Archive for the ‘Changing the System’ Category

Stress, Illness and Points of View (1)

Monday, September 22nd, 2014

In October 2010, while lecturing in Europe, my wife and I spent a few days hiking in the beautiful Lauterbrunnen valley south of Interlaken in Switzerland.  Sometimes walking in a beautiful place can get you thinking about the larger picture.

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The Medical Blind Spot Continues

Monday, December 12th, 2011

The latest evidence of the woeful state of care for Psychophysiologic Disorders (Stress Illness) comes from my local newspaper.  In a Health column, we find the following question from a reader:

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Integrating Medical and Mental Health Care

Sunday, October 30th, 2011

I attended the 13th Collaborative Family Healthcare Association (CFHA) meeting in Philadelphia last week.  A prominent theme was difficulty gaining acceptance from medical clinicians about the role of mental/behavioral health practitioners in the primary care setting.  These practitioners provide skills helping people with complex medication regimens (insulin for example), weight management, smoking cessation, exercise regimens, substance abuse and stress management as well as help with mental health disorders.  But these resources are not used nearly as well as they could be.

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Stress, Illness and Social Change

Friday, September 30th, 2011

At first, you would not think the town of Seneca Falls, New York (USA), population 7000, would have much to contribute to thinking about Psychophysiologic Disorders (PPD, stress illness).  But it does, as I learned when I spent a few hours there this week.

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Stress Illness and CBT

Monday, August 1st, 2011

Stress Illness (also known as Psychophysiologic Disorder or PPD) is one of the most common causes of Medically Unexplained Symptoms (MUS).  These are symptoms for which no link to a diseased organ or structure can be found after diagnostic testing.  Javier Escobar, MD and colleagues (1) at the Robert Wood Johnson medical school in New Jersey, USA, decided to try a treatment called Cognitive Behavioral Therapy for these patients.

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The Psychophysiologic Disorders Association is Launched (3)

Monday, July 4th, 2011

Continuing the review from the last post of Pathways for Growth for the Psychophysiologic Disorders Association (PPDA).

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The Psychophysiologic Disorders Association is Launched (2)

Friday, July 1st, 2011

Continuing the discussion from the last post of the launch of the Psychophysiologic Disorders Association (PPDA), which plans to become the leading source of evidence-based information about PPD for health care professionals and the public.  Potential donors will be interested in our plans for the future and how their money will be used.

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The Psychophysiologic Disorders Association is Launched (1)

Thursday, June 30th, 2011

I am pleased to report exciting news for everyone concerned with breaking down the silos that divide Mind from Body in our health care system.  The Psychophysiologic Disorders Association (PPDA) was incorporated in the U.S. State of Oregon on March 17, 2011 and, two months later, was granted tax-exempt status under Chapter 501(c)(3) by the Internal Revenue Service.  This means that donations by U.S. citizens are tax deductible to the fullest extent permitted by law.

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How Physicians View Stress Illness (3)

Friday, April 29th, 2011

In the last two posts, we reviewed a quotation from Dr Jerome Groopman that highlighted two common physician errors, the first being to lump together all patients with medically unexplained symptoms and label them hypochondriacs.

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How Physicians View Stress Illness (2)

Wednesday, April 27th, 2011

In the last post, a quotation from Dr Jerome Groopman highlighted two common physician errors, the first being to lump together all patients with medically unexplained symptoms and label them hypochondriacs.

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