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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 3.

Out of the Hospitals & Into the Jails?
Over on Saving Normal, psychiatrist-blogger Dr. Allen Frances has put up a thought provoking article called We Should All Be Ashamed.    Frances asserts that closing the state hospitals was the wrong thing to do : those patients now live on the streets and cycle through the jails.  We haven't freed them, he says, we've abandoned them.  Frances goes on to say that Dr. E. Fuller Torrey is right: our society needs laws that allow us to force those who need help into care and Representative Tim Murphy is right: we need to pass the Helping Families in Mental Health Crisis Act -- one that mandates states...
Source: Shrink Rap - November 4, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

What Happened to You in the ER?
I'm writing about what happens in the Emergency Room from the perspective of a psychiatry resident (the doctor who is training to be a psychiatrist).  I'd like to include  a couple of quotes from patients who have been through the experience of going to an Emergency Room with a psychiatric crisis. They would be short quotes -- though you're welcome to tell me the longer story.~The ER visit needs to have been within the last 2-3 years~Must be in the United States only~I'd need the name of the state~I might want to talk to you to verify that you are a real person~I would not include your name or any identifying inf...
Source: Shrink Rap - November 3, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Brandon Marshall: Football Player with Borderline Personality Disorder
This is a short post to send you over to Clinical Psychiatry News where I wrote an article on an NFL.com television special "A Football Life" special about Brandon Marshall, the Chicago Bears wide receiver, who struggles with borderline personality disorder.  It's not often that I get to write about football and psychiatry in the same post, and I always like it when successful people are public about their psychiatric disorders -- what better to help de-stigmatize conditions that are erroneously associated with people who have been marginalized?  ----- Listen to our latest podcast at mythreeshrinks.com or subscri...
Source: Shrink Rap - November 2, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Top stories in health and medicine, October 31, 2014
From MedPage Today: Minor Memory Problems Merit Attention. Patients who reported having lost a step mentally were at nearly triple the risk of being diagnosed with definite cognitive impairment later on, albeit with a lag of about 6 to 10 years. Munchausen by Proxy: A Case Study of Abuse. If you do an extensive workup on a patient with a very attentive parent and can’t find anything wrong, Munchausen syndrome by proxy might be at play. Docs Misclassify IBD in Survey. The severity of inflammatory bowel disease is significantly underestimated by gastroenterologists. Ebola: ‘We Were Warned’. Since its foun...
Source: Kevin, M.D. - Medical Weblog - October 31, 2014 Category: Journals (General) Authors: Tags: News Endocrinology GI Neurology Psychiatry Source Type: blogs

Beyond Public Health, Pit Bulls, and Pimps: Lessons in Trauma, Adverse Childhood Experiences, and Hope
By: Gerard Clancy, MD, professor, Department of Psychiatry, University of Oklahoma School of Community Medicine, and president, University of Oklahoma, Tulsa In my recently published Academic Medicine commentary, “Understanding Deficiencies of Leadership in Advancing Health Equity: A Case of Pit Bulls, Public Health and Pimps,” I described my evolution in developing relationships with a community in need, as we built the new Wayman Tisdale Specialty Health Clinic in north Tulsa over more than a decade. I have now been caring for patients in an adult psychiatry clinic since we opened 20 months ago. The clini...
Source: Academic Medicine Blog - October 30, 2014 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective adverse childhood experiences community engagement mental illness University of Oklahoma urban revitalization Wayman Tisdale Specialty Clinic Source Type: blogs

A civil war in psychiatry: Is there common ground?
There will never be any compromise acceptable to the die hard defenders of psychiatry or to its most fanatic critics. Some inflexible psychiatrists are blind biological reductionists who assume that genes are destiny and that there is a pill for every problem. Some inflexible anti-psychiatrists are blind ideologues who see only the limits and harms of mental health treatment, not its necessity or any of its benefits. I have spent a good deal of frustrating time trying to open the minds of extremists at both ends — rarely making much headway. Continue reading ... Your patients are rating you online: How to respond. M...
Source: Kevin, M.D. - Medical Weblog - October 29, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

Primary care physicians: 7 tips to treat health anxiety
Before the Internet age, people with excessive and irrational worries about their health (we called them “hypochondriacs”) went to their doctors for reassurance. Today these patients still schedule appointment — often with exasperating frequency – with their primary care physicians when they’re concerned about an unusual lump or vague symptom. But most likely they’ll have first consulted WebMD or the Mayo Clinic website and come up with a differential diagnosis of their own. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. ...
Source: Kevin, M.D. - Medical Weblog - October 28, 2014 Category: Journals (General) Authors: Tags: Conditions Psychiatry Source Type: blogs

Depression, Daughters, and Cellular Aging
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

Atonement
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

Ketamine
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

From My Data to Mined Data
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

Childhood and Beyond - Services Research for ASD
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

Suicide: a Global Issue
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

Manipulating Memory
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

Robin Williams
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

Funding Research – It Takes a Village
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

Mapping the Risk Architecture of Mental Disorders
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

AIDS: A Cautionary Tale
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

SAMHSA and NIMH Partner to Support Early Intervention for Serious Mental Illness
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Pamela Hyde Source Type: blogs

BRAIN – Creating the Next Generation of Tools
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

Are Children Overmedicated?
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

The Paradox of Parity
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

May is for Meetings and Mental Health
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

From Research to Practice
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

National DNA Day
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

A Misfortune Not a Crime
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

BrainSpan – Mapping the Developing Brain
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

Autism Awareness: April 2014
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

Celebrating Science
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

Brain Awareness
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

Clues to Risk and Resilience: Army STARRS
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

A New Approach to Clinical Trials
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

BITs and BYTEs
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

A Growth Chart for the Mind
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

A New Research Agenda for Suicide Prevention
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

Mental Health in Davos
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

BRAINS—A New Research Generation
Director’s Blog (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - October 27, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

Top stories in health and medicine, October 27, 2014
From MedPage Today: Nurse Beats Ebola. Fourteen days after she felt her first symptoms, Nina Pham, RN, has conquered Ebola. ‘Bad’ Fats Down but Not Out of Diets. Trans and saturated fat consumption have dropped, but not far enough to meet recommended levels for heart health, and omega-3s have plateaued too low. Can Comics Help Treat Mental Illness? Comic books may be a helpful tool for treating mentally ill adolescents and adults. Kidney Stones Up Fracture Risk. Patients who have kidney stones may be at increased risk of fracture. Your patients are rating you online: How to respond. Manage your online reputa...
Source: Kevin, M.D. - Medical Weblog - October 27, 2014 Category: Journals (General) Authors: Tags: News Infectious disease Nephrology Psychiatry Source Type: blogs

Suicide puts the medical profession in a difficult position
Recently, I wrote about the importance (and difficulty) of maintaining a healthy lifestyle as a resident. Now, I’d like focus more specifically on the toll that residency — and in general, a career in medicine — takes on a health care provider’s mind and soul. As you may have heard, in August two young physicians decided to end their lives. No one can know how tormented they must have felt or what circumstances drove them to the point where suicide seemed like the only answer. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. F...
Source: Kevin, M.D. - Medical Weblog - October 26, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

Exorcism and Nonepileptic or Pseudosiezures
The discussion of the painting (1) The Miracles of St Ignatius Loyola might seem to disparage religion. My consultation experience and that of others (2) with ‘pseudoseizures’ or nonepileptic seizures and conversion disorders , the syndromes of the discussion, suggests that the syndromes may be variants of panic disorder and successfully biologically treated as such. Hypothetically the syndromes might be induced by the anxiogenic methods of sodium lactate infusion (3) or high dose caffeine ingestion (4). In reference to the painting and its discussion, if religious experience restructures the psychodynamic and psychoph...
Source: a psychiatrist who learned from veterans - October 26, 2014 Category: Psychiatry Source Type: blogs

What I Learned Part 3
Today I enjoyed the presentation about the role of the Academy and of the American Psychiatric Association in appellate litigation. Both organizations work together to file amicus curiae ("friend of the court") briefs for court cases that have relevance to psychiatry and the care of the mentally ill. The APA has participated in 127 cases since 1962, and AAPL has participated in 16 cases since 1985. Most briefs are written by the APA counsel (all of whom have been former Supreme Court law clerks). Most of the cases were criminal rather than civil cases, and several were cases that went before the U.S. Supreme Court. AAPL wr...
Source: Shrink Rap - October 25, 2014 Category: Psychiatrists and Psychologists Authors: ClinkShrink Source Type: blogs

What I Learned Part 2
Day Two of the American Academy of Psychiatry and the Law ConferenceI picked up a number of tidbits from the poster sessions:-250,000 juveniles a year are sent to the adult criminal just system-3/4 of all juveniles serving life without parole were sentenced in five states-Louisiana uses an assertive community treatment program to supervise and restore  incompetent, nondangerous criminal defendants. This sounds like a good way to get people out of the hospital, or avoid having to send them there in the first place-In Indiana, a survey was done of judges who have dealt with defendants claiming to be “sovereign citizen...
Source: Shrink Rap - October 25, 2014 Category: Psychiatrists and Psychologists Authors: ClinkShrink Source Type: blogs

Fright Week: The Waking Nightmare of Lord Voldemort
Nightmares can seem very real at times, but then we wake up and realize it was all a bad dream. Now imagine having a vivid nightmare with all the reality of waking life and then... it turns out you're actually awake through it all!This happened to an 11 year old Italian boy who reported frightening auditory and visual hallucinations of Voldemort, the archenemy of Harry Potter, for three straight days. These hallucinations began after a bout of sore throat and fever (38°C).  As Vita et al. (2008) report:The day after the resolution of fever, he began to present hallucinations. Hallucinations occurred in the after...
Source: The Neurocritic - October 25, 2014 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs

Lesson learned: Not everyone is crazy
An excerpt from The Spattered White Coat: Intense experiences which formed a young doctor. I’ll never forget one of the first patients I interviewed. When I went to get him, I could see him sitting in the waiting room, looking around and scratching his arms repeatedly. He was a very large middle-aged black man from the neighborhood. He looked like he could have been a lineman for the Chicago Bears. He had been sent over by the dermatology clinic at County. 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 - October 23, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

What I Learned Part 1
Hello from Chicago and the 45th Annual Meeting of the American Academy of Psychiatry and the Law!One of the Shrink Rap traditions is that I blog tidbits that I picked up at various sessions of the forensic psychiatry conference. This year's conference was preceded (for me, anyway, not for all attendees) by a three day review course in preparation for my mandatory recertification exam next year. This is another way of saying that I'm starting the conference in "listener overload" mode, so my notes may be a little light this year.As usual, the conference started out with a keynote address by current president Dr. Richard Wei...
Source: Shrink Rap - October 23, 2014 Category: Psychiatrists and Psychologists Authors: ClinkShrink Source Type: blogs

Pamela Wible: A eulogy to her father
I believe we choose our parents before we are born. I hit the jackpot. I picked an unlikely pair — a radical feminist and a guy named Ted Krouse. Mom wasn’t home much (she was finishing up her psychiatry residency) so I became head of the household. Dad always kowtowed to the strongest woman in the room. I was two at the time. I never had a bed time or a bath time and I sent Dad out on midnight runs to 7-11 to get us Slurpees and chocolate bars for dinner. Since I rarely bathed, I ended up with dreadlocks. Dad turned my poor hygiene into a neighborhood contest. The kids on the block lined up in our living room. Dad...
Source: Kevin, M.D. - Medical Weblog - October 22, 2014 Category: Journals (General) Authors: Tags: Physician Primary care Source Type: blogs

Comments on 'Validity of Sensory Systems as Distinct Constructs'
Chia-Ting Su and Diane Parham (2014) wrote an interesting article that appears in this month's American Journal of Occupational Therapy.  Their study involved use of confirmatory factor analysis to test constructs within sensory integration theory.  Results of their analysis have rather broad implications and raise many important questions.A highly popularized notion based on Dunn's (2001) Slagle lecture is that sensory processing can be identified as occurring within different systems where there might be over or under responsiveness to incoming stimuli.  Su and Parham applied data to this model and could n...
Source: ABC Therapeutics Occupational Therapy Weblog - October 21, 2014 Category: Occupational Health Tags: OT practice sensory integration Source Type: blogs

Ebola and Politics
Socialism or family life is like an MC Esher print. It has areas or blocks of equal properties which fit together and then there is an edge in which the properties of the spaces change. The unseen disharmony of the same spaces can be covered over in an unseen way by some of the spaces until an edge. The failure of the CDC or simply its lack of effectiveness represents Obama's inability to cover an unseen disharmony. The U.S. is at risk from West African travelers. To allow the CDC to acknowledge this risk suggests that steps which disproportionately affect black people might be appropriate. That contradicts the internal do...
Source: a psychiatrist who learned from veterans - October 21, 2014 Category: Psychiatry Source Type: blogs

Multidisciplinary Learning for Medical Students
<p><span style="line-height: 19.0400009155273px;">The clerkship years of medical school expose students to a range of specialties medical practitioners may select as an area of advanced study during residency. Pediatrics, surgery, general medicine, radiology, psychiatry, and more are part of the array of educational exposures students gain from during these rotations. As an educator facilitating discussion groups which provide the opportunity for reflection, questioning, and connecting expectations to the actual experiences, I have found that there are gaps in understanding the roles of other person...
Source: blog.bioethics.net - October 21, 2014 Category: Medical Ethics Authors: Hayley Dittus-Doria Tags: Health Care Healthcare Training medical education syndicated Source Type: blogs

Should we use antipsychotics to treat ADHD?
Polypharmacy, or use of multiple psychiatric drugs, for treatment of attention deficit hyperactivity disorder (ADHD) is on the rise. A recent study compared treatment with basic therapy (stimulants plus parent training) with augmented therapy (those two plus risperidone, an atypical antipsychotic). The study concluded that treatment with risperidone was superior. When children show dramatic improvements in behavior on risperidone, now being prescribed with increasing frequency for ADHD and a range of other disorders that represent difficulty with emotional regulation, we need to ask ourselves one question. Does this ch...
Source: Kevin, M.D. - Medical Weblog - October 19, 2014 Category: Journals (General) Authors: Tags: Conditions Pediatrics Psychiatry Source Type: blogs