Recent Posts

S-ketamine intranasal treatment! A new approach to depression…

https://clinicaltrials.gov/show/NCT01998958 Trial data for successfully completed trial of S-ketamine intranasal therapy. Small study, needs replication and safety data. S-ketamine is purported to be safer than mixed enantiomer ketamine (special K).

Association between Bipolar and Borderline Personality features (BPF)

“Of the nine BPF, affective instability, impulsivity, and self-mutilation/suicidality showed a clear relationship to overall mood episode frequency,” according to an article published online in the International Journal of Bipolar Disorders. The nine borderline personality features include avoiding abandonment, interpersonal instability, identity disturbance, self-mutilation/suicidality, affective instability, chronic emptiness, intense anger, paranoid & dissociation, and impulsivity. […]
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The Amazing Mosaic Brain: Neither Male or Female

The amazing mosaic: The Brain Believe it or not, the brain is very (very) complex: no longer does it appear that there are male and female brains; indeed, the latest conversation has failed to identify a clear dichotomy. In fact, each individual has a mosaic of traits classically considered male or female, such that everybody […]
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Mixed Depression

The game changer for 2017 in psychiatry was not ketamine, psychedelics, or rTMS–although these were excited developments, too–it was a new diagnosis, forwarded strongly by the US (the San Diego group to be exact):  MIXED DEPRESSION. The net effect was to remarkably expand the Mood Spectrum, tease out another mimic of depression, and expertly guide […]
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Acupuncture for Depression: The Results are In!

I have long been interested in alternatives to drugs for depression. Psychotherapy is an obvious choice but cost and availability are such a barrier for many of my clients. No doubt, they seek something beyond my prescription; I just wish there were more choices. When I followed this link, discovered in a reputable journal’s eTOC–Medscape […]
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The Great Cannabis Psychosis Debate takes one step further

I was in a roundtable discussion with some fellow psychiatrists debating the connection between cannabis and schizophrenia. There are as many opinions on the subject as there are shades of grey. As with most scientific endeavors, the investigation into the putative link between cannabis and psychosis is one of slow progress, setbacks, and breakthroughs. This […]
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Inbox: from ASP Alert 

I thought it quite important to share this email.  It really makes the opiate epidemic take on a new shape: depression, unrecognized, is being treated with opiates in the majority of cases of chronic opiate use.  That’s how I read it.  How about you? Joris NB.  I am allowed to forward this email      […]
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British Columbia online resource

I wanted to quickly update the readers about Bounce Back, an eight year old program put on by the Province attempting to extend mental health care in BC. They recognized the gap in services, listened to the growing evidence for effective CBT online (equal outcomes to in-person), and grew their website and phone-based delivery service. […]
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Today, a thought struck me about Stigma, the Brain, and Ecology

It hit me today:  current psychiatry diagnostics is “brain-less” and empirical.  An analogy between diseases of the heart and diseases of the mind will forward my argument:  Cardiac chest pain is not a disease of the heart, nor is depression a disease of the mind; both are just symptoms. [def. Disease: a disorder of structure […]
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An App for Mental Health

I have been thinking about an article I read and blogged on a month ago:  21st Century Psychiatry needs to embrace technology.  Fine. I’d like to proceed. Let’s start with apps. Apps on smartphones are personal advisors; I can think of no better opportunity to embed psychotherapy into the daily lives of my clients.  Vetting apps, […]
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