Hippocratic Psychopharmacology

Hippocratic Psychopharmacology

Hippocratic psychiatry NOT “First, do no harm” Nature heals Non-Hippocratic psychiatry Rules for a Hippocratic Psychopharmacology Holmes’ Rule stated Holmes’ Rule explained Example of Holmes’ Rule: Antidepressants in bipolar illness Osler’s Rule stated Osler’s...
Childhood ADD: A Critique

Childhood ADD: A Critique

Childhood ADHD Inattention in diagnosis of Childhood ADHD Social factors Identifying the real entity Treatment Inattention in diagnosis The diagnosis of ADHD is typically made when a person has marked inattention, or distractibility, along with “executive...
Adult ADD: A Critique

Adult ADD: A Critique

The adult ADHD diagnosisMood and anxiety factorExplanationsA separate condition?Not worth the risksSummary The adult ADHD diagnosis As noted in the post on childhood ADD, the diagnosis of Attention Deficit Hyperactivity Disorder is typically made when a person has...
Mixed depression

Mixed depression

Depression with psychomotor excitation is not just a “major depressive episode”      Clinicians use the word “depression” loosely. The DSM concept of a “major depressive episode” combines very different kinds of depressive...
Psychiatric Diagnosis: Beyond DSM

Psychiatric Diagnosis: Beyond DSM

In the Hippocratic tradition, clinicians should treat diseases, not symptoms. Diagnosis thus becomes extremely important, which entails careful attention to be as scientific as possible in our diagnostic system. As discussed elsewhere, the DSM approach has failed in...
Understanding anxiety

Understanding anxiety

Anxiety is the “fever” of psychiatry. Fever is a completely nonspecific symptom, which happens in many illnesses, and frequently without any illness. Fever “disorders” are meaningless. Similarly, anxiety is a nonspecific symptom, which is quite common, sometimes...
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