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New Deprescribing Guidance Marks an ‘Important Moment’ in Psychiatry
A new expert consensus statement from the American Society of Clinical Psychopharmacology offered clinical guidance on when and whether to discontinue psychiatric medications. The statement, developed by a 45-member international task force, reached consensus on 44 of 50 recommendations addressing when deprescribing is warranted. Among the key points: clinicians should periodically reassess all medications, always verify adherence before concluding a drug isn’t working, and e

Vilash Reddy, MD
6 days ago5 min read


Why Pediatricians Need Training in Psychiatry
Key points Pediatricians have experienced a dramatic increase in patient visits for psychiatric conditions. This increase has occurred in both children (age 4 to 12) and adolescents (age 13 to 17). Much of this increase is attributed to an increase in anxiety disorders. It is critical that pediatric residents receive adequate exposure to child and adolescent psychiatry. Much has been written recently about an increase in the number of American youths experiencing mental healt

Vilash Reddy, MD
Feb 203 min read


Trauma Survivor or Trauma Victim What’s the Right Term?
After experiencing severe trauma and neglect, the path from victim to survivor or conversely, staying in a cycle of suffering is driven by a complex interplay of internal coping mechanisms and external support systems. Factors for Becoming a Survivor: Transitioning to a survivor requires establishing physical safety, receiving social support, and reclaiming one's life story, allowing the individual to integrate the trauma rather than being ruled by it. Survivors often develo

Vilash Reddy, MD
Feb 114 min read


Are PTSD and Autism Separate Conditions?
Complex Post-Traumatic Stress Disorder (CPTSD) and Autism Spectrum Disorder (ASD) often overlap in observable behavior, particularly in social settings, though their internal motivations differ significantly. Individuals with extensive CPTSD may identify with autism to normalize their difficulties connecting with others, as it frames these challenges as a fundamental difference in "wiring" rather than just a response to injury. Reasons for Identification Symptom Overlap: Bot

Vilash Reddy, MD
Feb 112 min read


Savant or Gifted? How ADHD and Autism Change the Picture
ADHD (Attention-Deficit/Hyperactivity Disorder) and Autism Spectrum Disorder (ASD) frequently co-occur (often referred to as AuDHD), with 50-70% of autistic people also having ADHD. While they are distinct neurodevelopmental conditions, they share significant overlaps in traits and often appear together, creating unique strengths and challenges. Advantages of Having ADHD and/or Autism (AuDHD) When occurring together (AuDHD), the combination can create a unique balance between

Vilash Reddy, MD
Feb 93 min read


How ADHD Differs From Autism Spectrum Disorder
In evolutionary terms, neurodivergence is often viewed not as a collection of "errors," but as adaptive variations that ensured the survival of early human groups through cognitive specialization. Evolutionary Origins and Roles Evolutionary theories suggest these conditions persist because they offered specific benefits to the collective "cognitive ecology" of a tribe or clan. ADHD (The "Hunter" Role): Traits like hyperactivity and rapid attentional shifts were advantageous

Vilash Reddy, MD
Feb 93 min read


Mood Swings or Trauma Responses? Bipolar vs CPTSD
In 2026, the misdiagnosis of Complex Post-Traumatic Stress Disorder (CPTSD) and Borderline Personality Disorder (BPD) as Bipolar Disorder remains a significant issue in adult psychiatry. This frequently occurs due to overlapping symptoms, institutional barriers, and a lack of trauma-informed training among medical professionals. Why Misdiagnosis Occurs Symptom Overlap: Symptoms of hyperarousal in CPTSD—such as irritability, racing thoughts, and insomnia—closely mimic the hy

Vilash Reddy, MD
Feb 62 min read


Types of Dissociative Identity Disorder (DID)
Dissociative Identity Disorder (DID) typically develops as an extreme survival mechanism in early childhood . In the case described, the "bold guardian" and "weak depressed" parts likely formed due to severe developmental pressure in a high-stakes, punitive environment. Why DID Developed This Way The "Guardian" Part: Often called Protectors or Caretakers, these identities emerge to handle situations the child (the "host") cannot endure. In a hyper-religious, punitive househo

Vilash Reddy, MD
Feb 63 min read


Is Telepsychiatry Good or Bad?
The Ryan Haight Online Pharmacy Consumer Protection Act of 2008 was enacted to close a specific legal loophole that allowed "rogue" online pharmacies to dispense controlled substances without a physical medical exam. While the broader opioid epidemic involved complex issues with manufacturers like Purdue Pharma and in-person medical practices, the Ryan Haight Act targeted a new, unregulated frontier: the internet. Why Ryan Haight Was "Special" Ryan Haight was an 18-year-old h

Vilash Reddy, MD
Feb 52 min read


Why do Patients Hate Psychiatrists?
While exact global counts of psychiatrists specializing in psychodynamic psychotherapy for 2026 are not available, specific trends highlight a growing shortage of these specialists despite their high efficacy in treating complex mental disorders. Specialist Availability and Efficacy Provider Landscape: Approximately 25% of psychotherapists currently utilize psychodynamic methods. Workforce Trends: As of 2026, the United States faces a significant shortage, with the total ps

Vilash Reddy, MD
Feb 33 min read


Big Changes to Psychiatric Diagnoses Are Coming, Maybe
Key points The Diagnostic and Statistical Manual (DSM) is an official list and definition of psychiatric disorders. A new version of the DSM is now being planned with the potential for substantial changes. Questions remain about whether the DSM can better reflect current science and remain practical for clinicians. Every decade or so, the official definitions of mental health diagnoses like bipolar disorder , schizophrenia, and ADHD, change, and that time is coming around onc

Vilash Reddy, MD
Feb 34 min read


How Some Psychiatrists Reinforce Mental Health Stigma
The persistence of poor-quality psychiatric care in 2026, despite medication advancements, is driven by systemic, clinical, and biological factors. 1. Systemic and Business Drivers Modern psychiatric practice is often shaped more by healthcare system characteristics than by clinical needs. Time Constraints: The current business model often requires psychiatrists to see four patients per hour to remain profitable, leaving only 15 minutes per visit. This brief timeframe makes

Vilash Reddy, MD
Feb 22 min read


Is Psychiatry Respected in Healthcare?
Psychiatrists are medical doctors (MDs or DOs) who complete the same four years of medical school as any other specialist, such as a cardiologist or surgeon. Because they are licensed physicians, they have broad legal authority to prescribe medication, though they often refer to other specialists for non-psychiatric issues to avoid malpractice risks. Medical Knowledge and Training Identical Foundation: Psychiatrists spend four years in medical school studying anatomy, pharma

Vilash Reddy, MD
Jan 292 min read


How Psychiatrists Recognize Errors in Other Treatments
Psychoanalytic child and adult psychiatrists can identify medical conditions missed by other specialists because they are trained medical doctors who utilize a "whole-person" diagnostic approach . While other specialists may focus narrowly on a single organ, psychiatrists often spend more time gathering detailed histories that uncover systemic issues. How Psychiatrists Identify Non-Psychiatric Conditions Psychiatrists often "out-diagnose" other fields by identifying medical m

Vilash Reddy, MD
Jan 292 min read


Is It Neurological or Psychiatric? Why the Distinction Isn’t Always Clear
The professional tension between neurologists and psychiatrists is deeply rooted in a historical divide between "brain" and "mind" that continues to influence medical culture in 2026. The Historical and Philosophical Divide The rift began in the late 19th century when neurology and psychiatry split into separate disciplines. Physical vs. Behavioral: Neurologists traditionally focus on "organic" disorders with visible physical signs (like stroke or Parkinson’s), while psychia

Vilash Reddy, MD
Jan 282 min read


Mental Illness Does Not Make You Subhuman
In 2026, mental health continues to face structural and interpersonal discrepancies that distinguish it from other medical fields, often resulting in what patients and providers describe as devaluing or "subhuman" treatment compared to physical health counterparts . Structural Discrepancies Systemic Underfunding: Mental health research and clinical services historically receive significantly lower funding than physical health, a disparity termed "structural stigma". Insuranc

Vilash Reddy, MD
Jan 283 min read


How is Psychosis Diagnosed in a Person with TBI?
This situation involves potentially severe violations of medical standards and civil rights across two different systems. In 2026, legal precedents clearly establish that both hospitals and correctional facilities have a duty of care that includes both physical and mental health. Potential Lawsuits Against the Hospital A hospital can be sued for medical malpractice or negligence if their care falls below the "standard of care"what a reasonable physician would do in the same s

Vilash Reddy, MD
Jan 274 min read


A Jungian Reading of Psychotic Symptoms in Childhood
In Jungian analysis, the development of these symptoms in a 10-year-old child represents a "lowering of the mental level" ( abaissement du niveau mental), where the ego becomes too weak to filter out intense contents from the unconscious. Jung viewed psychosis not as "nonsense," but as a highly symbolic attempt by the psyche to compensate for a deep-seated lack of balance. The NBA Player Obsession (The Hero Archetype): Jung would see this as a manifestation of the Hero Archet

Vilash Reddy, MD
Jan 262 min read


Physical Activity as a Treatment for Schizophrenia Spectrum Disorders
Key Takeaways Individuals with SSDs experience significant disability, compounded by treatment-resistant symptoms and physical health multimorbidity, leading to a premature mortality gap. Physical activity offers dual benefits for physical and mental health, improving cardiorespiratory fitness, muscular strength, and mental health outcomes in individuals with SSDs. Barriers to PA engagement include individual and environmental factors, but fostering autonomous motivation and

Vilash Reddy, MD
Jan 236 min read


A New Lens on Pharmacotherapy for ADHD in Pregnancy
Key Takeaways ADHD symptoms can worsen during and after pregnancy, necessitating careful consideration of medication continuation. Automatic discontinuation of ADHD medication in pregnancy poses risks, requiring individualized treatment plans. Recent studies show mixed data on medication effects, with concerns about congenital malformations and preterm birth. No significant long-term neurodevelopmental risks have been found with continued ADHD medication during pregnancy. A c

Vilash Reddy, MD
Jan 184 min read
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