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As I watch the final weeks of my MPS presidential year roll by, I am daunted by how much our group relies on a few outstanding contributors to keep the organization rolling. As well, I notice how some of my predecessors move along, becoming less involved with MPS, and others remain as involved as during their time on the Executive Committee doing other tasks. Few of us could match the significant contributions over many decades by Bruce Hershfield, who tells me he has been coming to Council meetings for over 30 years, having served as president 22 ye
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When I agreed to serve on the MPS Executive Committee, the biggest concern for me was how to manage what may be the single most important function of our organization—the vetting of new legislation and contributing to the dialogue on the development of mental health resources in our state. In support of my notion that if there is a God, he has a very ironic sense of humor, I have had the opportunity to serve as a leader of the MPS during the years that behavioral health integration and the Affordable Care Act are being rolled out.
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 Continuing my journey after residency, I was invited to stay at McLean Hospital to run the Depression Treatment Unit (ah those good old days when depression was an inpatient illness), run the sleep laboratory and continue work on some research projects. I did a study on thioridizine for borderline personality and a study looking at sleep patterns in depression, but the study that drove me away was one looking at high dose alprazolam in depression. Fairly early into the study, I found that patients randomized to 4 mg of alpraz
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 For my last column of 2013, I decided to write a bit about myself and how I chose to become a psychiatrist. My overall sense is that while I picked medicine, psychiatry picked me.
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 At long last, on November 8, 2013, the Obama administration released the final rules implementing the Mental Health Parity and Addiction Equity Act of 2008 (MHPEAE). The purpose of these regulations are to ensure parity between mental health and substance use disorder (MH/SUD) benefits and medical/surgical benefits. The intent is to prohibit health plans from imposing more stringent limitations on MH/SUD than on medical/surgical benefit for plans that offer MH/SUD benefits. The first point to note is that these parity rule
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 I had the pleasure of attending the annual MPS Committee Chairs Meeting this past month. The MPS remains a vibrant and evolving organization that responds to changes in our field as well as changes in health care policy. We are dependent on our members and their contributions to our committees to remain vital.   I would like to highlight a few committees and encourage MPS members to participate:  
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 On October 1, 2013, individuals and families in Maryland will be able to shop for medical insurance coverage through a newly opened marketplace, run by the state and called the Maryland Health Connection (MHC). [The small employer marketplace will open January 1—see p.
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As a psychiatrist interested in the development of treatments for depression, over the past few years I have somehow become the “device guy.” Starting as a rescue site (an additional site brought in to help complete a clinical trial on time and on budget) for the original registration trial (the trial looking at clearance of the device by the FDA) for the transcranial magnetic stimulation (TMS) device from Neuronetics in 2005, my research program at Sheppard Pratt now devotes half of our resources to a variety of protocols geared toward device
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