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Ask the Mental Health Expert Archives 2001-2004

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Week of June 25, 2001

    Question: I assume that neuropsychological testing is used to assist in the determination of a diagnosis. Until testing is done, how does the MD know what the treatment plan should be? Is it just based on symptoms? What's the best method to come to a diagnosis?    Dr. Pies' Answer

    Question: How do you ensure effective communication between staff in acute and community mental health services? It often appears that the left hand does not know what the right hand is doing.    Dr. Pies' Answer

    Question: I am a nurse educator. Can you give me some statistics/information on support groups? Do they increase survival rates? Do they decrease hospitalizations and emergency room visits? We need this information for our support groups.    Dr. Pies' Answer

    Question: My question concerns how and when to communicate definite knowledge of early sexual abuse to a child or teen who may not remember incidents that others know occurred many years prior? So much is written about possible repressed memories. Is there anything written for parents and/or professionals about how best to handle known information, in the absence of memories? Related, is there literature on follow-up of the effects of early childhood sexual abuse that was quickly and appropriately handled by caring adults?    Dr. Pies' Answer