Category Archives: Psychiatry – Current Trends
A Most Important Post From 1boringoldman.com
What does the Science on Addiction support ? Total Abstinence or Maintenance ?
Neil Young’s Musical Address to all the Wasted Lives from Narcotic ODs
John Prine’s musical response Sam Stone
APA – Still selling snake oil. I am often asked by Mental Health Professionals for updates on the DSM-5 which was officially released last month at the Annual American Psychiatric Association meeting
Numerous experts have been speaking out against it and the mental bloggers have raised many serious concerns about major flaws in this so-called ‘update’. Diagnostic Inflation is the most common concern……….with many thousands now meeting criteria for major mental illnesses. I will allow Dr Allen Frances MD explain. He was the prime expert with the DSM IV
Dr David Healy – Psychiatrist from Wales – continues to express concerns….particularly about the safety of psychiatric medications. If one accepts the DSM-5 as the
guidelines, many more meds will be prescribed – often to people who do not need them
Alison Bass recently posted a review on several new books inspired by DSM-5
Dr Allen Frances MD with Huffingtom Post article
The number of well written blogs, newspaper articles, and medical journals – amazing !
I have yet to find any positive reviews regarding this DSM-5 – except BigPharma. Dr Thomas Insel of the NIMH was even unsupportive.
HT to the blog from http://www.1boringoldman.com who posts daily with such powerful skills at analyzing data
In spite of the DSM-5 eliminating the Asperger Term, the concept will continue to grow, thanks to experts such as Temple Grandin, PhD, John Robinson, and expert Neuroscience Journalists such as Amy Harmon of the New York Times. 2 1/2 years ago, Amy Harmon published Asperger Love just after Christmas 2011 and the story continues to expand day after day. Hopefully this NYT video will open and play on this post
Temple just gave an extremely important extremely important interview re: Aspie early intervention and need for much more active treatment of the ‘hands on’ variety. Not allowing the ASDs to just take meds, watch videos, and get put on Social Security without active treament as she will define it.
More information from Temple Grandin at TED in Feb 2013
John Robinson – has Aspergers and his story and his books are so enlightening.
His most recent book “Raising Cubby” is a must read and happens to be about son Jack Robinson – the Jack of “Jack and Kirsten” – written about per Amy Harmon….(small world)
I follow too many talented Aspies – who have been teased, bullied, and have no peer friends. They are labeled geeks, nerds, odd and typically drop out of school, never reaching their unique potentials
Aspergers – will the term actually be dropped for Autistic Spectrum Disorder? If one accepts the about to be released DSM-5, it will.
However, I will continue to utilize the term clinically and am not along in refusing to adopt this “so called” improvement from DSM IV-R
The Mental Health/Psychiatry Blogs have been ever so busy with concerns about diagnostic inflation and misinformation from the proposed DSM-5
For example-> 1boringoldman.com has had a global impact, for example
And Experts such as Dr Allen Frances MD and Temple Grandin PhD
Dr Allan Frances MD Psychiatrist and principle developer of DSM IV
10 Minutes with Temple Grandin PhD in an interview in Minnespolis 2010
As for Aspie Girls is extremely important, due to the fact that the diagnosis is so often overlooked. A young adult Aspie Maya has done an excellent job of posting videos on YouTube about her life, leading to the the launch of her new album…………very skilled musician.
So examples from Maya can teach us so much !
So many more, including her meeting with Aspie expert Tony Attwood PhD
Aspergers in Females is so often overlooked and there is so much we can learn from brilliant young students such as Maya.
Too Many Clinicians seem to be afraid of the concept and it leads to unnecessary suffering for so many children and young adults
These individuals need the opportunity for empowerment and not pathology
Neuroscience Journalist for the NYTs – Amy Harmon – has been addressing the challenges of relationships with Asperger Couples and just released an eBook on it…Asperger Love at a cost of less than $4.00. Excellent Work, Amy – I still learn from Jack & Kirsten from your research with them. Thank You and your Literary Awards are so well deserved !
————————————————————————So do not be afraid to continue addressing the unique needs of individual needs of people with Asperger’s If one falls on the spectrum and is allowed to withdraw completely with only their video games, day after day, they are bound to develop depression, anger, and increased risk of anger – directed both inward and outward.
“Whistle Past the Graveyard, if it helps. But emphasize the need to encourage social interactions and not allow social isolation.
I am not posting Laura Marling as an Aspie, but her lyrics seem most appropriate. Such a gifted, shy, singer/songwriter !
Have been reading Dr Ben Goldacre’s book “Bad Science” and finding it brilliant.
Also go to YouTube and listen to Ben’s presentations–very enlightening !
Before posting one of Dr Goldacre’s most recent TED talks, I will post from YouTube some recent medication ads
The ingredient is the exact same as Ambien – a prescription hypnotic just cited by FDA with warning to reduce recommended dosage by one half. Then there are the non-prescription medical devices to enhance sleep
Now please give a listen to Dr Ben Goldacre’s presentation.
Bad Medicine by Ben Goldacre MD will hopefully be required reading in all med schools
Thanks to @Maiasz from her article in Healthland.Time.Com on intra-cranial surgery for addiction, I was reflecting on my own undergraduate years in College – before Medical School and Psychiatric Residency Training, There was a great deal of enthusiasm about bypassing chemicals in the brain and using direct electrical stimulation or ablation to “cure disease”
I would guess in early 1970s, Timothy Leary (Turn On, Tune in, Drop Out”) was stating that the next step after chemicals for brain recreation would be direct electrical stimulation.
Maia’s article was particularly important for me, bringing back so many past research experiences.
During my Junior and Senior years at Macalester College, I spent a great deal of time on research projects in the field of Physiological Psychology – influenced by the works of Dr James Olds – credited with animal research of so called “pleasure centers’ in the brain…clearly one of the Founding Fathers of Neurosciene. (Wiki him for more). Our Department Head at Macalester – Walter Mink, Ph.D. took at least a year from Mac to study with Olds who I think was then at U of Mich in Ann Arbor. Upon Dr Mink’s return to Mac, He was enthused and enlightened.I soon picked up on his enthusiasm and was soon spending endless hours placing mimi electrodes into the brains of Lab Rats..and replicating intra-cranial stimulation of the rates using a modified Skinner Box . The reward was a shock into the “pleasure center”
thought to be in an area of the Limbic System. The rates of bar pressing behaviors were insatiable. (A paradigm for addiction) Then, adding psychotropics to the research became even more important. Amphetamines in the subjects had no effect of Self-Stim rates, barbs would only alter the self stim at points of extreme sedation. But injecting chlorpromazine in even low doses, magically turned off the self stim behaviors…with no observable sedation. Freud had speculated years before the Psychosis was perhaps a Pleasure Center out of control…as in Mania. It was if the phsyiological model of psychosis has been discovered. Subject Brains were later frozen in liquid nitrogen, analyzed histologicaly, and the lesions from the stimulating electrodes were identified. My greatest surprise was the variability..no exact location for the pleasure center, nor other so called centers for hunger, satiety, sexuality, etc.
And now – decades later – we are learning how the human brain can “rewire itself”
The video is so amazing to me and the Neuroscience and Music once again surprise me.
So many songs about addiction that have become classics. Ben Harper with Cannabis – John Prine on Narcotic Addiction. Mark Oliver Everett “E” of the Eels and so many others. I will post them.
Ben Harper with his classic Burn One Down
John Prine on Narcotic Addiction
the Eels – with Mark Everett singing Novacaine for the Soul
Over the past 15+ years, I have observed the effects of the VNS (Vagal Nerve Stimulator) for patients with retractable seizure…it is a pacemaker implanted behind the collar bone and attached to the Vagus Nerve. It is supposed to “short circuit” seizures. Then, the Manufactured finally convinced the FDA to approve it for severe depression. I do not believe it is effective and now with the implants of Deep Brain Devices for Depression, I am again very concerned. Dr Walter Freeman MD who performed “Ice Pick Lobotomies’ until 1962…(Suggest reading Howard Dulley’s book “My Lobotomy” a man now in his 60′s who was given a transorbital lobotomy by Dr Walter Freeman at the age of 12 for what I would assume to have been Oppositional Defiant Disorder. Powerful read and inspired by the book “The Lobotomist” by Jack El-Hai of Minneapolis. I fear that the biography of Dr Walter Freeman portrays a procedure that is no different that the procedures highlighted in the article yesterday by @Maiasz in Healthland.Time.Com.
Kudos to Maia for bringing this all out in the light. David Bransford MD
As the months fly, by 2013 the probable transition to the DSM-5 seems certain. In spite of the failed field trials and the powerful discussions from experts such as Allen Frances MD, it seems DSM-5 will take effect as of 2013. I will assume APA publishing has been very active with DSM-5 training manuals, etc targeted for not only psychiatrists, but more for the mental health professionals. Psychologists, Social Workers, Nurses, etc, are receiving reading materials, workshops, and various seminars – all aimed at the DSM-5. Expert psychiatric blogger posted the following earlier today (click here) 1boringoldman.com
To best understand the ‘angst’ I experence with the DSN-5, please view the video from Dr Allen Frances MD Psychiatrist and primary expert with the DSM IV
Many other concerns have been published by Dr Frances and can be read by clicking here ->
Dr Allan Frances MD on DSM-5
The history of Biology has seemed to be that of a “Name and Conquer” mentality. Discover a strange creature, plant, or pathogen and give it a name..then move on. In Mental Health circles, clinicians seem to spend far too much time attempting to give a patient the right diagnosis.
Bipolar, type 2? Maybe, Bipolar, type 1 with Rapid Cycling ? Borderline Personality Disorder? If the ‘correct’ name had a major impact on type of treatment, Accurate/Precise diagnoses would be more important, but I see far too much time wasted on the ‘name and conquer’ process and too little time obtaining comprehensive family, social. and developmental history. Thus, my greatest objection to the DSM-5 is ‘Diagnostic Inflation’ Allen Frances MD addresses this so well at the intro of his Toronto video So if you find yourself struggling with trying to find the best pigeon hole, via DSM-5,
think of the video clip of the 1950s classic- “Invasion of the Body Snatchers” The Pods take over your brain while you are asleep. There is ultimately no escape !
Dianosis per DSM-5 Would Be ?????????????????????????????????????????????????????????
Introducing What will be a video collage of how – in the States – we care for our children in need of Foster Homes, Group Homes, and residential treatment. Just beginning to gather the videos, but have had decades of professional experience working with psychiatric inpatient children’s hospitals, long term group homes, children foster homes, adoptions from other parts of the world, etc. Will begin with two TED.com videos and then build on this material in the weeks ahead. My inspiration for this series was triggered by this TED video I first viewed early this morning
TED.com this morning on a Ward of the State
A Time Magazine Photographer with report on Amerasation Adoption
End of Introduction to this series—I will continue in the weeks ahead
10-26-2012 Important video clips regarding use of psychotropic meds in Foster Children
More from ABC NEWS Special Report from 2011
Just read tweet from Pharmagossip Blog from UK In opening the link, an extremely important post from Martha Rosenberg could be reviewed, addressing the Suicide Epidemic, with the report totally overlooking how psychotropic medications and other prescription medications often cause or worsen suicidal attempts and completions. How could this be overlooked ? Pease click, open, and review her publication at the following
Alison Bass’s Book Side Effects is also a must read !
Just today, I downloaded via Kindle Dr Peter Breggin MD most recent release
Psychiatric Drug Withdrawal Springer Publishing New York
This is a comprehensive guide for Prescribers, Therapists, Patients, and their Families
And of course, the Books by Dr David Healy MD with most recent Pharmegeddon. (Blog – DavidHealy.org) Dr David Healy Blog