Suicide Prevention

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10 USEFUL* things you can do for suicide prevention *Spoiler: none of these things are about “fixing” a suicidal person. I’d like to apologize for missing the actual National Suicide Prevention Day, which was September 10, but, really, any day is a good day to talk about suicide prevention.  Suicide prevention is not a matter of telling your distressed friend …

Antidepressant Effectiveness – A Meta-Analysis Says They Work Well for a Minority

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How can we assess antidepressant effectiveness? A series of articles have come to seemingly incompatible conclusions about how well they work. An article in the British Medical Journal published in 2022 suggests that the answer is more complicated than a simple yes or no. This article is another attempt to examine existing data from the thousands of people who have …

Microdosing Psilocybin and Psilocybin Assisted Psychotherapy – Safe and Effective?

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Recently there has been a lot of interest in using psilocybin as a treatment for depression, anxiety and alcohol use disorder. We certainly need more safe and effective treatments. It may be worth considering where we are in the evaluation of these agents. Right now there is a growing literature supporting the potential value of these agents, but there is …

Ketogenic Diet

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Diets and Moods Evidence for the importance of diet for mental health is slowly gathering.  People are looking into the importance of specific diets like the Mediterranean diet, which we have highlighted here before.  And the next big area of research into diet and mental health looks like being the ketogenic diet. Many people have heard of the Atkins diet, …

More on Finding a Psychiatrist – From a Colleague

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We attach this information, which was provided to us by a trusted colleague, for those who are trying to find a particular kind of help and have not had luck so far. If you are interviewing psychiatrists (or therapists) who will work hard to help you achieve the results you are looking for, on your terms, consider the following approach. …

Get Labs Drawn at Your Home or Office

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Mobile Phlebotomy ServiceSprinter Healthhttps://www.sprinterhealth.com/ Where They Draw Serving the entire Bay Area, and growing throughout California and parts of the US.During the booking process, you can see if they serve your location. Timing They will come to your home or office as early as 7 AM, with one-hour windowsThey have scheduling as convenient as next-day What They Draw LabCorp and …

No Melatonin

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No Melatonin?  American Academy of Sleep Medicine recommends against its use for insomnia Hot on the heels of MoodSurfing’s recent exploration of the use of melatonin for insomnia comes a new recommendation from the American Academy of Sleep Medicine that melatonin should not be used for insomnia, either in adults or in children. The Academy has found a number of …

Insurance Coverage Denial – Appeal Process Overview

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My insurer refuses to cover my prescribed treatment. What can I do? If your insurer denies your coverage, you can challenge your insurer’s decision by completing the following steps in order: Appeal the Decision How do I appeal the decision? If your insurer denies your claim, you have the right to an internal appeal.[1] This means you can ask your insurer …

Lithium Reduces Osteoporosis

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A study in JAMA Psychiatry reveals another potential benefit of lithium treatment. Bipolar patients in general have a significantly higher rate of osteoporosis than the general population, for reasons that are not clear, but could have to do with treatment with antipsychotic medications, a higher rate of alcohol use and a higher rate of tobacco consumption. Thus it is noteworthy …

Denmark Epidemiological Data

Lithium Long Term Effects and the Danish Psychiatric Central Registry

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A series of studies providing the best data on the long term effects of lithium has been coming out of a large database of healthcare use and diagnoses called the Danish Psychiatric Central Research Register. Because healthcare is nationalized in Denmark, this register covers a huge population (everyone who ever received psychiatric treatment) and it extends back to 1970. Studies …