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Ask the Mental Health Expert Archives 2001-2004

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Week of February 17, 2003

    Question: I have a student in my fourth grade classroom that has been diagnosed with Intermittent Explosive Disorder. I would like to know how to best handle his outbursts of extreme anger and misbehavior without making matters worse. Is there a plan for dealing with these disorders effectively?    Dr. Pies' Answer

    Question: We have a psychiatrist on staff who wants to do "Ativan Challenge" on catatonic patients as a diagnostic tool. He claims he has done this routinely in India. I have searched the Internet as has one of my staff nurses. I cannot find anything about giving Ativan IV push that is appropriate for diagnosing catatonia. This is a patient safety issue as well as a competency issue for my facility. Have you ever heard of this and, if so, could you point me in the direction of protocols and rationale for doing this?   Dr. Pies' Answer

    Question: There is an addiction that I don't know the name of. The first time I had heard of such an addiction was in reading accounts of POW's returning from the Korean War. Many of them stated that they actually missed the torture, both the physical and emotional. Some World War 2 survivors of death camps reported the same phenomenon. Since that time, I have seen or heard of it in association with other illnesses and mentioned by survivors of political torture/incarceration scenarios in many third world countries. What is this condition called? How common is it and how is it treated? Do you have any other resources for further information on it?    Dr. Pies' Answer