Category Archives: Psychotic Disorders

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 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 […]
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Schizophrenia

The world of genetics has come to psychiatry in the past five years.  The Human Genome Project has generated millions of variations, and busy scientists all over the world are meticulously cataloguing them.  No other disease has generated more enthusiasm in psychiatry than schizophrenia.  The fabled goal to find the cause has thus far been […]
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