This interview is the sixth as part of a series of brief interviews where Dr Sanil Rege talks to Dr Stephen Stahl about key issues that face psychiatry and our patients. Dr Stahl, MD, is a practicing Psychiatrist in Carlsbad, USA, and author of the… Read More »
Tardive dyskinesias (TDs) are involuntary movements of the tongue, lips, face, trunk, and extremities that occur in patients with long-term exposure to antipsychotics. Tardive dyskinesia occurs due to supersensitivity of dopamine (D2) receptors after long-term exposure to antipsychotics resulting in downregulation of D2 receptors. The… Read More »
Abulia is defined as decreased or lack of activity (or power to execute activity) despite the desire to do so. According to Barris and Schuman it lies in between apathy and akinetic mutism. It is associated with lesions of the anterior cingulate cortex and… Read More »
A good psychiatric formulation requires sound deductive reasoning. There is no one better than Sherlock Holmes at the art of deductive reasoning. Deductive reasoning is a form of thinking where you gather facts and develop a hypothesis based on those facts i.e. base your hypothesis… Read More »
Bipolar disorder is a disturbance in mood that consists of patients moving between depression and hypomania or mania. A newer entity Bipolar depression, although not present in DSM-V is a valid entity that presents with predominantly depressed mood that lies along a bipolar trait. Following… Read More »
1. Bipolar Disorder – always ask patients if they have had a manic or hypomanic episode 2. Borderline Personality Disorder – duration of low mood is not sustained and mood instability is prominent. Both depression and Borderline personality disorder may co-exist. 3. Adjustment Disorder with… Read More »
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