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Common and Lesser-Known Mental Disorders

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Common and Lesser-Known Mental Disorders

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Wayne Macfadden, MD, is Psychiatrist at the Spirit Lake Indian Health Center in North Dakota. Board-certified in Psychiatry, he is also Board Certified in Addiction Medicine. Wayne Macfadden MD, started a company with his wife named International Psychiatric Services, to address mental disorders, especially those resulting from substance abuse.

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Wayne Macfadden, MD, is Psychiatrist at the Spirit Lake Indian Health Center in North Dakota. Board-certified in Psychiatry, he is also Board Certified in Addiction Medicine. Wayne Macfadden MD, started a company with his wife named International Psychiatric Services, to address mental disorders, especially those resulting from substance abuse.

A mental disorder, also referred to as a psychiatric disorder, is a condition that affects a person's behavior, mood, and thinking pattern. The word "disorder" applies when the condition degrades the patient's ability to function correctly and relate to others. Mental disorders may be chronic or intermittent.

Well-known disorders include Depression, Schizophrenia, and Bipolar Disorder. However, there are many other severe disorders which get far less attention but still require care.

For example, there is Stendhal Syndrome, associated with panic attacks, confusion, and hallucinations, often triggered when a patient is exposed to beautiful art or a large concentration of it, as in a museum. Likewise, Capgras Syndrome is characterized by the belief that an impostor has replaced a loved one. It usually occurs in patients with Traumatic Brain Injury, Dementia, and Schizophrenia.

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Common and Lesser-Known Mental Disorders

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Wayne Macfadden, MD, is Psychiatrist at the Spirit Lake Indian Health Center in North Dakota. Board-certified in Psychiatry, he is also Board Certified in Addiction Medicine. Wayne Macfadden MD, started a company with his wife named International Psychiatric Services, to address mental disorders, especially those resulting from substance abuse.

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Before joining Spirit Lake Reservation as a Psychiatrist, Wayne Macfadden MD published several peer-reviewed studies. In 2010, Wayne Macfadden MD analyzed the use of the Medication Adherence Assessment Tool for patient non-adherence to antipsychotic treatment protocols.

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The ASAM Criteria is the most commonly used guidelines for the treatment of patients with substance

use disorders. The ASAM Criteria is the result of a collaboration to define criteria for providing outcome-

oriented and results-based care in the treatment of addiction.

The ASAM Criteria is an important resource that addiction medicine professionals rely on. They refer to

a multidimensional patient assessment which helps determine the intensity and scope of treatment that

is recommended. They are useful to patients, treatment providers, managed care providers, and other

stakeholders and professionals

The six dimensions are:

1. Acute intoxication and/ or withdrawal potential

2. Biomedical conditions and complications

3. Emotional, behavioral or cognitive conditions and complications

4. Readiness to change

5. Relapse, continued use, or continued problem potential

6. Recovery/ Living Environment.

The information from these assessments is used to determine the appropriate level of care and services

for an individual patient.

Wayne Macfadden MD is a Board Certified Psychiatrist by the American Board of Psychiatry and

Neurology. Dr. Macfadden is a Fellow in the Philadelphia College of Physicians, and a former Fellow in

the American College of Psychiatrists. Dr. Macfadden is also certified in Addiction Medicine by the

American Board of Preventive Medicine, and had Added Qualifications in Addiction Psychiatry. Dr.

Wayne Macfadden has worked in a variety of treatment and research settings, and is currently with the

Spirt Lake Nation Tribe in Fort Totten, North Dakota as their first full- time Psychiatrist.

He is also a member of ASAM since 2018.

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American Society of Addiction Medicine (ASAM): The ASAM Criteria

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The ASAM Criteria is the most commonly used guidelines for the treatment of patients with substance use disorders. The ASAM Criteria is the result of a collaboration to define criteria for providing outcome- oriented and results-based care in the treatment of addiction. The ASAM Criteria is an important resource that addiction medicine professionals rely on.

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Before joining Spirit Lake Reservation as a Psychiatrist, Wayne Macfadden MD published several peer-reviewed studies. In 2010, Wayne Macfadden MD analyzed the use of the Medication Adherence Assessment Tool for patient non-adherence to antipsychotic treatment protocols.

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Before joining Spirit Lake Reservation as a Psychiatrist,
Wayne Macfadden MD published several peer-reviewed studies. In 2010, Wayne Macfadden MD analyzed the use of the Medication Adherence Assessment Tool for patient non-adherence to antipsychotic treatment protocols.

Many patients who are prescribed antipsychotics do not take their medications consistently. As many as 68 percent of patients with Schizophrenia are not adherent to their medications. These high rates are attributed to unpleasant side effects, inability to remember taking their medications, and other factors, such as housing instability and co-occurring Substance Use Disorders.

Medical non-adherence is associated with higher rates of relapse and hospitalization. Without proper treatment, patients also have an elevated risk of engaging in self-harming behaviors or attempting suicide.

One way to improve adherence is to provide medication through long-lasting injections of antipsychotic medication. Some patients may also benefit from cognitive behavioral therapy to address harmful thought patterns and improve their attitudes toward medication.

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Before joining Spirit Lake Reservation as a Psychiatrist, Wayne Macfadden MD published several peer-reviewed studies. In 2010, Wayne Macfadden MD analyzed the use of the Medication Adherence Assessment Tool for patient non-adherence to antipsychotic treatment protocols. Many patients who are prescribed antipsychotics do not take their medications consistently.