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Effects of Stress on Family Caregivers: Recognition and ManagementCaregivers may face years of continuous exposure to physical and psychosocial demands with burdens that can include physical, psychological, social, and financial problems; embarrassment; overload; and resentment.
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Keys to Successfully Working With Primary Care PhysiciansAlthough most major organizations recognize the importance of collaboration, the challenge for psychiatry is how to best integrate different aspects of psychiatric and primary care. Help here.
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The Role of Population and ED Trends in Delirium ManagementIn this issue, Drs Heinrich and Sponagle present a thorough overview of the challenges of detecting and treating delirium in the emergency care setting. They also address the high risks involved when the diagnosis is missed. The difficulties of identifying and appropriately managing delirium are not new. However, the importance of doing so is taking on a greater significance because of certain current and forecasted realities that will affect the nation's emergency departments (EDs).
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What Is Complex Posttraumatic Stress Disorder and How Does It Relate to Borderline Personality Disorder?Whether a patient has a diagnosis of cPTSD, BPD, or some combination of both, treatment should be considered multifaceted and overlapping. Learn more in this Special Report article.
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The Facts About Violence Against Historically Disadvantaged PersonsRacial/ethnic and sexual orientation minorities and women historically have been relegated to social, legal, and economic disadvantage in the United States.
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The Molecular Genetics of ADHD: A View From the IMAGE ProjectNew research into the genetic basis and possible genetic markers for attention-deficit/hyperactivity disorder may open the door for new treatments. There is a clear concordance between twins who have ADHD, as well as siblings. What can genetic mapping tell us about treating ADHD?
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Is Antidepressant Prescribing Associated With Suicide Rates?Since the introduction of the SSRIs in the early 1990s, the rate of antidepressant prescribing has increased dramatically. This look at five national data sets concludes that greater recognition of depression and greater rates of treatment with medication and psychosocial interventions has made a significant contribution to reducing suicide rates.
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The Effects of Age on Cognitive Deficits in SchizophreniaRecent studies have shown that patients with schizophrenia experience a greater decline in cognitive abilities with age. Given the large baby boomer population, how will this influence treatment for aging patients with schizophrenia?
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Update on Bipolar Disorder, Part 2: Bipolar Depression and Cyclothymic DisorderThis article reviews DSM-5 changes to symptom criteria for bipolar disorder with a focus on treatment of bipolar depression and cyclothymic disorder.
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Physician Health and Professional SecrecyHow far can the regulation of medicine extend without becoming Orwellian?
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Boundary Violations and Malpractice LitigationDisregard of professional boundaries is a leading cause of malpractice litigation. Boundary violations take many forms. Sexual involvement is a recurring problem that can cause serious damage. Even without erotic physical contact, material boundary crossings can, at least, destroy or interfere with therapy, and at most, injure the patient and lead to litigation. Generally, boundaries are violated by any act that alters or blurs the contours of the professional relationship.
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Introduction: Understanding Common Sleep Disorders in Psychiatric IllnessAlthough the purpose of sleep continues to be the subject of much debate, few would argue that a well-functioning sleep-wake cycle is essential for good health.
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Challenges to Breastfeeding ProfessionalsFill out this survey if you are a clinician who lactated while working.
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Working Within a Campus Health Service: A Challenge With Many RewardsPsychiatrists can provide significant support and insight to patients who are now coming to campus with a wide array of mental health challenges.
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The Genetic Basis for Suicidal BehaviorSuicidal behavior is a complex and multi-factorial phenomenon for which epidemiological genetics suggests a genetic basis that may be specific and independent from those implicated in the vulnerability to the psychiatric disorders associated with SB. Recently, new molecular biology tools have been designed to identify predisposition factors to complex disorders. One of the main goals of current studies is to specify the suicidal phenotype, as well as the intermediate phenotypes associated with these genes.
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Religion, Spirituality, and PsychiatryHistorically, there has been conflict between psychiatry and religion.
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Tips for Testifying in CourtStrategies to remain calm under pressure; to be clear and concise; and to know what is expected in courtroom battles.
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Mini Quiz: Assessment of MalingeringThe reported severity of the complaints in this patient appears grossly out of proportion given gathered information and clinical observations. What's your diagnosis?
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Integrating Treatment in Eating DisordersWhile anorexia nervosa was the first eating disorder to be recognized through the 19th century reports of Gull (1874) and Lassque (1873), bulimia nervosa and the less well-defined eating disorder not otherwise specified (EDNOS) syndromes are more common.
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Patient Education, Disease Prevention Is Everyone’s JobWhile it is easy to say, “this is not my problem,” the truth of the matter is that chronic disease prevention and education is the problem of all medical providers.
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Neurostimulation Treatments in Psychiatry: An Overview and Recent AdvancesThere have been considerable advances in the research on and clinical use of neurostimulation for psychiatric disorders, especially mood disorders and MDD. Three of the most recognized are reviewed here. An experimental new treatment-- trigeminal nerve stimulation-- is also briefly discussed.
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The Relationship of Suicide Risk to Family History of Suicide and Psychiatric DisordersTwo of the most prevalent risk factors for suicide are family history of suicide and family history of psychiatric illness. Are these factors independent of each other? What role does genetics play? How can research in this area assist prevention programs?
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Panic Disorder and Pregnancy: Challenges of Caring for Mother and ChildPanic disorder is a common psychiatric illness that can have a chronic, relapsing course. The question of whether pregnancy represents a time of increased risk for recurrence of panic symptoms has been a matter of debate.
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Confounding Factors in Treatment-Resistant Depression (Part 2): Comorbidities and Treatment ResistanceThe role of subtyping and bipolarity in TRD was discussed in Part 1 of this 2-part article. Here we review a number of the most common confounding factors of TRD but limit our scope to comorbidities that can be directly addressed and treated by psychiatrists.
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Management of Antipsychotic-Induced Weight GainIndividuals with schizophrenia are at greater risk for weight gain than the general population. From recent research, it appears that some of the second-generation antipsychotics may be more likely to cause weight gain than others. Recommendations for treatment strategies are provided.
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Systems of Care & Collaborative Approaches: An Answer to the Youth Mental Health EmergencyMental health needs have skyrocketed in the US, but access to treatment remains inadequate. Here's how we can help youth.
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Wellness and Medical School: Aspiration-or Pipe Dream?Over the past 10 years, a growing literature has documented the significantly increased rates of stress, burnout, depression, and suicidal ideation in medical students.
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Navigating Perinatal LossPatients who have experienced a perinatal loss are at increased risk of MDD, anxiety disorders, and trauma-related disorders.
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Poll: Do You Feel Prepared to Prescribe the Newly Approved First-In-Class Muscarinic Agonist?The first-in-class muscarinic agonist Cobenfy, formerly known as KarXT, was just approved by the FDA to treat schizophrenia in adults. Are you ready to discuss it with patients and caregivers?
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When Does Shyness Become a Disorder?Social anxiety disorder, the third most common mental disorder, is often underdiagnosed and undertreated. A leading expert on SAD provides an overview, including highlights of the barriers to diagnosis, a differential diagnostic approach and treatment options for social anxiety disorder.
