Cover Artwork: ‘Medusa’ by Sarah Kogan

In the November edition of Muses – the arts blog from BJPsych International – Dr Tim McInerny, Pictures Editor, BJPsych International introduces Sarah Kogan, the artist whose portrait is on the cover of the November edition of BJPsych International. 

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What is the reluctance! (“It couldn’t possibly be ADHD”) (Is it ADHD?)

We know that the prevalence rates of physical and mental disorders are higher in people with intellectual disabilities than in the general population. ADHD is one of those neurodevelopmental disorders where clinicians appear reluctant to make the diagnosis in people with ID. Of course, diagnosing ADHD-ID can be difficult for many reasons such as other diagnoses overshadowing the core signs of ADHD. Despite clearly observing and documenting symptoms of ADHD (without calling it ADHD), we are slow to consider the diagnosis. We always wonder why health professionals are very reluctant to consider the diagnosis of ADHD in people with ID that has led us to write the article.

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Structural racism impacts African Americans’ ability to eat a healthy diet. What can we do as nutrition researchers and practitioners?

Nutrition researchers and public health practitioners have become increasingly focused on structural racism following protests against racial injustice in 2020 and the disparities in covid-19 mortality experienced by marginalized groups. Structural racism consists of overlapping systems of discrimination in society such as in policing, housing, and employment. These systems also affect marginalized groups’ ability to access healthful food. For example, African Americans are more likely to live in areas with higher densities of fast-food restaurants and may not have access to full-service grocery stores. Differences in financial resources may also impact their ability to pay for healthy food. Providing nutrition education alone can be insensitive in the face of these obstacles.

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