Albert Einstein College of Medicine, Yeshiva University: Open Journal Systems
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Treatment of Compulsive Hoarding: A Case Study 
Get PDFThe present case report describes an intensive treatment approach combining aggressive pharmacotherapy with daily cognitive behavioral therapy (CBT) directed at helping “Dee,” a 63-year-old female suffering from compulsive hoarding. The successful intervention consisted of individualized exposure and response prevention (ERP), in addition to cognitive restructuring to improve insight, decrease depressive and general anxiety symptoms, and address distorted beliefs. Pretreatment evaluation included assessment of clutter for all living spaces, including rooms in the house in addition to the car. After the six-week intensive treatment program, clutter decreased substantially in each of the rooms targeted for intervention. In addition, Dee’s scores on self-reported measures of obsessive-compulsive symptoms and anxiety steadily decreased during the intervention. Compulsive hoarding, when present in patients with obsessive-compulsive disorder (OCD), has been associated with poor response to both antianxiety medications and typical CBT. This case report illustrates that specific CBT strategies targeting the characteristic features of compulsive hoarding may provide better results for patients suffering from compulsive hoarding syndrome.
Fifteenth Century Saints, Nineteenth Century Neurologists, and Twentieth Century Immunotherapy: The Eccentric History of Multiple Sclerosis
Get PDFMultiple sclerosis has a long, fascinating, serendipi- tous, and well-documented history. The first recorded mention of the disease can be dated back to the fifteenth century, while a truly exhaustive investigation of the disorder began with the nineteenth century’s burgeoning neurologists. These records reveal a fascinating story of meticulous science aimed at comprehending a truly perplexing illness, one that even today is not completely understood. The great nineteenth century French neurologist Jean-Marie Charcot became very interested in studying this disease, and through his celebrity garnered much attention to a previously unknown affliction. Here we review a story of pioneering research that grants brief tribute to some of the more remarkable experiments, wondering if ideas born in the past may help develop solutions in the future.
Reforming Medicaid and Vulnerable People
Get PDFMedicaid, the federal-state financed program that assists people to gain access to health services when they cannot afford them, has been inthe news of late. Unfortunately the news is disquieting for people who count on this program for health care and rehabilitation services. Change is not always the friend of vulnerable people, and in this instance, it can be downright disruptive when it comes to accessing services. Because they are not well organized, people with Medicaid coverage do not have political clout, even though more people are covered by Medicaid than Medicare (e.g., the public insurance program for almost all people over the age of 65 and some people with disabilities). New Bush administration proposals and ongoing practices could be particularly harsh for people with disabilities
Molecular and Cellular Foundations of Medicine
Get PDFAfter six years and six medical school classes, the course leader of Molecular and Cellular Foundations of Medicine reflects on how the course began and where it is going
