Category: consultation-liaison psychiatry

  • Addiction Not the Same as Neuroadaptation

    Addiction Not the Same as Neuroadaptation

    It’s common to read or hear people say they’re “addicted” to all sorts of things, like chocolate, but there’s a difference between addiction and adaptation. Adaptation can also be called “dependence” or the fancier “neuroadaptation.” This can foster a discussion about whether you can be addicted to antidepressants, which by extension, could mean it’s difficult…

  • Rounding@Iowa Podcast: “Challenges in Transitioning Seriously Ill Patients from Pediatric to Adult Systems of Care”

    Rounding@Iowa Podcast: “Challenges in Transitioning Seriously Ill Patients from Pediatric to Adult Systems of Care”

    I listened to the Rounding@Iowa podcast of February 11, 2025, “Challenges in Transitioning Seriously Ill Patients from Pediatric to Adult Systems of Care.” This was a very interesting presentation about the challenges of helping persons with life-limiting conditions (for example, hemophilia, cystic fibrosis, sickle cell anemia and more) transition from pediatric to adult systems of…

  • Could Artificial Intelligence Help Clinicians Conduct Suicide Risk Assessments?

    Could Artificial Intelligence Help Clinicians Conduct Suicide Risk Assessments?

    I found an article in JAMA Network (Medical News & Perspectives) the other day which discussed a recent study on the use of Artificial Intelligence (AI) in suicide risk assessment (Hswen Y, Abbasi J. How AI Could Help Clinicians Identify American Indian Patients at Risk for Suicide. JAMA. Published online January 10, 2025. doi:10.1001/jama.2024.24063). I’ve published several posts…

  • Is Artificial Intelligence (AI) Trying to Defeat Humans?

    Is Artificial Intelligence (AI) Trying to Defeat Humans?

    I just found out that Artificial Intelligence (AI) has been reported to be lying as far back as May of 2024. In fact, because I can’t turn off the Google Gemini AI Overview. Gemini’s results always appear at the top of the page. I found out from my web search term “can ai lie” that…

  • Big Mo Pod Show: “Blues: The Universal Mixer”

    Big Mo Pod Show: “Blues: The Universal Mixer”

    We listened to the Big Mo Pod Show (Sena stuck with it for about the first hour anyway) last night and then I got a mini-education in the forms of music, at least, as it relates to timing and rhythm. The theme was “Blues: The Universal Mixer.” Frequently, the blues show and the podcast remind…

  • Artificial Intelligence Can Lie

    Artificial Intelligence Can Lie

    I noticed a Snopes fact check article (“AI Models Were Caught Lying to Researchers in Tests — But It’s Not Time to Worry Just Yet”) today which reveals that Artificial Intelligence (AI) can lie. How about that? They can be taught by humans to scheme and lie. I guess we could all see that coming—or…

  • Artificial Intelligence: The University of Iowa Chat From Old Cap

    Artificial Intelligence: The University of Iowa Chat From Old Cap

    This is just a quick follow-up which will allow me to clarify a few things about Artificial Intelligence (AI) in medicine at the University of Iowa, compared with my take on it based on my impressions of the Rounding@Iowa presentation recently. Also, prior to my writing this post, Sena and I had a spirited conversation…

  • Cataplexy and Catalepsy in the Movie “The Comedy of Terrors”

    Cataplexy and Catalepsy in the Movie “The Comedy of Terrors”

    We watched the Svengoolie TV movie last night, “The Comedy of Terrors.” It was my third time seeing it. I wrote a blog post about it in March 2024 partly because the condition of catalepsy is mentioned. Mr. Black’s butler points out that Mr. Black had periods of catalepsy. Much to my surprise, I didn’t…

  • Amaryllis Progress and Other Notes

    Amaryllis Progress and Other Notes

    I have a few messages to pass on today. This is the last day of November and the Amaryllis plants are doing so well Sena had to brace the tallest one using a Christmas tree stake and a couple of zip ties. It’s over two feet tall! I’m not sure what to make of almost…

  • Clozapine REMS Program May Go Away

    Clozapine REMS Program May Go Away

    The Psychiatric Times published an article about the large majority of FDA committee members recently voting to dismiss the Risk Evaluation and Mitigation Strategy (REMS) for clozapine. That reminded me of my short post about Cobenfy, a new drug for schizophrenia. It has side effects but none of which necessitate the need for a REMS…