ScienceDaily (Dec. 5, 2011) — Over a 10-year period, spending for Medicaid-enrolled patients with depression increased substantially but only minimal improvements in quality of care were observed, according to a report in the December issue of Archives of General Psychiatry, one of theJAMA/Archives journals…
…
“In summary, during the 10-year period between 1996 and 2005, we found a substantial increase in spending for patients with depression, with minimal improvements in quality of care,” the authors conclude. “Our findings underscore the importance of continued efforts to improve quality of care for individuals with depression, as well as the need to understand the efficacy and cost-effectiveness of using antipsychotics for the treatment of individuals with depression in the general community.”
The Online Blues—Is There A Relationship Between Social Media And Mental Well-Being?
Reblogged from The Write Transition:
Anxious
Unsettled
Disheartened
Irritable
Stressed
Frustrated
Drained
We all experience the above states from time to time as a result of our work environments. I know I did, which prompted a midlife career shift from clinical to nonclinical medicine.
So imagine my surprise to feel these emotions resurface during my year of playing hooky to write.
What Gives?Recently, after an irritable self-pity party summoned…
WHAT GIVES?
Recently, after an irritable self-pity party summoned Mr. Nasty Pants, my dreaded personality imp, I tugged at the stripes on his pants and said, “What the crap? I’ve spent my day glued to a laptop yet have little product to show for my efforts.”
My personality imp, Mr. Nasty Pants
My impish nemesis danced his evil two-step and laughed. “Oh, what’s de matter. Is wittle, baby Carrie’s plan not going her way?”
I sighed, closed my laptop, and assumed a supine position on the floor, hoping to soothe the twisted knot in my back. Then I accessed my left brain for analysis. What exactly was going on here?
- Was it the writing process itself? My neurons fired a quick no in response.
- Was it guilt over playing hooky from medicine? Eh, maybe a little, but not completely.
- Was it the fact that my writing progress did not match my timeline? Bingo.
ENTER PUBMED
Naturally, my first impulse was research. Are there studies to suggest too much online media is associated with psychological distress? The concept makes sense; it doesn’t take millions of funding dollars to see that. Plus, I’ve read reams of pediatric literature discussing social media’s harmful effects on kids. But what about adults? Show me the studies, man.
Here’s some of what I found:
- Media Multitasking is Associated with Symptoms of Depression and Social Anxiety: Given the title says it all, I see no reason to elaborate.
- Internet-Related Psychosis−A Sign of the Times: Well, now, that doesn’t sound good. In this study, too much social media involving ‘hyperpersonal’ relationships with strangers resulted in negative feelings. And delusions. (That’s the psychosis part, folks). For more information on this pleasant thought, see the aptly named article Can Facebook Drive You Crazy – Literally?
- Study: People Who Are Constantly Online Can Develop Mental Disorders (Abstract here): Um, yeah…again, pretty self-explanatory. But in addition to depression, this study also found sleep disorders and poor ergonomics (improper body positioning). One of the main culprits is that in an online world that’s 24/7, people never feel free. Furthermore, if they neglect their social media, feelings of guilt surface.
NOW WHAT?
So what’s a bloke to do? Especially if said bloke uses social media not only for interaction but also as a marketing tool. One needn’t be a genius to answer that. As Mr. Nasty Pants would say, jumping off each of our heads in gleeful spitefulness, “Turn off the endless black holes.” But we know it’s not that easy. We want and need to maintain the interaction. But we also need to get work done and meet our personal deadlines. Finding that balance is the ever-elusive golden goose, is it not? For my own self, I know I need to cut back. I only post once a week, and as such, perhaps I’ll only be able to visit other blogs once a week. And less Twitter. And Facebook. And forums. And… When I have the answers, I’ll let you know… What about you? Do you ever get the online blues? Are you able to cut back without guilt? All images from Microsoft Clip ArtThe Dark Path to Antisocial Personality Disorder
From the 7 February 2012 Science Daily news item
With no lab tests to guide the clinician, psychiatric diagnostics is challenging and controversial. Antisocial personality disorder is defined as “a pervasive pattern of disregard for, and violation of, the rights of others that begins in childhood or early adolescence and continues into adulthood,” according to the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) of the American Psychiatric Association….
Related articles
- The dark path to antisocial personality disorder (medicalxpress.com)
- The dark path to antisocial personality disorder (esciencenews.com)
- The dark path to antisocial personality disorder (eurekalert.org)
- Antisocial Personality Disorder 101 (phoenixsphere.wordpress.com)
- Twin Study of Antisocial Personality Disorder (brainposts.blogspot.com)
- Where Narcissicm Ends and Antisocial Personality Disorder Begins (phoenixsphere.wordpress.com)
- Brain Imaging in Antisocial Personality: II (brainposts.blogspot.com)
Psych Care at Risk in Cedars Shutdown
From a 1 December 2011 blog item at the Mental Health Minute
It is beginning…….
Here is an article from NBC Los Angeles that show the beginning of the end. We should all be paying attention to this event, as the rest of the nation’s health care usually follows California’s lead. Where will these people go? How will these people get any help? This is so sad.
Please go to the site and read this article in full, then come back here and leave me a comment about your thoughts on this topic, won’t you?
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Psych Care at Risk in Cedars Shutdown
Cedars Sinai says it will to close most of its mental health services, worrying providers and patients.
By Sharon Bernstein
| Thursday, Dec 1, 2011 | Updated 4:21 PM PST
The decision by Cedars Sinai Medical Center to phase out most of its mental health services will rip a hole an already tenuous network of care, rattled providers said Thursday.
The news that within a year the non-profit hospital system would shut down its 51 psychiatric beds and release the 1,800 people who come for outpatient counseling and medication ripped through the region’s mental health community.
Free clinics braced for an onslaught of new patients, and doctors in nearby neighborhoods wondered where they would refer people in need of care.
“It’s devastating news,” said Sheila Forman, who practices in Santa Monica and is also a spokeswoman for the Los Angeles County Psychological Association. “The idea that a big facility like Cedars Sinai would close its doors is a very big deal. A lot of people are in crisis right now, and they need services.”…
Related item
Trends in Quality of Care and Health Care Spending for Depression Examined in New Study




