Dr. Fairouz Sayegh Psychiatry Clinic

03/05/2022

https://www.instagram.com/reel/CcGFUCxFEwE/?igshid=YmMyMTA2M2Y=

cultrehustler • Original Audio

18/01/2020

07/01/2020

شارع ابو نصير الرئيسي ، مجمع صيام ١٣٥
0797398316

30/12/2019

موقع العيادة الجديد ، شارع ابو نصير الرئيس، مجمع صيام التجاري رقم البناية ١٣٥ . الطابق الخامس "فوق مركز ليدرز ابو نصير"

10/12/2019

Oral Contraception Linked to Smaller Hypothalamus

Ingrid Hein

December 05, 2019



Women who take the birth control pill have a smaller hypothalamus than those who do not, and report anger and depression more often, report researchers.

Michael Lipton

"The mean difference in volume of hypothalamus was about 6%, about 60 μL," said Michael Lipton, MD, PhD, from the Albert Einstein College of Medicine in Bronx, New York.

"It was very surprising to us that oral contraceptive use would have this degree of effect on the actual structure of a central part of the brain," he told Medscape Medical News.

The study did not show that oral contraceptives cause the difference, he pointed out, "but it is a very strong association."

21/09/2019

لحجز المواعيد الرجاء الاتصال على الرقم التالي
0797398316

07/09/2019

Signs that an adult may be using their relationship with a child for sexual reasons.

The signs that an adult may be using their relationship with a child for sexual reasons may not be obvious. We may feel uncomfortable about the way they play with the child, or seem always to be favouring them and creating reasons for them to be alone. There may be cause for concern about the behaviour of an adult or young person if they:

Insist on physical affection such as kissing, hugging, wrestling or massaging even when the child clearly does not want it.

Are overly interested in the sexual development of a child or teenager.

Insist on time alone with a child and frequently invite them to play in their bedroom and under the sheets.

Spend most of their spare time with children and have little interest in spending time with people their own age.

Regularly offer to baby-sit children for free or take children on overnight outings alone.

Frequently walk in on children/teenagers in the bathroom and bedroom .

29/08/2019

Denial is a psychologically incapacitating state that some mothers experience when faced with the possibility that their children are being sexually abused by their partners. Denial can hinder a mother's capacity to acknowl- edge, or even consciously know, that such abuse is occurring, thereby preventing her from intervening to protect her child or children. Even in the face of clear evidence that her partner is abusing her child, a mother who is in denial may simply stand by and allow the abuse to continue-often for a period of years. The legal dilemma of how to deal with such situations is further complicated by indications that the greatest harm to the child is caused not by the physical abuse itself, but rather by the mother's failure to acknowledge the abuse or to believe her child when the child confronts her with the abuse.

10/08/2019

Bruxism (Teeth Grinding or Clenching)
Reviewed by: Kenneth H. Hirsch, DDS

Bruxism is the medical term for the grinding of teeth or the clenching of jaws. Many kids have it (2 to 3 out of every 10 will grind or clench, experts say), but most outgrow it. Bruxism often happens during deep sleep phases or when kids are under stress.

Causes of Bruxism
In some cases, kids may grind because the top and bottom teeth aren't aligned properly. Others do it as a response to pain, such as from an earache or teething. Kids might grind their teeth as a way to ease the pain, just as they might rub a sore muscle. Many kids outgrow these fairly common causes for grinding.

Stress — usually nervous tension or anger — is another cause. For instance, a child might worry about a test at school or a change in routine (a new sibling or a new teacher). Even arguing with parents and siblings can cause enough stress to prompt teeth grinding or jaw clenching.

Some kids who are hyperactive also have bruxism. And sometimes kids with other medical conditions (such as cerebral palsy) or who take certain medicines can develop bruxism.

Effects of Bruxism
Many cases of bruxism go undetected with no ill effects, while others cause headaches or earaches. Usually, though, it's more bothersome to other family members because of the grinding sound.

In some cases, nighttime grinding and clenching can wear down tooth enamel, chip teeth, increase temperature sensitivity, and cause severe facial pain and jaw problems, such as temporomandibular joint disease (TMJ). Most kids who grind, however, don't have TMJ problems unless their grinding and clenching happen a lot.

Diagnosing Bruxism
Lots of kids who grind their teeth aren't even aware of it, so it's often siblings or parents who identify the problem.

Treating Bruxism
Most kids outgrow bruxism,but in cases where the grinding and clenching make a child's face and jaw sore or damage the teeth, dentists may prescribe a special night guard. Molded to a child's teeth, the night guard is similar to the protective mouthpieces worn by athletes. Though a mouthpiece can take some time getting used to, positive results happen quickly.

kids might be able to control bruxism by relaxing before bedtime — for example, by taking a warm bath or shower, listening to a few minutes of soothing music, or reading a book.

For bruxism that's caused by stress, ask about what's upsetting your child and find a way to help.
If the issue is more complicated, discuss your child's concerns and try to ease any fears. If you're concerned, talk to your doctor.

In rare cases, basic stress relievers aren't enough to stop bruxism. If your child has trouble sleeping or is acting differently than usual, your dentist or doctor may suggest further evaluation. This can help find the cause of the stress and a proper course of treatment.

How Long Does Bruxism Last?
Most kids stop grinding when they lose their baby teeth. However, a few kids do continue to grind into adolescence. And if the bruxism is caused by stress, it will continue until the stress eases.

Preventing Bruxism
Because some bruxism is a child's natural reaction to growth and development, most cases can't be prevented. Stress-induced bruxism can be avoided, though. So talk with kids regularly about their feelings and help them deal with stress.

05/08/2019

The impact of sexual abuse on female development: Lessons from a multigenerational, longitudinal research study

Penelope K. Trickett, Jennie G. Noll, and Frank W. Putnam

Abstract

This is a report on the research design and findings of a 23-year longitudinal study of the impact of intrafamilial sexual abuse on female development. The conceptual framework integrated concepts of psychological adjustment with theory regarding how psychobiological factors might impact development. Participants included 6- to 16-year-old females with substantiated sexual abuse and a demographically similar comparison group. A cross-sequential design was used and six assessments have taken place, with participants at median age 11 at the first assessment and median age 25 at the sixth assessment. Mothers of participants took part in the early assessments and offspring took part at the sixth assessment. Results of many analyses, both within circumscribed developmental stages and across development, indicated that sexually abused females (on average) showed deleterious sequelae across a host of biopsychosocial domains including: earlier onsets of puberty, cognitive deficits, depression, dissociative symptoms, maladaptive sexual development, hypothalamic–pituitary–adrenal attenuation, asymmetrical stress responses, high rates of obesity, more major illnesses and healthcare utilization, dropping out of high school, persistent post traumatic stress disorder, self-mutilation, Diagnostic and Statistical Manual of Mental Disorders diagnoses, physical and sexual revictimization, premature deliveries, teen motherhood, drug and alcohol abuse, and domestic violence. Offspring born to abused mothers were at increased risk for child maltreatment and overall maldevelopment.

13/07/2019

University of New Hampshire, Family Research Laboratory
Durham, NH 03824
US Dept of Health and Human Services
Washington, DC 20447
Grant Number: CA-90-1377
Type: Report (Study/Research)
Format: Document
Language: English
Country: United States of America
Annotation: A sample of 118 recently identified in**stuous fathers and a matched comparison group of 116 nonabusive fathers were interviewed to determine distinctive characteristics of in**stuous fathers.
Abstract: The men were interviewed about their childhood experiences, family life, and sexual and social histories. The in**stuous fathers also provided information on the sexual contacts with their daughters. The comparison fathers were asked about their relationship with their daughters. The study concluded that in**stuous fathers are a heterogenous group that consists of five distinct types. The "sexually preoccupied" group manifested clear and conscious sexual interest in their daughters, often from an early age. The group composed of "adolescent regressives" also had a conscious sexual interest in their daughters, but the interest did not begin until the daughter approached or reached puberty. The group that consisted of "instrumental sexual gratifiers" apparently did not experience sexual arousal specifically for their daughters, but rather used the daughter for gratification while fantasizing about some other partner. The "emotionally dependent" group of in**stuous fathers consisted of lonely and depressed men for whom the abuse satisfied urgent needs for closeness and comforting. The group of "angry retaliators" showed little sexual arousal toward their daughters, but used the in**st to express anger toward their wives for perceived neglect, abandonment, or infidelity. Generally, the in**stuous fathers were more likely than the nonabusive fathers to have been rejected by their parents, physically abused, or sexually abused when they themselves were children. They were more likely to have been sexually preoccupied or inept as a teenager, to have a high frequency of ma********on, or to have committed adolescent offenses. They tended to be more anxious, poorly adjusted, and avoidant of leadership as adults. They also tended to be socially isolated and have more difficulties in their marriages.

Main Term(s): In**st; Offender profiles
Index Term(s): Child Sexual Abuse; Crime specific countermeasures

29/03/2019

Childhood Maltreatment Ups Risk for Recurrent Depression

Megan Brooks
March 25, 2019

Childhood maltreatment has a harmful effect on brain structure and increases the risk for unfavorable clinical outcomes in patients with major depression, including recurring depressive episodes, new research suggests.
"findings add weight to the notion that maltreated patients might be clinically and neurobiologically distinct from nonmaltreated patients," Nils Opel, MD, of the Department of Psychiatry, University of Munster, Germany, told Medscape Medical News. "Future research should consider that maltreated patients might represent a distinct subgroup that requires specialized attention and care."
The study was published online March 21 in Lancet Psychiatry.

25/03/2019

New age of addictions and phobias
The "nomophobia" , have you heard about it?

A new questionnaire will allow research into a modern phenomenon

25/03/2019

High Potency Cannabis Tied to 50% of New Psychosis Cases

Megan Brooks
March 20, 2019
21
Daily use of cannabis, particularly high potency cannabis, is associated with higher rates of psychosis, new research shows.
In the first study to show the impact of cannabis use at a population level, investigators found daily users of high potency cannabis were up to five times more likely to have a first episode of psychosis than noncannabis users.

"Differences in frequency of daily cannabis use and in use of high potency cannabis contributed to the striking variation in the incidence of psychotic disorder across the 11 sites we studied across Europe," lead investigator Marta Di Forti, MD, PhD, of the Institute of Psychiatry, Psychology, and Neuroscience, at King's College London, UK, told Medscape Medical News.
In cities where high potency cannabis is widely available, such as London and Amsterdam, a significant proportion of new cases of psychosis are associated with daily cannabis use and high potency cannabis. High potency cannabis use may be linked to half of all new cases of psychosis in Amsterdam and about a third in London, the findings suggest.
"This has important implications for public health, given the increasing availability of high potency cannabis," said Di Forti.
The study was published online March 19 in Lancet Psychiatry.

17/03/2019

Depression/Psychiatric Comorbidity Clinical Practice Guidelines (2019)

French Association for Biological Psychiatry and Neuropsychopharmacology and the Fondation FondaMental

February 26, 2019

*Comorbid Anxiety Disorders

First-intention medications and other treatment for MDD with comorbid obsessive-compulsive disorder, panic disorder, social anxiety, generalized anxiety disorder, or posttraumatic stress disorder include the following:
Selective serotonin reuptake inhibitor (SSRI)
Serotonin and norepinephrine reuptake inhibitor (SNRI)
Psychotherapy in combination

*Comorbid Substance Use Disorders

Full-time hospitalization or
Close monitoring in consultation (at least weekly)
Electrocardiographic evaluation prior to treatment
Substitution treatment initiated in response to opioid dependence
Also consider the following in first-intention treatment of patients with severe alcohol addiction:
Close biologic monitoring - Complete blood count, blood electrolytes, liver and renal function
Treatment of physical withdrawal syndrome
Antidepressant treatment - Prescribed after reassessment of mood and once appropriate care for physical withdrawal syndrome has ended
First-intention medications and other treatments for MDD with comorbid substance use disorders include the following:
Severe substance use disorders (except alcohol and ni****ne) - SSRI; SNRI; α2 antagonist; disease management involving a team specialized in addictology, psychoeducational groups, or psychotherapy focusing on addictive relapse prevention; concurrent treatment of MDD and addiction
Severe comorbid alcohol addiction - SSRI, SNRI, α2 antagonist, structured psychotherapy
Active smoking - SSRI, SNRI, α2 antagonist, structured psychotherapy, concurrent treatment of MDD and smoking cessation

*Comorbid Personality Disorders

First-intention treatment with SSRI or SNRI (as monotherapy or in combination with psychotherapy)
Second-intention treatment with an imipraminic antidepressant or α2 antagonist

*Geriatric Depressive Disorder

In adults over age 65 years, it is recommended, during an episode of MDD, that a physical examination and laboratory studies be performed to identify medical problems that could exacerbate or mimic depressive symptoms. Assessment includes the following:
Clinical examination
Biologic checkup - Ie, complete blood count, blood electrolytes, liver and renal function, and thyroid-stimulating hormone
Electrocardiographic evaluation
Mini-Mental State Examination
Evaluation of clinical severity using clinician- and self-rated scales
First-intention treatments for geriatric depression include the following:
Mild to moderate depression - SSRI, α2 antagonist
Moderate to severe depression - SSRI, SNRI, α2 antagonist
*Severe cognitive impairment - SSRI, SNRI
*Severe psychomotor agitation - SSRI, α2 antagonist
*Severe psychomotor retardation - SSRI, SNRI
*Severe sleep disorders - SSRI, α2 antagonist
*Severe anhedonia - SSRI, SNRI
*Psychotic symptoms - SNRI, potentiation with an atypical antipsychotic
*High su***de risk - SSRI, SNRI

For more information, WebMD or Medscape.
Cite this: Depression/Psychiatric Comorbidity Clinical Practice Guidelines (2019) - Medscape - Feb 26, 2019.

25/01/2019

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Using ma*****na even once or twice can significantly alter the grey matter volume in regions of teens' brains that are rich in cannabinoid receptors, new research suggests.