https://www.youtube.com/watch?v=GV-WONhEZec
A heartfelt illustration of the struggles in living with depression, as told through the personal story of one individuals ongoing relationship with his mental illness, simply titled "Couples Therapy."
https://www.youtube.com/watch?v=GV-WONhEZec
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A systematic review showed that the popular spice saffron has shown to be a safer alternative to pharmaceutical antidepressants in some instances. The review covered six studies involving 230 clinically depressed participants which found saffron was as effective in treating clinically diagnosed major depressive disorder as the commonly prescribed commercial medications fluoxetine (Prozac) and imipramine (Tofranil). The review also found saffron had a better safety profile than commercial antidepressants. Sedation, constipation, sexual dysfunction and tremor were the side effects most associated with pharmaceuticals. However, in studies which compared saffron to a placebo, side effects commonly experienced were anxiety, increased appetite, nausea and headaches. http://medicalxpress.com/news/2014-12-saffron-mental-illness.html Review article: http://onlinelibrary.wiley.com/doi/10.1002/hup.2434/abstract;jsessionid=289D61F8E6EA43B9346884C23672910E.f03t04 Put your knowledge and skills to the test with the case of a 17 year old male who presents to hospital after a suicide attempt in which he ingested 24 diphenhydramine tablets, and was found by his parents acting inappropriately and talking to the walls of the house, as well as to birds and trees. The patient reported that a week earlier he had broken up with his girlfriend and since then has been experiencing depressed mood, difficulty sleeping, fatigue, anhedonia, trouble concentrating, and psychomotor retardation. The patient also reported a history of gender identity and gender dysphoria struggles. The patient previously had a two year history of depression, and has a history of substance abuse and dependence including cannabis, MDMA, diphenhydramine, robitussin, and hydrocodone. He has had no contact with his biological mother since he was a child, and he has been a victim of bullying at school. The patient is currently treated with psychotropic medications and meets regularly with a psychiatrist. He reports that this is his first suicide attempt. Can you determine the cause of this patient's hallucinations? How would you treat this overdose? "Acting Strange After Trying to Get 'Numb'" by Muhammad Puri, Edward Hall, Matthew Erisman, Yazan Vwich (Current Psychiatry) A study by Dr. Katie Goldie at the Centre for Addiction and Mental Health in Toronto explored the associations between cardiovascular risk and disease, mental health disorders and the use of psychiatric medication. The study found that people who used psychiatric medications were twice as likely to have heart disease and three times as likely to have had a stroke compared to those not taking these medications. Among the psychiatric drugs examined were antipsychotic, antidepressant, benzodiazepine and mood-stabilizing medications. Dr. Goldie mentions three main factors that accounts for the elevated risk. First, people with mental health disorders often exhibit behavioural risk factors, including tobacco and alcohol use, poor diet and physical inactivity. Second, psychiatric medications can induce weight gain and impair the breakdown of fats and sugars by the body. This can lead to obesity, high cholesterol and diabetes. A third issue is access to health care. Patients with mental health disorders may have difficulty communicating their health needs. Read more here: http://esciencenews.com/articles/2014/10/31/people.with.mental.health.disorders.twice.likely.have.heart.disease.or.stroke There has been an alarming increase in the number of off-label prescriptions for Seroquel, an antipsychotic drug, for conditions not approved by Health Canada. The number of prescriptions for Seroquel, a drug only approved in Canada for treatment of bipolar disorder and schizophrenia, has nearly doubled between 2008 and 2013. Many doctors are prescribing the drug as a sleep aid. However, Health Canada says some of Seroquel's side effects can be fatal and include diabetes, hyperglycemia, constipation and intestinal obstruction, and complications from blood clots. Health Canada says it monitors safety issues associated with the use of health products, including psychotropic drugs such as Seroquel, but adds the issue of off-label prescriptions falls under the "practice of medicine" and is provincially regulated. NDP health critic Libby Davies says that when it comes to off-label prescribing, the federal government is "sweeping it under the carpet." Davies says the New Democrats offered amendments to the newly passed Bill C-17 — or Vanessa's Law — which included improvements to transparency and prescribing practices for off-label use, but they were turned down by the federal government. Read more here: http://www.insidehalton.com/news-story/4913421-off-label-prescribing-raises-concern/ Put your knowledge and skills to the test with the case of a 20 year old female, who has had depression for a number of years, and now presents with worsening depressive symptoms, as well as anxiety and suicidal ideation and plans. The patient also describes a new onset of #manic symptoms that last for 3-5 days, and as such she's given a new diagnosis of bipolar I disorder with rapid cycling, most recent episode mixed. It is also important to note that this young patient also has a diagnosis of osteogenesis imperfecta, which has caused brittle and fragile bones and has led to 62 fractures and 16 surgeries. How would you treat her mental health condition, while still protecting her bones? "Depressed, Suicidal, and Brittle In Her Bones" by Tahir Rahman, Emily F. Cole, & Deepika D. Parmar (Current Psychiatry) For a brief synopsis of schizophrenia, including what it is, the basic facts about the disorder including onset, prevalence, and risk factors, as well as the common therapies utilized to aid in recovery and the key side effects to be aware of, check out the great infographic below from Global Medical Education (www.gmeded.com)!
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Supporting and enhancing students' and health professionals' knowledge and understanding of mental health and psychiatry
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