Managing Anxiety in the Medically Ill
The authors examine anxiety in the medically ill: its presence secondary to or as an impersonator of physical illness and its diagnostic and management challenges.
Introduction: Risk Factors, Pharmacological Interventions, and Sequelae of Suicidal Behavior
December 31st 2014The articles in this Special Report address suicidal behavior in the context of the role of sexual identity, the effects of antidepressants and lithium on suicidal behavior, and clinicians’ reactions in the aftermath of suicide.
The Relationship Between Antidepressant Initiation and Suicide Risk
December 31st 2014Ten years ago, the FDA placed a black box warning on all antidepressants because of concerns that the medications increase risk of suicidal thoughts and behavior in youths. It's time for the FDA reevaluate that decision.
Introduction: A Biopsychosocial Model of Care
November 28th 2014The past decade has been an exciting one for the field of psychosomatic medicine. It has been recognized as a specialty and now has a certification examination. In this Special Report, we discuss some of the approaches that are being taken to special populations within the psychosomatic medicine community.
Brief Psychotherapy at the Bedside: Existential Neuroscience to Mobilize Assertive Coping
November 28th 2014For severely ill patients, understanding the neurobiological underpinning of assertive coping provides an additional map for rapid assessment, formulation, and intervention to bolster assertive coping.
Transplant Psychiatry: Issues for Clinicians
November 28th 2014The role of transplant psychiatrists is to assess both transplant and donor candidates to determine capacity to consent to the surgery, recent stressors and coping skills, social supports and availability of caregivers, and whether there are psychological or substance abuse issues that would affect outcomes.
Consultation/Liaison Psychiatry in Geriatrics: Overcoming Challenges and Finding Solutions
October 30th 2014This article summarizes 5 cases from consultation services at several teaching hospitals. These challenging cases illustrate several points for the consultation/liaison psychiatrist to consider in caring for elderly hospitalized patients.
Ketamine for Treatment-Resistant Unipolar Depression: Current Evidence
September 30th 2014The discovery that a single IV infusion of low-dose (subanesthetic) ketamine exerts rapid antidepressant effects constitutes an expansion in our understanding of the neurobiology of depression and provides new avenues for drug development.