-Caveat Lector-

Subject: [BIOWAR] Psychiatrists urged to prepare for terrorism effects


>>From Excite News, http://news.excite.com/news/r/991006/19/health-bio13
>-
>Psychiatrists urged to prepare for terrorism effects
>
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>Updated 7:03 PM ET October 6, 1999
>
>NEW YORK, Oct 06 (Reuters Health) -- Widespread mental health disorders
>would follow an act of terrorism involving chemical or biological weapons
on
>US soil, making early and ongoing psychiatric treatment essential for
>affected communities, predicts a psychiatrist working with the US Navy.
>
>"Remote though the possibility of a terrorist-authored chemical or
>biological incident in an American community may be, we must prepare for
>one," according to Dr. Cleto DiGiovanni, Jr., from the National Naval
>Medical Center in Bethesda, Maryland. His review article is published in
the
>October issue of the American Journal of Psychiatry.
>
>In his report, DiGiovanni catalogs the breadth of mental illnesses that can
>result from the actual or feared exposure to chemical or biological
weapons.
>Nerve agents, for example, can cause depression, insomnia, impaired
>thinking, and antisocial thoughts. Even the drug most commonly used to
treat
>nerve agent exposure, atropine, "can produce psychiatric side effects
>ranging from drowsiness to hyperactivity, hallucinations, and coma," he
>writes.
>
>Biological weapons can diminish the ability to think clearly and produce
>depression, irritability, and hallucinations, he adds.
>
>One role of psychiatrists in the management of domestic terrorism is to
>distinguish between physical effects and psychiatric effects of the agent
or
>the threat of exposure. According to DiGiovanni, the uncertainty and
>surprise surrounding possible exposure to unfamiliar threats can spawn
fear,
>panic, and psychosomatic disorders. A careful psychiatric examination can
>sort out the physical effects of the agents from the psychological response
>of the exposed person.
>
>In order to be able to distinguish between physical and psychiatric
effects,
>though, "psychiatrists should become familiar with the effects of, and
>treatment for, the chemical and biological agents that may be used in a
>terrorist incident," he suggests.
>
>Psychiatrists will be involved in several aspects of the management of a
>chemical or biological incident, according to DiGiovanni. "That role
>includes immediate treatment of individual patients and groups of patients
>who are experiencing the psychological impact of a mass disaster,
organizing
>and managing the delivery of mental healthcare by others to the community,
>and assisting local medical facilities and community leaders in the control
>of widespread anxiety, fear, and perhaps even panic," he writes.
>
>Potential patients can take some comfort in the fact that effective
>therapies are available for the range of psychological problems they might
>experience as a result of domestic terrorism, DiGiovanni reports, although
>survivors of any disaster could require prolonged care.
>
>SOURCE: American Journal of Psychiatry 1999;156:1500-1505
>
>--
>Dan S
>
>
>
>***********************************************************************
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>




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