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Mini Quiz: Cultural Diversity and the Young PatientWhat are the benefits of exploring cultural issues with a young patient and family before proceeding with treatment?
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New York State Moves Toward Involuntary Residential Commitment of the Mentally IllSeveral incidents of serious violence, including the death of one woman, have pushed the issue of involuntary commitment of the noncompliant mentally ill higher on the priority list of the government of New York State.
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Psychopharmacology of Autism Spectrum DisordersAutism is a highly prevalent, highly heterogeneous disorder of unknown etiology. Studies to clearly establish the efficacy of various classes of psychoactive drugs are scarce. Nonetheless, available findings do support the efficacy of atypical antipsychotics and antidepressants in treating the core symptoms of repetitive behavior.
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AAPS Sues over Maintenance of CertificationJane Orient, MD, comments: Many physicians are outraged, not only by the cost -- an expense which must be incurred to maintain certification, but also by the fear that MOC is being advanced as a requirement for hospital privileges, and perhaps even maintenance of licensure. More here. . .
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Sexual Impulsivity Disorders: Psychiatric "Orphans"Paraphilias and paraphilia-related disorders (nonparaphilic sexual compulsivity or sexual addiction) are sexual disorders that predominantly afflict men.
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Brain Pathways: New Approaches to Structure-Function LocalizationIs it time again for greater unification of neurology and psychiatry?
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The “Bar-Coding” of Patients With Electronic Health RecordsDigital technology is a valuable tool, but if it dazzles us with its speed and control, there is the risk that we may forget the old way of connecting.
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Introduction: A Biopsychosocial Model of CareThe past decade has been an exciting one for the field of psychosomatic medicine. It has been recognized as a specialty and now has a certification examination. In this Special Report, we discuss some of the approaches that are being taken to special populations within the psychosomatic medicine community.
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Key Stressors in Transplant PsychiatryHere: A summary of indicators for stress and anxiety in patients undergoing transplantation, and why it is important for psychiatrists to be aware of these factors.
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What Psychiatrists Need to Know About the Determination of Dispositional CapacitySome of the most challenging decisional capacity consultations are requests to determine if a patient has the capacity to participate in discharge planning.
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Touched With Fire: Film and Social Media Address StigmaFilm can be a powerful vehicle for conversation and social change in the fight against psychiatric stigma.
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Diagnosis and Treatment of Bipolar Disorder in Children and AdolescentsSince 1980, criteria for diagnosing bipolar disorder in adults have also been used to diagnose mania in children, with some modifications to adjust for age.
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Bereavement, Grief, and Depression: Clinical Update and ImplicationsAn in-depth CME on DSM-5 criteria for persistent complex bereavement disorder and the clinical management of pathological reactions to the death of a loved one.
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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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Behavioral Comorbidities in Rheumatoid ArthritisWhile tremendous therapeutic advancements have been made, patients with rheumatoid arthritis (RA) have a myriad of comorbidities, including fatigue, depression, and sleep disturbances. Data on the comorbidity of psychiatric disorders with arthritis are also striking: according to the NIMH Catchment Area program, the lifetime prevalence of psychiatric disorders among patients with RA is 63%.
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Nonverbal Learning Disabilities and Sensory Processing DisordersIn our presentation at the 2006 annual meeting of the American Academy of Child and Adolescent Psychiatry, we suggested that child psychiatrists who come across a child with the profile of the following hypothetical case should consider whether the child may have deficits that are not currently covered by DSM-IV nosology: either a nonverbal learning disability (NVLD) or a sensory processing disorder (SPD).
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Hoarding in Late Life: Implications for CliniciansDSM-5 criteria for hoarding disorder necessitate that the hoarding behaviors cause clinically significant impairment in the patient’s ability to function.
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The Treatment Around the CornerA psychiatrist attempts to stay positive while facing her parents' and loved ones' premature deaths-ever reminding us that hope springs eternal.
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Pharmacological Management of Treatment-Resistant Anorexia NervosaOnly 13% to 50% of AN patients are considered recovered 1 to 2 years posttreatment, and 20% to 30% go on to develop a chronic and unremitting course of AN. How can we improve these outcomes?
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The Impact of Screen Media on ChildrenIn essence, screen media constitute neurologically potent, arousing input to the developing brain. Unlike conventional toxins, their effects are mediated by sense organs. However, they have demonstrable effects on brain activity, and on behavior and function.
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Collaborative and Integrated Care in Pediatrics: Part of the Solution to the Child Mental Health CrisisIn this CME, learn more about implementing formal or informal collaboration with the primary care clinicians with whom you share care of your child patients.
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The Substance Abuse HandbookThe Substance Abuse Handbook offers a comprehensive, clinically oriented approach to the treatment of addictive disorders. It contains a wealth of useful information, ranging from causes of addiction to different modes of treatment.
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Next Steps: Solutions and Recommendations For HealingClimate change is a devastating existential threat that can exaggerate preexisting inequities and health/mental health problems. As mental health professionals committed to understanding deep emotional wounds and addressing complexities of relationships, psychiatrists have the tools to assist in bridging the current gaps.
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Sleep Disturbances with Substances of Abuse and DependenceSleep disorders and substance abuse disorders are widespread acrossthe United States, researchers have found. According to the NationalCommission on Sleep Disorders Research, more than 80 million Americanscomplain of sleep difficulties, while Schuckit and Irwin reportedthe lifetime prevalence of alcohol abuse or dependence to be 13percent and nonalcohol drug abuse, 5.9 percent.
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Developing Clinical Evidence for Locomotor TrainingLocomotor training is an emerging rehabilitation intervention to help patients who have spinal cord injuries or who are recovering from stroke walk again. The basis for the intervention lies in understanding the neurobiology of walking and the nervous system's capacity for activity-dependent plasticity.
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When Eating Disorders and Psychosis Co-Exist: 6 Take Home PointsThe body image disturbance at the heart of anorexia nervosa is a false perception akin to the perceptual disorders found in schizophrenia.
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Understanding the Neurobiological Basis of Drug Abuse: Comorbidity in SchizophreniaIt is clear that the prognosis for schizophrenia is much better when patients achieve drug abstinence, including in the domains of depression, quality of life, and community integration.
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Schizophrenia, Neurocognitive Dysfunction, and Substance-Related Disorders: A ReviewThe authors evaluate the effects of nicotine and cannabis on neurocognitive function in individuals with schizophrenia and review potential pharmacological treatment strategies.
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Psychiatrists as Partners in Suicide Prevention for Pediatric Medical Settings"The death rate among youth aged 10 to 24 years increased 52.2% from 6.9 per 100,000 in 2001 to 10.5 per 100,000 in 2020."
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Developing a Collaborative Approach to Post-Acute Sequelae of SARS-CoV-2 Infection1 in 3 COVID-19 survivors experience persistent consequences. What can psychiatry do to help?
