This book draws together the entire spectrum of the relevant psychosocial dimensions and data necessary to adequately assist in the evaluation and treatment of patients who may be candidates for bariatric surgery.
Psychiatric Times presents exclusive coverage of the American Psychiatric Association Conference. Here we will report the latest news, resources, and updates from the 2013 APA Conference, the 166th Annual Meeting of the American Psychiatric Association, May 18-22, 2013, in San Francisco, CA. Read More
Test your diagnostic skills and knowledge by quickly identifying and assessing various mental health disorders. The Psychiatric Times Diagnostic Champions' Challenge is meant to educate and entertain. Test your clinical acumen in this activity that is sure to make you think.… Read More
America's teaching hospitals are facing an unprecedented financial crisis that could leave more than one-third of the most respected institutions operating at a loss within the next five years, according to leaders in academic medicine. In addition to reducing their traditional educational programs, teaching hospitals may have to eliminate a wide variety of community health projects, poison control centers, safety programs and indigent care programs if budget cuts imposed by third-party payers are not reversed.
As traditional unions successfully expand the ranks of organized physician employees, and as the U.S. Congress considers an antitrust exemption so that all doctors can collectively bargain, the American Medical Association decided to unionize. Doing nothing would have been tantamount to leaving the bargaining table even before the negotiations began.
Present-day psychiatry has fallen into crisis because of the severe limitations of its conception of the person and, as a result, its conception of the patient. It objectifies the patient in a number of ways. Because of this reductionism, psychiatry fails to distinguish between healthy and pathological features of human life. It fails to consider adequately the psychological and social factors that cause and maintain each patient's problems.
The most common psychiatric sequelae following trauma include major depressive disorder, somatoform pain disorder, adjustment disorder and posttraumatic stress disorder (PTSD). In law, trauma that precipitates PTSD is viewed as a tort, which stems from the root word "torquere" (to twist), as does the word torture. In a sense, plaintiffs do allege torture in personal injury cases. A tort constitutes a civil or private wrong, as opposed to a criminal wrong, and rests on the general principle that every act of a person causing damage to a legally protected interest of another obliges that person, if at fault, to repair the damage (Slovenko, 1973).
Psychological testimony is required in more than half the civil trials that unfold each year in the nation's courtrooms, and it is a rare criminal case that doesn't include a psychiatric evaluation during some stage of the proceedings. Yet despite the significant number of interactions between lawyers and forensic psychiatric experts that occur daily, there is still a fault line that separates them.
It is relatively recent that boundary issues in clinical practice have attained professional awareness, although some early concepts portended the issue. Several decades ago, for example, the term boundary violations referred almost exclusively to what we now term sexual misconduct.
Schizophrenic patients treated with olanzapine (Zyprexa) required less health care services and incurred less overall health care costs over a 28-week period than patients treated with risperidone (Risperdal). This was the result of a study presented by Eli Lilly and Company researchers at the European College of Neuropsychopharmacology meeting held in Paris from Oct. 31, 1998 to Nov. 4, 1998.
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DSM-5: If You Don't Like the Effects, Look at the Causes •“‘Post-modern’” outlook on psychiatric diagnosis often leads to cynicism and nihilism—as if to say, ‘Nobody really knows anything about anything, and we shouldn’t trust anybody!’ Actually, there is a good deal of secure and well-founded scientific knowledge in psychiatry. ” Add your response...
Migraine and Psychiatric Comorbidity •“Sleep-related bruxism is high among those with fibromyalgia, anxiety, and migraines—but it is often overlooked as a dental problem. A long-acting benzodiazepine at night can make a big difference in patients with migraines who clinch or grind their teeth.” Add your response...
Can a Suicide Scale Predict the Unpredictable? •“The multifaceted nature of suicide requires both formal tools indicated in this article, as well as an awareness of changes in the patient (eg, outlook, behavior, attitude)—these and other factors may indicate suicide risk.” Add your response...
When it comes to aging, is there anything to look forward to from a neurocognitive perspective? What can we do to protect our brains from cognitive and functional decline? In this podcast, geriatric psychiatrist Helen Lavretksy outlines strategies to stimluate and revitalize an aging brain.
ADHD can persist into adulthood and have a significant impact on a person's relationships, careers, and even safety. The ASRS (Adult ADHD Self-Report Scale) is a checklist of 18 questions about symptoms that are based on the diagnostic criteria of DSM-IV. The patient answers the questions and a positive score suggests the need for a thorough clinical evaluation with a healthcare professional.
The Bipolar Spectrum Diagnostic Scale (BSDS) was developed by Ronald Pies, MD and was later refined and tested by S. Nassir Ghaemi, MD, MPH and colleagues. The BSDS arose from Pies’s experience as a psychopharmacology consultant, where he was frequently called on to manage cases of “treatment-resistant depression.” In Pies’s experience, most of these cases eventually proved to be undiagnosed bipolar spectrum disorder.