to exercise.  I mean I really hate it.  I do it anyway, in what's hopefully not a misguided belief that this is good for me, but I will be very unhappy if they ever decide that exercise is bad for you, having already devoted so much of my time to something I dislike.  In any event, I've asked friends for suggestions for TED talks that I can listen to while I exercise, something to help the time pass as painlessly as possible.  I was told to watch Einstein the Parrot, and if you haven't, Einstein was very entertaining, and I'm told I was cackling on the elliptical today....
Source: Shrink Rap - February 15, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Film Review: The Inmates Are Running the Asylum
Set in the time of mass de-institutionalization of psychiatric patients, the Mental Patients Association (MPA) emerged in Vancouver at the start of the 1970s. This 36-minute documentary film, produced in 2013 by History of Madness Productions, captures the MPA experience and its impact through interviews with former members, supplemented with animated illustration and archival footage read more (Source: The Icarus Project - Navigating the Space Between Brilliance and Madness)
Source: The Icarus Project - Navigating the Space Between Brilliance and Madness - February 14, 2014 Category: Mental Illness Authors: jacks_ashley Tags: Articles Source Type: blogs

PEBS Neuroethics Roundup (JHU)
Last Edition's Most Popular Article(s): Psychiatrists Embrace Deep-Brain Stimulation, Scientific American In The Popular Press Cure for love: Should we take anti-love drugs?, New Scientist Phantom Melodies Yield Real Clues to Brain’s Workings, New York Times Are we born with... (Source: Neuroethics and Law Blog)
Source: Neuroethics and Law Blog - February 13, 2014 Category: Psychiatrists and Psychologists Authors: NELB Staff Source Type: blogs

Are Psychiatrists Evil?
 I want to point you to a psychiatry blog I happened upon not long ago, In White Ink, written by psychiatrist Dr. Maria Yang.  There was a post that moved me, and I went to comment, but there was no place to do so. Now, Dr. Yang is in the process of moving her blog and she's put up a post about My Brief History on the Internet.  My favorite part of the post is where she marries one of her blog readers!Dr. Yang writes:I started meet­ing peo­ple who read my writ­ing online. The inter­net was a dynamic and excit­ing place. I started feel­ing ambiva­lent about writ­ing online. I closed down com...
Source: Shrink Rap - February 12, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Pioneers Do Not Fall Apart
Art by Melissa Brooks- 2004 Today our author, who chose to publish anonymously, provides us with an intimate look inside her life and experience with depression, loss and  the journey to finding herself. Though I moved to Brooklyn in 2008, I will never be able to shake the Midwest from my bones. I grew up in Detroit, MI, a rather complicated place that I’ll never give up on. In contrast to the razor-sharp headlines that have recently grabbed hold of the collective consciousness, Detroit isn’t the place where dreams go to die. It’s the place where dreams – the American Dream, come to life. My grandfathers were ...
Source: Disruptive Women in Health Care - February 11, 2014 Category: Health Medicine and Bioethics Commentators Authors: dw at disruptivewomen.net Tags: Mental Health Rx Young Adults Source Type: blogs

The Link between Mental Illnesses and Poverty
Mental illnesses have become more common in the recent years. This increase in mental incidences has been examined by a number of scholars who have reached a number of interesting conclusions. There are major studies that have been done in both developed and developing countries and all of them have returned unusual verdicts.  According to most scholars, there is an undeniable link between mental illnesses and poverty. According to these studies, one major way of tackling mental illnesses would be addressing the common problems afflicting the poor. Social inequality The gap between the poor and the rich worldwide is exte...
Source: Mental Nurse - February 11, 2014 Category: Nurses Authors: Author104 Tags: Mental health child aggression Mental Illnesses verdicts Source Type: blogs

Straight Talk on Marijuana Legalization
The truth is I don’t give two shits about whether or not we legalize marijuana, so long as we have a 25-year-old age limit. Everybody knows I’m the age limits guy. I just think it’s socially responsible. I’ve spent a lot of time reading the work of Dr. Dan Siegel. He’s a Harvard trained physician who is “currently clinical professor of psychiatry at the UCLA School of Medicine where he is on the faculty of the Center for Culture, Brain, and Development and the founding co-director of the Mindful Awareness Research Center.” His most recent book, Brainstorm, is already a New York Times bestseller. W...
Source: Cliffside Malibu - February 11, 2014 Category: Addiction Authors: Richard Taite Tags: Richard Taite Source Type: blogs

Sidran Institute
Sidran began in 1986 out of a family tragedy when a beloved family member who had been abused in childhood was subsequently diagnosed with serious, debilitating psychiatric problems and a related life-threatening medical disorder. Frustrated in their search for help for the complex needs of their family member at the time, the Sidran family convened professionals from a variety of disciplines, support program representatives, and national organizations to determine how they could best help their own loved one, and others. With each meeting it became apparent that gaps in basic understanding existed in service delivery, con...
Source: PsychSplash - February 10, 2014 Category: Psychiatrists and Psychologists Authors: Psych Central Resource Editor Tags: Anyone Articles Books Collaborative News Combat Stress Emotional Health Features For Foundation Website Group Management Links Military Newsletter Post Traumatic Stress Disorder Resources Social Support Societal or Organiza Source Type: blogs

Outpatient Civil Commitment: Coming to Maryland Soon?
Today's blog post is over on Clinical Psychiatry News.  See Dinah's article summarizing a lecture on outpatient commitment, guns, and more, by Duke sociologist Jeff Swanson: Here.As mentioned, Delegate Murphy in Maryland has proposed a bill legislating Outpatient Civil Commitment here in Maryland.  The text of the HB 767 is here.  In it's current form, the bill is not likely to pass.  Please remember, before you comment, this bill was written by a legislator, it is not coming from psychiatrists.  On another note, there is another editorial by Dinah on Psychology Today's website about defining menta...
Source: Shrink Rap - February 7, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

PEBS Neuroethics Roundup (JHU)
Last Edition's Most Popular Article(s): Video: Patricia Churchland on the Colbert Report, Colbert Nation In The Popular Press Darkness sharpens hearing in adult mice, Nature News Psychiatrists Embrace Deep-Brain Stimulation, Scientific American Shooting Pills at Bipolar Disorder, The Atlantic New... (Source: Neuroethics and Law Blog)
Source: Neuroethics and Law Blog - February 6, 2014 Category: Psychiatrists and Psychologists Authors: NELB Staff Source Type: blogs

What's Wrong With Me?
Sorry I have been away, all is not great right now but all is not lost, if that makes sense.  I keep trying to figure out WHAT has got me in this funk, but when my mind tries to pin it on something, later I realize that's not it.  I have no explanation except to chalk it up to my chemical imbalance.I have been totally unmotivated to do anything (like write in my blog), am very anti-social and do not like leaving the house.  I have missed numerous appointments I've made with just about every sort of service simply because I can not make myself leave the house.  It's not anxiety about ...
Source: bipolar.and.me - February 4, 2014 Category: Mental Illness Source Type: blogs

In Honor of a Colored Musician
Ann Althouse makes a blog post about singer Sam Cooke. In the comments I learned the sad story about the death of the man with most melodious voice in pop music. One of the commenters has links to his songs. My favorite is Wonderful World. (Source: a psychiatrist who learned from veterans)
Source: a psychiatrist who learned from veterans - February 4, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Should it be a Crime for a Therapist to Have Sex with a Patient?
Currently, there is a bill before our state legislature [video testimony] that would make it a crime for a therapist to have sexual contact with a patient.  I wondered what our readers think of the idea of criminalizing sexual contact between a therapist and a consenting adult patient.As it stands now, we all agree that it is unethical for a therapist to have sexual contact with a patient.  Therapists are licensed to practice by professional boards (medical, social work, nursing, psychology), and all of these Boards handle complaints about sexual contact.  They are difficult cases, because often the cas...
Source: Shrink Rap - February 4, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

The Anthropology of Addiction
Can we ever integrate neuroscience and social science?Bielefeld, Germany—The last in a series of posts about a recent conference, Neuroplasticity in Substance Addiction and Recovery: From Genes to Culture and Back Again.  The conference, held at the Center for Interdisciplinary Research (ZiF)  at Bielefeld University, drew neuroscientists, historians, psychologists, philosophers, and even a freelance science journalist or two, coming in from Germany, the U.S., The Netherlands, the UK, Finland, France, Italy, Australia, and elsewhere. The organizing idea was to focus on how changes in the brain impact addiction ...
Source: Addiction Inbox - February 3, 2014 Category: Addiction Authors: Dirk Hanson Source Type: blogs

In the Public Interest
When does some public good override psychiatric confidentiality? Dinah's post yesterday outlined the recent issue in the Navy's public release of the shooter's psychiatric treatment information. I wrote about this issue before following the release of the expert behavioral analysis panel's report on the suspected anthrax mailer, Dr. Bruce Ivins. In both cases, the rationale for releasing detailed information about the decedent's psychiatric care was cited as being a need to ensure that the government was taking appropriate steps to safeguard public safety. Following release of the EBAP report, the government---without admi...
Source: Shrink Rap - February 1, 2014 Category: Psychiatrists and Psychologists Authors: ClinkShrink Source Type: blogs

Should Medical Records be Released to the Public Online?
With the adoption of electronic medical records and the advent of CRISP, Maryland's centralized collection of health information (it's an opt-out, if you haven't, you're in it, and if you opt out, they still get your info, they just don't release it), I'm coming to accept that there is no medical privacy.  Before you get distressed, the system does not include physician notes -- it's tests per the labs, medications per the pharmacies, radiology reports, and perhaps hospital discharge notes.  I'm  not aware of any psychiatrists who are feeding information into the system, but if you're in Maryland and you're ...
Source: Shrink Rap - February 1, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

A Humble Father's Simple Autism, Intellectual Disability and Epilepsy Research Questions
We examined 106 patients with autistic disorder divided into three groups on the basis of presence or absence of EEG paroxysmal abnormalities (PA) and/or epilepsy including febrile convulsions (FC). Our patients presented an autistic syndrome unrelated to clear congenital or acquired encephalopathy. The prevalence of epilepsy and EEG PA was 23.6% and 18.9%, respectively. Significant differences between the three groups appeared for (i) familial antecedents for epilepsy/FC and neurologic and psychiatric diseases (P < 0.004), (ii) a different proportion between the three groups for mental retardation (P < 0.0...
Source: Facing Autism in New Brunswick - January 30, 2014 Category: Autism Authors: H L Doherty Source Type: blogs

Prescription Drugs May Cause Forgetfulness
Most of us have had moments of forgetfulness at one time or another throughout our lives. Memory loss is commonly associated with the signs of getting older and is a symptom of Alzheimer’s disease. Alcohol and illicit drug abuse have also been shown to impair memory. What many people are not aware of is that certain commonly prescribed medications can impair memory too. Being aware that a prescription drug may cause memory problems is important information that needs to be shared with patients. “Scientists now know that memory loss as you get older is by no means inevitable,” writes Dr. Armon B. Neel, a geriatric ...
Source: Cliffside Malibu - January 28, 2014 Category: Addiction Authors: Richard Taite Tags: Richard Taite Source Type: blogs

Going Deep: Surgery For Addiction?
Controversial DBS technique shows early promise for Parkinson’s, Tourette’s.Bielefeld, Germany—The third in an irregular series of posts about a recent conference, Neuroplasticity in Substance Addiction and Recovery: From Genes to Culture and Back Again. The conference, held at the Center for Interdisciplinary Research (ZiF) at Bielefeld University, drew neuroscientists, historians, psychologists, philosophers, and even a freelance science journalist or two, coming in from Germany, the U.S., The Netherlands, the UK, Finland, France, Italy, Australia, and elsewhere. The organizing idea was to focus on how changes in t...
Source: Addiction Inbox - January 28, 2014 Category: Addiction Authors: Dirk Hanson Source Type: blogs

Randi Zuckerberg Thinks We Should Untangle Our Wired Lives
how hard could it be, none of those circles are actually connected (Source: The Last Psychiatrist)
Source: The Last Psychiatrist - January 25, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Windy city blues
WINDY CITY BLUESThere is an academic ethics mess brewing in the windy city… at The University of Chicago. It involves a start-up Chicago corporation, a star statistician in the medical school, seed money in the form of NIH research grants, the American Psychiatric Association, and the chairman of the APA’s DSM-5 Task Force. It involves the appearance of self-interested bias in the DSM-5 process. It involves a recidivist pattern of failure to disclose material conflict of interest. And it involves academic journal editors (JAMA and JAMA Psychiatry) who did not do the right thing when the perps were outed.I broke the sto...
Source: Health Care Renewal - January 25, 2014 Category: Health Medicine and Bioethics Commentators Tags: American Psychiatric Assn Bernard Carroll David Kupfer David Weiss DSM-5 Ellen Frank Howard Bauchner JAMA Network Joseph Coyle Paul Pilkonis Robert Gibbons University of Chicago Source Type: blogs

Insurance (or Not), Flotation Tanks, and Involuntary Committment.
This is an around-the-web post.First, my stuff:Over on Clinical Psychiatry News, I have article up about the survey on "Who are the Mentally Ill?"  I talk about how the survey was done and what findings there were, along with a few of my thoughts about those findings.  Click Here.My post on Why Psychiatrists Don't Take Insurance is up on KevinMD.  Lots of comments on Shrink Rap, feel free to comment to a broader medical audience over there.  Click Here.Then Clink's stuff:Over on Clinical Psychiatry News this week, Clink is writing about recreational flotation tanks and their comparison to sensory depriv...
Source: Shrink Rap - January 25, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

It's Official: DSM 5 is a Pissing Contest
First, I want to tell you that I have a conflict of interest when it comes to discussing both Dr. Kupfer and Dr. Frances: they were both my teachers, and they are people I hold in esteem.  Dr. Kupfer ran a summer program in psychiatry for college students, the Mellon Fellowship in Psychiatry for Undergraduates, and in the summer of 1983, as a college student aspiring to go to medical and become a psychiatrist, I was one of 8 students from across the country to receive one of these grants. It was an opportunity that opened doors for me and changed my life, and I remember Dr. Kupfer as a warm, kind teacher and I remain ...
Source: Shrink Rap - January 23, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Cardiovascular and Diabetes Outcomes Among Those taking Novel Antipsychotics
I remember from medical school and the early days of my residency when the only medications available to treat psychosis were the neuroleptics.  Patients hated taking them: the high potency medicines like Haldol and Prolixin left people rigid; they had pill-rolling movements with their fingers, cogwheeling in their joints, and they walked liked zombies.  The lower potency medications like Mellaril left people drooling and sedated.  I once heard these medications described as like having molasses poured into your brain.  We'd cajole people in to taking them, and like all medications, there were some peop...
Source: Shrink Rap - January 20, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

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Yesterday I opened the T.V. and found Whitney Houston. That was strange since it was just the night before that me and my friend were talking about her. The movie entitled "Waiting to Exhale". I remember reading somewhere about the writer, a black American woman, Terry... Terry Mcmillan. The film was in its final minutes. I just took a photo for that final scene. Whitney Houston was laughing in that warm scene.Today I was heading to work with this novel by Burhan Al-Khateeb entitled "An Appartment in Abu-Nawas Street". The story is about Iraq in the 60s when there was political tension. The protagonist, named Sami, walks t...
Source: psychiatry for all - January 19, 2014 Category: Psychiatrists and Psychologists Source Type: blogs