" Strike Two " : A Pediatrician's " Dance " with Alan Levine/Ballad Health - And WHY We Need Federal Medical Whistle-blower Protection For ALL Healthcare " Workers " NOW
This is the story of how government failed me as a Pediatrician - for the second time.  The saddest thing of all is that there is a " Strike Three " .  Nobody cares about Pediatrics - or Pediatricians.  They haven ' t for a very long time.  This is a long post.  Don ' t whine about it.  Read it. CARE that somebody trying to stand up for your children lived it - and not for the first time.Twenty-two years ago, the morally-bankrupt executives of my now fiscally-bankrupt hometown hospital (in Asheboro, North Carolina) railroaded me out of town . . . after I intervened in a nursery case being...
Source: Dr.J's HouseCalls - May 12, 2020 Category: American Health Tags: Alan Levine Ballad Health Cooperative Agreement COPA ETSU Medical Whistle-blower Pediatric Hospitalist Ralph Northam Randolph Hospital Tennessee Department of Health Virginia Department of Health Source Type: blogs

Want to Stem the Rising Mental Health Crisis? Look Beyond the Usual Suspects for Help
As the COVID-19 pandemic and its economic effects spread, concerns about mental health impacts continue to grow. For example, we worry for health and human services professionals whose duties involve higher risk for trauma exposure and post-traumatic stress. Reports of global increases in family violence also suggest that there will be many violence victims and witnesses in need of mental health support. Add to this the potential effects of social isolation, health-related anxiety, and that these mental health problems may persist and worsen long after society goes back to “normal.” And this is all happening as the Uni...
Source: World of Psychology - May 11, 2020 Category: Psychiatry & Psychology Authors: Lynsay Ayer, Ph.D. & Clare Stevens, M.P.H. Tags: Mental Health and Wellness Psychology Stress Suicide coronavirus COVID-19 Depression pandemic Task sharing Source Type: blogs

A Tribute to My Colleagues and All Those Working in Mental Health
During a time when the world is focused on the current COVID-19 pandemic, a physical health crisis, and all those treating the physical symptoms of this pandemic, we must not forget those who are working to treat the mental health of our nation: the mental health workers. The force of mental health workers includes nurses, counselors, social workers, physicians, and others. These individuals may not be intubating, but ask if they are implementing life-saving tactics and administering life-saving medication and the answer will be a resounding yes.  You may ask yourself what are these life-saving tactics and medications. Th...
Source: World of Psychology - May 9, 2020 Category: Psychiatry & Psychology Authors: Kristin Pitman, Psy.D., LPC Tags: General Psychotherapy Suicide Treatment coronavirus COVID-19 Mental Health Care Providers Source Type: blogs

A Stay-at-Home Self-Analysis
I woke up a few days ago and forgave myself. For everything. It was ok to be me and every decision I had made, good or bad, was part of my upbringing, environment and genetic make-up. It’s ok that I am anxious and battle addictions. The stay at home order has enabled me to think, to analyze and to let go. I loved my parents, but boy, were they characters. My handsome Italian father, was obsessed with his weight and being a golf pro at a club on the south side of Chicago. That was his persona, his life, his true love. Playing golf, schmoozing and interacting with people who had a lot more money than he ever would have. Th...
Source: World of Psychology - May 8, 2020 Category: Psychiatry & Psychology Authors: Felicia Carparelli Tags: Abuse Addiction Anger Inspiration & Hope Personal Recovery Addiction Recovery Anger Management coronavirus COVID-19 Divorce Forgiveness pandemic Personal Growth Self-reflection Substance Abuse Source Type: blogs

Minimizing your Risk of PTSD from COVID-19
I was recently asked if I thought the pandemic is a national trauma. The answer is a simple “Yes.” By the standards of the DSM-5 (Diagnostic and Statistical Manual), the volume used by mental health professionals to guide diagnosis and treatment, the COVID-19 pandemic meets the criteria for trauma. Not all stressful events meet those criteria. The DSM-5 definition of trauma requires “actual or threatened death, serious injury, or sexual violence” (italics mine). Stressful events not involving an immediate threat to life or physical injury (such as a divorce or job loss) are not considered trauma in this definitio...
Source: World of Psychology - May 4, 2020 Category: Psychiatry & Psychology Authors: Marie Hartwell-Walker, Ed.D. Tags: Psychology PTSD Self-Help coronavirus COVID-19 pandemic social distancing Trauma Source Type: blogs

Substance Use Disorder in the United States
About 23 million people living in the United States have an addiction of some...The postSubstance Use Disorder in the United States appeared first onCliffside Malibu. (Source: Cliffside Malibu)
Source: Cliffside Malibu - May 1, 2020 Category: Addiction Authors: Jaclyn Uloth Tags: Substance Abuse substance abuse care substance abuse problems substance abuse treatment substance abuse treatment facility Source Type: blogs

Why People Aren ’t Talking About Substance Use Disorder
Why People Don’t Talk about Substance Use Disorder Substance use disorder can be a difficult topic for many individuals. Depending on...The postWhy People Aren’t Talking About Substance Use Disorder appeared first onCliffside Malibu. (Source: Cliffside Malibu)
Source: Cliffside Malibu - May 1, 2020 Category: Addiction Authors: Jaclyn Uloth Tags: Addiction Addiction Recovery Substance Abuse substance absuse substance abuse care substance abuse treatment substance abuse treatment facility Source Type: blogs

Wait, Other People Don ’ t Think about Suicide?
The most startling thing I’ve heard in my life is that not everyone thinks about suicide every day. Or now and then. Or even once in a long while. Can that be? I heard this from a co-worker a while ago. We were collaborating on a dreary project, and I joked about it being the kind of work that makes you want to kill yourself and what a relief that would be. “I know, right?” I expected her to say. Instead, she chuckled uncomfortably, then asked if I really thought that way. When I said yes, she was taken aback and a little disbelieving. “You never have?” I asked. “Of course not!” I was taken aback. And a littl...
Source: World of Psychology - April 28, 2020 Category: Psychiatry & Psychology Authors: Rich Pliskin Tags: Personal Suicide Depression Suicidal Thoughts Source Type: blogs

The Case against Homeschool Regulation
Kerry McDonaldEven as overone billion students around the world endure unchosen school ‐​at‐​home during the COVID-19 pandemic, interest in authentic homeschooling has grown. A newsurvey by EdChoice found that more than half of respondents have a more favorable view of homeschooling as a result of this global health crisis, while 26 percent have a less favorable view. As a homeschooling mother of four children and author ofUnschooled: Raising Curious, Well ‐​Educated Children Outside the Conventional Classroom, I can confidently say that what we are all experiencing now, being stuc...
Source: Cato-at-liberty - April 24, 2020 Category: American Health Authors: Kerry McDonald Source Type: blogs

Substance Use Disorder in Adolescence
The teenage years of life tend to be some of the most stressful years. Between lowered...The postSubstance Use Disorder in Adolescence appeared first onCliffside Malibu. (Source: Cliffside Malibu)
Source: Cliffside Malibu - April 24, 2020 Category: Addiction Authors: Jaclyn Uloth Tags: Addiction Recovery Addiction Stories Children Teenagers adolescence adolescent health substance abuse teens Source Type: blogs

Substance Use Disorder with a Disability
Substance use disorder knows no bounds and that includes individuals who have a disability. Having...The postSubstance Use Disorder with a Disability appeared first onCliffside Malibu. (Source: Cliffside Malibu)
Source: Cliffside Malibu - April 24, 2020 Category: Addiction Authors: Jaclyn Uloth Tags: Addiction Addiction Recovery Addiction to Pharmaceuticals disability disabled substance abuse substance abuse treatment Source Type: blogs

COVID-19: Keys to Long-term Recovery
The COVID-19 virus has impacted and will continue to impact every aspect of our lives. Fortunately, we can get a head start on successful recovery from these effects by taking lessons from people who are grieving and those who are battling substance abuse. At first glance, this may seem an unusual comparison. Maybe losing loved ones to the pandemic ties into grief support, but how can economic and social turmoil be calmed by that? How can sobriety, long-term or not, be remotely related to any of these subjects? It turns out the three are closely related in coping strategies and systematic approaches required for our world...
Source: World of Psychology - April 23, 2020 Category: Psychiatry & Psychology Authors: Jan McDaniel Tags: Anxiety and Panic General Substance Abuse coronavirus COVID-19 pandemic Source Type: blogs

Provide Emotional Personal Protective Equipment (PPE) for Physicians Facing Psychological Trauma From the COVID-19 Crisis
By SUZAN SONG MD, MPH, PhD The U.S. now has the highest number of COVID-related deaths in the world, with exhausted, frightened physicians managing the front lines. We need not only medical supplies but also emotional personal protective equipment (PPE) against the psychological burden of the pandemic. As a psychiatrist, my role in COVID-19 has included that of a therapist for my colleagues. I helped start Physician Support Line, a peer-to-peer hotline for physicians staffed by more than 500 volunteer psychiatrists. Through the hotline and social media, physicians are revealing their emotional fatigue. One doctor sh...
Source: The Health Care Blog - April 21, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Health Policy coronavirus Mental Health Pandemic Psychology Source Type: blogs

Scores predicting bleeding risk in AF
Anticoagulation is vital for reducing the risk of stroke in atrial fibrillation (AF). There are several scores predicting bleeding risk in AF. These can be used to weigh between the need for anticoagulation and the risk of bleeding with it while taking an individualised decision. HAS-BLED: Hypertension, Abnormal liver or renal function, Stroke, Bleeding, Labile INRs, Elderly (>65 years), Drugs or Ethanol Abuse HEMORR2HAGES: (Hepatic or Renal Disease, Ethanol Abuse, Malignancy History, Older than age 75, Reduced platelet count or function, Rebleeding risk, Hypertension, Anemia, Genetic factors (CYP2C9 single nucleotide ...
Source: Cardiophile MD - April 14, 2020 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiology Source Type: blogs

Podcast: Setting Boundaries With Your Family
Do you have difficult — or even toxic — family members? How does one go about setting boundaries with them? And is it OK to cut them off? In today’s Not Crazy podcast, Jackie and Gabe tackle these tough questions with Sonya Mastick, a mental health advocate and fellow podcaster of a show called “What Won’t She Say?” Sonya shares her personal story of how she handled her toxic mom and demonstrates how it’s OK, and sometimes even necessary, to set strong boundaries with family members who hurt you. It’s also OK if those boundaries shift and evolve with time. Tune in for an honest discussion about pro...
Source: World of Psychology - April 13, 2020 Category: Psychiatry & Psychology Authors: Not Crazy Podcast Tags: Family General Interview LifeHelper Mental Health and Wellness Not Crazy Podcast Source Type: blogs