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Update on Psychogenic Nonepileptic SeizuresThe authors take an in-depth look at the evaluation, diagnosis, and fundamental treatment recommendations, protocols, and guides to therapy for psychogenic nonepileptic seizures.
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Elder Abuse and Neglect: Appearances Can Be DeceptiveThe number of persons affected by elder mistreatment and self-neglect is growing-with consequent increases in morbidity and premature mortality.
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The Death Penalty and Mental Illness: An Evolving Standard?Although a majority of states still permit capital punishment, this may not represent the true national mood: many of these states have not had an execution in more than 10 years.
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Cognitive Difficulties Associated With Depression What Are the Implications for Treatment?Subjective complaints of impaired concentration, memory, and attention are common in people with major depressive disorder (MDD), and research shows that a variety of structural brain abnormalities are associated with MDD.1 These findings have intensified the interest in quantitative assessment of cognitive and neuropsychological performance in patients with mood disorders. Many studies that used standardized cognitive tests have found that mild cognitive abnormalities are associated with MDD and that these abnormalities are more pronounced in persons who have MDD with melancholic or psychotic features
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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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Gender Differences in Panic DisorderAccording to National Comorbidity Survey data, panic disorder is 2.5 times more prevalent in women than in men. Do physiological changes for women during the perimenstrual and perimenopausal phase play a role in this disorder?
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Risk of Aggressive Behavior in Bipolar DisorderRanked by the World Health Organization among the top 10 most disabling disorders in the world, bipolar disorder was the subject of review in a recent study. Here, a video summary by the lead author of a study on bipolar disorder and aggression.
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Unexplained Physical Symptomshe key manifestations of DSM-IV somatoform disorder are unexplained physical symptoms or complaints that tend to coexist with other psychiatric syndromes or are linked to psychological issues. These symptoms typically lead to repeated medical or emergency department visits; are associated with serious discomfort, dysfunction, and disability; and lead to significant health expenditures.
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The History and Value of Guidelines for Best Practices of Telemental HealthTelepsychiatry has its origins in the 1950s and has moved from an esoteric curiosity to mainstream practice. However, it has been challenged along the way at many turns.
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Second Messenger Systems, Genes, Neurogenesis, and Mood DisordersFor many years, research on mood disorders has focused on neurotransmitters, particularly on the monoamines (serotonin, norepinephrine, and dopamine) and their action at the neuronal junction, or synapse. Although the monoamine theory helps explain the action of tricyclics, monoamine oxidase inhibitors, and SSRIs, it fails to account for many other things.
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What Are Common Comorbidities in ADHD?In this article, Julie Sherman, PhD and Jay Tarnow, MD briefly discuss the latest research findings on ADHD.
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Highlighting Brain-Based Inequalities for Women: From Bedside and Boardroom to PolicyThe COVID-19 pandemic has exacerbated mental health and gender inequalities around the world. Understanding the causes is the first step toward finding solutions.
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Quitting Smoking: Therapeutic in Mental Health TreatmentMany patients report that smoking helps them with their stress and psychological disturbances. However, smoking may actually worsen some of these symptoms. When is the right time for your patients to quit?
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An Autistic Child With Psychotic SymptomsAutism and schizophrenia may present as 2 separate disorders that need to be differentiated, or treated as comorbid conditions. It is important to remember that some individuals may have both disorders, which has implications when designing appropriate biopsychosocial interventions.
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The Value of Measuring Health Care QualityConsider the following scenario: You are contacted by the major health plan with which you contract and are told that your average length of inpatient stay is longer than their standard. You believe this is because your patients are more severely ill than average. How do you respond?
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Understanding Addiction as Self Medication: Finding Hope Behind the PainWhy do people get addicted? Of the countless books that have been published on this topic, this is the first that focuses on the self-medication hypothesis (SMH). Understanding Addiction as Self Medication is largely based on the experiences of the authors and other clinicians with individuals who struggle with addiction.
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Suicide Prevention in Diverse Populations: A Systems and Readiness Approach for Emergency SettingsIn the US, suicide is a leading cause of death, ranking third among youths aged 15 to 24. Rates of suicide attempts and death are highest among US Pacific Island indigenous youths. Emergency departments play a key role in suicide prevention, especially in this and other minority populations.
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10 Salient Points About Migraine and Psychiatric ComorbidityWhere do migraines and psychiatric disorders intersect? Learn more.
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Are Assessment and Treatment Influenced by Ethnicity and Gender?Results from three statewide studies of the clinical practices for assessing and treating children and adolescents with a primary diagnosis of conduct disorder, ADHD or bipolar I disorder demonstrate gender and ethnic differences only for those diagnosed with conduct disorder. The implications of these findings and their similarities to the literature on adults with psychiatric disorders are discussed.
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Nutritional Treatments: The Next Frontier in PsychiatryHere’s how nutrients can ameliorate psychiatric conditions.
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Understanding Child MaltreatmentWithout normative attachment, children can move into their middle years without the tools to succeed in peer relationships, school, and extracurricular activities, opening the door to perils in adolescence.
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Psychiatric Evaluation of Children and Adolescents: It Takes TimePsychiatrists know that it takes longer to interview children and adolescents than adults. Child and adolescent psychiatrists are universally struck by how comparatively easy it is to interview an adult patient, whereas general psychiatrists face the evaluation of a child or adolescent with apprehension.
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A Love of GroupsI am a Registered Nurse of 37 years who has worked in hospice care and psychiatric emergency; I’ve worked as a med/surgical manager and (now) as an inpatient psychiatric nurse. Throughout it all, I most enjoy seeing a patient realize he/she is getting well; I also enjoy conducting small teaching groups to help the patient know how to stay well.
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Pseudobulbar Affect Versus Depression: Issues in Diagnosis and TreatmentThe most challenging aspect of pseudobulbar affect is differentiating it from depression. Episodes of uncontrollable, sudden, and even inappropriate emotions may point to neurologic or psychiatric conditions.
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The Psychiatric Dimensions of NarcolepsyNarcolepsy, cataplexy: symptoms are broad and associated with a range of medical and psychiatric comorbidities. Here: diagnostic and treatment strategies and a look at the BOND study.
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Incorporating Well-Being Into Child and Adolescent PsychiatryA well-being centered approach expands assessment and treatment for the child’s strengths and opportunities for positive experiences with the family.
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Diagnosis and Treatment of Delirium in 2006Delirium must be diagnosed accurately, prevented, and treated because of its pervasiveness and the associated risks of morbidity and mortality.
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GREAT EXPECTATIONS A Warm Welcome to 21st Century PsychiatryIn the last third of the 20th century, psychiatry boldly shook off a 120-year-long philosophical funk and rushed to catch up in the thrilling march of medicine. The biopsychosocial model that once sounded trendy now seems to be an indispensable approach. The pioneers of psychopharmacology who once labored at the margins have now been joined by thousands of bright young doctors who treat patients with depression, psychosis and impulsive aggression and realize that a troubled soul is often expressing the cries of a troubled brain. This issue of Psychiatric Times celebrates the stirring giant that is 21st-century neuropsychiatry--a discipline that derives its immense power and scope from the glad embrace of the twin Enlightenment ideals of humanism and the scientific method.
