anxiety

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In 1987 I started my psychiatry residency. Since then, they have changed the Diagnostic and Statistic Manual three times and it still does not seem to be keeping up with how fast the world is changing around me.

I one saw lots of “lethargic” depressions. Slow and sleepy “ain’t got no energy” depressions. “I feel like a human blob” kind of depressions.

Now most of them turn out to be Type II (“adult onset”) sugar diabetes or the thyroid just stopped working for some creative reason. Read more on Then and Now…

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I always ask patients about alcohol.

They always minimize their use.

Mostly all of the patients who have psychopathology and make it in my door name “stress” as the causal factor in their illness. Read more on Alcohol? Who Are They Kidding?…

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Often they are working women.

But people with no employment and no financial responsibility are not immune.

It is surely the illness of our time for everyone complains of it sometimes as if it has a specific treatment and they think I can change the deficient choices they made several years ago in their lives to make things fine and dandy with an instant prescription.  W.H. Auden wrote the (long) poem ” Age of Anxiety” in 1947 or so describing man’s attempt to find meaning and substance in an industrialized world. Read more on All The Stressed Out People…

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She was 28, a bit overweight but tired and nervous at the same time.

“I’d like 15mg. of Celexa. My other psychiatrist wouldn’t give it to me, so I left him. He said it was either 10mg. or 20 mg. and that’s it.”

Not the usual “chief complaint” for why someone comes to a psychiatrist — but what the heck? Read more on How To Get 15 mg. of Celexa…

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Here are both the original article and the review in “Mad in America,” a fairly radical review of opposing viewpoints in psychiatry which, I am often downright embarrassed to have to agree with.

The two German psychologists are right. Their initial assertions are unquestionable, Mental illness is going up indescribably quickly. Psychotropic medication is going up indescribably quickly. Read more on Biological Psychiatry…

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“GABA” stands for “Gamma Amino Butyric Acid,” a neurotransmitter long known for its relaxing, anticonvulsant (meaning “anti-seizure”) activity. We have certainly found ways to increase its presence with drugs that operate on, well, “lateral pathways” to increase its presence quantitatively. Unfortunately, these usually involve addictive substances, like benzodiazepines, which are pretty heavily addictive for most folks.

I am really glad those loveable Brits at U. Cambridge are saying they help “repress” unwanted thoughts. This is to me, a direct validation of Freudian Thought. We “repress” thoughts, and this seems to be linked to the way we do so. Read more on The Function Of GABA…

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He was in his mid-fifties, quiet and fairly good-looking.  I did suspect he was balding or maybe just plain bald as few men would wear a turn-of-the-last-century newsboy-type cap indoors these days. He sat on my couch and told me he thought he had ADD (attention deficit disorder). I interrupted him right there, as I do everyone who comes into my office thinking they have this disorder. Most people professing this diagnosis who are adults and walk in alone to a psychiatrist’s office are looking for stimulants — the amphetamines and the Ritalins of life. I don’t prescribe these.  I used to — at least as long as it took to get people weaned off them.  But nobody wants to get off them, not ever.  I have seen people who have been on them from earliest childhood through middle age, for no clinical reason I can discern.  Usually they were just being kids and bugging the adults, so they were put on drugs to control them. Read more on The Regular Looking Guy…

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I was about three years old when I enjoyed tending our backyard with her.  I had been a marvel to her, since she was a little girl, earning her keep as an agricultural worker in the Ukraine, it what was then known as Russia.

Read more on What You Eat Makes You Who You Are (Smart!)…

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No, I haven’t downloaded it to my android.
My professional life and my thoughts and writing are still too mired in direct human-to-human interaction.  I will admit to feeling a kinship, with some minimal sense of attraction, to “cute” characters, mostly because that seems to be my husband’s favorite adjective for me.

I suppose I should give a very official link to download it; it’s free, although it did allegedly make the developers 1.6 million dollars in the first day when they released it. Read more on Waiting For Love Or Death With Pokemon Go…

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It is hard for me to digest the events of July 14 in Nice, France, as I feel especially close to them.

I was present at seven such annual patriotic ceremonies during my tenure as a student of medicine in a French government facility.  I loved the street-fair atmosphere, where I sang at the top of my lungs and danced with a whole heart.

As a medical student in government service, a terrorist attack would have mobilized me into service of France, a nation I can only love, which gave me a medical education essentially free of charge, asking only for me to prove on an exam that I had what it takes.

I wear a tiny Eiffel Tower around my neck — I stroke it as I write. Read more on Terrorism In Nice…