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A Psychiatrist's Primer on Sleep ApneaSleep apnea, a medical disorder with significant health and behavioraleffects, is of particular interest to psychiatrists for its capacityto mimic or exacerbate symptoms of psychiatric disturbances suchas depression, anxiety and panic disorder.
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Defining Intellectual Disability: The Case of Hall Versus FloridaIn March, the Supreme Court will need to set a national standard for the definition of intellectual disability. In doing so they will inevitably have to address a number of complications that arise when clinical constructs, such as intellectual disability, are used in the courtroom.
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Living Stories: Spiritual Awakenings in RecoveryDeAndra's story: I came into the rooms and realized after a while that I had the attitudes and behaviors of an addict way before I ever picked up a drug. I remember growing up and being at my family's parties, [where] my aunts and uncles would give me and my brothers beer. There are pictures in our photo albums of us, all under 6 or 7, with cans of beer in our hands. At an early age I learned to manipulate to get what I wanted.
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Psychiatric Epigenetics: A Key to the Molecular Basis of and Therapy for Psychiatric DisordersThe major challenges for epigenetic therapies are target specificity of the drugs-an issue that is also true for most of the currently used drugs in medicine, especially in psychiatry.
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Addressing Psychosomatic Illness in the Elderly: Integrated CareThe need to integrate psychiatric treatment with somatic care puts psychosomatic medicine in a unique position to focus on older patients who would not otherwise seek specialized treatment.
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Diabetic Polyneuropathy: Definitive DiagnosisDiabetic polyneuropathy (DPN) has a major impact on quality of life and can contribute to significant morbidity and mortality. In the United Kingdom, the prevalence of distal symmetrical polyneuropathy, as seen in specialty care, is about 28.5%, and prevalence increases with age.
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Treatment-Resistant Schizophrenia: Making the DeterminationSeveral confounding factors need to be taken into account before labeling a patient as treatment-resistant. What options are available for treating a patient with schizophrenia who has been diagnosed as such?
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Classification of Psychodermatological DisordersThere is no universally accepted classification of psychodermatological disease, but this slideshow serves as a general overview of these disorders.
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OCD: Current Research and Future DirectionsIn this podcast, two psychiatrists discuss current clinical research and the future of treatment options for obsessive-compulsive disorder.
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New Risks to Confidentiality in the Modern EraWhile this article highlights some of the modern-era risks to confidentiality that psychiatrists may experience, it does not constitute an exhaustive list of issues to consider and is not a substitute for legal advice.
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Underdiagnosing and Overdiagnosing Psychiatric ComorbiditiesDiagnostic assessment of psychiatric disorders and their comorbidities is a challenge for many clinicians. In emergency settings, there is no time to conduct lengthy interviews, and collateralinformation is often unavailable.
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Epidemiology and Treatment of Substance Use and Abuse in AdolescentsThis article covers the spread of substance use problems in adolescents and some of the currently available scientifically proven behavioral treatments for these conditions.
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Reflecting on the Spiritual ManWatchman Nee’s suggestion of a potential link between spirituality and mental health is no longer foreign to the field of psychiatry. Recent studies indicate that spiritual beliefs may have a positive effect on mental health.
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Effects of Psychotherapy on Brain FunctionUnipolar major depressive disorder is a debilitating condition with a lifetime prevalence of 17%. Recent epidemiological evidence indicates that MDD is the fourth leading cause of disease burden and the leading cause of disability-adjusted life years.
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Mini Quiz: Trauma-Informed Care to Reduce Psychiatric RestraintTest your knowledge on strategies to reduce and prevent restraints and seclusions among children and adolescents in psychiatric settings.
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A New Treatment Option for Major DepressionTranscranial magnetic stimulation (TMS) is noninvasive focused brain stimulation that uses pulsed magnetic fields. The underlying mechanism depends on the principle of electromagnetic induction, the process (discovered by Faraday in 1839) by which electrical energy is converted into a magnetic field and vice versa.1
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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?
