A Personal Guide We’ve been there. We can help. If you or someone you know is experiencing mood swings, persistent sadness or anxiety, or having trouble sleeping or eating, you might have decided it’s time to seek help. If symptoms like these have started to interfere with your work, social or personal life—or if you experience a sudden […]
Posts in category Diagnostics
Individuals with bipolar disorder often spend many years seeking professional help and may get from three to four diagnoses from doctors before receiving a correct diagnosis. Early diagnosis is important as it can lessen the effects of the disorder on the individual. Individuals with bipolar disorder have an approximately 75-80 percent risk for alcohol and substance abuse. Marital fluctuation, chronic unemployment, and suicide are also prevalent.
Suicidal people suffer from inner turmoil that leaves them feeling isolated and hopeless. Many people who struggle with suicidal tendencies fail to seek the help they so desperately need. The majority of suicidal people do not want to die; they just want to stop the pain. Suicide prevention starts with the sufferer recognizing the warning signs and admitting that they have a problem. Family and friends should also pay close attention to these warning signs to ensure the sufferer finds the help they need. Simply talking about suicidal thoughts and feelings can help save a life.
The Hamilton Depression Rating Scale (HDRS) is the most widely used scale for patient selection and follow-up in research studies of treatments of depression. Despite extensive study of the reliability and validity of the total scale score, the psychometric characteristics of the individual items have not been well studied. In the only reliability study to report agreement on individual items using a test-retest interview method, most of the items had only fair or poor agreement. Because this is due in part to variability in the way the information is obtained to make the various rating distinctions, the Structured Interview Guide for the HDRS (SIGH-D) was developed to standardize the manner of administration of the scale. A test-retest reliability study conducted on a series of psychiatric inpatients demonstrated that the use of the SIGH-D results in a substantially improved level of agreement for most of the HDRS items.