July 15: DSM-V comment deadline extended
The American Psychiatric Association (APA) is extending the open commenting period for the DSM-V until July 15. Review of the proposed changes to the fifth edition of the Diagnostic and Statistical Manual have been taking place since February. In a letter to the APA's membership, Dr. Carol Bernstein explained one reasons a revision was needed: "[A] large number of patients receiving any DSM-IV diagnosis also meet criteria for multiple diagnoses. Some studies have identified clusters of disorders that co-occur at... []
DSM-V accepts public comments, revises web-site
DSM-V.jpgThe APA's fifth edition of the Diagnostic and Statistical Manual (DSM-V), scheduled to appear in two years, is entertaining public comments through June 15. []
Anatomy of an Epidemic, by Robert Whitaker
If psychiatric medications are doing the job, why are more disabled by a mental illness than 25 years ago? That is the disturbing question, says Dan Herman, that permeates Robert Whitaker's new book, Anatomy of an Epidemic. if our psychiatric treatments are truly effective, why aren't people with mental illness doing better? []
Ghostwriting controversy at APA
. . .unanswered questions []
Unhinged: The Trouble with Psychiatry, by Daniel Carlat, MD
Unhinged.jpg Once a specialty rich with the interactions between client and doctor which used to comprise a 50-minute hour, to one that has become a 15-minute, billable med check, psychiatry has become "unhinged" in the words of author Dr. Daniel Carlat. In a review of Unhinged, psychiatrist Richard Evans asks how to reconcile the pendulum swing for a professional with "an extremely challenging mandate." []
Psychiatry residency matches -- more but still short
Fourteen more graduates from American medical schools matched for a psychiatry residency this year than last, but the numbers still fell short of filling the spots. Last year, 656 students were placed, this year 670 for the 1,075 available spots. . . []
A trial, and an ad, featuring Seroquel
. . .evidence vs. spin []
The bar for normal -- DSM update
Advancing the conversation about revising the American Psychiatric Association's Diagnostic and Statistical Manual, DSM-V, On the Media's Brooke Gladstone. . . []
Blizzard of news about DSM-V
Would introducing a category for the risk of psychosis promote early diagnosis that leads to better treatment? Or will it promote unnecessary worry, stigma and giving drugs to young adults who don't need them? These are among the questions posed by the release of the American Psychiatric Association's newest version of the Diagnostic and Statistical Manual (DSM-V). . . []
Drug companies disclose
. . .But is that enough? []
First psychotic breaks -- conference topic
Peter Stastny,* MD, writes about an upcoming conference (Nov 23): "Alternative responses to first psychotic breaks: Rethinking psychiatric crisis." After several years, there is a renewed focus on treatment for first psychotic episodes. An emphasis on early intervention and prevention of psychosis, with the goal of shortening the "duration of untreated psychosis" has obscured the view on the actual services that are being offered to individuals in the midst of a first episode. Recently, the National Institute of Mental Health... []
Committee probes drug industry-education ties
pharmameded(istock).jpg
Conflicts of interest between the drug industry and medicine left a breach in the firewall with research, education, clinical care vulnerable to bias, noted several witnesses at hearings of the Select Committee on Aging. . . []
HHS money to train doctors
Sec. Kathleen Sebelius announced Health and Human Services will grant $47.6 million to train more doctors. . . []
Cognitive behavioral therapy (CBT) is the most frequently taught evidence-based therapy during clinical training.
Read more about the lack of training clinicians in evidence-based therapies in "National Survey of Psychotherapy Training in Psychiatry, Psychology, and Social Work," by Myrna M. Weissman, et. al, in the Archives of General Psychiatry.... []
DSM-V controversy boiling
Revision of the APA's diagnostic bible, the DSM-V has been underway for nearly a decade. Complaints about the process. . . []
Should the term schizophrenia be changed?
. . .take a poll []
162nd APA kicks off in San Francisco
. . .Monday morning []
It takes 17 years for scientific knowledge to become incorporated into routine practice.
Download Crossing the Quality Chasm: A New Health System for the 21st Century (2001), from the Institute of Medicine. ... []
Restore independence to medicine says IOM
A blue-ribbon panel of the Institute of Medicine released "Conflict of Interest in Medical Research, Education, and Practice" a stunning rebuke of how industry has crept into research, clinical practice, continuing education, professional guidelines, and government agencies. The report calls for an end to practices that have undermined confidence in medicine, saying disclosure is also needed to identify payments and gifts to all foundations, nonprofit advocacy groups, and disease specific organizations. Writing in the New England Journal of Medicine, Dr.... []
The doctor isn't in
. . .shortages in psychiatry []
DSM-V changes under discussion
After years of study, and in preparation of a 2012 publicaton date, discussions are underway about conceptual changes in the next edition of the DSM-V. These include separating measures of functioning and disability from symptoms, which is consistent with World Health Organization classifications. Clinical Psychiatry News describes the process.... []
Psychiatrists change meal policy
After a year of controversy, the American Psychiatric Association announced it will "phase out" the industry-sponsored events -- meals and banquets accompanying educational lectures or symposia -- that brought charges of conflicts-of-interest and federal investigations. ... []
Highway to wellness
. . .includes mental health []
More than 95 % of the elderly receive their mental health services from primary care providers.
Findings from this study published in 1996 are repeated in a 2005 review of psychiatric epidemiology. Registration required to read more. ... []
DSM-V will have reviews, disclosure
The American Psychiatric Association (APA) responded to recent criticism of the revision process of the Diagnostic and Statistical Manual by outlining its work: planning sessions starting in 1999, a website posting updates, outreach to lay groups, financial disclosures, and the opportunity to comment on the release of a draft in 2010. The DSM-V is scheduled for release in 2012 and will then be used by clinicians establishing criteria for describing disorders as well as for insurance reimbursement. ... []

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