Posts with the tag « psychiatry » :

🔗 Lorazepam challenge for Catatonia

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If the diagnosis of catatonia is uncertain, the lorazepam challenge can help distinguish.

Assess for features of catatonia at baseline, ideally using a scoring system such as the [[Bush-Francis Catatonia Rating Scale]].

Administer 1-2mg lorazepam by the intravenous, intramuscular or oral route.

Re-assess after 5 minutes (intravenous), 15 minutes (intramuscular) or 30 minutes (oral). A 50% improvement suggests that catatonia is likely and that there is likely to be a good response to further treatment with benzodiazepines.

If there is limited response, repeat the test with one further dose of lorazepam.

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🔗 The Four Mountain Test

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Our capacity to recognise places and imagine them from alternative points of view is thought to depend on the hippocampal formation, a part of the brain that is affected during the early stages of Alzheimer's Disease. The Four Mountains Test, developed at UCL and the University of York, is a simple test of this ability and of individual variation in healthy people and patients. <<<

🔗 Lebanese Psychological Association LPA's statement (2013)

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In 2013, the LPA joined efforts with the Lebanese Psychiatric Society (LPS) and other non-profit organizations to advocate for the rights of LGBT individuals in Lebanon. The LPA issued a joint statement with the LPS stating that homosexuality is not a disease and does not require reparative treatment. LPA continues to support organizations in Lebanon raising awareness and lobbying for the rights of LGBT people in Lebanon.

🔗 Position Statement on Therapies Focused on Attempts to Change Sexual Orientation (Reparative or Conversion Therapies) (2000)

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The validity, efficacy and ethics of clinical attempts to change an individual's sexual orientation have been challenged. To date, there are no scientifically rigorous outcome studies to determine either the actual efficacy or harm of "reparative" treatments. There is sparse scientific data about selection criteria, risks versus benefits of the treatment, and long-term outcomes of "reparative" therapies. The literature consists of anecdotal reports of individuals who have claimed to change, people who claim that attempts to change were harmful to them, and others who claimed to have changed and then later recanted those claims.

  • Theories at odds with APA position that homosexuality is a mental illness
  • Theories integrate old psychoanalytic theories with religious beliefs.

🔗 Conversion Therapy is Torture - IRCT (2020)

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Conversion therapy, a practice that aims to change, ‘cure’ or ‘repair’ an individual’s sexual orientation or gender identity, is a global problem that causes severe physical and psychological suffering to its victims. A new expert statement by the IRCT and the Independent Forensic Expert Group (IFEG) concludes that conversion therapy is practiced in more than 69 countries, is unscientific and violates the global ban on torture and ill-treatment.

🔗 تعديلات «رعاية المريض النفسي».. ما وراء «الكهرباء» | | مدى مصر

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أثار قانون 2009 جدالاً منذ بداية الحديث عنه في عام 2008 بسبب انقسام العاملين في مجال الطب النفسي لتيارين. التيار الأول شارك في صياغة القانون وأيده، ويرفض أي تعديلات تنتقص من حقوق المرضى أو تعمل على تغيير المصطلحات واقتطاع المزيد من الميزانية المحددة لقطاع المرض النفسي. الثاني يرفض القانون ويسعى منذ سنوات ومن خلال قنوات مختلفة لإقرار تعديلات تسلب المريض النفسي حرية تقرير مصيره وتزيد من سلطة الطبيب النفسي وسطوته.