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Surviving the rollercoaster: adult ADHD

With more than one million South Africans between the ages of 20 and 50 affected by adult ADHD, there is a need for a comprehensive guideline. (more…)

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Where is the care in our healthcare system?

The de-institutionalisation process, so attractive in principle and so easy to defend in the abstract, can go catastrophically wrong if community-based resources are not in place prior to implementation. It is quite clear that the NGO’s to which the Esidimeni patients were transferred were completely lacking in the personnel, facilities and knowledge required to manage […]

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Diabetes and psychiatric disorders: Recipe for disaster

The prevalence of schizophrenia, bipolar, chronic depressive and schizo-affective disorders are two to three times higher in patients with diabetes compared to the general population. (more…)

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Is it bipolar, borderline personality disorder or both?

Personality disorders (PDs) are characterised by a pattern of feelings and behaviours that seem appropriate and justified to the person experiencing them at the time, even though these feelings and behaviours create a great deal of problems in that person’s life. The prevalence of PD is 3% in men and 1% in women. (more…)

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Pregnancy and psychiatric disorders: Psychiatrists worst nightmare

Treating pregnant patients with psychiatric disorders is a psychiatrist’s worst nightmare. This is according to Dr Rishi Parshotam, a psychiatrist in private practice in Johannesburg.  (more…)

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Comorbidities of adult ADHD and management

The majority of adults with attention deficit hyperactivity disorder (ADHD) have complicating and significant comorbid psychopathology. (more…)

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Overview of adult ADHD

The first local guidance on the treatment of adult attention hyperactivity disorder (ADHD) will be released later this year as part of the new South African Society of Psychiatry guideline, said Dr Frans Korb, a psychiatrist in private practice based in Johannesburg.  (more…)

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What’s the fuss about ADHD?

Attention deficit hyperactivity disorder (ADHD), to use its full title, refers to a condition in which a child (or adult) displays excessive inattentiveness, hyperactivity and impulsivity. (more…)

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Treating paranoid schizophrenia

Schizophrenia is defined as a heterogeneous cluster of psychotic conditions characterised by positive and negative symptoms, disorganised speech and behaviour, as well as mood and cognitive impairments. (more…)

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Fighting the darkness of depression

Since its approval in the eighties, millions of people around the world have been successfully treated with fluvoxamine. The drug is indicated for the treatment of obsessive compulsive (OCD), major depressive (MDD) and social anxiety disorders (SAD). (more…)

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Wash, rinse, repeat…

Obsessive compulsive disorder (OCD) is an anxiety disorder characterised by the presence of obsessions or compulsions but commonly both. Obsessions are unwanted intrusive thoughts, images or urges that repeatedly enter the person’s mind. Compulsions are repetitive behaviours or mental acts that the person feels driven to perform. They can be overt (observable by others) – […]

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