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A great surprise

You might think that winter comes every year and it is pretty predictable when this takes place. But winter surprised me again. One day it occurred to me that it may be time to let change winter wheels to my car, and the next day they were already absolutely needed. Fortunately, this could be arranged….

Perfect cure

I was interviewed for a newspaper article about the increase in referrals to adolescent psychiatric services. Many feel it is too difficult to get help. But the journalist surprised me by asking if mental disorders actually can be cured. Or does a psychiatric diagnosis in adolescence mean that a life-long struggle and misery is ahead,…

Fit for school?

Quite some years ago, a son of a friend of mine had a sports accident and suffered a femoral fracture. A lengthy immobility was demanded, and the recovery time was very bothersome in a myriad of ways. He went to school anyway, even though this necessitated special arrangements. It had not occurred to me then…

Great inspiration

Great inspiration

Finally holidays, and after some day out of office my hospital email is already full and I cannot use it with the mobile phone. This is a much needed break! The end of the spring term was most inspiring for me. First I acted as opponent to Olav Nyttingnes who defended his doctoral thesis on…

Quickly more hospitals!

Referrals to adolescent psychiatric services have suddenly increased with about a third throughout Finland. Epidemiological studies, however, do not support the assumption that adolescent mental health disorders would be increasing in prevalence in Finland or elsewhere, particularly not all of a sudden. Perhaps this is positive – destigmatization of psychiatric problems has succeeded and people…

Pendulum

When I first started to work as a physician we had lots of patients in mental health services who were depressed and exhausted. Sick leave was often discussed. This is certainly the case nowadays, too. But that time, the common understanding in the society was that negative events and bad circumstances in private life were…

Desperate legislative processes and a happy composter

A particularly naive legislative proposal is being seriously discussed in the Finnish society: an initiative that when school bullying occurs, the bully should be made to change school instead of the victim. Of adolescents who are frequently involved in bullying as perpetrators, almost a half are also frequently subjected to bullying themselves. On the other…

Coercion or love?

In October I attended the 10th European congress in Violence in Clinical Psychiatry (http://www.oudconsultancy.nl/dublin_10_ECVCP_2017/index.html) in Dublin. I have attended many of the earlier ones, and have always found these congresses most relevant from the point of view of getting new ideas for developing our adolescent forensic service. This time it was as good as always….

Digital frustration

A planned participation through digital connections failed again. I am so frustrated to live in the middle of the hype that Finnish health care will go all digital and a number of problems will disappear and everybody get more services and be happier with less expenses when only we start to use information and communication…

Treatment as Usual

I am a member in a work group that is developing national guidelines for treatment of conduct disorder. It is most interesting although bothersome work. Hundreds, thousands of scientific articles have been written about conduct disorder. We are reviewing evidence base for treatment recommendations in a most rigorous way. There are a number of high…