Brain on Fire: My Month of Madness
May 10, 2013
Psychiatrists who are concerned with the perils of misdiagnosing a psychiatric presentation as primary mental illness will find Susannah Cahalan’s Brain on Fire of great interest.
MINE YOUR MIND QUIZ
Mini-Quiz: Electroconvulsive Therapy
April 10, 2013
Periprocedural advancements, including liberalization of concomitant and pre-treatment medications, add to the comfort and tolerability of ECT, but adverse effects do exist. More in this quiz.
Mini-quiz: Major Depressive Disorder
February 25, 2013
Major depression is a common chronic illness within the general US population. What is the approximate prevalence for MDD in the US population?
Mass Shootings: Research and Lessons
By James L. Knoll IV, MD
, February 12, 2013
The news media has always been in the business of searching for "the right sort of madness" to capture the public's imagination.
Evacuation of Psychiatric Inpatients from Bellevue Hospital Post Hurricane Sandy
Elizabeth Ford, MD
, January 7, 2013
In the immediate aftermath of Hurricane Sandy, incarcerated psychiatric patients at Bellevue Hospital had to be evacuated, without the help of elevators, electronic or phone communication, or even running water. Here, Director of Forensic Psychiatry at NYU School of Medicine and Bellevue Hospital Center, Elizabeth Ford, MD, gives a first-hand account.
Malpractice Pitfalls: Tips To Help You Manage Risk
By Kevin E. Hulslander, Esq.
, November 30, 2012
Can patient care still be your greatest concern, given today’s litigious landscape? Does patient-focused care need to take a back seat against protecting yourself from malpractice?
The Adolescent Brain Is Different
By Peter Ash, MD
, October 26, 2012
Assessments of partial culpability of adolescents are difficult in individual cases; however, the courts are moving away from mandatory sentencing to individual determinations, even for the most heinous crimes.
Management Strategies To Minimize Suicide Risk in Borderline Patients
Robert J. Gregory, MD
, September 10, 2012
Patients with borderline personality disorder can present with multiple crises and minor incidents of self-harm or threats, but determining when the actions are true cause for concern can be a challenge. This Tipsheet offers quick reference for clinicians.
The Duty to Protect: When Has It Been Discharged?
James L. Knoll IV, MD
, July 2, 2012
Here we present the case of Mr P, a 40-year-old man with bipolar disorder and substance use disorder, including his symptomology, treatment subsequent to hospitalization, concerns for risk, and the outcome.
Predicting Suicide Risk in Veterans
Laurie Martin, Web Editor
, June 1, 2012
In this video, Dr Marianne Goodman gives a brief synopsis on results of a DOD risk assessment study of suicidal veterans presented at the APA Annual Meeting. The study showed that single attempters did not differ from multiple attempters on any variable except a history of childhood physical abuse.
Preventing Inpatient Suicide
James L. Knoll, IV, MD
, May 23, 2012
Inpatient suicides are viewed as the most avoidable and preventable because they occur in close proximity to staff. Early in the admission is a clear high-risk period, but risk declines more slowly for some patients. Included here are factors that may guide the clinician in treating these at-risk patients.
Inpatient Suicide: Identifying Vulnerability in the Hospital Setting
James L. Knoll IV, MD
, May 22, 2012
While approximately 1 in 4 outpatient suicides will result in a claim, about 1 in 2 inpatient suicides will result in a claim. The two highest suicide risk times for hospitalized patients are the 1st week after admission and shortly after discharge. Here, learn about likely likely causes of increased suicide risk at discharge in this population.
Grand Rounds—Boundary Issues in Clinical Practice
Thomas Gutheil, MD
, May 8, 2012
In the last lecture of a week-long visiting professorship at Yale School of Medicine, Harvard Professor, Thomas Gutheil, MD, spoke about boundary issues in clinical practice. Here Dr Gutheil touches on key points covered in his presentation.
The Case of a Female Teacher Who Sexually Abuses Her Student
Sara G. West, MD, Susan Hatters-Friedman, MD, and James L. Knoll IV, MD
, April 10, 2012
In treating a female who sexually abuses a minor, what should the clinician keep in mind? Is the treatment plan different for a female offender than a male?
New Guidelines Shake Up Treatment of Agitation
Scott Zeller, MD
, March 27, 2012
Agitated individuals—defined as displaying “excessive verbal and/or motor behavior”—can be loud, disruptive, hostile, sarcastic, threatening, or hyperactive, even combative. Here, Dr Zeller discusses new patient-centered interventions for agitation, endorsed as part of new, comprehensive Best Practices guidelines.
An Elderly Woman Who Refuses Treatment
Abigail Dahan, MD, and Spencer Eth, MD
, February 23, 2012
Mrs E, who is 80 years old, lives in the community with the help of a 24-hour-a-day home health aide. She is forgetful and requires assistance with many activities of daily living.
Pioneering FBI Profiler Answers Questions About Serial Killers
James L. Knoll IV, MD and Robert R. (Roy) Hazelwood, MS
, January 20, 2012
Here, Mr Hazelwood answers questions about serial murderers that are commonly posed to him. The term serial murderer (or serial killer) was not even a part of the forensic lexicon until the 1970s . . .
Podcast: Psychiatric Records—Careful of Those Empty Words
December 13, 2011
In this podcast, Dr Thomas Gutheil talks about a key challenge facing psychiatrists. . . valid medical record keeping. Here: important tips from an expert based on an article he coathored with Dr. Robert Simon.
FROM PHYSICIANS PRACTICE
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.