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

Good for Indiana in trying to do something about the over zealous penalties for arrests. Maybe it will become a comparative advantage for the state. Elsewhere in the WSJ yesterday, the benefits of 'broken-windows policing' were emphasized by Bret Stephens. Part of the benefit of that is for the police to teach people how to behave. On the other hand to make people repeatedly humiliate themselves over past possible offenses may actually alienate people and contribute to disorder as seen in Ferguson. (Source: a psychiatrist who learned from veterans)
Source: a psychiatrist who learned from veterans - August 19, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Looking for People to Talk to Me about Involuntary Electroconvulsive Therapy (ECT or "shock" treatments)
As our regular readers may know, we are working on a book called Committed: The Battle Over Forced Psychiatric Care.  In Maryland, there is no provision for people to have ECT against their will, it's a voluntary procedure and someone else can't sign you up.  Before I learned about it from Shrink Rap readers, I didn't realize that there are other states where ECT can be court-ordered and done against a patient's will.  I'm interested in talking to people about their experiences with involuntary ECT.  Anyone with a personal story is invited -- patients who've had it (court-ordered, not cases where people...
Source: Shrink Rap - August 19, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

What Happens When Patients Won't Take Meds?
You're here reading Shrink Rap, so you may think this is a post about patients who refuse to take psychiatric medications, and non-compliance with psychiatric medications gets to be it's own issue.  So it caught my attention when Dr. Albert Fuchs tweeted that he was interviewed by NPR about "What happens when patients won't take medicines."  Dr. Fuchs is a primary care doc with a concierge practice in Beverly Hills, so I wanted to hear what he had to say, and I invested 6 minutes of my life in listening to his NPR talk -- you may want to go to the website and listen as well.  He makes a good point about bein...
Source: Shrink Rap - August 18, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Illinois Suspends Michael Reinstein's Medical License
Michael Reinstein (Gerald Rich/ProPublica)Illinois medical regulators have indefinitely suspended the medical license of psychiatrist Michael Reinstein, who prescribed more of the most powerful and riskiest antipsychotic drug clozapine than any other doctor in the country.The decision by Illinois' Department of Financial and Professional Regulation, signed Friday, suspends Reinstein's license for a minimum of three years, at which time he can apply to have it reinstated.The state's medical disciplinary board recommended the sanction in May after determining that Reinstein, 71, received "illegal direct and indirec...
Source: PharmaGossip - August 16, 2014 Category: Pharma Commentators Authors: insider Source Type: blogs

Trazadone Side Effect and I HATE PRIME THERAPEUTICS
  When I was rationing my klonipin because I used it faster than I could reorder, I took double trazadone thinking it would help my anxiety.  It seems like it has an anti-anxiety effect on me.  But I felt so very nauseous and when I finally got my klonipin and stopped doubling trazadone, the nausea went away.  I attributed it to withdrawal from my daily dose of klonipin.Last night, I took Trazadone (my daily dosage is 100mg for sleep) right before I went to bed.  I take it to sleep through the night and it usually works but not 100%.  I woke up in the middle of the night so I took an...
Source: - August 15, 2014 Category: Mental Illness Source Type: blogs

Dr Oz Eat Curry to Prevent Alzheimer's Disease
Dr.Oz's suggests eating curry once or twice a week to help prevent Alzheimer's disease.By Bob DeMarcoAlzheimer's Reading RoomDr. OzFrom time to time, Dr Oz covers Alzheimer's disease on his television show. He usually devotes about one third of his show to Alzheimer's disease when he covers the topic. He always does a great job of framing the impending epidemic that is Alzheimer's. Dr Oz mentioned that every 68 seconds someone is diagnosed with Alzheimer's disease. By the time you finish reading this article several more people will be suffering from Alzheimer's. Another group of Alzheimer's caregivers will come into being...
Source: Alzheimer's Reading Room, The - August 14, 2014 Category: Dementia Tags: alzheimer alzheimer curry alzheimer's Alzheimers Dementia Alzheimers Prevention brain test Doraiswamy Alzheimer's Dr Oz Dr Oz alzheimer's memory memory test news Source Type: blogs

From Helplessness to Hope: A Reflection on the Death of Robin Williams
This article was prepared by Glenda Wrenn, MD, MSHP in her personal capacity. The opinions expressed in this article are the author’s own and do not reflect the view of Morehouse School of Medicine, the National Institutes of Health, the Department of Veterans Affairs, or the United States government. (Source: Disruptive Women in Health Care)
Source: Disruptive Women in Health Care - August 14, 2014 Category: Consumer Health News Authors: dw at Tags: Advocacy Mental Health Source Type: blogs

Desperate, Vulnerable Research Subjects, Cost-Cutting Contract Research Organizations and Threats to the Integrity of Clinical Research
Introduction - Clinical Research Done by Contract Research Organizations Dr Carl Elliott seems to be one of the few people willing to investigate how modern medical research may threaten vulnerable research subjects.  His book, White Coat, Black Hat, opened with a chapter on vulnerable "guinea pigs," people willing to be clinical research subjects for money.  Such people may be desperate for money, and further may be homeless, and have psychiatric problems, including psychosis or drug or alcohol problems.  Dr Elliott just wrote another important article on the plight of vulnerable research subjects. As Dr El...
Source: Health Care Renewal - August 13, 2014 Category: Health Management Tags: clinical research integrity clinical trials contract research organizations deception You heard it here first Source Type: blogs

A friend posted an article trying to explain deep depression and why someone would want to take their life. It was an excellent description, but it brought up old painful memories and was hard for me to read. I haven't forgotten how very desperate severe depression has made me feel, but that is a place I rarely let my mind visit because it scares the crap out of me, the idea that I will one day be back there. I've always said that unless someone has been there, seeing suicide as the only way out, so tortured mentally that you absolutely can not take it anymore and the only way you see to to get relief  from that crush...
Source: - August 13, 2014 Category: Mental Illness Source Type: blogs

Long Time! Robin made me crawl out of the woodwork!
So long since I've posted.  I think I have been pushing my down my feelings and not thinking about them.  What is the use?  So tired of analyzing and comparing yet I know I should do it.  I'm just not sure to what extent - how far or little should I take it?I'm sure the depression and bipolar community are overwhelmed with grief about Robin Williams, as am I.  He was inspirational to me in a way that my friends don't know and I will venture out and say *perhaps* they could possibly understand, but I the keys to my dark secrets tight to my chestI looked up to Robin because I knew he had bipolar...
Source: - August 12, 2014 Category: Mental Illness Source Type: blogs

No Laughing Matter
Nanette Elster, JD, MPH Like many people around the world, I was shocked to hear about the death of Robin Williams. An Academy-award winner, brilliant comedian, and the host of Comic Relief, he was beloved by millions. I can’t help however think about how tragic it is that it took his terrible suicide to cause our country to recognize the pervasiveness and damage of depression. Recently, the media has saturated us with stories about the Ebola outbreak in West Africa.… (Source:
Source: - August 12, 2014 Category: Medical Ethics Authors: Nanette Elster Tags: Cultural Featured Posts Psychiatric Ethics Source Type: blogs

Robin Williams: A Devastating Loss
In Patch Adams, he made me cry. In Mork and Mindy, he made me laugh. In Good Will Hunting he made be believe. In absolutely everything he ever did, Robin Williams was a wizard and a trickster and about four steps ahead and beyond everyone else on the screen. I am personally devastated by his loss. Especially when it was so preventable. Reports suggest that Mr. Williams was in rehab in early July. As is often the case with individuals who have been in recovery for a long time and then relapse, accidental overdose and suicide are major risks. Mr. Williams needed more support than he got and tragically, the world has yet agai...
Source: Cliffside Malibu - August 12, 2014 Category: Addiction Authors: Richard Taite Tags: Richard Taite Source Type: blogs

Medical lessons from Robin Williams
This article originally appeared in the Jewish Journal. 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 - August 12, 2014 Category: Journals (General) Authors: Tags: Physician Mainstream media Source Type: blogs

Suicide: A permanent answer to a temporary problem. Rest in peace, Robin Williams.
The news last night was tragic, Robin Williams has died of an apparent suicide of the early age of 63.  I saw the news and felt overwhelmingly sad.  Really?  He was a tremendous actor, a creative genius by any account, a man who I imagined had everything -- talent, wealth, fame, the wonderful ability to make people laugh and to brighten lives. Such people also get draped with love and admiration, though certainly at a price.   For what it's worth, Robin Williams has been open about the fact that he's struggled with both depression and addiction, but the complete story is never the one that gets told by ...
Source: Shrink Rap - August 12, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Work-life balance begins in residency
A wise friend who had completed residency told me prior to my starting training that the key to having fun was “never sit down when you get home from work.” Three years out of fellowship and practicing as a psychiatrist in Brooklyn, the words still resonate today.  The residents and medical students that rotate with me marvel at the stories of my full time acting career as a resident performing in multiple shows as a lead, having an improv team that toured, and lastly starring in a Bud Light commercial that filmed in Argentina!  They all ask, “How?!” My answer still remains the simple advice my friend gave me eig...
Source: Kevin, M.D. - Medical Weblog - August 10, 2014 Category: Journals (General) Authors: Tags: Physician Primary care Psychiatry Source Type: blogs

Interview with Dr. Jan Kalbitzer, author of the "Twitter Psychosis" article
Today I'm chatting with Dr. Jan Kabitzer, a Physician and Leader of the Neurochemistry Research Group at Charité - Universitätsmedizin Berlin.Dr. Kabitzer is first author of the “Twitter Psychosis” article that made international news and took social media by storm on August 6, 2014. His provocatively titled paper, “Twitter Psychosis: A Rare Variation or a Distinct Syndrome?” (Kalbitzer et al., 2014), appeared online a week earlier in The Journal of Nervous and Mental Disease. I was struck by the title, of course, and an abstract claiming that “Twitter may have a high potential to induce psychosis in predispose...
Source: The Neurocritic - August 10, 2014 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs

The other vitamin C: Are you prescribing it?
As doctors we prescribe a lot for our patients — pain relievers, medications for specific ailments, exercise, or vitamins. However, too often we forget the power of vitamin C: human connection. As a therapist and medical doctor for children and adults with ADHD, I don’t underestimate the power of employing a variety of treatments that treat the patient as a whole; this may include medication, recommendations about diet, exercise and lifestyle changes. 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 - August 9, 2014 Category: Journals (General) Authors: Tags: Conditions Psychiatry Source Type: blogs

Is "Shrink" offensive? Take a one-question poll!
Over on Clinical Psychiatry News, we had a reader complain about our column title --Shrink Rap News.  He felt it was odd and offensive to use the term Shrink when people have worked so hard to reduce stigma.  I countered with the article there called "The Stigma of Being a Shrink" to discuss how we came to the title Shrink Rap for our work, and that the term "shrink" just didn't strike me as one which would alter care for our patients or leave us being seen in a negative light.  It's been 8 years of Shrink Rap -- the name has worked for us in the form of 3 blogs and a book, and well, shrink is one syllable w...
Source: Shrink Rap - August 9, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Progress notes are a poor tool for doctor-patient collaboration
OpenNotes is “a national initiative working to give patients access to the visit notes written by their doctors, nurses, or other clinicians.”  According to their website, three million patients now have such access, generally online.  Participating institutions include the MD Anderson Cancer Center in Texas, Beth Israel Deaconess in Boston, Penn State Hershey Medical Group, Kaiser Permanente Northwest, and several others. 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 - August 8, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

Medicine has allowed me to intellectualize my mother’s illness
Somewhere late morning, after rounding on my first day of internship, I received a call from my sister. “She wants to kill herself. What do I do?” We had been through this before with our mother, fifteen years ago, the week I moved out of her house. She ended up in the psychiatric unit as we packed our bags to move in with our grandmother. This time, fifteen years later, things were different. I was an adult, and since May, I had been a doctor, in title at least. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, ...
Source: Kevin, M.D. - Medical Weblog - August 7, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

Romantic Chemistry
Highlights from a talk by Larry Young about the brain chemistry of love. From bonded-for-life prairie voles to human partnerships, chemistry plays a role in romantic attraction and staying with a mate. Lessons from research into the science of love may be useful for other applications in psychiatric conditions, including autism spectrum disorders. An animated short excerpt from a presentation at the Brain Matters! conference held in Vancouver, BC in March, 2014. (Source: Channel N)
Source: Channel N - August 6, 2014 Category: Neurologists Authors: sandra at (Sandra Kiume) Tags: All Lecture autism brain Love neuroscience psychiatry research video Source Type: blogs

Physician Payments Sunshine Act: Over 100 Medical Associations and Societies Urge CMS To Reconsider CME Exemption and Open Payments Timeline
Medial associations and specialty societies have been understandably frustrated with the way the Physician Payments Sunshine Act has rolled out so far. Yesterday, over 100 medical societies including the American Medical Assocation--49 state medical societies and 64 medical specality societies--sent a letter to Marilyn Tavenner, Administrator of the Centers for Medicare and Medicaid Services (CMS) asking for redress over three problematic issues: (1) the expansion of reporting requirements for educational activities, (2) Open Payments’ condensed timeframe for physician registration, and (3) the complicated r...
Source: Policy and Medicine - August 6, 2014 Category: American Health Authors: Thomas Sullivan Source Type: blogs

Sectioned -- on involuntary treatment in the U.K.
In America, people enter the hospital involuntarily in a process known as civil commitment.  On the other side of the pond, in Great Britain, it's known as being "sectioned."My thanks to Mental Health @sectioned_ on Twitter who linked to this BBC radio program called "Shrink Wrapped" (not, not, not Shrink Rap) and a one-hour show on being Sectioned -- they interview a psychiatrist, a patient who has been sectioned roughly 10 times, and the police.  Here's the Link if you'd like to listen.  The issues sound to be the same on both sides of the Atlantic Ocean.  If you'd like to listen, it may only be avail...
Source: Shrink Rap - August 6, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Stop comparing depression to diabetes
At the recent gubernatorial candidates forum on mental health, Martha Coakley repeated the oft-heard phrase that depression is like diabetes. Her motivation was good, the idea being to reduce the stigma of mental illness, and to offer “parity” or equal insurance coverage, for mental and physical illness. However, I am concerned that this phrase, and its companion, “ADHD is like diabetes,” will, in fact, have the exact opposite effect. 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 - August 5, 2014 Category: Journals (General) Authors: Tags: Conditions Diabetes Endocrinology Psychiatry Source Type: blogs

Government, Pay to Play business, Corruption in Dallas
The problem and mechanisms complete with deniability and, yes, ambiguity of government corruption were on display in last Sunday's, July 27, Dallas Morning News. The problem: 'Entities backing the Dallas hub filed for Chapter 11 bankruptcy in 2010. Allen, who had guaranteed loans for the project, filed for personal bankruptcy later that year.' 'Allen, who declined to hire Price's consultants, had refused the effort to shake him down.' Price's alleged scheme impeded economic development and was unjust to Mr. Allen and his investors. Eerily, we also had the story of Bill Moore and Recognition equipment which 25 years ago was...
Source: a psychiatrist who learned from veterans - August 4, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

How hospitals help people through social media
by Nancy Cawley Jean It's no secret that people take to social media when they have a complaint. It's been said many times that brands need to be in social media, because even if the brand isn't out there, people can still mention it, in both good and bad ways. A hospital is certainly no exception to this rule, especially when you think about how important quality of care is to people when their health is threatened and they face a hospital visit. When it comes to healthcare, expectations are high. So when their care isn't up to par, it's a safe bet people will shout it from their Facebook status updates, tweets and mor...
Source: hospital impact - August 3, 2014 Category: Health Managers Authors: Wendy Johnson Source Type: blogs

A cruel paradox when it comes to mental disorders
I am a great supporter of mental health research but worry that it has lost its sense of proportion and is chasing the wrong priorities. The really glamorous stuff consumes almost all of the enormous NIMH budget and now has behind it the huge addition of a $650-million private donation aimed at solving the genetics of mental illness. 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 - August 3, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

Hello Kettle? Calling the Pot Black Again?
So tonight I decide to stop by the voluntarily homeless guy’s blog after not visiting for about a month.  He is actually alluding to doing something nefarious or illegal “to survive” – a system he has perfected over the years as a marginally housed person.  He also talks about some mumbo jumbo nonsense that no one can judge him if they don’t really know him and he says nobody but him knows his true self aka Mr. Mysterioso.  I am pretty sure he is mentally ill so I try to cut him some slack. Lord knows I've done some crazy stuff in the throes of my mental illness as well over the years (pot calling ...
Source: The 4th Avenue Blues - August 3, 2014 Category: Mental Illness Authors: Andrew Quixote Source Type: blogs

The Creative Brain : Links to Mental Illness?
If you're a psychiatrist, you likely know who Nancy Andreasen is.  For as long as I've been around, she's been one of those big names in psychiatry and someone who leaves you to wonder if she ever sleeps, or if she has a clone, because it's hard to imagine that one human being can accomplish so much.  She has a Ph.D in English literature, and she's a psychiatric researcher who studies schizophrenia, neuroimaging, genomics and schizophrenia, and she directs every organization she belongs to and has won more prizes than I care to mention. She's a former editor of The American Journal of Psychiatry, the Chair of the...
Source: Shrink Rap - August 2, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Why Do Therapists Summer in Cape Cod?
Cape Cod is a wonderful summer destination for hundreds of thousands of people each year. Some of those thousands are therapists. But unlike most vacationers, the therapists don’t head to the Cape for just the beaches and sun. They’re coming to hone their therapeutic skills, while maintaining their license. One of the ways to do that is to attend the Cape Cod Institute, the successful continuing education program for mental health professionals run by my friend and colleague, Gil Levin, Ph.D. The Boston Globe (Sunday) Magazine recently featured him and his ground-breaking Institute. Gil and I have known each o...
Source: World of Psychology - August 1, 2014 Category: Psychiatrists and Psychologists Authors: John M. Grohol, Psy.D. Tags: General Professional Psychology Cape Cod Cape Cod Institute CE credits Continuing Education Gil Levin Mental Health Professional professional education Psychotherapy Source Type: blogs

Shift Work Tied to Increased Type 2 Diabetes Risk
By Diane Fennell Shift work is linked to an increased risk of developing Type 2 diabetes, according to new research from China. An estimated 25.8 million people in the United States and 108 million people in China now have Type 2, with a predicted total of 380 million people expected to have the condition worldwide by 2025. Previous research has linked shift work to a variety of health problems, including cardiovascular disease, digestive disorders, and certain cancers, as well as to both reduced glucose tolerance and an increased risk of Type 2 diabetes in women. The results regarding diabetes, however, have been incons...
Source: Diabetes Self-Management - August 1, 2014 Category: Diabetes Authors: Diane Fennell Source Type: blogs

It’s time we stood up for the orphan of organs: the brain
It was with much distress that I read a New York Times front page article by Benedict Carey about the heart wrenching plight of the Serpico family in their journey to get proper psychiatric treatment for their two sons. As a child and adolescent psychiatrist who has served children and families for more than 30 years, trained many child psychiatrists, and served as president of the American Academy of Child and Adolescent Psychiatry, I am deeply disturbed by the current psycho-pharmacologic practice of psychiatry. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A s...
Source: Kevin, M.D. - Medical Weblog - July 31, 2014 Category: Journals (General) Authors: Tags: Conditions Psychiatry Source Type: blogs

Romney may be making his contribution to America by highlighting a good hiking trail. I think Romney is showing off. The comments about him are positive. I think maybe Romney here gives me an insight into Mormonism as a super Protestantism. The Calvinists saw God as having an elect; and it was by faith that you might be a member. No works, i.e. charity, were required. So ostentatious displays of material success show that you are part of the elect. Inriguining that those following and commenting on Ann Althouse's blog, she being raised, I speculate, as a secular Jew, are of that persuasion. (Source: a psychiatrist who learned from veterans)
Source: a psychiatrist who learned from veterans - July 31, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Twitter Psychosis as a Cultural Artifact
The creation of the category “Twitter Psychosis" tells us more about the culture of contemporary psychiatry than it does about the purported dangers of social media overuse. Can Twitter really “cause” psychotic symptoms in predisposed individuals? Or is Twitter merely the latest technical innovation that influences “the form, origin and content of delusional beliefs” (Bell et al., 2005)? Twitter as the new telephone tower, radio waves, microchip implant or personal TV show, if you will.Via Twitter (@DrShock, @vaughanbell), of course, comes news of a one page paper entitled, Twitter Psychosis: A Rare Variation or ...
Source: The Neurocritic - July 31, 2014 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs

The voices heard by people with schizophrenia are friendlier in India and Africa, than in the US
When a patient with schizophrenia hears voices in their head, is the experience shaped by the culture they live in? Tanya Luhrmann and her colleagues investigated by interviewing twenty people diagnosed with schizophrenia living in San Mateo, California; twenty in Accra, Ghana; and twenty others in Chennai India. There were similarities across cultures, including descriptions of good and bad voices, but also striking differences.In San Mateo the interviewees talked about their condition as a brain disease, they used psychiatric diagnostic terms to describe themselves, and their experiences were almost overwhelmingly negati...
Source: BPS RESEARCH DIGEST - July 31, 2014 Category: Psychiatrists and Psychologists Authors: Research Digest Source Type: blogs

Good Guys and Guns
Just in case there’s anyone left who hasn’t heard, there was a shooting in a hospital last Friday. A mentally ill patient brought his legally-owned gun into his psychiatrist’s office, where he proceeded to shoot and kill his case worker. He then pointed the gun at the doctor, who ducked behind a chair, drew his own legally-owned, concealed-carry pistol, and proceeded to shoot the patient in the arm and torso, disabling him and preventing him from utilizing the rest of his ammo (approximately 40 bullets total). Official comment was swift and relatively unanimous: Yeadon Police Chief Donald Molineux said t...
Source: Musings of a Dinosaur - July 30, 2014 Category: Primary Care Authors: notdeaddinosaur Tags: Politics Source Type: blogs

New Allegations About Universal Health Services Inc - Why We Should Not be Surprised
Current Allegations of Poor Treatment and Threats to a Whistle Blower This month, a Boston Globe article reported trouble at a local hospital,Arbour HRI, a Brookline psychiatric hospital in recent trouble with regulators, disciplined a mental health worker for talking to the Boston Globe about problems there — an action the employees’ union is fighting.The hospital also required all staff to sign a policy forbidding them from speaking with the media about Arbour — or risk losing their jobs, according to the union.An article that appeared in the Globe on May 30 described findings of federal investigators that the hosp...
Source: Health Care Renewal - July 29, 2014 Category: Health Management Tags: corporate integrity agreements crime fraud hospital systems kickbacks legal settlements Universal Health Services Source Type: blogs

Real-time functional MRI neurofeedback: a tool for psychiatry
Authors: Kim S, Birbaumer NAbstract. PURPOSE OF REVIEW: The aim of this review is to provide a critical overview of recent research in the field of neuroscientific and clinical application of real-time functional MRI neurofeedback (rtfMRI-nf). RECENT FINDINGS: RtfMRI-nf allows self-regulating activity in circumscribed brain areas and brain systems. Furthermore, the learned regulation of brain activity has an influence on specific behaviors organized by the regulated brain regions. Patients with mental disorders show abnormal activity in certain regions, and simultaneous control of these regions using rtfMRI-nf may affect t...
Source: Positive Technology Journal - July 29, 2014 Category: Technology Consultants Tags: Biofeedback & neurofeedback Neurotechnology neuroinformatics Source Type: blogs

A new government for Gaza
A government that deliberately puts children next to offensive rockets for the purpose of their being killed as propaganda pieces is committing a war crime. Hamas has shown itself thus criminal and an improper government, the UN an unreliable interlocutor. Ideally the Israelis should remove Hamas and give the territory to the Egyptians, who have done the only surprising thing in this conflict, blowing up Hamas tunnels or allow the people there to choose another protectorate such as the Arab League. (Source: a psychiatrist who learned from veterans)
Source: a psychiatrist who learned from veterans - July 29, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Mother and Severely Autistic Son Evicted by Fredericton Non-Profit Housing Corporation Will Be Homeless Friday, August 1
"People with Autism Spectrum Disorder may be overly dependent on routines, highly sensitive to changes in their  environment, or intensely focused on inappropriate items. ... the symptoms of people with ASD will fall on a continuum, with some individuals showing mild symptoms and others having much more severe symptoms"American Psychiatric Association, Autism Spectrum Disorder Fact Sheet   [Underlining added for emphasis - HLD]Mistie Delorey is a single mother currently residing in a property of the Fredericton Non-Profit Housing Corporation.  Her son  with severe autism will turn 7 two days from n...
Source: Facing Autism in New Brunswick - July 29, 2014 Category: Autism Authors: H L Doherty Source Type: blogs

Which Antidepressant is Right for You? Short Answer: It's Still a Crap-Shoot
There are more than two dozen FDA-approved antidepressants out there. How can you determine which one is the best for you? This is the question posed by Steve Blatt MD in an article in Psychiatric Times, a publication of the American Psychiatric Association.   Dr Blatt’s short answer: We have no idea. Finding the right antidepressant is a crap-shoot.   His long answer has to do with the fact that untold clinical efficacy... (Source: John McManamy's SharePosts)
Source: John McManamy's SharePosts - July 28, 2014 Category: Mental Illness Authors: John McManamy Source Type: blogs

Study: Neurofeedback treatment for ADHD in only 12 sessions?
In this study, behavior improvements, gains in a computerized measure of attention, and corresponding EEG changes were all observed after only 12 25 minute training sessions, i.e., only 3 total hours of training. Whether this is because of the specific training protocol used in this study, i.e., the Peak Achievement training system, or could be attained with other training protocols, is unclear. It is important to emphasize that this was not a randomized controlled trial — in fact, there was not even a control group. Thus, reliable conclusions about the clinical efficacy of this approach cannot be made from this study al...
Source: SharpBrains - July 28, 2014 Category: Neurologists Authors: Dr. David Rabiner Tags: Attention and ADD/ADHD Education & Lifelong Learning Health & Wellness Technology ADHD-Treatment EEG-Biofeedback hyperactivity IVA Plus medication-treatment Neurofeedback Neurofeedback-Treatment Peak Achievement theta/beta ratio Source Type: blogs

Why this is an exciting time to work in psychiatry
Today, I celebrated mental health care.  And this was after a morning of battling with insurance companies, patching together community care plans, trying to create an inpatient bed for a suicidal patient where none exist, and arguing with agencies for better patient support. I work on a busy inpatient psychiatric unit that provides a daily reminder of the beauty, heartache, and pain that define living with mental illness.  The diverse stories of each patient I treat range from energizing to hilarious to heart-wrenching.  They are always unique and ever compelling. Continue reading ... Your patients are rating you on...
Source: Kevin, M.D. - Medical Weblog - July 27, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

Societal Effects on Schizophrenia or Sampling Problems?
Boston Globe: Surprising new research on schizophrenia suggests, however, that people with mental illness may have stronger, stranger ties to their societies than we commonly assume. In a new article in the British Journal of Psychiatry, Stanford anthropologist Tanya Luhrmann explains that for schizophrenics experiencing auditory hallucinations, the cultures they live in shape the voices they hear in their minds. Most psychiatric research is conducted by scientists. Luhrmann argues, though, that the same psychiatric condition can express itself differently in... (Source: Dr. X's Free Associations)
Source: Dr. X's Free Associations - July 26, 2014 Category: Psychiatrists and Psychologists Authors: DrX Tags: Front Page neuropsychology neuroscience & Psychoanalysis Source Type: blogs

Can medical students lean in to psychiatry?
I recently read an interesting article in Glamour about why Zosia Mamet, an actress on HBO’s Girls, refuses to “lean in.”  While the column focuses on the influence of modern-day feminism on notions of professional success, her words resonated with me as a medical student and an aspiring psychiatrist. “I have been incredibly blessed with success in my chosen career. I’ve worked my a** off and had the support and encouragement of those around me to keep climbing. But what if tomorrow I decided I was content with the place I’d reached in acting and planned to open a small coffee shop in Vermont?” Mamet writ...
Source: Kevin, M.D. - Medical Weblog - July 26, 2014 Category: Journals (General) Authors: Tags: Education Medical school Psychiatry Source Type: blogs

Of Guns and Ducks
Around the web, I thought I'd point out some interesting stories: A federal court upheld the legality of a Florida law which forbids doctors to discuss gun ownership with patients. The law, passed in 2011, was challenged as being a violation of a doctor's right to free speech.  Apparently, the second amendment is more important than the first amendment.  Why stop at gun ownership, perhaps every aspect of medical care should be legislated?  What right does my doctor have to pester me about whether I smoke or how much I drink or whether or not I'm getting enough calcium?  From the StarTribune:The rul...
Source: Shrink Rap - July 26, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Present Day
My daughter spent almost five months in the UCSD Adolescent Eating Disorder Treatment Program in 2012 and six weeks in their adult program in 2013, after a relapse. She continues to check in with her (phenomenal) psychiatrist regularly. She has found art to be an important tool for her to maintain her recovery. Recovery: A Magical Word Kinsey’s been in recovery for 16 months. She’s completed three semesters of college in another state and is planning on a study abroad in Australia. Every day, either in person or on social media, I do what I will do for the rest of her life; scan her face for the softness that, for her,...
Source: Conversations with Dr Greene - July 25, 2014 Category: Pediatricians Authors: Jennifer Denise Ouellette Tags: Perspectives Eating Disorders Teens & Behavior Teens & Health Teens & Nutrition Source Type: blogs

FBT What?
Family Based Treatment (FBT) understands this truth: recovery from an eating disorder cannot be made without full weight restoration and ongoing full nutrition. There is another important acknowledgement FBT makes which conventional (and markedly less effective) treatments don’t: when the symptom of a disease is anosognosia (inability to recognize one is ill), waiting for the sufferer to choose to get help is a losing proposition. Compare a 20% mortality rate for conventional treatment to 3% for adolescents treated with FBT.  Food is medicine for these diseases. Just as as parents would insist on chemotherapy or insulin...
Source: Conversations with Dr Greene - July 25, 2014 Category: Pediatricians Authors: Jennifer Denise Ouellette Tags: Perspectives Eating Disorders Teens & Behavior Teens & Health Teens & Nutrition Source Type: blogs

A mixed-methods study exploring therapeutic relationships and their association with service user satisfaction in acute psychiatric wards and crisis residential alternatives
This study aimed to test the hypothesis that stronger therapeutic alliances are achieved in crisis houses than in hospital. It also aimed to develop a model of service user satisfaction with acute services, exploring its relationship to service type, service user characteristics, therapeutic relationships, perceived peer support, recovery and negative events experienced as well as trying to understand the factors that impede and facilitate good staff–service user relationships in acute settings. Full report Scientific summary NIHR - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - July 24, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Local authorities, public health and health inequalities Source Type: blogs

Stanley Family Foundation gives $650 million for Psychiatric Research
From the New York Times, In Spark for a Stagnant Search, Carl Zimmer and Benedict Carey write:Late on Monday, the Broad Institute, a biomedical research center, announced a $650 million donation for psychiatric research from the Stanley Family Foundation — one of the largest private gifts ever for scientific research.It comes at a time when basic research into mental illness is sputtering, and many drug makers have all but abandoned the search for new treatments.Despite decades of costly research, experts have learned virtually nothing about the causes of psychiatric disorders and have developed no truly novel drug treat...
Source: Shrink Rap - July 23, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs