New guidelines for diabetes treatment create opportunities for health care psychologists

The American Diabetes Association recently issued guidelines for better addressing the psychosocial needs of persons with diabetes.  The guidelines illustrate both opportunities for expanding health care psychology by collaborating with primary care physicians, and also some significant challenges.  “Landmark psychosocial guidelines for diabetes spark debate over the ideal versus the practical” was published by MDEdge.com, an online news service, on 12-8-16.  This article discusses these guidelines as “a state-of-the-art approach to delivering integrated mental health especially services to this patient population.”

Integrated care updates: psychology and obesity, exercise, how to talk about difficult issues

A study finds that obesity is associated with increased risk of “at least 13 types of cancer,” and advocates for behavioral changes to reduce weight – PCPs are likely to need behavioral help with this. Another study questions whether it is possible to exercise too much and harm the brain. MD’s are talking about whether to ask their patients if they want to discuss touchy issues, such as weight, excessive drinking, etc.  Mental health professionals should ask the same questions.

Chronic Fatigue, coordination of care

From Medical News Today, posted online on 6-28-16, “Chronic fatigue syndrome: Could altered gut bacteria be a cause?” reviews CFS symptoms, the challenges of differential diagnosis for CFS, the history of viewing it as a potentially psychosomatic condition.  The article goes on to review recent research that found, “the stool samples from CFS patients showed reduced gut bacteria diversity, fewer anti-inflammatory bacteria, and more pro-inflammatory bacteria.” The researchers are unable to determine whether these findings are a potential contributing factor to CFS or a result of the condition. mhconcierge’s take: these research findings support the benefits of close coordination of

Breast Cancer Treatment, Weight Loss and Integrative Care

The New York Times published “Putting Breast Cancer on a Diet” on 6 -27-16.  This article reviews research that finds that “obese and overweight women are more likely to die from breast cancer,” and describes research project that is assessing whether weight loss reduces breast cancer mortality or recurrence.  The researcher acknowledge that if they find that weight loss has significant benefits many breast cancer patients will need considerable help with the behavioral changes necessary for significant weight loss. mhconcierge’s take: if the study results support preliminary findings about the benefits of weight loss for breast cancer patients, behavioral specialists