Health and Psychology

Health and psychology

Blog

This blog covers current events, brain injury, general psychology, health psychology, medical psychology, testing, and general issues.

view:  full / summary

Mental Status Examination

Posted by Margaret Donohue on July 28, 2017 at 10:00 PM Comments comments (0)

The Mental Status Examination

The mental status examination is a screening test for a wide variety of mental disorders and conditions. In it’s most common form it is abbreviated to a mini state exam with fewer categories and often used to evaluate cognitive difficulties.

The full exam consists of evaluation in multiple categories:

  • Appearance and behavior
  • Orientation, concentration and attention
  • Language and memory
  • General in...

Read Full Post »

1985 to the future

Posted by Margaret Donohue on May 3, 2017 at 7:45 AM Comments comments (0)

It was 1985.  I was newly licensed with specialty training in this weird not-yet-ready-for-prime-time area of psychology no one really knew anything about-Medical Psychology.  And I was working in a medical practice with a physician I knew.  I had training in both medicine and pharmacy.  So I went through paper charts of any patient that had been seen for four visits with no clear diagnosis.  While all of the patients I saw had psychiatric symptoms, 80% would be found...

Read Full Post »

Sepsis

Posted by Margaret Donohue on April 17, 2017 at 9:10 AM Comments comments (0)

A female patient of mine with chronic pain had a new symptom.  Severe abdominal pain.  "It's like I'm being stabbed with a hot knife."  That's a very specific description.  One that will prompt an emergency room doctor to start poking around in the abdomen or taking an x-ray of the abdomen or doing an ultrasound of the abdomen.  But the symptom has nothing to do with the abdomen.  The gastrointestinal tract is where the immune system is going into overdrive. ...

Read Full Post »

Diagnosis of medical versus psychiatric anxiety or depression

Posted by Margaret Donohue on April 10, 2017 at 11:35 PM Comments comments (0)

Medical causes of depression and anxiety account for about 58-79 % of all diagnosed cases of depression and anxiety.  So it's helpful to differentiate them.  

  • Psychological cases respond generally well to evidence based treatments for depression and anxiety.  So if a person has been through an evidence based treatment, and followed the protocol, and was adherent, they should have some degree of improvement in about 4 to 6 weeks. 
  • In addition there sho...

Read Full Post »

Sexual Assault

Posted by Margaret Donohue on October 9, 2016 at 9:50 AM Comments comments (1)

I don't believe I know any woman over the age of 15 that hasn't been sexually assaulted, inappropriately gropped, fondled or touched without her consent by someone.  So I'm not surprised that when @kellyoxford asks women on twitter to share their first sexual assault stories that there are more than 1 million responses with most of the events starting in childhood.


While the tipping point in the conversation about the prevalence of assault against women may be the lates...

Read Full Post »

Herxheimer Reactions

Posted by Margaret Donohue on September 24, 2016 at 12:35 AM Comments comments (0)

Jarisch-Herxheimer Reaction also known more simply as Herxheimer or Herx reaction sometimes occurs after antibiotic treatment causes a large die off of bacteria, fungus, yeast, or other systemic infections. initially described by Adolf Jarisch in 1895 and later by Karl Herxheimer in 1902, the reactions have been found in syphillis, sarcoidosis, rheumatoid arthritis, chronic lyme disease, leptospirosis, relapsing fever and candidiasis starting within an hour or so of taking the ...

Read Full Post »

Ehlers-Danlos Syndrome

Posted by Margaret Donohue on September 6, 2016 at 9:45 AM Comments comments (0)

Jessica Jacobs died in August. She had Ehlers-Danlos Syndrome. She is also described as having Postural Orthostatic Tachycardia Syndrome. I say described because I’m not sure I believe that. I think she had Ehlers-Danlos Syndrome with Autonomic Dysregulation and postural orthostatic tachycardia syndrome is just a part of that. She lived most of her adult life in Washington, DC but moved back to Twain Harte, California when she became too disabled to continue working. She wanted t...

Read Full Post »

Pulse Nightclub and the Stanford Rape Case

Posted by Margaret Donohue on June 18, 2016 at 7:10 AM Comments comments (0)

I am as appalled by the media coverage of the Pulse Nightclub massacre and the Stanford Rape case as I am of the events themselves.  I'm chairing a dissertation on rape and I have a clinical practice that is LGBTQIA friendly.  The media turns these events into single incidents rather than common place occurrences.  The rape case stands out only because of the articulate first person account of the victim.  Rarely do we hear the words of the victims.  And 7000+ words n...

Read Full Post »

Medical Psychology

Posted by Margaret Donohue on May 3, 2016 at 8:30 AM Comments comments (0)

Depending on the study, somewhere between 58 and 79 percent of all psychological diagnoses have a substantial medical component.  That's a very alarming statistic.  In the 1970's the field of medical psychology was created to address this need.  By the late 1980's it had all but dissappeared, replaced by the less medically intense health psychology field or the broader behavioral medicine field.  


When I first went into practice I worked with a family pra...

Read Full Post »

Patient Shaming

Posted by Margaret Donohue on April 24, 2016 at 12:40 PM Comments comments (0)

Patient shaming. This time it happened to/about my cat. This happens by physicians (or vets) when they don’t know what is going on and all the treatment options they know of have been exhausted. It usually happens to people on the fourth visit either when there isn’t a diagnosis or the treatment is ineffective.

I ‘ve had Tatum since she was just under 2 years old. She was a hot mess. She was in several foster homes. The rescue organization referred to her as ...

Read Full Post »

Rss_feed