MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'dsm iv'. Sat, 03 Sep 2011 02:12:16 +0100 http://www.medworm.com/index.php?rid=4820923&cid=t_165854_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F05%2F12%2Fthe-stupid-complex%2F Nowhere in the DSM-IV does it mention “the stupid complex,” but I’m telling you it’s an epidemic these days. I used to suffer in silence. But ever since I’ve come out of the closet, I swear I find a fellow sufferer every day. At my last therapy session, I was telling her how scared I was that everyone was going to find out that I was inherently stupid. She laughed out loud and said, “Do you know how many times I hear that a day?” Oh. Good. Then it’s not just me. I don’t know when it started. It could be a result of being a twin, and needing to form a sense of identity separate from my sister. Since she stole “tomboy” early on, I became “the brain,” except that mine didn’t work, but no one really knew that but me. And I was able to keep it a secret all throug... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4820923 Thu, 12 May 2011 15:35:01 +0100 4820923 http://www.medworm.com/index.php?rid=4780387&cid=t_165854_122_f&fid=36582&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSharpBrains%2F%7E3%2FgN8ti3FGolg%2F The new Diagnostic and Statistical Manual of Mental Disorders (DSM–5) is scheduled to be released in May 2013. This recent Dana Foundation article points out the need of a fundamentally different approach based on the new ways researchers use to study and understand mental illness. The problem with the DSM-IV, our current shared diagnostic language, is that a large and growing body of evidence demonstrates that it does a poor job of capturing either clinical and biological realities. In the clinic, the limitations of the current DSM-IV approach can be illustrated in three salient areas: (1) the problem of comorbidity, (2) the widespread need for “not otherwise specific (NOS)” diagnoses, and (3) the arbitrariness of diagnostic thresholds. Whatever the ultimate approach to the DSM-5, ... SharpBrains blogs http://www.medworm.com/rss/comments.php?id=4780387 Tue, 03 May 2011 18:18:02 +0100 4780387 http://www.medworm.com/index.php?rid=3787033&cid=t_165854_113_f&fid=34933&url=http%3A%2F%2Fpalmdoc.net%2F%3Fp%3D3182 Just a quick blog to mention that ICD-9 and DSM-IV apps are being developed for WebOS (i.e. the Palm Pre/Plus and Pixi). At the moment they are in PreCentral. The ICD-9 app has been uploaded to the repository and is already available via Preware (don’t know what Preware is? You should learn how to Install Preware as there are lots more goodies not available in the Palm App Catalog). The DSM-IV app is in an earlier stage of development but you can download the app (in zipped form) from the Forum and install it using WOSQI (which you would have if you have installed Preware via WOSQI). Anyway to whet your appetites, here are some screenshots : They’ll eventually find their way into the App Catalog, but if you can’t wait, jump onto the Preware bandwagon now! Update: DSM-... The Palmdoc Chronicles blogs http://www.medworm.com/rss/comments.php?id=3787033 Sun, 25 Jul 2010 23:00:00 +0100 3787033 http://www.medworm.com/index.php?rid=3776378&cid=t_165854_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Flife-without-a-mental-disorder-is-it-possible%2F2010.07.21 There’s a noteworthy column in Psychiatric Times, “Normality Is an Endangered Species: Psychiatric Fads and Overdiagnosis,” by Allen Frances, M.D. He was chair of the task force that worked on the Diagnostic & Statistical Manual — DSM-IV — one edition of the “bible of psychiatry.” He is professor emeritus of psychiatry at Duke University School of Medicine. There’s a lot of common ground between what Dr. Frances writes and what Dr. Daniel Carlat (the subject of an earlier blog posting) writes about. Dr. Frances is concerned about the directions that might be taken in the authoring of DSM-V, now underway. Excerpts: “Fads in psychiatric diagnosis come and go and have been with us as long as there has been psychiatry. The fads meet a d... Better Health blogs http://www.medworm.com/rss/comments.php?id=3776378 Wed, 21 Jul 2010 23:00:01 +0100 3776378 http://www.medworm.com/index.php?rid=3404140&cid=t_165854_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FY7R5qT0ZpKI%2F Two essays published in separate periodicals this week raise troubling questions about the extent to which psychiatrists may be unduly influenced by the pharmaceutical industry, and how this relationship may effect public trust in psychiatry. The upshot? The concern about corruption, or at least the appearance of corruption is palpable. Sigmund Freud (see photo) would not be pleased. Interestingly, one of the authors if Tom Insel, the director of the National Institute of Mental Health (click on read more below). For instance, Lisa Cosgrove and Harold Bursztajn write in Psychiatric Times that they looked at the two philanthropic arms of the American Psychiatric Association - the American Psychiatric Foundation and the American Psychiatric Institute for Research and Education - and found th... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=3404140 Thu, 25 Mar 2010 16:23:54 +0100 3404140 http://www.medworm.com/index.php?rid=3382881&cid=t_165854_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F03%2F19%2Fon-being-a-student-therapist-making-a-diagnosis%2F We’re back from spring break, and the push to the end of the semester is on. Depending on who you ask, we either have seven weeks left (the university calendar), or approximately 35 more drives to campus (my personal calculation). Now that I’ve gotten over the hump of juggling six clients who needed to be seen four times each in five weeks’ time, seeing eight clients who need to be seen at least four times each in seven weeks’ time sounds like a piece of cake! During my supervision session prior to break, I expressed frustration to my supervisor about a client who had asked to continue counseling beyond her class requirement. I questioned this client’s commitment to counseling and whether her problems were significant enough to warrant additional sessions, especially sinc... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3382881 Fri, 19 Mar 2010 12:48:43 +0100 3382881 http://www.medworm.com/index.php?rid=3370491&cid=t_165854_109_f&fid=35451&url=http%3A%2F%2Fwww.jung-at-heart.com%2Fjung_at_heart%2Fdiagnosis.html I have written here about my reservations about the diagnostic system we use in mental health. I have problems with the lack of theory to support it, with the proliferation of categories, with the way it is used by third party payers to control who can and cannot receive treatment. And I have doubts about the applicability of the medical model for most of the people most of us who practice outpatient psychotherapy see. Problems in living just do not equate to illness for most of our patient population. So I have been thinking about a post made by Stephen Diamond last week on what is a mental disorder. He and I are in radical agreement on the difficulty in finding the line between normal and abnormal. But we find less common ground here: "...as Freud famously observed, we are all at le... Jung At Heart blogs http://www.medworm.com/rss/comments.php?id=3370491 Tue, 16 Mar 2010 15:11:18 +0100 3370491 http://www.medworm.com/index.php?rid=3208446&cid=t_165854_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F01%2F26%2Fptsd-brain-scan-hype%2F Last week, we noted along with many news outlets that a biomarker had been apparently discovered for PTSD. The researchers claimed they had a new tool to help make a differential diagnosis of posttraumatic stress disorder (PTSD). The tool is a brain scanning technology that, like EEG, measures the brain’s electrical activity. But instead of directly measuring such activity, it measures magnetic fluctuations in the electrical activity. The technique is called MEG. There are certain technical benefits to this method as compared to a traditional EEG, so some researchers are exploring its greater use. Mind Hacks has a very good analysis of why the researchers’ claims were overreaching and a bit ridiculous: Crucially, the scan didn’t pick out cases of PTSD among people with ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3208446 Tue, 26 Jan 2010 14:00:08 +0100 3208446 http://www.medworm.com/index.php?rid=2705174&cid=t_165854_109_f&fid=35451&url=http%3A%2F%2Fwww.jung-at-heart.com%2Fjung_at_heart%2Fbut_is_it_a_disorder.html Stephen Diamond, in his Psychology Today bloghas been writing for some time about anger and his support for inclusion in the upcoming DSM V a new diagnostic category for embitterment: Posttraumatic Embitterment Disorder (PTED) was first proposed by German psychiatrist Dr. Michael Linden in 2003, based on his clinical work with troubled immigrants from East Germany following the fall of the Berlin Wall. That profound cultural change proved to be quite traumatic for those whose lives were directly affected by it, and the repercussions of this life-changing event--seen almost universally by the rest of the world as a positive development--was felt for years. We in this country are going through some significant social changes of our own. As Linden (2003) observes, some of the debilitating emo... Jung At Heart blogs http://www.medworm.com/rss/comments.php?id=2705174 Sun, 16 Aug 2009 12:18:41 +0100 2705174 http://www.medworm.com/index.php?rid=2681952&cid=t_165854_109_f&fid=35451&url=http%3A%2F%2Fwww.jung-at-heart.com%2Fjung_at_heart%2Finadequate_lashes_and_other.html Regular readers, you know I write often about the mess issues clustering around diagnosis and the DSM. And in the past couple of weeks, I have run across several articles and ads that have continued my questioning about the diagnostic enterprise. For a number of weeks now, if you watch much television, you likely have seen Brooke Shields talking about Latisse, which purports to make eyelashes longer and thicker. Only instead of being a new kind of mascara, it is actually a prescription medication applied to the eyelid. Now that is a first in my experience -- an ad for a prescription only cosmetic. And in the ad, we hear the term "inadequate lashes", implying a disorder. Which of course sets up the consumer believing her lashes to be too thin or shorter than she would like to n... Jung At Heart blogs http://www.medworm.com/rss/comments.php?id=2681952 Fri, 07 Aug 2009 12:11:49 +0100 2681952 http://www.medworm.com/index.php?rid=2287230&cid=t_165854_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F03%2F23%2Ffda-approves-symbyax-for-treatment-resistant-depression%2F Today, the U.S. Food and Drug Administration (FDA) approved Symbyax for the acute treatment of treatment-resistant depression (TRD). It is the first drug approved for this indication. Symbyax is a combination pill that combines olanzapine (Zyprexa) and fluoxetine HCl (a long-acting form of Prozac) in a single capsule. Symbyax is manufactured by Eli Lilly and Company. According to the company’s press release: The new Symbyax TRD indication is for acute treatment of adult patients with major depressive disorder who have not responded to two separate trials of different antidepressants of adequate dose and duration in their current episode. Zyprexa, in combination with fluoxetine, is now approved for the acute treatment of TRD in adults. Symbyax was the first drug approved by the FD... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2287230 Mon, 23 Mar 2009 21:02:51 +0100 2287230 http://www.medworm.com/index.php?rid=2052842&cid=t_165854_133_f&fid=35096&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAutismVox%2F%7E3%2FJnbYZ4hzXt4%2F So the December 17th New York Times refers to the DSM, the Diagnostic and Statistical Manual of Mental Disorders, now in its fifth revision. Will Asperger Syndrome and “high-functioning autism” be merged? Will sensory processing disorder enter the DSM? The revision, it’s noted, “will have consequences for insurance reimbursement, research and individuals’ psychological identity for years to come,” and, too, for our cultural understanding of what “autism” is. Perhaps it’d be more accurate to call the DSm (whatever revision), the book of being human, all too human. Tags: asd, asperger syndrome, autism, book, Diagnosis, dsm-iv, dsm-v, human, new york times, pdd-nos, Psychiatry, PsychologyShare This (Source: Autism Vox) Autism Vox blogs http://www.medworm.com/rss/comments.php?id=2052842 Fri, 19 Dec 2008 17:15:25 +0100 2052842 http://www.medworm.com/index.php?rid=1975223&cid=t_165854_133_f&fid=35096&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAutismVox%2F%7E3%2FdS5nKtPQNo8%2F So what is autism? Chances are, if you’re reading this, you know, and are quite prepared to explain at the drop of the hat “what autism is.” But what if you’re asked: Why is there this separate term, “PDD-NOS”? What is child disintegrative disorder and what does that have to do with autism, plain and simple? (as if there is such a “plain and simple autism”) If a child has Fragile X, that means they don’t have autism……right….no….which? Does “high-functioning autism” mean “Asperger’s Syndrome” only? What’s the connection between autism and ADHD? Can you have both? Can where you are and what culture a child is raised in influence diagnosis? Is autism necessarily a life-long diagno... Autism Vox blogs http://www.medworm.com/rss/comments.php?id=1975223 Thu, 20 Nov 2008 06:21:24 +0100 1975223 http://www.medworm.com/index.php?rid=1451880&cid=t_165854_133_f&fid=35129&url=http%3A%2F%2Fwhitterer-autism.blogspot.com%2F2008%2F05%2Fhow-can-i-tell-if-i-am-autistic.html Some bloggers have sitemeters. Some bloggers check their sitemeters to see who is searching what subject, if they are brave. Occasionally I am brave and check. What follows are three pieces upon subjects that three people researched via google. This is the fifth topic:-‘How can I tell if I am autistic?’A worrisome question on so many fronts. My facetious nature prompts me, ‘if you have to ask……’ but clearly this matter preys on many minds. To read more click "here."If you like what you read, send it to someone in 'need.' (Source: Whitterer on Autism) Whitterer on Autism blogs http://www.medworm.com/rss/comments.php?id=1451880 Sun, 18 May 2008 16:26:00 +0100 1451880 http://www.medworm.com/index.php?rid=1344210&cid=t_165854_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2008%2F04%2F01%2Fare-we-really-that-ill%2F I meant to blog about this a few days ago, but time got away from me and here it is April already! Christopher Lane over at The (N.Y.) Sun has written an in-depth editorial asking if we Americans are as sick as some of the mental health professional experts would have us believe. It’s a legitimate question, as the number of diagnosable disorders has expanded over the years (but technically hasn’t changed since the release of the original DSM-IV in 1994, 14 years ago). In the editorial, Lane examines why 112 new disorders were added to the DSM-III, which was originally published in 1980 (28 years ago, not that anyone is counting). His cursory look at the complex and unscientific process that went into the DSM-III is interesting, but ultimately unsatisfying: Incredibly, the... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1344210 Tue, 01 Apr 2008 22:12:37 +0100 1344210 http://www.medworm.com/index.php?rid=1261703&cid=t_165854_151_f&fid=35805&url=http%3A%2F%2Ftwelvestepfacilitation.com%2Frates-of-relapse-to-alcohol-abuse%2F CONCLUSIONS: Abstinence represents the most stable form of remission for most recovering alcoholics. Study findings highlight the need for better approaches to maintaining recovery among young adults in remission from alcohol dependence, who are at particularly high risk of relapse. Research; Dawson DA, Goldstein RB, Grant BF. Alcohol Clin Exp Res. 2007 Dec;31(12):2036-45. Rates and correlates of relapse among individuals in remission from DSM-IV alcohol dependence: a 3-year follow-up.             Motivational Enhancement Therapy Manual: A Clinical Research Guide for Therapists Treating Individuals With Alcohol Abuse and Dependenceby William R. Miller Read more about this title… Brief-TSF manual US$9.95 Buy Now with Paypal, Visa or ... Twelve Step Facilitation.com blogs http://www.medworm.com/rss/comments.php?id=1261703 Wed, 27 Feb 2008 13:07:44 +0100 1261703 http://www.medworm.com/index.php?rid=1169526&cid=t_165854_109_f&fid=35451&url=http%3A%2F%2Fwww.jung-at-heart.com%2Fjung_at_heart%2Fthe_problems_of_diagnosis_a.html I keep coming back to this issue, even though I don't really have a horse in this race, as I do not accept third party payment and am thus rarely called upon to assign a DSM IV diagnosis. But it is one of the major problems in the field and it has great impact on how people view their problems and how best to tackle them. So I keep gnawing away at it. Today, Furious Season's Phillip Dawdy has another good piece on this problem from the bi-polar angle. I urge you to read it. And to read as well this article on Paul Minot's blog, Candid Psychiatrist -- I should try to contact him as he in in Maine and not that far from me. Dawdy quotes Minot from elsewhere: "Bipolar disorder isn't actually a disease. It's a collection of signs and symptoms lumped together in a diagnostic classificatio... Jung At Heart blogs http://www.medworm.com/rss/comments.php?id=1169526 Tue, 22 Jan 2008 15:55:12 +0100 1169526