Can a Profession Be any More Confused?March 28, 2013
Yesterday I attended psychiatry grand rounds, where Andy Miller presented his latest research. Andy has been a pioneer in the field of psychoneuroimmunology and an exponent for the view that major depression reflects systemic inflammation. (I have published a review of this literature recently in Frontiers in Psychology which is available for download).
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Categorized in: Adult, Antidepressants, Antipsychotics, Blogs, Depression, Disorders, Featured Blogs, Immune Response, Psychiatric Drugs
Psychiatry Is Not the Only Branch of Medicine to Lose Its Soul to PharmaJanuary 17, 2013
In the present climate, the truth proves elusive. Almost all clinical studies of various drugs are designed and funded by the pharmaceutical companies. Only the studies which support efficacy of a drug are published while the more numerous negative studies are rarely acknowledged. While companies are supposed to register the studies they are conducting so that planned timing of study endpoints are public knowledge, these requirements are often ignored.
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Categorized in: Blogs, Featured Blogs
Commentary on the National Comorbidity Survey ReplicationJanuary 10, 2013
An article in the New York Times reported on a publication in JAMA Psychiatry that presented the results of a reanalysis of data from the National Comorbidity Survey Replication Adolescent Supplement. The results suggest that the vast majority of those adolescents who might attempt suicide are already in treatment. This should discourage efforts to identify even more children at risk and get them in to treatment if the rationale for screening is to prevent suicide attempts.
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Categorized in: Blogs, Featured Blogs, Suicide
Better Living through Chemistry?June 11, 2012
Reading the article “Risky rise of good-grade pill” in the New York Times on Saturday once again raised the philosophical issue of how to respond to the burgeoning panoply of ways to alter the human condition. I teach a course …
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Categorized in: Blogs
The New York Times Magazine Article on AntidepressantsApril 25, 2012
In the Sunday New York Times Magazine, an article by Siddhartha Mukherjee entitled “Post-Prozac Nation” appeared. I eagerly read this article, wondering what position the author might take with regard to the anti-depressants. Mukherjee acknowledges that the initial belief depression …
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Categorized in: Adult, Antidepressants, Blogs, Depression, Disorders, Mind/Body, Non-Drug Approaches, Psychiatric Drugs, Trauma/Distress
Life for Psychiatrists after Reading Bob Whitaker: Let’s Take Back Substance Abuse TreatmentApril 24, 2012
An astounding development is the explosion in the numbers of substance abusers being diagnosed with Bipolar. I teach a class in Substance Abuse at Georgia State. Typically, this course draws persons in recovery. In the early 1990s, most were recovering …
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Categorized in: Adult, Antipsychotics, Bipolar, Blogs, Community, Disorders, Non-Drug Approaches, Psychiatric Drugs, Recovery/Empowerment, Substance Abuse/Addiction, Uncategorized
Response to 60 MinutesFebruary 22, 2012
On February 19, 2012, Lesley Stahl’s “Treating depression: is there a placebo effect?” aired on CBS 60 Minutes. Stahl is to be commended for doing an excellent job. During the broadcast, Stahl interviewed Irving Kirsch, Michael Brown, and Michael Thase …
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What Do Psychiatrists Say When They Talk to Each Other?February 18, 2012
Last week I attended a lecture presented at the Department of Psychiatry Grand Rounds at a major Southeastern University. The presenter, a psychiatrist employed in a student counseling center at the same university, discussed the historical evolution of the orientation …
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Categorized in: Blogs, Pregnancy & Birth Defects
The Role of Inflammation in the Success and Failure of AntidepressantsFebruary 6, 2012
The evidence is fast accumulating that systemic inflammation has a causative role in depression, or, at minimum, is a major factor in the chain of events leading to depression. Pioneer animal work was done by Robert Dantzer, Linda Watkins, and …
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Categorized in: Blogs
Bipolar EverywhereJanuary 28, 2012
A recent dramatic rise in diagnoses of Bipolar has been documented (Moreno, Laje et al., 2007). Bipolar used to be a relatively rare event. When working at the state hospital during the 1970s, over a 7 year period, I recall only 4 or 5 patients with a bipolar diagnosis.
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The Cure for Mood Disorders Is Dementia?January 22, 2012
Perhaps the most alarming current trend in psychiatry, documented by Domino and Schwartz (2008), is the rise in prescriptions for the class of drug called “atypical antipsychotics”, which include seroquel/quetiapine, abilify/aripiprazole, clozaril/clozapine, geodon/ziprasidone, invega/paliperidone, risperdal/risperidone, zyprexa/olanzapine. Initially, these drugs were …
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Categorized in: Blogs
Introducing MyselfJanuary 22, 2012
I’m an Associate Professor at the Georgia State University in the School of Social Work. Early in my career in the late 1960s and 1970s, I worked as a ward aide and then as a social worker in the state …
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