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    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
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    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
      • Brain Injury, the Immune System & Mental Health
      • Celiac Disease & Sensitivities, the Immune System & Mental Illness
      • Mental Illness & The Immune System
      • Racial Discrimination & the Immune System & Mental Health
      • Trauma & the Immune System & Mental Health
      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
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  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System



















                 








​                  NEURODiversity          Wednesday

Why "People of the Book"* are MISSING SO MANY PEOPLE

2/15/2023

 
*The Book is the Outdated DSM that we're still using
At the end of the day, Neuro-Diversity is not so much about "SYMPTOM CLUSTERS" as it is SHARED GENES & DEVELOPMENTAL INFLAMMATION

And that Developmental and After-Acquired Inflammation can be quite IDIOSYNCRATIC.

Picture
The University of Colorado Boulder leads research linking psychiatric disorders, genetic makeup (2022)
“So what this is doing — is it’s starting to kind of shed light on the specific biological pathways that might be shared across these disorders; namely, these specific neurons that are sort of critical and just brain signaling pathways,” Grotzinger said.

With these findings, Grotzinger hopes to be able to identify what the specific genetic risk pathways are so an individual can be diagnosed and treated more efficiently.

The goal is to be able to give an individual one diagnosis and treatment for the disorders they have instead of multiple, if possible.

Currently, an individual cannot be diagnosed with bipolar and schizophrenia disorder.

However, these two disorders have an overlap in their genetic makeup — meaning that an individual can experience symptoms from both disorders.

Grotzinger hopes in the future diagnoses can be made “a little less sort of by the book.”

In addition, there also may be a possibility of treating certain diagnoses with psychotherapy versus prescription medicines.

The research team only analyzed the genetic variation that showed up in at least 1% of the population“

That really rare stuff might be really important.

And it’s something that we’re just now getting to the point that we can start to look at,”  Grotzinger said
.
Picture
The hidden links between mental disorders (2020)

[Psychiatrists have a dizzying array of diagnoses and not enough treatments. Hunting for the hidden biology underlying mental disorders could help.]
Researchers are also drastically rethinking theories of how our brains go wrong.

The idea that mental illness can be classified into distinct, discrete categories such as ‘anxiety’ or ‘psychosis’ has been disproved to a large extent
*.

Instead, disorders shade into each other, and there are no hard dividing lines — as Plana-Ripoll’s study so clearly demonstrated.
Picture
Psychiatric Diagnostic Uncertainty: Challenges to Patient-Centered Care (2016)
[*Has this message gotten to Mental Health Professionals TESTIFYING in Court --- often not.

That IGNORANCE is not their fault --- but we need POLICY-MAKERS to address this.]

The Need for a New Integrated DSM

More on Neuro-Diversity, Gender & Sexuality Getting Beyond the "Culture Wars" in 2023

2/9/2023

 
Val's Take & Conjecture
  • Sarah Huckabee Sander's response to Biden's State of the Union was TELLING in more ways than one.
  • As a Society in 2023, I think we're pretty CONFUSED as to whether LGBTQ+ is a LIFESTYLE CHOICE or a BIOLOGICAL REALITY.
    • And beyond that ---- what is the STATE OF THE SCIENCE?
 
  • I think we are NEEDING TO ASK SOME QUESTIONS both of the LGBTQ+ COMMUNITY & ALLIES and of the PERSECUTORS.
 
  • I think there is a HUGE NEED to get out of US vs. THEM THINKING and parse some of these issues --- because both sides can sometimes take ILLOGICAL POSITIONS.
 
  • So on the one hand --- if you're really for FREEDOM ---
    • This should be easy
    • People should be able to CHOOSE their partners
 
  • The problem in 2023 is this doesn't seem like such a "LIFESTYLE CHOICE" as COMPLICATED BIOLOGICAL REALITIES.
 
  • Further LGBTQ+ does seems to me to be "A PART" of the NEURO-DIVERSE COMMUNITY which includes HETEROSEXUAL people as well. 
Arkansas Governor Sarah Huckabee Sanders
  • To me NEURO-DIVERSITY is very much about:
    • Shared Genes and
    • Maternal Immune Activation
 
  • It "appears" that the COMBINATION of SHARED GENES AND MATERNAL IMMUNE ACTIVATION is "DYSREGULATING" MULTIPLE SYSTEMS OF THE BODY in IDIOSYNCRATIC WAYS.
 
  • I think the IRONY for some TRANS people --- they really are trying to get to a more "NORMATIVE" and TRADITIONALLY REGULATED EXPERIENCE ---
    • It is not clear to me the SCIENCE can always provide that.

  If we want a PRO-LIFE CULTURE we have to INCREASE OUR UNDERSTANDING OF THE BIOLOGY OF LIFE.
Neuro-Diversity, Gender & Sexuality
Lateral Thinking & Conspiracy Theories

The Quest for an Accurate Narrative of Neuro-Diversity

2/3/2023

 
"Research from the field of narrative psychology shows a link between narratives and well-being.  Exploring personal stories, reflecting on them, changing these narratives, and sharing them might make us vulnerable, but also helps us heal and grow."

How Storytelling Is Good for Your Mental Health

Val's Take
  • So much of Neuro-Diversity seems CONTRADICTORY
    • Big Strengths and Big Weaknesses
    • Logic Skills and Meltdowns
    • Seemingly opposite Diagnostic Categories (notably ADHD & AUTISM) that are not distinct but blurred
 
  • To me, the DSM cannot provide a COHERENT NARRATIVE of NEURO-DIVERSITY
    • and the DSM 5 is in fact PART OF THE PROBLEM
 
 
Picture
I don't think you push for the "UNDERLYING BIOLOGY" --- unless you have to ---
  • We've had to --
  • The recent new discoveries and conceptualizations of the last 10 years by Researchers around the world ----
    • Mean a lot of the money we're spending in Mental Health has not been well-targeted --- EVEN if it has been well meaning.
SUSTAINABILITY for Neuro-Diverse People --- looks different ---
  • than what sustainability looks like for people who are NOT contending with:
  • Sensory Overload
  • Hyper-Connected Brains, and
  • Developmental Inflammation that is often impacting multiple systems of the body ---
    • the Central Nervous System -- yes, but also
    • the Immune System
    • the Endocrine System
    • the Metabolism, and
    • the Microbiome.

    Neuro-Diversity
    Wednesday

    (with variable spellings of Neurodiversity)


    NEURODIVERSITY  is BLURRED. 

    What people are keying off of is:  EXECUTIVE FUNCTIONING DIFFERENCES or DEFICITS --- and saying "Hey, that's me."

    BUT they are also saying:  "Hey, I've got some BIG TIME STRENGTHS and I need those recognized too." 

    ​
     

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  • Home
    • About Orchid >
      • Why Orchid?
      • ORCHID'S SYSTEMIC FOCUS & "ROOT CAUSE" ANALYSIS APPROACH TO PROBLEM SOLVING WITH A COMMITMENT TO CREATIVITY & INNOVATION
      • Disclaimers, Limitations and An Invitation
      • Orchid Board
      • Orchid Book Club
      • Conjecture, Science & Translational Research & Medicine
      • Orchid Themes & Symbols
      • The Tipping Point
      • Orchid's Website Advertising Policy
      • Statement for Potential Website Contributors
      • Contact
  • Blogs
    • Val's Blog
    • Val's Blog 2
    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
    • NEURO-DIVERSITY Wednesday
    • Olmstead Law & Order Thursday
    • Translational Medicine Friday
    • Translational Love, Relationships & Neuro-Diversity Saturday
  • Orchid's A-Z Index
    • Crisis Services in CO, the US & Around the World
    • Assertive Community Treatment & Flexible ACT Index
    • Housing & Homelessness Index
    • Criminal Justice
    • Innovation Index
    • For More: See the Main Orchid Index Page
  • US Federal
    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Research & Translational Medicine
    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
      • Brain Injury, the Immune System & Mental Health
      • Celiac Disease & Sensitivities, the Immune System & Mental Illness
      • Mental Illness & The Immune System
      • Racial Discrimination & the Immune System & Mental Health
      • Trauma & the Immune System & Mental Health
      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System