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

PTSD was the illness I couldn’t see
I grew up thinking an “illness” was either a fever or croup. Illness was a stuffy nose — a sick day, an excuse to miss a day of school. At 18 years old, “illness” took on an entirely different meaning. Illness meant waking up from a coma, learning that my stomach exploded, I had no digestive system, and I was to be stabilized with IV nutrition until surgeons could figure out how to put me back together again. Illness meant a life forever out of my control and a body I didn’t recognize. What happened to me physically had no formal diagnosis. I had ostomy bags and gastrointestinal issues, but I didn’t have...
Source: Kevin, M.D. - Medical Weblog - June 25, 2016 Category: Journals (General) Authors: Tags: Patient Patients Psychiatry Source Type: blogs

I Don't Need My Therapist to Be My Friend
I have been feeling pretty good lately.  Probably somewhat lonely I guess, but who wouldn't be that spent day after day by themselves at home working with very little social interaction.I am still behind in my work, but pleased I am actually DOING it.  And there have been no complaints to speak of about "Where is my order??".  I have been trying to work on my communication when it comes to not meeting my shipping commitment dates.Mark's parents will be here Sunday.  O-M-G.  I have had all of the clutter picked up MAJORLY!  (Okay, so I paid for most of it, but I have done a lot of it myself as ...
Source: bipolar.and.me - June 24, 2016 Category: Psychiatry Source Type: blogs

I Don ' t Need My Therapist to Be My Friend
I have been feeling pretty good lately. & nbsp;Probably somewhat lonely I guess, but who wouldn ' t be that spent day after day by themselves at home working with very little social interaction. < br / > < br / > I am still behind in my work, but pleased I am actually DOING it. & nbsp;And there have been no complaints to speak of about " Where is my order?? " . & nbsp;I have been trying to work on my communication when it comes to not meeting my shipping commitment dates. < br / > < br / > Mark ' s parents will be here Sunday. & nbsp;O-M-G. & nbsp;I have had all of the clutter picked up MAJORLY! & nbsp;(Okay, so I paid for...
Source: bipolar.and.me - June 24, 2016 Category: Psychiatry Source Type: blogs

The Insurer Fee Disconnect
By JIM PURCELL A message to health insurance CEOs, COOs, and CFOs.  I believe there to be a fundamental disconnect between typical health insurer provider reimbursement strategies and the long term good of our healthcare delivery system and its financing. Let me give you some examples which I know, as a former health insurer COO and CEO, to be true. Insurers still pay primary care physicians far less than most specialists.  That perhaps was a function of the RBRVS system adopted by Medicare to “measure” the demands of specific physician activities and pay accordingly.  Specialist activities were rated higher than p...
Source: The Health Care Blog - June 23, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

The Great Insurer Fee Disconnect
By JIM PURCELL A message to health insurance CEOs, COOs, and CFOs.  I believe there to be a fundamental disconnect between typical health insurer provider reimbursement strategies and the long term good of our healthcare delivery system and its financing. Let me give you some examples which I know, as a former health insurer COO and CEO, to be true. Insurers still pay primary care physicians far less than most specialists.  That perhaps was a function of the RBRVS system adopted by Medicare to “measure” the demands of specific physician activities and pay accordingly.  Specialist activities were rated higher than p...
Source: The Health Care Blog - June 23, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

In Oxytocin We Trust
This report focuses only on the 83 males who took part in the study... Growing evidence suggests that the effects of oxytocin are different for males and females (Feng et al., 2015) and most of the current evidence on intranasal oxytocin’s psychological effects, which support the current hypotheses, come from studies with exclusively male samples. A separate analysis of female participants, controlling for a series of additional variables related to natural variations in oxytocin is ongoing.The larger study also included a task using Chinese pictographs, since the ability to read Chinese pictographs was an exclusionary c...
Source: The Neurocritic - June 23, 2016 Category: Neuroscience Authors: The Neurocritic Source Type: blogs

How can patients accept cash-based practices?
A primary care physician named Ashley Maltz recently discussed advantages and disadvantages of a cash-based practice. I appreciate her evenhanded tone: She prefers this model yet expressed concern for patients who can’t use it. In the comments section, several physicians extolled the virtues of cash-pay, but patients were mixed. It’s attractive for those who can afford it, while it worries, and maybe angers, those who can’t. I enjoy the personal and patient benefits of a mostly cash-pay psychiatric practice (I also see some patients under Medicare). I like running my own small business, keeping clinically ...
Source: Kevin, M.D. - Medical Weblog - June 22, 2016 Category: Journals (General) Authors: Tags: Physician Primary care Psychiatry Source Type: blogs

Corruption of clinical trials reports: a proposal
CORRUPTION OF CLINICAL TRIALS REPORTS:A PROPOSALThere is a disconnection between the FDA’s drug approval process and the reports we see in medical journals. Pharmaceutical corporations exploit this gap through adulterated, self-serving analyses, and the FDA sits on its hands. I suggest we need a new mechanism to fix the problem – by independent analyses of clinical trials data.When they analyze and publish their clinical trials in medical journals, pharmaceutical corporations have free rein to shape the analyses. The FDA conducts independent analyses of the data submitted by the corporations, and it may deny or delay a...
Source: Health Care Renewal - June 22, 2016 Category: Health Management Tags: Bernard Carroll citalopram clinical trials Eric Topol escitalopram FDA Forest Pharmaceuticals Jay Amsterdam Jon Jureidini Leemon McHenry Lisa Cosgrove Lundbeck Underwriters Laboratory vortioxetine Source Type: blogs

A Bulimia Device
When I was doing research for my book, I ran across a report of a weight loss device that seemed absurd at the time — the AspireAssist. At that time, the inventor of the Segway was applying for approval for a device he calls AspireAssist which is medical device with a tube which is surgically implanted in the stomach and is attached to a skin-port which is equipped with a valve which is attached to a battery operated pump which sucks a portion of your stomach contents out of your gut and mechanically vomits them into your toilet. About 30% of what has been eaten is removed. In short it is medically induced bulimia. In ...
Source: Jung At Heart - June 19, 2016 Category: Psychiatry & Psychology Source Type: blogs

Xerox Enters the Rapidly Maturing Telemedicine Business
There have been a number of bullish signs that telemedicine is reaching a critical mass such that larger hospitals without a program may start to feel anxious. This anxiety may also become more acute in the face of federal cost reduction programs because telemedicine provides a way to increase patient services without investing in bricks and mortar. I have been blogging about telemedicine for years but it has remained a marginal form of healthcare delivery until recently (see: Insurance Companies Can Use Telemedicine to Enlarge Their Provider Networks; Hospital Telemedicine P...
Source: Lab Soft News - June 18, 2016 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Electronic Health Record (EHR) Healthcare Delivery Healthcare Information Technology Medical Education Telemedicine Source Type: blogs

My patients all want to just survive somehow
One of the episodes of the Walking Dead was titled “JSS.” In this brutal episode, one learned by the end of the show that one of the characters, then others after her, had learned that all they could expect to do for the moment was JSS, or just survive somehow. I met a patient recently who embodied that mantra. Small, petite, with stringy hair and sun-browned skin, she did not look the part of a survivor. She looked frail, unsure of herself, weak and defeated. She had been living in the woods behind a local store, and she did not even have a tent or other covering to sleep under. She had made do with tree branches for ...
Source: Kevin, M.D. - Medical Weblog - June 16, 2016 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

Keep Trying.
I have a lot of work to do which I do not want to do, behind as always.  Maybe that is why I am writing so much, but I looked at blogs that have been around as long as I have been - 10 - 11 years?  Many have become complete advocacy blogs, sharing absolutely nothing about themselves any longer.  What does that mean?  Have they finally got their crap together, after 10 years?  It certainly seems that I should as well.  Yet why haven't I?  I went to one of the best psychiatrists in Illinois, yet...I do not.  If I have not blogged about that experience, which is very possible as I just ...
Source: bipolar.and.me - June 15, 2016 Category: Psychiatry Source Type: blogs

Thoughts Are Scrambled and Everywhere - Maybe I Am Too
It has been really rough lately.  I pretty much ran out of klonipin.  I want to say I do not know how it happens, but obviously I take too much in a certain time frame.  But how could I take THAT MUCH?  Both Adderall and Klonipin - the two worst medications I could take too much of, I usually do within the month.I now have my Klonipin back and have felt so sick for almost a week lately.  I thought I would take it and ta-da, all of my negative thoughts that were keeping me from getting my wreaths done would be gone.  I am so far behind that just that is a lot for me to deal with.  I hate w...
Source: bipolar.and.me - June 15, 2016 Category: Psychiatry Source Type: blogs

Nicotine Genes: Evidence From a 40-Year Study
 How adolescent risk becomes grownup addiction. Pediatricians have often remarked upon it: Give one adolescent his first cigarette, and he will cough and choke and swear never to try another one. Give a cigarette to a different young person, and she is off to the races, becoming a heavily dependent smoker, often for the rest of her life. We have strong evidence that this difference in reaction to nicotine is, at least in part, a genetic phenomenon. But so what? Is there any practical use to which such knowledge can be put? As it turns out, the answer may be yes. People with the appropriate gene variations on chro...
Source: Addiction Inbox - June 13, 2016 Category: Addiction Authors: Dirk Hanson Source Type: blogs

#Orlando
No, not again.  I looked at my Twitter feed and learned about yet another mass shooting.  I can't even imagine what it's like to feel the kind of fear the people in that nightclub felt, to die in such a horrible way, to live with the aftermath, or to be a family member and know that someone viciously targeted my loved one and purposely inflicted such horror on them.  My heart goes out to the victims and their loved ones, and I'm so sorry they are going through this unnecessary tragedy.I heard on the news that the gunman's ex-wife said he was physically abusive and mentally unwell, but I don't know if th...
Source: Shrink Rap - June 13, 2016 Category: Psychiatry Authors: Dinah Source Type: blogs

Dialog: Doubling Down on Dropping Out
Dr. Wible and her young colleague have responded to my previous post: [Cross posting with her comment section, to share the clicky love as we continue the dialogue] A few corrections to your blog Lucy: 1) I do NOT have a subscription practice. I see all-comers and I take insurance. 2) I have never turned anyone away for lack of money. I don’t believe in a two-tiered health care model. 3) Diet and nutrition is not woo (and is certainly not taught in med school). There are HUGE problems with allopathic medicine which does not prepare us to care for patients in an outpatient setting when it comes to prevention, lifestyle, a...
Source: Musings of a Dinosaur - June 10, 2016 Category: Primary Care Authors: notdeaddinosaur Tags: Medical Source Type: blogs

Health Affairs’ June Issue: Behavioral Health
The June issue of Health Affairs explores the topic of behavioral health, including racial and ethnic disparities in treatment, trends in financing of behavioral health and substance use disorder treatment, the portrayal of mental health issues in the media, and more. This month’s DataGraphic provides a pictorial view on behavioral health becoming a focal point in policy and public discussions. The June issue of Health Affairs is supported by the California Health Care Foundation; Takeda Pharmaceutical Company, Ltd.; the Leona M. and Harry B. Helmsley Charitable Trust; and the Conrad N. Hilton Foundation. Drug monitoring...
Source: Health Affairs Blog - June 6, 2016 Category: Health Management Authors: Chris Fleming Tags: Elsewhere@ Health Affairs Featured Public Health Quality Behavioral Health Health Affairs journal Source Type: blogs

Advil Increases Social Pain (if you're male)
Headache, Guillaume DELEBARRE (Guigui-Lille)A recent neuroessay in the New York Times asked, Can Tylenol Help Heal a Broken Heart?What’s crazy about the pain of a broken heart is that your body perceives it as physical pain.No it does not. Do you feel heartbroken every time you stub your toe?Well... I guess the social pain = physical pain isomorphism is a one way street. Anyway, the author continued:In research published in 2010, scientists found that acetaminophen can reduce physical and neural responses associated with the pain of social rejection, whether in romantic relationships, friendships or otherwise.The pain re...
Source: The Neurocritic - June 6, 2016 Category: Neuroscience Authors: The Neurocritic Source Type: blogs

Advil Increases Social Pain (if you ' re male)
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Source: The Neurocritic - June 6, 2016 Category: Neuroscience Authors: The Neurocritic Source Type: blogs

Let's Start Talking!!
Although I am not exactly heavily pushing, I find it extremely difficult to start a conversation about suicide.  For my age group, it is the number one cause of death.  To me, that says that everyone must know of someone that has committed suicide.  Yet no one wants to talk about it?  Why?It is scary, but I am slowly becoming more open about my illness.  I haven't really said that I am. bipolar and do not feel much guilt about that.  My psychiatrist tells me quite often I am "mildly bipolar". Don't get me wrong - I am not in denial or saying I do not have it, I do.  And I need to have a d...
Source: bipolar.and.me - June 5, 2016 Category: Psychiatry Source Type: blogs

Let ' s Start Talking!!
Although I am not exactly heavily pushing, I find it extremely difficult to start a conversation about suicide. & nbsp;For my age group, it is the number one cause of death. & nbsp;To me, that says that everyone must know of someone that has committed suicide. & nbsp;Yet no one wants to talk about it? & nbsp;Why? < br / > It is scary, but I am slowly becoming more open about my illness. & nbsp;I haven ' t really said that I am. bipolar and do not feel much guilt about that. & nbsp;My psychiatrist tells me quite often I am " mildly bipolar " . < br / > < br / > Don ' t get me wrong - I am not in denial or saying I do not ha...
Source: bipolar.and.me - June 5, 2016 Category: Psychiatry Source Type: blogs

About Hastert’s “Known Acts:” The Indifference Is as Disturbing as the Crime
By DAVID INTROCASO This past April 8th federal prosecutors made known former Republican House Speaker, Denis Hastert, sexually molested at least four boys while employed as an Illinois high school wrestling coach beginning in the 1960s.  Prosecutors said there was “no ambiguity” about these abuses.  They were, they said, “known acts.”1 While the news was disturbing sexual and all other forms of child abuse is commonplace.  According to the Centers for Disease Control’s (CDC) Adverse Childhood Experiences (ACE) study, one in four girls and one in six boys are sexually assaulted before they ...
Source: The Health Care Blog - June 4, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Organized Medicine’s Child Abuse Problem
By DAVID INTROCASO This past April 8th federal prosecutors made known former Republican House Speaker, Denis Hastert, sexually molested at least four boys while employed as an Illinois high school wrestling coach beginning in the 1960s.  Prosecutors said there was “no ambiguity” about these abuses.  They were, they said, “known acts.”1 While the news was disturbing sexual and all other forms of child abuse is commonplace.  According to the Centers for Disease Control’s (CDC) Adverse Childhood Experiences (ACE) study, one in four girls and one in six boys are sexually assaulted before they ...
Source: The Health Care Blog - June 4, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

An open letter to Macklemore about the opioid epidemic
Dear Macklemore, Recently, you — the white-rapping, thrift-shopping, LGBT-activist-ing, Grammy-winning 2013 phenom — teamed up with President Obama to deliver a message to the country about the current opioid epidemic. Now let me preface this by saying, I like you, Macklemore. I like the mixture of equal parts political, earnest and downright goofy that you bring to your music. I like that you seem genuinely self-reflective and even a little uncomfortable with the chart-topping success your appropriation of black music has enjoyed. And I believe that the rampant opioid abuse and overdoses happening now in our c...
Source: Kevin, M.D. - Medical Weblog - June 4, 2016 Category: Journals (General) Authors: Tags: Physician Pain management Source Type: blogs

Book Review: Ordinarily Well: The Case for Antidepressants by Peter Kramer
My post for today is a review of Peter Kramer's new book over on Clinical Psychiatry News.  You may remember him from Listening to Prozac, and he's back now with more on the science that supports the use of anti-depressants.The review of Ordinarily Well can be read here: http://bit.ly/1Y6Tu9p  ----- 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 - June 4, 2016 Category: Psychiatry Authors: Dinah Source Type: blogs

The Rigid Patient
​A 24-year-old man with a history of schizophrenia presented with altered mental status. His mother said he had become more catatonic and rigid over the previous two days. She reported that he was prescribed Abilify 5 mg by mouth daily for three years, but a long-acting depot of Abilify 400 mg had been administered two days before by court order. His vital signs include a heart rate of 120 bpm, blood pressure 140/90 mm Hg, temperature 38.5°C, respiratory rate is 14 bpm, and SPO2 is 98% on room air. The patient is alert and diaphoretic. Pupils are 3 mm. Cogwheeling, rigidity, and two beats of ankle clonus are also o...
Source: The Tox Cave - June 2, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

We’re Failing Adolescents And Families Coping With Behavioral Health Issues
During my twenty-five years as president and CEO of the Jewish Healthcare Foundation (JHF), I have learned how to help people navigate the health care system. But I have struck out miserably when it comes to helping people facing behavioral health issues. I’ve had the pleasure of watching many talented staff members start and raise families of their own. One employee of the foundation, located in Pittsburgh, Pennsylvania—let’s call her Amy—is a doting single parent to Joe, a towering teenager with a wry sense of humor and dyed, technicolor hair. Images of Joe—from football games, camping trips, and long-ago schoo...
Source: Health Affairs Blog - May 31, 2016 Category: Health Management Authors: Karen Wolk Feinstein Tags: Featured GrantWatch Quality Access adolescents Behavioral Health behavioral service needs Effectiveness Health Philanthropy Health Promotion and Disease PreventionGW Mental Health Source Type: blogs

Ever wanted to be a Clinical Forensic Medicine Registrar?
This post is written by Dr Nicola Cunningham, Senior Forensic Physician at Victorian Institute of Forensic Medicine and Emergency Physician at St Vincent’s Hospital, Melbourne. Ever wondered what it would be like to work in a field like “CSI”? A term as a Clinical Forensic Medicine Registrar at the Victorian Institute of Forensic Medicine (VFM) is as close as it gets as a doctor to navigating your way through the murky bowels of crime and experiencing the fascinating world of forensic labs, police stations and courts. We don’t have a theme song by the Who, and we never look as glamorous at two in the morning, but w...
Source: Life in the Fast Lane - May 31, 2016 Category: Emergency Medicine Authors: Chris Nickson Tags: Emergency Medicine Forensic medicine Job registrar VIFM Source Type: blogs

Why it’s not OK for older doctors to dismiss physician burnout
This past month I had the opportunity to present at a medical conference; my research topic was burnout and depression in osteopathic family medicine residents. A variety of attending physicians and residents stopped by my poster, excited to see this topic being brought to light. With the recent rise in physician dissatisfaction and suicide, there has been increased attention to finally start addressing this issue. I was super excited about giving an intellectually stimulating presentation on a topic I am very passionate about and having a meaningful conversation with my judge. I smiled and shook the hand of the elderly ph...
Source: Kevin, M.D. - Medical Weblog - May 30, 2016 Category: Journals (General) Authors: Tags: Conditions Psychiatry Source Type: blogs

It's 2:00 am I Must Be Lonely
It's 1:42am on Monday, Memorial Day.  I have been up for at least an hour.  I would say "typical", but since I have been taking Zonegran, I have been sleeping SO MUCH, and when I am not sleeping I have zero energy.  It comes in capsules, so I asked my psychiatrist if I could take half last night - just open up the capsule, take half, and put the cap back on.  She said I could.This is new to me.  Normally, and never before would I have asked to do that.  I would have just done it and told my doctor on my next visit.  But she read in my psychiatrist's records that I do that often, so she re...
Source: bipolar.and.me - May 30, 2016 Category: Psychiatry Source Type: blogs

It ' s 2:00 am I Must Be Lonely
It ' s 1:42am on Monday, Memorial Day. & nbsp;I have been up for at least an hour. & nbsp;I would say " typical " , but since I have been taking Zonegran, I have been sleeping SO MUCH, and when I am not sleeping I have zero energy. & nbsp;It comes in capsules, so I asked my psychiatrist if I could take half last night - just open up the capsule, take half, and put the cap back on. & nbsp;She said I could. < br / > < br / > This is new to me. & nbsp;Normally, and never before would I have asked to do that. & nbsp;I would have just done it and told my doctor on my next visit. & nbsp;But she read in my psychiatrist ' s record...
Source: bipolar.and.me - May 30, 2016 Category: Psychiatry Source Type: blogs

Choose your actions, not your feelings
Again and again in therapy I find myself emphasizing the distinction between feeling an emotion and acting on it. Many patients, and non-patients too, take undue responsibility for their emotions, as though feelings were volitional behaviors, the result of a choice.  Often there is a stated or implied should: “I should feel this, not that.”  Note how commonly people blame themselves for feeling, or not feeling, a certain emotion: “I should be more grateful after all she’s done for me.” “It’s wrong of me to get angry at other drivers; they’re just trying to get home too.” “It’s silly to ...
Source: Kevin, M.D. - Medical Weblog - May 30, 2016 Category: Journals (General) Authors: Tags: Conditions Psychiatry Source Type: blogs

Compulsive Foreign Language Syndrome: Man Becomes Obsessed With Speaking Fake French
You may have seen headlines such as: Florida Man Woke Up In A Motel Room Speaking Only Swedish. Or: Englishman wakes up speaking Welsh after stroke (“Rare brain disorder left English-speaking Alun Morgan only able to communicate in Welsh”). The first case was likely due to a fugue state, a type of dissociative disorder involving loss of personal identity and aimless wandering (Stengel, 1941). The second seems like an unusual example of bilingual aphasia involving loss of the ability to speak one's native language (rather than the more commonly affected second language). Perhaps you've even seen paranormal claims like:U...
Source: The Neurocritic - May 30, 2016 Category: Neuroscience Authors: The Neurocritic Source Type: blogs

Friend in Need is a Friend Indeed
I was locked out of my blog once again, and just now figured out how to access it again.  It looks like there have been changes to blogger, and I have emailed the person who has fixed my blog before, but that was several years ago!I am so sleepy, do not think I have much in me to write an entry.  I have a friend who has been suicidal for some time, but she did not tell me at first.  I knew she was very, very depressed and wondered if suicide was on her mind.  Finally she told me it was.  I wanted her to know she had someone to talk to that would not judge her, so I briefly told her about what I wen...
Source: bipolar.and.me - May 28, 2016 Category: Psychiatry Source Type: blogs

Messages for Youth Newly Diagnosed with Bipolar
For youth, being newly diagnosed with a bipolar spectrum disorder can be a scary and confusing time. CREST.BD is a participatory community-based research group from UBC that studies bipolar disorders. In one of their initiatives, Peer Researcher Andrea Pacquette co-led the Bipolar Youth Action Project (BYAP) that studied Vancouver Island youth living with bipolar disorders, and how they managed the illness. This brief but powerful video compiles key messages from the BYAP Youth Action Group, sharing hope, signposting the way to help and self-care, and assuring viewers that they are not alone. For more information about the...
Source: Channel N - May 28, 2016 Category: Psychiatry Authors: sandra at psychcentral.com (Sandra Kiume) Tags: All Documentary General Interview Andrea Pacquette bipolar Bipolar Youth Action Project brain CanCon crest-bd psychiatry selfcare ubc video Source Type: blogs

Health Affairs Briefing: Behavioral Health
Discussion: Emerging Issues In Behavioral Health The program will feature presentations from the following authors: Margarita Alegrìa, Chief of the Disparities Research Unit, Massachusetts General Hospital and Department of Medicine and Professor, Harvard Medical School, on Removing Obstacles to Eliminating Racial and Ethnic Disparities in Behavioral Health Care Yuhua Bao, Associate Professor of Healthcare Policy and Research, Weill Cornell Medical College, on Prescription Drug Monitoring Programs Associated with Sustained Reduction in Schedule II Opioid Prescribing in Ambulatory Settings Colleen Barry, Professor and As...
Source: Health Affairs Blog - May 27, 2016 Category: Health Management Authors: Lucy Larner Tags: Elsewhere@ Health Affairs Behavioral Health events Source Type: blogs

Help Convince BC Pharmacare to Cover Long Term ADHD Medications for ADHD Adults And Children
Please tell BC Pharmacare and health minister Terry Lake why they should cover long-acting ADHD medications vs just the short acting ones. Deadline is June 1st, 2016. If you live in BC and have a family member with ADHD or have ADHD yourself and already know why this is important, have your say here now . Scroll down to “Therapeutic Review of ADHD Drugs” and chose “Patient Questionnaire” or “Caregiver Questionnaire.” Please follow the instructions carefully. If you are unsure why this is important, please read on. I called for BC Pharmacare to cover long-acting (10-13 hour) medicati...
Source: Adult ADD Strengths - May 26, 2016 Category: Psychiatry Authors: Pete Quily Tags: ADD / ADHD Advocacy ADD / ADHD Medication BC Pharmacare Source Type: blogs

Please Help Convince BC Pharmacare to Cover Long Term ADHD Medications for ADHD Adults And Children
Please tell BC Pharmacare and health minister Terry Lake why they should cover long-acting ADHD medications vs just the short acting ones. CADDAC, CADDRA and some BC Psychiatrists and doctors are organizing this. Deadline is June 1st, 2016. If you live in BC and have a family member with ADHD or have ADHD yourself and already know why this is important, have your say here now . Scroll down to “Therapeutic Review of ADHD Drugs” and chose “Patient Questionnaire” or “Caregiver Questionnaire.” Please follow the instructions carefully. If you are unsure why this is important, please read ...
Source: Adult ADD Strengths - May 26, 2016 Category: Psychiatry Authors: Pete Quily Tags: ADD / ADHD Advocacy ADD / ADHD Medication BC Pharmacare Source Type: blogs

Systemic racism and racial bias in mental health care
Mental health issues are something I’m passionate about and have a lot of experience with, both professionally and personally. One of the biggest lessons I’ve learned over the years is how complicated and broken our mental health system is. When one or even multiple parts aren’t functioning at their highest level, we end up with a fractured system and patients falling through the cracks. One chasm in our mental health care system that remains frustratingly large involves issues of race. Race and mental health have a complex history, including racial bias within the system, disparities exacerbated by social factors, a...
Source: Kevin, M.D. - Medical Weblog - May 25, 2016 Category: Journals (General) Authors: Tags: Conditions Psychiatry Source Type: blogs

The controversy that surrounds trigger warnings
A reader I respect asked me for my thoughts on trigger warnings. Per Wikipedia, trigger warnings are “warnings that the ensuing content contains strong writing or images which could unsettle those with mental health difficulties.” Let’s put aside the last part of that definition, “those with mental health difficulties”, as some articles suggest that trigger warnings are not limited to those with mental health difficulties. Part of me wonders why that fragment is in there. 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 - May 24, 2016 Category: Journals (General) Authors: Tags: Conditions Psychiatry Source Type: blogs

What I learned after 41 years of practicing psychiatry
Now that I’m getting ready to turn 70, I thought I’d summarize what I’ve learned since I finished my residency, when I was 28. Of course, I didn’t learn all this only by being a psychiatrist, since I would hope that most folks have also learned lots in the last 41 years. 1. Psychotherapy is important, particularly if the patient is on the right medication. I won’t do “med checks,” since I would not want them if I was a patient. I figure if it’s simple enough to do in a few minutes, my family doctor can probably handle it or learn how to do it. If it’s complicated, it’s going to take me more than a few ...
Source: Kevin, M.D. - Medical Weblog - May 23, 2016 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

May 21, Hans Berger: Today in the History of Psychology (21st May 1873)
Hans Berger was born. A Professor of Neurology and Psychiatry, Berger began investigating electrical activity of the brain after his original area of research interest - locating the physiological basis of psychic phenomena - proved fruitless. On July 6th 1924 Berger made history by recording brain activity via electrical impulses on the scalp during a neurosurgical procedure performed by the neurosurgeon Nikolai Guleke. In 1929 Berger published his landmark paper 'Über das Elektrenkephalogramm des Menschen' in which he introduced the term 'electroencephalogram' and the concept of Alpha and Beta brain wave states. Than...
Source: Forensic Psychology Blog - May 22, 2016 Category: Forensic Medicine Source Type: blogs

Patient-Driven Research Will Lead To Better Health
The role of patients in health research is changing dramatically. Once considered simply study “subjects,” today patients play a meaningful and critical role in research. Such involvement ensures study results are more useful to them as well as others involved in making important health care decisions. Patients bring issues that matter to them—such as quality of life and ability to function—to the forefront of conversations about how to evaluate the effectiveness of health care options. They are working alongside scientists as partners in designing and conducting research and are key to the successful disse...
Source: Health Affairs Blog - May 19, 2016 Category: Health Management Authors: Grayson Norquist Tags: Featured Health Professionals Hospitals Population Health Quality 21st Century Cures Act FDA patient use of evidence patient-centered outcomes research PCORI Source Type: blogs

The false link between mental illness and gun violence
It would be nice if we could eliminate mass shootings by improving the mental health system, coaxing (or forcing) potential shooters into treatment before they have a chance to wreak havoc.  As the Washington Post (Most mass shooters aren’t mentally ill. So why push better treatment as the answer?) reports: “It would be ridiculous to hope that doing something about the mental-health system will stop these mass murders,” said Michael Stone, a forensic psychiatrist at the Columbia College of Physicians and Surgeons and author of “The Anatomy of Evil,” which examines the personalities of brutal killers. “It...
Source: Health Business Blog - May 19, 2016 Category: Health Management Authors: dewe67 Tags: Culture International Policy and politics Research Source Type: blogs

Mental Illness and Violence: Dispelling the Myths and Managing the Risks
I'm passing along this information so that readers can register for this forum if interested:Mental Illness and Violence: Dispelling the Myths and Managing the RisksWashington, D.C. – In the aftermath of highly publicized cases of violence, there is a big disconnect about mental illness and its connection to violence. Research shows that people with mental illness are more likely to be victims rather than perpetrators of violence. On Thursday, May 26, the global research institute RTI International will host a policy forum “Mental Illness and Violent Events: Identifying, Managing and Reducing Risks,” where expert res...
Source: Shrink Rap - May 18, 2016 Category: Psychiatry Authors: Dinah Source Type: blogs

Obama’s Lousy Suboxone Offer
I was reading more about Obama’s executive order over at Dr. Burson’s blog.  I guess she is a ‘competitor’ in the blogging world, but I have to admit that her blog has a lot more detail about the issue than I do.  If you haven’t been there yet, check it out.  Keep coming back here too of course! She wrote recently about the rules that would be required by the Feds, in order for them t o allow us the ‘right’ to treat people with buprenorphine.   I wrote to Dr. Burson after reading her post that she is providing the facts, and I can’t help but provide the emotion.  And af...
Source: Suboxone Talk Zone - May 16, 2016 Category: Addiction Authors: Jeffrey Junig MD PhD Tags: Addiction Buprenorphine Public policy Suboxone treatment heroin addiction obama suboxone treatment Suboxone treatment cap TREAT Act Source Type: blogs

Obama ’s Lousy Suboxone Offer
I was reading more about Obama’s executive order over at Dr. Burson’s blog.  I guess she is a ‘competitor’ in the blogging world, but I have to admit that her blog has a lot more detail about the issue than I do.  If you haven’t been there yet, check it out.  Keep coming back here too of course! She wrote recently about the rules that would be required by the Feds, in order for them t o allow us the ‘right’ to treat people with buprenorphine.   I wrote to Dr. Burson after reading her post that she is providing the facts, and I can’t help but provide the emotion.  And af...
Source: Suboxone Talk Zone - May 16, 2016 Category: Addiction Authors: Jeffrey Junig MD PhD Tags: Addiction Buprenorphine Public policy Suboxone treatment heroin addiction obama suboxone treatment Suboxone treatment cap TREAT Act Source Type: blogs

Tweets from APA
APA is in Atlanta this year and I'm not there.  ClinkShrink and Roy are, however, and they are tweeting. With their permission, here's a sampling of what's Twitter-worthy.  I was told not to discuss the zombie game.Clink Shrink ‏@clinkshrink May 15 Atul Gawande: "Assisted dying is about our failure to give assisted living." #APAAM16 #assistedsuicide  Clink Shrink ‏@clinkshrink May 15 Atul Gawande: "Your wellbeing is bigger than your health." #APAAM16 opening ceremony Clink Shrink ‏@clinkshrink May 15 To...
Source: Shrink Rap - May 16, 2016 Category: Psychiatry Authors: Dinah Source Type: blogs

This is why we are driving doctors to suicide
x Waqas Khan is the brainchild behind Healthcare Not Fair.  Click his video above to see why we are driving doctors to suicide the join the lively discussion on Facebook. 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 - May 15, 2016 Category: Journals (General) Authors: Tags: Video Psychiatry Source Type: blogs

Book News and More
Greetings from Baltimore -- and if you're looking for me at APA in Atlanta this year -- do look for both Roy and ClinkShrink instead--they are both there as APA Assembly members. I decided a while back that a Springtime graduation was all the traveling I wanted to do, and I am pleased to tell you that all went well with my youngest's graduation from #GoBlue.  I enjoyed Michael Bloomberg's commencement speech, the dinners, the celebrating, being with family, seeing my lovely daughter thrive, and knowing that for the foreseeable future, there is no college tuition to be paid.  Young One is off for a couple of weeks...
Source: Shrink Rap - May 13, 2016 Category: Psychiatry Authors: Dinah Source Type: blogs