Hands on description of psychosis and it’s consequences.
An enthralling short film made by John Richardson (former service user) and Belinda Giles. Surrounding the experience of psychosis and the positive role the Early Intervention service can play in that often rocky voyage. Featuring captivating personal insights alongside a tightly woven narrative. Provocatively packed with vintage newsreel footage, humorous animations and imaginative imagery.
In a blog post with the title: Harnessing the Collective Intelligence the author of the blog The Amazing World of Psychiatry wrote an extensive review of the blogs written by psychiatrists with links to pages of interest. The most important blogs written by psychiatrists in the Blogosphere are securely reviewed and links to several posts are provided with a short introduction. An excellent review
Throughout this blog, I have reviewed numerous other blogs and in so doing have curated a very small part of the web. The reviews have been my opinions and interpretations of the blogs and have included links to pages I thought were of interest in these blogs. In a sense this is my interpretation of this part of the web. However because I am interpreting other people’s blogs, I am in a sense interpreting other people’s interpretations of the web. In so doing, this is the harnessing of collective intelligence.
At the blog: Frontier Psychiatrist an extensive interview with Nicholas Tromans, a Senior Lecturer at London’s Kingston University. He is the author of Richard Dadd: the Artist and the Asylum. Nice interview.
Richard Dadd (1 August 1817 – 7 January 1886) was an English painter of the Victorian era. Following a long tour of the Middle East in the early 1840s he succumbed to a schizophrenia-type illness, following which he murdered his father and fled to France where he attacked another traveller. After his return to England he spent over forty years in the Bethlem and Broadmoor, during which period most of the works for which he is best known were created.
This thoughtful and enlightening ten minute programme, edited and narrated by consultant psychiatrist Dr Mark Salter, explores the causes and consequences of stigma against mental illness and challenges us to rethink our attitudes towards people with mental health problems. The style is a montage of still images with music and commentary. Powerful and thought-provoking.
Stigma because we don’t understand mental illness…..
Now, addiction is not Dr Shock’s specialty but I have attended a lecture on this subject a few years ago by one of the authors Robin M. Murray and was very impressed by the subtlety of his research and reasoning. Moreover, I’ve often been questioned about this subject by our med students just before starting their clerkship psychiatry. Ever since this trend began to evolve internationally, many patients ask; is CBD oil legal and if so should it be?
The size of the problem:
The global number of people in the world who used cannabis at least once in 2007 was between 143 and 190 million persons also, CBD Oil (CBDOilAdviser.com) is used for many people too.
Highest use in North America, Western Europe, West and Central Africa and Oceania
The concentration of psychoactive ingredient of cannabis is tetrahydrocannabinol (THC) it’s concentration in skunk in countries such as England has increased from 4% to 16 and 20%
Overall use is declining, nevertheless, there is a 20 fold increase in first time use under the age of 18 years that buy cbd
A relation between cannabis use and schizophrenia is best discovered by longitudinal studies in the general population. From these studies it was discovered that those who had smoked cannabis, had a 2 to 3 times higher risk of developing schizophrenia than those not smoking cannabis, There was also a dose response relationship between exposure load and psychosis outcome. Although the risk increases the overall number of those developing schizophrenia is low (3% of heavy cannabis users). check this review out to find more about affects.
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The grow weed is still medically accepted and useful among the rest of the population percentage that needs it, personally I’ve been on the medical treatment for months and it has been the only thing that has helped me with a few of my patients with cancer and body pain, I just looked for the best marijuana dispensary near me for research and found the treatment that works for some of my patients cases.
Moreover the difference in risk of psychosis at follow-up between those who did and did not use cannabis was much stronger for those with an established vulnerability to psychosis at baseline than for those without one.
Another interesting question is: who is vulnerable for developing psychosis when using cannabis?
Those who start cannabis early are at a greater risk of developing psychosis, either due to an increased propensity, higher cumulative exposure or increased vulnerability of the brain on younger age, it is recommended to use cannabis products like the ones at https://cannabismo.ca/ when people suffer from a health condition, which in these cases it cannabis will be used as an alternative medicine.
Again we have to be careful interpreting these findings since we do not know the exact pathophysiological route of action for cannabis leading to schizophrenia. You can always opt for options to purchase edible products like chocolate bars, jelly bombs etc from
cannabis use is clearly not an essential or sufficient risk factor as not all schizophrenic patients have used cannabis and the majority of cannabis users do not develop schizophrenia.
So let’s be careful out there.
Casadio, P., Fernandes, C., Murray, R., & Di Forti, M. (2011). Cannabis use in young people: The risk for schizophrenia Neuroscience & Biobehavioral Reviews, 35 (8), 1779-1787 DOI: 10.1016/j.neubiorev.2011.04.007
During clerkship or residency individuals new to psychiatry find it hard to accommodate. According to BeWell Medical Clinic, Psychiatry rotation is still not compelled for GP’s and emergency medicine while these are probably the first to encounter psychiatric patients in different forms of distress. For those starting a rotation of psychiatry being it clerkship or otherwise here are a few tips to get you started.
Treat the patients with dignity and respect at all times. You will never regret it.
Try not to be afraid of psychiatry or psychiatric patients, you cannot catch madness.
Mental health stigma and prejudice is real and widespread. Make sure you are not part of the problem.
Make sure you laugh. Psychiatry is emotionally demanding and without this release you will really struggle.
The psychiatric multidisciplinary team is less hierarchical than a standard medical team — respect this. Recognising the skills and knowledge of the multidisciplinary team will enhance your ability to care for your patients.
Become fluent in the performance and recording of the mental state examination, you’ll be doing a lot of it! Take a crib sheet with the headings on for the first few oncalls and clinics till it becomes second nature (as it will).
Direct confrontation and shouting at agitated patients rarely calms the situation or leads to a favourable result. Always try to de-escalate tense situations.
Always do a risk assessment. Always ask about suicidal ideation, thoughts of self-harm and thoughts of harm towards others. Other domains of risk include vulnerability from others, selfneglect and psychosis. Remember that not all risks are predictable.
Listen to the nurses! They spend much much longer with the patients than you do and have a wealth of knowledge and experience that they are usually happy to share.
Moreover, psychiatry is the place to learn about professionalism since psychiatrists are used to look critically at themselves and their team, teamwork since psychiatrists are used to work with other disciplines.
These tips are derived from an excellent publication on this subject with many more tips. The selection is based on the importance of the tips learned from 27 years of working in psychiatry.
Burkes, M., Hanna, L., & Woollard, J. (2011). Tips for GP trainees working in psychiatry British Journal of General Practice, 61 (583), 148-149 DOI: 10.3399/bjgp11X556407
I don’t think the situation is different in The Netherlands compared to the authors observations from the literature. More involuntary admissions of shorter duration, what do you think?
A short animated film on the image of psychiatrists – written, directed and narrated by Dr Kamran Ahmed. In short it also explains the work of a psychiatrist. Entertaining and it really captures most of what psychiatry in our modern days really is.
Please help us get a sense of the public sentiment towards psychiatry, psychiatrists, and psychiatric patients. We will be including this information in our presentation on The Public Face of Psychiatry at this year’s annual meeting of The American Psychiatric Association. Please read all of the answers for all of the questions, then choose all that apply. If you choose “other,” please type in a response. This survey is totally anonymous and does not collect an IP address or any other identifying information. Please do not take our poll more than once! Thank you for participating!
Once in a while some really clinical relevant results in research is published. Picture this: first time psychoses, recovered with antipsychotics. Still stable after one year. Should we discontinue the antipsychotic medication? Nope, discontinuation of the antipsychotic in first time psychotic patients after one year increases the risk of relapse.
After one year patients were gradually withdrawn from medication (n=11) and 9 patients continued their antipsychotic regimen. Due to the amount of patients relapsing after discontinuation the tial was ended prematurely.
During the trial it appeared that, in contrast with continuation, gradual withdrawal from antipsychotic medication was almost invariably followed by relapse leading to reinstatement of antipsychotic therapy. Further randomisation to discontinuation was therefore considered unethical and recruitment was terminated prematurely
Boonstra, G., Burger, H., Grobbee, D., & Kahn, R. (2010). Antipsychotic prophylaxis is needed after remission from a first psychotic episode in schizophrenia patients: Results from an aborted randomised trial International Journal of Psychiatry in Clinical Practice, 1-7 DOI: 10.3109/13651501.2010.534801
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