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Antipsychotics for Behavioral Disturbance in Dementia? A Clinical ConundrumAlthough the adverse-effect profile of older, conventional (typical) antipsychotics has discouraged many clinicians from using them, they remain widely used in elderly patients with dementia.
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New Research Examines Genetics Behind ADHDAttention-deficit/hyperactivity disorder (ADHD) is one of the most widely diagnosed disorders: an estimated 8% to 12% of children are affected worldwide. Although many studies about treatment options have been published, the genetic components that underlie the disorder are still being discovered. A special issue of the American Journal of Medical Genetics, Part B: Neuropsychiatric Genetics, highlights recent research and includes results from the first genome-wide study of patients with ADHD. Genome-wide studies have successfully identified variants associated with obesity and such diseases as age-related macular degeneration, diabetes, and prostate cancer.
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The Case of Factitious Disorder Versus MalingeringPatients who exaggerate, feign, or induce physical illness are a great challenge to their physicians. Trained to trust their patients’ self-reports, even competent and conscientious physicians can fall victim to these deceptions.
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Behavioral and Pharmacologic Treatment of Aggression in Children With AutismThis article will provide an overview of treatment modalities, with emphasis on the future direction of interventions targeting aggression in children with autism.
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Common Augmentation Strategies for Depression: Findings Show Lack of EvidenceIt is estimated that at least half of persons who begin antidepressant treatment will not respond to monotherapy.
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Suicide Among Service MembersThe suicide rate in the US military has steadily climbed over the past 5 to 7 years despite aggressive efforts by the military and the mental health community to counter this trend.
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Should Emergency Medicine Physicians Screen for Psychiatric Disorders?Emergency department (ED) visits have increased from 89 million in 1992 to more than 110 million in 2002, while the number of EDs decreased by about 15% during the same period. One suspected consequence of ED overcrowding is an increased tendency to disregard a psychiatric problem, especially if it is not the chief complaint.
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Mini Quiz: Depression and CancerWhat is the estimated prevalence of psychiatric disorders in ambulatory patients with cancer? Find out in this quiz.
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USPSYCH: Concurrent Treatment Works for Comorbid ADHD and Substance AbuseSAN FRANCISCO -- Given the high prevalence of substance abuse in patients with attention deficit hyperactivity disorder (ADHD), psychiatrists need to consider comorbidity in assessment of both conditions.
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Talking to Families About Mental Illness: What Clinicians Need to KnowTalking to Families About Mental Illness aims to help primary care providers who want to offer family psychoeducation. This book targets non-psychiatrists who diagnose and treat mental illnesses.
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Sexual Minority Identity DevelopmentSexual identity development is a complex, multidimensional, and often fluid process. One must consider cognitive, social, emotional, cultural, and familial complexities among other aspects of the individual’s experience to contextualize a narrative concerning sexual identity development.
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Challenges and Opportunities of Caring for RefugeesHere's a close look at the psychological toll of years of trauma among Syrian refugees.
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Beyond Terminal Illness: The Widening Scope of Physician-Assisted Suicide in the USPhysician-assisted suicide is now legal in 11 jurisdictions in the US. To this, several clinicians say: “We must care for the dying, not make them dead.” Learn more in our June cover story.
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Update on Diagnosis and Treatment of Alzheimer DiseaseAlzheimer disease (AD) affects between 6% and 8% of Americans older than 65 years. As the population of older adults increases, the number of persons with AD is expected to rise from 4.5 million in 2000 to 13.2 million by 2050.1 This disease is important not only because of the number of patients affected but also because it leads to significant physical and emotional burdens on families and caregivers.
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Intervention and Prevention of Morbid Psychosocial OutcomesCommunity awareness of traumatic events and their effects on individuals has increased in the last decade. The articles in the special report section of Psychiatric Times enhance our appreciation of the divergent research and clinical efforts being made assist those who have suffered from the consequences of trauma and its aftermath.
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Neuromodulation in Anorexia Nervosa and BulimiaHow can procedures like repetitive transcranial magnetic stimulation and deep brain stimulation help in the treatment of eating disorders?
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Using Antidepressants During Pregnancy: An UpdateUsing Antidepressants During Pregnancy: An Update
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Little-known Facts About Eating Disorders in Older PatientsEating disorders can frequently be unrecognized or masked behind medical conditions, depression, or the natural changes of aging.
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Poets on Prozac: Mental Illness, Treatment, and the Creative Process“Do poets need to be mentally ill to produce great work? Is creativity heightened by treatment, or does treatment reduce emotional pain to the extent that the poet no longer has anything to say?”
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Prevalence and Consequences of Metabolic Syndrome in Bipolar DisorderMedications used in the treatment of bipolar disorder are commonly associated with weight gain. Antipsychotic drugs have been implicated in new-onset diabetes.
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Traumatic Brain Injury Among Veterans Returning From Afghanistan and IraqThis article addresses the epidemiology, diagnosis, and treatment of mild TBI among combat veterans, with a particular focus on blast injury and the presence of comorbid posttraumatic stress disorder (PTSD).
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Psychiatric Problems in Patients Who Survive Critical Illnesses (Part 2)The psychiatric aftermath of critical illness can involve emerging from the ICU with horrifying memories (of being tortured, raped, assaulted, or imprisoned).
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Inflammation, Psychosis, and the BrainWhen the solution to a clinical or scientific puzzle eludes us for more than a century, as with schizophrenia, we need new methods to examine the pathology. If we want to make an impact on the disease we must shift research paradigms and focus on the early detection, early intervention, and new avenues of treatment that address different symptoms of schizophrenia.
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Mini Quiz: Light Therapy for Winter BluesWhen is the most favorable time for light therapy for seasonal affective disorder? Take the quiz to learn more.
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Maintenance of Certification and Self-MortificationHealth care and medical education must march ever onward-although recently there has been a growing uprising among the ranks of experienced physicians.
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Medical Aid in Dying: Ethical and Practical Issues for PsychiatristsThis CME helps to differentiate the roles of the attending physician and the consulting physician and to recognize the ethical concerns attendant to medical aid in dying.
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Mental Health in a Time of Financial CholeraThe financial tsunami that has hit the United States and most of the rest of the globe is causing unparalleled misery for hundreds of millions. In America, millions of jobs have been lost, and it appears that millions more will be lost. In a nation where home ownership is a cherished expectation and goal, millions are losing their homes. The GNP is shrinking, the value of nearly all investments has plummeted, and the retirement plans of millions have been decimated.
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Novel Methods to Predict Outcome Using NeuroimagingThe capacity of cognitive neuroscience to inform clinical practice has stimulated both excitement and controversy.
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Environmental Toxicants and Autism Spectrum DisorderOn the association between symptoms of autism spectrum disorder with environmental toxin exposure.
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Sex, DSM-5- and the Apocalypse: A CommentaryI just finished reading Dr Zucker’s retort to Dr Frances’ critique of proposed categories for paraphilias in DSM5, as well as Dr Frances’ reply.
