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The Role of Psychiatrists in HIV PreventionBecause over half of persons with HIV infection have a lifetime history of depression or bipolar disorder, psychiatrists are uniquely positioned to provide both preventive and therapeutic interventions to vulnerable patients.
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Suicide in Older Adults: Management and PreventionBeyond demographic characteristics, risk and protective factors for suicide in older adults have been much more clearly defined in recent years by a series of methodologically rigorous, case-controlled psychological autopsy studies.
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Bipolar Disorder: Got Antidepressants?Unspecified bipolar disorder? Comorbid borderline personality disorder? Or, in the case presented here, is it time to break out the mixed specifier from DSM-5?
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Key Stressors in Transplant PsychiatryHere: A summary of indicators for stress and anxiety in patients undergoing transplantation, and why it is important for psychiatrists to be aware of these factors.
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Understanding and Treating DeliriumThis CME article reviews the pathophysiology and epidemiology of delirium and provides strategies for assessment, prevention, and management of this syndrome.
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Dialectical Behavior Therapy Skills Training Is Effective InterventionThe latest research on DBT for treating psychiatric disorders, such as ADHD, bipolar disorder, eating disorders, and depression.
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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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Frontolobular Cystic Mass and Hydrocephalus in Woman With Headache and LethargyA previously healthy 35-year-old woman was admitted to a New York City hospital after presenting to the emergency department (ED) with a 10- to 14-day history of generalized weakness, progressive frontal headache, and lethargy. She immigrated to Brooklyn, New York, from urban Haiti 9 years previously and had not returned to Haiti since. She denied any recent travel elsewhere and had no pets. An HIV antibody test, performed 4 months before ED presentation, was negative.
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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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The State of Psychiatry in RussiaIt may be difficult for our American and European colleagues to imagine the constraints under which Russian psychiatrists practice. In Russia, treatment of the psychiatric population is at the mercy of government and society.
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Lessons Learned From Treating COVID-Related AnxietyStrategies for educating patients on COVID-19 transmission and epidemiology, as well as dispelling myths
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Clinical Implications of Substance Use on Suicidality Among YouthsBoth the American Psychiatric Association and the American Academy of Child and Adolescent Psychiatry have identified substance abuse as a top risk factor for suicide in youths.
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Introduction: Trauma and Its Psychiatric ConsequencesThe articles in this Special Report focus on the interplay between trauma and its consequences, including violent behaviors, substance use disorders, and stroke. Taken together, the articles may contribute to a better understanding of-and treatment development for-patients exposed to trauma.
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Assessing Suicide Risk in Patients With Borderline Personality DisorderPatients with borderline personality disorder are at a much higher risk for suicide attempts than patients with almost any other mental illness. Here, a case report and examples are presented to help clinicians assess, diagnose and treat patients with BPD who have attempted or are threatening suicide.
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Treating Complex Trauma SurvivorsThis CME outlines distinguishing features of PTSD, complex trauma, and the dissociative subtype of PTSD (DPTSD), with an explanation of the distinctive neurobiological subtype of DPTSD.
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Using Antidepressants During Pregnancy: An UpdateUsing Antidepressants During Pregnancy: An Update
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Treatment-Resistant OCD: Strategies and Novel Treatment OptionsOCD is highly comorbid and warrants consideration in difficult to treat cases. Learn more here.
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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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Film Review: The Last Interview of Thomas SzaszA documentary film review that compels one to wonder if Szasz’s alleged suicide should be seen as a courageous adherence to the principles by which he lived or a symptom of a pathological avoidance of helplessness. Dr Szasz might reply that either way, it was his choice.
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HoardingMany of the things that we busy ourselves with have no apparent utility. Blogging, playing games, and collecting come to mind. To declare that we are compelled to do these things may be too strong, but we do pursue these activities with little deliberation and without concern as to their usefulness. The ubiquity of these pursuits suggests that these activities or their variants helped humans survive at some point and that they now rest on innate brain programs.
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Psychotherapy and Psychoanalysis: The Real Spielrein Between Jung and FreudDown through the decades, psychotherapy and psychoanalysis have been portrayed in many Hollywood films and in television sitcoms but not with the suggestion that they are dangerous methods.
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Psychodynamic Psychiatry: A Case ReportThe author presents a fictionalized case based on a real patient to encourage colleagues to pursue psychodynamic psychiatry.
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Being Human: An Interview With Daniel J. Siegel, MDHow might a better understanding of the mind enhance someone’s life and optimize a clinical encounter?
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6 Diagnostic Features of Hoarding DisorderPeople with HD can experience social isolation, divorce, separation or alienation from family members and friends, not to mention risk of injury or death.
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Reflections on the Cruel and Subtle Costs of Racism and BigotryRecent events in Charlottesville are poignant reminders that the wounds caused by bigotry and racism leave a deep imprint on our spirit, bodies, and psyche.
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Partnering With Primary Care Clinicians to Improve AdherenceMany psychiatrists have patients who they know would do better if their adherence to treatment could be optimized. Here's a case in point.
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Warning: Antidepressants May Cause Messaging ManslaughterNeither time nor science has given pause to some attorneys who exploit the misunderstanding that surrounds the putative "criminogenic" effects of antidepressants.
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QT Prolongation and AntidepressantsIn the past decade, the effects of antidepressants on the QT interval and the subsequent risk of cardiac arrhythmias have become a notable concern. When the FDA released a drug safety communication about the risk of abnormal changes in the electrical activity of the heart with citalopram, providers learned to consider this risk as not only an adverse effect of a specific medication, but also the consequence of drug-drug interactions.
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Partnering With Primary Care Clinicians to Improve AdherenceMany psychiatrists have patients who they know would do better if their adherence to treatment could be optimized. Here's a case in point.
