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Restless Legs Syndrome: Clinical Implications for PsychiatristsWhile patients with restless legs syndrome may be successfully treated with a number of medications, comorbid psychiatric conditions present a unique challenge because many commonly prescribed psychiatric medications may worsen RLS symptoms.
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Introduction: The State of Addiction PsychiatryThe articles in this Special Report provide a broad, cross-cutting perspective on the current state of addiction psychiatry, insofar as it may pertain to your own clinical practice.
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Stalking: The Veiled EpidemicThrough high-profile media cases and in film, the American public has had glimpses into the psychological phenomenon and criminal behavior known as stalking. But do these glimpses truly represent the types of stalking offenses that are commonly perpetrated? Academicians and public policy makers have only begun to focus attention on stalkingin the past 10 to 15 years. As is often the case, the dissemination of information relevant to treating clinicians often lags behind by many years. Thus, many mental health professionals have not been adequately trained to recognize stalking behavior and to treat those who perpetrate it.
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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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Atypical Antipsychotics for Children and Adolescents With Schizophrenia-Spectrum DisordersAlthough the onset of psychotic symptoms before the age of 13 years is exceedingly rare, the incidence of schizophrenia rises sharply after the onset of puberty.1 Only 1% of the population has schizophrenia and 30% of these patients experience an onset of psychotic symptoms by age 18 years.2-8 The period that precedes the onset of frank psychotic symptoms (ie, the prodromal phase) has not been well characterized in early-onset schizophrenia-spectrum disorders (EOSS), but retrospective reports have shown that symptoms include high levels of depression and anxiety, emerging cognitive and social deficits, unusual thought content, and (not infrequently) school failure.
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A Multidisciplinary Approach to First-Episode PsychosisFirst-episode psychosis cases are presented here using the RAISE study model-individual sessions, family psycho-education, social advancement in school work, and an expert psychiatrist prescriber.
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Adult ADHD: A Scientifically Invalid DisorderIs adult ADHD validated by research? These authors think not.
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Biological Markers and the Future of Early Diagnosis and Treatment in SchizophreniaBiological Markers and the Future of Early Diagnosis and Treatment in Schizophrenia
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Young, Depressed, and Diabetic?Chronic health problems like diabetes only get worse with depression. New research shows the time is now to address both concerns.
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Getting It From Both Sides: Foundational and Antifoundational Critiques of PsychiatryAlthough the foundational and antifoundational traditions differ in their language and claims, both call into question the legitimacy of psychiatric diagnosis and treatment.
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Obesity in Patients With Psychiatric ConditionsObesity is one of the most common physical health problems in individuals with psychiatric conditions and contributes to excess medical morbidity and mortality. Several classes of psychotropic medications, particularly atypical antipsychotics, cause weight gain. While these issues pose challenges to optimal health, the good news is that there are solutions and emerging strategies.
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Comprehensive Dictionary of PsychoanalysisI believe this book will serve as an invaluable resource for all students of psychodynamic theory as well as their teachers-and I would venture to say that this magisterial text is destined to become a classic.
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Management of Psychosis in Parkinson DiseaseFor some patients with Parkinson disease, the neuropsychiatric complications are a greater source of morbidity than the motor dysfunction. This article focuses on the management of psychosis in Parkinson disease.
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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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Effective Note-Writing: A Primer for Psychiatry ResidentsAn overview of various aspects of taking notes and suggestions for effective documentation.
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Mini Quiz: OCD? Phobia? Or Something Else?The inability or difficulty to experience vaginal penetration is most similar to which DSM-5 disorder? Find out in this quiz.
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Toga Alba: The Mysterious White CoatThe art of creating patient-centered care requires effective collaboration, not only between psychiatrists, but between physicians in a bevy of other specialties as well.
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Can Atypical Antipsychotics Reduce Suicide Risk in Patients With Schizophrenia?Suicide is a devastating, tragically frequent outcome for persons with varying psychiatric conditions, including schizophrenia. An estimated 5% to 10% of persons with schizophrenia commit suicide and 20% to 50% attempt suicide during their lifetime.1,2 Patients with schizophrenia have more than an 8-fold increased risk of completing suicide (based on the standardized mortality ratio) than the general population.3
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Psychiatrists and LawDr Allen Frances pleads for the United States Supreme Court to “step up to the plate” and halt the “disturbing misuse” of the “makeshift” psychiatric diagnosis of Paraphilia NOS (nonconsent).
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Psychiatric Disability: A Step-by-Step Guide to Assessment and DeterminationThe epidemiology and management of psychiatric disability have gained increased attention for a variety of reasons in the past 3 decades. There are issues of empowerment, advocacy, and reduction of stigma. There are also concerns about cost containment as well as reliability, validity, and efficacy of the determination process.
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Exploring the Neurobiology of OCDThe authors discuss common neurobiological processes that may contribute to OCD vulnerability and its persistence.
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Intimate Partner Violence Among Women With Severe Mental IllnessThe 1994 death of Nicole Brown Simpson and the subsequent highly publicized murder trial of her ex-husband, O.J. Simpson, brought increasing national attention to the problems of domestic violence and intimate partner murder. In 2000, there were 1247 female victims of intimate partner murder in the United States.1 Fully one third of female murder victims were killed by an intimate partner.1 On the positive side, rates of female victimization by intimate partner violence and murder appear to have decreased in the recent past.
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Therapeutic Neurostimulation and SchizophreniaThe authors review the evidence for the use of ECT and other novel neurostimulation techniques in the treatment of schizophrenia.
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Defusing CatastropheHere’s how to help patients—and ourselves—recognize cognitive distortions.
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Therapeutic Aspects of the Human-Companion Animal InteractionAlthough the majority of American households includes a pet, it is only recently that we have begun to explore the relationship between people and their pets and the possible physical and emotional benefits of that relationship.
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The Importance of Personal Experiences in Daily Psychiatric PracticeIn psychiatry, we do not complete physical exams; much of our diagnosis is born out of our observations, interviews, and conversations. Other medical fields, particularly surgery, require manual, technical, and motor skills. In this manner, psychiatry is unique. More in this commentary.
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10 Facts About Geriatric PharmacotherapyIt is important to monitor and alter psychotropic medications and dosages in older patients as needed. This slideshow serves as quick reference on the effects of pharmacokinetic and pharmacodynamic changes in the elderly.
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Anxiety in Women With Heart DiseaseWomen are more vulnerable to anxiety and depression, which are linked with the development and progression of heart disease. What has been discovered about the specific psychological outcomes for women with heart disease?
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Psychiatric Issues in Children and Adolescents With DiabetesThe diagnosis of T1DM can be devastating to both the child and family. Because of the potential for immediate life-threatening complications of poorly controlled diabetes, family members must readjust their approach to daily living.
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Examining Anger in 'Culture-Bound' Syndromes"Hwa-byung" and "ataque de nervios," listed in the Diagnostic and Statistical Manual, Fourth Edition (DSM-IV) as culture-bound syndromes, can serve as gateways to understanding anger's role in psychiatric morbidity, according to a panel of experts.
