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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.
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Update on AutismAutism is demanding increased attention by professional and lay audiences; prevalence seems to be increasing. There are differing opinions about whether the increase is due to greater recognition and reporting, diagnostic expansion and substitution, or increasing acceptability.
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We Shall Fight Them on the BeachesSettlements by two insurance companies in the RICO lawsuit could have an major impact on psychiatry practices.
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Response to: “Psychiatric Symptoms Can be Understood Even When These Symptoms Cannot Be Explained”Dr Muller, in his piece “Psychiatric Symptoms Can be Understood Even When These Symptoms Cannot Be Explained,” makes a number of assertions about DSM-III and its successors that reflect a mischaracterization of its “descriptive approach.”
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Clinical Implications of Working With Patients on Parole or ProbationMany patients with serious mental illness become entangled with the justice system. Extending our notions of interdisciplinary teams to include parole and probation officers provides us with options and opportunities not typically available otherwise in support of our patients.
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Why Evidence-Based Medicine Cannot Be Applied to PsychiatryEvidence-based medicine (EBM) is rapidly becoming the norm. It is taught in medical schools and is encouraged by both government agencies and insurance plan providers. Yet, there is little proof that this model can be adapted to fit psychiatry.
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Smoking Cessation During Substance Abuse TreatmentAn overview of the critical issues involved in overcoming personal and organizational barriers to help substance abusers quit smoking.
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From Bench to Bedside: The Future of Neuroimaging Tools in Diagnosis and TreatmentSchizophrenia poses a challenge for diagnosis and treatment at least in part because it remains a syndromal diagnosis without clearly understood neuropathological bases or treatments with clearly understood mechanisms of action. Neuroimaging research promises to advance understanding of the unique pathological processes that contribute to this syndrome, and to foster both better appreciation of how current treatments work, and how future treatments should be developed.
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Improving Understanding of Veteran Suicide Relative to VHA Service UseThe authors summarize findings from the first study to compare suicide risk for veterans who do and those who do not use VA services.
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Somatization in the Primary Care SettingSomatoform disorders (disorders that are not fully explained by a medical condition or mental disorder) may require psychiatrists to consult with physicians.
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At-Risk Children in the US Deserve Careful AssessmentIn an international network of patients with bipolar illness, more offspring of US patients than of those from Europe had received a mental illness diagnosis. This suggests greater epigenetic vulnerability in Americans.
