Saturday, November 9, 2013

Online System May Id Mental Health Disorders

THE NEW MENTAL HEALTH DISORDERS MANUAL IS DRIVING PSYCHOLOGISTS NUTS



- patients who desire to see a specialist health care provider must first visit a primary care provider for a referral. TelePsy assists those doctors and nurse practitioners in identifying symptoms and potential causes of psychological problems and gives advice about a patient's need for referral to specialty care. After an initial referral from the primary care provider, the eDiagnostics process requires patients to complete a questionnaire. The profile created from those responses is reviewed by a TelePsy psychologist who then does a telephone consultation with the patient, and afterward prepares a report that is submitted back to the primary care provider. The report includes a preliminary diagnosis based on the standard psychiatric diagnostic manual, DSM-IV, and provides advice on whether the patient should be referred to mental health care and the extent of care required - primary, secondary or tertiary, with tertiary indicating a need for inpatient psychiatric treatment. The most common diagnoses identified via TelePsy were mood disorders, including depression and anxiety, Dijksman and colleagues report. Other less-common diagnoses included suspicion of a personality disorder, substance abuse disorder and developmental disorder. Overall, the 242 patients surveyed said they were generally "quite satisfied" with the TelePsy system and were neutral about whether they would prefer a face-to-face consultation with a psychologist over the computerized system.


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AUTOIMMUNE DISORDERS AND EMOTIONAL HEALTH



The CDC report, Mental Health Surveillance Among Children, summarizes federal data and research from 2005 through 2011 to provide the agencys first comprehensive snapshot of the nations emotionally troubled youths. One recent study found that from 1997 to 2010, the rate of hospital stays among children for mood disorders increased from 10 to 17 admissions per 10,000 people. Another study, which analyzed insurance claims, found a 24 percent increase in inpatient mental health and substance abuse admissions for children from 2007 to 2010. The report also found that the use of psychotropic drugs by teens had increased over the same period. Greater awareness of mental health issues by doctors and parents, increased poverty stemming from the Great Recession and possible environmental factors could be playing a part in the increases, said Ruth Perou, child development studies team leader at the CDC. The report arrived one week after National Childrens Mental Health Awareness Day on May 9 and as President Obama prepares to host a June 3 mental health summit at the White House in response to recent efforts to halt gun violence. The report found that suicide was more prevalent among boys than girls and among non- Hispanic whites and non- Hispanics of other races than it was among non-Hispanic blacks and Hispanic children. Among children who died by suicide, the report found that nearly 30 percent made their intent known before the act and that 35.5 percent had a diagnosed mental disorder when they died.

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ONLINE SYSTEM MAY ID MENTAL HEALTH DISORDERS



Isolation. Being diagnosed with an autoimmune disorder can leave you feeling alone and helpless, especially if you don't know other people who share your diagnosis or you have physical disabilities as as result. Depression and anxiety. People often feel a profound sense of loss and uncertainty after diagnosis with an autoimmune disorder, which can lead to symptoms of depression and anxiety. Caring for Your Emotional Health There are ways to take care of your emotional health after you have been diagnosed with an autoimmune disorder, including: Give yourself time to adjust. Really adjusting to an autoimmune disorder diagnosis can take some time, so be prepared for emotional ups and downs as you learn more about your diagnosis.

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The holy grail of clinical psychology, the Diagnostic and Statistical Manual of Mental Disorders (DSM-4), is about to be replaced by a long anticipated revision, the DSM-5 . Technically, the new version wont be published till 2013, but the draft available for public review has already caused uproar across the world. Heres an example of why: acontroversialchildhood disorder, Oppositional Defiant Disorder has such symptoms as deliberately annoys people, argues with adults, and is touchy. The American Psychological Association (APA) is one of the organizations that has a problem with coining this type of disorder, among a handful of other new ones that may soon be written into the books. Psychologists had been waiting for their go-to manual to be updated because a lot has happened in the 11 years since the previous version was revised. Current research has led to new understanding of old disorders, new drugs have been developed, biomarkers have been determined, new treatments have evolved, and most important to many is the fact that new disorders have been discovered. Everybodys Got Something Now But critics, like members of the APA , are saying the new manual has a litany of problems, not the least of which is that lowers the threshold for having certain mental disorders. This means that with looser definitions, more people will be diagnosed with disorders, and this has all kinds of ramifications psychological, pharmacological, social, and economic.

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CDC SAYS 20 PERCENT OF U.S. CHILDREN HAVE MENTAL HEALTH DISORDERS



Other less-common diagnoses included suspicion of a personality disorder, substance abuse disorder and developmental disorder. Overall, the 242 patients surveyed said they were generally "quite satisfied" with the TelePsy system and were neutral about whether they would prefer a face-to-face consultation with a psychologist over the computerized system. The 49 doctors and nurse practitioners surveyed in the study were very satisfied with the TelePsy system as well. They also tended to agree with the diagnoses suggested by the eHealth system and the referral advice given, the researchers note in the journal Family Practice.

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