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
According to one estimate, 42,000 of the 757,000 practicing physicians in the United States-roughly 5.5%-were members of a union by the middle of last year. That number appears to have grown. The union movement is sweeping the medical profession around the country.
More than 80 medications are in development to treat mental illnesses, including 18 for depression, 15 for schizophrenia and 16 for anxiety disorders, according to the Pharmaceutical Researchers and Manufacturers of America (1998). Which ones will most likely come to market in the United States?
Nearly 25 years ago, the National Institute on Alcohol Abuse and Alcoholism hailed couple and family therapy as "one of the most outstanding current advances in the area of psychotherapy of alcoholism" and called for controlled studies to test these promising methods. Currently behavioral couples therapy (BCT) is the family therapy method with the strongest research support for its effectiveness in substance abuse.
Psychiatrists, like the rest of America, continue to have trouble with alcoholic and other addicted patients. We are comfortable when patients want to get better, tell us the truth and come to treatment of their own free will, but alcoholics often don't fit this profile. We respond angrily when patients manipulate us. We are surprised when their sincere desire for help evaporates after we suggest a plan that will bring about real change.
It is now customary psychiatric practice to think of a patient's illness as primarily biological in origin-so much so that, for many illnesses, published practice guidelines almost exclusively describe medication strategies. Psychotherapy, when it is mentioned, is usually in the form of patient education about the nature of the particular illness and supportive work aimed at helping the patient cope with its symptoms.
Myron Liptzin, M.D., is a respected psychiatrist who specialized in the treatment of university students. Liptzin retired last year as chief of psychiatry of student health at the University of North Carolina at Chapel Hill, where he had earned a reputation as a skillful clinician who was particularly adept at crisis intervention. If Liptzin had hoped to go on to a less hectic and stressful life, his expectations were shattered when he found himself accused of negligence in one of the most unusual cases of psychiatric malpractice of this century. A former patient went on a rampage-killing two people-and then blamed Liptzin. The verdict against the psychiatrist was front-page news, and CBS's "60 Minutes" went to North Carolina to do a story that aired mid-November 1998. Like a bolt out of the blue, Liptzin had gotten his 15 minutes of unwanted fame.
Without clear guidance from government regulators, mistakes are easy to make and, rather than raising concerns in a businesslike fashion, the first notification of a problem often comes when the enforcement action shows up at the door.
DeAndra's story: I came into the rooms and realized after a while that I had the attitudes and behaviors of an addict way before I ever picked up a drug. I remember growing up and being at my family's parties, [where] my aunts and uncles would give me and my brothers beer. There are pictures in our photo albums of us, all under 6 or 7, with cans of beer in our hands. At an early age I learned to manipulate to get what I wanted.
This article addresses several practical issues related to beginning psychotherapy: telephone contact, the initial session, referral to another therapist, discussion of arrangements, charging for missed sessions, guidelines for the patient and interactions outside the therapy hours. It takes a question-and-answer form, dealing with with questions a neophyte psychotherapist might ask. Although the article specifically relates to treatment that is dynamically oriented, it is also relevant to other forms of psychotherapy.
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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.
Five Steps to Improving Patient Access Judy Capko, May 21, 2013 Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.
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.