Tag Archives: Mental disorder

Comparison of Low and Moderate Dosages of Extended-Release Quetiapine in Borderline Personality Disorder: A Randomized, Double-Blind, Placebo-Controlled Trial

Objective: The authors compared the efficacy and tolerability of low and moderate dosages of extended-release quetiapine in adults with borderline personality disorder. Method: Ninety-five participants with DSM-IV borderline personality disorder were randomly assigned to receive 150 mg/day of quetiapine (the low-dosage group; N=33), 300 mg/day of quetiapine (the moderate-dosage group; N=33), or placebo (N=29). Total […]

Study Probes Neuroscience of Bipolar Risk-Taking

By JANE COLLINGWOOD Associate News Editor Reviewed by John M. Grohol, Psy.D. on November 10, 2014 Researchers are beginning to discover some of the reasons whybipolar disorder can cause people to engage in risky behavior. The condition involves fluctuatingdepression and mania. In the manic stage, the patient often feels intense excitement and irritability, which can […]

The Strength Behind People With Mental Illness

Chelsea Stephens Become a fan There’s a very uninformed, ongoing stigma that mental illness is some sort of weakness. There’s an equally uninformed stigma that if a person can’t “deal with” their mental illness on their own, that they’re weak. Both of these mindsets reflect a willful lack of education, but they are not what […]

Retreat Not Defeat: Self-Stigma and Mental Health

I have been stable for the past four years, but now my bipolar disorder has resurfaced. It could have been triggered by stress, meds or the weather change — or equal parts of all of these things — but the reality is that I’m unwell. Saturday highlighted this, as I was in a full hypomanic […]

indian mental health policy

The union health ministry on Friday launched the country’s first ever mental health policy to provide access to good quality treatment to mentally ill people with the focus on those living in poverty. The policy, launched by Union Health Minister Harsh Vardhan, is backed up by the “Mental Health Action Plan 365” which spells out […]

Violence Among Mentally Ill People

Experts Discuss Factors That May Lead to Violence Among Mentally Ill People Aaron Levin While researchers are beginning to understand more about factors linking violence and mental illness, much more research needs to be done to identify individuals at risk. For years, substance use has been known as a key factor mediating the intersection of […]

Robin Williams

Millions of people worldwide have been rocked by the recent and very sad death of Robin Williams. Although suicide is part of our daily work as clinicians, we are mostly focused on assessing our patients for suicide risk, exploring suicide thoughts and planning, and treating the cognitive patterns directly or the underlying psychiatric illnesses. In […]

What to expect for your first visit with your psychiatrist

By David Goldsmith, M.D., & Arshya Vahabzadeh, M.D. Follow @VahabzadehMD Resident Psychiatrists, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine Your Psychiatrist’s Training A psychiatrist is a physician who is specially trained to diagnose and treat people who are experiencing a wide range of issues, from emotional distress to more severe mental health concerns. […]

preschool depression

The study findings demonstrate that preschool depression was a significant and robust predictor of meeting full DSM-5 criteria for major depressive disorder in later childhood and early adolescence (i.e., at ages 6–13). The predictive power of preschool depression for school-age depression remained strong and undiminished even when other key environmental and familial risk factors were […]

Recognizing Early Warning Signs of Mental Illnesses

Major mental illnesses such as schizophrenia or bipolardisorder rarely appear “out of the blue.” Most often family, friends, teachers, or individuals themselves recognize that “something is not quite right” about their thinking, feelings, or behavior before one of these illnesses appears in its fullblown form. Being informed about developing symptoms, or early warning signs, can […]

Vice President Biden Hails ‘Astounding Possibilities’ in BRAIN Initiative, Parity Law

Vice President Biden Hails ‘Astounding Possibilities’ in BRAIN Initiative, Parity Law Understanding of the brain and treatment of mental illness and brain diseases are at a transformative crossroads. That’s what Vice President Joe Biden said today as he presented the William C. Menninger Memorial Convocation Lecture at APA’s 2014 annual meeting in New York City. […]

psychobiotics

Dr. Kelly Brogan, M.D., Green Med Info Waking Times Every functional medicine psychiatrist has case stories of the ‘probiotic cure’ – of a patient with debilitating symptoms, often obsessive compulsive range, whose symptoms remitted completely with dietary change and probiotic supplementation. Is this voodoo or is it based on a growing understanding of the role of […]

sibling rivalry

_ _ Most siblings argue and quarrel occasionally. They fight over possessions, space on the sofa, time in the bathroom, or the last donut. On most days, though, siblings are friends and companions instead of rivals and competitors. The ambivalence between love and hate is present in all close relationships. This ambivalence becomes more intense […]

exercise

_ _ _ _ Exercise stimulates tissue change and adaptation (eg, increase in muscle mass and strength, cardiovascular endurance), whereas rest and recovery allow such change and adaptation to occur. Recovery from exercise is as important as the exercise stimulus. Regular physical activity reduces the likelihood of medical illness, decreases the incidence of the major […]

benzodiazepine addication

_ _ _ _ _ _ _ Anxiolytics and sedatives (hypnotics) include benzodiazepines, barbiturates, and related drugs. High doses can cause stupor and respiratory depression, which is managed with intubation and mechanical ventilation. Chronic users may have a withdrawal syndrome of agitation and seizures, so dependence is managed by slow tapering with or without substitution […]

drug dependence

_ _ _ _ Some people who use drugs use large enough amounts often enough and long enough to become dependent. Definitions A single definition for drug dependence is elusive. Concepts that aid in defining drug dependence are tolerance and psychologic and physical dependence. Tolerance describes the need to progressively increase the drug dose to […]

happiness forever

_ _ _ _ _ On Happiness foreverIs happiness forever desirable? it is not.happiness can only be understood in the context of sadness and without sadness happiness is a disease process leading to complications ..A paper describes happiness forever as a medical diseaseBut all this later Today in an entertaining talk on happiness forever by […]

drug receptor interactions

_ _ _ _ Receptors are macromolecules involved in chemical signaling between and within cells; they may be located on the cell surface membrane or within the cytoplasm (see Table 1: Pharmacodynamics: Some Types of Physiologic and Drug–Receptor Proteins). Activated receptors directly or indirectly regulate cellular biochemical processes (eg, ion conductance, protein phosphorylation, DNA transcription, […]

receptor interactions

_ _ _ _ _ _ Receptors are macromolecules involved in chemical signaling between and within cells; they may be located on the cell surface membrane or within the cytoplasm (see Table 1: Pharmacodynamics: Some Types of Physiologic and Drug-Receptor Proteins). Activated receptors directly or indirectly regulate cellular biochemical processes (eg, ion conductance, protein phosphorylation, […]

headache

_ _ _ _ _ Headache is pain in any part of the head, including the scalp, face (including the orbitotemporal area), and interior of the head. Headache is one of the most common reasons patients seek medical attention. Pathophysiology Headache is due to activation of pain-sensitive structures in or around the brain, skull, face, […]

huntington’s chorea

_ _ _ _ _ _ _ _ (Huntington’s Chorea; Chronic Progressive Chorea; Hereditary Chorea) Huntington’s disease is an autosomal dominant disorder characterized by chorea and progressive cognitive deterioration, usually beginning in middle age. Diagnosis is by genetic testing. Treatment is supportive. First-degree relatives are encouraged to have genetic testing. Huntington’s disease affects both sexes […]

fragile x associated tremors/ataxia syndrome

_ Fragile X–associated tremor/ataxia syndrome (FXTAS) is a genetic disorder affecting mostly men and causing tremor, ataxia, and dementia. FXTAS affects about 1/3000 men. A premutation (an increased number of CGG repeats) occurs in the fragile X mental retardation (FMR1) gene on the X chromosome; if the mutation is full, > 200 repeats occur, causing […]

chorea

_ _ _ Chorea is nonrhythmic, jerky, rapid, nonsuppressible involuntary movements, mostly of distal muscles or the face; movements may merge imperceptibly into purposeful or semipurposeful acts that mask the involuntary movements. Athetosis is nonrhythmic, slow, writhing, sinuous movements predominantly in distal muscles, often alternating with postures of the proximal limbs to produce a continuous, […]

cerebellar dysfunctions

_ _ Voluntary movement requires interaction of the corticospinal (pyramidal) tracts, basal ganglia, and cerebellum (the center for motor coordination). The pyramidal tracts pass through the medullary pyramids to connect the cerebral cortex to lower motor centers of the brain stem and spinal cord. The basal ganglia (caudate nucleus, putamen, globus pallidus, subthalamic nucleus, and […]

demyelinating diseases

Myelin sheaths cover many nerve fibers in the central and peripheral nervous system; they accelerate axonal transmission of neural impulses. Disorders that affect myelin interrupt nerve transmission; symptoms may reflect deficits in any part of the nervous system. Myelin formed by oligodendroglia in the CNS differs chemically and immunologically from that formed by Schwann cells […]

weakness

Weakness is one of the most common reasons patients present to primary care clinicians. Weakness is loss of muscle strength, although many patients also use the term when they feel generally fatigued or have functional limitations (eg, due to pain or limited joint motion) even though muscle strength is normal. Weakness may affect a few […]

memory loss

_ _ _ _ Memory loss is a common complaint in the primary care setting. It is particularly common among the elderly but also may be reported by younger people. Sometimes family members rather than the patient report the memory loss (typically in an elderly person, often one with dementia). Clinicians and patients are often […]

brief psychotic disorder

_ Brief psychotic disorder consists of delusions, hallucinations, or other psychotic symptoms for at least 1 day but < 1 mo, with eventual return to normal premorbid functioning. It is typically caused by severe stress in susceptible people. Brief psychotic disorder is uncommon. Preexisting personality disorders (eg, paranoid, histrionic, narcissistic, schizotypal, borderline) predispose to its […]

schizophreniform psychosis

_ _ _ Schizoaffective disorder is characterized by significant mood symptoms, psychosis, and other symptoms of schizophrenia. It is differentiated from schizophrenia by occurrence of ≥ 1 episodes of depressive or manic symptoms. Schizoaffective disorder is considered when a psychotic patient also demonstrates mood symptoms. The diagnosis requires that significant mood symptoms (depressive or manic) […]

medical causes of psychosis

Differential Diagnosis of Psychotic Symptoms: Medical “Mimics” By Oliver Freudenreich, MD | December 3, 2012 For a pdf of the original article (Psychiatr Times. 2010;27[12]:52-61) and Dr Freudenreich’s bio and financial disclosure, please click here. Crude exogenous organic damage of the most varying kind can produce acute psychotic clinical pictures of a basically uniform kind. […]

24 steps on how to prevent rape

Do not be distracted, especially by technology. Do not jog with your iPod because attackers are looking for easy, distracted individuals who look-like they are not paying attention to surroundings. The same can be said for talking on your cell phone. But, on the other hand, if you feel someone is following you, pull out […]

television

29 December 2012 14:41:34 Dr Harish Shetty A review of 35 academic studies by Dr Aric Sigman of the British Psychological Society has revealed the top 15 ways in which long hours before the telly can affect children’s health as they grow 1 Obesity: a result of little exercise 2 Disrupted hormones: light from televisions […]

cannabis

f you discover eye drops such as I CURE / I CUL in anybody’s belongings than the person is surely taking addictive drugs Harish Shetty When Ms Ghorpade found eye drops in the bag of her teenage son she was surprised. She did not recollect any visit to the eye doctor or any problem with […]

behavioral emergencies

_Patients who are experiencing severe changes in mood, thoughts, or behavior or severe, potentially life-threatening drug adverse effects need urgent assessment and treatment. Nonspecialists are often the first care providers for outpatients and inpatients on medical units, but whenever possible, such cases should also be evaluated by a psychiatrist. When a patient’s mood, thoughts, or […]