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Violence Risk Assessment in Everyday Psychiatric PracticeHy Bloom provided an expert psychiatric report in a multiple murder case in which the accused, who had schizophrenia and depression, had killed his wife and 2 children. Before the murders, the accused had been seeing a psychiatrist and family physician for treatment of the mental disorders.
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Contraception and MisconceptionsPsychiatrists who treat women and adolescent girls may find it necessary to discuss with their patients reproductive planning and the role of contraception in setting comprehensive treatment goals. Here's why.
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What Is the Role of Vitamin D in Depression?Vitamin D has been hailed as the “sunshine” vitamin with many therapeutic attributes. The authors explore the association between vitamin D deficiency and increased risk of depression.
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CRPS Type I and Mental IllnessDr Steven King provided an interesting summary of complex regional pain syndrome (CRPS) in Psychiatric Times (Complex Regional Pain Syndrome, June 2006, page 9). We felt it would be useful to provide some additional observations on the relationship between CRPS type I and psychological causes of pain.
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Psychiatric Comorbidity in Emergency Department PatientsEmergency medicine provides care to a vast number of patients each year. In 2005, 115.3 million people visited emergency departments (EDs).
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Outlook for Federal Mental Health Policy in the 115th CongressWill the new Administration disrupt mental health coverage in this country?
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Battered Woman SyndromePsychological symptoms develop in some women who are victims of physical, sexual, and psychological abuse, making it difficult for them to regain control.
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Severe Temper Outbursts in a 10-Year-Old GirlThe responsibility for improvement was placed on psychiatrists: diagnostic skills had to be improved and patients and their families and caregivers as well as the general public needed to be better educated about the disorder and treatment options.
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Bipolar Update: Shared Brain Abnormalities and Common ComorbiditiesA summary of some of the latest findings in bipolar disorder research.
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Cortisol and Seasonal Changes in Mood and BehaviorThe degree to which season changes affect mood, energy, sleep, appetite, food preference, or desire to socialize with others has been called "seasonality." Identification of a seasonal pattern can only be made if both the patient and physician actively look for it.
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The Cutting Edge of SadnessThe past decade witnessed major strides in our understanding and treatment of affective disorders in adults, children and adolescents. One of the baffling problems in child and adolescent psychiatry was the question of psychiatric illness spanning a lifetime. The existence of depressive disorders in prepubertal children has been generally recognized and acknowledged since the 1960s; however, only in the last decade did evidence become available that supports the notion that depression in different ages represents the same entity, albeit manifesting different clinical symptoms in each developmental period (Cytryn and others 1986).
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Dealing With American Psychiatry’s Gag RulePOINT: After 41 years of membership, a psychiatrist resigns from the APA after it holds its ground on the Goldwater Rule.
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Female Sexual DysfunctionWhat We Know, What We Suspect, and Enduring EnigmasFrom time to time, health conditions emerge that are relative “orphans” when it comes to having the resources of a health care discipline or subspecialty to take ownership or accept responsibility for developing the body of knowledge that underlies their systematic evaluation and treatment. Female sexual dysfunction (FSD) is such a class of conditions.
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Detainee Interrogations: Important to Remember Our PastDrs Pope and Gutheil correctly admonish psychologists who partake in detainee interrogations (Psychiatric Times, “The American Psychological Association and Detainee Interrogations: Unanswered Questions,” July 2008, page 16).
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“Switching” of Mood From Depression to Mania With AntidepressantsMood switching is not uncommon and it is much more prevalent in depressed juveniles than in depressed adults, and there is a large apparent excess of antidepressant-associated switching over reported spontaneous diagnostic changes to bipolar disorder. Details here.
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Unmasking Comorbid Pyromania and Psychosis in a Patient With AnorexiaAlthough psychosis is rare in adolescent patients with anorexia nervosa restricting type, the possibility should be explored because it may be the underlying cause of the eating disorder.
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Demystifying Love: Plain Talk for the Mental Health ProfessionalAlthough Demystifying Love: Plain Talk for the Mental Health Professional is economy-sized at 200 pages, the book is a useful attempt by the well-known psychiatrist and sex therapist Stephen Levine to condense a lifetime of knowledge from clinical practice, personal growth, and extensive reading about a complex subject. Not surprisingly, his case vignettes remain uppermost in the memory while the whirlwind tour of the many meanings of love, processes of getting into and out of love, erotic transference, psychological intimacy, and sexual desire gets a bit blurry
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Parkinson Disease: Phenomenology and Treatment of the Most Common Psychiatric SymptomsParkinson disease (PD) is a progressive neurodegenerative disorder that is characterized by its motor signs, including resting tremor, rigidity, bradykinesia, and postural instability. PD is more common in the elderly, and there is usually no family history of the disease.
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Living Stories: Spiritual Awakenings in RecoveryDeAndra'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.
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DSM5 Proposal Triggers Anxiety, Not TicsAllen Frances, MD, identifies a number of concerns about the draft DSM5 revisions.1 Not mentioned in his commentary, but of significant concern, is a proposal that might subsume tic disorders under a new category called “Anxiety and Obsessive-Compulsive Disorders.”
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Anxiety Disorders With Comorbid Substance AbuseAnxiety disorders occur in 18% to 28% of the US general population during any 12-month period. In anxiety disorder, there is a 33% to 45% 12-month prevalence rate for a comorbid substance use disorder (SUD).
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Nature Versus Nurture: How Is Child Psychopathology Developed?In an attempt to reframe the either-or debate over the impact of genetics versus environment on emotional makeup, a panel convened at the American Psychoanalytic Association’s Winter 2005 Meeting in New York City. This article highlights studies presented at the meeting.
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An Integrative Paradigm for Mental Health Care: Ideas and Methods Shaping the FutureThis book is a rich roadmap on how to bring discipline and direction to integrative medicine.
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An Update on Muscarinic Agonism as a Treatment for SchizophreniaWhat makes this treatment option unique?
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Addressing Behavioral Health Emergencies With COVID-19Dr Leslie Zun discusses factors associated with accessing services for patients undergoing psychiatric challenges during the pandemic.
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Psychotherapy with Opioid-Dependent PatientsPsychotherapy as a sole treatment for noncoerced opioid addicts in outpatient settings has been shown to have little patient interest and low chances for success. However, when integrated into a treatment plan that includes methadone maintenance and drug counseling, it can be associated with additional benefits for patients who have moderate to severe levels of psychiatric symptoms.
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Cognitive Symptoms in Schizophrenia Recognizing and Treating Cognitive Deficits in SchizophreniaCognition” has more than one meaning. Cognitive-behavioral therapy refers to therapies that work on changing automatic thoughts and resulting schemas.
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From Our ReadersThe totalitarian system as we know it today may also be called 'managerial capitalism' since the decisions dictated by technical and economic considerations are no longer hampered by the rights of ownership and title holders. Yet it should be emphasized, speaking of 'managers,' that the true technical directors have nowhere acquired the disposing power of technocrats; the real power rests mainly with economic and business managers. This was written by H. Bruggers in 1941 in his "Stages of Totalitarian Economy," in the publication Living Marxism.
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Let’s Ask the Right Questions About Medical Aid in DyingSome patients are intractably and maybe even irredeemably ill. What should be done for them?
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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.
