I would like to share with you the DSM-V (APA DSM-V Copyright 2013) criteria for this disorder. If you think that you might meet criteria, please notify your psychiatrist (if you have one) or your PCP (primary care physician). Please don’t tell me that you don’t have a PCP. If not, please call your insurance company or go to the nearest community health clinic because the life you save may be your very own. Remember that obesity can be a silent killer that leads us into a number of health sequelae that don’t look or feel good.

A. Recurrent episodes of binge eating.  An episode of binge eating is characterized by both of the following:

1.  Eating, in a discrete period of time, an amount of food that is definitely larger than what most people would eat in a similar period of time under similar circumstances.

2.  A sense of lack of control over eating during the episode.

B.  The binge-eating episodes are associated with 3 or more of the following:

1. Eating much more rapidly than normal.
2. Eating until feeling uncomfortably full.
3.  Eating large amounts of food when not feeling physically hungry.
4. Eating alone because of feeling embarrassed by how much one is eating.
5. Feeling disgusted with oneself, depressed, or very guilty afterward.

C.   Marked distress regarding binge-eating is present.

D.  The binge-eating occurs, on average, at least once a week for three months.

E.  The binge eating is not associated with the recurrent use of inappropriate compensatory behaviors as in bulimia nervosa or anorexia nervosa.

(Taken directly from the APA’ s DSM-V Manual)

Oftentimes the source of the eating issues lies in bad relationship dynamics. I need you to also go by www.askdro.com and pick up my book, “Am I in A Bad Relationship?”  This book will most probably be helpful for those of you who also meet criteria for this disorder.

Dr. O

Picture source: http://eatingdisorderfreeme.com/eating-disorder-treatment/binge-eating/binge-eating-disorder/

The post News Flash: Binge-Eating (307.51) in DSM-5 appeared first on AskDrO.com.

The new disorder found in DSM-5 is called “Disruptive Mood Dysregulation Disorder.” (296.99/F24.8)   After reading the newly released diagnostic criteria, I can certainly  appreciate the work that my colleagues have done to bring light to a set of behaviors that we see in young men and women before the age of 18. It is also important to note that this diagnosis should not be documented initially before the age of 6 years old. There are certainly other considerations but not this diagnosis is particular. The team also noted that  the diagnosis, should not be something new after the age of 18 years old. After 18, I personally would start looking at one of the other mood disorders.

I really like what I am seeing in out new manuel. It is seemingly going to require more expertise and reading from those that use it regularly. We can no longer just tag diagnostic criteria on a child without the appropriate work-up and clinical data from collateral sources.

Disruptive Mood Dysregulation Disorder Diagnostic Criteria (Taken from DSM-5; Copyright the American Psychiatric Association 2013)

A.  Severe recurrrent temper outbursts manifested verbally and or behaviorally that are grossly out of proportion in intensity to the situation or provocation.

B.  The temper outbursts are inconsistent with developmental level.

C.  The temper outburst occur, on average, 3 or more times a week.

D.  The mood between outbursts is persistently irritable or angry most of the day, nearly every day, and is observable by parents, teachers and peers.

E.  Criteria A have been present for 12 or more months. Throughout that time, the individual has not had a period lasting 3 or more consecutive months without all of the symptoms.

F.  Criteria A and D are present in a t least 2 of 3 settings and are severe in a least one of these.

G.  The diagnosis should not be made for the first time before age 6 years or after the age of 18 years.

H.  By history or observation, the age at onset of Criteria A-E is before 10 years.

I.  There has never been a distinct period lasting more that 1 day during which the full symptom criteria, except duration, for a manic or hypomanic episode have been met.

J.  The behaviors do not occur exclusively during an episode of major depressive disorder and are not better explained by another mental disorder.

K.  The symptoms are not caused by the physiological effects of a substance or caused by another medical or neurological condition.

Now fell free to peruse the blog for DSM-IV diagnostic criteria for Bipolar Illness. However, be reminded that DSM-5 is new and there will certainly be more articles to come updating you on any changes, deletions or additions to our current classification system.

Once again stay tuned and hang-out on the blog and check at some more articles, including the latest update on the Diagnosis ADHD in Adults.

Thanks for stopping by,

Dr.O

*Please be advised that only a licensed Provider can diagnose brain diseases in America.

The post Your Child Ain’t Bipolar! Updates from the DSM-5 appeared first on AskDrO.com.

I will still do an extensive work-up on all new patients presenting with this medical complaint, but I will now closer monitor patients for there progress. There are still a couple of hints at possible stimulant/abuse such as;  (1) Reporting that you feel better rather than reporting an improved ability to focus and complete task. (2) Excessive phone-calls and or concerns about the possibility of missing a dose. (3) Pushing  me for an increase dosage when not really indicated and (4) Physician gut. Sometimes you can pick-up on patients that may be abusing the medication. Yes, we are expanding our diagnostic criteria but we are also becoming much better at making the correct diagnosis and monitoring patients for compliance.

It is also important to mention that a number of patients with ADHD have co-morbid psychiatric illnesses.  It is important to monitor patients with this brain disease for other disorders like anxiety-related conditions, mood disorders and of course substance use/dependence disorders. After all, a good practitioner has to recognize that many adults may choose to use the calming affects of alcohol or marijuana as opposed to those medications prescribed by their psychiatrist.

Thanks for stopping by the blog. By the way, have you purchased my book yet at www.askdro.com.  I would certainly appreciate your support!

DrO

The post Breaking News from San Francisco: DSM-V Now Recognizes ADHD in Adults! WOW appeared first on AskDrO.com.

Now I have never strayed away from controversial topics and today shalt not be any different. Here is the questiom, “I s church membership/attendance required to make heaven?” Now of course, if you are a non-believer, you can still read this post an just indulge. This is becoming a real debate amongst the saints. (or church-goers) Many are just tired of the politics, extra offerings and church scandals. It appears that every week something new comes up that could shatter your faith. Now, I must provide a disclaimer early, I am convinced that a personal relationship with God is important, but not quite resolved on the question at hand.

Now, I am convinced that a daily prayer, meditation, and scripture reading is required for spiritual growth and development, but what does one do when his/her church has loss its focus. If church was working  for a number of us, why is the rates if suicide and depression increasing in the churches. I myself just can’t do the special days anymore. I would rather sit in a nice movie day in the middle of winter. I don’t mind giving honor to whom honor is due, but when we start honoring man more than God it is a problem. How many of us can truly say that our church is involved in real ministry? How many of us can truly say that our church has retired the building fund committee? It just appears that many of the 21st century church are stuck. Now, you may challenge me on this one but let me give you just a few facts;

1. Most of us have changed our church membership in the last five years, at least once. LOL
2. Most of us have a favorite televangelist. (Joel Osteen, T.D. Jakes, etc.)
3. Most of us are or have boycotted a Building Fund program.
4. Most of us ar sick of the same old church rhetoric.
5. Most of us have taken a Sunday morning off to visit another church/assembly.(Not to include bedside baptist)

Now that are a couple of perfect church members that probably never complain, but I am sure you have high blood pressure. So I need to hear from you on this hot and trending topic…Is Church Attendace Required to Get to Heaven?

Thanks for stopping by,

DrO

Hey, don’t forget to check-out my new book, Am I in a Bad Relatrionship?

The post Is Church Attendance Required for Heaven? appeared first on AskDrO.com.

Courtesy of Media Takeout Website

Courtesy of Media Take Out Website

This, if a stunt for fame, is probably one of the most low down things a person could do.  I am curious to see or hear what Tyler’s response will be to the accusations.  This is a law suit waiting to happen for deformation of character and slander.  I hope this guy Walter is “lawyered up”.  Because if he thought a little backyard brawl was all he had coming for him, I am sure there is more to follow.

Tyler Perry is not only financially capable of handling any bad publicity but also very influential.  I am sure he has the resources to deal with this matter accordingly.  It is not Tyler that I am worried about.

After you watch the video let me know what your thoughts are. Is Tyler gay? Do you really care if he is or isnt? After watching this YouTube video will you continue to go see his movies? I am definitely going to have to add this topic to my next addition of “Am I in a Bad Relationship”.  Topic: “What to do when my gay lover outs me” 

Enough Said.

Dr.O

The post Say It Aint So! Tyler Perry Outed By Gay Male Companion: Check Out Walter Hampton’s Video appeared first on AskDrO.com.

People it is important now to interview your perspective employers. You may not want to get to bold by asking questions like, “What is your turnover rate?” However, you can ask questions like, “Is there a pretty good team to work with in your unit?” Sometimes that initial response from the interviewer is worth a thousand words. Also, make eye-contact with a couple of the staff as you walk in for the interview. They may give you a couple of cues and hints about the climate. Also, check out the feel of the place. Is it cold and quiet or is it light and cheery? Are people moving around sending off rather positive vibes or are people buried in the cubicles watching the clock and waiting for lunch. If you can, ask to talk to a couple of staff along without the immediate supervisor. Then you can be a little more frank and ask gingerly the questions that you really need to know before signing on the dotted line. Failure to scope out a perspective place of employment can be deadly and a health hazard. You can not imagine the number of persons coming in to see me secondary to occupational stress. Most time, even the most difficult job and or task can be made easy with the right leadership. However, when you hate that boss, things quickly fall apart and you may began to experience headaches and other anxiety-related disorders. So go ahead and eel the place out before you sign-up for failure. Believe it or not, you do have a choice and don’t sell yourself short.

The post I Hate My Boss..But Need My Job to Survive and Live! appeared first on AskDrO.com.