I've read many books on this topic and I am very impressed with this one. Since the second edition so recently (2011), contains the latest research and findings, some of which are new to me. Miklowitz is a wonderful writer who manages to both explain concepts thoroughly and well while not sounding condescending. He discusses topics that other books do not, like what bipolar disorder looks like to family and friends, and how it feels from the inside. He offers a lot of good information about how to prevent mania, managing moods, stabilize the person's environment, dealing with drugs, get a proper diagnosis, made at home and work, and a special concern for women. Especially valuable is the chapter in which bipolar disorder comes from, and some recent research on Ehlers' social rhythm stability hypothesis. Interesting. The only topic that I would like him to include the role of sunlight in BD - this will be very helpful for some people I know who are very sensitive to light. But otherwise, really great information and advice, presented very well. Highly recommended.
Sunday, 20 July 2014
The Bipolar Disorder Survival Guide, by David J. Miklowitz PhD
I've read many books on this topic and I am very impressed with this one. Since the second edition so recently (2011), contains the latest research and findings, some of which are new to me. Miklowitz is a wonderful writer who manages to both explain concepts thoroughly and well while not sounding condescending. He discusses topics that other books do not, like what bipolar disorder looks like to family and friends, and how it feels from the inside. He offers a lot of good information about how to prevent mania, managing moods, stabilize the person's environment, dealing with drugs, get a proper diagnosis, made at home and work, and a special concern for women. Especially valuable is the chapter in which bipolar disorder comes from, and some recent research on Ehlers' social rhythm stability hypothesis. Interesting. The only topic that I would like him to include the role of sunlight in BD - this will be very helpful for some people I know who are very sensitive to light. But otherwise, really great information and advice, presented very well. Highly recommended.
Wednesday, 6 June 2012
Depression Symptoms in adolescents and the consequences can then be derived
The signs of adolescent depression are often misunderstood by their parents. Parents often believe that adolescent depression is just a development of a normal teenage life. If depression is left alone, so young people will be serious problems that affect its development.
Recognize the signs of teenage depression
Parents often overlook the most common symptoms associated with depression as well as typical adolescent behavior. While the other kids are suffering for what happened to them, but will be more inclined to cover what was happening to them. When asked what happened, you would say I'm fine.
Recognize the signs of teenage depression
Parents often overlook the most common symptoms associated with depression as well as typical adolescent behavior. While the other kids are suffering for what happened to them, but will be more inclined to cover what was happening to them. When asked what happened, you would say I'm fine.
There are some signs of symptoms of adolescent depression in general, which mimic the symptoms of depression that occurs in adults. Moreover, children will experience chronic fatigue, can not concentrate on what is being served, loss of concentration and irritability. When depression takes place, young people feel confused and anxious, because they will try to overcome this debilitating problem. Other symptoms are often seen shouting, crying, complaining, and feeling tired.
As in adults, symptoms of depression affects the physical health of adolescents. Teens readily headaches, pain and gastrointestinal problems such as abdominal pain. Other signs of the presence of sleep problems like insomnia or chronic fatigue. More serious symptoms of teen depression is a desire to end his life or suicide.
If within two weeks of adolescents has not changed, parents should speak to children and seriously seek professional help.
Causes and consequences of juvenile depression
Depression is often caused by external factors that can cause stress. As an example of their parents' divorce, a disappointment in family dynamics, financial problems, sexual abuse, the loss of a loved one, or because of trauma can also be a state.
Other adolescents who see depression as a result of the inability of a young man reaches a certain goal. This objective can be interpreted as an objective academic, social, or otherwise. For example, adolescents will feel depressed and sad when it can not be accepted by their peers, this can lead to adolescent depression.
Impact of adolescent depression are more common is the falling value of their academic schools. Usually teens are showing a decline of familiar from school, loss of focus when the lesson, or lose the passion to achieve the goal to succeed. Moreover, they can be out of extracurricular activities and that more teens hurt again is more vulnerable to fall prey to drugs and alcohol.
We, as parents, could at least find out the problems of young people, so if there is a change for the child, we can better understand and solve problems with wisdom. It may be useful ...
-
Reflexology Massage Therapy and Reiki Can Work Together
Wise Tips of Mental Health Treatments
3 Simple Tips Of Health Solutions for
Exercise Your Brain For Mental Health
Mental Health Illness Medications: 3 Points To Raise With Your Doctor Before Taking a New Medicine
The Anatomy Of A Natural Health Education
-
The Deviant in Mental Health
Tuesday, 5 June 2012
Mental Health Assessments (Available instantly for your Android device)
Product Details
- Download restrictions
• AT&T has enabled purchases from the Amazon Appstore for some devices (Learn more)• Amazon Appstore is only available to customers located in the United States
- ASIN: B004HQ93WE
- Original Release Date: December 31, 2008
- Date first available at Amazon.com: December 20, 2010 Rated:All Ages This app may include dynamic content. What's this?
- Average Customer Review: Be the first to review this item
- Amazon Best Sellers Rank: #5,782 Paid in Appstore for Android (See Top 100 Paid in Appstore for Android)
Reflexology Massage Therapy and Reiki Can Work Together
Wise Tips of Mental Health Treatments
3 Simple Tips Of Health Solutions for
Exercise Your Brain For Mental Health
Mental Health Illness Medications: 3 Points To Raise With Your Doctor Before Taking a New Medicine
The Anatomy Of A Natural Health Education
-
The Deviant in Mental Health
Tuesday, 29 May 2012
Mental Health, Naturally: The Family Guide to Holistic Care for a Healthy Mind and Body (paperback) review
Book Description
Those seeking alternative
methodologies for achieving optimal mental health will learn effective,
safe, natural, and generally more affordable strategies and treatments
in this guidebook. With up-to-date research, illustrative examples, and a
practical approach for individuals and families, this handbook features
an overview of mental health disorders, basic strategies for improving
as well as preventing mental health issues, therapies that go beyond the
fundamentals, and specific strategies for those struggling with ADHD,
depression, anxiety, stress, and substance abuse. In addition to
outlining the basics—such as the role of exercise and activity, restful
sleep, nutrition, and supplements—the text details stress-management
practices and discusses alternate techniques including homeopathy,
massage and bodywork therapy, acupuncture, and chiropractic and
osteopathic work. A section on advocacy and resources is also available.
Threatening Children's Toys Children's Mental Health?
Once we understand the importance of mental health, then we can see around us especially in our immediate neighborhood as a family. Whether in our family there are signs or symptoms of this mental health disorder. Mental health condition at this point tend to have a concern, as data released in solo.com (12/11), it looks at the increasing number of negative behaviors such as fighting, drug abuse, promiscuity, suicide, religious radicalism, and the like. That's why all parties are expected to increase the awareness for the fight with the build quality and mental health of the nation. "Data in 2007, 11.6% or about 19 million children and adolescents Indonesia impaired mental and social health. It makes them easily swept away and easy activities that are involved in negative activities. So let us together try to make efforts to promote mental health from an early age, starting either from family, government, educators and all interested parties.
Starting from an early age, then what should we do since from now on our children at home, school and neighborhood? Beginning of the foundation of a good awakening of a nation is of the family. It is inevitable role of the family here is very important. With care and good reception from the family of his son would reduce the potential for the formation of aberrant behavior in children. Good parenting will shape the child's emotional development degan good. The newly born child as white papers, was dropped as it would then that is what will shape the personality and build children's mental health.
Why in this paper the authors want to convey that the toys could threaten the health of children. The most effective teaching methods for children at preschool age children to play while learning, and the activities that one used yag is a toy. Toys for children at the age of 0-6 years are most commonly used tools and activities to accompany the child in learning or play well wherever he is. Even after that age is still a lot of toys that children used to accompany all its activities to hobbinya. Part of patterns of parenting in child pick out or facilitating the child's toy that will be used is one element that contributed to building a child's mental health.
Toys are having a devastating effect on children can be started from the ignorance of children with the function of the toy. Parents have an obligation to facilitate a child with a toy that could increase the potential of children and give children the opportunity to explore the game. If a game does not make a child can enhance creativity and potential of children and having a devastating effect on his personality then the parents are obliged to steer. It is conceivable that children really like toys that are too trigger aggressiveness of children? Such as toys that can increase the aggressiveness of the child and interfere with the child's emotional development: a pistol, a sword that looks almost like the original size, parents may introduce various forms and uses of various objects around him but can with a picture, or shape of objects is quite safe for children and not harm the child's emotional development and personality in general.
Children who already have aggressive potential in him, if parents are not sensitive in nurturing and providing support to developing toys that aggressiveness is likely the child will grow up because there are no mental health problems. Vice versa if children with high levels of sensitivity with a game that is not appropriate then the kids grow into a vulnerable adult at the time of her transplant. So it's good for parents mom and dad have to recognize the personality of the child in advance so that it can provide the right toys for child development. Parents should be wise in choosing a toy, not only if the child is quiet / do not cry then give all the parents what the child asks.
Reflexology Massage Therapy and Reiki Can Work Together
Wise Tips of Mental Health Treatments
3 Simple Tips Of Health Solutions for
Exercise Your Brain For Mental Health
Mental Health Illness Medications: 3 Points To Raise With Your Doctor Before Taking a New Medicine
The Anatomy Of A Natural Health Education
-
The Deviant in Mental Health
Thursday, 24 May 2012
Windmill Health Products Focus Formula Brain Enhancement Supplement Caplets, 60-Count Boxes (Pack of 2)
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Thursday, 17 May 2012
Women and Gender
Women are subject and object. There are opinions that say that women were actually in the "master" it. This means that he is respected. Likewise it is still not reducing the weight of himself as an object. It could even be said to attempt an explanation, as mentioned above arises when the object dimensions are so prominent.
Women's issues are also gender issues. Understanding of Gender in essence is a concentrated understanding of the nuances of the West (Western invention-Connell, 1993). Gender as a concept rests on the biological aspects (biological reductionism). Cucchiari (1994) says that in her Gender has two biological categories different but complementary categories: first male and the second is the category of women. Each category contains a sense of meaning varies from one society to another. Every activity, attitudes, values and symbols are given meaning by the supporters according to their biological category. Therefore, the actual status and role of women in every place and culture is not always the same. In Bali, women actively make highways or transport sand from the river, the strange thing is done by women in Java or Sumatra. In Africa, is a commonplace that women participate in farming and logging, while elsewhere it is probably in tabukan.
Gender in the West feel concentrations as expressed by Connell (1993) said, rests on the West civilisasi through the Industrial Revolution. Industrial phase, and then worldwide, is the phase of the hegemony of men. In the period of the Industrial Revolution, the most important element is the matter of division of labor based on gender differences. This is where the emerging injustices against women. Women, like dikemukakn by Simone de Beavoir, described as "nature" is characterized by things-static passive, permissive, domestic and gentle. Men, on the contrary, is characterized as a battering ram, active, and strong public control. In the phase of the Industrial Revolution in which the shape of physical strength is the determining factor, it is practically excluded women from production processes. Way of looking at the division of labor based on gender differences between the simple and it is contrary to the industrial community. If the community is simply the difference in nature to co-exist and complement, and full of harmony, then vice versa in the industry was used to abolish the distinction and demeaning the dignity of women in an effort to elevate the status of men.
Patriarchal culture (where the position of the dominant male) is in line with the Industrial Revolution is the main pillar of Western civilization. Indonesia, not the exception especially since he also had the experience of the colony of Western colonialism for approximately 350 years old. Numerous studies show how women experience marginalization of the agricultural sector in the event of "green revolution" in the mid 70's and early 80's.
Women's issues are also gender issues. Understanding of Gender in essence is a concentrated understanding of the nuances of the West (Western invention-Connell, 1993). Gender as a concept rests on the biological aspects (biological reductionism). Cucchiari (1994) says that in her Gender has two biological categories different but complementary categories: first male and the second is the category of women. Each category contains a sense of meaning varies from one society to another. Every activity, attitudes, values and symbols are given meaning by the supporters according to their biological category. Therefore, the actual status and role of women in every place and culture is not always the same. In Bali, women actively make highways or transport sand from the river, the strange thing is done by women in Java or Sumatra. In Africa, is a commonplace that women participate in farming and logging, while elsewhere it is probably in tabukan.
Gender in the West feel concentrations as expressed by Connell (1993) said, rests on the West civilisasi through the Industrial Revolution. Industrial phase, and then worldwide, is the phase of the hegemony of men. In the period of the Industrial Revolution, the most important element is the matter of division of labor based on gender differences. This is where the emerging injustices against women. Women, like dikemukakn by Simone de Beavoir, described as "nature" is characterized by things-static passive, permissive, domestic and gentle. Men, on the contrary, is characterized as a battering ram, active, and strong public control. In the phase of the Industrial Revolution in which the shape of physical strength is the determining factor, it is practically excluded women from production processes. Way of looking at the division of labor based on gender differences between the simple and it is contrary to the industrial community. If the community is simply the difference in nature to co-exist and complement, and full of harmony, then vice versa in the industry was used to abolish the distinction and demeaning the dignity of women in an effort to elevate the status of men.
Patriarchal culture (where the position of the dominant male) is in line with the Industrial Revolution is the main pillar of Western civilization. Indonesia, not the exception especially since he also had the experience of the colony of Western colonialism for approximately 350 years old. Numerous studies show how women experience marginalization of the agricultural sector in the event of "green revolution" in the mid 70's and early 80's.
Paradigm In Mental Health
Paradigm in Mental Health
Understand the principles of the Mental Health has revealed
Schneiders since 1964, which includes three things:
11 principles based on human nature, namely:
A. Mental health and adjustment can not be separated from physical health and
integrity of the organism.
2. In mental health care, is inseparable from human nature as
personal moral, intellectual, religious, emotional, and social.
3. Mental health and adjustment requires the integration and control
themselves, include: control of thought, imagination, passion, emotion and behavior.
4. Expanding self-knowledge is a necessity in achieving and
mental health care.
5. Mental health requires a healthy self-concept, including: acceptance
self and a realistic effort to status and self-esteem.
6. Understanding and self-acceptance should be increased in an attempt
enhance the self and self-realization to achieve mental health.
7. Mental stability requires the continued development of self-menerusdalam
individuals, is associated with: wisdom, courage, law, fortitude,
moral, and humility.
8. Attainment in mental health care associated with the planting
good habits.
9. Mental stability requires adaptability, capacity to change the situation
and personality.
10. Mental stability requires a maturity of thought, decisions,
emotionality, and behavior.
11. Learn to cope with mental health needs effectively and
sense of mental conflict, failure, and the tensions that arise.
Then as the second principle is based on three principles
man's relationship with its environment, namely:
A. Mental health is influenced by a healthy interpersonal relationships,
especially in the family.
2. A good adjustment and peace of mind influenced by the adequacy
individuals in job satisfaction.
3. Mental health requires a realistic attitude, ie accept the reality
without distortion and objective.
And the latter principle, the two principles are based on the relationship
individual with God, namely:
A. Mental stability requires the development of awareness of the realities of the largest
of itself as the place to rely on any action
fundamental.
2. Mental health and sobriety requires a constant relationship
between man and God.
The paradigm used in the study of Mental Health
which is believed to be multifactorial review, among others: BIOLOGICAL APPROACH. By studying brain function, endocrine,
and sensory function, this approach believe that mental health
individual is strongly influenced by genetic factors and conditions during pregnancy, as well as
related to external factors: nutrition, radiation, age, complications of the disease.
PSYCHOLOGICAL APPROACH. Such an approach is believed that the factors
large psychological effect on a person's mental condition, which in
psychological approach has three major views that address
on the matter, namely:
A. Psychoanalysis
Approach believe that the individual interactions in early life
and intrapsychic conflicts that occur will affect the development
one's mental health. Epigenetic factors studied maturity
developing a person's psychological as physical growth in tahaptahap
individual development, is an important determinant of health
mental individual.
B. Behavioristic
The learning process approach and believe in the social learning process
will affect a person's personality. Individual errors in the process
learning and social learning will lead to mental disorders.
C. Humanistic
Individual behavior is influenced by the need to have hierarchies. In addition,
individuals believed to have the ability to understand their potential and
developed to achieve self-actualization.
Social cultural approach. Has several approaches, namely:
Social stratification that addresses socio-economic factors and social selection;
SOCIAL INTERACTION which discusses the function in an interpersonal relationship
(Psychodynamic Theory, Theory of low social interaction: isolation, loneliness); THEORY OF FAMILIES who studied the effect of parenting, the interaction between
family members, and family functioning of individual mental health:
Social Change, which relates the long-term change, migration and
industrialization, as well as a crisis situation with an individual's mental condition;
SOCIO-CULTURAL, who studied the influence of religion and culture conditions
mental one;
Social stressors, which studied the effect of various social situations
psychological impact (eg, marriage, death, crime, the recession)
to the mental condition of individuals.
APPROACH TO THE ENVIRONMENT. This approach has two dimensions, namely:
DIMENSIONS PHYSICAL ENVIRONMENT, related to: space, time, and means
(Nutrients) that accompany.
CHEMICAL AND BIOLOGICAL ENVIRONMENT DIMENSIONS, related to: pollution,
radiation, viruses and bacteria, the population of other living creatures.
Understand the principles of the Mental Health has revealed
Schneiders since 1964, which includes three things:
11 principles based on human nature, namely:
A. Mental health and adjustment can not be separated from physical health and
integrity of the organism.
2. In mental health care, is inseparable from human nature as
personal moral, intellectual, religious, emotional, and social.
3. Mental health and adjustment requires the integration and control
themselves, include: control of thought, imagination, passion, emotion and behavior.
4. Expanding self-knowledge is a necessity in achieving and
mental health care.
5. Mental health requires a healthy self-concept, including: acceptance
self and a realistic effort to status and self-esteem.
6. Understanding and self-acceptance should be increased in an attempt
enhance the self and self-realization to achieve mental health.
7. Mental stability requires the continued development of self-menerusdalam
individuals, is associated with: wisdom, courage, law, fortitude,
moral, and humility.
8. Attainment in mental health care associated with the planting
good habits.
9. Mental stability requires adaptability, capacity to change the situation
and personality.
10. Mental stability requires a maturity of thought, decisions,
emotionality, and behavior.
11. Learn to cope with mental health needs effectively and
sense of mental conflict, failure, and the tensions that arise.
Then as the second principle is based on three principles
man's relationship with its environment, namely:
A. Mental health is influenced by a healthy interpersonal relationships,
especially in the family.
2. A good adjustment and peace of mind influenced by the adequacy
individuals in job satisfaction.
3. Mental health requires a realistic attitude, ie accept the reality
without distortion and objective.
And the latter principle, the two principles are based on the relationship
individual with God, namely:
A. Mental stability requires the development of awareness of the realities of the largest
of itself as the place to rely on any action
fundamental.
2. Mental health and sobriety requires a constant relationship
between man and God.
The paradigm used in the study of Mental Health
which is believed to be multifactorial review, among others: BIOLOGICAL APPROACH. By studying brain function, endocrine,
and sensory function, this approach believe that mental health
individual is strongly influenced by genetic factors and conditions during pregnancy, as well as
related to external factors: nutrition, radiation, age, complications of the disease.
PSYCHOLOGICAL APPROACH. Such an approach is believed that the factors
large psychological effect on a person's mental condition, which in
psychological approach has three major views that address
on the matter, namely:
A. Psychoanalysis
Approach believe that the individual interactions in early life
and intrapsychic conflicts that occur will affect the development
one's mental health. Epigenetic factors studied maturity
developing a person's psychological as physical growth in tahaptahap
individual development, is an important determinant of health
mental individual.
B. Behavioristic
The learning process approach and believe in the social learning process
will affect a person's personality. Individual errors in the process
learning and social learning will lead to mental disorders.
C. Humanistic
Individual behavior is influenced by the need to have hierarchies. In addition,
individuals believed to have the ability to understand their potential and
developed to achieve self-actualization.
Social cultural approach. Has several approaches, namely:
Social stratification that addresses socio-economic factors and social selection;
SOCIAL INTERACTION which discusses the function in an interpersonal relationship
(Psychodynamic Theory, Theory of low social interaction: isolation, loneliness); THEORY OF FAMILIES who studied the effect of parenting, the interaction between
family members, and family functioning of individual mental health:
Social Change, which relates the long-term change, migration and
industrialization, as well as a crisis situation with an individual's mental condition;
SOCIO-CULTURAL, who studied the influence of religion and culture conditions
mental one;
Social stressors, which studied the effect of various social situations
psychological impact (eg, marriage, death, crime, the recession)
to the mental condition of individuals.
APPROACH TO THE ENVIRONMENT. This approach has two dimensions, namely:
DIMENSIONS PHYSICAL ENVIRONMENT, related to: space, time, and means
(Nutrients) that accompany.
CHEMICAL AND BIOLOGICAL ENVIRONMENT DIMENSIONS, related to: pollution,
radiation, viruses and bacteria, the population of other living creatures.
Gracefully Insane: Life and Death Inside America's Premier Mental Hospital
Its landscaped ground, chosen by Frederick Law Olmsted and dotted with
Tudor mansions, could belong to a New England prep school. There are no
fences, no guards, no locked gates. But McLean Hospital is a mental
institution-one of the most famous, most elite, and once most luxurious
in America. McLean "alumni" include Olmsted himself, Robert Lowell,
Sylvia Plath, James Taylor and Ray Charles, as well as (more secretly)
other notables from among the rich and famous. In its "golden age,"
McLean provided as genteel an environment for the treatment of mental
illness as one could imagine. But the golden age is over, and a
downsized, downscale McLean-despite its affiliation with Harvard
University-is struggling to stay afloat. Gracefully Insane, by Boston Globe
columnist Alex Beam, is a fascinating and emotional biography of McLean
Hospital from its founding in 1817 through today. It is filled with
stories about patients and doctors: the Ralph Waldo Emerson protégé
whose brilliance disappeared along with his madness; Anne Sexton's
poetry seminar, and many more. The story of McLean is also the story of
the hopes and failures of psychology and psychotherapy; of the evolution
of attitudes about mental illness, of approaches to treatment, and of
the economic pressures that are making McLean-and other institutions
like it-relics of a bygone age.
This is a compelling and often oddly poignant reading for fans of books like Plath's The Bell Jar and Susanna Kaysen's Girl, Interrupted (both inspired by their author's stays at McLean) and for anyone interested in the history of medicine or psychotherapy, or the social history of New England.
This is a compelling and often oddly poignant reading for fans of books like Plath's The Bell Jar and Susanna Kaysen's Girl, Interrupted (both inspired by their author's stays at McLean) and for anyone interested in the history of medicine or psychotherapy, or the social history of New England.
The Package Deal: Mental Illness, Stigma, and Discrimination [Kindle Edition]
Editorial Reviews
Product Description
My longtime friend, Jean Lyon, encouraged me to write a book about my
experiences with the mental health system. "You should write a book,"
she said.
"No, I couldn't. No one would believe me," I replied.
"Yes, you could," Jean insisted. "You could call it One Flew Over the Cuckoo's Nest, the Sequel--it's worse than the original."
The Package Deal is a short, 4500-word memoir that takes the reader into a world that most people do not know about. My non-fictional account provides an inside, uncensored look at societal discrimination against people with mental illness.
This eBook consists of two distinctly different parts. Part one, titled Unplanned Patienthood, provides a humorous glimpse of the mental health professionals whom I have been fortunate, and not so fortunate, to encounter. Part two, titled A System Without Oversight, opens with my voluntary admission to a psychiatric unit in Northern Virginia. This part chronicles my conflict with the mental health system, which began when hospital personnel assaulted me. It covers the facts surrounding the assault, as well as my resultant struggle for justice, not only with the mental health system, but also with the criminal justice system and government oversight agencies.
At every turn in my search for justice, I faced discrimination. This eBook echoes an all-too-common situation for those who happen to have a mental illness. Discrimination against this marginalized population too often goes unreported and unchallenged. In addition to being enlightening, the narrative is entertaining, suspenseful, and incorporates humor as a powerful communication tool.
"No, I couldn't. No one would believe me," I replied.
"Yes, you could," Jean insisted. "You could call it One Flew Over the Cuckoo's Nest, the Sequel--it's worse than the original."
The Package Deal is a short, 4500-word memoir that takes the reader into a world that most people do not know about. My non-fictional account provides an inside, uncensored look at societal discrimination against people with mental illness.
This eBook consists of two distinctly different parts. Part one, titled Unplanned Patienthood, provides a humorous glimpse of the mental health professionals whom I have been fortunate, and not so fortunate, to encounter. Part two, titled A System Without Oversight, opens with my voluntary admission to a psychiatric unit in Northern Virginia. This part chronicles my conflict with the mental health system, which began when hospital personnel assaulted me. It covers the facts surrounding the assault, as well as my resultant struggle for justice, not only with the mental health system, but also with the criminal justice system and government oversight agencies.
At every turn in my search for justice, I faced discrimination. This eBook echoes an all-too-common situation for those who happen to have a mental illness. Discrimination against this marginalized population too often goes unreported and unchallenged. In addition to being enlightening, the narrative is entertaining, suspenseful, and incorporates humor as a powerful communication tool.
From the Author
I humbly hope that my eBook serves not only to help open society's blind eye to the plight of mentally ill persons, but also as a catalyst for change.Wednesday, 9 May 2012
Just Like Someone Without Mental Illness Only More So
I'll cut to the chase: I loved this book.
Five stars. Two thumbs up.
When I read books, especially psychiatry books that I write about on Shrink Rap, I often read more carefully and sometimes more critically. I was so immersed in reading Just Like Someone Without Mental Illness Only More So that I didn't stop to think, I just went on the journey.
Mark Vonnegut is a pediatrician and he is also the son of my favorite author from when I was in junior high school. His memoir is a poignant and candid account of his struggles with...well... life in general, and life with a psychotic illness in particular. Schizophrenia, bipolar disorder---who knows (I'll vote for bipolar disorder)? Some illness where he had three episodes in his twenties, then another episode 14 years later. Thorazine and lithium and megavitamins and psych wards. Xanax and alcohol and how humiliating it is to be psychotic on a stretcher in the ER hallway of the hospital where he works. Divorce and remarriage. First and second families. Childhood as the son of a financially struggling, not-yet-famous, eccentric writer, and adulthood as the son of an icon. Vonnegut is a hippy, a mainstream doctor, a middle-aged softball player, then finally a guy who accidentally poisons himself with wild mushrooms.
Dr. Vonnegut's struggles are those of vulnerability, fragility, hope, and resilience. He comes back from these life-altering episodes of psychosis and applies to 20 medical schools. He gets in to Harvard, and only Harvard. If you're going to apply to med school with a 1.8 science GPA from college, then I imagine it's helpful to have a very famous dad who teaches at Harvard. Vonnegut does well enough that he stays for residency and teaches there after. His illness and the possibility of its return hang on him--once you've heard voices, he says, you're never like someone who hasn't. As serious as the topic is, the author is able to make light of himself and the writing is funny and tragic all at once. It's a quick and engrossing read.
In case I didn't like this memoir enough, Vonnegut makes intermittent jabs about the tedious things that weigh down life as a doctor-- paperwork (my favorite rant), the influence of big pharma, and insurance companies.
So would I like Mark Vonnegut in real life? I liked him in his book. And so it goes.
Five stars. Two thumbs up.
When I read books, especially psychiatry books that I write about on Shrink Rap, I often read more carefully and sometimes more critically. I was so immersed in reading Just Like Someone Without Mental Illness Only More So that I didn't stop to think, I just went on the journey.
Mark Vonnegut is a pediatrician and he is also the son of my favorite author from when I was in junior high school. His memoir is a poignant and candid account of his struggles with...well... life in general, and life with a psychotic illness in particular. Schizophrenia, bipolar disorder---who knows (I'll vote for bipolar disorder)? Some illness where he had three episodes in his twenties, then another episode 14 years later. Thorazine and lithium and megavitamins and psych wards. Xanax and alcohol and how humiliating it is to be psychotic on a stretcher in the ER hallway of the hospital where he works. Divorce and remarriage. First and second families. Childhood as the son of a financially struggling, not-yet-famous, eccentric writer, and adulthood as the son of an icon. Vonnegut is a hippy, a mainstream doctor, a middle-aged softball player, then finally a guy who accidentally poisons himself with wild mushrooms.
Dr. Vonnegut's struggles are those of vulnerability, fragility, hope, and resilience. He comes back from these life-altering episodes of psychosis and applies to 20 medical schools. He gets in to Harvard, and only Harvard. If you're going to apply to med school with a 1.8 science GPA from college, then I imagine it's helpful to have a very famous dad who teaches at Harvard. Vonnegut does well enough that he stays for residency and teaches there after. His illness and the possibility of its return hang on him--once you've heard voices, he says, you're never like someone who hasn't. As serious as the topic is, the author is able to make light of himself and the writing is funny and tragic all at once. It's a quick and engrossing read.
In case I didn't like this memoir enough, Vonnegut makes intermittent jabs about the tedious things that weigh down life as a doctor-- paperwork (my favorite rant), the influence of big pharma, and insurance companies.
So would I like Mark Vonnegut in real life? I liked him in his book. And so it goes.
Monday, 7 May 2012
Fishy Pedicure Ban

I was rummaging through the legal news lately when I came across a case that made me flash back to our old Cure for Fish Phobia post.
It appears that the state of Arizona has passed a law banning the use of tiny little fish for pedicures. Arizona wasn't the first either. New Hampshire decided that the fish were "beauty salon tools" that had to be cleaned in between use. Texas is concerned that the fish bowls aren't cleaned between use and could transmit disease.
Will pedicure fish now come with a black box warning? CAUTION: Fish, use only as directed. For external use only. Possible side effects may include drowsiness, dry mouth, blurred vision, constipation, the aftertaste of sushi, syncope, seizures, coma and death. Oh yeah, and scaly skin.
How To Find A Psychiatrist
Seems like a simple enough questions: How do you find a shrink?
It's not that easy to answer. There are all sorts of shrinks who do all sorts of things (therapy, not therapy, specific forms of therapy like psychoanalysis or CBT), and then there's the overriding insurance question. Not to mention location, location, location.
We've talked before about insurance, and if you haven't read Why Shrinks Don't Take Your Insurance, please do. It's a good place to start. In areas where shrinks are in short supply, often, they do take insurances and they only see patients for medication management. In areas where there are more docs and people have treatment options, they may split between those who do and don't take insurance. You should be aware that if a shrink doesn't take your insurance, you will likely still get reimbursed, but there may be a higher deductible, you'll need to mail in the form yourself, and there will be a long wait (and assorted hassles) for the money to come back. Some people are reimbursed very well, others or not. If your insurance is an HMO or has no out-of-network benefits, then a non-insurance doc will costs you the entire fee.
So start here:
--Does it matter if the shrink is in your insurance network?
If it does, and you live in an area where many shrinks don't participate with insurance, then call the insurance company and get names and numbers and do hope they aren't all dead or not-accepting patients.
--What kind of shrink? If the patient is under age 16-18, your best best is a child & adolescent psychiatrist. Be aware that many psychiatrists at academic centers run research projects and teach, and don't see many outpatients. That's not to say never---and most have a few patients, but they are often a bit harder to reach, especially when they are presenting at conferences or have grants dues, and may have difficult parking. So child, general adult, or is there some specialty need which may be very restrictive---for example treatment of sexual or eating disorders or psychoanalysis? For ClinkShrink, I will throw in that if you are looking for evaluation for a matter pertaining to the legal system, you may want to look specifically for a forensic psychiatrist.
--Finally: does it matter to you if the shrink does psychotherapy or are you fine seeing one person for therapy (if necessary) and another for meds? If it matters, you need to clarify this upfront.
Now you've got the big three questions. There are other obvious ones: parking is always a biggy, the setting may be a concern (is your ex-lover working in the same practice?), how difficult is it to get an appointment? How long do appointments last? If the first evaluation is routinely scheduled for under 50 minutes and you have a choice as to where you go: then go somewhere else. In an institution---jails, a substance abuse clinic, the medical unit of a hospital, an emergency room--- evaluations may be very brief, but in these settings your records may be available for review and the evaluation may have a very specific and limited purpose. But for a thoughtful, comprehensive evaluation before beginning on-going treatment, the usual is a minimum of 50 minutes and often 90-120 minutes. Some psychiatrists do their evaluation over several sessions.
Okay, so to start:
If you have no insurance and no money, your options are limited. The traditional place for treatment in this case is a local Community Mental Health Center or CMHC and the standard has been to have one per geographic catchment area. These clinics usually offer split care, there may be a wait, and you don't get to choose your shrink. They take Medicare and Medicaid, and they sometimes don't take private insurance. How do you find your CMHC (or OMHC)...I'm not really sure. Try Google, and then call any clinic in your area and have a heart-to-heart with the receptionist. He may be able to give you the number of the clinic that serves you.
There are other agencies that over care for the indigent. In Baltimore, HealthCare for the Homeless offers psychiatric treatment, and The Pro Bono Counseling Project will give referrals for free or discounted care from professionals in the community who have agreed to volunteer their time. Again, there's no choice in which shrink you get.
If you have insurance and want to stay in network: Call your insurance company for a list of names.
Aside from money concerns, here are the best ways to find a good shrink:
- If you know someone who likes their doc, see that doc!
- If you know someone who like their doc, but you can't see their doc, ask your friend to get some names from their doc, or call yourself.
- Call your state psychiatric society and ask for a referral. If the office is located near where you live, the staff may well know some of the psychiatrists and you can ask for a nice one.
- Ask your primary care doctor, they are used to making referrals.
- Ask a Shrink. Ask any shrink---shrinks tend to know each other....so if you can get one on the phone, they may give you names even if they can't see you. In our state, we have a shrink listserv, and people frequently post, "Does anyone know a psychiatrist in Timbuktu?" for a patient who is moving, a child of a patient, friend of a friend of a friend. As a rule, shrinks don't know what insurance networks other docs participate in.
- Ask a doc, any doc. A random doc may not be able to help you, but they may. My favorite was the friend who asked me for a referral for a breast surgeon in another part of the state. Not something I'd know, but my neighbor the breast radiologist was able to give some names and so I was email-helpful. Between listservs, Facebook, email, etc...people can sometimes find names.
- If you're a student, try the school's counseling/health center. They may also be able to suggest off-campus referrals.
It's fine to tell someone the one-sentence version of what you want help for and to ask if they are taking new patients. It's probably a burden to try to tell them your whole history.
It's fine to ask how long the evaluation is, how long a typical appointment is, and if the shrink sees people for therapy or just meds.
What is Bipolar Disorder?
I'd like to ask your help for a moment. I'm going to write a blog post for this week's Clinical Psychiatry News on Bipolar Disorder. I'd like to know how you see the term used, or the symptoms that are hallmarks of the illness for you. If you respond as my favorite commenter, "Anonymous," could I ask that you define yourself...psychiatrist, psychologist, pediatrician, patient with bipolar disorder, friend of someone diagnosed with bipolar disorder....
Also, please just off the top of your head, I can read DSM or Google myself, and I'm more interested in your ideas about what exactly the disorder is.
I may not use your responses (I sort of know what I want to say) but no matter what, I'm curious.
Thank you so much...
Sunday, 29 April 2012
MENTAL HEALTH HISTORY
Mental health history is not as clear as the history of medical science. Mental problem is not primarily a physical problem that can be easily observed and visible. Even more so when it is used to the everyday behavior such as relatives or family, mental disorder has been regarded as a matter of course, not as a thing that is annoying.
Mental disorders in Indonesia still lacks focus and attention. Moreover with a low education level, the people of Indonesia is still considered a mental disorder is often associated with mysticism. Here is a history of mental health, especially in the Americas and Europe.
• In 1600 and previous
At this time, people often think mental disorders caused by the spirits near environment, and often the mediation between humans and the spirits who want to convey meaning. Therefore, they are often considered to be sick so they were not removed and still have a place in society.
• Year 1692
In America, the influence of European immigrants, who are Christians, often regarded as affected by magic or witchcraft of the evil that enters the body. Thus the fear and hate those who have magical powers. John Locke (in Siswanto, 1997) states that there are degrees of madness in people caused by the emotions that compel people to come up with any ideas and no sense a continual basis. John Locke's view is survived in Europe until the 18th century.
• Year 1724
Reverend Cotton Mather (1663-1728) broke the superstitions that exist in society by advancing physical explanations of mental illness itself. At this time, the medical approach was introduced to provide an explanation of psychiatric problems as a result of the disturbance in the body.
• Year 1812
Years 1830-1860 in the UK appear optimism in dealing with mentally ill patients due to the development of theories and techniques in dealing with mentally ill people. Psychiatrists began to emerge in 1842 and got an important role in the hospital to replace the role that lawyers play a role dealing with mentally ill at the time. However, because many have failed, it appears the pessimism therapy (therapeutic pesimism) and influenced by Darwin's statement that states that mental disorder is a developmental evolution that is innate and can not be changed anymore.
• Year 1843
There are only 24 hospitals and 2561 beds to deal with mental illness in the United States.
• In 1908
In this year, applied to the attitude of the association with the aim of which is to improve public attitudes towards mental illness and people with mental illness, improve services for people with mental illness, working for the prevention of mental illness and promote mental health.
• In 1909
Sigmund Freud visited the United States and taught psychoanalysis at Clark University in Worcester, Massachusetts.
• In 1910
Emil Kraeplin first described Alzheimer's disease and she also developed a test that can be used to detect the presence of epileptic disorders.
• In 1918
American Psychoanalysis Association made a rule that people who have graduated from medical school and practiced psychiatry that can be candidates for psychoanalytic training.
• In the 1920s
National Committee for Mental Hygiene generate a set of models of commitment laws that put in atura in some States. The committee also helped research the effect on mental health, mental illness, and treatments that bring about real change in mental health care system.
• In the 1930's
Psychiatrists began to inject insulin that causes shock and temporary coma as a treatments for patients with schizophrenia.
• In 1936
Moniz gnats publish a report on the first human frontal labotomi. Consequently in 1936 until the mid-1950s, an estimated 20,000 surgical procedures in use in American mental patients.
• In the 1940s
Electrotherapy, namely by applying electrical therapy to the brain. Was first used in American hospitals to deal with mental illness. In 1940-1950 the commencement of community care for people with mental disorders in Britain.
• In 1947
Fountain House in New York City launch of psychiatric rehabilitation of people suffering from mental illness.
• In 1950
Formed the National Association of Mental Health (NAMH) which is a merger of three organizations, namely the National Committee for Mental Hygiene, the National Mental Health Foundation, and the Psychiatric Foundation.
• In 1952
The first conventional antipsychotic drugs, ie chlorpromazine, allowed for patients to deal with schizophrenia and other major mental disorders.
• In the 1960s
British media began to reveal mental health by showing the people who have experienced mental illness to share their experiences. At this time all the taboos associated with mental disorders began to be opened and discussed in general.
• In 1961
Thomas Szasz makes writing the book The Myth of Mental Illness, which put forward the theory that states that "mental illness" is actually not really "sick", but an act of people who are mentally distressed at having to react to the environment.
• In 1962
There are 422 000 people living in the hospital for psychiatric treatment in the United States.
• Year 1970
Deinstitusional start of mass. Patients and their families back on their own resources as a result of the lack of programs for patients who have been discharged from the hospital for rehabilitation and reintegration back into society.
• In 1979
NAMH became the National Mental Health Association (NMHA).
• In 1980
The emergence of a planned treatment, with hospitalization in the short term and the public become standard treatments for mental illness treatment.
• In 1990
NMHA played an important role in eliciting Disabilities Act, which protects Americans who are mentally and physically disabled from discrimination in several areas, such as employment, public accommodations, transportation, telecommunications, and central and local government services. Meanwhile, brain describe the technology used to study the development of a major mental illness better.
• In 1994
Bpertama atypical antipsychotic drugs were introduced. This is the first new antipsychotic drugs after nearly 20 years the use of conventional medicines.
• In 1997
Researchers find genetic link to bipolar disorder who showed that the disease is inherited.
REFERENCES
Siswanto. , 2007. mental health, Yogyakarta: Yogyakarta andi,
Sarwono, Sarlito. 2010.pengantar general psychology, Jakarta: eagle release
One Of Us: Physicians Who Kill
"I have already said that if you kill a doctor, all the doctors are instantly on your neck. But what if the man who does the killing is a physician himself? That complicates the situation most damnably..."
---Foursquare: The Story of a Fourfold Life by John Oliver
I've been reading, along with everybody else, the story of the Army major and psychiatrist Dr. Nidal Hasan who killed thirteen people in a spree shooting at Fort Hood yesterday. Let me say first that I've never met Dr. Hasan and know nothing about him; I have no particular information or insights about this offense beyond what I've read in the media.
The CNN article today interviewed two of Dr. Hasan's patients, who both said nothing but glowing things about him and his care. I've blogged about spree killers before ("Shooter Psychology") but this case is different. It got my thinking about the general issue of physicians who kill.
Physician killers are certainly a relative rarity, but they are not unknown. Dr. Jack Kevorkian is probably the most famous here in the United States , but in the United Kingdom there was the case of Dr. Harold Shipman. Dr. Shipman forged the will of, and then killed, several elderly female patients. Then there was Michael Swango, a serial poisoner who killed his patients specifically so that he could take credit for his heroic "resuscitation" efforts. As far back as 1920 Dr. John Oliver wrote about an anonymous psychiatrist colleague who killed another physician and was found legally insane. The quote at the start of this post is from Dr. Oliver's autobiography were he discussed the case. For anyone really fascinated by the topic, I refer you to the book Demon Doctors: Physician Serial Killers. I haven't read it myself so I can't vouch for it; feel free to write in reviews.
But I digress. Getting back to what happened at Fort Hood , the news reports don't indicate anything to suggest that Dr. Hasan was psychotic, motivated by greed or financial gain or out of a need to be a hero. He wasn't an infantryman who had been exposed to combat and who might have been terrified of going back to a traumatic environment. He was educated and presumably in a better financial and social situation than most of the patients he treated, unlike many of my murderer patients who have burned multiple social bridges prior to the killing.
Regardless, a killing by a physician---particularly by a psychiatrist---creates a bizarre aftermath. The military is sending mental health professionals to counsel the victims and witnesses; I'd be willing to bet those military mental health professionals will be required to check their weapons at the door.
Thursday, 26 April 2012
My Three Shrinks Podcast 51: Vegan Gingerbread Cookies

For this podcast I brought some homemade vegan gingerbread cookies that I baked using a recipe from the Steph Davis blog. I'm also looking for a good sugar cookie recipe that doesn't use refined sugar or all-purpose flour. If you've got one, send it along.
We discuss my post Is it malpractice to lie? which involves a surgeon sued for malpractice for allegedly lying to a patient regarding his professional background. We wonder how much, if any, information physicians may some day be obliged to disclose to their patients prior to treatment.
There is a new type of research being done, called "in silica" research, in which people write computer programs to model behavior. We talked about computer models of suicide and how this can replicate suicide epidemics in real life. Roy is inspired to talk about a computer program that models how guys choose urinals in public restrooms, and how people stand in elevators.
We never got to the FAA policy discussion or the cell phones in therapy topic. That was saved for our next podcast.
Last but not least, Dinah takes her dog Max to the new office. Who knew that dogs could be terrified of elevators??
****************************
This podcast is available oniTunes or as an RSS feed orFeedburner feed. You can also listen to or download the .mp3or the MPEG-4 file frommythreeshrinks.com.
Thank you for listening
Send your questions and comments to: mythreeshrinksATgmailDOTcom
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Tuesday, 24 April 2012
I Am Not 'One Of Them'
Since the Fort Hood shooting I've been hearing and reading a lot in the media about 'compassion fatigue' and 'vicarious trauma'. I feel compelled to blog after reading yesterday's New York Times article on the topic, which I'm sure won't be the last.
The idea is that any mental health professional who spends their days listening to patients tell their stories of traumatic events will eventually end up having emotional difficulties from it as well. The other term for this is 'compassion fatigue', in other words losing the ability to empathize with others or becoming numb to trauma due to exposure to patients' traumatic stories. The Times article is careful to point out that vicarious trauma and compassion fatigue will not automatically lead one to become a killer.
Well, I'm relieved to hear that.
Over the years as both a forensic and correctional psychiatrist I've heard plenty of trauma-related stories. I've reviewed autopsy photos and crime scene photos and read police reports of violent offenses and watched videotapes of violent offenses. I've heard people talk about
their crimes and talked to victims of violent crimes (if they survived). People who have read my "What I Learned" posts know that the annual conference of the American Academy of Psychiatry and Law regularly features presentations about serial murderers, psychotic killers, crime scene investigation techniques and other topics that can be a bit gruesome.
If all 1700 forensic psychiatrists in this country are exposed to this regularly that's a whole lot of vicarious trauma. It's good to know I won't automatically become a spree killer.
Frankly, I wasn't worried.
The idea is that any mental health professional who spends their days listening to patients tell their stories of traumatic events will eventually end up having emotional difficulties from it as well. The other term for this is 'compassion fatigue', in other words losing the ability to empathize with others or becoming numb to trauma due to exposure to patients' traumatic stories. The Times article is careful to point out that vicarious trauma and compassion fatigue will not automatically lead one to become a killer.
Well, I'm relieved to hear that.
Over the years as both a forensic and correctional psychiatrist I've heard plenty of trauma-related stories. I've reviewed autopsy photos and crime scene photos and read police reports of violent offenses and watched videotapes of violent offenses. I've heard people talk about
their crimes and talked to victims of violent crimes (if they survived). People who have read my "What I Learned" posts know that the annual conference of the American Academy of Psychiatry and Law regularly features presentations about serial murderers, psychotic killers, crime scene investigation techniques and other topics that can be a bit gruesome.
If all 1700 forensic psychiatrists in this country are exposed to this regularly that's a whole lot of vicarious trauma. It's good to know I won't automatically become a spree killer.
Frankly, I wasn't worried.
Academy for Film and Psychiatry

There's nothing quite like blogging in a blizzard. My house, by the way, is the one with the gutters torn off one side and draped across the front with the disconnected downspouts. You will notice that our flat roofs have been shoveled off-- makes for a fine family project in the snow-- after having the insight that another 20 inches could well cause their collapse.
So I thought I'd give a plug to Dr. Fred Miller and his Academy for Film and Psychiatry. His 'filmosophy' reads:
FILM IS NOTHING SHORT OF OUR STRUGGLE TO UNDERSTAND PEOPLE, CULTURE AND OURSELVES. FILM ENGAGES ALL OF OUR SENSES AND IN THAT WAY IS LIKE NO OTHER MEDIUM. THE PARALLELS BETWEEN THE FILMMAKER AND THE PSYCHOTHERAPIST ARE MANY. EACH IS ACUTELY AWARE (OR SHOULD BE) THAT HE OR SHE IS PRESENTING AN UNDERSTANDING OF THE HUMAN CONDITION AND ALSO THAT THE PROCESS OF UNDERSTANDING IN AND OF ITSELF IS HEALING AND FULFILLING. BOTH ARE SUBJECTS OF INTENSIVE STUDY AND ENDLESS DEBATE. ENJOY!
Film seems like as a good a thing as any to do today, so long as the power holds. Brrrr from Maryland, hon!
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