Can a Failed Schizophrenia Drug Prevent PTSD?
This study also provides a perfect example of NIMH's new mandate for specifying a hypothesized mechanism of action for interventions that will be tested in funded clinical trials. Does peri-trauma osanetant (vs. placebo) reduce later development of PTSD symptoms and attenuate amygdala activation to trauma script-driven imagery in fMRI? Is TAC3 gene expression altered in primate models? [The distribution of Nk3R likely differs between mice and primates.] Are there declines in PACAP blood levels in traumatized individuals given osanetant (vs. placebo)? Are there longer-term effects on methylation of ADCYAP1R1 in peripheral b...
Source: The Neurocritic - July 10, 2014 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs

Traumatic Brain Injury (TBI)
The current issue of the journal "Journal of Head Trauma Rehabilitation" has a six-article collection providing the so-called "INCOG Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury"Specific topics include: post-traumatic amnesia (PTA)/delirium, attention, memory, execution function, self-awareness, and communication. (Source: BrainBlog)
Source: BrainBlog - July 6, 2014 Category: Neurologists Source Type: blogs

Psychedelic Drugs for Treating Mental Illness?
A headline to an article in yesterday’s edition of the journal Science caught my eye: “Can Ecstasy Treat the Agony of PTSD?”   According to the article (paid access), the compound MDMA - first synthesized in 1914 and commonly known as the recreational drug Ecstasy - is showing promise in the treatment of PTSD. This is based on a small trial involving female assault victims. Ten of the 12 patients who received MDMA combined... (Source: John McManamy's SharePosts)
Source: John McManamy's SharePosts - July 5, 2014 Category: Mental Illness Authors: John McManamy Source Type: blogs

How entitlement undermines patient engagement
I know the ropes at the VA … I’ll pick up the phone in a heartbeat and call my senator and get what I need right away. A lot of guys aren’t like that. –Max Gruzen, PTSD patient, Vietnam veteran from the New York Times So this is what it means to be an “engaged” patient in the VA system today. You have to know a senator who will intervene on your behalf, to give your health care a priority higher than his other constituents and other senators’ constituents from all over the country. Just to get what you need: even if only an appointment with a primary care physician or sp...
Source: Kevin, M.D. - Medical Weblog - June 23, 2014 Category: Journals (General) Authors: Tags: Patient Patients Primary care Source Type: blogs

Secrets of the VA that aren’t being reported
I’ve worked at a few VA medical centers, including four years at the Phoenix VA. I’d like to report something missed in the media storm. Before spilling secrets, though, I’ll dispense with the non-secrets. Everyone who has entered a VA hospital knows: 1. The system is overwhelmed. While we might have planned for the increasing needs of aging Vietnam-era vets, I doubt anyone predicted two long wars or the number of young vets who would suffer blast injuries and post-traumatic stress. 2. Getting care at a VA can be unnecessarily frustrating. Starting with finding a parking space and ending with making sense...
Source: Kevin, M.D. - Medical Weblog - June 11, 2014 Category: Journals (General) Authors: Tags: Physician Hospital Source Type: blogs

This is how I feel when I read a lot of posts about the Judge Rotenberg Center.
Close the Judge Rotenberg Center.  For the love of everything holy, close the Judge Rotenberg Center.  Stomp it into the ground and dance on its ashes. But. You won’t be done. You’ll just have eliminated the most obvious of a huge number of places that torture and abuse their patients in the name of treatment. Skin shock is showy and scary and it makes a good story and it makes it easy to see what is hurting people. But people can be hurt just as bad or worse without it. People can be hurt just as bad or worse by places that don’t brag about the torture they inflict on their patients. Peop...
Source: Ballastexistenz - June 9, 2014 Category: Autism Authors: Mel Baggs Tags: Abuse Aversives Behavior Mod Degradation Disability Disability gulag Disability Rights Discrimination Ethics Ethics, justice, etc. Inclusion Institutions JRC Long & detailed Power Power relations Safety Segregation Self Source Type: blogs

The military is off-track when dealing with mental health problems
The headline reads, “Study: Mental illness rate higher in soldiers.” The article goes on to offer alarming statistics: The rate of major depression is five times as high among soldiers as civilians; intermittent explosive disorder, which results in episodes of extreme anger, is six times as high; and post-traumatic stress disorder was nearly 15 times higher than among civilians, the study found. This would be pretty scary if true — but it isn’t. Psychiatric epidemiology is done in a way that leads to systematic bias and inflated rates of reported psychiatric disorder. And there has also been systema...
Source: Kevin, M.D. - Medical Weblog - June 4, 2014 Category: Journals (General) Authors: Tags: Conditions Psychiatry Source Type: blogs

Top stories in health and medicine, May 27, 2014
From MedPage Today: Temporary Fee on Big Business Funds Obamacare. The world of healthcare, like any, is full of haves and have nots. Grassroots Group Aims to Renew Primary Care. “Change is HERE. The future of primary care has arrived.” The motto of Primary Care Progress, a 4-year-old grassroots organization advocating for interprofessional teamwork and a brighter landscape for primary care in the U.S., is echoed throughout the organization’s rhetoric, blog posts, leadership summits, and the voices of its members. War Wounds: Hearing Loss Tracks Gulf War Vets. Do you routinely ask your patients if t...
Source: Kevin, M.D. - Medical Weblog - May 27, 2014 Category: Journals (General) Authors: Tags: News Primary care Psychiatry Source Type: blogs

The VA healthcare system — Can we handle the truth?
Memorial Day weekend is an apt time to consider the recent accusations of wrongdoing in the VA healthcare system. It’s an opportunity to face the truth. As a free American, I am connected to veterans. It has always been remarkable that young people give their life or health for their country, but now, in this me-centric era, it is stunning that they do. It is truth to say that veterans deserve our respect and our care. Consider also that recent wars have been fought on the backs of the underprivileged, a fact that strengthens this calling to care. I am also connected to veterans’ healthcare. For it is in the VA...
Source: Dr John M - May 25, 2014 Category: Cardiology Authors: Dr John Source Type: blogs

A Soldier’s War on Pain -
Four years and a lifetime ago, a new war began for Sgt. Shane Savage.On Sept. 3, 2010, the armored truck he was commanding near Kandahar, Afghanistan, was blown apart by a roadside bomb. His head hit the ceiling so hard that his helmet cracked. His left foot was pinned against the dashboard, crushing 24 bones.Sergeant Savage came home eight days later, at age 27, with the signature injuries of the conflicts in Iraq and Afghanistan: severe concussion, post-traumatic stress and chronic pain. Doctors at Fort Hood in Killeen, Tex., did what doctors across the nation do for millions of ordinary Americans: They prescribed p...
Source: Psychology of Pain - May 11, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Why I Don't Agree With @aaronecarroll
I have often spoken of the doctor-patient relationship as a covenant. Our patients bear their bodies and souls in exchange for a thoughtful, engaged, respectful partner in navigating health and disease. This dyad, this trusted space, allows for the breaking of cultural norms and full disclosure.  Proper healing is an agreement, it is a relationship. Although often not spoken of, any successful flourishing healthcare system also requires another sort of covenant; one between provider and society.  Let me explain.Being a physician has changed me. For someone who naively went into this profession hoping to help peop...
Source: In My Humble Opinion - May 2, 2014 Category: Primary Care Authors: Jordan Grumet Source Type: blogs

Prison Terminal: The Last Days of Private Jack Hall
Until I watched the documentary prison terminal I had not given much thought to what the end of life is like for a prisoner serving a life time sentence.  The Prison Terminal film was nominated for a 2014 Academy Award in the category of Documentary Short Subject and it is currently being shown in the channel HBO. Filmmaker Edgar Barens transports us to the inside the Iowa state maximum security prison recording how the terminally prisoner Jack hall lives his final 6 months (even his last breath). As the film evolves we meet 82 year old Jack Hall who was once a decorated World War II veteran who fought in battle ...
Source: Pallimed: A Hospice and Palliative Medicine Blog - April 30, 2014 Category: Palliative Carer Workers Authors: Jeanette Ross Source Type: blogs

Love and Homeopathics: Mental Health, Community Care, and the Political Imagination
Section: Articles Dissociation: Trapped in Your BodyImagine you are standing with your head poking out of a little tent, alone in an enormous open clearing, in the middle of a raging hurricane. There’s almost no space to hear yourself think over the wind. At the edge of the clearing, far away, the wind knocks down trees and power lines. The storm is so vast and loud you can’t hear your own voice over the pummeling noise, because the wind whips the words out of your mouth before you utter them.Someone you care about is standing outside the storm, and they are so far away they are hard to make out. You can b...
Source: The Icarus Project - Navigating the Space Between Brilliance and Madness - April 2, 2014 Category: Psychiatry Authors: Nadia Germane Source Type: blogs

$30M Trumps $15M Any Day: Why Private Industry is Putting the Federal Government to Shame
Back in mid-February, Rep. Ron Barber (D-Ariz.) trumped the addition of $15 million for mental health first aid training that was passed in a $1.1 trillion spending bill. Sadly, Barber also connected the funding to helping stop future instances of mass shootings — a connection that simply has no basis in reality. But hey, at least he’s doing something. This past week, the CEO of Starbucks, Howard Schultz, announced $30 million to help research into brain trauma and post-traumatic stress disorder (PTSD). He also promised last year to hire at least 10,000 veterans and military spouses over the next five years. Wh...
Source: World of Psychology - March 25, 2014 Category: Psychiatrists and Psychologists Authors: John M. Grohol, Psy.D. Tags: Disorders General Mental Health and Wellness Policy and Advocacy PTSD Research Treatment 30 Million Howard Schultz Posttraumatic Stress Disorder Psychological Trauma Traumatic Brain Injury Veterans Source Type: blogs

Best of Our Blogs: March 21, 2014
Do you get sucked into the same arguments with the same people? Like a broken record, there you are again, stuck in the same place. It could be as superficial as the way you dress or as personal as the way you act. Perhaps, it’s their lack of empathy for what you’re going through or your unrealistic expectation of them to be different than they are. Time wears away at relationships when its focused on disharmony. Your father may never agree with your choice in career. Your mother may never understand what it’s really like to have your illness. Your partner may not get why you overreact in certain circumst...
Source: World of Psychology - March 21, 2014 Category: Psychiatrists and Psychologists Authors: Brandi-Ann Uyemura, M.A. Tags: Best of Our Blogs ADHD and abuse Attention Deficit Hyperactivity Disorder Bipolar Disorder Child Abuse Conflict and validation Depression (mood) Emotion Major Depressive Disorder Managing Depression Manic Depression Posttraumatic Str Source Type: blogs

Pre - Budget Review Of The Health Sector - 20th March 2014.
As we head towards the Budget in Early to Mid May 2014 I thought It would be useful to keep a closer eye than usual on what was being said regarding what we might see coming out of the Budget.According to the Australian Parliament web site Budget Night will be on Tuesday 13th May, 2014.Here are some of the more interesting articles I have spotted this week.----- to Medicare support for PTSD cause sufferers more harmDate March 10, 2014 An online petition by the Alliance for Better Access (ABA) pressure group cal...
Source: Australian Health Information Technology - March 20, 2014 Category: Technology Consultants Authors: Dr David More MB PhD FACHI Source Type: blogs

Malcolm Gladwell Is Wrong, Tell Them That You Love Them
Malcolm Gladwell thinks we should tell people whats it's really like to be a doctor.  And by God I have invested the last seven years in doing just that.  I have written countless blogs, given lectures, and traveled to Ireland.  I have coined the term Caring 2.0 to describe the bidirectional flow of empathy.  Patients will tell us what it is like to suffer with disease, and we will tell them of our own battles.  Forged somewhere in the molten lava of truth and disclosure, a deeper relationship will arise.  We will heal not only with our hands, but with our hearts.  In the process, the ooz...
Source: In My Humble Opinion - March 20, 2014 Category: Family Physicians Authors: Jordan Grumet Source Type: blogs

The Mother Who Never Was
I don’t write about my mother often. Of all my dysfunctional childhood relationships, my experience with my mother is the most painful. I believe that small children have a disproportionate need for the feminine nurturing energy. When it’s not available, I think the pain runs deeper. I am not suggesting that fathers are not needed. They are desperately needed. And their interactions with their children are critical to shaping that child’s future belief systems and relationships. But for me, the lack of nurturing maternal energy seemed to leave a deeper mark. I think that some of my angst comes from my...
Source: World of Psychology - March 15, 2014 Category: Psychiatrists and Psychologists Authors: Elisabeth Corey Tags: Anger Brain and Behavior Caregivers Children and Teens Disorders Family General Grief and Loss Parenting Personal PTSD Trauma abuse mom relationship Mother Daughter mother relationship Psychological abuse relationship wit Source Type: blogs

The 5 Negative Types of People I Have Met on My Recovery Journey
I have read countless books on self-actualization, self-realization and spiritual awareness. I have done hundreds of hours of yoga, pranayama (breathing practices) and meditation. I have worked with therapists, energy workers, acupuncturists and a million body workers. All of this has been helpful, even critical, to my recovery. One of the primary spiritual premises I have heard is that the universe will give me exactly what I need. Sounds great, doesn’t it? In my early years of recovery, I thought that had something to do with the physical world. Of course, as a trauma survivor, it was pretty hard to believe. Actua...
Source: World of Psychology - March 13, 2014 Category: Psychiatrists and Psychologists Authors: Elisabeth Corey Tags: Disorders General Grief and Loss Industrial and Workplace Mental Health and Wellness Personal PTSD Relationships Self-Esteem Trauma abusive critical negative people No Boundaries Passive Aggressive Perfectionist Psychology Source Type: blogs

What it is like to Go Through a Medical Clinical Trial
This is a first-person ordeal of my experience of a medical clinical trial for the Veteran's hospital using acupuncture to relieve sleep associated with PTSD.Contributor: Allison MurphyPublished: Mar 06, 2014 (Source: Most Recent Health Wellness - Associated Content)
Source: Most Recent Health Wellness - Associated Content - March 6, 2014 Category: Other Conditions Source Type: blogs

Eye-Opening Medical Missions in India and China
By Zubair Chao, MD   I had an opportunity to visit India as part of George Washington University’s International Emergency Medicine & Global Public Health Fellowship Program in April 2013. I gave lectures on endocrinology and HEENT as teaching faculty. I had already planned to go to China with my residency program and ultrasound fellowship directors, Drs. Cook and Hunt, respectively, and it was an easy decision for me to combine the trips for a firsthand view of emergency medical services in the world’s two most populated countries.   Emergency medicine is new in India, and it is not widely accept...
Source: Going Global - March 5, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Eye-Opening Medical Missions in India and China
By Zubair Chao, MD   I had an opportunity to visit India as part of George Washington University’s International Emergency Medicine & Global Public Health Fellowship Program in April 2013. I gave lectures on endocrinology and HEENT as teaching faculty. I had already planned to go to China with my residency program and ultrasound fellowship directors, Drs. Cook and Hunt, respectively, and it was an easy decision for me to combine the trips for a firsthand view of emergency medical services in the world’s two most populated countries.   Emergency medicine is new in India, and it is not widely ac...
Source: Going Global - March 5, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

12 Films That Feature Mental Illness
In celebration of the 2014 Oscars is my list of movies that feature mental illness. Many of these movies have won Oscars, while others should have, but didn't. As we roll out the red carpet and honor this year's best films, keep in mind that there's no shame in having a mental illness. 1. Ordinary People (Depression, PTSD, Suicide)This is my absolute favorite movie of all time because it portrays the human experience of loss so well and it also features psychotherapy in a realistic way.  This was Robert Redford's directorial debut, which also starred. Mary Tyler Moore, Donald Sutherland, Judd Hirsch and...
Source: Dr. Deborah Serani - March 4, 2014 Category: Psychiatrists and Psychologists Tags: cinema Source Type: blogs

Nurses Coping with PTSD: Why It's Increasing and New Treatments Being Done
The nursing industry might have too much expectation behind it in coping with traumatic events. With evidence showing that nurses deal with post-traumatic stress disorder regularly, what can be done to scope it out and bring on immediate treatment?Contributor: Greg BrianPublished: Mar 01, 2014 (Source: Most Recent Health Wellness - Associated Content)
Source: Most Recent Health Wellness - Associated Content - March 1, 2014 Category: Other Conditions Source Type: blogs

The Importance of Having an IEP for Your ADHD Child
Today’s mailbag is from Holly who writes for advice concerning her grandson. Sometimes I get letters from people who aren’t pitching their latest seminar, book series, and ADHD mouth rinse in one. Sometimes real people with real problems write to me, and I do my best to help. I may not be an expert, but I sure love sharing my opinion. You may have noticed. ⁂ I have been looking at your site and reading your posts for a little while now. I was excited to find it because I am raising my grandson, now 10, who has been diagnosed with ADHD, most likely a coping mechanism (as I understand it) for what caused his PT...
Source: The Splintered Mind by Douglas Cootey - February 28, 2014 Category: Mental Illness Tags: ADHD Source Type: blogs

Top stories in health and medicine, February 28, 2014
From MedPage Today: A Targeted Treatment for Scleroderma? A monoclonal antibody that binds to the type 1 interferon-alpha receptor showed an acceptable safety profile in a phase I trial for systemic sclerosis, but efficacy was less clear. CMS: More ‘Meaningful Use’ Exemptions Coming. Some healthcare providers struggling to meet the second stage of the incentive program for electronic health records (EHRs) may receive a bit of relief. MRSA: Physician Clean Thy Stethoscope. Stethoscopes carried more methicillin-resistant Staphylococcus aureus (MRSA) and other bacteria after a physical exam than most areas o...
Source: Kevin, M.D. - Medical Weblog - February 28, 2014 Category: Family Physicians Tags: News Infectious disease Psychiatry Rheumatology Source Type: blogs

Seizing Control of Brain Seizures
How can trauma lead to chronic seizures? Berkeley researcher Daniela Kaufer found that only when albumin in the blood breaches the blood-brain barrier does the likelihood of post-traumatic epilepsy go up. Accelerated signaling between neurons results from this exposure, leaduing to seizures. “We were surprised, even a little disappointed, that it was such a common component of the blood  – nothing exotic at all  – that led to epilepsy,” recalls Kaufer, associate professor of integrative biology. She and colleagues went on to Daniela Kaufer in the labshow that albumin interacts with a ubiqu...
Source: neuropathology blog - February 27, 2014 Category: Pathologists Tags: research trauma Source Type: blogs

The Trials of Parenting Teens with Mental Health Concerns
Perhaps the biggest problem of being a parent of an adolescent, particularly a teen that might be exhibiting symptoms of mental illness, is whether to consider your child’s behavior normal for the adolescent stage of life. For instance, your child is sleeping more than he used to. He hardly responds to your questions about his day at school, whereas he used to tell you in detail. He used to help with the yard afterschool. Now, every afternoon, he closes the door to his bedroom, hides away for hours, and remains glued to his Ipad. You begin to wonder about depression. But it’s not until you notice that his grade...
Source: Mental Nurse - February 27, 2014 Category: Nurses Authors: Author123 Tags: Mental health adolescent mental illness Parenting Teens Source Type: blogs

Good Autism Housing Takes Good Legislation: H.3364
Today at the Massachusetts State House there was a hearing on bill H. 3364, “An Act to promote housing creation for persons with disabilities.” The hearing room was full — although some of the audience were there for a different bill — and I was heartened by the size of the group. We were all parents but most also had a title and an autism organization they were representing. I was just me. The Autism Commission and Asperger’s Association of New England were represented, as was Autism Housing Pathways. Former State Rep Barbara L’Italien was there, and she is now (thankfully) running for ...
Source: Susan's Blog - February 26, 2014 Category: Autism Authors: Susan Senator Tags: Uncategorized Source Type: blogs

What is Life Coaching?
If you were to stop 100 people in the street and ask them what life is, you would probably get some strange looks, but I would imagine everybody would be able to give you an answer of some description. If you had too much time on your hands and you were to follow that up by asking them if they knew what a coach was, again most would be able to give you a satisfactory answer. So why do you think it is, that if you stopped 100 people and asked them to explain what Life Coaching is you would get more blank stares than if you asked the way to the gym at a Star Trek convention? You cannot get too many more obvious words than,&n...
Source: Life Coach Blog: The Discomfort Zone : - February 25, 2014 Category: Life Coaches Authors: Tim Brownson Tags: Life Coaching Source Type: blogs

How Stress Affects Mental Health
This study shows that the oligodendrocyte cells might play a key role in long-term changes to the brain that could lead to mental health problems. The researchers also believe that the stem cells which, due to chronic stress, are becoming myelin-producing cells rather than neurons, affect cognitive function, because it is the neurons that process and transmit the electrical information necessary for learning and memory skills. More research is required to verify these findings, including studying humans rather than rats, which the researchers have planned. However, this study provides important insight into why chronic str...
Source: World of Psychology - February 25, 2014 Category: Psychiatrists and Psychologists Authors: Marissa Maldonado Tags: Brain and Behavior General Mental Health and Wellness Research Stress brain connectivity Chronic Stress Hippocampus Oligodencdrocyte Cells PTSD Stress and Mental Health Source Type: blogs

Problem Found
An 8 year old girl was brought in for a psychiatric evaluation. The child’s mother had a laundry list of abnormal behavior in which the child was engaging. The child allegedly scratched the eyes out of all her dolls – except her stuffed cat, of course. The patient breaks glass on the bathroom floor so no one can use the bathroom. She also screams incessantly. Oh, and today she threatened to burn down the house. According to the patient’s mother, she was suffering from post-traumatic stress disorder after being beaten by her stepfather as an infant. Then, a couple of years ago, her pet kitten was found dea...
Source: WhiteCoat's Call Room - February 18, 2014 Category: Emergency Medicine Doctors Authors: WhiteCoat Tags: Patient Encounters Source Type: blogs

Karla Smith Foundation
Committing suicide is horrible.  It is a horrendous thing to think about someone not being around anymore, and not being able to see them anymore and not being a part of their lives.  Another thing that often goes unnoticed; however, is the ones suicide and grief will leave behind. The Karla Smith Foundation offers the following services to family members and friends of those affected by mental illness and suicide. Support groups for family members of those with mental illness, Support groups for families coping with suicide grief,  Peer-to-peer coaching, Free education materials, Public awareness events, a ...
Source: PsychSplash - February 17, 2014 Category: Psychiatrists and Psychologists Authors: Psych Central Resource Editor Tags: Anyone Articles Books Collaborative News Combat Stress Commentary and Blogs Consumers Depression Emotional Health Features For Newsletter Post Traumatic Stress Disorder Psychotherapy Resources Self-harm and suicide Social P Source Type: blogs

Sidran Institute
Sidran began in 1986 out of a family tragedy when a beloved family member who had been abused in childhood was subsequently diagnosed with serious, debilitating psychiatric problems and a related life-threatening medical disorder. Frustrated in their search for help for the complex needs of their family member at the time, the Sidran family convened professionals from a variety of disciplines, support program representatives, and national organizations to determine how they could best help their own loved one, and others. With each meeting it became apparent that gaps in basic understanding existed in service delivery, con...
Source: PsychSplash - February 10, 2014 Category: Psychiatrists and Psychologists Authors: Psych Central Resource Editor Tags: Anyone Articles Books Collaborative News Combat Stress Emotional Health Features For Foundation Website Group Management Links Military Newsletter Post Traumatic Stress Disorder Resources Social Support Societal or Organiza Source Type: blogs

Memories versus moments
The photos of me sniffing my babies are covered in dust, thick as carpet. I remember when life was like soup broth, thin and warm and full of good things, beauty, joie de vivre. Then came the great reduction, the splitting off of people and things and places and beliefs and safety. Life is kind of gravy right now, not in an easy way, I mean the food. It takes time and energy to produce but you don't need much gravy to live on. I've learned to live with less. I'm still learning to love with less.Through the fog of depression, love leaks out of me in long wails like a wolf at twilight. The children's happiness is as unr...
Source: Turquoise Gates - January 18, 2014 Category: Cancer Tags: affirmation child abuse fear feeling mindfulness mothering with PTSD Pain Source Type: blogs

Experimental Drug May Help PTSD
An experimental drug that may help PTSD is being studied at MIT’s Picower Institute for Learning and Memory. Scientist Li-Huei Tsai and colleagues are studying a drug that is classified as an HDAC2 inhibitor that acts to increase plasticity in the brain and allows the formation of powerful new memories that may override memories previously formed. The post Experimental Drug May Help PTSD appeared first on InsideSurgery Medical Information Blog. (Source: Inside Surgery)
Source: Inside Surgery - January 17, 2014 Category: Surgeons Authors: Editor Tags: Medical News Wire Trauma Surgery HDCA2 inhibitor Li Huei Tsai Picower Institute PTSD Source Type: blogs

Is Medicine Giving You PTSD?
I immediately noticed upon awakening that the intense jaw pain was gone.  I guess the TMJ was on hiatus.  Than I reached my hand down to my waist to make sure that the pager hadn't fallen off during sleep (as I do every morning); it wasn't there!  It took a few moments for me to remember that I had dispensed of it the day before.  For the first time in years, the buzzing, beeping, insistent mistress had been silenced.And the rest of the week has been just like this.  No headaches, no jaw pain.  When I see a patient for a visit there is no ringing or buzzing interrupting my thoughts.  Ther...
Source: In My Humble Opinion - January 7, 2014 Category: Family Physicians Authors: Jordan Grumet Source Type: blogs

Acceptance: OneWord365
"Radical acceptance is the willingness to experience ourselves and our lives as it is.”― Tara Brach, Radical Acceptance: Embracing Your Life With the Heart of a BuddhaI sing the words under my breath as the kids jam in the backseat: I'm friends with the monster that's under my bed, Get along with the voices inside of my head… I ask them about monsters, and they say they've never seen any. I wish I couldn't picture mine so clearly. It was next to my bed, not under it. Inside of my head now. I've internalized the voice of the abuser and trauma-driven self-talk rattles around on loop-repeat as my modus ope...
Source: Turquoise Gates - January 2, 2014 Category: Cancer Tags: #oneword acceptance change depression goals healing oneword365 PTSD radical acceptance sexual abuse trauma vision word for the year Source Type: blogs

The Year That Was 2013
As the year drew to a close, I was interviewed by many trade publications about the key themes that shaped 2013.   Here's my own version of the notable events of 2013.1.  Meaningful Use changed the EHR landscapeRegardless of your political affiliation, there is little debate that EHR adoption in the US achieved a tipping point in 2013.   Here are our Massachusetts statistics from the 2013 Massachusetts Medical Society surveyThe current overall percentage of EHR use is 79% (N=201, CI=5.6) and 82% of those using EHRs have had access to this technology for more than 2 years. Extrapolated to the estimated 18,000...
Source: Life as a Healthcare CIO - January 1, 2014 Category: Technology Consultants Source Type: blogs

How Can We Forget?
** This post is meant to be read in tandem with its more complimentary cousin, Electroconvulsive Therapy Impairs Memory Reconsolidation, at The Neurocomplimenter. **spECTrum 5000Q® ECT device (MECTA)Bad memories haunt a significant number of people with serious mental illnesses, such as chronic major depression and post-traumatic stress disorder (PTSD). If it were possible to undergo an experimental procedure that selectively impairs your memory for an extremely unpleasant event, would you do it? If this sounds like the plot of Eternal Sunshine of the Spotless Mind, you're not alone.A pet peeve of mine is reference to ...
Source: The Neurocritic - December 31, 2013 Category: Neurologists Source Type: blogs

Treating the nightmares associated with PTSD
A standard part of any psychiatric evaluation involves inquiring about a patient’s sleep.  Hidden in the answers that follow the basic question of, “How are you sleeping?” are the clues that are needed to  diagnose what is ailing the patient seeking help from me. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 29, 2013 Category: Family Physicians Tags: Conditions Psychiatry Source Type: blogs

Dismiss Simulation for Palliative Medicine Communication Training? Not So Fast
Conclusion While the results of this trial are disappointing, the negative results may reflect how challenging it is to study patient centered outcomes of educational interventions.  This study also gives us an opportunity to reflect on how to define the patients who benefit most from communication training interventions, when the benefit is most likely to occur, and which trainees/practitioners might be in the best position to receive the intervention.  No doubt, there are other interventions which may improve clinician communication in pivotal conversations, and we should also reflect on ways to improve the stu...
Source: Pallimed: A Hospice and Palliative Medicine Blog - December 23, 2013 Category: Palliative Carer Workers Authors: Lyle Fettig, MD Source Type: blogs

When Waking Up Becomes the Nightmare: Hypnopompic Hallucinatory Pain
In conclusion, to our knowledge this is the first report of a NREM parasomnia associated with painful paroxysms, for which we postulate the following underlying pathophysiological mechanism: an internal or external stimulus triggers arousal, facilitating the activation of innate motor pattern generators in the brainstem and activating somatosensory cortical areas to produce hypnopompic hallucinatory pain.So instead of the more typical visual hallucinations, the patient experiences pain hallucinations that originate.... where?? It seems to me that the sleep EEG could be analyzed more thoroughly, beyond merely ruling out sei...
Source: The Neurocritic - December 21, 2013 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs

Mental Health for Today’s Teens
Mental illnesses are affecting many people in modern society. Once reason is the fact that contemporary society focuses more on material things and less on building healthy relationships. Most parents of today are not connected with their children and are not aware on the events in the lives of their children. There is no doubt that teen years are the some of the best times in the lives of many people. There are a lot of things a teenager can enjoy; there are also a lot of challenges a teenage will have to face. When the mental health of a teenage is not stable, a number of problems occur. Unhealthy mental status of a teen...
Source: Mental Nurse - December 20, 2013 Category: Nurses Authors: Iqcguest Tags: Health and Fitness EHIC illnesses Mental Source Type: blogs

DePuy Synthes Brings Radial Head Prosthesis System to US Market
DePuy Synthes, a part of J&J, has launched the Radial Head Prosthesis System in the US for primary and revision joint replacement of the radial head to restore joint function. The system is also indicated for replacement of the radial head for degenerative or post traumatic disabilities, primary replacement after fracture of the radial head, for symptomatic episodes after radial head resection, and revision after unsuccessful radial head arthroplasty. The Radial Head Prothesis System has a modular two piece design consisting of a radial head and a radial stem that accommodate multiple patient anatomies. The radial...
Source: Medgadget - December 17, 2013 Category: Technology Consultants Authors: Gaurav Krishnamurthy Tags: Orthopedic Surgery Source Type: blogs

Saving Seven
My therapist makes me think about the little girl in me all the time. It took me 30 some years to admit that she even existed. I didn't want to be "stunted" by my abuse history. I wanted to be normal.The little girl in me is the part that comes out when I am afraid. She is a fierce protector. She has a notch in her belt for each of the brothers she saved from the filth of that woman. She has a notch in her belt for every time she laid herself down next to evil to prevent someone else from having to know that pain.Now it is time for her to get back up. It is time for her to walk away from the dark corners she's be...
Source: Turquoise Gates - December 13, 2013 Category: Cancer Tags: child abuse girls growing up healing PTSD therapy Source Type: blogs

Best of Our Blogs: December 10, 2013
In the age of the Selfie, how do we continue to navigate the world with more compassion, less selfishness and greater understanding? Author and TED Prize winner Karen Armstrong spoke with Oprah on Super Soul Sunday recently regarding compassion. She says, “The pain that lies behind a lot of anger is hardened into rage.” In response Winfrey says, “Not understanding another person’s pain…that pain turns into rage.” We think that the road to happiness and fulfillment is to fill our own cups. But the more we isolate and separate ourselves from others through unkindness, judgment and th...
Source: World of Psychology - December 10, 2013 Category: Psychiatrists and Psychologists Authors: Brandi-Ann Uyemura, M.A. Tags: Best of Our Blogs Anger Compassion Emotion Habit Karen Armstrong Nelson Mandela Posttraumatic Stress Disorder Rage social media social support Suffering The Psychology of Success Source Type: blogs

Can Laypeople Replace Psychologists, Psychiatrists in the Treatment of Depression?
I was recently intrigued by the claims made — and that went completely unchallenged — by Vikram Patel, a psychiatrist who was interviewed by Wired Science’s Greg Miller. I guess my expectations for something appearing on Wired should be readjusted. Patel claimed that specially-trained health professionals could provide enough care to people that they may be able to treat clinical depression successfully. (The article suggests these are the same as “laypeople,” but really, they’re not.) With skills learned in as little as 2 days. An amazing claim? You bet. One based in reality? Let&rsquo...
Source: World of Psychology - December 6, 2013 Category: Psychiatrists and Psychologists Authors: John M. Grohol, Psy.D. Tags: General Health-related Mental Health and Wellness Minding the Media Policy and Advocacy Psychology Psychotherapy Treatment America Clinical Psychology Cochrane Database Systematic Review Depression Depression (mood) Family Physic Source Type: blogs

Patient Modesty: Volume 60
Discussion Blog)
Source: Bioethics Discussion Blog - November 28, 2013 Category: Health Medicine and Bioethics Commentators Source Type: blogs

New Deep Brain Stimulation System Measures Neurotransmitter Release
In this study, the investigators will monitor extracellular neurotransmitter levels using a probe that is able to perform real time electrochemical detection during deep brain stimulation surgery. The overall question this study is designed to answer is: Are there neurotransmitters released during deep brain stimulation? Interestingly, the primary outcome measure is adenosine1 release recorded by WINCS, and the secondary outcome measure is dopamine release (pre-, during, and post-DBS, over a time frame of 30 min). Adenosine A2A antagonists may extend the duration of action of L-dopa, a primary treatment for PD. Preliminary...
Source: The Neurocritic - November 21, 2013 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs