Biology may make certain PTSD patients unresponsive to behavioral therapy

How well-connected a particular brain network is, and how successfully memories are formed, may determine which patients with post-traumatic stress disorder benefit from behavioral therapy, researchers at the Stanford University School of Medicine have found.

The finding could indicate a biological subtype of PTSD whose clinical relevance only becomes obvious when patients undergo treatment, the researchers said. Furthermore, by replicating their results across a diverse range of patients, the researchers were able to clearly and objectively characterize a biological signature in PTSD patients who differ in their response to behavioral therapy.  more

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The Unreliable Reader

In Esmé Weijun Wang’s book of personal essays, “The Collected Schizophrenias,” it’s the reader, not the writer, who is an unreliable narrator.

“I write this while experiencing a strain of psychosis known as Cotard’s delusion, in which the patient believes that they are dead,” the novelist Esmé Weijun Wang writes at the beginning of “Perdition Days,” an essay from her new book, The Collected Schizophrenias. (Read an excerpt on Longreads.) “What the writer’s confused state means is not beside the point, because it is the point,” she continues. “I am in here, somewhere: cogito ergo sum.” The passage moves swiftly, from first person agency (“I am writing”) to distanced third person (“the patient,” “the writer”) to the famous Descartes assertion, in Latin, “I think, therefore I am.” As a reader, it’s astonishing and a little unnerving to consider the immediacy of the prose, your intimacy with a speaker searching to find the correct vantage from which to narrate the strangely drawn, difficult-to-map districts of her mind. more

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Psychosis and Symbiosis: Microbiome and Schizophrenia

Fascinating new research links the gut and brain in sickness and health.

Schizophrenia is a neurodegenerative disorder that affects about 1 percent of the world population and tends to strike in the prime of life. Preventing this disease could help tens of millions of families throughout the world, so finding the risk factors for early diagnosis and treatment are paramount. We know there are genetic risks that, at the moment, can’t be changed (and as the disorder is polygenic, we will not find a single “schizophrenia gene”). Other major risk factors, such as prenatal infection, also can’t be changed 18-35 years later when the disease shows up. We know there are risk factors that can be addressed, such as using large amounts of high-THC marijuana in adolescence. But are there other factors that predispose people to schizophrenia that we may be able to address, such as changes in the microbiome?  more

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Mental Health Awareness Means Talking About All Types of Mental Illness

Mental illness is incredibly common: Nearly one in five adults in the United States lives with a mental illnessaccording to the National Institutes of Mental Health (NIMH). But in spite of its prevalence, there still exists a tremendous amount of stigma associated with mental health conditions. That stigma can have far-reaching consequences, from limiting our understanding of these conditions to interfering with a person’s willingness to seek treatment when they truly need it.

The good news is that, culturally, we’re making some headway on that stigma. I have written and edited health content for a little over a decade, and it’s been amazing to see how the conversation around mental health has evolved in that time. Many brave people have publicly shared stories about their experiences navigating mental health conditions. And as the wellness industry has exploded, so too has our cultural understanding that being well and taking care of yourself requires tending to your mental health, and that means seeking help if you need it.  more

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BS Podcast: Do People With Mental Illness Suffer from Trauma?

Many people don’t understand how mental illness, in and of itself, can be traumatic. Everything from the emotions, physical sensations, and even treatment – locked in a ward or a hospital, often against our will – is a recipe for trauma. While every person with mental illness is different, most people with serious and persistent mental illness describe being traumatized in addition to the impact of the illness itself.

In this episode of Bipolar, a Schizophrenic, and a Podcast, our hosts discuss their own traumas as they relate to living with – and getting help for – mental illness. They both recall their time receiving treatment in the psychiatric hospital and Michelle tells the story of her encounter with a police officer that ended less than ideally.  more

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INSANE 100 — My Story

Just wanted to post a review of the videos I have posted so far. For those who are new, about ten years ago, I was hearing voices occasionally, I was drinking, and I was doing drugs. (I am sure that helped the voices become more intense.) Approximately five years ago, the voices became 24/7, and started to gain control of me.  This is My Story: (please like and subscribe and share w/ anyone who may be going through anything similar)  – any feedback is appreciated

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Podcast: Bizarre Questions Psychiatrists and Therapists Have Asked

There is an assumption among many Americans that doctors are pretty darn smart and always know what they’re talking about. Psychiatrists work with the mentally ill, so they are certainly smarter than their patients. Because, after all, their patients are “crazy.” Right?

In this episode, our hosts discuss all the times that psychiatrists and therapists didn’t live up to the hype – or stereotype. 

Narrator: [00:00:09] For reasons that utterly escapes Everyone involved. You’re listening to A Bipolar, A Schizophrenic and A Podcast. Here are your hosts, Gabe Howard and Michelle Hammer. Thank you for tuning into A Bipolar, A Schizophrenic and A Podcast.  more

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Help for the Psychiatric Ward

In almost every state in the country, the supply of inpatient psychiatric care is insufficient to meet the demand. In a 2006 survey, 34 state mental health authorities reported a shortage of beds for  acute psychiatric care.[1] The shortages mean that patients who enter an emergency room with an acute psychiatric crisis may wait days or weeks for a bed, inmates who qualify for psychiatric care may wait in jail for several months before a bed becomes available, and patients who are admitted to a psychiatric hospital are often released too soon, in order to make room for other patients. In a 2014 survey, 19 state mental health directors said the judicial system had found them in contempt, or threatened to, for failure to admit jailed inmates to psychiatric hospitals in a timely manner

Today, there are fewer than 40,000 beds in state psychiatric hospitals in the U.S., down from a peak of more than 550,000 in 1955. Despite the shortages, the number of beds continues to decline—down 13 percent since 2010.[2] As a result, thousands of persons with serious mental illness are living on the streets, or in jail, or with families who are ill-equipped to cope with the acute symptoms of mental illness. Why have the states not acted to address the issue? Why are we not providing adequate facilities for these desperately ill people?  more

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Hearing Voices: PTSD and Auditory Hallucinations

Hallucinations and Combat Veterans with PTSD

Among combat veterans with PTSD30-40% report auditory hallucinations(AH). AH are more frequent in combat veterans with chronic PTSD and it has been suggested that this may reflect a distinct subtype of PTSD that may be under recognized for two reasons: first, patients are reluctant to report AH and, second, more emphasis has, traditionally, been placed on the intrusive images associated with PTSD and less on intrusive auditory hallucinations.

It is important to recognize that such patients do not have the overt changes in affect or bizarre delusions characteristic of other psychoses e.g. schizophrenia.  AH in PTSD appears to be seen more in veterans with higher combat exposure and more intense PTSD symptoms and who report more severe symptoms of hyperarousal. The AH are typically: ego-dystonic; contribute to an increases sense of isolation and shame; associated with feelings of lack of controllability; consist of combat-related themes and guilt; non bizarre; not associated with thought disorders and, overall, more refractory to treatment interventions.  more

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10 of the most important things we learned about mental health this year

Approximately one in five adults in the US — 43.8 million — experiences mental illness in a given year, according to The National Alliance on Mental Illness. That being said, it’s no surprise that each and every year researchers put time and enormous amounts of money into tackling the growing mental health crisis.

It seems in 2018, much of their hard work paid off — around the world researchers crumbled myths and opened new doors as they aimed to better comprehend the complicated world of invisible illnesses.

Here are 10 of the most important things we learned about mental health in 2018.  more

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