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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?
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The Role of MRI in the Diagnosis of Multiple SclerosisMultiple sclerosis (MS) is the most commoninflammatory demyelinating disease of theCNS and the most frequent cause of nontraumaticneurological disability in young andmiddle-aged adults.1 Women are twice as likelyto be affected as men, and onset typicallyoccurs between the ages of 20 and 40 years.
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Substance Abuse Screening in Patients With Anxiety DisordersHow can clinicians reliably identify comorbid drug and alcohol use disorders in patients with anxiety disorders?
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Patient Education: 11 Common Questions on Heroin AbuseA guide for helping patients understand heroin, its history, and how it impacts our communities.
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Psychiatric Symptoms Associated With Parkinson DiseaseParkinson disease (PD) is the second most common neurodegenerative illness in the United States, affecting more than 1 million persons. Disease onset is usually after age 50. In persons older than 70 years, the prevalence is 1.5% to 2.5%.1 While the primary pathology involves degeneration of dopaminergic neurons in the substantia nigra, circuits important in emotion and cognition-such as the serotonergic, adrenergic, cholinergic, and frontal dopaminergic pathways-are also variably disrupted.
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Addressing the Aftermath of Suicide: Why We Need PostventionHere: a brief review of the literature on postvention efforts; the effects on the victim’s caregivers; and a guide to resources to help manage survivors’ and caregivers’ emotions and dread.
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Addressing Postdeployment NeedsAlthough we would all like to believe otherwise, war is not over when a service member returns home. For many, returning home may be where the harder battles begin. Intensive training prepares troops for warfare, but what training do they have to readjust when they return home?
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Improving Mental Health Care in America: An Opportunity for Comprehensive ReformThe authors outline the ingredients for the transformation of mental health care in America.
