Comments for Psychiatry MMC http://www.psychiatrymmc.com A peer-reviewed journal providing evidence-based information to practicing clinicians Fri, 05 Sep 2008 22:16:41 +0000 http://wordpress.org/?v=2.6 Comment on The Clinical Global Impressions Scale: Applying a Research Tool in Clinical Practice by Pulsed Clomipramine Infusion in Depression « The Amazing World of Psychiatry http://www.psychiatrymmc.com/the-clinical-global-impressions-scale-applying-a-research-tool-in-clinical-practice/#comment-382 Pulsed Clomipramine Infusion in Depression « The Amazing World of Psychiatry Mon, 18 Aug 2008 07:09:37 +0000 http://www.psychiatrymmc.com/the-clinical-global-impressions-scale-applying-a-research-tool-in-clinical-practice/#comment-382 [...] and CGI scores were compared before the infusion and six days afterwards and compared using a T-test. There was [...] [...] and CGI scores were compared before the infusion and six days afterwards and compared using a T-test. There was [...]

]]> Comment on Do Psychiatrists Use Structured Interviews In Real Clinical Settings? by Ronald Pies MD http://www.psychiatrymmc.com/do-psychiatrists-use-structured-interviews-in-real-clinical-settings/#comment-366 Ronald Pies MD Sat, 02 Aug 2008 04:15:02 +0000 http://www.psychiatrymmc.com/?p=347#comment-366 Kudos to Dr. Aboraya on developing the SCIP! There is a need for simple, flexible, easy-to-administer, and above all, brief structured interviews that can be used in the "real world" of clinical diagnosis and care. Of course, as I indicated in several letters to this journal, structured instruments are only one tool in our attempt to understand our patients. Achieving trust, rapport, and an empathic connection with the patient are always paramount in the therapeutic enterprise. --R. Pies MD Kudos to Dr. Aboraya on developing the SCIP! There is a need for simple, flexible, easy-to-administer, and above all, brief structured interviews that can be used in the “real world” of clinical diagnosis and care. Of course, as I indicated in several letters to this journal, structured instruments are only one tool in our attempt to understand our patients. Achieving trust, rapport, and an empathic connection with the patient are always paramount in the therapeutic enterprise. –R. Pies MD

]]> Comment on Baseline Dissociation and Prospective Success in Special Forces Assessment and Selection by Posttraumatic-Stress-Disorder » Resolved Question: How should you tackle an apathetic psychiatrist? http://www.psychiatrymmc.com/baseline-dissociation-and-prospective-success-in-special-forces-assessment-and-selection/#comment-352 Posttraumatic-Stress-Disorder » Resolved Question: How should you tackle an apathetic psychiatrist? Mon, 28 Jul 2008 20:21:43 +0000 http://www.psychiatrymmc.com/?p=377#comment-352 [...] Baseline Dissociation and Prospective Success in Special Forces …Although dissociation at the time of trauma (peritraumatic dissociation) has been shown to predict the development of posttraumatic stress disorder (PTSD), it is not yet known whether the tendency to dissociate under nonstressful … [...] [...] Baseline Dissociation and Prospective Success in Special Forces …Although dissociation at the time of trauma (peritraumatic dissociation) has been shown to predict the development of posttraumatic stress disorder (PTSD), it is not yet known whether the tendency to dissociate under nonstressful … [...]

]]> Comment on Psychotherapeutic and Adjunctive Pharmacologic Approaches to Treating Posttraumatic Stress Disorder by Brett Jackson http://www.psychiatrymmc.com/psychotherapeutic-and-adjunctive-pharmacologic-approaches-to-treating-posttraumatic-stress-disorder/#comment-329 Brett Jackson Wed, 23 Jul 2008 11:50:30 +0000 http://www.psychiatrymmc.com/?p=357#comment-329 I was interested to read that lucid dreaming had been trialled as a tool to help people suffering from PTSD. Having had lucid dreams myself I can confirm that you can control the dreams and therefore turn a nightmare in to something pleasant. A problem with any studies will be that lucid dreaming can be a difficult thing to master, especially if you are not sleeping well to start with. I would be interested to read a report that studied a group of PTSD suffers who regularly had lucid dreams. If that group saw positive results it would encourage other people with PTSD to try to control their dreams. I would be interested to hear from anyone with PTSD that is willing to try Lucid Dreaming to help themselves. I offer free web based tools on my website that are designed to assist lucid dreamers with their training. You can find my tools and information about lucid dreaming at: http://www.iAmLucidDreaming.com I was interested to read that lucid dreaming had been trialled as a tool to help people suffering from PTSD. Having had lucid dreams myself I can confirm that you can control the dreams and therefore turn a nightmare in to something pleasant. A problem with any studies will be that lucid dreaming can be a difficult thing to master, especially if you are not sleeping well to start with. I would be interested to read a report that studied a group of PTSD suffers who regularly had lucid dreams. If that group saw positive results it would encourage other people with PTSD to try to control their dreams.

I would be interested to hear from anyone with PTSD that is willing to try Lucid Dreaming to help themselves. I offer free web based tools on my website that are designed to assist lucid dreamers with their training.

You can find my tools and information about lucid dreaming at: http://www.iAmLucidDreaming.com

]]> Comment on Psychotherapeutic and Adjunctive Pharmacologic Approaches to Treating Posttraumatic Stress Disorder by Kevin Roberts, Ph. D http://www.psychiatrymmc.com/psychotherapeutic-and-adjunctive-pharmacologic-approaches-to-treating-posttraumatic-stress-disorder/#comment-308 Kevin Roberts, Ph. D Tue, 22 Jul 2008 17:04:57 +0000 http://www.psychiatrymmc.com/?p=357#comment-308 Dear Dr. Nisenoff, I really enjoyed your article and found it wonderfully substantive. I have been involved with PTSD, disabled and able bodied patients since 1975. The work involved my own clinical work, teaching, supervision and research. The one PTSD paper that I enjoyed the most was one that was never submitted for publication. Rather, an attorney friend of mine hired me to do a history of PTSD, which was at the time, not accepted by the majority of practitioners. He wanted it for his own legal arguments in injury related court cases and to provide it to his friends as a favor. Essentially, I was able to cite articles and books that provided information about PTSD like symptoms long before PTSD was ever thought of, I believe it began with Egyptian times, 6000 years ago. It included Charles Dickens' own struggle with the disorder. It became a persuasive article when judges and/or juries were suspect of the diagnosis. Any way, it was fun and, again, I thoroughly enjoyed your publication. Sincerely, Kevin Roberts, Ph. D. Licensed Clinical Psychologist Dear Dr. Nisenoff,

I really enjoyed your article and found it wonderfully substantive. I have been involved with PTSD, disabled and able bodied patients since 1975. The work involved my own clinical work, teaching, supervision and research. The one PTSD paper that I enjoyed the most was one that was never submitted for publication. Rather, an attorney friend of mine hired me to do a history of PTSD, which was at the time, not accepted by the majority of practitioners. He wanted it for his own legal arguments in injury related court cases and to provide it to his friends as a favor.

Essentially, I was able to cite articles and books that provided information about PTSD like symptoms long before PTSD was ever thought of, I believe it began with Egyptian times, 6000 years ago. It included Charles Dickens’ own struggle with the disorder. It became a persuasive article when judges and/or juries were suspect of the diagnosis.

Any way, it was fun and, again, I thoroughly enjoyed your publication.

Sincerely,

Kevin Roberts, Ph. D.
Licensed Clinical Psychologist

]]> Comment on Buprenorphine Rescue from Naltrexone-Induced Opioid Withdrawal During Relatively Rapid Detoxification from High-Dose Methadone: A Novel Approach by Henry McCurtis,MD http://www.psychiatrymmc.com/buprenorphine-rescue-from-naltrexone-induced-opioid-withdrawal-during-relatively-rapid-detoxification-from-high-dose-methadone-a-novel-approach/#comment-256 Henry McCurtis,MD Sat, 14 Jun 2008 02:11:53 +0000 http://www.psychiatrymmc.com/buprenorphine-rescue-from-naltrexone-induced-opioid-withdrawal-during-relatively-rapid-detoxification-from-high-dose-methadone-a-novel-approach/#comment-256 This is an excellent pharmacological intervention with dramatic clinical efficacy. This is an excellent pharmacological intervention with dramatic clinical efficacy.

]]> Comment on Meditation and Psychiatry by John McAlevey http://www.psychiatrymmc.com/meditation-and-psychiatry/#comment-167 John McAlevey Tue, 05 Feb 2008 01:15:25 +0000 http://www.psychiatrymmc.com/meditation-and-psychiatry/#comment-167 <p>Excellent article with great references. Thanks for putting this out! I will need to meditate on this some more I think to get the most out of it.</p> Excellent article with great references. Thanks for putting this out! I will need to meditate on this some more I think to get the most out of it.

]]> Comment on How “Objective” Are Psychiatric Diagnoses? (Guess Again) by Manuel Mota-Castillo, MD http://www.psychiatrymmc.com/how-%e2%80%9cobjective%e2%80%9d-are-psychiatric-diagnoses-guess-again/#comment-154 Manuel Mota-Castillo, MD Thu, 20 Dec 2007 04:17:47 +0000 http://www.psychiatrymmc.com/how-%e2%80%9cobjective%e2%80%9d-are-psychiatric-diagnoses-guess-again/#comment-154 Bravo! Outstanding! Dr. Pies has put the accent on the right letter. Based on my daily experience, as a consult for a general hospital, I can give testimony of his assertion. I have seen a "Conversion Disorder" to become a lacunar infarct of the right temporal area. On the other hand, we all have encountered the "heart attack" that was just a panic attack. Coincidentally, last week a medical student shared with me how surprised she was with how precise and OBJECTIVE the psychiatric diagnosis can be. With just a week into her psychiatric rotation she realized that Delirium, Bipolar Disorder, Adjustment Disorder and other conditions are frequent companions of physical maladies that bring patients to a hospital and that we can easily separate one from the other. Thank you, Dr. Pies for this great contribution to the good name of psychiatry. Manuel Mota-Castillo, MD Lake Mary, Florida Florida Hospital Fish Memorial Bravo! Outstanding!
Dr. Pies has put the accent on the right letter. Based on my daily experience, as a consult for a general hospital, I can give testimony of his assertion.
I have seen a “Conversion Disorder” to become a lacunar infarct of the right temporal area. On the other hand, we all have encountered the “heart attack” that was just a panic attack.
Coincidentally, last week a medical student shared with me how surprised she was with how precise and OBJECTIVE the psychiatric diagnosis can be. With just a week into her psychiatric rotation she realized that Delirium, Bipolar Disorder, Adjustment Disorder and other conditions are frequent companions of physical maladies that bring patients to a hospital and that we can easily separate one from the other.
Thank you, Dr. Pies for this great contribution to the good name of psychiatry.
Manuel Mota-Castillo, MD
Lake Mary, Florida
Florida Hospital Fish Memorial

]]> Comment on How “Objective” Are Psychiatric Diagnoses? (Guess Again) by December 2007 Letters to the editor | Psychiatry MMC http://www.psychiatrymmc.com/how-%e2%80%9cobjective%e2%80%9d-are-psychiatric-diagnoses-guess-again/#comment-151 December 2007 Letters to the editor | Psychiatry MMC Fri, 07 Dec 2007 21:16:45 +0000 http://www.psychiatrymmc.com/how-%e2%80%9cobjective%e2%80%9d-are-psychiatric-diagnoses-guess-again/#comment-151 [...] Pies’s commentary in the October issue of Psychiatry 2007 addresses an important issue [Pies R. How objective are psychiatric diagnoses? Guess again. Psychiatry 2007;4(10):18–22]. I have shared his concern that the stigmatization of psychiatrists [...] [...] Pies’s commentary in the October issue of Psychiatry 2007 addresses an important issue [Pies R. How objective are psychiatric diagnoses? Guess again. Psychiatry 2007;4(10):18–22]. I have shared his concern that the stigmatization of psychiatrists [...]

]]> Comment on Delayed Reaction to Trauma in an Aging Woman by Dr. Moonstarr http://www.psychiatrymmc.com/delayed-reaction-to-trauma-in-an-aging-woman/#comment-133 Dr. Moonstarr Sun, 18 Nov 2007 00:59:15 +0000 http://www.psychiatrymmc.com/journal/2007/06/10/delayed-reaction-to-trauma-in-an-aging-woman/#comment-133 Nice summary and case of interest. Counter-transference openly discussed indicating a caring psychiatrist and 'real' therapy creating the safety and alliance truly called for in helping. Nice summary and case of interest. Counter-transference openly discussed indicating a caring psychiatrist and ‘real’ therapy creating the safety and alliance truly called for in helping.

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