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Patient Resistance in Eating DisordersWhy do patients with eating disorders resist treatment? How can the clinician address resistance?
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7 Medical Illnesses That May Present as AnxietyBeyond psychosocial implications of anxiety disorders, an array of physiological effects may ensue.
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Pharmacological Management of the Psychiatric Aspects of Traumatic Brain InjuryTraumatic brain injury (TBI) is a public health epidemic. Psychiatric symptoms after TBI are not just common, but also troublesome.
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Erotic and Psychological IdentitiesWhen people turn to mental health professionals about sexual problems-cyber or otherwise-how comfortable and informed are we?
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Neurological and Psychiatric Effects of Dermatology DrugsA review of systemic medications for dermatologic diseases describes a wide range of adverse events, which range from mild and reversible to permanent and potentially fatal.
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Shelter-Based Collaborative Mental Health Care for the HomelessHomelessness rates in both Canada and the United States have increased dramatically over the past 10 years. Among the homeless, there is a high prevalence of mental illness and substance use disorders.
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Treatment of Traumatic Stress Disorder in Children and AdolescentsThe role of prevention of trauma and prevention of functional impairment after trauma is paramount, because this may disrupt the accumulated physiological and psychological effect of stressors in the individual.
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Stress Reactions to COVID-19This video examines the differences between typical, non-pathological reactions to the stress induced by the COVID-19 pandemic and psychopathology (or mental illness).
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Hormones for Perimenopausal and Postmenopausal DepressionMood and well-being are believed to be regulated by mechanisms of estrogen and progesterone. How effective are they in the treatment of major and minor depression?
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Issues in Treating Patients With Intellectual DisabilitiesPsychiatric disorders in persons with intellectual disabilities are typically more severe and more difficult to diagnose than in the general population. Clearly, those who diagnose ID and treat patients with this condition face a number of challenges.
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Seeing the Forest Through the Fees: Earning Your Green Using the New, Confusing CPT CodesE&M codes are more complicated to learn, but psychiatrists can now deservedly get paid more for treating their more complicated patients or for engaging in time-consuming activities. Here: a focus on codes 99212 to 99215.
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The Neurochemistry of Pediatric Major Depressive DisorderMajor depressive disorder (MDD) in pediatric populations represents a significant public health concern. Rates of MDD rise dramatically in adolescence, with an estimated lifetime prevalence of 15% in adolescents aged 15 to 18.
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A Partnership of Increasing SignificanceThe role of psychiatry in primary care is an area of rapid expansion and increasing significance. Given the fact that inadequate diagnosis and treatment of psychiatric disorders are major public health problems, it is essential to integrate psychiatrists into multidisciplinary primary care teams. Since primary care physicians are increasingly called upon to act as "gatekeepers" in managed care programs, they will have to meet the important and growing need for broader psychiatric diagnostic and referral skills.
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Mini Quiz: Cognitive EnhancersWhich pharmacotherapeutic approach is most effective for cognitive enhancement? Test your knowledge with this quiz.
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Art Therapy in a Patient With Bipolar Disorder: Pictures Speak More Than a Thousand WordsHere: the case of a woman with bipolar disorder who was admitted for aggressive behavior and nonadherence to medications. Art therapy and pharmacotherapy played a pivotal role in her recovery.
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Research That Can Change Clinical Practice in Psychotic DisordersThe need to stay up-to-date with the most current evidence-based information is becoming harder than ever. For this reason, the authors identify and evaluate published research that may have a direct bearing on clinical practice.
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Clinically Based Policy Decisions: In-Person Requirements for Telehealth Create Unnecessary BarriersMedicare's in-person requirement threatens access to quality care.
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Managing the Suicidal College Student: Advice for Community ProvidersAlthough college students are in many ways similar to any patient in their age group, their environment and stressors differ in significant ways. The authors identify issues to consider in assessing and managing suicidality in this population.
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Psychiatric Disorders During PregnancyTreatment with psychopharmaceuticals may prove problematic for pregnant women. The decision to discontinue medications or to adjust dosages to minimize the risk to the fetus has to be addressed. The dynamic balance of treatment options, maternal concerns and practitioner responsibility depends upon staying abreast of the latest research in psychopharmacology and pregnancy.
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Shadows on a Wall: Phenomenology in an Acute Care SettingWe present the case of a patient for whom different attending providers had markedly different interpretations. As the case unfolds, we invite you to reflect on your diagnostic understanding of each presentation.
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Key Takeaways for Treatment of Bipolar 1 DisorderAndrew Cutler, MD, shares his key takeaway advice to psychiatrists for the diagnosis and treatment of patients with bipolar 1 disorder.
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Crossing the Blood-Brain Barrier: Integrating Scientific Innovation With Socio-Ethical Reflection in Predictive MedicineIn this article, we discuss recent advances in drug transporters and nutrient-transporter interactions that can impact drug bioavailability in the systemic circulation and the brain. We also present emerging research strategies that may facilitate the discovery and clinical development of predictive diagnostic tests to identify patients at risk for treatment resistance.
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Clinical Manual of Couples and Family TherapyThe Clinical Manual of Couples and Family Therapy is a succinct, well-written volume that provides evidence for the wisdom behind treatment of the family and/or involvement of the family when treating the patient.
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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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Traditional Healing Concepts and Psychiatry: Collaboration and Integration in Psychiatric PracticeThe authors share a model for psychiatrists interested in collaborating with traditional healing and medicine.
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Mini Quiz: Evaluating Biomarkers of NeurotoxicologyA quiz on biological approaches to evaluating biomarkers of neurotoxicity in the psychiatric setting.
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The Correlation Between Sleep Disturbance and SuicideAll psychiatrists know the risk factors for suicide. Among the newest modifiable risk factors to join the list are insomnia and nightmares.
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Using Complementary TreatmentsThe promise of natural products as possible sources of new treatments for Alzheimer's disease and other dementing illnesses is on the rise. Scientific evidence for the 13 dietary supplements most commonly used for memory impairment is analyzed and evaluated.
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Outcome Assessment in DepressionRegular interval administration of outcome measurement tools has proved to be beneficial in improving the quality of care that we all hope to provide for our patients.
