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Ask the Mental Health Expert Archives 2001-2004

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Week of April 2, 2001

    Question: Do we know what is the minimum duration a patient has to be on a neuroleptic before developing TD, as opposed to EPS?    Dr. Pies' Answer

    Question: I am caring for a schizophrenic man, he has been homeless for about 20 years and not medicated. He hallucinates much of the time (he denies it but it is quite obvious), and if he thinks he is alone and will not be detected, talks quite extensively. He often misinterprets people's actions and statements, thinking they are threatening when they are not...    Dr. Pies' Answer

    Question: I need to know if there is any way to explain and teach about human sexuality to a young man with mild to moderate mental retardation? At the age of 23 he seems to have discovered sex and it appears that his fascination is with other males. Can it be a stage of development - a curiosity - or is it actually an expression of his own sexuality? He has had no opportunities for sexual experiences and because of recent behaviors is becoming more isolated since he does not have appropriate social behaviors surrounding this issue. I need help understanding what is happening to him. He is in counseling - but his counselor has not been able to find out if there is any information about this issue.    Dr. Pies' Answer

    Question: Please tell me what the chances are that two people would have the exact same results after taking the MMPI. We both have been evaluated by a physician who is used time and again by insurance companies to perform IME's and who's reputation is less than ethical.    Dr. Pies' Answer