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Psychiatric Issues in Children and Adolescents With DiabetesThe diagnosis of T1DM can be devastating to both the child and family. Because of the potential for immediate life-threatening complications of poorly controlled diabetes, family members must readjust their approach to daily living.
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The Evolutionary Calculus of DepressionThe discipline of evolutionary psychology views modern human behaviors as products of natural selection that acted on the psychological traits of our ancestors. A subdiscipline, evolutionary psychiatry, tries to find evolutionary explanations for mental disorders.
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Innovations in Treating Neuropathic Pain: Off-label Pharmaceuticals, Novel Orthotics, and Other New ApproachesManagement of diabetic peripheral neuropathy (DPN) centers on proper footcare, offloading, and various orthotic devices to prevent the development of ulcers. Management trends, however, show that off-label use of some pharmaceutical agents is common and that these agents are proving beneficial in relieving the pain that can accompany DPN in up to 35% of patients. In addition, innovations in orthotic devices and new technologies for patient monitoring are being rolled out.
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Looking BackPatients’ stories (both content and structure) contain more therapeutically useful information than merely identifying and counting symptoms.
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Depressive Disorders in Adolescents: Challenges in DiagnosisMany adolescents experience depressive symptoms and some have episodes that go beyond transient feelings. Risk factors and predictive strategies are thwarted by the power of individual differences. Communicating with patient families; using the available innovative pharmacological, diagnostic and behavioral tools; and individualizing treatment approaches can improve outcomes.
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Treating Child and Adolescent Mental Illness: A Practical, All-in-One GuideTreating Child and Adolescent Mental Illness: A Practical, All-in-One Guide is just what its title promises: a clinically relevant, encompassing yet concise guide to child and adolescent mental health care. Dr Shatkin’s book serves as a useful primer for medical and mental health clinicians who do not specialize in the treatment of children and adolescents but who find themselves faced with the growing demand to provide mental health services to this sector. It is also a handy refresher for child and adolescent clinicians called on to treat disorders seen less often in their practices, as well as a reference for nonphysicians less familiar with psychopharmacological interventions.
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Learning the Ropes of Medical School: A Boxer’s Wisdom"Although at times we may need to wipe away blood and tears, through the process we become better physicians and ultimately, better people. These are the victories that we can attain in our ring," says this 4th-year medical student.
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DSM-5: Continuing the Confusion about Aging, Alzheimer’s and DementiaSince the early twentieth century, when Alois Alzheimer and Emil Kraepelin constructed it as a unified clinical-pathological entity, Alzheimer’s disease has been both one of the most stable and one of the most problematic neuropsychiatric entities.
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Reflections on 50 Years in Psychiatry: An Interview with Jesse H. Wright, MD, PhDA pioneer in cognitive behavior therapy shares his thoughts on a 50-year-long career.
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To Take Care of Others, You Must Take Care of YourselfWhile helping each other, we oftentimes forget to preserve our own health. Dr Gold recommends tips for maintaining your own peace of mind.
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Anxiety Disorders in Later LifeOlder adults can present with anxiety or worries about physical health (illness, changes in vision or hearing), cognitive difficulties, finances, and changes in life status (widowhood, care-giving responsibilities, retirement). Clinicians need to be aware that older adults may deny psychological symptoms of anxiety (fear, worry) but endorse similar emotions with different words (worries, concerns).
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Epidemiology and Treatment of Substance Use and Abuse in AdolescentsThis article covers the spread of substance use problems in adolescents and some of the currently available scientifically proven behavioral treatments for these conditions.
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Suicidal Self-Injurious Behavior in People With BPDUnlike other forms of self-injury, suicidal self-injury has special meaning, particularly in the context of borderline personality disorder. How is suicidal self-injury differentiated from non-suicidal self-injury in these patients, and how can their behavior be properly assessed and treated?
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Healthy Beginnings for a New PsychiatristDuring the first year of her child and adolescent psychiatry fellowship, this psychiatrist received an invaluable lesson regarding the importance of “treating the whole patient” in this case, a 16-year-old patient who is pregnant.
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Not Obsolete: Continuing Roles for TCAs and MAOIsIn lecturing to medical students, residents, and psychiatrists during the past several years, we have encountered widespread hesitancy in the use of MAOIs and even TCAs, mainly because of concerns about their safety but also because of doubts about their effectiveness compared with newer alternatives. Thus, it is timely to review the literature on the efficacy and safety of TCAs and MAOIs, with a view to maintaining an appropriate place for these 2 drug classes in the pharmacotherapy of depression.
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Augmentation Strategies in MDD TherapyFor many patients with depression, full symptom remission remains elusive despite multiple trials of antidepressants. This article focuses on psychopharmacological and related interventions.
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Psychiatric Advance Directives: What Psychiatrists Need to Know NowThis article explains and demonstrates the importance of psychiatric advance directives and the benefits and obstacles involved in implementing them.
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Interpreting Digital Information in Forensic SettingsHow can digital therapeutics overcome barriers to psychiatric treatment in forensic settings?
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The Role of Acrolein in Spinal Cord InjurySpinal cord injury, Oxidative stress, Acrolein, Hydralazine
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Genetics and Pharmacogenetics of Schizophrenia: Recent ProgressThis article reviews some of the most recent findings in genetics and pharmacogenetics of schizophrenia-especially those with clinical implications.
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Why Are Young Westerners Drawn to Terrorist Organizations Like ISIS?The authors explore possible reasons why young people in the West leave their families, friends, and home culture to join terrorist organizations.
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Psychiatric Conditions Affecting Physicians With Disruptive BehaviorThis study highlights the need to consider a holistic approach when discussing the problem of disruptive behavior in health care settings.
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Students Struggling With SuicideThe senior vice president of research at the American Foundation for Suicide Prevention offers thoughts on suicide and students.
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Childhood Adversities Associated With Risk for Suicidal BehaviorChildhood adversities associated with suicide risk include childhood maltreatment, problematic family relationships, socioeconomic hardship, and difficult relationships with peers. Acute suicide prevention strategies should focus on the treatment of contributory psychiatric disorders and on the crises that may precipitate suicidal behavior.
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Update on Medical Catatonia: Highlight on DeliriumRenewed interest and emerging systematic data have highlighted the frequency and pattern of catatonic presentations in psychiatric and medical settings, including in critical illness.
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Brain Aging and Dementia: Practical Tips From Clinical ResearchAge is a major risk factor for the development of Alzheimer disease and other dementias. New technologies in brain imaging represent major advances in our ability to diagnose age-related cognitive and behavioral disorders.
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Rural Telepsychiatry: The Future Is BrightVarious populations of patients can benefit from telepsychiatry. The goal is not to replace local mental health resources but to enhance existing capabilities. This article articulates successful interventions as well as topics to consider when developing a telepsychiatry service.
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Behavioral Issues in Pediatric EpilepsyEpilepsy is one of the most common chronic neurological disorders of childhood. Therapy should consist of education to reduce fears and concerns, psychotherapy to decrease triggers for seizures, and careful medication monitoring to avoid those drugs that reduce seizure threshold or have excessive interactions with antiepileptic drugs.
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Psychiatric Assessment and Treatment in Preschool ChildrenExpansion of age-appropriate developmental psycho-therapeutic services must become a top public health priority to make these treatments more widely available to young children and to capture the potential greater benefit of the earliest possible intervention for mental disorders.
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Perinatal Psychiatry: Where Psychoanalytic Theory, Neuroscience, and Integrated Clinical Psychiatry MeetFrom a psychodynamic and neurobiological perspective, the recommendation to screen all pregnant and postpartum women for depression and anxiety falls short of what is actually needed to improve the lives of many mothers and their infants and children.
