Tag Archives: psychiatry

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 […]

U.S. Mental Health Chief: Psychiatry Must Get Serious about Mathematics

The US National Institute of Mental Health (NIMH) has a new director. On September 12, psychiatrist Joshua Gordon took the reins at the institute, which has a budget of US$1.5 billion. He previously researched how genes predispose people to psychiatric illnesses by acting on neural circuits, at Columbia University in New York. His predecessor, Thomas […]

Dermatology And Psychology, What Is The Connection

Dermatology is the field deals which offers many facets in the treatment, but it is difficult to accept that dermatological conditions can occur due to the psychological condition. Apparently, many dermatologists have reported clinical conditions like depression and anxiety causes hair loss increases blemishes and responsible for the alopecia and other skin disorders. What are […]

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 […]

Dual reuptake inhibitors incur lower rates of tachyphylaxis than selective serotonin reuptake inhibitors: a retrospective study.

BACKGROUND: The notion that selective serotonin reuptake inhibitors (SSRIs) may be associated with higher relapse rates than other antidepressants during maintenance treatment (tachyphylaxis) has been discussed for years, but to date there is little or no empirical evidence confirming this phenomenon. In this study, we systematically assessed prior anti-depressant treatment history in a cohort of depressed patients […]

Continuing the Conversation about Choosing Wisely: The American Psychiatric Association Releases List of Five Uses of Psychiatric Medication to Question

  Joel Yager, MD, Professor, University of Colorado School of Medicine Chair of the APA Council on Quality Care   Recently the APA released a list of “Five Things Physicians and Patients Should Question” in Psychiatry as part of the Choosing Wisely® campaign, led by the ABIM Foundation. The list identifies five specific evidence-based recommendations that can […]

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 […]

falls in elderly

_ Falls in the Elderly Share This A fall results in a person coming to rest on the ground or another lower level; sometimes a body part strikes against an object that breaks the fall. Typically, events caused by acute disorders (eg, stroke, seizure) or overwhelming environmental hazards (eg, being struck by a moving object) […]

hypothyroidism

_ _ _ _ Hypothyroidism (Myxedema) Share This view related topics in this manual Hypothyroidism is thyroid hormone deficiency. It is diagnosed by clinical features such as a typical facies, hoarse slow speech, and dry skin and by low levels of thyroid hormones. Management includes treatment of the cause and administration of thyroxine. Hypothyroidism occurs […]

erectile dysfunction

_ _ Erectile dysfunction (ED) is the inability to attain or sustain an erection satisfactory for sexual intercourse. Most erectile dysfunction is related to vascular, neurologic, psychologic, and hormonal disorders; drug use can also be a cause. Evaluation typically includes screening for underlying disorders and measuring testosterone levels. Treatment options include oral phosphodiesterase inhibitors or […]

drug interaction

Drug interactions are changes in a drug’s effects due to recent or concurrent use of another drug or drugs (drug-drug interactions) or due to ingestion of food (drug-nutrient interactions—see Nutrition: General Considerations: Nutrient-Drug Interactions). A drug interaction may increase or decrease the effects of one or both drugs. Clinically significant interactions are often predictable and […]

lipids

Lipids are fats that are either absorbed from food or synthesized by the liver. Triglycerides (TGs) and cholesterol contribute most to disease, although all lipids are physiologically important. The primary function of TGs is to store energy in adipocytes and muscle cells; cholesterol is a ubiquitous constituent of cell membranes, steroids, bile acids, and signaling […]

hypoglycemia

Share This Hypoglycemia unrelated to exogenous insulin therapy is an uncommon clinical syndrome characterized by low plasma glucose level, symptomatic sympathetic nervous system stimulation, and CNS dysfunction. Many drugs and disorders cause it. Diagnosis requires blood tests done at the time of symptoms or during a 72-h fast. Treatment is provision of glucose combined with […]

Diabetes Mellitus

_ _ _ Diabetes mellitus (DM) is impaired insulin secretion and variable degrees of peripheral insulin resistance leading to hyperglycemia. Early symptoms are related to hyperglycemia and include polydipsia, polyphagia, and polyuria. Later complications include vascular disease, peripheral neuropathy, and predisposition to infection. Diagnosis is by measuring plasma glucose. Treatment is diet, exercise, and drugs […]

hyponatremia

Hyponatremia is decrease in serum Na concentration < 136 mEq/L caused by an excess of water relative to solute. Common causes include diuretic use, diarrhea, heart failure, and renal disease. Clinical manifestations are primarily neurologic (due to an osmotic shift of water into brain cells causing edema), especially in acute hyponatremia, and include headache, confusion, […]

stroke rehabilitation

Rehabilitation after stroke aims to preserve or improve range of motion, muscle strength, bowel and bladder function, and functional and cognitive abilities. Specific programs are based on the patient’s social situation (eg, prospects of returning to home or work), ability to participate in a rehabilitation program supervised by nurses and therapists, learning ability, motivation, and […]

clinical use of genetics

Genetics has advanced understanding of many disorders, sometimes allowing them to be reclassified. For example, classification of many spinocerebellar ataxias has been changed from one based on clinical criteria to one based on genetic criteria (see Movement and Cerebellar Disorders: Hereditary ataxias). The Online Mendelian Inheritance in Man (OMIM) database is a searchable catalog of […]

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 […]

medical assessment of patient with psychiatric disorder

Medical assessment of patients with mental symptoms seeks to identify 2 things: Physical disorders mimicking mental disorders Physical disorders accompanying mental disorders Numerous physical disorders cause symptoms mimicking specific mental disorders (see Table 3: Approach to the Patient With Mental Symptoms: Selected Mental Symptoms Due to Physical Disorders). Other physical disorders may not mimic specific […]

drug categories of concern in elderly

Some drug categories (eg, analgesics, anticoagulants, antihypertensives, antiparkinsonian drugs, diuretics, hypoglycemic drugs, psychoactive drugs) pose special risks for elderly patients. Some, although reasonable for use in younger adults, are so risky as to be considered inappropriate for the elderly. The Beers Criteria are most commonly used to identify such inappropriate drugs (see Table 5: Drug […]

drug related problems in the elderly

Drug-related problems include Adverse effects Ineffectiveness Adverse drug effects are effects that are unwanted, uncomfortable, or dangerous. Common examples are oversedation, confusion, hallucinations, falls, and bleeding. Among ambulatory people ≥ 65, adverse drug effects occur at a rate of about 50 events per 1000 person-years. Hospitalization rates due to adverse drug effects are 4 times […]

pharmacodynamics in elderly

Pharmacodynamics is defined as what the drug does to the body or the response of the body to the drug; it is affected by receptor binding, postreceptor effects, and chemical interactions (see Pharmacodynamics: Drug-Receptor Interactions). In the elderly, the effects of similar drug concentrations at the site of action (sensitivity) may be greater or smaller […]

pharmacokinetics in elderly

Pharmacokinetics (see Pharmacokinetics) is best defined as what the body does to the drug; it includes absorption, distribution across body compartments, metabolism, and excretion. With aging, the metabolism and excretion of many drugs decrease, requiring that doses of some drugs be adjusted. Toxicity may develop slowly because levels of chronically used drugs tend to increase […]

neuromyelitis optica

Neuromyelitis optica affects only the eyes and spinal cord. It causes acute optic neuritis, sometimes bilateral, plus demyelination of the cervical or thoracic spinal cord. Neuromyelitis optica was previously considered to be a variant of multiple sclerosis (MS) but is now recognized as a different disorder. Symptoms include visual loss, paraparesis or quadriparesis, and incontinence. […]

ms

Multiple sclerosis (MS) is characterized by disseminated patches of demyelination in the brain and spinal cord. Common symptoms include visual and oculomotor abnormalities, paresthesias, weakness, spasticity, urinary dysfunction, and mild cognitive impairment. Typically, neurologic deficits are multiple, with remissions and exacerbations gradually producing disability. Diagnosis is by history of remissions and exacerbations plus clinical signs, […]

demyelinating disorders

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 […]

cerebellar disorders

Cerebellar disorders have numerous causes, including congenital malformations, hereditary ataxias, and acquired conditions. Symptoms vary with the cause but typically include ataxia (impaired muscle coordination). Diagnosis is clinical and often by imaging and sometimes genetic testing. Treatment is usually supportive unless the cause is acquired and reversible. The cerebellum has 3 parts: Archicerebellum (vestibulocerebellum): It […]