October 17th, 2011 by Dinah Miller, M.D. in News
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U N I T E D N A T I O N S
THE SECRETARY-GENERAL–MESSAGE ON WORLD MENTAL HEALTH DAY: 10 October 2011
There is no health without mental health. Mental disorders are major contributors to illness and premature death, and are responsible for 13 percent of the global disease burden. With the global economic downturn – and associated austerity measures – the risks for mental ill-health are rising around the globe.
Poverty, unemployment, conflict and war all adversely affect mental health. In addition, the chronic, disabling nature of mental disorders often places a debilitating financial burden on individuals and households. Furthermore, individuals with mental health problems – and their families – endure stigma, discrimination and victimization, depriving them of their political and civil rights and constraining their ability to participate in the public life of their societies.
Resources allocated for mental health by governments and civil society are Read more »
*This blog post was originally published at Shrink Rap*
October 13th, 2011 by Dinah Miller, M.D. in Opinion
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Oh, we’re not kiddy shrinks, so this post is not really about children. But I like the term, it implies that the person needs something more, that they have special– presumably increased– needs. It says nothing about potential. I use the term often, and sometimes with a bit of humor, to remind people that the playing field is not always level. There are people who start any given race with a handicap– a learning disability, dyslexia, major health problems, mental illnesses, horrible childhoods, addictions — and these set them on a slightly different course.
Some people overcome tremendous adversity. They function ‘as if’ they had no special needs. They have stories that would let you understand if they didn’t do very well in life, stories that would explain burying their heads in the sand, or crawling under a large rock. Sometimes these special needs people are Read more »
*This blog post was originally published at Shrink Rap*
October 2nd, 2011 by Dinah Miller, M.D. in Health Policy
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Over on Shrink Rap News, Roy wrote a post about proposed Medicare cuts. He continued the conversation here on Shrink Rap.
I want to expand on the discussion in what I hope will be easy-to-understand terms. Why would anyone who is not a doctor even care what Medicare reimburses their docs? Let me tell you why you might care.
Doctors all have one of four designated categories within the Medicare system:
1) The doc participates and accepts Medicare assignment. The fee for the service is set by Medicare, the patient makes a co-pay and the doctor bills Medicare and gets the rest of the fee from Medicare.
2) The doctor is “non-participating” –which is a deceptive term, because non-participating docs are within the Medicare system. The fee for the service is set by Medicare and is typically 5% less then the fee for participating docs, but the patient pays the Medicare fee in full to the doctor, the doctor files a claim with Medicare, and Medicare reimburses the patient for a portion of the fee.
3) The doctor has formally opted-out. In this case, Read more »
*This blog post was originally published at Shrink Rap*
September 22nd, 2011 by Dinah Miller, M.D. in Opinion
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I’m posting this because Roy fell asleep at the wheel and missed the Xanax article on the front page of yesterday’s New York Times. In “Abuse of Xanax Leads a Clinic to Halt Supply,” Abby Goodnough writes about a clinic where they’ve stopped prescribing Xanax because to many people are abusing it. Goodnough writes:
“It is such a drain on resources,” said Ms. Mink, whose employer, Seven Counties Services, serves some 30,000 patients in Louisville and the surrounding region. “You’re funneling a great deal of your energy into pacifying, educating, bumping heads with people over Xanax.”
Because of the clamor for the drug, and concern over the striking number of overdoses involving Xanax here and across the country, Seven Counties took an unusual step Read more »
*This blog post was originally published at Shrink Rap*
September 16th, 2011 by AnnMacDonald in Video
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I often think of the well-known expression “perfect is the enemy of good” when I am endlessly rewriting an article to make it better (when it is already good enough) and in the process just make or even miss a deadline. But this old saying also reflects the dark view many people have of perfectionism. As a personality trait, it is seen as obsessive and at times pathological. People who are perfectionists may become so focused on setting a high standard for themselves that they live their lives as if graded constantly on a report card.
But perfectionism has a bright side, too. Desirable aspects of this personality trait include conscientiousness, endurance, satisfaction with life, and the ability to cope with adversity. This helps explain why some perfectionists become corporate leaders, skilled surgeons, or Olympic champions.
Dr. Jeff Szymanski, a clinical instructor of psychology at Harvard Medical School and executive director of the International OCD Foundation, believes it is possible to become a better perfectionist—by building on the strengths of this quality and learning to minimize its drawbacks. In his new book, The Perfectionist’s Handbook, he discusses this theory in greater detail and provides exercises people can try at home. Read more »
*This blog post was originally published at Harvard Health Blog*
