"He Bore it Like a Scarlet Letter": Medical Student Reflections on Substance Use Disorders.

This study uses student reflective essays to explore these formative educational experiences. METHODS: Using content analysis, the authors analyzed a collection of 802 medical student reflective essays written during core clerkships (excluding Psychiatry), coding for ethical and professional themes as well as descriptions of substance use disorders. In addition to the qualitative identification of themes, the authors used chi-square analysis to determine which themes had statistically significant associations with substance use disorders. RESULTS: Fifty-three essays described patients with substance use disorders. The most common substances described were opioids (n = 25), alcohol (n = 18), and cocaine (n = 11). There were five themes statistically associated with substance use disorders (p 
Source: The Journal of American Association of Directors of Psychiatric Residency Training - Category: Psychiatry Tags: Acad Psychiatry Source Type: research

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Mental health flows from the ceramic jug psychotherapist Lori Gottlieb keeps on her desk. There’s nothing special about the jug—a minor accessory in an office designed with the sort of tidy impersonality common to her field. And there’s no special elixir in it—just water. But all the same, the jug provides a certain kind of healing. When patients are struggling, crying, overcome in some way, Gottlieb, a Los Angeles based practitioner and author of the book Maybe You Should Talk to someone, will offer up a cup of water, pour it for them and hand it across. In that small gesture is a whole constellati...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized COVID-19 Source Type: news
Thirty years ago, the atmosphere surrounding mental health and suicide was very different than it is today, especially in some areas. Even today, where you live could affect the information, help, and reactions you receive. Since that time, I’ve learned a better way to respond when a loved one struggles. If someone you care about changes in some way, something may be wrong. The difficulties go beyond available support. According to statistics, most people who ultimately end their lives are dealing with a mental illness or behavior disorder — whether they realize it or not — though this is not always true....
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Depression Personal Suicide Source Type: blogs
In early recovery, there is value in filling your space and time with meetings and various distractions to fill in the space that was once consumed with substances and addictive behaviors. There is also value, at some point, to create unfilled space for your presence and attention. Creating space to be present for your presence is a key to sustainable long-term recovery.  Creating Space vs Filling Space The practice of mindfulness; being there, being present, paying attention, and learning to be there for yourself starts with the process of letting go. Letting go of substances and addictive behaviors is a gr...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Addiction Mindfulness Recovery Alcoholism Substance Abuse Source Type: blogs
All we have to decide is what to do with the time that is given us.  – J.R.R. Tolkien I question. I question my clients. “What’s been coming up for you?” or “How are you experiencing life these days?”  For many clients in addiction recovery, the experience of boredom will surface. Boredom, if not taken seriously, is a fast track to relapse.  When we remove elements of our life that we no longer have interest in (i.e. drugs, alcohol, people, places, and things) we are left with “empty space” — and many of us, not skillful with the use of our time, will cal...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Addiction Habits Mindfulness Recovery Substance Abuse Boredom Habit Change Relapse relapse prevention Source Type: blogs
  At one point, Gabe weighed more than 550 pounds. Today, he and Lisa remember and discuss the extreme pain and slow healing process of living with binge-eating disorder. Gabe shares his shame in being so overweight, his intense relationship with food, the story of his gastric bypass and the difficult process of learning new coping mechanisms. How did Gabe’s bipolar and panic attacks tie in with his binge eating? And, importantly, how is he managing the illness today? Join us for an open and honest discussion on living with an eating disorder. (Transcript Available Below) Please Subscribe to Our Show: And We...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Binge Eating Disorders Eating Disorders General Not Crazy Podcast Source Type: blogs
It is difficult dealing with a family member who is struggling with an addiction. It takes intentional listening, meaningful communication, avenues for change, and self-care to persevere. Here are a few helpful suggestions: Listen  Pay attention to what your loved one is saying and doing. Listen to both verbal and nonverbal cues. What are the warning signs? Those struggling with addiction will usually voice warning signs, or these can be found in their body language.  One parent I worked with said she could tell her teenage son was struggling because he was no longer himself. Signs he showed were constant restles...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Addiction Children and Teens Communication Family Recovery Substance Abuse Alcoholism Source Type: blogs
  What is the link between addiction and mental illness? Is addiction a choice? In today’s Not Crazy podcast, Gabe and Lisa discuss whether addiction should be classified as a disease and whether or not it should require medical treatment. Gabe also shares his personal story of addiction and how it tied in with his bipolar disorder. What’s your take? Tune in for an in-depth discussion which covers every angle of this often controversial topic. (Transcript Available Below) Please Subscribe to Our Show: And We Love Written Reviews!  About The Not Crazy podcast Hosts Gabe Howard is an award-winning...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Addiction General Mental Health and Wellness Not Crazy Podcast Recovery Source Type: blogs
Authors: Urits I, Gress K, Charipova K, Li N, Berger AA, Cornett EM, Hasoon J, Kassem H, Kaye AD, Viswanath O Abstract Purpose of Review: This is a comprehensive review of the association between cannabis use and psychological disorders. It reviews the latest and seminal evidence that is available and attempts to conclude the strength of such association. Recent Findings: Cannabis is a flowering plant with psychoactive properties, attributed to cannabinoids that naturally occur within the plant. These act through the CB1 and CB2 receptors to inhibit GABA and glutamate release, as well through other forms of neu...
Source: Psychopharmacology Bulletin - Category: Psychiatry & Psychology Tags: Psychopharmacol Bull Source Type: research
This article reviews current knowledge on epidemiology, risk factors and causes, diagnostic considerations, management, and prognosis of ischemic stroke in young adults (those 55 years old and younger). RECENT FINDINGS The incidence of ischemic stroke in young adults has been increasing since the 1980s, which has occurred in parallel with increasing prevalence of vascular risk factors and substance abuse among the younger population. Young adults have a considerably wider range of risk factors than older patients, including age-specific factors such as pregnancy/puerperium and oral contraceptive use. Behavioral risk fac...
Source: CONTINUUM: Lifelong Learning in Neurology - Category: Neurology Tags: REVIEW ARTICLES Source Type: research
While some people who’ve become addicted to alcohol and drugs have to hit rock bottom before they’re ready to accept treatment, most realize or can be convinced of the need to get professional help long before such a calamitous event. As for the timing, knowing when you are ready for treatment, it’s different for everyone. It may help to know some of the common signs you’re ready to take the crucial next step.  You’ve Had Enough — And So Has Everyone Else The list of addictive behaviors is long and varied, including problem drinking and alcohol abuse that descends into alcohol use d...
Source: Psych Central - Category: Psychiatry Authors: Tags: Addictions Alcoholism Habits Substance Abuse Source Type: news
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