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

Can Weather Affect Your Mood?
As most of the nation suffers through some of the hottest temperatures on record this summer, people are asking the question of how exactly does weather impact our mood. For instance, how does hot weather affect our mood? Does it make us more aggressive — or even more violent? Does rain make us sad? How about cold temperatures… do they make us feel more like wanting to hunker down, hibernate, and isolate ourselves from others? Let’s revisit how weather affects our mood and impacts our lives. I last covered this topic a few years ago, taking a broad look at the research to see all of the different ways we...
Source: World of Psychology - August 29, 2014 Category: Psychiatrists and Psychologists Authors: John M. Grohol, Psy.D. Tags: General Green and Environment Psychology Research Cold Weather Emotions heat High Temperatures Humidity Mood Rain Season Suicide weather affects our mood weather impacts our mood Source Type: blogs

Mindfulness Training Brightens Outlook for Caregivers and People with Dementia
“Although they know things will likely get worse, they can learn to focus on the present, deriving enjoyment in the moment with acceptance and without excessive worry about the future.”by Marla PaulKen PallerKen Paller, a fellow of the Cognitive Neurology and Alzheimer’s Disease Center, reported in a new study that mindfulness training for individuals with early-stage dementia and their caregivers was beneficial.Mindfulness training for individuals with early-stage dementia and their caregivers together in the same class was beneficial for both groups, easing depression and improving sleep and quality of life, report...
Source: Alzheimer's Reading Room, The - August 29, 2014 Category: Dementia Tags: alzheimer's activity Alzheimer's Dementia brain dementia news dementia treatment health memory mindfulness training Source Type: blogs

NB Adult Autism Residential Care Facility Needed: "It Is More Than Overdue" "When Will They Ever Learn?"
My 18 year old severely autistic son Conor waits for his slow poke Dad while we were out on a trail walk (Fredericton North Riverfront Trail). NB has known for 11 years (at least) that an adult autism residential care and treatment facility is badly needed.  We are still waiting. On June 18, 2014 I posted on Facing Autism in New Brunswick and on my Facebook page a letter I  sent to NB's political party leaders in which I commented on the long overdue need for an adult autism care facility in NB that could provide care for the most severely autistic and expertise to group homes around the province ...
Source: Facing Autism in New Brunswick - August 29, 2014 Category: Autism Authors: H L Doherty Source Type: blogs

Healthcare Update Satellite — 08-28-2014
Good news is that the number of medical malpractice cases in Pennsylvania is decreasing. Bad news is that if you practice medicine in the Philadelphia area, you’ve got a big target painted on your back. Philadelphia accounts for only 12 percent of the state’s population yet in 2013, 40 percent of medical malpractice trials resulting in verdicts took place in the city. Philadelphia medical malpractice plaintiffs won 45% of trials, more than any other jurisdiction and significantly higher rate than the national average. Looks like we’ve found another place to avoid when looking for your next place to practi...
Source: WhiteCoat's Call Room - August 28, 2014 Category: Emergency Medicine Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs

The RUC. "an Independent Group of Physicians?" - But It Includes Executives and Board Members of For-Profit Health Care Corporations and Large Hospital Systems
Introduction We just discussed how a major story in Politico has once again drawn attention to the opaque RUC (Resource Based Relative Value System Update Committee) and its important role in determining what physicians are paid for different kinds of services, and hence the incentives that have helped make the US health care system so procedurally oriented.  (See the end of our last post for a summary of the complex issues that swirl around the RUC.)The Politico article covered most of the bases, but notably omitted how the RUC may be tied to various large health care organizations, especially for-profit, and how the...
Source: Health Care Renewal - August 28, 2014 Category: Health Management Tags: AMA boards of directors conflicts of interest health care prices healthcare executive hospital systems perverse incentives regulatory capture RUC Source Type: blogs

How Stress is Slowly Killing You (And How to Avoid it)
Let me guess… You clicked on this article because your guilty conscience is telling you that you stress too much. And you’re worried that all this time, you've been causing damage to your body (without even realizing it!) Well, it’s no secret anymore. Chances are, it’s true. Stress is a killer and at its very least, it will lower your immune system and make you more prone to serious illnesses. But…there’s some great news! You can do something about it. You can live a healthy, balanced and happy life and you can avoid the nasty effects of stress. To help you do that, I’ll be sharing with you 13 highly ef...
Source: PickTheBrain | Motivation and Self Improvement - August 28, 2014 Category: Life Coaches Authors: chantalle gerber Tags: happiness health and fitness motivation self education self improvement find happiness pickthebrain self improvement tips stress stress relief Source Type: blogs

So Let the Mind Games Begin…
This morning was supposed to be my every two week injection of Risperdal. I take Risperdal to quell the symptoms I have from being afflicted and saddled with schizoaffective disorder.  Dad called me from the pharmacy about 8am when my injection was scheduled at 9am. I had been up since about 7am and was making some cheese toast in the oven. “We don’t have an injection,” my father told me solemnly as he apologized. “The girls forgot to order them.” I sighed deeply inwardly as I had already begun to feel strange last night.  I was getting the first twinges of an anxiety attack about to happen.  Thing...
Source: The 4th Avenue Blues - August 28, 2014 Category: Mental Illness Authors: Andrew Quixote Source Type: blogs

Broadcasting suicide in social media: A failure of responsibility
In every life we have some trouble When you worry you make it double Don’t worry. Be happy. It will soon pass, whatever it is. Don’t worry. Be happy. – Bobby McFerrin Much has already been written in reaction to Robin Williams’ untimely death, about his incandescent talent, his prolific career, his decency and kindness, his addiction and his mental illness. His death robbed his fans of many more years of his genius and, of course, inflicted permanent grief on his loved ones. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out ho...
Source: Kevin, M.D. - Medical Weblog - August 27, 2014 Category: Journals (General) Authors: Tags: Social media Psychiatry Twitter Source Type: blogs

The epidemic of physician burnout is heartbreaking
Daily, I am contacted by good doctors who are struggling with symptoms of burnout syndrome and who have become overwhelmed by the challenges of attempting to practice medicine in today’s health care environment. As a psychiatrist who runs a program to address and treat these distressed doctors, I am troubled by the ever-growing number of calls I receive. 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 27, 2014 Category: Journals (General) Authors: Tags: Physician Primary care Source Type: blogs

Palliative Care and Mental Illness
Robin Williams’ death prompted a small flurry of tweets and articles looking for more awareness of and attention to mental health. Earl Quijada (@equijada) and I had a short exchange that really got me thinking about how we view mental illness in the medical world. Our palliative care team cares for a fair number of patients with serious medical illness (cancer, heart failure, etc) who also have serious mental illness (SMI) such as profound depression, bipolar disorder, schizophrenia, etc. In my experience, there are unique challenges to providing the best care to these patients for both their health-care providers and t...
Source: Pallimed: A Hospice and Palliative Medicine Blog - August 27, 2014 Category: Palliative Carer Workers Authors: Meredith MacMartin Source Type: blogs

The Shrink in the Shrink Rap Tie and Links to Interesting Articles.
So I'm at work today, seeing patients, and I get a text.  Between patients, I check the phone and there in the body of the text message is a photo of a man I've never seen and he's wearing a duck tie.  The text is from a beloved friend who is a doctor (not a psychiatrist) in another state.  The photo is of the psychiatrist in their medical facility, he's come to work in a duck tie.  As it would happen, it's pure coincidence; he's never heard of Shrink Rap and has no clue that it's our blog motto, but this dear psychiatrist allowed my friend to photograph him and text me his picture, and consented to hav...
Source: Shrink Rap - August 26, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Research and Reviews in the Fastlane 045
Welcome to the 45th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature. This edition contains 10 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Anand Swaminathan and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check out the f...
Source: Life in the Fast Lane - August 25, 2014 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Clinical Research Emergency Medicine Intensive Care R&R in the FASTLANE critical care Education literature recommendations Research and Review Source Type: blogs

Depressing thoughts
The US and Canada differ on many aspects of health care delivery, but one area in which they have a common approach is inadequate care for mental health.  I was reminded of this when I met with a colleague who works at the British Columbia Division of the Canadian Mental Health Association.  She related several stories about slow and inappropriate treatment of patients--both in crisis and in chronic states--in the provincial health system.Meanwhile, Modern Healthcare reported that south of the border a court ruled that, "hospitals in Washington state will be prohibited from boarding psychiatric patients in emerge...
Source: Running a hospital - August 25, 2014 Category: Health Managers Source Type: blogs

When medications devalue the opportunity to listen
When I hear debate over the association between SSRIs (selective serotonin re-uptake inhibitors, a class of antidepressant medication) and suicidal behavior in children and adolescents, I am immediately brought back to a night in the early 2000s.  As the covering pediatrician I was called to the emergency room to see a young man, a patient of a pediatrician in a neighboring town, who had attempted suicide by taking a nearly lethal overdose. 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 25, 2014 Category: Journals (General) Authors: Tags: Conditions Pediatrics Psychiatry Source Type: blogs

The Big Mistake called “agriculture”
From Guns, Germs, and Steel on public television   Humans and agriculture share a 10,000-year history of codependence. If it weren’t for the tools, technology, and food availability permitted by the development of agriculture, human civilization would surely look very different today. Agriculture brought an end to nomadic hunter-gatherer life, increased crop yields and freed up time previously spent on food procurement. This allowed humans to specialize as teachers, metal workers, builders, and soldiers. Once crops were cultivated, rather than just harvested wild, they too underwent changes at the hands of human...
Source: Wheat Belly Blog - August 24, 2014 Category: Cardiology Authors: Dr. Davis Tags: Evolutionary aspects of nutrition agriculture anthropology farming hunter gatherer Source Type: blogs

Today, I may have saved a life
Today, I saved a life. And I wish I could tell you a story about fancy heroics — about an exploratory laparatomy, a chest thoracostomy, or a patient that coded and I was the last person to perform the chest compressions that brought them back to life.  But I can’t.  But I can tell you that I saved a life. 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 23, 2014 Category: Journals (General) Authors: Tags: Education Medical school Psychiatry Source Type: blogs

Will Adult Autism Care Issues Be Considered During #nbvotes 2014?
New Brunswick election 2014 is underway with the NDP, Liberal, Green and PANB parties going all out to replace the PC party.  Party signs are proliferating around the city of Fredericton. The Liberal Party kicked off big time in Fredericton with special guest federal Liberal leader Justin Trudeau and provincial leader Brian Gallant. It was a lively, well organized event and the optimism was clear. I enjoyed my brief chat with the charming greeting ladies pictured outside the Fredericton Ex building. In a general sense I enjoy elections, I firmly believe, despite the many legitimate bases for criticism that they are th...
Source: Facing Autism in New Brunswick - August 23, 2014 Category: Autism Authors: H L Doherty Source Type: blogs

The Science of Depression
Good and short video about the possible explanations for the origin of depression. From serotonin, to neurogenesis and genetics.   Related posts: Science, gender and the emergence of depression in American psychiatry 1950-1980 Genes Predict Reponse to Lithium Addition for Treatment Resistant Depression Why Can’t We find a Gene for Depression? (Source: Dr Shock MD PhD)
Source: Dr Shock MD PhD - August 22, 2014 Category: Psychiatrists and Psychologists Authors: Dr Shock Tags: Depression Source Type: blogs

Hospital Matches Personality Disorders of Patients With Medical Staff.
Dallas, Texas - Saint James Medical Center began triaging patients last week using exact match personality disorder testing.  In preparation for this groundbreaking process, all doctors, nurses and other hospital employees completed mandatory personality disorder questionnaires several months prior."We had narcissistic doctors telling antisocial drug seekers 'Dilaudid is not the right drug for you.'  The borderline nurses were walking past paranoid schizo rooms whispering 'We're here to help you.'  It was ridiculous," said, Frank Duschbaugh, Director of Patient Satisfaction at Saint James Medical Center.A re...
Source: The Happy Hospitalist - August 21, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Assistant Professor in Cognitive Neuroscience, Brown University, Providence, R.I. 02912
The Department of Cognitive, Linguistic, and Psychological Sciences (CLPS) invites applications for atenure-track Assistant Professor position in cognitive neuroscience beginning July 1, 2015. Allcandidates utilizing methodological approaches such as neuroimaging to address basic questions in anyarea of cognitive neuroscience will be considered. Exceptional candidates whose research addressestopics relevant to psychiatric disorders are particularly encouraged to apply. This appointment will bemade in conjunction with the Department of Psychiatry and Human Behavior (DPHB) and theinterdepartmental Brown Institute for Brain S...
Source: Talking Brains - August 21, 2014 Category: Neurologists Authors: Greg Hickok Source Type: blogs

Study: Use of methylphenidate-based ADHD medication increases the risk of heart problems
ADHD medication enhances the risk of heart problems in children (Science Nordic): “The risk of developing heart problems is twice as big for children taking medicine for Attention Deficit-Hyperactivity Disorder (ADHD) when compared to children not receiving the medicine…The study builds on data from 714,000 children born in 1990–1999…The study covered nearly all types of ADHD medicine. Methylphenidate-based medications account for 98 per cent of treatments. This group of medication is sold under the brands Concerta, Methylin, Ritalin, Equasym XL, Motiron and Medikinet… To make sure that the measured difference wa...
Source: SharpBrains - August 20, 2014 Category: Neurologists Authors: SharpBrains Tags: Attention and ADD/ADHD Health & Wellness ADHD-diagnosis ADHD-medication cardiovascular Concerta Equasym XL heart problems Medikinet Methylin methylphenidate Motiron Ritalin Source Type: blogs

A physician reflects on Robin Williams
I was shocked and deeply saddened when my daughter announced at the dinner table that Robin Williams had died of an apparent suicide. My wife and I and the three of our children home at the time all pretty much gasped audibly in unison, and then for a moment after, you could have heard a pin drop. 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 20, 2014 Category: Journals (General) Authors: Tags: Physician Mainstream media Psychiatry Source Type: blogs

Society’s mismanagement of the mentally ill is a disgrace
We are civilized people in the United States. We don’t set up leper colonies or concentration camps or psychiatric snake pits to banish people with severe mental illness. Instead we send them to jail or prison — almost 400,000 of them, more than 10 times the number receiving care in hospitals. And we also blithely ignore the fact that additional hundreds of thousands live homeless on the streets or in squalid housing and have little or no access to treatment. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kev...
Source: Kevin, M.D. - Medical Weblog - August 20, 2014 Category: Journals (General) Authors: Tags: Conditions Psychiatry Source Type: blogs

Top stories in health and medicine, August 20, 2014
From MedPage Today: Moving Target for BP Guidelines. The current blood pressure target recommendations may need to be revisited in hypertensive patients with coronary artery disease who are 60 years and older. Transcatheter Mitral Valve Repair Rivals Surgery. Survival rates with catheter-based mitral valve repair are comparable to classic surgery and better than conservative management in high-surgical-risk patients with severe mitral valve regurgitation. ACS and Stroke Hospitalizations Decline. Hospitalizations, readmission rates, and mortality outcomes have declined for patients with acute coronary syndrome and stroke ...
Source: Kevin, M.D. - Medical Weblog - August 20, 2014 Category: Journals (General) Authors: Tags: News Heart Nephrology Psychiatry Source Type: blogs

How Hard Is It To Find a Psychiatrist? Tell me your stories!
One of the concerns I have about funneling our resources into programs for involuntary treatment is that I believe it's difficult for those who want help to get it.  Some assume that those who don't recognize their need for help are society's sickest patients, and that resources should go to them first.  So I want to hear your stories of looking for a psychiatrist. So let me ask you, how hard is to find a psychiatrist here in the United States?  If you found one easily --- say a morning's worth of phone calls and appointment within a reasonable time -- just say "Easy" and please tell me what part of the coun...
Source: Shrink Rap - August 20, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

The Chemistry of Modern Marijuana
Is low-grade pot better for you than sinsemilla?First published September 3, 2013.Australia has one of the highest rates of marijuana use in the world, but until recently, nobody could say for certain what, exactly, Australians were smoking. Researchers at the University of Sydney and the University of New South Wales  analyzed hundreds of cannabis samples seized by Australian police, and put together comprehensive data on street-level marijuana potency across the country. They sampled police seizures and plants from crop eradication operations. The mean THC content of the samples was 14.88%, while absolute levels var...
Source: Addiction Inbox - August 20, 2014 Category: Addiction Authors: Dirk Hanson Source Type: blogs

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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: bipolar.and.me - 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 disruptivewomen.net 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

Anxiety
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: bipolar.and.me - 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: bipolar.and.me - 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: blog.bioethics.net)
Source: blog.bioethics.net - 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 psychcentral.com (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