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HARTFORD — The patient wanted to know, and her therapist — Marsha M. Linehan of the University of Washington, creator of a treatment used worldwide for severely suicidal people — had a ready answer. It was the one she always used to cut the question short, whether a patient asked it hopefully, accusingly or knowingly, having glimpsed the macramé of faded burns, cuts and welts on Dr. Linehan’s arms:

“You mean, have I suffered?”

“No, Marsha,” the patient replied, in an encounter last spring. “I mean one of us. Like us. Because if you were, it would give all of us so much hope.”

“That did it,” said Dr. Linehan, 68, who told her story in public for the first time last week before an audience of friends, family and doctors at the Institute of Living, the Hartford clinic where she was first treated for extreme social withdrawal at age 17. “So many people have begged me to come forward, and I just thought — well, I have to do this. I owe it to them. I cannot die a coward.”

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Published By  Lindsay


June 17, 2011 (Pittsburgh, Pennsylvania) — The upcoming Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), may include revisions for diagnosing mixed episodes while keeping the current duration criteria for hypomanic episodes in bipolar disorders, according to 2 presentations by members of the DSM-5 Mood Disorders Work Group at the 9th International Conference on Bipolar Disorder (ICBD).

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Published By  Lindsay
According to a recent poll on my sidebar, about 45% of visitors on this blog are individuals who have been diagnosed with a mental disorder. Another 19% of visitors haven’t been diagnosed but they suspect that they may have a disorder. Those are really high percentages, although I guess it makes sense since this blog is about psychology and personal development, and who better to need advice than those who may have been put into an unfair disposition.

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Published By  Lindsay

Increased ED Visits May Herald Geriatric Mental Health Crisis

An increase in emergency department (ED) visits by elderly patients in Hawaii is a strong indicator that a national geriatric mental health crisis is brewing, new research suggests.

A study presented here at the American Psychiatric Association (APA) 2011 Annual Meeting shows a 30% increase over 1 year in geriatric psychiatric visits that included longer length of stays.

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Published By  Lindsay

Questions to Ask the Psychiatrist

A Checklist for Families of Patients with Schizophrenia & Other Serious Mental Illnesses

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Understanding the Clinical Implications

Given the often irreversible deconstruction of a life that psychosis can bring to individuals and their families, strategies for early detection and intervention have become a focus of increasing interest. These strategies aim to prevent disorder by identifying, tracking, and treating the clinical antecedents to psychosis. In this article, we review the underlying rationale for this direction, the evidence that prevention of psychosis is possible, what psychosis-risk states look like clinically, what treatment studies show to date, and the risks and benefits of early intervention. We also outline what psychiatrists can do clinically, given what we currently know.

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