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Living Stories: Spiritual Awakenings in RecoveryDeAndra's story: I came into the rooms and realized after a while that I had the attitudes and behaviors of an addict way before I ever picked up a drug. I remember growing up and being at my family's parties, [where] my aunts and uncles would give me and my brothers beer. There are pictures in our photo albums of us, all under 6 or 7, with cans of beer in our hands. At an early age I learned to manipulate to get what I wanted.
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DSM5 Proposal Triggers Anxiety, Not TicsAllen Frances, MD, identifies a number of concerns about the draft DSM5 revisions.1 Not mentioned in his commentary, but of significant concern, is a proposal that might subsume tic disorders under a new category called “Anxiety and Obsessive-Compulsive Disorders.”
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Anxiety Disorders With Comorbid Substance AbuseAnxiety disorders occur in 18% to 28% of the US general population during any 12-month period. In anxiety disorder, there is a 33% to 45% 12-month prevalence rate for a comorbid substance use disorder (SUD).
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Nature Versus Nurture: How Is Child Psychopathology Developed?In an attempt to reframe the either-or debate over the impact of genetics versus environment on emotional makeup, a panel convened at the American Psychoanalytic Association’s Winter 2005 Meeting in New York City. This article highlights studies presented at the meeting.
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An Integrative Paradigm for Mental Health Care: Ideas and Methods Shaping the FutureThis book is a rich roadmap on how to bring discipline and direction to integrative medicine.
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An Update on Muscarinic Agonism as a Treatment for SchizophreniaWhat makes this treatment option unique?
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Addressing Behavioral Health Emergencies With COVID-19Dr Leslie Zun discusses factors associated with accessing services for patients undergoing psychiatric challenges during the pandemic.
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Psychotherapy with Opioid-Dependent PatientsPsychotherapy as a sole treatment for noncoerced opioid addicts in outpatient settings has been shown to have little patient interest and low chances for success. However, when integrated into a treatment plan that includes methadone maintenance and drug counseling, it can be associated with additional benefits for patients who have moderate to severe levels of psychiatric symptoms.
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Cognitive Symptoms in Schizophrenia Recognizing and Treating Cognitive Deficits in SchizophreniaCognition” has more than one meaning. Cognitive-behavioral therapy refers to therapies that work on changing automatic thoughts and resulting schemas.
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From Our ReadersThe totalitarian system as we know it today may also be called 'managerial capitalism' since the decisions dictated by technical and economic considerations are no longer hampered by the rights of ownership and title holders. Yet it should be emphasized, speaking of 'managers,' that the true technical directors have nowhere acquired the disposing power of technocrats; the real power rests mainly with economic and business managers. This was written by H. Bruggers in 1941 in his "Stages of Totalitarian Economy," in the publication Living Marxism.
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Let’s Ask the Right Questions About Medical Aid in DyingSome patients are intractably and maybe even irredeemably ill. What should be done for them?
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Update on Medical Catatonia: Highlight on DeliriumRenewed interest and emerging systematic data have highlighted the frequency and pattern of catatonic presentations in psychiatric and medical settings, including in critical illness.
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Making the Connection: A Parent's Guide to Medication in ADHDMaking the Connection: A Parent's Guide to Medication in AD/HD is a concise, user-friendly book intended for parents of children with attention-deficit/hyperactivity disorder (ADHD).
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13 Contributing Factors to Treatment-Resistant Bipolar DisorderSeveral non-biological factors often contribute significantly to treatment resistance.
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I’m a Psychiatrist-and I Live With DepressionA personal account by a psychiatrist who has battled depression.
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Critical Issues in Perinatal Psychiatric Emergency CareThe perinatal period is a high-risk time for some women to experience a new onset or exacerbation of a mood disorder that may require emergency psychiatric care.
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A Look at the Ethical, Legal, and Clinical Issues Associated With Information TechnologyNew technologies pose challenges in the need to maintain boundaries and confidentiality. The same boundaries and ethical standards that existed in the 20th century must be thoughtfully applied with all new and developing technologies of the 21st century.
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Update on Pediatric Pneumonia: Causes-Treatment OptionsHere we summarize the evaluation of pediatric pneumonia and offer our management recommendations-based on a literature review and on clinical experience-in the outpatient setting.
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Invitation to Disaster: Mutual Attraction Between Therapist and PatientEven though there was no name attached to the message, I knew instantly who had sent the vague text that left my heart racing. This was the last communication I had with Mr R, a 36-year-old neuroscience researcher with no past psychiatric history.
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QT Prolongation and AntidepressantsIn the past decade, the effects of antidepressants on the QT interval and the subsequent risk of cardiac arrhythmias have become a notable concern. When the FDA released a drug safety communication about the risk of abnormal changes in the electrical activity of the heart with citalopram, providers learned to consider this risk as not only an adverse effect of a specific medication, but also the consequence of drug-drug interactions.
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Undue Pharmaceutical Influence on Psychiatric PracticeQuestions have also been raised about the extent of industry influence on the American Psychiatric Association’s diagnostic and treatment guidelines-namely, its DSM and Clinical Practice Guidelines.
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Psychosocial Interventions for Depressed Older Adults With Cognitive Impairment and DisabilityDepression, cognitive impairment, and disability often coexist in older adults. Therefore, to effectively treat late-life depression, clinicians need to evaluate the presence and degree of the patient’s cognitive deficits and level of disability.
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Podcast: Current Trends in Patient EducationSpecial Report chairs discuss patient education and provide a brief overview of materials that provide an opportunity for patients to help themselves.
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Special Risk Management Issues in Child and Adolescent PsychiatryNumerous studies have documented the increasing prevalence of mental health and substance abuse issues in youths nationwide. As many as 1 in 5 children and adolescents in the United States have a behavioral or emotional disorder.
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Wearable Devices for Mental Health: Knowns and UnknownsCan a wearable device improve mental health outcomes?
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Psychopathology and Personality Traits of PedophilesBecause of recent scandals, pedophilia is one of the few psychiatric disorders widely known to the general public.
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Psychiatric Conditions Affecting Physicians With Disruptive BehaviorThis study highlights the need to consider a holistic approach when discussing the problem of disruptive behavior in health care settings.
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Psychiatry in the New MillenniumAs psychiatry is swept along by the evolutionary winds of change, will you be poised and trained for success? This question was posed to psychiatrists by Joel Yager, M.D., at the recent annual meeting of the American Psychiatric Association, at which he received the Seymour D. Vestermark Award.
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Neural Circuitry of SuicidalityStructural neuroimaging, functional neuroimaging, and psychometabolomics in the identification of markers for suicidal behavior are discussed in this CME.
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Clinical Issues and Challenges in Treating Undocumented ImmigrantsDespite the need for mental health support, undocumented immigrants underutilize mental health services. Many endure traumatic experiences while emigrating that put them at psychological risk and once in the US, undocumented immigrants face multiple psychosocial stressors.
