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Medications and Quality of Life With SchizophreniaThe expression "quality of life" is an intuitively familiar and popular concept, and it epitomizes the public's hopes and expectations. In clinical settings, it demands the inclusion of patients' feelings, attitudes, and opinions in medical decision making.
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Does Ketamine Hold Promise in Mitigating Suicide Risk?The authors review mechanisms of suicide and the effectiveness of current treatments, and zero in on ketamine--a potential novel, rapidly acting treatment for suicidality.
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Tips for Treating Comorbid Depression and AnxietyComorbid depressive and anxiety disorders are commonly seen in both primary care and the specialty setting. Such comorbidity can present as major depression with subsyndromal anxiety symptoms or unipolar/bipolar depression with an anxiety disorder.
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Survived by One: The Life and Mind of a Family Mass MurdererThere are many stories written about serial killers and murderers, books that narrate the life course of individuals who commit heinous acts. However, few have been written by murderers explaining their lives first-hand.
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Working With Physicians in the Emergency DepartmentIt is not surprising that one of the most complicated aspects of collaboration with faculty and staff in the ED setting is the professional or social contract.
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Mobile Apps for Mental HealthHere: a look at Mobilyze and CrossCheck--2 apps currently in development that are embedded within smartphones and designed to capture objective data on patients to provide timely treatment and relapse prevention.
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5 Domains of Negative Symptoms of SchizophreniaNegative symptoms identified from the Negative Symptom Assessment and the behaviors that might be observed in each of 5 domains.
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An Update on the Maintenance of Certification Program for PsychiatryEverything you need to know about the MOC process.
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Treating Time-Sensitive Stroke Patients With Digital Video MedicineColin T. McDonald, MD, specialized in neuro-critical care at Massachusetts General Hospital (Mass General), Harvard Medical School in Boston in 1998, when the father of an emergency room physician at an affiliated hospital became one of his patients. One morning, the father experienced symptoms of stroke, which the son immediately recognized. Doing something about those symptoms, however, was complicated; the father and son were on Martha's Vineyard, where the local hospital was not equipped for emergency neurology care.
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Pharmacology of Personality DisordersThe prevalence and debilitating nature of some of the personality disorders has impeded the study of psychopharmacology in these conditions. However, important advances have been made in the last several years.
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Center for Meditation and Healing Integrates Psychiatric HealthThe department of psychiatry at Columbia-Presbyterian Medical Center (CPMC) in New York City has opened one of the first facilities in the country that brings the techniques of complementary medicine to psychiatry. The Center for Meditation and Healing, which opened this March, emphasizes traditional meditative methods used for thousands of years in Asian cultures, particularly those of India and Tibet.
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Collaborative Opportunities: Working With Nurse Practitioners to Meet the Needs of Underserved PopulationsCollaboration between the psychiatric nurse practitioner and psychiatrist will be part of the solution to the workforce issue that leaves so many underserved patients without good mental health care.
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ABPN Faculty Fellowship AnnouncedThe Directors of the ABPN have established a Faculty Fellowship Program to support the development of innovative education and evaluation projects that promote effective learning by residents, fellows, and practicing psychiatrists and neurologists.
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Neurobiology of Eating Disorders: Clinical ImplicationsNew insights into neural pathways that play a role in anorexia nervosa, bulimia nervosa, and binge eating disorder.
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Achieving Remission in Generalized Anxiety DisorderGeneralized anxiety disorder (GAD) is a prevalent, chronic, debilitating mental illness associated with marked impairment in daily functioning.1 An ongoing evolution of the definition of GAD has resulted in a bifurcation of the historical anxiety neurosis designation.2 A diagnosis of GAD currently implies chronic, excessive worry lasting at least 6 months and 3 of the possible 6 somatic or psychological symptoms (restlessness, fatigue, muscle tension, irritability, difficulty concentrating, and sleep disturbance).3 GAD typically presents in an episodic pattern of moderate improvement or remission and relapse characterized by a chronic and complicated clinical course.
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Recognizing Toxidromes From Digitally Accessed Illicit Drugs: New Challenges for PsychiatristsAccess to illicit drugs is now as easy as a few swipes on a smartphone. Here's a primer for clinicians who aren't well acquainted with this trend and who aren’t familiar with the many substances themselves.
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Mini Quiz: Physician-Assisted SuicideIn US states where physician-assisted suicide is now legal, what is required prior to a physician prescribing a lethal aid-in-dying drug?
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College Students and Mental Illness: Strategies for Optimal ResultsSuicide is now the second leading cause of death among college students. But only 60% of colleges and universities have a psychiatrist on staff.
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5 Ways to Transform Health BehaviorsProper technique, practiced over time, can transform an appointment from "medication management" to a serious change in behavior, as evidenced by the 5 examples featured in this article.
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The Silver Lining in the Graying of America: Healthy Aging Is the New NormClearly, old age is associated with unavoidable decline but in some instances can be mitigated by mental and physical exercise and social activity. How is the preservation of function despite illness and decline accomplished? Insights here. . .
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Psychiatric Care of Peripartum WomenThis article summarizes clinically relevant advances in the psychiatric care of women during and after pregnancy, including recent changes in how the FDA classifies pregnancy risk for medications, and best practices in perinatal psychopharmacology.
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Introduction: Child Psychiatry Is Not Only About ChildrenThe articles in this Special Report reinforce the lesson that children come with parents. This is one of first lessons that I teach my residents: you can’t work with a kid in a vacuum. Parents who do not feel some connection with a caregiver will not bring their child to treatment or follow the recommendations of the treatment team.
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A First-Episode Psychosis Treatment Program: “The Disease Doesn’t Define Me”The Psychiatric Transition Program at the Naval Medical Center in San Diego is a specialized first-episode psychosis program that provides coordinated specialty care to active-duty service members with serious mental illness.
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FDA Advisory Panel Recommends Approval of Tysabrimultiple sclerosis, MS, Tysabri, natalizumab, progressive multifocal leukoencephalopathy, PML
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Perspectives on Consultation-Liaison in Child and Adolescent PsychiatryChild and adolescent psychosomatic medicine, usually in the realm of the pediatric psychiatric consultation-liaison service, seeks to address the complex relationship between a child's physical illness and affective state with the goal of improving the child's emotional well-being.
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Ethical Issues in PsychopharmacologyExcellence in psychopharmacology demands sensitivity to the associated ethical considerations. The key considerations of psychiatry are both complex and dynamic, and psychiatrists who develop and refine their ethics skill set will be in a better position to anticipate and respond to ethical dilemmas as they arise in their practice.
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Why Kids Need Psychotherapy--and Why It Should Be Provided by Psychiatristschildren, Psychotherapy
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Twitter and YouTube: Unexpected Consequences of the Self-Esteem Movement?To Americans over 30, YouTube, Facebook, MySpace and Twitter are buzzwords that lack much meaning. But to those born between 1982 and 2001-often referred to as “millennials” or “Generation Y”-they are a part of everyday life. For the uninitiated, these Web sites are used for social networking and communication. They are also places where individuals can post pictures and news about themselves and express their opinions on everything from music to movies to politics. Some sites, such as YouTube, allow individuals to post videos of themselves, often creating enough “buzz” to drive hundreds and even thousands of viewers; in some instances, these videos create instant media stars-such as the Obama imitator, Iman Crosson.
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Treating Complex Trauma SurvivorsThis CME outlines distinguishing features of PTSD, complex trauma, and the dissociative subtype of PTSD (DPTSD), with an explanation of the distinctive neurobiological subtype of DPTSD.
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On Narcissism, the Internet, and Social Networking SitesI read with interest the posts of Dr John Grohol, PsyD regarding my commentary, "Twitter and YouTube: Unanticipated Consequences of the Self-Esteem Movement.” I had hoped it would bring attention to this topic and am glad that this has opened up an important dialogue. However, the author has missed the point.
