Tag Archives: mental-health

Suicide law

Congress politician Shashi Tharoor is going to be tried for abetment of the suicide of his wife Sunanda. I will not go into the details of his case, which are sub judice. Instead, let me make the overriding point that India’s suicide law is illogical and immoral, and needs to be rejected or re-interpreted by […]

doctor-heal thyself

ew Delhi: The white coat, those knowing eyes, that reassuring voice when in pain, a mere glimpse of a doctor puts us at ease. Little does one realise that their back-breaking schedule, odd working hours and “emotional labour” during patient care sometimes takes a toll on doctors’ health, pushing them to seek help themselves. Dr […]

chat with devi shetty

A chat with Dr.Devi Shetty, Narayana Hrudayalaya (Heart Specialist) Bangalore was arranged by WIPRO for its employees. The transcript of the chat is given below. Useful for everyone. Qn: What are the thumb rules for a layman to take care of his heart? Ans: 1. Diet – Less of carbohydrate, more of protein, less oil […]

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 […]

suicidal thoughts

A groundbreaking study will help researchers learn more about ways to treat people experiencing suicidal thoughts. Nearly 20,000 patients will be able to participate in a trial that draws from other successful interventions for depression and suicide. One of the treatments being tested was developed with the help of other patients. Each year, over 9 […]

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 […]

The Electroencephalogram in the Management of Psychiatric Condition

    By Nash N. Boutros, MD The Electroencephalogram in the Management of Psychiatric Conditions   The electroencephalogram (EEG) has a limited but definitive role in understanding and managing psychiatric conditions. When the presentation is unusual, a neurological workup that includes an EEG is essential. In conditions in which EEG abnormalities are demonstrably common, an […]

Quotes – Psychiatry, Psychiatrists, Mental Health

“If A is a success in life, then A equals X plus Y plus Z. Work is X; Y is play; and Z is keeping your mouth shut.” – Albert Einstein   Die with memories, not dreams. – Anonymous   There are thousands and thousands of people out there living lives of quiet, screaming desperation who […]

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 […]

effects of bullying

Dan Olweus (32) was the first to examine the lasting effects of bullying, demonstrating that young male victims were more depressed and had lower self-esteem in early adulthood than their nonbullied peers. Twenty years later, our study, using data from a large prospective British birth cohort, shows that being bullied in childhood retains associations with […]

quetiapine and BPD

Quetiapine Appears Effective in Treatment of Borderline Personality Disorder, Study Finds A new study, “Comparison of Low and Moderate Dosages of Extended-Release Quetiapine in Borderline Personality Disorder: A Randomized, Double-Blind, Placebo-Controlled Trial,” in AJP in Advance provides evidence for the antipsychotic quetiapine’s use as a potential therapy for borderline personality disorder (BPD). A research team led by Donald […]

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 […]

joe biden

NEW YORK ― During an impassioned speech in a packed room of more than 10,000 mental health professionals, Vice President Joseph Biden highlighted the urgent need for more general, child, and Veterans Affairs (VA) psychiatrists in the United States. “We need you more than ever. And quite frankly, we need more of you than exists […]

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. […]

eeg

EEG APA Apr 4, 2013 8 views No rating An American study has established that the benefit of an EEG used as a tool to identify the cause of widespread clinical symptoms in inpatients was underestimated. In a report published in “Mayo Clinic Proceedings”, researchers from the University of California in San Francisco (UCSF) attested that […]

coma

Coma is unresponsiveness from which the patient cannot be aroused. Impaired consciousness refers to similar, less severe disturbances of consciousness; these disturbances are not considered coma. The mechanism for coma or impaired consciousness involves dysfunction of both cerebral hemispheres or of the reticular activating system (also known as the ascending arousal system). Causes may be […]

How doctors can spot patients likely to sue

How doctors can spot patients likely to sue.

How doctors can spot patients likely to sue

  PROFESSION [Illustration by Gilbert Ford / www.gilbertford.com] How doctors can spot patients likely to sue Knowing what types of patients are more lawsuit prone can help reduce physicians’ liability risks. By ALICIA GALLEGOS, amednews staff. Posted Feb. 4, 2013. PRINT| E-MAIL| RESPOND| REPRINTS|  SHARE  Medical liability defense attorney Michael J. Sacopulos often hears physicians speak in hindsight about […]

Private Practice’

‘Why I’m Leaving Private Practice’ ‘Why I’m Leaving Private Practice’ January 29, 2013 | Work/Life Balance, Career, Healthcare Reform By David Mokotoff, MD Along with the decision to go into medicine, the next most important professional decision a physician makes is when to leave it. As I rapidly approach the Medicare age, there is much to consider. Although my contract […]

gandhi

  This week, the National Archives here in New Delhi released a set of letters between Mohandas Karamchand Gandhi and a close friend from his South African days, Hermann Kallenbach, a German Jewish architect. Cue a set of ludicrous “Gay Gandhi” headlines across the world, wondering whether the fact the Mahatma signed some letters “Sinly […]

delirium tremens

What is delirium tremens? Delirium tremens (the DTs) is a severe reaction to withdrawal from alcohol. Delirium tremens can be deadly. The DTs usually start 24 to 72 hours after a person who is dependent on alcohol either stops or limits drinking. What is the cause? Chronic drinking changes the way the body and brain […]

possessive mothers

Learn how to deal with a mom that doesn’t know how to let go. A possessive mother can make life difficult for her children and her children’s friends and spouses. Also called “overbearing” or ” controlling,” possessive mothers are still learning how to let go and trust their children’s decision-making abilities. They are also learning […]

photosynthetic animal

The second story is about a sea slug, Elysia chlorotica, which has gained the ability to photosynthesize. It did not evolve this trait in the traditional sense, but rather picked it up from another organism. The slug’s green color is not self-made, but is present due to its collection of chloroplasts, the photosynthetic center of […]

classification of psychotropic drugs

Psychoactive Drugs Mood-altering drugs—also called psychoactive drugs—are drugs that can change or affect the way a person thinks, feels, or acts. These drugs usually have physical effects as well, but what sets them apart from other drugs is that they work on the mind and the senses. Most of these drugs work on the central […]

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 […]

द्विध्रुवी विकार क्या है?

_ द्विध्रुवी विकार क्या है? द्विध्रुवी विकार एक मस्तिष्क विकार है कि चरम मूड में परिवर्तन का कारण बनता है, यह सोच कर, और व्यवहार है. वहां आम तौर पर दो चरणों, एक उन्मत्त चरण और एक उदास चरण. उन्मत्त चरण में आप अत्यधिक सक्रिय लग रहा है और बहुत सक्रिय रहे हैं. उदास चरण […]

मानसिक बीमारी

_ नियोक्ता, दोस्तों और पड़ोसियों के मानसिक बीमारी के बारे में बहुत असहज महसूस हो सकता है. कई लोगों के बजाय इसके साथ सौदा से इस मुद्दे से बचना होगा. वे यह शर्मनाक है और डरावना लगता है. कलंक बीमारी खुद से भी बदतर हो सकती है. एक सर्वेक्षण में पाया गया है कि श्रमिकों […]

पागलपन क्या है?

_ पागलपन क्या है? एक प्रकार का पागलपन एक गंभीर मानसिक बीमारी है. इस बीमारी से लोग परेशान है और बेतरतीब सोच, भाषा, और व्यवहार. वे देखते हैं, सुनने के लिए, हो सकता है, या चीजें हैं जो वास्तव में वहाँ नहीं कर रहे हैं लग रहा है. कभी कभी एक प्रकार का पागलपन के […]

अवसाद क्या है?

अवसाद है जब आप उदास लग रहा है और दैनिक जीवन में रुचि है. आप अन्य लक्षण के रूप में अच्छी तरह से हो सकता है. अवसाद गंभीर करने के लिए हल्का किया जा सकता है. यह एक कम समय या एक लंबे समय के लिए पिछले कर सकते हैं. हम सब समय है जब […]

lady diana had personality problems

_ _ _ __ _ Respected biographer Sally Bedell Smith has written an exhaustive account of the highly conflicted and dysfunctional life of Princess Diana. Diana: In Search of Herself–Portrait of a Troubled Princess (Signet, 2000), puts Diana’s life in perspective by separating her essential traits from the mythic personality created by the media and […]

roots by alex hailey is fiction

_ _ _ _ _ _ _ During President Obama’s inauguration today, Tennessee Senator Lamar Alexander (R) quoted Alex Haley, the author made world-famous for his Pulitzer Prize-winning literary sensation, “Roots.” According to The Washington Post, Haley and Alexander were longtime friends. That’s all well and good, but quoting Alex Haley at an important national […]

rape incidence

Myths about rape go back at least as far as ancient Greece: the story of Zeus taking the form of a swan to rape Leda has been depicted in countless artistic renderings, which usually depict Leda in a state of erotic compliancerapes are /were committed in INDIA at present and also during the past.LORD INDRA […]

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) […]