Lack of sexual interest is the most common sexual complaint in women
Posted by: admin on: August 2, 2011
- The latest version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), which defines psychiatric disorders, defines Hypoactive Sexual Desire Disorder (HSDD) as ‘‘persistently or recurrently deficient (or absent) sexual fantasies and desire for sexual activity’’ that causes ‘‘marked distress or interpersonal difficulty.
’’ Epidemiologic surveys have suggested that from 25 to 50 percent of women report prolonged periods of reduced sexual interest. A lesser but still significant number, on the order of 7 to 15 percent, may meet criteria for HSDD, where loss of sexual interest results in significant distress, and cannot be explained by a co-morbid medical or psychiatric condition, medication side effect, or substance abuse. - Topical estrogen therapy, which treats vaginal dryness and atrophy in post-menopausal women, can be useful for those who experience dyspareunia (pain with intercourse). Making things more comfortable certainly can help with sexual desire Read the rest of this entry »
Empathy and the physician- patient relationship
Posted by: admin on: August 2, 2011
- Is anyone else tired of hearing about how important empathy is in the physician-patient relationship? Every other day it seems a new study is talking about the therapeutic value of empathy. Data links physician empathy with improved patient outcomes, increased satisfaction, and better patient experiences.
- A recent study released in Academic Medicine reported that “patients of physicians with high empathy scores were significantly more likely to have good control over their blood sugar as well as cholesterol, while the inverse was true for patients of physicians with low scores.”
- Findings from this study are consistent with a 2009 study which found that among patients with the common cold those with physicians displaying high empathy had a significantly shorter duration of illness and trend toward lesser severity of illness and higher levels of immune response, compared to those patients whose physician displayed less empathy. Read the rest of this entry »
New Advice on Preventing Falls
Posted by: admin on: August 2, 2011
For the first time since 2001, the American Geriatrics Society and the British Geriatrics Society have updated their guidelines for preventing falls in older people.
The update includes two notable changes:
- One recommends tai chi — the meditative, slow-motion Chinese exercise — as an effective way to prevent falls, while another suggests that doctors review medication use by all elderly patients, with an eye toward reducing use of those drugs that increase the risk of falling.
Tai chi gets the nod because several trials have suggested that it seems to help reduce the risk of falling, she said, although it is possible that other forms of balance training work just as well.
Can children really have bipolar disorder?
Posted by: admin on: August 1, 2011
A recent article in the Los Angeles Times gives the pros and cons on the use of “bipolar disorder” in children through the opinions of two psychiatrists on opposite sides of the controversy.
The problem with using “bipolar” is that it requires a too-loose interpretation of the symptoms seen in adults with bipolar disorder.
That is, the symptoms in children aren’t really like those seen in adults. But while there is disagreement about the label, there is consensus that children with wide mood swings need help. Now it is becoming increasingly clear that children with up-and-down mood probably have some other problem, not bipolar disorder. These children may be described as emotionally “dysregulated,” that is, their brain cannot seem to keep their emotions regulated or stable.
Primary doctors transform offices into patient-centered ‘medical homes’.
Posted by: admin on: August 1, 2011
- The concept of establishing “medical homes” emerged in the health-care reform debate as a way to improve health-care quality and efficiency and cut costs.
- The patient-centered medical home tends to the health of the whole person, involving a team that’s responsible for the patient’s care.
- That includes coordinated, integrated care among primary care, specialists and hospitals. Built on a doctor-patient relationship, it re-establishes the primary care provider as the backbone of the health-care system.
- A doctor who knows a patient well can order far fewer tests to diagnose a complaint than a doctor who’s unfamiliar with the patient. And there should be fewer duplicate tests ordered by primary care offices, specialists and emergency departments. There should be less repetition. Read the rest of this entry »
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