A commentary that is both professional and personal in nature, written by a psychiatrist who has helped hundreds of transitioning patients adapt to their external gender appearance and societal expectations.
A considerable overlap exists between TBI and disorders in cognition, behavior, and personality, which can provide even greater clinical challenges. More than 70% of the cases of TBI are mild, which makes this subgroup of particular clinical interest.
The potential of TMS as a treatment for cognitive disorders, fatigue, pain, and other manifestations of brain disease is discussed, as is the encouraging prospect for neuropsychiatric management of many patients.
Good documentation can be used by psychiatrists to enhance the physician-patient relationship. Of course, transparency could come at a price to practitioners, so following reasonable guidelines outlined in this article is key.
What do physicians intend by the term “disease”? The recent IOM report on “systemic exertion intolerance disease” (formerly known as chronic fatigue syndrome) casts this question in a new light and has many practical implications for patients, physicians, and third-party payers.