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Resilience Can’t Be Taught-But It Can Be LearnedResidency was going according to plan until a phone call changed everything.
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Rural Telepsychiatry: The Future Is BrightVarious populations of patients can benefit from telepsychiatry. The goal is not to replace local mental health resources but to enhance existing capabilities. This article articulates successful interventions as well as topics to consider when developing a telepsychiatry service.
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Trauma Associated With Living in Violent NeighborhoodsPsychiatrists need to understand how living in violent families and neighborhoods increases the likelihood of trauma and the psychiatric sequelae associated with it as well as how to respond in the aftermath.
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Developmental Psychopathology Comes of AgeChild and adolescent psychiatry is in a position to inform the entire practice of general psychiatry in numerous other areas, including mood disorders, ADHD, and psychosis, as well as the topics...
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A Look at the Ethical, Legal, and Clinical Issues Associated With Information TechnologyNew technologies pose challenges in the need to maintain boundaries and confidentiality. The same boundaries and ethical standards that existed in the 20th century must be thoughtfully applied with all new and developing technologies of the 21st century.
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Motivational Interviewing: An Inspirational OverviewHere: A 10-minute podcast on the spirit and principles that underlie motivational interviewing and the key skills and tools to encourage positive behavioral change.
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Video: Medical Malpractice: A Focus on TechnologyMany health care professionals do not know how standards of care and medical malpractice are determined. This lack of knowledge can result in either inadequate communication or defensive medical treatment. Dr Rodgers reviews malpractice standards and addresses issues regarding technologies such as email, social networking, and cyber-treatment.
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Promising Strategies for Treatment-Resistant DepressionIn this CME, review novel, currently available, and promising pharmacological treatment options for treatment-resistant depression.
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Psychopharmacologic Therapy in Pregnancy: Effects on NewbornsThere is a tendency to avoid psychiatric medications during pregnancy, but the high prevalence of psychiatric disorders in pregnant women means that women and their physicians must make impromptu decisions regarding the initiation or continuation of drug therapy.
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Neurobiological Underpinnings of Obesity and Addiction: A Focus on Binge Eating Disorder and Implications for TreatmentThis CME is intended to help differentiate binge eating disorder (BED) from other eating disorders and understand the mechanisms that may put BED into the realm of addiction disorders.
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The Concept of Recovery in Major DepressionIn clinical medicine, the term recovery connotes the act of regaining or returning to a normal or usual state of health. However, there is lack of consensus about the use of this term (which may indicate both a process and a state), as well as of the related word remission, which indicates a temporary abatement of symptoms. Such ambiguities also affect the concepts of relapse (the return of a disease after its apparent cessation) and recurrence (the return of symptoms after a remission).
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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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Postpartum Psychosis: Updates and Clinical IssuesThe authors focus on the epidemiology of postpartum psychosis, its clinical presentation, etiology, treatment, and strategies to prevent its recurrence.
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Diagnostic Criteria for PIISD – Private Insurance Induced Stress DisorderSimilar to some forms of PTSD, this disorder is prone to be severe because the stressor is of human/corporate design. Note: this diagnosis is not currently reimbursed by health insurance carriers.
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Research in Psychosomatic Medicine: Beginning to Set the Future AgendaA discussion of the current evidence base of psychosomatic medicine in the context of its public health significance and suggestions for the future development of the field.
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Can You Trust Your Physician?Statutes in 8 states are not designed to assure informed decision-making, say these psychiatrists; instead they represent an unprecedented effort by the government to use physician communications as an instrument for discouraging pregnant women from exercising their constitutional right to make their own reproductive choices.
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Psychiatric Liability: A French Psychiatrist Sentenced After a Murder Committed by Her PatientOn December 18, 2012, French psychiatrist Daniele Canarelli, age 58, received a 1-year suspended prison sentence by the Criminal Court of Marseille after one of her patients killed someone.
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Meeting the Mental Health Needs of Patients With Chronic Medical Illness: A Crisis in AccessAccording to recent estimates,chronic medical conditionsaccount for 7 of every 10 deathsin the United States and have been foundto severely limit daily functioning in morethan 1 of 10 Americans, or 25 millionpeople This tremendous disease burdenaccounts for most of the dollars spenton health care annually in the UnitedStates.
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Contraception and MisconceptionsPsychiatrists who treat women and adolescent girls may find it necessary to discuss with their patients reproductive planning and the role of contraception in setting comprehensive treatment goals. Here's why.
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Posttraumatic Stress Disorder: Neurobiology, Psychology, and Public HealthIn recent years, we have learned a great deal about posttraumatic stress disorder (PTSD) and its public health implications. From 9/11 to Katrina and the present Iraq war, PTSD has been in the forefront of health concerns and public policy.
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Creative Expressions and the Unconscious MindPainting and writing are ways in which this clinician expresses herself and relaxes after a hard day's work with patients.
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The Grief MonsterShe wondered what the secret was to life as a psychiatrist, a grieving daughter, and a new mother of twins.
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New Approaches and Considerations to Cancer and SuicideAlthough estimates vary, patients with cancer are at least twice as likely to die by suicide than people who do not have cancer. By identifying those at greatest risk, these treatment modalities can help support patients.
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The Challenges and Rewards of Rural PsychiatryDespite its many challenges, rural psychiatry can be particularly rewarding because it allows an opportunity to provide much-needed care and the ability to be at the forefront of helping to close gaps in health care disparities.The privilege of being a true community resource and the ability to improve overall community mental health give meaningful purpose to the work of a rural psychiatrist.
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Addiction and the Eating DisordersAlthough comprehensive theories of addiction recognize the etiological importance of environmental and cognitive factors, it has been widely accepted for many years that addiction is also a brain disease and that individuals differ in their susceptibility to this condition.
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The Role of Substance Abuse in Intimate Partner ViolenceIntimate partner violence is a common problem and a significant public health concern. Substance use is involved in 40% to 60% of IPV incidents. Several lines of evidence suggest that when substance use and IPV co-occur, substance use may play a facilitative role in IPV by precipitating or exacerbating violence. This article will review epidemiological, clinical and treatment research relevant to substance-abusing men with co-occurring domestic violence.
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Childhood-Onset Schizophrenia: Diagnostic and Treatment ChallengesPersons with childhood-onset schizophrenia appear to have the poorest outcome among those in whom schizophrenia is diagnosed.
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Beyond AddictionThe authors of this book leave readers feeling empowered, knowing that they can be an important driver of change. It also reminds psychiatrists about some core components of the patient experience.
