An authoritative guide to understanding and treating depression in the medically ill Depression in Medical Illness is based on the fact that depression and medical illness are inextricably bound together and must be viewed through a single lens in order to truly understand, diagnose, and treat them. Throughout the book, the authors emphasize not simply a critical distillation and balanced summary of the available empirical data, but equally important, an active synthesis, formulation, and analysis of that evidence.This informs a contemporary biomedical understanding, as well as diagnostic and therapeutic approaches. All of the chapters are authored by members of the Department of Psychiatry at the world-renowned Brigham and Women’s Hospital. In chapters devoted to specific medical disorders, psychiatrists with particular expertise in those areas have been joined by other eminent Brigham medical and surgical specialists or subspecialists. This makes these chapters valuable not just to psychiatrists and other mental health professionals, but to a wide range of medical specialists as well. Logically Organized Into Five Sections: Core Concepts – provides a conceptual and intellectual framework for understanding depressive illness in the context of medical illness Assessment and Treatment of Depression in Medically Ill Patients – discusses the general principles of depression diagnosis and treatment Depression in Medical Illness – Assesses what we know about depression when it is comorbid with the full range of major medical disorders Special Populations and Settings – Is devoted to special patient populations and the importance of the settings in which care is delivered New Directions – A fascinating glimpse into the future of the care of medically ill patients who are depressed
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Ever call someone OCD because they like to have a clean apartment? Ever tell someone you have a phobia of spiders when, in fact, they just creep you out a little? In this episode of Crash Course psychology, Hank talks about OCD and Anxiety Disorders in the hope we’ll understand what people with actual OCD have to deal with as well as how torturous Anxiety Disorders and Panic Attacks can actually be.
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Table of Contents:
What Defines an Anxiety Disorder 01:55:20
Symptoms of Obsessive Compulsive Disorder 02:35:07
Generalized Anxiety Disorder 04:05:18
Panic Disorder and Phobias 04:47:20
The Learning Perspective 07:38:20
The Biological Perspective 09:13:14
Don’t Use OCD as a Punch Line 00:00:00
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What is generalized anxiety disorder? Generalized anxiety disorder—sometimes shortened to GAD—is a condition characterized by excessive, persistent and unreasonable amounts of anxiety and worry regarding everyday things. Find more videos at http://osms.it/more.
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Anxiety disorders are the most common mental illnesses, affecting 19 million children and adults in the U.S. reports the Anxiety Disorders Association of America (ADAA).ADAA also reports that the ailment consumes almost a third of the total $148 billion total mental health bill for the nation. That’s not surprising, given people with an anxiety disorder are three to five times more likely to go to the doctor, and six times more likely than non-sufferers to be hospitalized for psychiatric ailments. Although anxiety disorder describes a group of illnesses such as generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder, and phobias, there are some symptoms that characterize the illness as a whole. According to the American Psychiatric Association, when people suffering from anxiety disorders talk about their condition, they often include these descriptions: Unrealistic or excessive worry
Exaggerated startled reactions
Sleep disturbances
Jitteriness
Fatigue
Dry mouth
Lump in throat
Trembling
Sweating
Racing or pounding heart in the workplace,
these symptoms could translate into difficulty working with colleagues and clients, trouble concentrating, preoccupation over the fear instead of focusing on work, and turning down assignments because of fear of failure, flying, going into the elevator, or public speaking. For people who think they might have an anxiety disorder, Jeffrey P. Kahn, MD, a clinical psychiatrist and author of Mental Health and Productivity in the Workplace, recommends the following first steps of action: Talk about the problem with someone you feel comfortable with. Also, ask that person what he or she notices about you.
Take a break from your worry by playing sports, listening to music, praying, or meditating.
Join a self-help group.
If talking about the problem or relaxation techniques don’t work, seek professional consultation. Anxiety disorder is an umbrella term that covers several different forms of a type of common psychiatric disorder characterized by excessive rumination, worrying, uneasiness, apprehension, and fear about future uncertainties either based on real or imagined events, which may affect both physical and psychological health. There are numerous psychiatric and medical syndromes that may mimic the symptoms of an anxiety disorder such as hyperthyroidism which may be misdiagnosed as generalized anxiety disorder. Individuals diagnosed with an anxiety disorder may be classified in one of two categories; based on whether they experience continuous or episodic symptoms. Current psychiatric diagnostic criteria recognize a wide variety of anxiety disorders. Recent surveys have found that as many as 18% of Americans and 14% of Europeans may be affected by one or more of them. The term anxiety covers four aspects of experiences an individual may have: mental apprehension, physical tension, physical symptoms, and dissociative anxiety. Anxiety disorder is divided into generalized anxiety disorder, phobic disorder, and panic disorder; each has its own characteristics and symptoms and they require different treatment (Gelder et al. 2005). The emotions present in anxiety disorders range from simple nervousness to bouts of terror (Barker 2003). Standardized screening clinical questionnaires such as the Taylor Manifest Anxiety Scale or the Zung Self-Rating Anxiety Scale can be used to detect anxiety symptoms, and suggest the need for a formal diagnostic assessment of anxiety disorder.
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May 19, 2008. The National Institutes of Health (NIH) announced a new clinical research program that will aim to provide answers to patients with mysterious conditions that have long eluded diagnosis. Called the Undiagnosed Diseases Program, the trans-NIH initiative will focus on the most puzzling medical cases referred to the NIH Clinical Center in Bethesda, Md., by physicians across the nation.
Transcript: http://www.genome.gov/Pages/Newsroom/CurrentNewsReleases/MediaCallTranscript.pdf
More: http://www.genome.gov/27026388