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Archive for June, 2011

bipolar kids: COBY [Course and Outcome of Bipolar Youth]…

So my curiosity got to me and I decided to peek at the Childhood Bipolar literature even though my experience with such cases is next to zero just to see what all the fuss has been about. I have seen very few cases of Affective Disorders in the last twenty-five years, and have seen none […]

bipolar kids: harvard for sale…

Biederman must’ve gotten his money [last post], because by 2002, he was in thick with Janssen: By this time, Dr. Biederman had already published a retrospective study of Risperdal in pediatric bipolar illness: Risperidone treatment for juvenile bipolar disorder: a retrospective chart review by Frazier JA, Meyer MC, Biederman J, Wozniak J, Wilens TE, Spencer […]

bipolar kids: not someone to jerk around…

Somewhere in the future, when the definitive history of the alliance between academic psychiatrists and the pharmaceutical industry is finally written, this exchange between Dr. Joseph Biederman of Harvard and a lawyer in a suit against Janssen [J&J] in 2009 will surely be a featured exhibit: But these were not just idle words. Dr. Biederman […]

echo echo echo echo echo…"> echo echo echo echo echo echo…

Okay, I retract the title to that last post. I mean there’s not much more to say than that the solution to American medicine’s woes is transparency and an end to the secrecy. I didn’t mean I was going to stop talking. I used the Iron Curtain as my example because of a personal experience. […]

not much more to say than that…

eth·ics [eth-iks] — plural [used with a singular or plural verb] a system of moral principles: the ethics of a culture. the rules of conduct recognized in respect to a particular class of human actions or a particular group, culture, etc.: medical ethics; Christian ethics. moral principles, as of an individual: His ethics forbade betrayal […]

a start…

AMA Votes to Discourage Commercial Support of CME The Carlat Psychiatry Blog by Danny Carlat June 21, 2011 Something huge happened yesterday at the American Medical Association House of Delegates meeting in Chicago. Although the meaning of what happened will be spun throughout the blogosphere, twittersphere, and schmuckosphere, the bottom line is that the AMA […]

kids…

I seem to be writing about cases after almost every volunteer day. This week, it was a little 7 year old girl with a difficult story. Her parents were addicts who had 6 kids. By the time she came along, they were living in a car or in one room of a hotel/motel. Four years […]

“designated author “…

Risperidone in the Treatment of Elderly Patients With Psychotic Disorders by Madhusoodanan, Subramoniam M.D.; Brecher, Martin M.D., D.MS.c.; Brenner, Ronald M.D.; Kasckow, John M.D.; Kunik, Mark M.D.; Negron, Arnaldo E. M.D.; and  Pomara, Nunzio M.D. American Journal of Geriatric Psychiatry 7:132-138, 1999. The authors evaluated the safety, tolerability, and efficacy of risperidone in 103 elderly […]

contrasts…

The other day, I encountered two things almost simultaneously. The first was a 2007 Journal Supplement on Melancholia that I found compelling. As I was reading through the articles, someone sent me a link to an abstract I hadn’t seen from Drs. Rush and Trivedi – a policy piece about Measurement Based Care. There was […]

keeps on going and going…

I just watched a remarkable video. It’s a CME video posted today on psychiatrist.com forwarded by someone who knew I’d enjoy it – and I did. It’s really quite remarkable. Madhukar Trivedi combines TMAP, CompTMAP, IMPACT, and STAR*D into a presentation extolling the virtues of his version of measurement based care using his program. Watching […]