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The Interface Between Cancer and PsychiatryAs a psychiatrist who has lymphoma, I have developed a deep understanding of the ways in which our training can help us help patients who find themselves forced to deal with the complicated emotional aspects that accompany various forms of cancer. I hope these insights will be useful to psychiatrists as they wrestle with the problems that plague their patients who are coping with cancer.
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Patients With Bipolar and Unipolar Depression Show Similar Response to Electroconvulsive TherapyResults of a large study funded by the National Institute of Mental Health showed that electroconvulsive therapy (ECT) might be equally effective in both patients with unipolar depression and those with bipolar depression. The study, led by Samuel H. Bailine, MD, assistant professor in the department of psychiatry and behavioral sciences at Zucker Hillside Hospital, Glen Oaks, NY, showed that the remission rate in both patient groups was higher than 60%.
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Global Child Mental HealthGlobal child mental health in low- and middle-income countries faces all of the challenges of Western society and many more. This article examines the issues.
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Women and Abortion: The Psychiatrist's RoleFormer President of the American Psychiatric Association, Nada Stotland, MD, MS, speaks here about abortion-a subject that is especially important for psychiatrists in several ways.
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Treatment Advances for Glioblastoma: Tumor Markers and Targeted TreatmentsAlthough malignant brain tumors affect thousands of persons each year, treatment has not significantly advanced. For 3 decades, the standard of care was palliative surgery, radiation, and chemotherapy. Of these, radiotherapy was the only proven way to lengthen survival time. However, since 2005 the standard of treatment has changed thanks to studies showing posi- tive results from daily temozolo- mide (Temodar) combined with radiotherapy.
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Key Studies That Inform Clinical Practice: Child and Adolescent PsychiatryHere: key take-home points from 6 new studies on adolescent and child psychiatry chosen for their clinical relevance, applicability, and quality.
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Speaking Up: Sexual Harassment in the Medical SettingHere: a review of the definition of sexual harassment, its prevalence among physicians and medical students, its potential impact on physicians and trainees, and guidance about its management.
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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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Lifeline for Pregnant and Postpartum Women Who Are Drowning in Plain SightCareful consideration and discussion of risks of treatment and under-treatment (or no treatment) can help can decrease the risk of decompensation during pregnancy or the postpartum period.
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QTc Prolongation Associated With Psychotropics: Therapeutic ConsiderationsA focus on QTc monitoring in patients receiving psychotropics, especially when multiple medications are prescribed.
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Reexamining the Link Between Antidepressants and Suicidality in Children and AdolescentsReexamining the Link Between Antidepressantsand Suicidality in Children and Adolescents
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Psychological Features of Human Reproductive Cloning: A Twin-Based PerspectiveDebates surrounding the psychological implications of human reproductive cloning (HRC) escalated in 1997, following the 1996 birth of Dolly, the cloned Scottish lamb. Aside from the physical risks to which cloned persons might be subjected, there was concern over psychological implications associated with family structure and relationships. Would cloned persons be deprived of autonomy and independence? Would parents impose unfair expectations on children who were their genetic replicas?
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Financial Incentives for Adherence: Do They Pay?A number of behaviors are improved by financial incentive interventions. Details here.
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Self-defeating Personality Disorder: Recognition and TreatmentPatients with masochistic tendencies present with self-defeating patterns and often reject help.
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Behavioral and Pharmacologic Treatment of Aggression in Children With AutismThis article will provide an overview of treatment modalities, with emphasis on the future direction of interventions targeting aggression in children with autism.
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Are Women at Greater Risk for PTSD than Men?Differences between the sexes regarding the prevalence, psychopathology and natural history of psychiatric disorders have become the focus of an increasingly large number of epidemiological, biological and psychological studies. A fundamental understanding of sex differences may lead to a better understanding of the underlying mechanisms of diseases, as well as their expression and risks.
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Brief Cognitive Behavioral Therapy Interventions for PsychosisPsychiatrists who treat patients with psychosis in institutional, community, and crisis settings provide evaluations and medication management, but rarely consider psychotherapeutic interventions. However, such interventions can be critical in recovery.
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The Electroencephalogram in the Management of Psychiatric ConditionsThe electroencephalogram (EEG) has a limited but definitive role in understanding and managing psychiatric conditions. When the presentation is unusual, a neurological workup that includes an EEG is essential.
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Investigating Polycystic Ovary Syndrome in Women With Bipolar DisorderPolycystic ovary syndrome (PCOS) is the most common endocrine disorder in women of reproductive age, and it may manifest as mood disturbances in those affected. How can this medical condition be treated in women who have bipolar disorder?
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Tchaikovsky: Music and MelancholyA virtuoso concert pianist and psychiatrist's "play" on the role of music in healing and the influence of psychological and medical factors on the creative output of the great composers in music history.
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Attending to the “Mental Suffering” of Patients With Progressive Medical IllnessPsychiatrists have found ways to bring their expert skills and knowledge to the care of medically ill patients who are nearing the final phase of life.
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Combat Veterans: Adaptation to TransitionLeaving the military is not an easy or simple process. Here is one psychiatrist's personal story.
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Burden, Belonging, and Capability: An Interpersonal View of Military SuicidesIt would be logical to attribute the surge of suicides in the military to simultaneous prolonged engagement in combat, repeated deployments, and attendant stress. But studies have failed to connect deployments to suicide risk.
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PatientsLikeMe: Crowdsourced Patient Health Data as a Clinical Tool in PsychiatryPatients want to know what to expect with a given treatment, how their experiences compare with those of others, or whether they are alone in coping with their conditions. Who best to answer these questions than others like them?
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Clinical Pearls on the Management of Parkinson DiseaseThe ideal medication for Parkinson disease (PD) would reduce disability and halt or slow disease progression without intolerable adverse effects. Although such an agent is not yet available, current treatments offer significant symptom control for most patients. The decision about when to start therapy is highly individual; however, delaying treatment because of fear of adverse effects may not be in the patient's best interest.
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Introduction: The Integrated Approach to Addressing Comorbidities-Part 1These articles illustrate the variety and complexity of problems associated with comorbidity in psychiatric disorder.
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Hemicraniectomy for Massive Basal Ganglia Hemorrhageintracerebral hemorrhage, hemicraniectomy, stroke, neurosurgery, traumatic brain injury
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PTSD in the Emergency SettingThe following 3 cases illustrate the diagnostic challenges related to differentiating brain injury and posttraumatic stress disorder (PTSD) in patients presenting to the emergency department (ED) in the acute period following a traumatic injury. Such patients pose a dilemma for ED clinicians because of the interplay between head injury and PTSD in the clinical presentation of cognitive impairments in the aftermath of trauma.
