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Monthly Archive for January, 2009

Psychology & Psychiatry

Recent Drug Warnings About Suicide

January 6, 2009 | By Joseph Kim, MD, MPH | 9 Comments

During the holiday season, I was reminded of the old myth that suicide rates increase over the holidays. This medical myth has been debunked numerous times and it was one of the topics covered in a recent BMJ story about medical myths. For many years, people believed this myth because they felt that the depression worsens when depressed patients see other happy and celebrating with friends and family. Plus, in many areas, the winter seasons may lead to more rain, cloudy weather, and gloomy days for people who may be susceptible to seasonal affective disorder (SAD). So how about suicide? How often do depressed patients commit suicide? And what prompts depressed individuals to the verge of suicide? This is a very complex topic that has no simple explanation.

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Health & Healthcare

Sleeping on the Job – A Program Director’s Take on IOM Recommendations

January 4, 2009 | By T. A. McNamee, MD | 2 Comments

I’ve been thinking about sleeping a lot lately. Not in the sense of curling up under the blankets for hours on end, but in the sense of thinking about the topic of sleeping. As the program director of an internal medicine residency program, one of my jobs is to make sure that my residents are rested enough to provide appropriate patient care. I was under the impression that they were. But recently, the Institute of Medicine (IOM) came to the conclusion that many residents are still sleep-deprived, posing a threat to the safety of patients under their care across the United States. Based on this conclusion, the IOM made the bold recommendation that after 16 hours of continuous work, residents must be allowed an uninterrupted five hour block of time for sleep, preferably between the hours of 10pm and 8am.

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Psychology & Psychiatry

Work and Mental Health

January 2, 2009 | By Chadwick Royal, PhD, NCC, LPC, ACS | 6 Comments

“John” was referred to me for counseling services by his primary physician. John’s primary complaint: Panic attacks one to two times per day. I conducted a standard intake interview, asking him about all areas of his life. He had never experienced any panic attacks until one night a few months prior to his appointment with me. Like many people who experience their first panic attack, he spent an evening in the local emergency room being checked for a possible heart attack.

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