Research emerging from the field of emotion science suggests that individuals who have anxiety and mood disorders tend to experience negative affect more frequently and more intensely than do healthy individuals, and they tend to view these experiences as more aversive, representing a common diathesis across anxiety and mood disorders.1-5 Deficits in the ability to regulate emotional experiences, resulting from unsuccessful efforts to avoid or dampen the intensity of uncomfortable emotions, have also been found across the emotional disorders and are a key target for therapeutic change.
While this article highlights some of the modern-era risks to confidentiality that psychiatrists may experience, it does not constitute an exhaustive list of issues to consider and is not a substitute for legal advice.
Which sleep parameters are increased in alcohol use disorders? Take the quiz and learn more.
As the end of this psychiatrist's intern year approached, a chief resident told her that second year is the year “you really become a psychiatrist.”
Hypothyroidism is a common clinical disorder that psychiatrists frequently encounter. However, symptoms of thyroid dysfunction are often vague and nonspecific, which can lead to delayed or missed diagnosis.
There is no predictive tool that is likely to have validity for rare outcomes such as terrorist attacks. More here.
This review provides an overview of the efficacy, safety, and mechanisms of action in the treatment of depression.
With the transition of patients with mental illness from the beds of psychiatric institutions into the community the need for knowledgeable mental health professionals continues to grow. Correctional psychiatry has evolved in recent years and presents special challenges for clinicians, which this handbook deftly addresses. Contributing authors with various backgrounds provide a broad range of expertise.
What are the effects of sleep apnea on depression--and depression on sleep apnea? Insights here.
Lower respiratory tract infections are among the most frequent causes for office visits and hospitalizations of otherwise healthy young US children. Here, an overview of current guidance on diagnosis and management.
The United States is facing accelerated growth in the number of older citizens due to the aging baby boomer generation. It is expected that this emerging cohort will have more licensed drivers who will drive longer distances more frequently and later into life than preceding generations. What are the risks from elderly drivers and how can we help them drive safely?
The expression "quality of life" is an intuitively familiar and popular concept, and it epitomizes the public's hopes and expectations. In clinical settings, it demands the inclusion of patients' feelings, attitudes, and opinions in medical decision making.
The authors review mechanisms of suicide and the effectiveness of current treatments, and zero in on ketamine--a potential novel, rapidly acting treatment for suicidality.
Comorbid depressive and anxiety disorders are commonly seen in both primary care and the specialty setting. Such comorbidity can present as major depression with subsyndromal anxiety symptoms or unipolar/bipolar depression with an anxiety disorder.
There are many stories written about serial killers and murderers, books that narrate the life course of individuals who commit heinous acts. However, few have been written by murderers explaining their lives first-hand.
It is not surprising that one of the most complicated aspects of collaboration with faculty and staff in the ED setting is the professional or social contract.
Here: a look at Mobilyze and CrossCheck--2 apps currently in development that are embedded within smartphones and designed to capture objective data on patients to provide timely treatment and relapse prevention.
Negative symptoms identified from the Negative Symptom Assessment and the behaviors that might be observed in each of 5 domains.
Everything you need to know about the MOC process.
Colin T. McDonald, MD, specialized in neuro-critical care at Massachusetts General Hospital (Mass General), Harvard Medical School in Boston in 1998, when the father of an emergency room physician at an affiliated hospital became one of his patients. One morning, the father experienced symptoms of stroke, which the son immediately recognized. Doing something about those symptoms, however, was complicated; the father and son were on Martha's Vineyard, where the local hospital was not equipped for emergency neurology care.
The prevalence and debilitating nature of some of the personality disorders has impeded the study of psychopharmacology in these conditions. However, important advances have been made in the last several years.
The department of psychiatry at Columbia-Presbyterian Medical Center (CPMC) in New York City has opened one of the first facilities in the country that brings the techniques of complementary medicine to psychiatry. The Center for Meditation and Healing, which opened this March, emphasizes traditional meditative methods used for thousands of years in Asian cultures, particularly those of India and Tibet.
Collaboration between the psychiatric nurse practitioner and psychiatrist will be part of the solution to the workforce issue that leaves so many underserved patients without good mental health care.
The Directors of the ABPN have established a Faculty Fellowship Program to support the development of innovative education and evaluation projects that promote effective learning by residents, fellows, and practicing psychiatrists and neurologists.
New insights into neural pathways that play a role in anorexia nervosa, bulimia nervosa, and binge eating disorder.
Generalized anxiety disorder (GAD) is a prevalent, chronic, debilitating mental illness associated with marked impairment in daily functioning.1 An ongoing evolution of the definition of GAD has resulted in a bifurcation of the historical anxiety neurosis designation.2 A diagnosis of GAD currently implies chronic, excessive worry lasting at least 6 months and 3 of the possible 6 somatic or psychological symptoms (restlessness, fatigue, muscle tension, irritability, difficulty concentrating, and sleep disturbance).3 GAD typically presents in an episodic pattern of moderate improvement or remission and relapse characterized by a chronic and complicated clinical course.
Access to illicit drugs is now as easy as a few swipes on a smartphone. Here's a primer for clinicians who aren't well acquainted with this trend and who aren’t familiar with the many substances themselves.
In US states where physician-assisted suicide is now legal, what is required prior to a physician prescribing a lethal aid-in-dying drug?
Suicide is now the second leading cause of death among college students. But only 60% of colleges and universities have a psychiatrist on staff.
Proper technique, practiced over time, can transform an appointment from "medication management" to a serious change in behavior, as evidenced by the 5 examples featured in this article.