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Managing the Psychiatric Manifestations of Parkinson Disease: An UpdateParkinson disease (PD) is a progressive neurodegenerative disorder affecting 1% of people 65 years and older. The core symptoms include the motor manifestations of tremor, bradykinesia, and rigidity.
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Lithium Therapy, Bipolar Disorder- and NeurocognitionFunctional mood stability can be attained with lithium therapy, but guidelines on how to get there have become increasingly sophisticated.
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Why Are Young Westerners Drawn to Terrorist Organizations Like ISIS?The authors explore possible reasons why young people in the West leave their families, friends, and home culture to join terrorist organizations.
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The Links Between PTSD and Eating DisordersDespite an abundance of studies linking both traumatic experiences and anxiety disorders with eating disorders, relatively little has been reported on the prevalence of associated posttraumatic stress disorder (PTSD) or partial PTSD in patients with eating disorders.
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On Leadership and Holding the LanternIn this incredible era of breakthroughs in neuroscience and its applied therapies, psychiatrists have been recognized as leaders and pioneers in battling the previously elusive maladies of the human condition. In the darkness, people instinctively follow the person carrying the lantern. As a consequence, I am not necessarily sure where we're going.
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Bedlam: London and Its MadAs expected from an Oxbridge graduate, author Catharine Arnold’s Bedlam: London and Its Mad is a well-written and very readable book. “This book is for all whose lives are touched by madness” is a laudable objective.
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Preadoption Risk FactorsAlthough adoption dates back centuries, the issue of whether or not adopted children are at risk for psychological maladjustment remains controversial. That this dispute would occur at all is not surprising, since as recently as 1926 laws which liberalized adoptions in England were faced with a widespread objection that adoption would encourage depraved conduct.
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Prevention and Treatment of AddictionIn 2006, substance dependence or abuse was diagnosed in about 22.6 million persons in the United States.1 Addiction-related morbidity and mortality pose a major burden to society, costing our economy more than $500 billion annually: about $181 billion for illicit drugs,2 $168 billion for tobacco,3 and $185 billion for alcohol.4
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Marketing Off-Label Uses: Shady Practices Within a Gray MarketFor pharmaceutical companies, off-label use of a drug represents a substantial “gray market,” to which the company is unable to sell their product directly, yet may be a significant revenue stream. Some drugs have been used more for off-label purposes than for originally approved indications.1
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Addressing Myths and Facts About Cannabis UseTimothy W. Fong, MD, touches on our current understanding about cannabis use for psychiatric disorders.
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Substance Use Among Adolescents and Young AdultsIn this CME, check out best practices for screening and treating adolescents and young adults with substance use issues.
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News Brief: ICU Staff May Suffer From Psychiatric DifficultiesCaregivers in high-pressure medical settings, such as intenstive care units (ICUs), can suffer from high levels of stress, resulting in emotional exhaustion, diminished empathy for patients, and decreased productivity.
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Psychiatric Conditions Affecting Physicians With Disruptive BehaviorThis study highlights the need to consider a holistic approach when discussing the problem of disruptive behavior in health care settings.
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Impacting Policies, Practices, and Other PhysiciansDo you need to build leadership skills? Check out this 2024 APA Annual Meeting session from the American Association for Psychiatric Administration and Leadership!
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Taking Culture Into Account When Assessing a Young PatientThis list serves as a guide when treating persons of diverse cultures and backgrounds.
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10 Salient Points About Migraine and Psychiatric ComorbidityWhere do migraines and psychiatric disorders intersect? Learn more.
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Development of a Transdiagnostic Unified Psychosocial Treatment for Emotional DisordersResearch emerging from the field of emotion science suggests that individuals who have anxiety and mood disorders tend to experience negative affect more frequently and more intensely than do healthy individuals, and they tend to view these experiences as more aversive, representing a common diathesis across anxiety and mood disorders.1-5 Deficits in the ability to regulate emotional experiences, resulting from unsuccessful efforts to avoid or dampen the intensity of uncomfortable emotions, have also been found across the emotional disorders and are a key target for therapeutic change.
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Mobile Apps for Mental HealthHere: a look at Mobilyze and CrossCheck--2 apps currently in development that are embedded within smartphones and designed to capture objective data on patients to provide timely treatment and relapse prevention.
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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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Metabolic Monitoring for Patients on Antipsychotic MedicationsIn this CME article, the focus is on the significance of metabolic changes that develop during antipsychotic treatment, as well as on strategies to incorporate metabolic monitoring into clinical practice.
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Using Brain Science to Develop Better, Safer, More Effective TreatmentsDeep brain stimulation for substance use disorders when everything else fails, the history of the ACNP, and more.
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PointPrior to training in psychiatry, my practice was in a rural primary care setting where I routinely collaborated closely with physician assistants and nurse practitioners. I see prescriptive privileges of one form or another for psychologists to be an inevitability. I watched a similar struggle for nurse practitioner prescriptive privileges in Oklahoma during my stint in primary care. My recommendations to physicians in California would be to endorse prescriptive privileges for other mental health professionals in the format of the "physician extender" model similar to the traditional physician assistant.
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Understanding the Role of Sigma-1 Receptors in Psychotic DepressionSelective serotonin reuptake inhibitors have been shown effective in the treatment of depression with psychosis. This efficacy appears to correlate with the SSRIs’ level of affinity at the sigma-1 receptors in the brain. What role does the sigma-1 receptor play in psychotic depression? Based on this role, are there implications for other treatments?
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Psychogenic Non-Epileptic Seizures: Clinical Issues for PsychiatristsThe authors shed light on a disorder that is difficult to diagnose and manage, and offer insights on how to develop an appropriate treatment plan.
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Implications for Treatment and Prognosis of Borderline and Substance Use DisordersBorderline personality disorder (BPD) and substance use disorder (SUD) often co-occur. Comorbid BPD and SUD is related to a variety of severe adverse outcomes.
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What Role Does (Should) Lithium Play in Suicide Treatment/Prevention?An interesting pharmacological approach in terms of anti-suicidal strategies is the use of lithium for treatment of patients with affective disorders. Details here.
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Personalized Medicine and Psychiatry: Dream or Reality?This article explores the current state of knowledge regarding personalized medicine in psychiatry and discusses how the tools might be used to help psychiatrists understand the components of their patients’ unique endophenotypic profiles.
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Racial Encounters in MedicineAs an intern fulfilling my internal medicine outpatient rotation requirement, I worked in an urgent care walk-in clinic. One afternoon, I entered the waiting room to meet my last patient of the day. He was a 65-year-old white man who was receiving a workup for renal carcinoma.
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Role of Acupuncture in the Treatment of DepressionAcupuncture is associated with an increase in the level of neurobiologically active substances, such as endorphins and enkephalins. There are also data indicating that acupuncture induces the release of norepinephrine, serotonin, and dopamine.
