Evaluation of the effectiveness of auricular acupuncture in suicidal ideation and cortisol level in dysthymic patients with comorbid opiate use disorders enrolled in methadone maintenance treatment: a randomized, double-blind, sham-controlled trial - Pirnia B, Mohammadi AR, Zahiroddin A, Bazargan NM, Malekanmehr P, Pirnia K.

Suicide is one of the leading causes of death around the world. The hypothalamic-pituitary-adrenal (HPA) axis disorder is involved in the pathophysiology of suicidal behavior. Acupuncture by regulating the activity of the HPA axis could regulate the secret...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Program and Other Evaluations, Effectiveness Studies Source Type: news

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AbstractBackgroundPotential protective effects of nonpharmacological treatments (NPT) against long-term pain-related adverse outcomes have not been examined.ObjectiveTo compare active duty U.S. Army service members with chronic pain who did/did not receive NPT in the Military Health System (MHS) and describe the association between receiving NPT and adverse outcomes after transitioning to the Veterans Health Administration (VHA).Design and ParticipantsA longitudinal cohort study of active duty Army service members whose MHS healthcare records indicated presence of chronic pain after an index deployment to Iraq or Afghanist...
Source: Journal of General Internal Medicine - Category: Internal Medicine Source Type: research
Abstract BACKGROUND: There is evidence supporting electroacupuncture (EA) for the treatment of major depressive disorder (MDD), but its characteristics have not been well investigated. OBJECTIVE: To investigate the effectiveness and characteristics of EA in MDD. METHODS: 60 subjects were enrolled-35 in the EA group and 25 in the selective serotonin reuptake inhibitor (SSRI) group based on their preferences-in an 8-week non-randomised controlled clinical trial. The 24-item Hamilton depression rating scale (HAMD-24) and clinical global impression (CGI) were adopted for clinical assessment. The Columbia sui...
Source: Acupuncture in Medicine : journal of the British Medical Acupuncture Society - Category: Complementary Medicine Authors: Tags: Acupunct Med Source Type: research
You're reading 7 Practical Tools for Picking Yourself up During Your Darkest Days, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles. These days most people experience some feelings of depression, anxiety, grief or general lack of motivation. This is a normal part of life, however, if we don’t take productive action, these states can linger and interfere with our functioning at work and in relationships. Here are some simple yet highly effective tools that can help you out of a dark period and propel you back towards b...
Source: PickTheBrain | Motivation and Self Improvement - Category: Consumer Health News Authors: Tags: depression featured self improvement motivation passion pickthebrain Source Type: blogs
The Therapeutic Alliance Simply put: the Therapeutic Alliance is the mutual bond between therapist and client, as well as the willingness from the patient to immerse in the treatment experience. While it seems like a little thing, it is the most powerful factor in the process of emotional and psychological healing, according to MentalHelp.net. If you do not trust your therapist, you will not be able to fully open up to them and have honest conversations. Without this openness, there will be no progress made on your past trauma. Without progress made on your past trauma, your addiction will fester again in the future and th...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Addiction Recovery Complementary Therapies Comprehensive behavioral treatment Drug Rehab Information Drug Treatment behavioral therapy complimentary therapy holistic therapy Therapeutic Alliance therapist Source Type: blogs
I have written  here and here about how patients have become the civilian casualties of the misguided policies addressing the opioid (now predominantly fentanyl and heroin) crisis. The policies have dramatically reduced opioid prescribing by health care practitioners and have pressured them into rapidly tapering or cutting off their chronic pain patients from the opioids that have allowed them to function. More and more reports appear in the pres s about patients becoming desperate because their doctors, often fearing they may lose their livelihoods if they are seen as “outliers” b...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
I never wanted to be a drug pusher. A career in medicine was the opposite — healing in place of harming. However, I knew something was wrong when a detective asked to speak to me about one of my patients. My patient, addicted to Vicodin, had committed several acts of fraud and theft in desperate attempt to satisfy her needs. Her arrest was the final step in a long, slow unraveling of a happy and productive life. I was not just a witness to this painful process; I was an active participant. As her primary care physician, I helped fuel her addiction and shared in the responsibility. When the history of the opiate epide...
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Physician Pain Management Primary Care Source Type: blogs
[Abstract unavailable] Language: en...
Source: SafetyLit - Category: Global & Universal Tags: Suicide and Self-Harm Source Type: news
Physician suicide is an enormous problem. We lose approximately 400 doctors and trainees annually to suicide. This is a tragedy, pure and simple. Not limited to the human carnage of the equivalent of an entire medical school class or more, but, to quote Dr. Pamela Wible, “Each year more than one million Americans lose their doctors to suicide.” What does it mean, then, when physicians who are trained in medicine — defined as the application of scientific principles to the diagnosis and treatment of human ills — turn away from reality to accept the magical thinking of pseudoscience? I submit tha...
Source: Musings of a Dinosaur - Category: Primary Care Authors: Tags: Medical Source Type: blogs
I like Dr. Pamela Wible. I think she’s doing fantastic work bringing attention to the tragedy of physician and medical student suicide. We also have similar practice styles (solo, unhurried visits, total communication) although hers is a subscription practice and I still make do with insurance. Also, she’s monetized it with the title Ideal Micropractice, an organization which costs $250 a year to join. After 26+ years, I’m pretty comfortable with my version, which is ideal for me, and can’t see paying for the privilege of sharing what I’ve learned. (I just offer it for free to anyone who asks....
Source: Musings of a Dinosaur - Category: Primary Care Authors: Tags: Medical Source Type: blogs
Many people find the reality of getting older depressing. And depression itself often comes with a stigma. So when we talk about depression and aging combined, what results is a very complicated — and often hard to treat — issue. Gary S. Moak, former president of the American Association for Geriatric Psychiatry, has written a new book to help. Beat Depression to Stay Healthier and Live Longer: A Guide for Older Adults and Their Families combines Moak’s years of experience working with elderly populations with the latest research on depression. Moak begins by defining depress...
Source: Psych Central - Category: Psychiatry Authors: Tags: Aging Antidepressants Book Reviews Depression Family General Psychology Self-Help Seniors Treatment antidepressants for elderly patients antidepressants for old people beat depression depression and aging depression geriatric Source Type: news
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