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The Dementias: Neuropsychiatric Syndromes of the 21st CenturyIn the new century, the dementias will probably become 1 of the 2 or 3 dominant behavioral health problems in the United States. This article provides an overview of the major clinical features of these cognitive loss syndromes and emphasizes the perspective of the practicing psychiatrist.
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The Importance of Evolutionary Psychiatry Explored at Annual MeetingLeveraging evolutionary psychiatry may help clinicians and patients alike.
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Mini Quiz: Social PhobiasWhen treating social phobias, the addition of D-cycloserine has been noted to enhance the response to behavior therapy. How does D-cycloserine promote fear extinction?
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People Who Hoard AnimalsThe existing literature on the hoarding of animals by human beings has been written by officials of the Humane Society of the United States and animal shelter operators. Only one case series appears in medical or psychological literature.
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The Hoarding of Animals: An UpdateThe authors provide information about the human-animal bond that may provide a starting point for understanding the development of animal-hoarding disorder.
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Symposium on Psychology and National Security at the Italian EmbassyThe Embassy of Italy in Washington, DC recently hosted the first of 2 workshops on “Leaders and Terrorists: Psychological Perspectives on National Security.”
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Movement Disturbances Associated With SSRIsThe SSRIs have become the most widely prescribed antidepressants in the United States. With this increased use has come more information on adverse events associated with their use, such as sexual dysfunction. However, movement disturbances associated with SSRI use can adversely impact treatment. This article explains the pathology of movement disorders and describes confounding variables such as other medications, pre-existing neurological insults and the nature of case reviews. Those at risk include the elderly, patients taking neuroleptics and those exposed to high levels of SSRIs.
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Flakka: A Deadly HighThe abuse of this dangerous designer drug that can be purchased online is rapidly on the rise in the US.
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Unique Challenges and Joys of Rural Small-Town Outpatient PsychiatryWhen you have a strong team, you can provide quality mental health care and have an immensely satisfying career-even in the middle of a cornfield.
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The DSM-5 Cultural Formulation Interview and the Evolution of Cultural Assessment in PsychiatryThis evidence-based tool is composed of a series of questionnaires that assist clinicians in making person-centered cultural assessments to inform diagnosis and treatment planning.
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Comorbid Clinical and Personality Disorders: The Risk of SuicidePersonality disorders are arguably the most challenging for psychiatrists because they are difficult to diagnose and frequently coexist with psychotic, affective, and anxiety disorders.
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Macho, Bravado, and Eating Disorders in Men: Special Issues in Diagnosis and TreatmentEating disorders are still thought of as a “female problem.” But 25% of those with anorexia and 36% of those with bulimia are males.
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5 Key Issues About Comorbidity in Geriatric Bipolar DisorderClinicians need to consider and manage multiple medical and cognitive comorbidities when working with the elderly population. This slideshow provides an overview of key points relevant to geriatric bipolar disorder as it relates to comorbidity.
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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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DSM-5: What It Will Mean to Your PracticeUndoubtedly there will be problems with some of the additions to DSM-5, with some of the combinations, with some of the new nomenclature, and with some of the new criteria sets. But practitioners will find most of DSM-5 to be well considered and well written. It is unfortunate, however, that much of its nomenclature is out of sync with the rest of medicine.
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Combined Pharmacotherapies and Behavioral Interventions for Alcohol DependenceThe COMBINE study was only one trial designed by academics to maximize internal scientific validity. It excluded individuals with other significant psychiatric and medical illnesses (more often the rule than the exception in some clinical settings)-individuals deemed too severely ill or who needed hospitalization.
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Recognizing and Treating Depression in Asian AmericansCompared with other ethnic groups, Asian Americans underuse mental health services, resulting in delayed treatment and higher attrition rates. A report by the surgeon general states that the underutilization is because of the shortage of bilingual services, the low percentage of health care insurance coverage, and the Asian American tradition of using mental health treatment only as a last resort.
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Re-Examining Seasonal Affective DisorderMany patients, particularly those living in colder climates, can suffer from seasonal affective disorder (SAD). What causes SAD and what are the treatment options for these patients?
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What Is the Role of Vitamin D in Depression?Vitamin D has been hailed as the “sunshine” vitamin with many therapeutic attributes. The authors explore the association between vitamin D deficiency and increased risk of depression.
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The Goldwater Rule Is Still RelevantCOUTERPOINT: A small number of psychiatrists have been critical of our profession’s restraint regarding public comments by psychiatrists about the mental health of the 45th President.
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Phase 2 HIPAA Audits: Strategies for CliniciansThe next phase of HIPAA compliance audits has arrived. Clinicians who are HIPAA-covered entities-or business associates-would be well served to prepare now.
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Weighing the Benefits of Genetic Information in Clinical PsychiatryHave you considered using pharmacogenomic testing in your practice?
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Substance Abuse in Women: Does Gender Matter?There has been a growing awareness in recent years of the importance of gender in medical treatment and research. While much past research in addiction focused on men, there is now recognition that biologic and psychosocial differences between men and women influence the prevalence, presentation, comorbidity, and treatment of substance use disorders.
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Keys to Success in ADHD TreatmentClinicians who treat children with ADHD face a challenging conundrum. Although our understanding of ADHD and its evidence-based treatments has increased significantly in recent years, the number of successful treatment outcomes has not.
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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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Envy-The Forgotten Narcissistic IssueOf the 7 "deadly" sins that are committed by humans, envy is primarily directed toward the destruction of an external object. Over the centuries, this unfortunate emotion has been the subject of inquiry by many disciplines (philosophy, religion, sociology, fiction, and so on).
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Pressing Issues in Personality DisordersWhat are the cultural psychiatry perspectives on personality disorders? Don't miss this APA session!
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Repetitive Self-Injurious Behavior: The Emerging Potential of Psychotropic InterventionRepetitive self-injury can be one of the more difficult conditions to treat. What is the biochemical basis for self-injury and how can psychiatrists treat this condition?
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The Columbia Mall ShootingIn periodic entries in his journal, the Columbia Mall shooter acknowledged having a “general hatred toward others.” He had insight into his deteriorating condition, as he felt himself slipping away from rationality and health.
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Malpractice and Liability in PsychiatryWhat do you do if you get sued? This new book provides a guide, with a comprehensive view of malpractice and liability issues across psychiatry.
