My introduction to the works of Dr Z followed shortly AFTER my own humiliation. My patient had just stormed out of the interview and informed me that I would never pass the medical boards with my apparently egregious neglect of her needs. My supervisor gave me a smile and said, “You might have done better if you approached the patient like Dr Z suggests.
Who speaks for doctors these days? The answer was simple 100 years ago. The AMA spoke for the nation’s physicians and concurrently spoke to the nation’s desire for quality healthcare. . . .Today, fewer than 20% of physicians are AMA members.
When I was a first-year resident, a revered supervisor of mine made the statement-half-facetiously-that, “In psychiatry, you can do biology in the morning and theology in the afternoon!”
A recent study concluded that depression is associated with a significantly increased risk of stroke morbidity and mortality.
resident's corner blogger
Despite its caveats and good intentions, the AAP guideline will surely invite an inappropriate glut of medication for preschoolers . . .
In Part 3 of this 3-part series, Dr Dilsaver discusses dichotomization versus a continuum model and concerns that bipolar disorders are over-diagnosed.
A recent front page story by Shari Roan in the Los Angeles Times explores the heated controversy over the DSM-5 proposal to include a Disruptive Mood Dysregulation Disorder (DMDD) in DSM-5. I very much oppose the inclusion of this new "disorder."
Below is an editorial (with the above title) taken from the newsletter of the Society of Biological Psychiatry and written by its editor Stephen M. Strakowski MD.
The misdiagnosis of rape as a mental disorder has been a forensic disaster-allowing the widespread misuse of involuntary psychiatric hospitalization to facilitate a form of questionably constitutional preventive detention. Fortunately, there is now considerable hope that this sad episode will soon come to a much needed end.
I do not hear loud applause for our current antidepressant armamentarium. I believe I hear the sound of one hand clapping.
I have previously framed a series of questions inviting Professor McGorry to state clearly his current positions on: the accuracy and suitability of attempting to predict psychosis; the types of preventive interventions that he believes are indicated and those (perhaps antipsychotics) that clearly are not . . .
A meta-analysis of the Omega-3 fatty acid EPA (eicosapentaenoic acid) as therapeutic supplement for major depression followed the above study online September 6 in the Journal of Clinical Psychiatry.
"I'm all over it, because I'm looking for something to help," declared Army Vice-Chief of Staff General Peter W. Chiarelli, quoted in USA Today News September 20, in his response to a study finding an increased risk of suicide in US military personnel with low Omega-3 fatty acid serum levels.
Custody disputes often produce anxiety for all involved. Whether you are a treating child psychiatrist or custody evaluator, it is imperative to have a clear idea of your role.
With all the justifiable concerns about our next DSM, I frankly have more concerns about treatment. After all, diagnosing is really most important as far as it leads to the necessary treatment to help the patient.
Substance use disorders are associated with significant morbidity and mortality that affects individuals and their families. Preventing the onset of an SUD in adolescence remains a critical area of clinical and public health significance.
Freedman, Forman and Nelsen bloggers
The diagnosis of T1DM can be devastating to both the child and family. Because of the potential for immediate life-threatening complications of poorly controlled diabetes, family members must readjust their approach to daily living.
A depot antipsychotic regimen is less likely to be discontinued than an oral dosage form . . .
Increased activity of the enzyme phospholipase A2 (PLA2) has been documented in schizophrenia and is now reported to occur in patients with temporal lobe epilepsy . . .
A bidirectional relationship between schizophrenia and epilepsy emerged from an analysis of a health insurance database . . .
Depression, anxiety, and delirium are 3 examples of common but frequently challenging areas of distress in pediatric palliative care patients.
The articles in this Special Report reinforce the lesson that children come with parents. This is one of first lessons that I teach my residents: you can’t work with a kid in a vacuum. Parents who do not feel some connection with a caregiver will not bring their child to treatment or follow the recommendations of the treatment team.
This column has always been about the world of molecular mental health research. I revisit the technology in this column, now aimed at one of molecular neuropsychiatry’s most intractable, frustrating lines of research: the molecular/cellular basis of schizophrenia.
What follows is an excerpt from Dr Knoll’s introduction to his series Tales From the New Asylum, several of which are posted on his blog.
On the wide range of symptoms in schizophrenia, including alterations of the dopaminergic and/or glutamatergic systems, abnormal neurodevelopment, and the theory of immune system imbalance.
An initiative from the BRIDGE study group has determined that approximately half of patients presenting with a depressive episode are mistakenly diagnosed with unipolar major depression.
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