Author Archives: Dr. Joris Wiggers

A complicated blog entry about genes causing neuropsychiatric disorders

Summary  of a Molecular Psychiatry (#1 psychiatry journal) article . Topic: CNV (copy number variants) and genotype and phenotype Translation:  Gene deletions or repeats in the DNA change the DNA sequence (genotype) and result in different manifestations (traits) in people (phenotype) The current state of affairs/ 2013 It looks like there are several theories why […]
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Personality and Psychiatric disorders: Four blind men and an elephant or chicken and egg?

If there is one thing that gets psychiatrists riled up and in a disagreement it is the diagnosis of a patient.  Treatment always follows diagnosis, so you can see how important it is to get it right.  Unfortunately, mental health professionals are divided.  Some choose Axis I as primary, others Axis II.  What?  Axis I […]
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Vitamin D Deficiency Linked to Onset of Psychosis

A recent article came out linking low Vitamin D levels and psychotic disorders like schizophrenia.  The study was done in Northern Europe when low Vitamin D levels are common.  The investigators failed to showed (but wondered) if psychosis was caused by low Vitamin D.   Isolation indoors due to psychosis can cause sunlight deprivation and low […]
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Algorithms for Family Docs

The approach to psychiatry in primary care is a mix of art and algorithm.  Often family doctors turn to evidence-based approaches established by recognized authorities. I have included the most common psychiatry algorithms, roughly based on the Canadian Psychiatric Association recommendations: Major Depressive Disorder(MDD) (May 2009, Practice Support Program, BCMA) Panic Disorder(PD) Posttraumatic Stress Disorder(PTSD) […]
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The Overhaul continues: DSM5 vs. RDoC and the coming storm

Introduction I can’t help but write about what I am reading right now.  The Research Domain Criteria (RDoC) lead by Bruce Cuthbert and supported by NIMH (national institute of mental health/USA) and director Thomas Insell, M.D., have led workshops with experts in the field between 2010 and 2012.  Their purpose:  restructure and rewrite the diagnoses […]
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Genetics of Psychiatric Conditions

The Cross-Disorder Group of the Psychiatric Genomic Consortium has done it again! Who are they?  Oh, some really smart psychiatric research scientists following on a hunch:  they think it is better to say there is no such thing as bipolar disorder or schizophrenia, per se, but that we have clusters of disorders, dysfunctions across different […]
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A list of things to do: The Pleasant Events Schedule.

Well, this version appears to be from the standard work of Dialetical Behaviour Therapy, and from what I can tell, it is put on a repository website, dbtselfhelp.com, for public consumption. I think I am in the spirit of the website by linking to it, and including this KEY page. When you are down…..it’s hard […]
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Activity Chart

Courtesy of CBIS Manual, June 2009, British Columbia  (link to document here)

The Energy Bucket of Depression

Courtesy of the CBIS Manual, June 2009, British Columbia: Depression’s Energy Budget Every day, we wake up with “resources” available for our use that day. These resources might be energy, time, sense of well-being, motivation, etc. The amount of available resources changes every day, even throughout the day. If we consistently spend beyond our resources, […]
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Stop Depressive Thinking! Catch the error of your ways

Here is a very nice, concise review from the CBIS Manual of very common cognitive thinking errors.  The theory goes, if you change how your think, you change how you feel. In my opinion, this is solid gold.  It is bang on, and very helpful. If you are ever vigilant, constantly watching how you react […]
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