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The rise in suicides and lethal overdoses of opioid analgesics is probably not coincidental. In most overdose deaths, we have no way of knowing with any degree of certainty whether they were accidental deaths or intentional suicides.

The Diagnostic Manual of Mishegas (DMOM) is a delightful parody of the American Psychiatric Association’s “Bible of psychiatry,” the DSM-5. (Diagnostic and Statistical Manual of Mental Disorders).

What may be a way to increase the effectiveness of right unilateral electrode placement without increasing cognitive adverse effects?

Sexual compulsivity and sexual addiction predominantly afflict men. Clinicians need to have a higher index of suspicion for sexual impulsivity in some patients.

Because of new imaging techniques and advances in our understanding of neurophysiology, neurological and psychiatric disorders are increasingly being recognized as disorders of circuit functions in the brain. Using techniques such as DBS, neurosurgeons are able to pinpoint malfunctioning circuits and to recalibrate them.

"Psychiatric diagnosis is certainly imperfect -- but so is much of diagnosis throughout medicine. And whatever the current limitations, psychiatric diagnosis is useful and essential. There are no 'paradigm shifts possible til we learn a lot more. To imply otherwise is misleading and confusing to patients."

Education and discussion will be the most powerful ways to mitigate the risks of DSM-5. The more people know about psychiatric diagnosis, the more safe, accurate, and useful it will be.