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COUCH IN CRISIS

Is it Time for Re-institutionalization?
Psychiatric Times,  April 20, 2012
New Guidelines Shake Up Treatment of Agitation
March 27, 2012
What Should a Therapist Do in These Situations?
Psychiatric Times,  March 22, 2012
Going Green is Sexy
Psychiatric Times,  March 20, 2012
Are Dogs Man’s Best Therapist?
Psychiatric Times,  February 29, 2012


 
PATIENT RESOURCES
Child Mental Health: MedlinePlus
www.nlm.nih.gov - 4/30/12
48,XXYY syndrome
ghr.nlm.nih.gov - 4/24/12
Articles of Interest, April 13, 2012
www.ahrq.gov - 4/23/12

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CLINICAL TRIALS
Managing Alcoholism in People Who Do Not Respond to Naltrexone
www.clinicaltrials.gov -
Has a current DSM-IV diagnosis of post-traumatic stress disorder ( PTST) or bipolar disorder, or any disorder that may interfere with study participation, at the discretion of the investigator. ... effective contraceptive method if the subject is of child
Effectiveness of Supplemental Calcium in Preventing Postpartum Depression
www.clinicaltrials.gov -
The rapid drop in estrogen and progesterone levels, as well as the social and psychological changes resulting from the birth of a child, can often trigger depression in women. ... Exclusion Criteria:. Currently depressed. Currently taking medications for
Effects of Drugs on Cerebral Blood Flow in Patients With Mood Disorders
www.clinicaltrials.gov -
Patients eligible for this study will be participating in other research studies measuring other clinical and biochemical parameters ( mood and anxiety ratings, medication responses, and psychological test results). ... To determine differences in blood

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Mental Disorders Diagnosed in Childhood

  • What the Future Holds

    This is both an exciting and challenging time to be a child and adolescent psychiatrist. New findings from basic science, genetics, and imaging are changing… Read More

  • Update on Autism

    Autism is demanding increased attention by professional and lay audiences; prevalence seems to be increasing. There are differing opinions about… Read More

  • The Impact of Screen Media on Children

    In essence, screen media constitute neurologically potent, arousing input to the developing brain. Unlike conventional toxins, their effects are mediated by… Read More

  • Keys to Success in ADHD Treatment

    Clinicians who treat children with attention-deficit/hyperactivity disorder (ADHD) face a challenging conundrum. Although our understanding of ADHD and its evidence-based treatments has increased… Read More
 
LATEST FEATURES
February 28, 2012
A Delicate Brain: Ethical and Practical Considerations for the Use of Medications in Very Young Children
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October 7, 2011
Custody Disputes
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July 27, 2011
DSM-5 Will Further Inflate the ADD Bubble: Child Work Group Fails to Learn From Experience
More »
March 15, 2011
Autism and Schizophrenia
More »
February 25, 2010
Treating Child and Adolescent Mental Illness: A Practical, All-in-One Guide
Treating Child and Adolescent Mental Illness: A Practical, All-in-One Guide is just what its title promises: a clinically relevant, encompassing yet... More »
January 11, 2010
Cultural Considerations in Child and Adolescent Psychiatry
The onset of psychiatric illness in a child is a life-changing event for families. Families from immigrant and ethnocultural communities often must... More »
Showing 1 - 6 of 11 results.
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JOURNAL SCAN
Progressive Brain Changes in Children and Adolescents With First-Episode Psychosis [Original Article]
archpsyc.ama-assn.org - 1/2/12

Context  Progressive loss of brain gray matter (GM) has been reported in childhood-onset schizophrenia; however, it is uncertain whether these changes are shared by pediatric patients with different psychoses.

Objective  To examine the progression of brain changes in first-episode early-onset psychosis and their relationship to diagnosis and prognosis at 2-year follow-up.

Design  Prospective, multicenter, naturalistic, 2-year follow-up study.

Child bipolar I disorder is associated with manic episodes in adulthood
ebmh.bmj.com - 8/1/09
Evid Based Mental Health. 2009; 12: 74 doi: 10.1136/ebmh.12.3.74. Prognosis. Child bipolar I disorder is associated with manic episodes in adulthood. ... Does child bipolar I disorder continue into adulthood and what are the characteristics of subsequent
A meta-analysis of neuropsychological functioning in patients with early onset schizophrenia and pediatric bipolar disorder.
pubmed.gov - 1/1/11
Despite the nosological distinction between bipolar disorder and schizophrenia, there is increasing evidence that these conditions share phenomenological characteristics. To examine the similarities in their patterns of cognitive impairment, we conducted a meta-analysis from 12 studies of Early Onset Schizophrenia (EOS) and 12 studies of Pediatric Bipolar Disorder (PBD). We found that individuals with PBD suffer from cognitive deficits (e.g., verbal learning and memory, processing speed, or executive control) that are milder but similar in nature to those of patients with EOS. Qualitative similarities between the neuropsychological profiles produced by these groups of patients might represent a "continuum of psychosis" or reflect some degree of genetic biological overlap.
People with bipolar disorder and comorbid substance abuse are six times more likely to be convicted of violent crime than the general population
ebmh.bmj.com - 2/1/11
Evid Based Mental Health. 2011; 14: 17 doi: 10.1136/ebmh.14.1.17. Prognosis. People with bipolar disorder and comorbid substance abuse are six times more likely to be convicted ... Is bipolar disorder associated with violent crime? 3743 individuals with
Sexual abuse and lifetime diagnosis of psychiatric disorders: systematic review and meta-analysis.
pubmed.gov - 7/1/10
To systematically assess the evidence for an association between sexual abuse and a lifetime diagnosis of psychiatric disorders.|We performed a comprehensive search (from January 1980-December 2008, all age groups, any language, any population) of 9 databases: MEDLINE, EMBASE, CINAHL, Current Contents, PsycINFO, ACP Journal Club, CCTR, CDSR, and DARE. Controlled vocabulary supplemented with keywords was used to define the concept areas of sexual abuse and psychiatric disorders and was limited to epidemiological studies. Six independent reviewers extracted descriptive, quality, and outcome data from eligible longitudinal studies. Odds ratios (ORs) and 95% confidence intervals (CIs) were pooled across studies by using the random-effects model. The I(2) statistic was used to assess heterogeneity.|The search yielded 37 eligible studies, 17 case-control and 20 cohort, with 3,162,318 participants. There was a statistically significant association between sexual abuse and a lifetime

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MEDLINE
Biopsychosocial model of hypersexuality in adolescent girls with bipolar disorder: strategies for intervention.
pubmed.gov - 2/2/12
Engagement in high-risk behaviors, impaired judgment, and hypersexuality present unique health challenges to adolescent girls with bipolar disorder (BD). Behavioral management of sexuality does not routinely fall under the purview of psychiatric care, but requires preventive measures.|This paper presents a biopsychosocial model of hypersexuality in girls with BD, describes factors that lead to high-risk sexual behaviors, and provides a framework for cognitive-behavioral intervention.|The study used a review of empirically based clinical and research literature.|Sexual health education, improved treatment adherence, symptom monitoring, interpersonal skills training, parental involvement, and clinician education can improve hypersexual behavior in girls with BD.
Daily stress and cortisol patterns in parents of adult children with a serious mental illness.
pubmed.gov - 1/2/12
The goal of the current study was to examine whether parenting an adult child with a serious mental illness (SMI) has a physiological impact on parents.|Multiple samples of saliva were collected on 4 days from 61 parents (mean age = 60.07 years, SD = 10.01) of individuals with a SMI (bipolar disorder, schizophrenia, and major depression; mean age = 32.46 years, SD = 10.57) and a comparison group of 321 parents (mean age = 58.09 years, SD = 12.88) of individuals without a SMI (mean age = 32.36; SD = 13.87). Saliva samples were assayed for the hormone cortisol and group differences in diurnal cortisol patterns and their association with daily stress severity were explored.|On days after elevated stress, a hypoactivation pattern of diurnal cortisol suggestive of chronic stress was evident for parents of individuals with a SMI. After more stressful days, cortisol levels increased less from waking to 30 min after waking and declined less from 30 min after waking to bedtime for parents of
Progressive brain changes in children and adolescents with first-episode psychosis.
pubmed.gov - 1/2/12
Progressive loss of brain gray matter (GM) has been reported in childhood-onset schizophrenia; however, it is uncertain whether these changes are shared by pediatric patients with different psychoses.|To examine the progression of brain changes in first-episode early-onset psychosis and their relationship to diagnosis and prognosis at 2-year follow-up.|Prospective, multicenter, naturalistic, 2-year follow-up study.|Six child and adolescent psychiatric units in Spain.|A total of 110 patients and 98 healthy controls were recruited between March 1, 2003, and November 31, 2005. Magnetic resonance imaging of the brain was performed for 61 patients with schizophrenia (n=25), bipolar disorder (n=16), or other psychoses (n=20) and 70 controls (both at baseline and after 2 years of follow-up). Mean age at baseline was 15.5 years (patients) and 15.3 years (controls).|The GM and cerebrospinal fluid (CSF) volumes in the total brain and frontal, parietal, and temporal lobes.|Compared
Cost effectiveness of strategies to combat neuropsychiatric conditions in sub-Saharan Africa and South East Asia: mathematical modelling study.
pubmed.gov - 1/2/12
To assess the comparative costs and effects of interventions to combat five neuropsychiatric conditions (schizophrenia, bipolar disorder, depression, epilepsy, and heavy alcohol use).|Cost effectiveness analysis based on an epidemiological model.|Two epidemiologically defined World Health Organization sub-regions of the world: countries in sub-Saharan Africa with very high adult and high child mortality (AfrE); and countries in South East Asia with high adult and high child mortality (SearD).|Published studies, costing databases.|Cost per capita and cost per disability adjusted life year (DALY) averted, expressed in international dollars ($Int) for the year 2005.|Across 44 assessed intervention strategies for the five neuropsychiatric conditions, cost effectiveness values differed by as much as two orders of magnitude (from $Int100-250 to $Int10,000-25,000 for a year of healthy life gained). In both sub-regions, inpatient based treatment of schizophrenia with newer antipsychotic drugs
Differential patterns of abnormal activity and connectivity in the amygdala-prefrontal circuitry in bipolar-I and bipolar-NOS youth.
pubmed.gov - 12/2/11
The functioning of neural systems supporting emotion processing and regulation in youth with bipolar disorder not otherwise specified (BP-NOS) remains poorly understood. We sought to examine patterns of activity and connectivity in youth with BP-NOS relative to youth with bipolar disorder type I (BP-I) and healthy controls (HC).|Participants (18 BP-I youth, 16 BP-NOS youth, and 18 HC) underwent functional magnetic resonance imaging while performing two emotional-face gender labeling tasks (happy/neutral, fearful/neutral). Analyses focused on a priori neural regions supporting emotion processing (amygdala) and emotion regulation (ventromedial prefrontal cortex (VMPFC), dorsolateral prefrontal cortex (DLPFC). Connectivity analyses used VMPFC as a seed region.|During the happy-face task, BP-I youth had greater amygdala, VMPFC, and DLPFC activity to happy faces whereas BP-NOS youth had reduced VMPFC and DLPFC activity to neutral faces relative to HC, and reduced amygdala, VMPFC, and DLPFC

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FROM PHYSICIANS PRACTICE
Physician Performance Goals Are Great, But Balance Is More Realistic
Jennifer Frank, MD,  May 15, 2012
Performance measurements for physicians are well-intentioned and get me to rethink how I practice. But in the end I won't make the goals, so I'll have to go with balance over perfection.
Designing the Perfect Business Card for Your Medical Practice
C. Noel Henley, MD,  May 11, 2012
Does your business card say anything substantive about the valuable work you do in your practice? Here’s how to re-design your next business card for maximum impact and engagement.
Registered Nurses an Ideal Fit for Primary Care Practices
Audrey "Christie" McLaughlin, RN,  May 10, 2012
Here are four good reasons to hire a registered nurse for your primary care practice …maybe even instead of a medical assistant.
The Five Biggest Medical Practice Marketing Mistakes
James Doulgeris,  May 10, 2012
There are best practices to marketing your practice, but often, success is more about knowing what not to do. Here are the five most common pitfalls …and how to avoid them.
Can You Practice Medicine and Manage Your Practice?
Rosemarie Nelson,  May 9, 2012
Whether you practice alone, or in a group, if you're trying to see patients in this pay-for-volume environment and also run the business of your practice, you may be missing out on important opportunities.
 
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