Author Archives: John C. Raiss

On Is Adult ADHD a Childhood-Onset Neurodevelopmental Disorder? Evidence From a Four-Decade Longitudinal Cohort Study by T. E. Moffitt et al. Published online: May 22, 2015 http://dx.doi.org/10.1176/appi.ajp.2015.14101266

This surprising  article will probably  change the way clinicians view and assess adult ADHD and the way DSM-6 conceptualizes it. DSM-5 considers ADHD a “neurodevelopmental disorder” (page 32) and states that “ADHD begins in childhood” (page 61). Diagnostic Criterion B … Continue reading

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Proper Artistic Attitude

In order to analyze Davis’ fresh approach to the translation, I would like to compare her work in a famous passage from the novel …. The passage ends with a beautiful and often quoted simile in which Flaubert compares human … Continue reading

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Proper scientific attitude

“I do not know what I may appear to the world, but to myself I seem to have been only like a boy playing on the sea-shore, and diverting myself in now and then finding a smoother pebble or a … Continue reading

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How to avoid paying too much for generic medications

The pricing of generic medications for uninsured patients is irrational and counter-intuitive. Because of this, the uninsured patient can pay far too much for a generic drug. One might expect that the price of a generic medication to be “low”, … Continue reading

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Lithium induced subclinical hypothyroidism

Lithium induced subclinical hypothyroidism Definition: elevated TSH (thyroid stimulating hormone) in a lithium treated patient, with normal T4 and T3 Prevalence: 6-52% in 11 reports (UptoDate Lithium and the Thyroid, accessed 3.8.2015), average 20-30% Odds ratio for hypothyroidism on lithium: … Continue reading

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lithium induced hyperparathyroidism

Lithium, hypercalcemia (increased serum calcium), and hyperparathyroidism or What to do when you’re stable on lithium and your calcium level is high? Lithium therapy increases the prevalence of hypercalcemia and hyperparathyroidism (http://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.2013.13081057): 1. 10% absolute risk in 730 lithium-treated patients … Continue reading

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In Praise of ADHD, by James J McGough, MD (Oxford American Psychiatric Library), 2014, Oxford University Press

This superb summary of ADHD is likely to be of interest to several different types of reader. First, the physician who wants a brief (the entire book, including index, is 125 pages) overview; second, the therapist whose patients have ADHD … Continue reading

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James D Watson on anti-oxidants and cancer

I’ve been impressed by James D. Watson, the co-discoverer of DNA, ever since I read his  account of the discovery of the structure of DNA,  The Double Helix  and used his Molecular Biology of the Gene to study biology as … Continue reading

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Exercise

I’ve had too many discussions with patients about exercise that go like this: Doctor: How much are you exercising? Patient: I’m not. Too busy. To avoid this stalemate, I think it’s helpful to think about what we mean by exercise. … Continue reading

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The California Prescription Monitoring Program (CURES)

I first became aware of the CURES program a few years ago, after a  psychiatrist left a voicemail warning  me that patient X, to whom I had been prescribing a controlled substance,   was receiving the same drug not only from … Continue reading

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