Category Archives: Anxiety Disorders

Neurotic, Borderline, or Psychotic: The great diagnostic challenge

This article points out that not everybody who hallucinates or is paranoid has schizophrenia. Thus, there is considerable hope for those with borderline personality disorder and psychotic symptoms, who will slowly mature out of the condition and eventually be free of intense emotions and psychosis. This is a public, open source article. http://pdfs.journals.lww.com/co-psychiatry/2013/01000/Psychotic_symptoms_in_patients_with_borderline.21.pdf?token=method%7CExpireAbsolute;source%7CJournals;ttl%7C1428898346779;payload%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;hash%7CW6kfgpSkPgjYCuMuRsad1w== Psychotic_symptoms_in_patients_with_borderline.21.pdf

The gut microbiome and diet in psychiatry

The basics: The mind and body are greatly effected by the trillions of microbes which dwell within your gut. Eat well, use probiotics and prebiotics, and thus foster the growth of beneficial organisms in your intestines. Keep a healthy intestinal lining (with a healthy, high fiber diet): This will keep the toxic products of pathogenic organisms within […]
Read More »

Medscape: The Gut Microbiome and Diet in Psychiatry: …

I found this online.  I hope you find it as fascinating as I did.  Your mood is greatly influenced by the bacteria in your intestines!  There are ten times more microbes in your intestines than there are cells in your body.  Go figure!       A link to the following Medscape article was sent […]
Read More »

Diet Against Systemic Hypertension (DASH Diet)

There are so many many diets out there, and arguably the DASH diet is one of the elder statesmen of the diet world.  It was extensively studied in 1997 at Harvard University, and spawned several other good studies (OmniCarb, OmniHeart, DASH-Sodium, etc.). I find DASH fairly straightforward: it is Mediterranean-like, reasonable, intuitive, and it comforts […]
Read More »

Lower methylation of glucocorticoid receptor gene promoter 1F in peripheral blood of veterans suffering from post-traumatic stress disorder

Lower methylation of glucocorticoid receptor gene promoter 1F in peripheral blood of veterans suffering from post-traumatic stress disorder.   Apropos to my recent post about depression and the HPA axis, this study has revealed for the first time a possible link between trauma, PTSD, and genetic change. I said in the last post that a […]
Read More »

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) […]
Read More »

A Narrative of Psychiatric Diagnoses: the DSM-5

It could be like this. A person is born with unrecognized alterations in brain function; maybe it is genetics, maybe it was the pregnancy, but something is different. The child looks hyperactive, inattentive, and moody by elementary school. School performance is poor. The difficult social behaviors lead to bullying, harsh discipline, and trauma. The parents […]
Read More »