I talk to a great many people in a great many areas and fields. In California, a lot of the mental health treatment programs are having “Obamacare-it is.”
While consumers who tried to use the official website to get enrolled for insurance had their “challenges” – to put it politely – the facilities expected to treat patients are having to do some major adjustments.
If you aren’t aware (especially you, Rip Van Winkle), “Obamacare” is what people lovingly call The Patient Protection and Affordable Care Act (PPACA).
I use the term “Lovingly Call” in the same manner people called homeless camps during the Great Depression “Hoovervilles” – blaming President Herbert Hoover for ruining the US economy and leading to the stock market crash. Many feel Pres. Obama has done something similar to health care. Read more on Dual Diagnosis Should Not Be A Reason To Refuse Treatment…
Filed under Alternative Medicine, Government, News, politics by on Jan 31st, 2014. 2 Comments. 
It gets pretty evident pretty fast, to any psychiatrist who deals with the general public, that depression is daily bread. I mean, with current estimates at 19 million patients per year coming down with a depression — even with less than one half of them seeking treatment — it is a pretty sure bet that depressed people are common.
This in no way diminishes the anguish I have seen in patients having that disease. The anguish is real and dramatic.
I remember one of my earlier newspaper columns written for the Wichita Eagle-Beacon — the largest daily newspaper in Kansas — asking this simple question:
Why — when someone broke their leg — a salt-of-the-earth next-door neighbor would never fail to bake a pie. But when someone had a depression, nobody would bake anything.
The depressed person was basically treated like someone with a contagious disease. Read more on Why Some Get Depressed And Some Do Not…
Filed under depression, Mental Illness, Psychiatrists by on Jan 24th, 2014. Comment.
I have heard just a little too much about suicide among the religious — from patients, from others, now this; to the son of a published pastor who gave an invocation for the Obama folks.
I really do feel for the family, for death of the younger generation before the older one by any means including suicide by his own hand, is a horrible thing that is anti-nature and has a profound wrongness, a too-deep effect on all involved.
I was way back in residency when I attempted to gather some statistics on the association between religion and psychiatry in Kansas, sending a basic questionnaire on feelings about mental illness (and referral patterns to mental health professionals) to a big list of Wichita area “religious professionals.”
First, I had already made the assumption from the French part of my education that not too many people actually went to church, but none of them seemed to much care about mental health professionals.
In Kansas, with the world’s worst statistics (no major support on this from my
Filed under Religion by on May 1st, 2013. Comment.
The medicating of Americans for mental illness has continued to grow over the last decade. And while that’s not exactly a news flash, I have seen no approach as fresh as the one taken by the folks at “CrazyMeds”.
They are not doctors. They are presumably patients or potential patients, then, just as some doctors are or should be. Their approach is so fresh that I am amazed to notice the grain of truth in it. This is the same way I felt when I visited the “Psychiatry Kills” Museum in Los Angeles, operated by the Scientology folks. They had a distorted view, but I saw where they were coming from. Read more on Psychotropic Drugs, According to their Users…
Filed under Diagnosis, Doctors, medicine, Mental Illness, News, prescription drugs, Psychiatrists by on Dec 1st, 2012. Comment.
I am not going to repeat the lurid details of Jerry Sandusky’s crimes against young boys and the whole of humanity. I suppose what he was able to accomplish was a pedophile’s dream — The specific charity (the Second Mile) for “helping young boys” that brought him a steady flow of victims, the who judge had been a volunteer for his charity.
Now, there are allegations that his own family contained alleged victims – possibly his grandson.
It’s not that nobody knew — People had complained and reported many times over many years.
Some how it never got out. Read more on Sandusky-Penn State Revelations Keep Coming…
Filed under abuse, Celebrities, News, Sexual Misconduct, Sports by on Nov 30th, 2011. Comment.
The intersection of law and medicine can be a real sticky wicket.
Most people have heard of someone being “not guilty by reason of insanity” and most people know that some defendants might be found incompetent to stand trial.
But the processes are sometimes vague and often confusing – especially to the lay audience. Read more on Mentally Retarded But Comptetent To Stand Trial…
Filed under Mental Illness by on Nov 16th, 2011. Comment.
Have you ever felt that your doctor just isn’t listening to you?Now multiply that by a hundred and you will start to understand what happens when a mentally ill person has a serious physical illness.
A news story on a recent study about how patients with a psychiatric diagnosis are prioritized at the bottom of the list when presenting at an emergency room induced a flashback when I was a young and eager resident psychiatrist on ER duty.
I was dedicated and enthusiastic – some said idealistic – and proud of knowledge obtained not without difficulty. The event I recalled was a 39-year-old schizophrenic man coming in with chest pain and trouble breathing. Maybe he seemed a little young for a heart attack, but gasping for air, clutching his chest and crying with pain. Serious complaints that ought to be treated seriously until proven otherwise. Read more on Mentally Ill Have Low Priority In Emergencies…
Filed under Prejudice by on Aug 24th, 2011. Comment.
It is horrible and terrible and should not have happened, but it did. We have to look at questions we have looked at before. We claim — all of us at one time or another — that human life is precious, and that its very existence is beyond price, and the quality of such existence is pristinely precious, and then everybody in America has to process this tragedy.
First, let’s take care of the straight medical questions. Congresswoman Giffords is obviously getting the best possible care and the most modern possible care. People have learned a whole lot about injuries to the brain since yours truly hung out in a semi-rural University Medical Center in Northern France. (I cannot believe it was over two decades ago).
The people taking care of her have told USA Today the basics, so I can only recapitulate.The shot was made at point blank range, estimated by some as 3 or 4 feet. The bullet entered the back of her head on the left side, and exited through the front. It is true that the structures controlling heartbeat, breathing, and basic survival are more toward the middle of the brain, or “brain stem.” Things like using the senses to put together images of what a human is dealing with are a bit more superficial. Read more on Left, Right, Jewish, Christian — Arizona Shooting Victims Are More Than Political/Religious Pawns…
Filed under politics by on Jan 11th, 2011. Comment.
“I really don’t need medicine. I am fine and I applied to the fire department and I will be a firefighter.”
This is a typical response from a man. In our culture, we raise junior John Wayne types — tough and independent.
He was in the room with his mother, who was fighting back tears. “I have tried everything to make him take medicine. I can beg him, but he does not take it very often.” Read more on The Mother Who Learned To Trust…
Filed under Family, medicine, prescription drugs by on Oct 20th, 2010. Comment.
He was 19. I saw that on his papers before I let him into the office. I knew it meant trouble.
Someone who was only 19 and was in the county mental health system had to be either big trouble or a big manipulator. Working with adolescents is tough for me because I have to “set limits;” often yell and scream. That is absolutely not my favorite way to be a psychiatrist, to read people the riot act. But 19 year olds often need that.
I sometimes have to be more of a surrogate mother than a psychiatrist.
He had been recently hospitalized for a “psychotic break.” That is when someone who is alleged to be normal suddenly starts hearing voices and seeing things. It’s not always mental illness — maybe some drugs on board, maybe some kind of stress. At least I had the records from the hospitalization.
Yeah, drugs on board. Some speed, some pot. The “baby-momma” of his first child (God, was he proud) was no “fun” anymore. She wanted things like child support — clearly not a “fun” request.
Now I have read some recent studies from other countries — this is not the kind of thing they do here — that when there is the risk of hereditary pathology you can feed a kid Omega-3 fish oil and maybe prevent this “psychotic break” — or at least delay it. And yes — to me someone 18 or 19 years old is still a kid. Read more on You Can’t Help Me Unless You Are Like Me…
Filed under Prejudice by on Sep 15th, 2010. Comment.