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Case Study: Cultural Aspects of CaregivingThis case stresses the importance of identifying cultural issues that arise in mental health clinical encounters.
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The Role of Acrolein in Spinal Cord InjurySpinal cord injury, Oxidative stress, Acrolein, Hydralazine
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Religious Understanding as Cultural Competence: Issues for CliniciansImproving religious competence among clinicians is vital if everyday psychiatric care is to become truly person-centered.
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Taking a New Look at Psychosis in Alzheimer's DiseasePatients with Alzheimer's disease and psychosis often have a more severe course of illness, with higher incidence of caregiver burden and hospitalization. Differentiating this disorder from Alzheimer's disease uncomplicated by psychosis is key to maximizing more positive outcomes.
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Reflections on the New NormalMany physicians thought we could not overestimate the value of having a patient’s full, in-person attention, nonverbal cues and all. In the current crisis, all of that seems quaint.
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Medical Comorbidities in Late-Life DepressionLate-life depression is both underrecognized and undertreated, and the impact of medical comorbidity may mask depressive symptoms. Depression further complicates the prognosis of medical illness by increasing physical disability and decreasing motivation and adherence to prescribed medications and/or exercise or rehabilitation programs
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Lyme Disease, Comorbid Tick-Borne Diseases, and Neuropsychiatric DisordersMany recall the phrase "To know syphilis is to know medicine." Now Lyme disease (Lyme borreliosis), the new "great imitator," is the ultimate challenge to the breadth and depth of our knowledge. In psychiatry, we generally treat mental symptoms or syndromes rather than the underlying cause of a disorder.
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Depression as Co-Pilot: Clinical Implications of Hepatitis C and Interferon/Ribavirin TreatmentComorbid substance use disorders may complicate treatment for both the hepatologist and psychiatrist. Comprehensive assessment of psychiatric illness and psychopharmacological management may be critical.
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The Relationship Between Antidepressant Initiation and Suicide RiskTen years ago, the FDA placed a black box warning on all antidepressants because of concerns that the medications increase risk of suicidal thoughts and behavior in youths. It's time for the FDA reevaluate that decision.
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Psychopathy and Antisocial Personality Disorder: A Case of Diagnostic ConfusionPsychopathy (renamed antisocial personality disorder) is marked by persistent violations of social norms, including lying, stealing, truancy, inconsistent work behavior and traffic arrests.
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Should Psychiatry and Neurology Merge as a Single Discipline?The issues being debated here have important long-term implications for psychiatry, and we are pleased to present these revised versions of 2 principal presentations.
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Neuropsychiatry: A RenaissanceThe 5 papers in this Special Report on neuropsychiatry provide compelling evidence for the renaissance of neuropsychiatry as a clinical discipline. Wehave every reason to hope that this will lead to a better understanding of the complex interactions between brain and behavior and will reduce the artificial distinction between neurology and psychiatry.
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Some Concerns Regarding DiagnosisThe mental health professions are currently awaiting the American Psychiatric Association’s newest version of the Diagnostic and Statistical Manual. The need for a fifth revision underscores the lack of satisfaction within the professions with our diagnostic schema
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Road Rage: Are Our Patients Driving Angry?Road rage is well known in popular culture and to many people it is a common and dangerous experience. Alcohol problems, illicit drug use and general psychiatric distress are associated with road rage perpetration. Road rage incidents may also result in psychiatric distress. Although treatment for road rage has received little research attention, encouraging results have been reported from specialized programs.
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Psychiatric Disorders and Symptoms Associated With Sexual Risk BehaviorDespite the fact that awareness of HIV and AIDS transmission is pervasive, risky sexual behavior has been increasing in many parts of the world in recent years, with a concomitant rise in new cases of HIV and other sexually transmitted diseases.
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Can Dialogue Cure? A Couple's Therapeutic JourneyIndividuals with a past history of chronic psychiatric illness are often given poor prognoses that can limit their therapeutic horizons for further treatment. This pessimism may be misplaced as is demonstrated by the case of Jay, age 71, and Kay, age 65. The couple presented at the Loyola Sexual Dysfunction Clinic in a program consisting of 7 weekly sessions of 5 hours each with 2 trainee therapists.
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Riches Abound, So Where Are the Trials for Schizophrenia and Bipolar Disorder?Schizophrenia and bipolar disorder are among the most serious psychiatric disorders and play a disproportionate role among individuals who end up homeless, incarcerated, and who die by suicide. Why the lack of research?
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Translational Research: Pathway to Improved Practice?Advances in basic behavior and neuroscience research have been stunning, but until quite recently, efforts to encourage the clinical application of new knowledge have not kept pace. To aid in applying new knowledge to important public health issues, the National Institutes of Health has placed emphasis on "translational research," which aims to provide a bridge between basic research and clinical care. Particularly promising areas of study are highlighted.
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Video: Medical and Behavioral Models to Manage Aggression in YouthAggressive behavior is one of the most frequent reasons for consultation with a mental health professional in community-based settings. Dr Hendren presents a neurodevelopmental model for the assessment and treatment of aggression in youths.
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Treating Adults With Attention-Deficit/Hyperactivity DisorderAttention-deficit/hyperactivity disorder (ADHD) is often underappreciated and inadequately treated in adults. Long thought to be a disorder of childhood, ADHD is now believed to persist into adulthood in approximately half of all cases.
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Assessing Violence Risk: A Meteorological AnalogyBoth clinicians and weather forecasters employ the same general process of information gathering, analysis, and reaching a conclusion.
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Management Strategies To Minimize Suicide Risk in Borderline PatientsPatients with borderline personality disorder can present with multiple crises and minor incidents of self-harm or threats, but determining when the actions are true cause for concern can be a challenge.
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Depression and Diet in Elderly Community-Dwelling Mexican and European AmericansDepression and Diet in Elderly Community-Dwelling Mexican and European Americans
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Enlisting Family Members to Address Treatment Refusal in Substance AbusersAnyone who is close to someone who abuses alcohol or drugs knows all too well that substance abusers do not typically seek treatment until they have experienced years of substance-related problems. During the first year after onset of a diagnosable substance use disorder, only 1 of 5 alcohol-dependent persons and 1 of 4 drug-dependent persons receive treatment.
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What Psychiatrists Should Know About EbolaWhen widespread fear and anxiety about the spread of an infectious disease stress our society, psychiatrists can play a variety of important roles in population health management.
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Trouble Looms for Tiny Infants Abused in ChildhoodNEW YORK -- Low birth weight and child abuse combine synergistically to increase the later risks of depression by 10-fold and social dysfunction by nearly ninefold, researchers here said.
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Consultation Services Help Psychiatrists SurviveAfter a decade of diminishing control and exclusion from provider panels, psychiatrists are developing strategies to regain some control of health care. With the help of consultation services like those provided by the American Psychiatric Association, they are learning to survive and prosper in this era of managed care.
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Diagnosis and Management of ADHD in AdultsPsychiatrists, primary care physicians, neurologists, nurse practitioners, psychiatric nurses, and other mental health care professionals. Continuing medical education credit is available for most specialties. To determine if this article meets the continuing education requirements for your specialty, please contact your state licensing board.
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Drugs, Crime and RaceAmerica's policy regarding illegal drugs has been accused of being a failure and being racially biased against blacks and other minorities. The author asserts that while drugs and crime exist in all parts of the society, problem-generating drug use and serious crime are indeed concentrated among the urban poor, some of whom are black. He further explores what this disproportionate drug-related suffering means when it comes to the provision of addiction treatment, law enforcement resources and other responses to the problems spawned by addiction.
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Assessment and Evaluation of Child and Adolescent Psychiatric EmergenciesThe incidence of child and adolescent psychiatric emergencies has increased over the past 20 years. This rise in emergency department (ED) mental health visits coincides with an overall increase in ED use from 89.8 million visits in 1992 to 107.5 million visits in 2001. Psychiatric presentations by children and adolescents (often in the absence of medical complaints) account for up to of the total visits to an ED in a given year and, in some reports, such presentations account for as many as 16% of ED visits.
