fancybaton

There are subtle symptoms that don't translate well in telepsych. Hygiene is harder to gauge over video (odor, dirty clothes, etc). Also, motor symptoms are more difficult to assess. Conducting an AIMs exam to evaluate a movement disorder is challenging. Also, the patient may be "fidgeting" outside the frame which could go unnoticed. Reading body language is integral to a good mental status exam. And it's harder to use resources like therapeutic worksheets. Patients may distrust technology and be less forthcoming. Or, conversely, they may be more comfortable avoiding in-person conversation. Really, a mixed bag, but for the right person, telepsych is a godsend.

I know I take too many antihistamines. I used to routinely take 25 mg of Benadryl before bed and have since switched to low dose Unisom. I've read that there's evidence that antihistamines are correlated with Alzheimer's. Am I doing damage by taking these meds chronically as a 33 year old? Or is the connection more related to using them in older age?

Oops--meant to be a message to OP