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Epidemiology and Treatment of Substance Use and Abuse in AdolescentsThis article covers the spread of substance use problems in adolescents and some of the currently available scientifically proven behavioral treatments for these conditions.
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Suicidal Self-Injurious Behavior in People With BPDUnlike other forms of self-injury, suicidal self-injury has special meaning, particularly in the context of borderline personality disorder. How is suicidal self-injury differentiated from non-suicidal self-injury in these patients, and how can their behavior be properly assessed and treated?
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Healthy Beginnings for a New PsychiatristDuring the first year of her child and adolescent psychiatry fellowship, this psychiatrist received an invaluable lesson regarding the importance of “treating the whole patient” in this case, a 16-year-old patient who is pregnant.
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Not Obsolete: Continuing Roles for TCAs and MAOIsIn lecturing to medical students, residents, and psychiatrists during the past several years, we have encountered widespread hesitancy in the use of MAOIs and even TCAs, mainly because of concerns about their safety but also because of doubts about their effectiveness compared with newer alternatives. Thus, it is timely to review the literature on the efficacy and safety of TCAs and MAOIs, with a view to maintaining an appropriate place for these 2 drug classes in the pharmacotherapy of depression.
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Augmentation Strategies in MDD TherapyFor many patients with depression, full symptom remission remains elusive despite multiple trials of antidepressants. This article focuses on psychopharmacological and related interventions.
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Psychiatric Advance Directives: What Psychiatrists Need to Know NowThis article explains and demonstrates the importance of psychiatric advance directives and the benefits and obstacles involved in implementing them.
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Interpreting Digital Information in Forensic SettingsHow can digital therapeutics overcome barriers to psychiatric treatment in forensic settings?
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The Role of Acrolein in Spinal Cord InjurySpinal cord injury, Oxidative stress, Acrolein, Hydralazine
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Genetics and Pharmacogenetics of Schizophrenia: Recent ProgressThis article reviews some of the most recent findings in genetics and pharmacogenetics of schizophrenia-especially those with clinical implications.
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Why Are Young Westerners Drawn to Terrorist Organizations Like ISIS?The authors explore possible reasons why young people in the West leave their families, friends, and home culture to join terrorist organizations.
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Psychiatric Conditions Affecting Physicians With Disruptive BehaviorThis study highlights the need to consider a holistic approach when discussing the problem of disruptive behavior in health care settings.
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Students Struggling With SuicideThe senior vice president of research at the American Foundation for Suicide Prevention offers thoughts on suicide and students.
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Childhood Adversities Associated With Risk for Suicidal BehaviorChildhood adversities associated with suicide risk include childhood maltreatment, problematic family relationships, socioeconomic hardship, and difficult relationships with peers. Acute suicide prevention strategies should focus on the treatment of contributory psychiatric disorders and on the crises that may precipitate suicidal behavior.
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Update on Medical Catatonia: Highlight on DeliriumRenewed interest and emerging systematic data have highlighted the frequency and pattern of catatonic presentations in psychiatric and medical settings, including in critical illness.
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Brain Aging and Dementia: Practical Tips From Clinical ResearchAge is a major risk factor for the development of Alzheimer disease and other dementias. New technologies in brain imaging represent major advances in our ability to diagnose age-related cognitive and behavioral disorders.
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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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Behavioral Issues in Pediatric EpilepsyEpilepsy is one of the most common chronic neurological disorders of childhood. Therapy should consist of education to reduce fears and concerns, psychotherapy to decrease triggers for seizures, and careful medication monitoring to avoid those drugs that reduce seizure threshold or have excessive interactions with antiepileptic drugs.
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Psychiatric Assessment and Treatment in Preschool ChildrenExpansion of age-appropriate developmental psycho-therapeutic services must become a top public health priority to make these treatments more widely available to young children and to capture the potential greater benefit of the earliest possible intervention for mental disorders.
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Perinatal Psychiatry: Where Psychoanalytic Theory, Neuroscience, and Integrated Clinical Psychiatry MeetFrom a psychodynamic and neurobiological perspective, the recommendation to screen all pregnant and postpartum women for depression and anxiety falls short of what is actually needed to improve the lives of many mothers and their infants and children.
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Are Psychiatric Disorders Inflammatory-Based Conditions?A plethora of studies support the hypothesis that inflammation plays a role in the pathophysiology of major psychiatric disorders.
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Juvenile Huntington Disease: Rare But With Psychiatric ImplicationsWhile most clinicians know about Huntington disease, they may not be aware of its devastating effect in cognition and behavior during onset in childhood and adolescence.
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Neuropsychiatric Sequelae of Stroke: Issues and Implications for CliniciansThis review focuses on post-stroke depression, apathy, anxiety, and PTSD, because these disorders occur and have been studied most frequently.
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Childhood Adversities Associated With Risk for Suicidal BehaviorChildhood adversities associated with suicide risk include childhood maltreatment, problematic family relationships, socioeconomic hardship, and difficult relationships with peers. Acute suicide prevention strategies should focus on the treatment of contributory psychiatric disorders and on the crises that may precipitate suicidal behavior.
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Cannabis Use in Young Adults: Challenges During the Transition to AdulthoodFor all its popular appeal, the science that has emerged on cannabis use does not look good--especially for the teenage brain.
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Introduction: Why Does Psychiatry Need the Humanities?Bringing the arts and humanities to psychiatry requires bringing these areas of study into our education, our research and our practice models.
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Mini Quiz: Physical Assault in the Clinical SettingVerbal de-escalation involves validating a patient’s experience, establishing a collaborative relationship, and finding solutions to ensure the patient’s needs are met. More in this quiz.
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DailyDx: Can You Identify These Fetal Cardiac Structures?This is an ultrasound image and echocardiogram of a 28 week old fetus.
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Interventions for Perpetrators of Intimate Partner ViolenceSubstantial progress has been made in the development of etiologic models of intimate partner violence and interventions for individuals who assault their intimate partners. These authors provide details.
