Doctor insights on:
Games For Psychiatric Patients
Yes: We know that many psychiatric problems have an increased genetic risk. However, this is not guaranteed to occur. Even though the risk is increased for many disorders, the chances are still greater that a problem will not be "passed on" to the next generation. It is good to be aware of the possibility, but to not automatically expect it to occur. ...Read more
In your practice is it consistent to see huge differences in personality in patients on and off their psychiatric meds?
Consistently, no. Sometimes, yes. It depends substantially on the diagnosis, types of medications, and many other factors.
For instance, in some patients with adhd, they are angry, short tempered, and belligerent initially, but when they are taking a therapeutic dose of medication, they are much calmer and focused. If they stop their meds, the old symptoms return. ...Read more
How much does religion inform the practice of psychiatry in america and does this discriminate against nonchristian patients?
Spirituality: Psychiatrists are interested in your spirituality because it can be a support to you and your family. Some people are more directly religious, choosing to participate in church, temple or other communities. There's no discrimination against non-christian patients in psychiatry. The psychiatrist may ask about your religion in order to better understand you and what matters to you. ...Read more
No: Psychiatrists are ethically bound not to date former patients. I assume that the same goes for psychiatric nurses. Perhaps inquire with the american nurses association. ...Read more
Historical use, yes: Electronarcosis was an electrical treatment predating electroconvulsive therapy [ect -- which is still used today to help treat severely depressed and/or psychotic people]. In electronarcosis, electric current was passed through the brain (after premedication) to induce sleep -- not seizures as in ect. It's no longer used today, but very anxious people supposedly benefited. ...Read more
No: If a patient is treated for a psychiatric condition with psych meds & it helps the pt. And pt. Become stable & functional. If the medication is then discontinued, patient's illness and symptoms may return back. This may lead to distress and can make the patient dysfunctional. Although, this may not happen and pt. May become stable after going through some withdrawal symptoms. Thx. ...Read more
The easiest way to cover up deliberate harm to a patient is to use a psychiatric disorder. How can trust exist?
Trust is important: Physician patient relationship is dependent on trust. All physicians strive to do just that. Unfortunate things do happen and at times result in harm even with care. Psychiatric disorders are legitimate medical disorders and cannot be diagnosed at whim of a disgruntled physician as there are definite criteria for diagnosis. If one is unsatisfied a second opinion can be sought about diagnosis. ...Read more
My niece is 13. She cuts and has several attempted suicides. Been in a psychiatric ward 2 different times with intensive out patient. Nothing works.
Her parents need to: Discuss her persistent symptoms of severe mental illness with her child psychiatrist. If there are no long-term psychiatric care facilities locally, she may be a candidate for admission to a residential-care facility elsewhere to insure her safety. Only by referral from a child psychiatrist will her mental health insurance company consider payment or partial payment for such a facility. ...Read more
An appropriately treated psychiatric condition can do any job as a normal patient
see the movie "a beautiful mind". ...Read more
What are the most common reasons that psychiatric patients are admitted to the psychiatric hospital?
Several: Probably the phrase 'danger to self or others' describes the most common reasons--suicidal behavior, threats to harm others, in people with varying diagnoses. ...Read more
Does one recover after a period of taking many psychiatric medications? Does it leave the patient with worse symptoms than before, rebound or the same
May/may not: Treatment with psychotropic meds and then discontinuing them may result in: *complete recovery with no residual sxs. And no return of illness.*remitting / recurring course of illness. *70% or less or more than 70% recovery with some residual sxs.* may cause medication specific withdrawal sxs and recurrence of illness. *worsening is possible, but not frequent and improves with restarting the meds. ...Read more
Sure: If a psychiatric hospital has some expertise that another one does not and the patient needs that expertise, then you can transfer a patient between hospitals. ...Read more
A lot: First, it's not limited to just psychiatric hospitals. If the doctor is able to get commitment orders from the judge, then the patient is required by law to remain in the hospital until deemed safe to themself and society to be released. If not committed, then the patient can leave against medical advice whenever they want (as with physical medical conditions). ...Read more
I'am a psychiatric patient. I'am suffering from depression. Day after tomorrow is my public exam but i'am not interested in studies and anything.
What do you suggest if my mom is schizophrenia psychiatric patient, any side effect from her medicines?
A Common Problem: All medications have side-effects, some of which can be severe. When side-effects do occur, they can make life miserable and cause a patient to stop their meds. ALL SIDE-EFFECTS should be reported to the prescriber because some maybe life-threatening and may require discontinuation of the medicine or changing to a new one. "WebMD" on the internet may help you find some of the side-effects of Mom ...Read more
If a patient is committed to a psychiatric hospital for long-term care, what type of care would they receive?
Multidisciplinary: In long-term hospitalization, there are are multiple avenues of treatment, some of which depends on areas of interest or focus in a specfic hospital. In general, you can expect medication treatment, individual and group therapies, and various recreational and activity based therapies. Family therapy will also be used as needed. ...Read more
What symptoms and signs could be seen in patient taking antidepressant cipralex for 6 months, but in reality he doesn't have any psychiatric problems
Likely nothing much: I'm assuming that this person also has not suffered any significant side effects during these 6 months of being the medication. That being the case, I would not expect anything to happen of major significance in a person taking Cipralex who is later found to not suffer from psychiatric illness. ...Read more
Is it common for a patient at a psychiatric hospital to exhibit disordered thinking, bizarre behavior, and hallucinations?
Can a bad combination of psychiatric medications cause a bipolar patient to become manic? The meds are an anti-psychotic, an antidepressant, & a mood stablilizer.
Meds & mania: While antidepressants alone can trigger mania, usually antipsychotic medications and mood stabilizers are not only protective, but are the treatments for mania. Of course, I don't have the doses prescribed. Sometimes a person has a particularly severe natural mood swing and baseline meds need to be adjusted. The faster your psychiatrist knows about this, the faster she can act. Communicate asap. ...Read more
Can a community psychatric nurse stop medication if a patient refuses treatment and they are on a shared care performer?
Do what is best for: A nurse works under her doctor's license. A doctor may not want the legal responsibility for a patient who is non compliance, and may remove medications which may cause problems if used inappropriately or that interact with other behaviors physician sees as possibly harmful to the patient. ...Read more
Can a community psychatric nurse stop medication if their patient refuses treatment and they are on a shared care performer?
It all depends: If the patient is refusing treatment, then aren't they responsible for stopping the medication? Medication, however, is only part of the treatment. Clarification is needed as to what aspect of treatment the patient is refusing. Patients have a right to participate in their treatment and to refuse certain aspects of their treatment. Providers may decide not to treat if compliance is an issue. ...Read more
What can I do if my mom is schizophrenia psychiatric pateint, any side effect from her medicines?
Meds all have + & -: For medications to be approved (fda) they have to show benefit and have an acceptable safety profile. In addition, each medication has an "indication", i.e. For what illness is it helpful. Unfortunately all medications also have side effects. The choice of medication is a balancing act between pluses (benefits) and negatives (side effects). Because each one is different, ask the prescriber. ...Read more
Is there an antiepileptic suitable for immunocompromised patients with heart problems, prediabetes & psychiatic problems that won't make them ill?
Avoid carbonated...: Avoid carbonated sodas or drinks, to decrease gas bloating. Eat soft foods, and chew foods carefully. Cooked fruits and vegetables are good, though be careful about fibrous vegetables as these might result in problems if they are not pureed. Have a nutritious, well-balanced diet. Be sure not to gorge or overeat. Small meals throughout the day are best. ...Read more
Resilience: Evaluation will identify an individual's strengths, access to protective factors (ie, soci support), and positive coping methods for stressful events. Additional evaluation of gaps or less effective coping methods are also performed. A plan for dealing with stressful events may be developed, tested, and rehearsed to increase likelihood of its use under stress. ...Read more