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	<title>Comments on: How “Objective” Are Psychiatric Diagnoses? (Guess Again)</title>
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		<title>By: Manuel Mota-Castillo, MD</title>
		<link>http://www.innovationscns.com/how-%e2%80%9cobjective%e2%80%9d-are-psychiatric-diagnoses-guess-again/comment-page-1/#comment-154</link>
		<dc:creator>Manuel Mota-Castillo, MD</dc:creator>
		<pubDate>Thu, 20 Dec 2007 04:17:47 +0000</pubDate>
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		<description>Bravo! Outstanding!
    Dr. Pies has put the accent on the right letter. Based on my daily experience, as a consult for a general hospital, I can give testimony of his assertion.
    I have seen a &quot;Conversion Disorder&quot; to become a lacunar infarct of the right temporal area. On the other hand, we all have encountered the &quot;heart attack&quot; that was just a panic attack.
    Coincidentally, last week a medical student shared with me how surprised she was with how precise and OBJECTIVE the psychiatric diagnosis can be. With just a week into her psychiatric rotation she realized that Delirium, Bipolar Disorder, Adjustment Disorder and other conditions are frequent companions of physical maladies that bring patients to a hospital and that we can easily separate one from the other.
    Thank you, Dr. Pies for this great contribution to the good name of psychiatry.
Manuel Mota-Castillo, MD
Lake Mary, Florida
Florida Hospital Fish Memorial</description>
		<content:encoded><![CDATA[<p>Bravo! Outstanding!<br />
    Dr. Pies has put the accent on the right letter. Based on my daily experience, as a consult for a general hospital, I can give testimony of his assertion.<br />
    I have seen a &#8220;Conversion Disorder&#8221; to become a lacunar infarct of the right temporal area. On the other hand, we all have encountered the &#8220;heart attack&#8221; that was just a panic attack.<br />
    Coincidentally, last week a medical student shared with me how surprised she was with how precise and OBJECTIVE the psychiatric diagnosis can be. With just a week into her psychiatric rotation she realized that Delirium, Bipolar Disorder, Adjustment Disorder and other conditions are frequent companions of physical maladies that bring patients to a hospital and that we can easily separate one from the other.<br />
    Thank you, Dr. Pies for this great contribution to the good name of psychiatry.<br />
Manuel Mota-Castillo, MD<br />
Lake Mary, Florida<br />
Florida Hospital Fish Memorial</p>
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