THE JOYFUL REDUCTION OF UNCERTAINTY

Tag Archives: psychiatry

SSC Survey Results: ADHD And Rejection Sensitivity

Introduction ADHD is typically considered a disorder of attention and focus. There are various other traits everyone knows are linked – officially, hyperactivity and “behavior problems”; unofficially, anger and thrill-seeking – but most people consider these to be some sort … Continue reading

Did A Melatonin Patent Inspire Current Dose Confusion?

Yesterday I wrote about melatonin, mentioning that most drugstore melatonin supplements were 10x or more the recommended dose. A commenter on Facebook pointed me to an interesting explanation of why. Dr. Richard Wurtman, an MIT scientist who helped discover melatonin’s … Continue reading

Melatonin: Much More Than You Wanted To Know

[I am not a sleep specialist. Please consult with one before making any drastic changes or trying to treat anything serious.] Van Geiklswijk et al describe supplemental melatonin as “a chronobiotic drug with hypnotic properties”. Using it as a pure … Continue reading

HPPD And The Specter Of Permanent Side Effects

I recently worked with a man who took LSD once in college and never stopped hallucinating. It’s been ten years now and it’s still going. We can control it with medication, but take the meds away and it starts right … Continue reading

In Search Of Missing US Suicides

[Content warning: suicide. Thanks to someone on Twitter I forget for alerting me to this question] Among US states, there’s a clear relationship between gun ownership rates and suicide rates, but not between gun ownership rates and homicide rates: You … Continue reading

Should Psychiatry Test For Lead More?

Dr. Matthew Dumont treated a 44 year old woman with depression, body dysmorphia, and psychosis. She failed to respond to most of the ordinary treatments, failed to respond to electroconvulsive therapy, and seemed generally untreatable until she mentioned offhandedly that … Continue reading

Mental Health On A Budget

Everyone knows medical care in the US is expensive even with insurance and prohibitively expensive without it. I have a lot of patients who are uninsured, or who bounce on and off insurance, or who have trouble affording their co-pays. … Continue reading

Posted in Uncategorized | Tagged | 105 Comments

Navigating And/Or Avoiding The Inpatient Mental Health System

Apology and disclaimer This is in response to questions I get about how to interact (or not interact) with the inpatient mental health system and involuntary commitment. The table of contents is: 1. How can I get outpatient mental health … Continue reading

SSC Journal Club: Friston On Computational Mood

A few months ago, I wrote Toward A Predictive Theory Of Depression, which used the predictive coding model of brain function to speculate about mood disorders and emotions. Emotions might be a tendency toward unusually high (or low) precision of … Continue reading

Posted in Uncategorized | Tagged | 93 Comments

God Help Us, Let’s Try To Understand Friston On Free Energy

I’ve been trying to delve deeper into predictive processing theories of the brain, and I keep coming across Karl Friston’s work on “free energy”. At first I felt bad for not understanding this. Then I realized I wasn’t alone. There’s … Continue reading