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Making Measurement Count: The Importance of NQF
Physicians today have a love-hate relationship with quality performance measurement. We know we need quality measures, but measurement also can add administrative complexity. We want to make sure that the measures get us to our number one goal of improving patient care. Together, our organizations represent approximately 500,000 of the nation’s more than 800,000 practicing physicians. While each organization has a different clinical focus: family medicine, pediatrics, osteopathic medicine, internal medicine and psychiatry, we are united in our commitment to provide better, safer care for our patients. Quality measure...
Source: Health Affairs Blog - September 20, 2017 Category: Health Management Authors: Douglas Henley, Karen Remley, Darilyn Moyer, Adrienne White-Faines and Saul Levin Tags: Health Professionals Organization and Delivery Quality National Quality Forum quality measures Source Type: blogs

Men (back) at work
My father was ecstatic when he retired from the US Postal Service after 30 years. But it didn’t take long before he began to miss the packlike male bonding he took for granted: group lunches, team projects, water cooler banter. When they were gone, it left a big hole in his life. “Men acquire friends through shared experiences like sports, the military, and work,” says Dr. Richard S. Schwartz, a psychiatrist with Harvard-affiliated McLean Hospital. “When one source is eliminated, men tend to lose some of those friends over time and have to find other ways to connect with people and fill those missin...
Source: Harvard Health Blog - September 20, 2017 Category: Consumer Health News Authors: Matthew Solan Tags: Health Healthy Aging Men's Health Mental Health Source Type: blogs

Playing American football before age 12 is linked to long-term neuropsychiatric and cognitive problems
We examined the association between AFE to football and behavior, mood and cognition in a large cohort of former amateur and professional football players. The sample included 214 former football players without other contact sport history. Participants completed the Brief Test of Adult Cognition by Telephone (BTACT), and self-reported measures of executive function and behavioral regulation (Behavior Rating Inventory of Executive Function-Adult Version Metacognition Index (MI), Behavioral Regulation Index (BRI)), depression (Center for Epidemiologic Studies Depression Scale (CES-D)) and apathy (Apathy Evaluation Scale (AE...
Source: SharpBrains - September 20, 2017 Category: Neuroscience Authors: SharpBrains Tags: Cognitive Neuroscience Health & Wellness Technology American football depression executive-function neurological neurological problems neuropsychiatric tackle football Source Type: blogs

Neuroexistentialism: A Brain in Search of Meaning
[image fromHuth et al., 2016]No, not“meaning” in the semantic sense... “Neuroexistentialism” is the angst that some humans feel upon realizing that the mind and spirit have an entirely physical basis. At a personal level I don't understand all the hubbub, because I accepted thatmind = brain when I entered graduate school to study neuroscience. But for others:“Coming to terms with the neural basis of who we are can be very unnerving. It has been called“neuroexistentialism”, which really captures the essence of it. We ’re not in the habit of thinking about ourselves that w...
Source: The Neurocritic - September 19, 2017 Category: Neuroscience Authors: The Neurocritic Source Type: blogs

How to find joy in practicing medicine
My intern gazed blankly at her notes from the day. “You OK?” I asked. Her face was quivering with restrained tears as she turned to me, “I don’t think I helped anyone today.” This was not the first time, nor would it be the last time, that I had heard those words from a resident physician. Medical training is no joy ride. How could it be? First, there is the intellectual challenge of cramming knowledge into one’s brain and tempering it with good reasoning. Next, there is the physical toll of long hours in the hospital. Most challenging of all is the inescapable spiritual and moral distre...
Source: Kevin, M.D. - Medical Weblog - September 18, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/pranay-sinha" rel="tag" > Pranay Sinha, MD < /a > Tags: Physician Hospital-Based Medicine Psychiatry Residency Source Type: blogs

Psychology Around the Net: September 16, 2017
Hoping each of you is having the most amazing weekend — or, at least have plans for one! I also hope you enjoy these mental health stories for this week. From news about NASA bringing six people out of an eight-month isolation (what?!) to finding out which personality traits you share with the world’s richest people, how could you not? NASA Space Psychology Subjects Ending 8 Months of Isolation: On Sunday, six NASA research participants will re-enter civilization after spending eight months isolated on a large plain below the summit of the world’s largest active volcano in Hawaii — an area chosen f...
Source: World of Psychology - September 16, 2017 Category: Psychiatry & Psychology Authors: Alicia Sparks Tags: Anxiety and Panic Celebrities Children and Teens Depression Disorders Happiness Industrial and Workplace Mental Health and Wellness Personality Psychology Around the Net Research Treatment Women's Issues Annie McKee birth contr Source Type: blogs

Suicide Prevention: Next Steps
September is National Suicide Prevention month; focusing on the benefits of collaborations, Dr. Gordon outlines recent research results as well as future directions. (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - September 15, 2017 Category: Psychiatry Authors: Joshua Gordon Source Type: blogs

These Seem Like A Trial Or Two That Might Be Worthwhile – I Look Forward To The Outcomes!
This appeared last week.SMS suicide prevention trial announced in bid to save livesCameron Mee Published: September 10 2017 - 12:00AMSurvivors of suicide attempts will receive supportive text messages under a landmark trial that will be conducted by Sydney hospitals.The text messages will feature words of support and information about how to access help for patients for up to a year after their discharge. The trial will start at Westmead Hospital before expanding to Nepean and Blacktown hospitals and it is hoped that the new service will complement existing treatment options."At Westmead's emergency departme...
Source: Australian Health Information Technology - September 15, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Unpacking The Sanders Medicare-For-All Bill
On September 13, Senator Bernie Sanders (I-VT)—with 16 Democratic cosponsors—released the Medicare-For-All Act of 2017, intended to transition the American health care system to a single-payer system. In addition to the bill text, Senator Sanders released an executive summary, title summary, and white paper on financing options. The Act would establish the Universal Medicare Program (UMP) and, in doing so, make sweeping changes to the health care system. Once the UMP went into effect (for children, on January 1 of the first calendar year after the bill is enacted and three years later for adults), most benefits...
Source: Health Affairs Blog - September 14, 2017 Category: Health Management Authors: Katie Keith and Timothy Jost Tags: Following the ACA Insurance and Coverage Bernie Sanders single payer Source Type: blogs

Don ’ t Be Hard on Me! Explain Adult ADHD
Part of #ExplainAdultADHD.  A campaign to reduce the ignorance, misinformation, and stigma against adults with ADHD. Don’t Be Hard on Me! “As an adult with ADHD, I will always feel child-like and therefore feel like those in positions of authority (bosses, leaders, parents, elders) expect me to “grow out of” some of my symptoms. I wish they would embrace those qualities in me instead of trying to be “hard” on me- as surely I will be able to meet goals and please them due to my need to succeed, but inside I will feel depressed, angry, anxious, and stressed. If they knew how di...
Source: Adult ADD Strengths - September 14, 2017 Category: Psychiatry Authors: Pete Quily Tags: Explain Adult ADHD To Non-ADHD Adults Source Type: blogs

Stop exploiting medical students and residents
Approximately 300-400 physicians commit suicide annually. Given that a typical doctor has about 2,300 patients under his or her care, that means more than a million Americans will lose a physician to suicide this year. In a study of six medical schools, almost seven percent of students said they had thought of ending their lives in the last two weeks. In another recent study, 29 percent of residents suffered from significant symptoms of depression. And those symptoms escalated within a year of starting training. Medical students and physicians are raised in a culture where they are not allowed to show weakness or ask for h...
Source: Kevin, M.D. - Medical Weblog - September 13, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/samer-w-cabbabe" rel="tag" > Samer W. Cabbabe, MD < /a > Tags: Physician Hospital-Based Medicine Medications Residency Source Type: blogs

Codependency Is About Your Relationship with Yourself
To be acceptable to yourself and others, you hide who you are and become who you aren’t. Most people think of codependency as being in a relationship with a addicted partner. And though that was true in my own years of active drinking, when I got sober, I discovered that codependency is much more. Codependency is about the relationship you have with yourself. It’s a set of characteristics and patterns of behavior we develop to help us cope, typically from a childhood that revolved around (but not limited to) addiction, emotional instability and trauma, and physical or mental illness. The concept of codependenc...
Source: World of Psychology - September 13, 2017 Category: Psychiatry & Psychology Authors: Psych Central Staff Tags: Addiction Alcoholism Disorders Publishers Recovery Relationships Self-Esteem Substance Abuse The Fix Codependency Codependent Source Type: blogs

Hating on Antipsychotics: Are We Going Too Far?
(Source: The Carlat Psychiatry Blog)
Source: The Carlat Psychiatry Blog - September 12, 2017 Category: Psychiatry Tags: antipsychotics aripiprazole bupropion FDA Research Source Type: blogs

Explore the Future of Public Health & Brain Health with David Bartr és-Faz, PI of the Barcelona Brain Health Initiative
We’re happy to announce that David Bartrés-Faz, Principal Investigator of the new Barcelona Brain Health Initiative, will be speaking at the 2017 SharpBrains Virtual Summit (December 5-7th). The Barcelona Brain Health Initiative (BBHI) is a new research project promoted by the Institut Guttmann, with the support from members of Harvard Catalyst and Harvard Medical School, already recruiting over 3,000 healthy volunteers (without medical diagnosis of neurological disease or psychiatric condition) between 40 and 65 years old. During the next few years the BBHI study will study the specific st...
Source: SharpBrains - September 12, 2017 Category: Neuroscience Authors: Alvaro Fernandez Tags: Cognitive Neuroscience Health & Wellness Professional Development Technology Barcelona Brain Health Initiative Brain-health David Bartrés-Faz Institut Guttmann neurological public-health Source Type: blogs

Mentally well voice-hearers have a heightened ability to detect real speech
In this study, being explicitly primed to listen for speech didn’t benefit the voice-hearers any more than the controls, so something different seems to be going on compared with the detection of visual patterns in psychosis. The fMRI scans showed that, like the controls, the voice-hearers’ brains responded differently to potentially intelligible versus unintelligible sine-wave-speech. This suggests that voice-hearers aren’t biased to hear speech in any sound, but only when there is the possibility of a meaningful signal being present. The scans also revealed a key difference between the brain activity of...
Source: BPS RESEARCH DIGEST - September 12, 2017 Category: Psychiatry & Psychology Authors: BPS Research Digest Tags: Brain Mental health Perception Source Type: blogs

Trial By Error: The NICE “ Topic Expert ” Reports
By David Tuller, DrPH My first recent freedom of information request to the National Institute for Health and Care Excellence (NICE) was for information about the experts consulted in the current process of reviewing CG53, the 2007 guidance for the illness the agency calls chronic fatigue syndrome/myalgic encephalomyelitis. In its response, the agency explained that seven topic experts had been consulted in the process of preparing the surveillance document, which recommended leaving the guidance as is. (I have previously written about the NICE review process on CG53 here, here and here. My e-mail exchange with Sir Andrew...
Source: virology blog - September 11, 2017 Category: Virology Authors: David Tuller Tags: Uncategorized Source Type: blogs

Are doctors more like humans, animals or robots?
I was inspired a couple of weeks ago. Sitting at the WeWork facility in Northern Liberties, Philadelphia. I looked at the group of entrepreneurs, creatives and innovative thinkers sitting in front of me. What were we doing you might ask? Collaborating to help one another build our dreams. This is the epitome of the human experience. One of the topics that came up in conversation was the difference between a man and an animal. Jay, one of the members of our group, said it simply: “The main skill that humans have over animals is the ability to orate and tell stories.” Humans are special in that we can experience ...
Source: Kevin, M.D. - Medical Weblog - September 10, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/taylor-brana" rel="tag" > Taylor Brana, DO < /a > Tags: Education Medical school Primary Care Psychiatry Source Type: blogs

Hurricane Irma: A Chance to Lock up the Homeless in Miami
You know how so many people pull together in a natural disaster, treating each other with more kindness, care, and pitching in to help? While hunkering down here in the path of the hurricane approaching Fort Myers, Florida, I’ve seen many people lending a hand helping strangers. It’s been very heartwarming. But I’ve also seen a darker side here in Florida. Some officials have discovered that Hurricane Irma is a different kind of opportunity — to clear the homeless from the streets of Miami. Police, working in conjunction with an activist group and a handful of mental health professionals, are giving...
Source: World of Psychology - September 9, 2017 Category: Psychiatry & Psychology Authors: John M. Grohol, Psy.D. Tags: Criminal Justice General Mental Health and Wellness Policy and Advocacy Trauma Baker act homeless and mental illness Homeless People homeless rights hurricane irma Natural Disaster Source Type: blogs

Psychology Around the Net: September 9, 2017
Happy Saturday! This week’s Psychology Around the Net focuses on some professional insight on mental health apps, why pet therapy programs are worth it, the kinds of interventions that can prevent anxiety disorders, and more. Should You Trust an App for Mental Health Help? Mental health apps have been on the rise for a while (I’ve mentioned them several times in past posts), but now we’re getting some information from studies and expert organizations. For example, information from the U.K.’s University of Bolton suggests using mobile health interventions “shows promising and emerging efficacy...
Source: World of Psychology - September 9, 2017 Category: Psychiatry & Psychology Authors: Alicia Sparks Tags: Anxiety and Panic Brain and Behavior Disorders Psychology Psychology Around the Net Relationships Research Schizophrenia Technology Treatment behavioral intervention Beth L. Murphy Brian Ogolsky education intervention JAMA Psyc Source Type: blogs

“She Can’t Help The Choices She Makes”
STUDENT VOICES | CHYNN PRIZE FIRST-PLACE WINNER By Madeleine Cardona I will never forget the day my mother got diagnosed. I could swear that just yesterday I was thirteen years old waiting anxiously to be called in from the waiting room of some fancy New York State doctor’s office. I was young, but I had … More “She Can’t Help The Choices She Makes” (Source: blog.bioethics.net)
Source: blog.bioethics.net - September 8, 2017 Category: Medical Ethics Authors: Ethics and Society Tags: Ethics Health Care Informed Consent Justice autonomy beneficence bioethics Chynn Prize Common Rule Fordham University Center for Ethics Education Fordham University Student Voices mental health mental health research psychiatry Source Type: blogs

Physicians Can Help Stop Teen Drug and Alcohol Abuse
By James Baker, MD Austin Psychiatrist Member, TMA Council on Science and Public Health It takes a community to prevent adolescent substance abuse, and physicians can play an important part in... [[ This is a content summary only. Visit my website for full links, other content, and more! ]] (Source: TMA Blogged Arteries)
Source: TMA Blogged Arteries - September 8, 2017 Category: Health Management Authors: Me and My Doctor Source Type: blogs

7 ways for doctors to stay safe at work
Being a health care provider has always come with personal risk. We care for all patients, which includes patients agitated due to psychiatric issues, dementia, acute medical illness, alcohol or drug intoxication or just anger. Patients can be extremely volatile and lash out unexpectedly causing physical injury to their doctor, nurse or another provider. Besides the physical risk, patients can be emotionally and verbally abusive as well- and both types of violence take their toll. Workplace violence is on the rise, and OSHA reports indicate that only 70 percent of violent encounters are ever reported upwards to a superviso...
Source: Kevin, M.D. - Medical Weblog - September 7, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/jenny-hartsock" rel="tag" > Jenny Hartsock, MD < /a > Tags: Physician Emergency Medicine Hospital-Based Medicine Primary Care Source Type: blogs

For a long, happy career, be more than just a doctor
“You’re a doctor; focus on being a doctor.” This piece of advice was recently given to me by my own father, in regards to my multiple ambitions outside of the medical field. He himself only recently retired from a long career as a surgeon, so his opinion is the result of years of experience. His advice got me thinking. What makes for career longevity in our field? Statistics show that more than half of physicians experience symptoms of burnout at some point, and some studies show that over 50 percent of physicians wouldn’t recommend the profession to their children. Those are some tough numbers, and...
Source: Kevin, M.D. - Medical Weblog - September 7, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/passive-income-md" rel="tag" > Passive Income, MD < /a > Tags: Physician Psychiatry Public Health & Policy Source Type: blogs

Podcast: How Can You Calm an Agitated Person?
In this episode of the Psych Central Show, hosts Gabe Howard and Vincent M. Wales speak with guest Dr. Scott Zeller, renowned psychiatric emergency services physician and expert on agitation. Dr. Zeller explains exactly what agitation means, in the medical setting, and how it differs from other states, such as violence. He dispels a few myths about agitation, and explains how the use of physical restraints and sedation are the wrong approach in almost all situations. Most importantly, he speaks on how common agitation is, even outside the medical setting, and how anyone can learn to de-escalate the emotions of someone...
Source: World of Psychology - September 7, 2017 Category: Psychiatry & Psychology Authors: Gabe Howard Tags: Agitation General Stress The Psych Central Show Source Type: blogs

Virtual Reality Used to Study Origin of Fear and Anxiety
Our irrational fears are both very real and are also figments of our imagination. By manipulating what we think of as reality, researchers at Stanford University are working to understand the source of our anxieties and how to alleviate them. In order to do so, they built a virtual reality chamber where one’s fears can be generated by a computer. In 1984, the book, this was done in a special room as well, but with real objects of fear and for opposite reasons. The hope is that by being able to induce a state of fear we can better understand how are brains are built and how we decide to act challenging envir...
Source: Medgadget - September 6, 2017 Category: Medical Devices Authors: Editors Tags: Psychiatry Source Type: blogs

We're Diagnosing Like It's 1799
(Source: The Carlat Psychiatry Blog)
Source: The Carlat Psychiatry Blog - September 6, 2017 Category: Psychiatry Source Type: blogs

New technology might help us become more empathetic to others ’ suffering
Tele-empathy is not being empathetic over the phone. It is not crying in the sad parts of your favorite TV show. It is not beaming empathetic thoughts magically across time and space. No, tele-empathy is a technology. I should rather say, it’s a group of technologies recently being created to increase the empathy of health care providers. “This is rich,” you might say coming from an industry that brought us electronic medical records, automated “help desks,” and robocallers. Sandeep Juhar, a writer for the New York Times, tried out one of these devices, one that simulates the uncontrollable sh...
Source: Kevin, M.D. - Medical Weblog - September 6, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/shirie-leng" rel="tag" > Shirie Leng, MD < /a > Tags: Tech Hospital-Based Medicine Primary Care Source Type: blogs

Dr. Tom Insel and 12 other world-class brain experts confirmed to Speak @ 2017 SharpBrains Virtual Summit (December 5-7th, 2017)
_______ We are proud to share what’s already shaping up to be a quite spectacular and unique Speaking Roster at the 2017 SharpBrains Virtual Summit, starting with Thomas R. lnsel, MD, a psychiatrist, neuroscientist, and currently a co-founder and President of Mindstrong Health. From 2002-2015, Dr. Insel served as Director of the National Institute of Mental Health (NIMH), the component of the National Institutes of Health (NIH) committed to research on mental disorders. Prior to serving as NIMH Director, Dr. lnsel was Professor of Psychiatry at Emory University where he was founding director of the Center for Be...
Source: SharpBrains - September 6, 2017 Category: Neuroscience Authors: SharpBrains Tags: Cognitive Neuroscience Health & Wellness Technology AARP Akili Interactive Labs Barcelona Brain Health Initiative Beth Israel Deaconess Medical Center Digital Cognition Technologies Global Council on Brain Health Interaxon Mindstrong H Source Type: blogs

3 unconscious things you might be doing that affect your patients
Patient psychology is increasingly recognized as an important contributor to health outcomes. What patients believe about their health and their providers can significantly affect their initiative and their adherence. It is important to recognize that factors that appear to be unrelated to medical care can influence feelings about that care, as well as outcomes. The reason this occurs is that the brain is not designed to parse out each element of an experience and rationally consider which aspects of the experience are relevant for the decision at hand. Instead, we unconsciously integrate our assessments of different parts...
Source: Kevin, M.D. - Medical Weblog - September 6, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/nisha-cooch" rel="tag" > Nisha Cooch, PhD < /a > Tags: Conditions Neurology Primary Care Source Type: blogs

Health Affairs New Issue: Market Concentration
The September issue of Health Affairs includes a group of studies examining different aspects of health care markets: market concentration, preserving competition, and provider networks. Other September studies provide updates on Affordable Care Act (ACA) coverage. The issue was supported in part by The Commonwealth Fund, which provided funding for the studies on market concentration. Insurers drive down hospital and physician prices The rapid pace of consolidation in health care markets has continued: From 1998 to 2015, there were 1,412 US hospital mergers, with 40 percent of them after 2009. To examine how provider and i...
Source: Health Affairs Blog - September 5, 2017 Category: Health Management Authors: Health Affairs Tags: Elsewhere@ Health Affairs journal Source Type: blogs

Tips on Coping with Emotions at Work
        In this short video clip from the Chrissy B. Show, the UK’s only TV show focussed on mental health and wellbeing topics, Chrissy shares tips on how to handle difficult emotions in the workplace. In “Too Emotional at Work? Here’s 5 Ways to Cope” Chrissy gets straight to it and goes over five practical, useful tips for better mental health in the workplace. She starts with the basics of self-care – nutrition, exercise, and getting enough sleep – and moves on to discuss things like how to handle an emotional crisis. The Chrissy B. Show is an excellent TV product...
Source: Channel N - September 5, 2017 Category: Psychiatry Authors: sandra at psychcentral.com (Sandra Kiume) Tags: All Documentary brain mental health psychology TV video workplace Source Type: blogs

A way to stop social isolation? Beer.
On our first night in Dublin, my mother and I head straight to a pub. We sit at a table across the room from a cheerful woman who looks to be in her eighties. It doesn’t take her long to walk across the room and join us. She grasps her pint of beer and takes a long gulp. We learn that her name is Mary and she welcomes us with céad míle fáilte, Gaelic for “one hundred thousand welcomes.” A man on stage with a guitar alternates between playing traditional Irish songs and nineties grunge tunes. “This one goes out to Mary,” says the musician. A smile lights up her face as the ...
Source: Kevin, M.D. - Medical Weblog - September 5, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/sarah-fraser" rel="tag" > Sarah Fraser, MD < /a > Tags: Physician Primary Care Psychiatry Source Type: blogs

My Friends in High Places on the HHS's Interdepartmental Serious Mental Illness Coordinating Committee
Move over, there's a new federal mental health committee in town.  The department of Health and Human Services has formed theInterdepartmental Serious Mental Illness Coordinating Committee.  My friends Pete Earley and Elyn Saks are both on the committee, and Pete has beenbloggingabout the committee for a couple of weeks now-- the good, the bad, the ranting, and the missed opportunities after the first day of meetings last week.  You'll be pleased to know that I didn't miss the opportunity to put in one of my concerns: I emailed Pete and Elyn to tell them how pre-authorization for medications is having a nega...
Source: Shrink Rap - September 5, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Physician, heal thyself. With help.
Doctors see firsthand the toll that today’s increasingly stressful society takes on patients: Engineers, office managers, teachers, you name it. Work demands have increased, as has multitasking. Pressures outside the workplace add additional stress. Often, parents chauffeuring children to multiple activities must also care for aging parents with increasing needs. Electronic devices, always in hand or close by, command our attention (due to work or personal needs, sometimes simultaneously). Finding a moment to catch one’s breath is as difficult as getting enough sleep. Doctors also see stress mounting in the mir...
Source: Kevin, M.D. - Medical Weblog - September 4, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/manish-naik" rel="tag" > Manish Naik, MD < /a > Tags: Physician Health IT Primary Care Psychiatry Source Type: blogs

American Association for Geriatric Psychiatry (AAGP)
The American Association for Geriatric Psychiatry is a national association representing and serving its members and the field of geriatric psychiatry. AAGP promotes the mental health and well-being of older people through professional education, public advocacy, and support of career development for clinicians, educators, and researchers in geriatric psychiatry and mental health. The American Association for Geriatric Psychiatry (AAGP) is the only national association that has products, activities and publications, which focus exclusively on the challenges of geriatric psychiatry. Practitioners, researchers, educators, st...
Source: PsychSplash - September 4, 2017 Category: Psychiatry & Psychology Authors: Clyde Tags: Articles Books Clinicians Collaborative News Community and Social Networking Conferences Features For Foundation Website General Psychology Group Management Information Journals Mental Health Pharmacological treatments Pharma Source Type: blogs

Living with Schizoaffective Disorder: Myths, Facts, and Prospects
When I was about 22 years old, I was diagnosed with schizoaffective disorder bipolar type. I am 29 years old now, and still puzzled — What exactly constitutes schizoaffective disorder? Moreover, is the illness itself a diagnostic myth or a fact? No one wants to be labeled schizophrenic or even bipolar, but to be labeled schizoaffective — Is that a “worse” diagnosis or a “better” one? In the DSM-5, schizoaffective disorder is defined as “an uninterrupted period of illness during which there is a major mood episode (major depressive or manic) concurrent with criterion A of schizophre...
Source: World of Psychology - September 4, 2017 Category: Psychiatry & Psychology Authors: Alexander Crawford Tags: Antipsychotic Medications Peer Support Personal Psychology Schizophrenia Stigma Treatment Coping Delusions Misdiagnosis Mood Disorder Mood Swings Paranoia Psychosis psychotic episode Schizoaffective Disorder Source Type: blogs

The hidden crisis within the health care crisis
My first year after completing surgical residency was exhilarating and exhausting an experience most physicians will recall as part of their training. The American medical culture has imagined that the nation’s doctors — no matter their workload — simply don’t reach physical or emotional exhaustion in their work. But they do, and as we debate the future of healthcare in our country, we need to address this problem and quickly get to solutions, helping ensure that the practitioners closest to tomorrow’s patients can always be at their absolute best. To define the problem, look at the three fund...
Source: Kevin, M.D. - Medical Weblog - September 4, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/todd-j-albert" rel="tag" > Todd J. Albert, MD < /a > Tags: Physician Hospital-Based Medicine Orthopedics Psychiatry Surgery Source Type: blogs

Please stop touching me: A message to Dr. Handsy
A female friend, who is not a physician, recently asked me, “Do you find that, in your position, men treat you differently? Meaning, do they show you the same kind of respect that they show their male colleagues?” The group of medical directors were seated around the table. The meeting was supposed to go on for six hours. While I was not the only female in the room, I was the only female medical director in that cohort. Around hour two, the medical director seated to my right, a man with whom I had no relationship, made an emphatic statement to the group. While doing so, he leaned over and grasped my bare right...
Source: Kevin, M.D. - Medical Weblog - September 3, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/maria-yang" rel="tag" > Maria Yang, MD < /a > Tags: Physician Primary Care Psychiatry Source Type: blogs

Pleasure from Someone Else ’s Pain
When I hear a word not commonly used in my vernacular twice in a period of a few days, I know I need not wait for a third time to explore the concept. Schadenfreude (pronounced ‘shade n froid’) which comes from German and originates from the words ‘harm’ and ‘joy. It is defined as, “enjoyment obtained from the troubles of others.” Chances are, you know someone who indulges in this practice, or perhaps, you do so yourself. It may seem like human nature to wish ill will on someone who wreaks havoc or does harm to others. As much as I am aware that cause and effect ultimately occurs,...
Source: World of Psychology - September 1, 2017 Category: Psychiatry & Psychology Authors: Edie Weinstein, MSW, LSW Tags: Family Friends Happiness Mindfulness Minding the Media Relationships Self-Esteem Bigotry Charlottesville Compassion Empathy fear of terrorism Mass murder Politics Racism white nationalism white supremacy Source Type: blogs

Neuropace Epileptic Seizure Control System: Interview with Dr. Martha Morrell, CMO of NeuroPace
People with certain types of epilepsy may have the option to use a therapy that doesn’t include drugs. The RNS system from Neuropace, a company out of Mountain View, California, monitors the brain for signs of an oncoming seizure and stimulates it to disrupt the process. It has been approved in the U.S. for about four years now, and we wanted to find more about how it works and how it’s being used. We had a chance to speak with Dr. Martha Morrell, Chief Medical Officer of NeuroPace, who was kind enough to answer our questions. Medgadget: The NeuroPace RNS system has shown to be effective at reducing seizur...
Source: Medgadget - August 31, 2017 Category: Medical Devices Authors: Editors Tags: Exclusive Neurology Neurosurgery Psychiatry Source Type: blogs

The deception at the heart of physician burnout #SustainableDocs
We have believed a lie to prop up an increasingly untenable system. We have behaved as if we could safely put our emotions aside to do our jobs at no substantial cost to ourselves in the process.  We’ve all heard the admonishments. “I don’t want my surgeon crying in the operating room.  He needs to leave those emotions outside.” Or: “This is just the way medicine is now.  It has nothing to do with your feelings.” Or: “Don’t bring that “stuff” home.” Continue reading ... Your patients are rating you online: How to respond. Manage your online r...
Source: Kevin, M.D. - Medical Weblog - August 31, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/dehra-harris-and-anne-glowinski" rel="tag" > Dehra Harris, MD  and Anne Glowinski, MD < /a > Tags: Physician Hospital-Based Medicine Primary Care Psychiatry Source Type: blogs

Have You Ever Spent 72 Hours Behind Locked Doors?
Note: Trigger alert for those who may themselves have been hospitalized. A question that strikes fear in the hearts of many who could not conceive of a mental health crisis and an all too real experience for numerous people in the United States. Involuntary commitment is defined as: “a legal process through which an individual who is deemed by a qualified agent to have symptoms of severe mental disorder is court-ordered into treatment in a psychiatric hospital (inpatient) or in the community (outpatient).” In Florida, it is referred to as the Baker Act, so named for Representative Maxine Ba...
Source: World of Psychology - August 31, 2017 Category: Psychiatry & Psychology Authors: Edie Weinstein, MSW, LSW Tags: Inspiration & Hope Motivation and Inspiration Peer Support Technology Hospitalization Inpatient Care Involuntary commitment Mental Health Mental Illness Psychiatric Hospital simulation Stigma virtual reality Source Type: blogs

Medicaid Coverage For Residential Substance Use Disorder Treatment: Addressing The Institution For Mental Disease Exclusion Policy
This article was informed and adapted from a proprietary report created for the Medicaid Evidence-based Decisions Project (MED), a self-governing collaborative of 19 state Medicaid agencies, supported by the Center for Evidence-based Policy (the Center) at Oregon Health and Science University. The Center produces evidence and policy reports requested by the MED collaborative to help state policy makers make evidence-based decisions for improving health outcomes. For more information about MED or the Center, please call (503) 494-2182 or visit centerforevidencebasedpolicy.org. This report was approved for publication by the...
Source: Health Affairs Blog - August 31, 2017 Category: Health Management Authors: Kelsey C. Priest, Allison W. Leof, Dennis McCarty and Valerie King Tags: Insurance and Coverage Medicaid and CHIP Population Health Institution for Mental Disease exclusion policy opioid crisis Section 1115 waiver substance use disorder substance use disorder treatment Source Type: blogs

Ecstasy for PTSD: Some Background
(Source: The Carlat Psychiatry Blog)
Source: The Carlat Psychiatry Blog - August 29, 2017 Category: Psychiatry Source Type: blogs

Lyra Health and Welkin Health Announce New Partnership to Improve Employee Access to Behavioral Health Services [Interview]
Earlier this year we shared news of a partnership between Welkin Health, a technology platform on which organizations can build their own digital therapeutic solutions, and Common Sensing, developers of the Gocap, a dose-capturing insulin pen cap, to evolve the paradigm of at-home diabetes management. Recently, Welkin Health announced a new partnership with Lyra Health to provide businesses with high quality behavioral health services for their employees and family members. Welkin’s modular case management platform captures health information and facilitates communication between patients and providers. Thr...
Source: Medgadget - August 29, 2017 Category: Medical Devices Authors: Michael Batista Tags: Exclusive Psychiatry Public Health Source Type: blogs

The New Normal
“On a scale of 1-10, how do you feel?” It’s a question that most psychiatrists ask when assessing mood and medication maintenance. The scale is used to monitor feelings of anxiety, depression and other mental health issues. A patient’s response is the main test used for treatment. But if 1 means that a person feels ecstatic, and 10 means they are suicidal, what is a 6 or a 3? What happens if a patient feels like something is wrong, but nothing has happened? Or if they can’t stop crying since their dog died last week? How much of an impact do average issues have? Are they really feeling an 8 or...
Source: World of Psychology - August 29, 2017 Category: Psychiatry & Psychology Authors: Rebecca Lee Tags: Anxiety and Panic Depression Psychotherapy Treatment Mood Disorder Psychiatric Treatment Psychology Worry Source Type: blogs

Will bots replace docs?
In days of yore, people in distress usually turned to family, friends and occasionally the clergy for help but for many years now, much of the burden of dealing with human misery has been transferred to medical professionals. Going forward and given that the iPhone and social media are ubiquitous in the daily lives of most of us, it is probably no surprise that the latest psychological support system comes in the form of a chatbot. For a modest fee and the use of Facebook messenger, individuals with anxiety or depression can now access the wonderfully named Woebot — a chatbot “you can tell anything to” th...
Source: Kevin, M.D. - Medical Weblog - August 29, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/david-kerr" rel="tag" > David Kerr, MD < /a > Tags: Tech Primary Care Psychiatry Source Type: blogs

“That’s crazy”: Stop using psychiatric words as insults
Words matter. At some point, we all may have casually tossed a psychiatric adjective to describe a situation or person. There is usually no malicious intent behind the use of these colloquialisms. However, during these strange and unprecedented political times, psychiatric terms seem to be thrown around more so by those trying to paint a picture of current prominent figures. A late-night show host referred to someone as “being off his meds.” A former White House official used the term “paranoid schizophrenic” to describe an adversary. Whether being used humorously or not, these phrases have the pote...
Source: Kevin, M.D. - Medical Weblog - August 29, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/smitha-murthy" rel="tag" > Smitha Murthy, MD < /a > Tags: Conditions Psychiatry Washington Watch Source Type: blogs

A patient becomes the teacher
It was an ordinary day in clinic — I had gotten very behind schedule when a 90-year-old gentleman, who was in for his third visit in a month related to falls, came in with his equally frail wife. We had to spend extra time discussing his placement in a nursing home for safety concerns. I hastily entered the room of a 46-year-old attractive female, who was here to meet me as her new doctor. As I went through her medical history, a pervasive theme emerged, which was anxiety and insomnia. I realized I was zoning out, going through the motions and thinking if I had a nickel for every anxious and non-sleeping perimenopaus...
Source: Kevin, M.D. - Medical Weblog - August 28, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/melanie-mcminn" rel="tag" > Melanie McMinn, MD < /a > Tags: Physician Pediatrics Primary Care Psychiatry Source Type: blogs

Summer Reading
Dr. Gordon offers highlights of his summer reading in science and literature. (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - August 28, 2017 Category: Psychiatry Authors: Joshua Gordon Source Type: blogs