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  • 8/10/2019 The PL Inaugural Issue, Jan 2015

    1/15

  • 8/10/2019 The PL Inaugural Issue, Jan 2015

    2/15

    Xbe Vsygbdotry Cetter www.psygbdotrycetter.ark Mo`uory >6?5

    Wpegdoc ortdgce= Cdkbt pregoutda`s !Io`okd`k wd`ter hepressda`

    Ojewsdipcenebovdars- cdleohmustd`knehraaisbohes-go`ioleondkhd!ere`ge.

    Versa`s wdtb iaah dcc`esses ore iare se`sdtdve ta

    cdkbt tbo` atbers "see tbe gurre`t ortdgce aj tbe

    ia`tb necaw#= Xaa iugb cdkbt gouses io`dg

    syiptais, taa cdttce cdkbt gouses hepressdve

    syiptais. D` tbe sprd`k o`h suiier tbere ds taa

    iugb ! d` tbe jocc o`h wd`ter `at e`aukb ! cdkbt.

    Tau tbus `eeh ta iahucote cdkbt expasure ta ovadh

    gousd`k io`dg syiptais d` sprd`k/suiier o`h

    hepressdve syiptais d` jocc/wd`ter. Iaah epdsahes

    ka taketber, sa dj yau wo`t ta preve`t wd`ter hepressda`,

    yau sbauch ocsa try ta preve`t suiier io do.

    J a r t b e j o c c !w d ` ter

    "Wepteiner!Mo`uory#=

    D` wd`ter, tbere ds `at

    e`aukb cdkbt. Xberejare

    yau wd c c s ceep d` tbe

    iar`d`k ca`ker tbo` yau sbauch, o`h tbot wdcc

    tbraw ajj yaur gdrgohdo` rbytbis. Tau tberejare

    `eeh ta d`greose yaur cdkbt expasure.

    !Leep sbohes o`h gurtod`s ape` ot `dkbt, ta ioxdidzeiar`d`k cdkbt expasure. Xbds ds tbe sdipcest tbd`k

    yau go` ha ta rehuge rdsl aj wd`ter hepressda`.

    !Ha`'t weor su`kcosses d` rautd`e ogtdvdty, ar use

    tbei cess tbo` yau `arioccy wauch "ar cdidt a`cy

    ta hrdvd`k#.Ka jar wocls orau`h `aa`tdie,

    wdtbaut su`kcosses, jar up ta o` baur.

    !Ka ta neh ot o rekucor tdie ot `dkbt. [ole up ot

    o rekucor tdie d` tbe iar`d`k< use o` ocori.

    Jar cdkbt tberopy=

    Vco` a` spe`hd`k $?66!>66. Xbere ds `a `eeh ta

    spe`h iare. Xbe hase ds ?6,666 cux "iast

    cdkbtnaxes ore ot tbot hase#. Xbere ore io`y

    gaipo`des ! tbe d`ter`et e`kd`es wdcc becp yau.

    Use d`hdregt cdkbt< ha `at caal d`ta tbe cdkbt nax

    hdregtcy "treot dt cdle tbe su #.

    Bove dt a` tbe tonce wbdce yau reoh ar eot d` tbe

    iar`d`k. Hase ds 76 id`utes, a` overoke, os ca`k

    os hepressda` persdsts. Use tbe cdkbtnax hodcy

    d`dtdoccy, o`h tbe` rehuge use ta every atber hoy

    jar preve`tda`. Use tbe cdkbtnax d` tbe iar`d`k "nejare

    ?6 OI#= reieiner yau're tryd`k ta repcoge tbe

    iar`d`k su`cdkbt wbdgb hegcd`es d` wd`ter.

    Jar tbe sprd`k/suiier "Iorgb!Oukust#= D`suiier, tbere's taa

    iugb cdkbt< sa yau'cc

    s c eep d` tbe

    iar`d`k cess tbo`

    yau sbauch ,

    tbrawd `k a%

    gdrgohdo` rbytbis. Xa hegreose cdkbt expasure=

    ![eor su`kcosses ot o$tdies.

    ! [eor o` eyeiosl ta sceep, ar ket raai!horle`d`ksbohes.

    !Gcase gurtod`s ot `dkbt, ta id`didze iar`d`k cdkbt.

    ! Ka ta neh ot o rekucor tdie ot `dkbt. [ole up ot orekucor tdie d` tbe iar`d`k, nut `at eorcy.

    Xbe VC Nattai Cd`e

    Cdjt tbe sbohes d tbe wd ter

    Vucc tbei haw` d` tbe sprd k o`h suiier.

    Use o` eyeiosl "ar ket raai horle`d`k sbohes#

    d` sprd`k/suiier.

    Dj stdcc hepresseh d` wd ter hespdte rodsd`k tbe

    sbohes, use o cdkbt nax d` tbe iar`d`k.

    Wtoy tu`eh jar `ext ia`tb's Wpegdoc ortdgce= Xbe use aj

    o`tdpsygbatdgs d` ndpacor hepressda`

    Xbe Vsygbdotry Cetter Zacuie ?, Dssue ? >

    "Leep sbohes o`h gurtod`s ape` ot `dkbt, ta ioxdidze

    iar`d`k cdkbt expasure. Xbds ds tbe sdipcest tbd`k yau go`

    ha ta rehuge rdsl aj wd`ter hepressda`."

    http://www.psychiatryletter.org/
  • 8/10/2019 The PL Inaugural Issue, Jan 2015

    3/15

  • 8/10/2019 The PL Inaugural Issue, Jan 2015

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    Xbe Vsygbdotry Cetter www.psygbdotrycetter.ark Mo`uory >6?5

    experde`ge o io`dg swdtgb jrai hepressda` ta o

    idxeh stote os tbe sprd`k cdkbt nekd`s ta d`greose

    ojter o ca`k perdah aj caw cdkbt hurd`k wd`tertdie.

    Lroepecd`'s gcossdg gborts bove nee` ga`rieh d`

    iaher` tdies, sugb os d` tbe Ho`dsb stuhy necaw.

    Xbe e%egt aj seosa`ocdty a` sudgdhe ds pra`au`geh

    espegdoccy d` persa`s wdtb iaah dcc`esses.

    Xbe gurre`t stuhy aj tbe ia`tb "Zysalld et oc,

    MOIO Vsygbdotry, >6?8# ga`ris tbe tbeary aj

    su`cdkbt d`greosd`k tbe rdsl aj sudgdhe. Occ sudgdhes

    d` Oustrdo jrai ?4;6 ta >6?8 were stuhdeh= :4,8:>

    goses. Hodcy hurotda` aj su`sbd`e wos gaiporeh ta

    hodcy `uiner aj sudgdhe d` hd%ere`t Oustrdo`

    rekda`s. O iaherotecy stra`k garrecotda` wos

    jau`h "r96.84#. Ojter ga`traccd`k jar tbe seosa`,tbe garrecotda` wos stdcc tbere nut jecc ta r96.67,

    wbdgb ds o siocc e%egt.

    Xbe VC Nattai Cd`e

    D` sui, tbe seosa` aj tbe yeor ds o iomar

    prehdgtar aj sudgdhe "sprd`k ned`k tbe warst#

    [dtbd` o`y seosa`, su`cdkbt dtsecj bos o siocc

    nut hdregt e%egt, wbdgb ds stdcc prese`t ojter

    ga`traccd`k jar atber pate`tdoc gcd`dgoc rdsljogtars jar sudgdhe.

    [e occ cave tbe su` o`h dts woritb. Dt jeecs

    kaah. Nut jar peapce wdtb iaah dcc`esses, tbere

    ds ho`ker curld`k d`sdhe tbase neoutdjuc su``y

    hoys.

    Xbe Vsygbdotry Cetter Zacuie ?, Dssue ? 8

    Jurtber reohd`k= Xa ceor` iare onaut bdkb sudgdhe rotes d` tbe Oierdgo` [est aver tbe post ge`tury, o gcossdg saurge ds Baworh Lusb`er,

    Oierdgo` Wudgdhe, ^utkers U`dversdty Vress, ?44?. Jar tbe ardkd`oc WOH poper wbere ociast occ >4 sunmegts boh ndpacor dcc`ess= @E

    ^ase`tboc et oc, Weosa`oc o%egtdve hdsarher. O hesgrdptda` aj tbe sy`hraie o`h precdid ory `hd`ks wdtb cdkbt tberopy. Orgb Ke`

    Vsygbdotry. ?428 Mo`#, 57?!58;

    Gcd`dgoc tdp aj tbe ia`tb= Kdve cdtbdui a`ge hodcy ot dkbt, at iuctdpce tdies per hoy.

    Iast aj gcd`dgoc progtdge ds noseh a` trohdtda`, wdtbaut o nosds d` o`ytbd`k nut bondt. Xbds seeis ta ne tbe gos

    wdtb tbe gaiia` progtdge aj kdvd`k cdtbdui twa ar eve` tbree tdies hodcy. Xbere ds `a nosds jar kdvd`k cdtbdui

    iare tbo` a`ge hodcy noseh a` dts bocj!cdje, wbdgb ds onaut >8 baurs. Jurtber, iuctdpce ca`k!teri stuhdes sbaw

    tbot tbere ds iare ca`k!teri ldh`ey dipodrie`t wdtb iuctdpce hodcy hasd`k, os appaseh ta a`ge hodcy. Kdve` o`dkbt, io`y aj cdtbdui's sbart!teri gak`dtdve sdhe e%egts ore ocsa id`didzeh wbe` tbe cevec peols ojter ned`k

    tole`, sd`ge peapce wdcc ne osceep. Dt ds wecc!l`aw` tbot a`ge hodcy hasd`k aj o`y hruk e`bo`ges iehdgotda`

    gaipcdo`ge, wbdgb ds espegdoccy diparto`t d` psygbdotrdg ga`hdtda`s cdle ndpacor dcc`ess, wbere potde`ts ajte` bov

    paar d`sdkbt ar atber reosa`s ta ovadh ar stap told`k iehdgotda s. Xbere ds `a reosa` ta iole o` ocreoh

    gaipcex hdseose iare hd(guct ta treot, espegdoccy wbe` had`k sa gouses iare iehdgoc gaipcdgotda`s. Ha yaursec

    o`h yaur potde`ts o jovar= Must presgrdne cdtbdui a`ge per hoy! "Wd`kb CL et oc. Dipravd`k tacerondcdty aj cdtbdui wdtb

    a`ge!hodcy hasd`k sgbehuce. Oi M Xber. >6??

  • 8/10/2019 The PL Inaugural Issue, Jan 2015

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    Xbe Vsygbdotry Cetter www.psygbdotrycetter.ark Mo`uory >6?5

    Gcossdg stuhy aj tbe ia`tb=Jaur hdok`astdg vocdhotars yau sbauch use

    Ecd ^and`s o`h Woiuec Kuze. Estoncdsbie`t aj Hdok`astdg Zocdhdty d` Vsygbdotrdg D$`ess= Dts Oppcdgotda` ta

    Wgbdzapbre`do. Oierdgo` Maur`oc aj Vsygbdotry. Zacuie ?>: Dssue ;, Mo`uory ?4;6, pp. 427!42;

    ^ecyd`ka`syiptaisds`ate`aukb,`aiotterwbotHWIsoys.

    O potde`t bos p`e uia`do wdtb ga ukb o`h

    beohogbe. O`atber potde`t bos p`euia`do

    wdtbaut o gaukb o`h beohogbe. Ore tbese twa

    hd%ere`t "hdsarhers"1 @a, yau'h soy. Nut wby `at1

    Negouse tbe syiptais aj gaukb o`h beohogbe

    ha`'t represe`t o hd%ere`t hdseose.

    O potde`t bos hepressda` wdtb io`do. O`atber

    bos hepressda` wdtbaut io`do. Ore tbese twa

    hd%ere`t "hdsarhers". Tes, yau'h soy. Nut wby1

    Negouse io`do ds o hd%ere`t set aj syiptais tbo`

    hepressda`, yau idkbt soy. Nut gaukb o`h

    beohogbe ore syiptais, wbdgb we sodh hdh `at

    represe`t o hd%ere`t hdseose.

    Xbot's tbe d`tudtda` nebd`h tbe

    ga`gept aj hdok`astdg vocdhotars.

    D t ' s ` a t e` a u kb ta soy tbot

    syiptais hd%er o`h tbus we bove

    hd%ere`t "hdsarhers". Tau bove ta

    s b a w t b o t t b a se h d j j er e ` tsyiptais represe`t saie ld`h aj

    hd%ere`t ga`hdtda`s ar hdseoses. Baw ha yau ha

    sa1 @at ny sdipcy rejerrd`k nogl ta tbe hd%ere`t

    syiptais= tbot wauch ne toutacakaus. Tau bove ta

    bove saie hd%ere`t cd`e aj evdhe`ge, seporote

    jrai syiptais, tbot represe`ts o hd%ere`t dcc`ess.

    D` tbe gose aj p`euia`do, yau bove oggess ta

    p o t b a c a k y = t e s t s g o ` s b a w e v d h e ` g e a j

    d`oiiotda` d` tbe cu`k, wbetber ar `at yau

    bove o gaukb o`h jever. Wa tbase syiptais ha`'t

    represe`t o hd%ere`t hdseose.

    D` tbe gose aj psygbdotry, we ha`'t bove oggess ta

    potbacaky "usuoc cy # . Wa wbot sba uch tbe

    d`hepe`he`t cd`es aj evdhe`ge ne1

    O hdok`astdg revacutda`

    Xbds ds wbere tbds gcossdg ortdgce jrai ?4;6

    revacutda`dzeh psygbdotry. Ecd ^and`s, tbe

    gbodrio` ot tbe [osbd`kta` U`dversdty d` Wt

    Cauds, boh trod`eh ot Iossogbusetts Ke`eroc

    Baspdtoc "IKB# d` Nasta`. Nut d` tbot ero, tbe

    iomar UW gdtdes were haid`oteh ny psygbao`ocytdg

    tbd`ld`k. ^and`s wos d`ue`geh ny Eidc

    Lroepecd`, tbe cote ?4tb ge`tury Kerio`

    psygbdotrdst wba toukbt tbot "hdok`asds ds

    prak`asds", tbot tbe gaurse aj dcc`ess teccs yau

    wbdgb syiptais represe`t hd%ere`t hdseoses.

    ^and`s cejt Nasta` ta ka ta tbe

    sioccer gdty aj Wt Cauds, o`h jrai

    tbere, be trod`eh o serdes aj

    reseorgbers wba prahugeh tbe

    gbo`ke d` UW psygbdotry wbdgb ceh

    ta tbe tbdrh ehdtda` aj HWI

    "HWI

    !DDD

    # d` ?426

    ! o gbo`keiugb `eeheh ot tbot tdie, nut

    wbdgb, dt ioy ne questda`eh, bos

    borhe`eh d`ta tbe `ew greha aj HWI!DZ o`h 5.

    [dtb bds gac ceokue Woiuec Kuze, ^and`s

    ortdgucoteh jaur atber hdok`astdg vocdhotars tbot,

    oca`k wdtb syiptais, sbauch ne useh ta dhe`tdjy dj

    kraups aj potde`ts hd%er jrai eogb atber e`aukb

    ta mustd jy seed`k tbei os bovd`k hd%ere`t

    hdok`ases "tbedr ortdgce jaguseh a` sgbdzapbre`do,

    nut tbey coter oppcdeh tbese prd`gdpces ta occ

    hdok`ases#. Xbase vocdhotars ore sbaw` d` tbe nax

    onave. Xbe iast diparto t ds gaurse aj d$`ess,

    Lroepecd 's ley grdterda`. Waie ga`hdtda s ore

    gbra`dg, o`h syiptais ore prese`t occ tbe tdie

    "cdle sgbdzapbre`do#< atbers ore epdsahdg, wdtb

    syiptais gaid`k o`h kad`k "c dle io`dg!

    Xbe Vsygbdotry Cetter Zacuie ?, Dssue ? 5

    Iahdeh ^and`s o`h KuzeHdok`astdg Zocdhotars

    ?. Wyiptais>. Gaurse aj dcc`ess7. Ke`etdgs8. Xreotie`t e%egts

    http://www.psychiatryletter.org/
  • 8/10/2019 The PL Inaugural Issue, Jan 2015

    6/15

    Xbe Vsygbdotry Cetter www.psygbdotrycetter.ark Mo`uory >6?5

    hepressda #. Xbe `ext iast diparto`t vocdhotar ds

    ke`etdgs = dj hdok`ases ore ke`etdg, yau'cc `h

    evdhe`ge d` joidcy ieiners. @ext ore conarotary

    tests ar ndacakdgoc iorlers "wbdgb ore usejuc d`

    reseorgb nut `at yet d` gcd`dgoc progtdge, be`ge we

    bove`t d`gcuheh tbei d` tbe iahdeh grdterdo d`tbe nax onave#. ^and`s o`h Kuze ocsa rejerreh ta

    "hecdidtotda` jrai atber hdsarhers", wbdgb ieo`t

    tbot syiptais were spegdg ta a`e ga`hdtda`

    rotber tbo` o`atber. Xbds ds `at ocwoys tbe gose,

    sd`ge io`y syiptais, cdle o`xdety, go` aggur d`

    io`y ga`hdtda`s. Wd`ge tbot gcossdg stuhy, d`steoh

    aj hecdidtotda`, tbe hdok`astdg vocdhotar aj

    treotie`t e%egtsbos nee` useh, octbaukb dt sbauch

    ne useh goutdauscy, sd`ge

    io`y hr uks o re

    `a`spegdg d` e%egt, o`h

    saie, cdle oipbetoid`es,

    ore eve` ejjegt dve d`

    ` a r io c d ` h dv d h uo c s .

    Xreotie`t e%egts go` ocsa

    ne see` os o praxy jar ndacakdgoc iorlers, nut a`cy

    dj treotie`t e%egts ore spegdg ta o` dcc`ess "cdle

    o`tdhepresso`t!d`hugeh io`do#.

    HWI= A`cy syiptais

    U`jartu`otecy, tbese hdok`astdg vocdhotars bove

    nee` suppresseh ny tbe evacutda` aj HWI.

    Ardkd`occy, tbese hdok`astdg vocdhotars were tbe

    nosds jar sgde`tdg mustdgotda` jar hdok`ases d`

    psygbdotrdg reseorgb, ceohd`k ta tbe ardkd`oc

    ^eseorgb Hdok`astdg Grdterdo " HG#tbot ^and`s'

    Wt. Cauds kraup greoteh. Xbe ^HG dhe`tdeh

    onaut twa haze` sgde`tdgoccy vocdh hdok`ases.

    HWI!DDD storteh wdtb tbase hdok`ases, o`h ohhehonaut >;6 atbers. D` ociast occ goses, octbaukb

    tbe atber hdok`astdg vocdhotars were useh ta

    mustdjy hdok`ases, a`cy syiptais were useh d` tbe

    HWI grdterdo he`dtda`s "o` exgeptda` ds

    sgbdzapbre`do, wbere tbere ds o gaurse grdterda` aj

    : ia`tbs ar ca`ker jar psygbasds#. @aw we bove

    onaut 866 hdok`ases d` HWI!5, o`h gcd`dgdo`s ore

    useh ta a`cy caald`k ot syiptais jar he`dtda`s.

    Xbds ceohs ta tbe pere``doc orkuie`ts= Ds tbeotte`tda`oc prancei OHH ar ndpacor hdsarher1 Ds

    tbe o`xdety port aj iomar hepressdve hdsarher ar

    ke`ero cdzeh o`xdety hdsarher1 Ds tbe sexuoc

    dipucsdvdty io`do ar o poropbdcdo ar narhercd`e

    persa`ocdty1 Xbese henotes wdcc `ever e`h os ca`k

    os tbey ore ga`hugteh a` tbe sd`kce hdie`sda` aj

    syiptais.

    Xbds gcossdg poper reid`hs

    us tbot syiptais a`cy kasa jor= c dle gaukb o`h

    jever, we `eeh ta caal

    ecsewbere ta l`aw wbdgb

    s yi ptai s i ot ter

    hdok`astdgoccy o`h wbdgb

    ha`'t. [e `eeh ta caal ta

    gaurse aj dcc`ess, ke`etdgs, o`h treotie`t e%egts.

    [e'c c hdsguss tbese hdok`astdg voc dhotars

    repeotehcy tbraukbaut gcd`dgoc hdsgussda`s ajhd%ere`tdoc hdok`asds d` VC, sa we e`gauroke

    reohers ta tole tbe tdie ta reoh tbds gcossdg ortdgce,

    o`h ceor` ta use tbese jaur iahdeh hdok`astdg

    vocdhotars d` gcd`dgoc progtdge.

    Xbe VC Nattai Cd`e

    D` o hdok`astdg hd ceiio, stap ossessd`k

    syiptais o`h tur` ta tbe atber tbree

    hdok`astdg vocdhotars= gaurse aj dcc`ess, tbe`

    ke`etdgs, tbe` treotie`t e%egts.

    Caal wbere tbase atber vocdhotars hdregt yau6?5

    Hruk aj tbe Ia`tb= Nuprapda` "[e$nutrd #

    Wurprdse= Dt'smusto`atber(idch)oipbetoid`e

    Xbds hruk bos nee` wdtb us aver >5 yeors `aw, yet

    dt ds st d c c idsu`herstaah. Nuprapda` wos

    d`trahugeh ta tbe UW iorletd` ?422, nejare uaxetd`e

    "Vrazog#, necdeve dt ar `at. Dt

    wos tbe j d rst aj tbe `ew

    ke`erotda` aj past!trdgygcdg

    o`tdhepresso`ts< d`steoh aj

    negaid`k tbe ncaglnuster

    tbot wauch ne Vrazog, dt boh

    saie noh cugl. O jew goses aj

    sedzures aggurreh d` potde`ts

    ba sp d to c d zeh o t Ig Ceo`Baspdtoc, o`h tbe iolers aj

    Vrazog useh tbase goses ta

    neot nuprapda` d`ta sunidssda`. Gcd`dgdo`s tur`eh

    ta tbe `ew past!XGO oke`ts iod`cy jar sojety

    reosa`s, `at bovd`k ta warry onaut averhase

    taxdgdty ar gorhdog orrbytbidos. Vrazog ape`eh

    tbe woy jar tbe o`tdhepresso`t ero os atber W^Ds

    "serata`d` reuptole d`bdndtars# qudglcy jaccaweh

    d` tbe eorcy ?446s. Jar o `uiner aj yeors,

    gcd`dgdo`s hdh`'t

    reocdze tbot W^Ds

    prahugeh sexuoc

    hysju`gtda`, o`h

    ny tbe tdie tbey

    jau`h aut, tbe

    use aj W^Ds boh

    ocreohy negaie

    wecc!estoncdsbeh.

    Xwa hegohescoter, ojter oc c

    t b es e o k e `t s

    negoie ke`erdg

    o`h tbe pboriogeutdgoc iorletd`k wors boh

    e`heh, gcd`dgdo`s go` caal ot tbese oke`ts iare

    anmegtdvecy, o`h nuprapda` ds iold`k o gaienogl.

    [e `aw l`aw iare onaut dts ne`ets= `a sexuoc

    hysju`gtda` "d` jogt dt e`bo`ges sexuoc hrdve#66?, ;:=5??!5>;#. Xbds ioy ne

    wby nuprapda` bos ovadheh ned`k coneceh o

    ga`tracceh sunsto`ge. Tet tbe hruk ds stdcc o street

    hruk aj vocue, ajte` krau`h up o`h s`arteh jar dts

    ohhdgtdve prapertdes. Xbe VC dipressda` ds tbot

    jar severe hepressdve dcc`ess aj o`y vordety,

    nuprapda` ds o rotber d`e%egtdve oke`t.

    Xbe VC Nattai Cd`e

    Nuprapda` ds o idch oipbetoid`e

    Dt ds `at e%egtdve d` ndpacor hepressda`

    Dt haes `at seei e%egtdve d` severe hepressda`

    aj o`y ld`h

    Dts io`y ne`ets ore oipbetoid`e!cdle, o`h dt

    ds onuseh ny saie persa`s

    Wtoy tu`eh jar tbe `ext hruk aj tbe ia`tb= _uetdopd`e

    Vsygbapotbacaky=He`d`k psygbasds

    Hecusda`sore`tocc-ar-`atbd`kpbe`aie`o.

    Gcd`dgdo`s saietdies use tbe warh psygbatdg"

    caasecy. Nut dt ds netter oppcdeh ta spegdg ld`hs aj

    on`ariocdty= hecusda`s o`h/ar boccugd`otda`s.Boccugd`otda`s ore ke`eroccy he`eh os jocse

    se`sary dipressda`s, c dle beord`k vadges.

    Xrohdtda`occy, ouhdtary boccugd`otda`s ore see` os

    aggurrd`k iare d` psygbdotrdg dcc`ess, o`h vdsuoc

    boccugd`otda`s aggur iare d` `euracakdgoc dcc`ess66?, 4=?8;!?5;

    http://www.lestonhavensmd.com/http://www.psychiatryletter.org/http://www.lestonhavensmd.com/
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    Xbe Vsygbdotry Cetter www.psygbdotrycetter.ark Mo`uory >6?5

    ik/h jar : weels, wbdgb wos tbe` gbo`keh ta

    gdtocaproi "Gecexo# 56 ik/h jar 4 weels, wbdgb

    iohe bdi iare hepresseh o`h sudgdhoc. Xbe`

    aco`zopd`e "]yprexo#wos ohheh ta gdtocaproi, up

    ta ?5 ik/h, wdtbaut ne`et. Jcuaxetd`e wos

    d`greoseh up ta 26 ik/h pcus aco`zopd`e, o`hvocpraote "Hepolate, Epdvoc# wos ohheh ot tbe

    soie tdie ot 566 ik/h< tbese cost gbo`kes iohe

    bdi jeec eve` warse, o`h vocpraote wos swdtgbeh

    ta rdsperdha`e. Ot ga`suctotda`, be wos told k

    uaxetd`e "Vrazog# 26 ik/h, aco`zopd`e ?5 ik/h,

    o`h rdsperdha`e 7 ik/h, oca`k wdtb iuctdpce

    gorhdacakdgoc iehdgotda`s.

    Be gaipcod`eh kreotcy onaut o`xdety o`h

    d`hegdsda`. D bove o cat aj rekrets< tbey natber ieo cat. Iy warry bos o nosds, nut dt ds averncaw`.

    Be boh o kreot heoc aj `dbdcdstdg tbd`ld`k< joidcy

    reparteh= Be warrdes onaut tbe ceost cdlecy tbd`k

    tbot gauch boppe`. Be gauch`t ju`gtda` ot warl.

    Be boh gceor hdsgrete hepressdve epdsahes d` ?4:2

    "bds rst epdsahe, regedveh EGX#, ?4;5 "regavereh

    d` 7!8 ia`tbs#, ?44: "regavereh d` 7!: ia`tbs#,

    >66? "costeh ca`ker, onaut 2!4 ia`tbs, sow o

    ga`sucto`t, wba hdok`aseh ndpacor dcc`ess nuthdh`'t stap o`tdhepresso`ts#, o`h tbe gurre`t

    epdsahe ">6?7#. U`cdle prdar epdsahes, tbere wos`t

    o iomar psygbasagdoc trdkker jar bds cost epdsahe.

    D` netwee` epdsahes, bds joidcy reparteh tbot be

    wos "perjegt c y `arioc = ver y sag do c , ver y

    krekordaus" o`h ju`gtda`oc os o praid`e`t cowyer.

    @a prdar psygbdotrdst exgept jar a`e ga`sucto`t

    boh anserveh tbot eogb aj tbe hepressdve epdsahes

    hesgrdneh onave boh nee` pregeheh ny o pbose aj

    5!: ia`tbs aj ecevotda . Oggarhd`k ta joidcy=

    Be wos o ndt bdkb, eve` iare autkad`k, wauch ka

    o`h vdsdt sa io`y recotdves wbe` be we`t aut jar

    o` erro`h tbot beh ket hdstrogteh, wauch sceep

    cdttce, o`h wauch reoh jurdauscy onaut occ hd%ere`t

    ld`hs aj tapdgs tbot bove `atbd`k ta ha wdtb bds

    ech. Be boh o cat aj e`erky, wauch ket up very

    eorcy, o`h wauch ne very ogtdve.

    Be boh `a post sudgdhe otteipts ar psygbdotrdg

    baspdtocdzotda`s, boh o iehdgoc bdstary aj

    byperte`sda` o`h gara`ory ortery hdseose, o`h o`arioc beoh I^D. Be boh `a hruk occerkdes o`h

    `a sunsto`ge onuse bdstary. Be boh `a bdstary aj

    trouio ar onuse, boh nee` iorrdeh jar 55 yeors,

    boh jaur ohuct gbdchre`, o`h warleh os o cowyer.

    I eh d go t da ` t r do c s d `g c uh e h i u ct d pc e

    o`tdhepresso`ts "iast aj tbe serata`d` repute

    d`bdndtars#, iuctdpce `euraceptdgs, nut a`cy a`e

    iaah stondcdzer "rege`t treotie`t wdtb caw!hase

    vocpraote#.

    D` joidcy bdstary, bds nratber wos hdok`aseh wdtb

    sgbdzapbre`do 86 yeors oka= Be wos qudte cdvecy,

    negoie ansesseh wdtb reohd`k occ iehdgoc naals,

    o`h wos treoteh wdtb o`tdpsygbatdgs. Xbds nratber

    ocsa boh severe hepressdve epdsahes wdtb iorleh

    cass aj oppetdte o`h o gotota`dg stote. Ndpacor

    hdsarher wos hdok`aseh d` twa sega`h gausd`s,

    treoteh wdtb cdtbdui. O `dege gaiidtteh sudgdhe.

    Xbe VC hdok`asds o`h gcd`dgoc dipressda`

    Xbe VC hdok`asds wos ndpacor hdsarher, type DD,

    gurre`tcy hepresseh. Xbe hdok`asds aj ndpacor

    dcc`ess, ds gceor, os prevdauscy `ateh ny o`atber

    ga`sucto`t. U jartu`otecy, tbds hdok`asds boh `at

    nee` tole` serdauscy, o`h tbus boh `at nee`

    treoteh wdtb tbe oppraprdote treotie`t, `oiecy,

    o` ohequote hase aj o iaah stondcdzer wdtbaut

    o`tdhepresso`ts, wbdgb hestondcdze ndpacor d$`ess o`h

    gau`terogt tbe ne`ets aj iaah stondcdzers."Jar jurtberexpco`otda` aj tbds dheo, see tbe VC wensdte#.

    Vrdar evocuotda`s idsseh tbe jogt tbot eogb

    hepressdve epdsahe ds pregeheh ny o gceor

    bypaio`dg epdsahe tbot costs ia`tbs. Xbese

    bypaio`dg epdsahes ore `at questda`once o`h ore

    `at nrdej. Xbey exdst, yet be bos nee` treoteh os dj

    Xbe Vsygbdotry Cetter Zacuie ?, Dssue ? ?6

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    Xbe Vsygbdotry Cetter www.psygbdotrycetter.ark Mo`uory >6?5

    tbey hdh`t exdst. Vrdar psygbdotrdsts edtber hdh`'t

    iole tbe n dpa cor h dok`asd s , ar sow d t os

    tberopeutdgoccy u`diparto`t. Xbe ga`sucto`t wba

    boh hdok`aseh ndpacor dcc`ess iohe `a e%art ta

    stap o`tdhepresso`ts ar regaiie`h iaah

    stond c dzers . Be eve` jaguseh d`steoh a`psygbasagdoc expco`otda`s,

    sugb os Erdlsa`'s stoke aj

    "ke`erotdvdty versus hespodr"

    d ` a c h o k e . "Baw tbds

    expco`otda` wauch expcod`

    tbe potde`t's hepressdve

    epdsahes d` bds >6s, 76s, o`h

    86s wos cejt u`expcod`eh#.

    Vrdar treotie`t boh jaguseh a` treotd`k eogb ogutehepressdve epdsahe wdtb o`tdhepresso`t o`h o`tdpsygbatdg

    gaind`otda`s, rotber tbo` tryd`k ta preve`t tbase

    hepressdve epdsahes wdtb iaah stondcdzers. Hdvocpraex

    boh nee` useh rege`tcy jar bds ogute ndpacor

    hepressda`, nut ot o suntberopeutdg hase aj 566

    ik/h, ohheh ta very bdkb hase uaxetd`e. Dj

    o`tdhepresso`ts gau`terogt tbe ne`ets aj iaah

    stondcdzers, tbot trdoc wauch `at bove nee`

    e%egtdve. Xbds gose ds o kaah exoipce aj baw

    o`tdhepresso`ts sdipcy go` ne d`e%egtdve jar ogutendpacor hepressda`, os jau`h d` tbe corkest

    ro`haidzeh g c d` dgo c t r do c s .

    Be`ge tbe idstole` conec aj

    " t r e o t i e ` t ! r e j r o g t a r y

    hepressda`"= tbe hepressda` ds`'t

    re'ogtar y wbe` o`t dhepresso`ts

    bove nee` prave` d`e%egtdve jar dt.

    [be` tbe potde`t dipraveh d` tbe post, dt cdlecy

    wos `at negouse aj o`tdhepresso`t treotie`t, nutrotber os port aj tbe `oturoc gaurse aj ndpacor

    dcc`ess, `oiecy tbot eogb hepressdve epdsahe te`hs

    ta cost o gertod` oiau`t aj tdie "usuoccy onaut 7!:

    ia`tbs#o`h tbe` resacves a` dts aw`.

    [be` d`e%egtdve treotie`ts ore iuctdpcdeh "sugb

    os gaind`d`k aco`zopd`e o`h rdsperdha`e# o`h

    d`greoseh ta ioxdioc hases "sugb os 26 ik/h aj

    uaxetd`e#, d` o` 26!ye or!ach persa`, wdtb

    gara`ory ortery hdseose, tbe` tbe cdlecdbaah aj

    bori ds iok`deh. Xbese hases ore ieo`t jar

    `a`!echercy ohucts. D` echercy persa`s, dt ds o

    ioxdi tbot hases sbauch ne bocveh, negouseh eg re o se h r e` oc

    exgretda` aver tdie

    ceohs ta ce`ktbe`d`k

    a j hru k bo c j ! c dves.

    Xbus 26 ik/h aj

    uaxetd`e d` o `eorcy

    26 yeor ach ke`tceio`

    ds qudte exgessdve, o`h

    cdlecy ta ne gousd`k diparto`t pbysdgoc bori. Dt ds

    espegdoccy `atonce tbot uaxetd`e ds o very pate`t

    d`bdndtar aj hruk ietonacdsi d` tbe cdver. Xbus,

    tbds very bdkb hase ds ocsa iorlehcy d`greosd`k

    hases aj ociast occ atber iehdgotda`s, d`gcuhd`k

    aco`zopd`e o`h rdsperdha`e, wbdgb wauch `atoncy

    d`greose tbedr sdhe e%egts, d`gcuhd`k porld`sa`do`

    treiar o`h rdkdhdty, olotbdsdo, o`h !perbops iast

    diparto`tcy ! hdonetes o`h gorhdavosgucor rdsls

    "bypercdpdheido o`h byperte`sda #.

    Jar occ tbese reosa`s, tbe potde`t's iehdgotda`swere d`e%egtdve, o`h ot tbe very bdkb hases kdve`,

    paseh iomar iehdgoc

    rdsls ta bdi, o`h

    were cdlecy gousd`k,

    a r w au c h s a a`

    g o us e , s e rd au s

    iehdgoc bori.

    Xbe VC treotie t

    Jcuaxetd`e bos tbe ohvo`toke aj cess serata`d`

    wdtbhrowoc tbo` atber serata`d` repute d`bdndtars

    "W^Ds#. Dt wos topereh a%aver > weels "86 ik/h

    jar ? weel, tbe` >6 ik/h jar ? weel, tbe` stap#.

    Xbe potde`t boh `a W^D wdtbhrowoc. ^dsperdha`e

    wos hdsga`td`ueh diiehdotecy o`h aco`zopd`e wos

    Xbe Vsygbdotry Cetter Zacuie ?, Dssue ? ??

    "Vrdar treotie`t boh jaguseh a` treotd`k eogb ogute

    hepressdve epdsahe wdtb o`tdhepresso t o`h

    o`tdpsygbatdg gaind`otda`s, rotber tbo` tryd`k ta

    preve`t tbase hepressdve epdsahes wdtb iaah

    stondcdzers."

    "Xbe hepressda` ds`'t re'ogtary wbe` o`tdhepresso`ts

    bove nee` prave` d`e%egtdve jar dt. "

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    Xbe Vsygbdotry Cetter www.psygbdotrycetter.ark Mo`uory >6?5

    topereh a%"?6 ik/h jar ? weel, tbe` 5 ik/h jar ?

    weel, tbe` stap#.

    A`e weel ojter tbe d`dtdoc vdsdt, o tdtrotda` aj

    coiatrdkd`e wos d`dtdoteh, reogbd`k o torket hase

    aj ?66 ik/h aver o`atber ia`tb">5 ik/h jar ?

    weel, tbe` 56 ik/h jar ? weel, tbe` ;5 ik/h jar ?

    weel, tbe` ?66 ik/h.# Carozepoi ? ik twdge

    hodcy wos kdve` jar o`xdety o`h W^D wdtbhrowoc.

    Xwa ia`tbs coter, tbe potde`t boh dipraveh

    iaherotecy a` coiatrdkd`e ?66 ik/h, o`h

    carozepoi ? ik twdge hodcy. Hepressdve o`h

    o`xdety syiptais were st d c c prese`t, nut

    saiewbot cess tbo` prevdauscy.

    Xbe VC Nattai Cd`e

    Xbds oppore`t treotie t!resdsto`t hepressda` ds

    reoccy idstreoteh ndpacor hepressda` !o gaiia`

    sge`orda.

    Zery bdkb hase uaxetd`e wdtb bdkb hase

    aco`zopd`e pcus rdsperdha`e praveh d`e%egtdve,

    o`h wos `a netter tbo` coiatrdkd`e oca`e.

    Ot ceost we were once ta ket tbe potde`t a%

    iehdgoccy borijuc hruks, cdle aco`zopd`e, o`hhruks wdtb iomar hruk d`terogtda`s "uaxetd`e#.

    Coiatrdkd`e ds `aw d` pcoge ta becp preve`t

    juture hepressdve epdsahes, wdtb id`dioc ca`k!

    teri iehdgoc rdsls d` tbds acher ke`tceio` wdtb

    gara`ory ortery hdseose.

    Erdlsa`'s stokes ore drrecevo`t dj yau ket tbe

    hdok`asds o`h/ar treotie`t wra`k.

    Xbds type aj gose dccustrotes tbe ohoke= Taurtreotie`t ds a`cy os kaah os yaur hdok`asds.

    Gurnsdhe ga`sucts=

    _uestda`s o`h goses'ai yau

    _uestda`= Xahoy D sow o waio` jar o rst jaccaw

    up. Wbe boh see` o psygbdotrdst d` iy kraup o yeor

    oka wba boh hdok`aseh ber wdtb u`dpacorhepressda` o`h treoteh ber wdtb sertrocd`e "]acajt#

    o`h gca`ozepoi "Lca`apd # os `eeheh. Wbe boh

    iaveh aut aj tbe oreo o yeor oka o`h hrappeh aut

    aj treotie`t. Wbe gaipcod`eh aj d sai`do o`h o

    cat aj o`xdety o`h hepressda` rege`tcy ojter

    retur`d`k ta tbe oreo, d` recotda` ta iordtoc

    ga`dgt o`h tbe psygbdotrdg baspdtocdzotda` aj ber

    ohacesge`t sa`. Ber sceep wos paar, kettd`k a`cy

    onaut 8 baurs ar cess. D reocdzeh tahoy D hdh t ket

    tbe nest psygbdotrdg bdstary a` ber< dt tur`s autsbe boh nee` hdok`aseh wdtb ndpacor hdsarher d`

    tbe post o`h treoteh wdtb hdvocpraex "Hepolate#,

    coter swdtgbeh ta tapdroiote "Xapoiox#. D

    sukkesteh Cdtbdui o`h sbe reparteh sbeh tole` dt

    ?5 yeors oka, wdtb tbe jeecd`k sbe wos`t sa iugb

    wocld`k os aotd`k, o`h ber psygbdotrdst taal ber

    a% dt. [be` sbe retur`eh tahoy, ojter 7 weels

    resuid`k sertrocd`e 56ik hodcy, sbe reparts ber

    sceep bos gbo`keh rohdgoccy jrai `at sceepd`k

    iugb ta sceepd`k o cat, ned`k tdreh o`h told`k

    `ops. Xahoy D kat pre!cdtbdui cons hrow` o`h

    storteh cdtbdui 766ik twdge hodcy. D hdh`t stap

    tbe sertrocd`e ar d`sdst sbe stap dt, nut wdcc see ber

    d` > weels o`h cdlecy wdcc ne iare d`sdste`t tbot

    sbe stap tbe sertrocd`e.

    Bovd`k otte`heh yaur seid`or cost suiier D

    l`aw tbot ot ceost port aj wbot D hdh tahoy yau

    wdcc okree wdtb, nut D oi o cdttce warrdeh onaut tbe

    sdhe e%egt aj jeecd`k cdle sbe wos aotd`k. Dossuieh, os tbds repart sukkests, tbot sbe ioy

    bove nee` jeecd`k tbot woy hue ta hebyhrotda`,

    nut okod` dt wos yeors oka. Vortcy D tbd`l D sbauch

    bove nee` iare d`sdste`t a` stappd`k tbe

    sertrocd`e, nut ocsa wbe` WW^Ds pusb peapce ta

    Xbe Vsygbdotry Cetter Zacuie ?, Dssue ? ?>

    VC ^eegtda`=

    Iy treotie`t a`cy jodcs d d`guronce goses. Koce`

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    Xbe Vsygbdotry Cetter www.psygbdotrycetter.ark Mo`uory >6?5

    bove o stra`k sgde`tdg nosds. Be ge "W^Ds" ds o

    iare sgde`tdgoccy sau`h `oie.

    _uestda`= [bdgb bos cess borijuc e%egts a` tbe

    ldh`ey= cdtbdui gorna`ote diiehdote receose ar

    cdtbdui gorna`ote E^"exte`heh receose

    #1

    VC= [e regaiie`h kdvd`k cdtbdui d` dts ke`erdg

    scaw receose jariucotda` "cdtbdui gorna`ote E #

    rotber tbo` tbe ke`erdg diiehdote receose cdtbdui.

    Xbe d`dtdoc peol aj cdtbdui d` tbe diiehdote

    receose ds qudte bdkb o`h wdcc o%egt ldh`ey geccs

    iugb iare tbo` d` tbe scaw receose wbere tbot

    peol ds gut a%o`h cawer d`dtdoc cevecs aggur d` tbe

    ncaah. Xbe scaw receose jariucotda` aj cdtbdui

    haes `at oppregdoncy d`greose dts ocreohy ca`k bocj!

    cdje aj >8 baurs, o`h tbe saiewbot bdkber cevecs aj

    cdtbdui jar o jew extro baurs d` o hoy ore stdcc

    iugb necaw tbe bdkb peol tbot d`dtdoccy boppe`s

    wdtb diiehdote receose cdtbdui, o`h tbus sbauch

    bove cess borijuc e%egts a` tbe ldh`eys d` ca`k!

    teri treotie`t. Xbere ore gcd`dgoc stuhdes wbdgb

    `h o garrecotda` netwee` cess ca`k!teri ldh`ey

    e%egts wdtb scaw!receose versus diiehdote!receose

    cdtbdui, o`h `a stuhdes wbdgb sbaw tbe reverse, os

    ca`k os natb rekdie`s were kdve` a`ge hodcy. "B

    Callekoorh et oc, Ogto Vsygbdotrdgo Wgo`hd`ovdgo,;?= 78;!755#. [bot ds gceor ds tbot a`ge hodcy

    hasd`k, `a iotter wbot type aj cdtbdui ds useh,

    g c e o rc y p r a hu g e s c e s s c a ` k ! teri l dh`ey

    dipodrie`t tbo` iuctdpce hodcy hasd`k "see

    Gcd`dgoc Xdp aj tbe Ia`tb onave#.

    Vsygbapboriogacaky gaurse

    Cessa` ?= Xbd l onaut hruks gcd`dgo$y, `at ndacakdgo$y

    ^eohers sbauch l`aw tbot VC wdcc teogb o`oppraogb ta psygbapboriogacaky tbot ds qudte

    hd%ere`t jrai, eve` appasdte ta, wbot yau ore

    usuoccy toukbt. Xbe iast gaiia` oppraogb,

    toukbt d` tbe iast papucor psygbapboriogacaky

    textnaal o`h tbraukbaut trod`d`k prakrois d` tbe

    UW, ds tbe ndacakdgoc oppraogb. Xbds hruk ncagls

    tbds regeptar< tbot hruk ncagls tbot regeptar< tbds

    hruk d`greoses serata`d`, tbe atber d`greoses

    `arepd`epbrd`e. O`h tbds hruk d`greoses

    everytbd`k, sa dt's eve` iare e%egtdve! Xbds ld`haj ndacakdgoc teogbd`k ds `at gaipcetecy jocse< dt ds

    diparto`t ta l`aw ndacakdgoc iegbo`dsis, wbdgb

    go` saietdies garrecote wdtb gcd`dgoc e%egts. Nut

    wb e` us eh os tbe prdiory ieo`s ta iole

    muhkie`ts onaut baw ta use hruks, tbds ndacakdgoc

    spegucotda` ds must tbot= o `euraiytbacaky "os tbe

    Kerio` psygbdotrdst/pbdcasapber Lorc Mospersgocceh sdidcor te`he`gdes o ge`tury oka#. Dt bos tbe

    troppd`k aj sgde`ge, o`h dt ioles gcd`dgdo`s jeec

    cdle tbey l`aw wbot tbey're had`k= nut dt's

    pseuhasgde`ge !spegucotda` tbot kaes jor neya`h

    wbot we l`aw.

    Xbe VC oppraogb, d` ga`trost, ds gcd`dgoc.[e ha`'t

    gore onaut tbe ndacaky aj hruks "we ha, nut `at os

    o iotter aj prdiory diparto`ge#. Aur prdiory

    d`terest ds`t wbot hruks ha ta regeptars ar

    `euratro`sidtters d` rots, test tunes, ar VEX

    sgo`s. [e gore onaut wbot tbey ha jar gcd`dgoc

    syiptais d` buio` ned`ks. D` atber warhs, d`

    ga`trost ta tbe psygbdotrdg maur`ocs o`h @DIB

    kro`t ju`hd`k, o`h appaseh ta tbe ga`ve`tda`oc

    wdshai aj tbe psygbdotrdg prajessda` tahoy, we

    put gcd`dgoc reseorgb onave ndacakdgoc reseorgb.

    Xbe Vsygbdotry Cetter Zacuie ?, Dssue ? ?8

    VC eegtda`=

    Occ hruks ore taxdg.

    A`cy tbedr d`hdgotda` o`h hasoke ioles tbei

    tberopeutdg.

    [dccdoi Ascer

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    Xbe Vsygbdotry Cetter www.psygbdotrycetter.ark Mo`uory >6?5

    Xbe prdior y sgde`tdg evdhe`ge onaut wbdgb

    hruks ta use o`h baw ds noseh a` ro`haidzeh

    gcd`dgoc trdocs d` buio` ned`ks, `at ndacakdgoc

    spegucotda`s onaut gcd`dgoc e%egts d` psygbdotrdg

    dcc`esses noseh a` stuhdes aj regeptars o`h

    `euratro`sidtter d` rots "ar eve` buio`s jar tbotiotter# . O hr uk go ` e` bo `ge e ve ry

    `euratro`sidtter d` tbe warch, nut dj dt ds`'t netter

    tbo` pcogena d` o ^GX, dt haes`'t warl, o`h yau

    sbauch`'t presgrdne dt.

    O hruk go` ncagl every

    regeptar tbot yau'h cdle

    ta ncagl tbearetdgoccy,

    nut dj dt bos `ever nee`

    testeh d` o ^GX jar o psygbdotrdg ga`hdtda`, tbe`

    yau ha`'t l`aw dj dt reoccy warls ar `at, o`h yau

    sbauch`'t prete`h atberwdse.

    Wa we wdcc oppraogb gcd`dgoc psygbapboriogacaky,

    noseh a` ro`haidzeh trdocs o`h gcd`dgoc stuhdes os

    tbe prdiory saurge aj evdhe`ge, wdtb ndacakdgoc

    iegbo`dsis os o sega`hory ga`sdherotda`. Xbds ds

    tbe reverse aj tbe oppraogb aj tbe iast praid`e`t

    psygbapboriogacaky textnaal o`h gurre`t ga`ve`tda`oc

    wdshai. Xbe cotter oppraogb ceohs ta io`y

    spegucotdve muhkie`ts onaut hruks, o`h tbedraveruse o`h pacypboriogy, gousd`k, d` aur

    apd`da`, iare bori tbo` kaah. Xbe VC oppraogb

    wdcc ceoh ta use aj jewer iehdgotda`s, nut iare

    e%egtdvecy o`h a` iare sacdh sgde`tdg krau`h.

    Xbus, we wdcc prdvdceke o`h jagus a` gcd`dgoc trdocs

    rotber tbo` ndacakdgoc tbeardes. Taucc `eeh ta

    ceor` onaut baw ta d`terpret ^GXs, o`h stotdstdgoc

    l`awcehke wdcc ne `egessory, o`h VC wdcc becp yau

    u`hersto`h tbot l`awcehke. Dt ds iare warl tbo`

    spegucotd`k onaut tbe ne`ets aj bovd`k iare aj

    saie `euratro`sidtter. Nut dt ds sgde`tdgoccy

    iare sau`h, o`h gcd`dgoccy iare e%egtdve.

    [e bape yau'cc `h tbot tbds pbdcasapby aj

    psygbapboriogacaky ds jrudtjuc, o`h yaucc mad` VC

    d` jaccawd`k tbe ach

    teogb d`k aj

    B d p p a grotes , wba

    jaguseh a` g c d`dgoc

    evdhe`ge o`h appaseh

    ndacakdgoc spegucotda`s onaut taa iugb ar taa

    cdttce aj jaur buiars "sdidcor ta tbeardes onaut"gbeidgoc dinoco`ge" wdtb `euratro`sidtters#. D`

    sui=Ha`'t prdvdceke tbeardes "d`gcuhd`k ndacakdgoc a`es#

    aver gcd`dgoc evdhe`ge.

    Xbe VC Nattai Cd`e

    Gcd dgoc evdhe`ge ds iare vocdh tbo` ndacakdgoc

    tbeary, eve` d` psygbapboriogacaky.

    Jagus a` gcd`dgoc reseorgb stuhdes, espegdoccy

    ^GXs, d`steoh aj spegucotda` onaut gcd`dgoce%egts noseh a` ndacakdgoc iegbo`dsis.

    @euraiytbacaky ceohs ta pacypboriogy.

    Wtoy tu`eh `ext ia`tb jar cessa` >= Nosdg `eurao`otaiy

    jar gcd`dgoc psygbapboriogacaky

    Xbe Vsygbdotry Cetter Zacuie ?, Dssue ? ?5

    Xbe Vsygbdotry Cetter, V. A. Nax :4, Orcd`kta` IO 6>8;:

    Ehdtar o`h Jau`her= @ossdr Kboeid IH. Io`okd`k Ehdtar= Ocgdhes Ocnuquerque IH. Xbe gaipcete Ehdtardoc Naorh go` ne jau`h a` www.psygbdotrycetter.ark

    O ia`tbcy d`hepe`he`t `ewscetter `at aw`eh, aperoteh, ar o&cdoteh wdtb o`y arko`dzotda`. Dt regedves `a `o`gdoc suppart'ai o`y saurge atber tbo` sunsgrdners.Jd`o`gdoc hdsgcasures jar ehdtardoc naorh ieiners ore pravdheh a` www.psygbdotrycetter.ark. Atber tbo reseorgb stuhy ju`hd`k, `a recotda`sbdps wdtb tbepboriogeutdgoc d`hustry exdst jar o`y ieiners aj tbe VC Ehdtardoc Naorh.

    Hdsgcodier= Xbe iehdgoc d`jariotda` pravdheh d` tbds `ewscetter ds ierecy d`jariotda` noseh a` ke`eroc sgde`tdg l`awcehke ar tbe gcd`dgoc experde`ge aj tbe VCehdtardoc naorh. Dt ds `at spegdg ohvdge d`te`heh jar d`hdvdhuoc treotie`t aj o spegdg potde`t os wauch ne pravdheh d` o` d`!persa` prajessda`oc ga`suctotda`. Dj users`eeh spegdg iehdgoc ohvdge jar spegdg treotie`t hegdsda`s, tbey sbauch ga`suct o hagtar ar atber oppraprdote iehdgoc prajessda`oc d` o` d`!persa` ga`suctotda`. Xbdshdsgcodier ocsa pravdhes tbot `a worro`tdes ore kdve d` recotda` ta tbe iehdgoc d`jariotda` suppcdeh a` tbds `ewscetter, o`h tbot `a cdondcdty wd$oggrue ta tbe`ewscetter aw`er d` tbe eve`t tbot o user su%ers cass os o resuct aj recdo`ge upa` tbe d`jariotda`.

    Wunsgrdne ot www.psygbdotrycetter.ark

    "Ha`'t prdvdceke tbeardes "d`gcuhd`k ndacakdgoc a`es#aver

    gcd`dgoc evdhe`ge."

    http://www.psychiatryletter.org/http://www.psychiatryletter.org/http://www.psychiatryletter.org/http://www.psychiatryletter.org/http://www.psychiatryletter.org/