Acceptance and Commitment Therapy More Effective Than CBT for Chronic Pain

Acceptance and Commitment Therapy More Effective Than CBT for Chronic Pain

“Acceptance And Commitment Therapy (ACT) for Chronic Pain” was published by the Clinical Journal of Pain in the June 2017 edition. This article reviews the challenges of treating chronic pain, evidence that CBT provides limited benefits, and evidence that ACT may be more effective than CBT.

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Adult ADHD diagnostic challenges: brief summary for the generalist, with link to more info

Adult ADHD diagnostic challenges: brief summary for the generalist, with link to more info

Mental health clinicians who are not ADHD specialists may find it challenging to assess and make treatment recommendations for adult patients with potential ADHD symptoms. “6 Challenges in Assessing ADHD in Adult Patients” provides a concise summary of the issues and a link to a more detailed resource.

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Melatonin: what therapists and consumers need to know

Melatonin: what therapists and consumers need to know

Insomnia is one of the most common health problems that mental health professionals hear about from their patients. In MHConcierge’s experience, many patients are taking, or considering, melatonin. Their PCP may have recommended it, or they may have just decided to try it on their own. “Read This If You Take Melatonin to Sleep at Night” was posted by HuffingtonPost.com recently, and this consumer-friendly article is a concise summary of the benefits of melatonin (limited) and potential concerns (several potential nuisance problems, and possibly significant drug interaction concerns).

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JAMA advice to PCPs about anxiety treatment, opportunity for collaboration

JAMA advice to PCPs about anxiety treatment, opportunity for collaboration

JAMA published “Treating Anxiety 2017: Optimizing Care to Improve Outcomes” on July 18, 2017. This article provided information to primary care physicians about how to manage anxiety in their office settings, and some of the information provided potentially supports coordination of care between PCPs and behavioral clinicians. A portion of the article is available for free online, but accessing the entire article requires either a subscription to JAMA or paying a user fee, and MHConcierge was glad to pay the fee in order to be able to report to loyal readers about the entire article.

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Paying your billing service by percentage of claims – is there risk?  (Maybe)

Paying your billing service by percentage of claims – is there risk? (Maybe)

The medicaidlaw-nc blog posted “Do You Pay Your Billing Agent a Percentage of Claims? You May Be in Violation of Federal law!” on 7-12-17.  Obviously, this is an attention-getting title, so let’s begin with a deep breath and some background about the source.  This blog is posted regularly by Nicole Emmanuel, a lawyer in North Carolina who specializes in Medicaid litigation.  She blogs regularly about Medicaid issues, with her intended audience being NC medical professionals but MHConcierge finds her posts to be informative about national issues and monitors her blog.

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Can Your Patient Secretly Record You?

Can Your Patient Secretly Record You?

JAMA Published “Can Patients Make Recordings of Medical Encounters?: What does the Law Say?” On 8-8-17. This article discusses the fact that recording technology is now readily available for every smartphone user. The authors note that the motivation for for recording may be entirely reasonable; the patient may simply want to be able to review the discussion in order to improve their understanding of the information provided, and possibly to share this information with family members. Researchers found that patients who are provided audio recordings of clinic visits tend to find them to be very helpful. But, what about patients who do these recordings without asking permission of the clinician, who may have or adversarial intent? And, who “owns” the recording? And, what is the status of such recordings in regard to HIPAA?

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