According to a study released today, about 67% of patients newly diagnosed with OCD were insufficiently medicated, either in dosage or duration of therapy. You can read the story at medicalnewstoday.com . That certainly sounds dramatic, doesn't it? But considering the methodology of the research, it may not be quite so surprising. The data came from a retrospective claims analysis looking back nine years at 987 Medicaid recipients who were newly diagnosed with OCD. Could it be that the standard of care was deficient because of the insurance? Medicaid providers are notoriously underpaid and drugs are tightly managed. I'd place my bet that reimbursement rather than medical incompetence was the real issue.
I can't find anywhere in the study that pinpoints psychiatrists as the providers who either diagnosed or prescribed. In any event, I wanted to underscore how important it is that a psychiatrist, not your family physician, be responsible for psychiatric diagnoses and treatment. I just finished meeting with a client who was probably under-medicated for OCD by his family physician. Going to your family doctor for psychiatric treatment is akin to seeing an infectious disease doc to have your teeth cleaned.Sphere: Related Content
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Friday, June 20, 2008
Technorati Authority
A blogging experiment...
1. Brad Blogging.com - Daily Blog Tips For The Masses
2. Daily Blogging Tips At The Daily Rambler
3. Blog Chews - Blog About Anything
4. Steve v4.6 - Big Made Small
5. GIVEAWAY CITY
6. Indo Contest.com - Find the Latest Contest Here
7. POTPOLITICS-We Smoke the Competition
8. ATA - AskTheAdmin.com
9. Dolly’s Daily Diary
10. The Tech Juice - Tech Tips And More
11. Wendy’s OBA, Blog Tips & Tricks
12. Wendy’s Reel - Fact And Fancy
13. A Grateful Heart
14. 50+Whatever..Just some Ramblings in Life
16. The Blog for DesignCreatology
17. Contest Whiz - The Blog Contest Expert
18. About Blog Contests
19. Esmeraldasblog - Como aumentar la Authority de Technorati
20. Best Widgets for free - Blog Widgets
21. New life by Pitonizza
22. Todo Seiya - Como aumentar la Authority de Technorati
23. Blog for Spanish Readers
24. The Blogger And The Blog
25. Hero Help
26. Makmalcyber
27. Forex Study
28. Techyplus
29. 8
30. Darn Good Reviews
31. Blogger Tips - DotBlogger
32. Lilyruths This and That
33. That Blog 4 Me
34. Pinoytek - Make Money Online and SEO Blog
35. Snigit(blogspot)
36. Snigit(.com)
37. Best Of The Web
38. Swat the Fly
39. Area3000
40. Shut Up And Eat
41. Find Torrent Blog
42. Cebu in the World
43. Web Design
44. Trestin Adventures
45. Ask Trestin
46. Trestin Autobiography
47. Trestin Ideas
48. Trestin Gallery
49. Trestin Games
50.(Impressive Results!) Trestin Hall Of Fame
51. Trestin History
52. Parnell Forever
53. Trestin Political
54. Trestin Spiritual
55. Trestin Sports
56. Trestin Store - Yep, Each One Of These Are Different Blogs.
57. The Ordinary Agung
58. Il blog di Luca Marchi
59. What About Brazil?
60. Shri Rada Blog
61. Hawaiian Travel Blog
62. Hawaii Cruise Superstore
63. GadgetHeat!
64. Over The Sky
65. Yavinator log
66. I Travel to Work do you?
67. The Home Page of Tony Smith, Writer of Comic Books, Articles & Screenplays
68. Ultimate Credit Online
69. The Rhythm of Write
70. A Hoosier Family
71. Analyzed Marketing Solutions
72. O2S Media
73. Project Swole - Fitness and Nutrition
74. Life is simple, Don’t make it complicated
75. Yet Another Blog from Marco Ciacci
76. Freebies, Making money and More
77. Babysitter On Board
78.Vhiel’s Corner
79. Anything and Everything in Between
80. Designs By Vhiel
81. Can of Thoughts
82. Only in Silence
83. Everything Nice!
84.Reference Notes
85. It’s a woman’s world!
86. Ramki’s Blog
87. THE MOM WITH BROWNIES
88. Picture Clusters
89. Maiylah’s Snippets
90. My Wanderings
91. Confessions of a Supermodel Wannabe
92. Tiklaton: We are the Witness!
93. Aeirin Collections
94. The Big Dog
95. O’Joy of my life…
96. Through the Rain
97. More Than A Mom
98. Say Cheese
99. The Journey
AWESOME! TRIPLE DIGITS! 100. Photo Hook
101. Life Quest
102. Dew Drops - Making Sense… Somehow
103. The Small Business Marketing Blog
104. TheSuburbanFarmer
105. Konaini Blog
106. Worldly Economic Thoughts
107. Esperto Seo
108. gd labs gianfranco davide reppucci Blog
109. insidetheworld Italian Linux and Security Blog team
110. The Back Forty
111. studentefreelance
112. The Barber Bunch
113. Doremixy
114. Benefit everyone on this list. Join Today!
115. Box 5150Sphere: Related Content
Read more...
1. Brad Blogging.com - Daily Blog Tips For The Masses
2. Daily Blogging Tips At The Daily Rambler
3. Blog Chews - Blog About Anything
4. Steve v4.6 - Big Made Small
5. GIVEAWAY CITY
6. Indo Contest.com - Find the Latest Contest Here
7. POTPOLITICS-We Smoke the Competition
8. ATA - AskTheAdmin.com
9. Dolly’s Daily Diary
10. The Tech Juice - Tech Tips And More
11. Wendy’s OBA, Blog Tips & Tricks
12. Wendy’s Reel - Fact And Fancy
13. A Grateful Heart
14. 50+Whatever..Just some Ramblings in Life
16. The Blog for DesignCreatology
17. Contest Whiz - The Blog Contest Expert
18. About Blog Contests
19. Esmeraldasblog - Como aumentar la Authority de Technorati
20. Best Widgets for free - Blog Widgets
21. New life by Pitonizza
22. Todo Seiya - Como aumentar la Authority de Technorati
23. Blog for Spanish Readers
24. The Blogger And The Blog
25. Hero Help
26. Makmalcyber
27. Forex Study
28. Techyplus
29. 8
30. Darn Good Reviews
31. Blogger Tips - DotBlogger
32. Lilyruths This and That
33. That Blog 4 Me
34. Pinoytek - Make Money Online and SEO Blog
35. Snigit(blogspot)
36. Snigit(.com)
37. Best Of The Web
38. Swat the Fly
39. Area3000
40. Shut Up And Eat
41. Find Torrent Blog
42. Cebu in the World
43. Web Design
44. Trestin Adventures
45. Ask Trestin
46. Trestin Autobiography
47. Trestin Ideas
48. Trestin Gallery
49. Trestin Games
50.(Impressive Results!) Trestin Hall Of Fame
51. Trestin History
52. Parnell Forever
53. Trestin Political
54. Trestin Spiritual
55. Trestin Sports
56. Trestin Store - Yep, Each One Of These Are Different Blogs.
57. The Ordinary Agung
58. Il blog di Luca Marchi
59. What About Brazil?
60. Shri Rada Blog
61. Hawaiian Travel Blog
62. Hawaii Cruise Superstore
63. GadgetHeat!
64. Over The Sky
65. Yavinator log
66. I Travel to Work do you?
67. The Home Page of Tony Smith, Writer of Comic Books, Articles & Screenplays
68. Ultimate Credit Online
69. The Rhythm of Write
70. A Hoosier Family
71. Analyzed Marketing Solutions
72. O2S Media
73. Project Swole - Fitness and Nutrition
74. Life is simple, Don’t make it complicated
75. Yet Another Blog from Marco Ciacci
76. Freebies, Making money and More
77. Babysitter On Board
78.Vhiel’s Corner
79. Anything and Everything in Between
80. Designs By Vhiel
81. Can of Thoughts
82. Only in Silence
83. Everything Nice!
84.Reference Notes
85. It’s a woman’s world!
86. Ramki’s Blog
87. THE MOM WITH BROWNIES
88. Picture Clusters
89. Maiylah’s Snippets
90. My Wanderings
91. Confessions of a Supermodel Wannabe
92. Tiklaton: We are the Witness!
93. Aeirin Collections
94. The Big Dog
95. O’Joy of my life…
96. Through the Rain
97. More Than A Mom
98. Say Cheese
99. The Journey
AWESOME! TRIPLE DIGITS! 100. Photo Hook
101. Life Quest
102. Dew Drops - Making Sense… Somehow
103. The Small Business Marketing Blog
104. TheSuburbanFarmer
105. Konaini Blog
106. Worldly Economic Thoughts
107. Esperto Seo
108. gd labs gianfranco davide reppucci Blog
109. insidetheworld Italian Linux and Security Blog team
110. The Back Forty
111. studentefreelance
112. The Barber Bunch
113. Doremixy
114. Benefit everyone on this list. Join Today!
115. Box 5150Sphere: Related Content
Read more...
Wednesday, June 18, 2008
Depressed, Just Not Sad
I'm not sure how much, if any, literature exists on depression sans sadness. I've seen it revealed so often in clinical practice, but how do we identify it, understand it? In common usage of the word "depressed," the speaker is often referring to the all-too-human condition of sadness. "I'm so depressed because I'm broke," we might hear one say.From a clinician's viewpoint, "depression" is diagnosed when there is a constellation of "symptoms" such as decreased appetite, insomnia or hypersomnia, lack of joie de vivre, and most significantly, a negative self-referral system ("I'm useless anymore," "Nobody cares about me," "I'm a terrible parent," etc).In fact, this self-deprecation is the hallmark of true depression. The relative battering one's self-esteem has endured is how we can separate the depressive from the sad. Feeling sad is part of how we're built; feeling depressed is the product of self-flagelltion run amok.That, then, is perhaps why there are so many cases in which an individual is depessed without feeling sad. At the end of a day flled with self-reprisals, the feelings would likely be numbed.Sphere: Related Content
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