Authors
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Challenges to Breastfeeding ProfessionalsFill out this survey if you are a clinician who lactated while working.
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Working Within a Campus Health Service: A Challenge With Many RewardsPsychiatrists can provide significant support and insight to patients who are now coming to campus with a wide array of mental health challenges.
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The Genetic Basis for Suicidal BehaviorSuicidal behavior is a complex and multi-factorial phenomenon for which epidemiological genetics suggests a genetic basis that may be specific and independent from those implicated in the vulnerability to the psychiatric disorders associated with SB. Recently, new molecular biology tools have been designed to identify predisposition factors to complex disorders. One of the main goals of current studies is to specify the suicidal phenotype, as well as the intermediate phenotypes associated with these genes.
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Religion, Spirituality, and PsychiatryHistorically, there has been conflict between psychiatry and religion.
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School Shooters: Troubled Teens or Cold-Blooded Killers?There is no accurate profile of who will become a school shooter, so mental health clinicians should react as they would with any patient threatening violence: inquire, gain collateral data, assess, and respond.
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Mini Quiz: Assessment of MalingeringThe reported severity of the complaints in this patient appears grossly out of proportion given gathered information and clinical observations. What's your diagnosis?
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Integrating Treatment in Eating DisordersWhile anorexia nervosa was the first eating disorder to be recognized through the 19th century reports of Gull (1874) and Lassque (1873), bulimia nervosa and the less well-defined eating disorder not otherwise specified (EDNOS) syndromes are more common.
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Patient Education, Disease Prevention Is Everyone’s JobWhile it is easy to say, “this is not my problem,” the truth of the matter is that chronic disease prevention and education is the problem of all medical providers.
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Neurostimulation Treatments in Psychiatry: An Overview and Recent AdvancesThere have been considerable advances in the research on and clinical use of neurostimulation for psychiatric disorders, especially mood disorders and MDD. Three of the most recognized are reviewed here. An experimental new treatment-- trigeminal nerve stimulation-- is also briefly discussed.
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The Relationship of Suicide Risk to Family History of Suicide and Psychiatric DisordersTwo of the most prevalent risk factors for suicide are family history of suicide and family history of psychiatric illness. Are these factors independent of each other? What role does genetics play? How can research in this area assist prevention programs?
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Panic Disorder and Pregnancy: Challenges of Caring for Mother and ChildPanic disorder is a common psychiatric illness that can have a chronic, relapsing course. The question of whether pregnancy represents a time of increased risk for recurrence of panic symptoms has been a matter of debate.
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Confounding Factors in Treatment-Resistant Depression (Part 2): Comorbidities and Treatment ResistanceThe role of subtyping and bipolarity in TRD was discussed in Part 1 of this 2-part article. Here we review a number of the most common confounding factors of TRD but limit our scope to comorbidities that can be directly addressed and treated by psychiatrists.
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Management of Antipsychotic-Induced Weight GainIndividuals with schizophrenia are at greater risk for weight gain than the general population. From recent research, it appears that some of the second-generation antipsychotics may be more likely to cause weight gain than others. Recommendations for treatment strategies are provided.
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Systems of Care & Collaborative Approaches: An Answer to the Youth Mental Health EmergencyMental health needs have skyrocketed in the US, but access to treatment remains inadequate. Here's how we can help youth.
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Wellness and Medical School: Aspiration-or Pipe Dream?Over the past 10 years, a growing literature has documented the significantly increased rates of stress, burnout, depression, and suicidal ideation in medical students.
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Examining a Case of Acute Late-Pregnancy Psychosis: How Best to Coordinate CarePeripartum psychosis is considered a psychiatric emergency. Here is how an interdisciplinary team can provide the best care.
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Poll Results: Is Psychiatry Doing Enough to Address Federal Doubt of the Field?We asked our readers if they thought psychiatry is doing enough to address federal doubt. Here's how they responded.
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When Does Shyness Become a Disorder?Social anxiety disorder, the third most common mental disorder, is often underdiagnosed and undertreated. A leading expert on SAD provides an overview, including highlights of the barriers to diagnosis, a differential diagnostic approach and treatment options for social anxiety disorder.
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Reforming Mental Health Care: How Ending “Recovered Memory” Treatments Brought Informed Consent to PsychotherapyHow the Repressed-Recovered Memory–Multiple Personality Disorder iatrogenic epidemic-surely one of the most tragic chapters in the history of psychiatry, psychology, and psychotherapy-ended, and how psychotherapy patients came to be protected by informed consent.
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Conference Preview from the Cutting EdgeA look at the 2015 joint American Society for Adolescent Psychiatry (ASAP) and International Society for Adolescent Psychiatry and Psychology (ISAPP) Scientific Meeting in March. There, the author will be presenting two sessions that address adolescent sexuality and sexual development issues.
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Schizophrenia, Neurocognitive Dysfunction, and Substance-Related Disorders: A ReviewThe authors evaluate the effects of nicotine and cannabis on neurocognitive function in individuals with schizophrenia and review potential pharmacological treatment strategies.
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Obstructive Sleep Apnea and Depression: Issues for PsychiatristsWhat are the effects of sleep apnea on depression--and depression on sleep apnea? Insights here.
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Improving Care Through Cultural AwarenessAll clinicians know that culture influences virtually every aspect of a person's life. Sometimes the influence of culture is obvious; other times it is subtle. In either case, culture as a clinical variable is often overlooked. Being cognizant of the influence of culture is especially important for clinicians who manage psychiatric emergencies, because failing to do so can lead to misdiagnosis and delays in treatment.
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Breast Cancer: What Psychiatrists Need to KnowTo support patients with breast cancer, psychiatrists should be aware of possible medication interactions, psychiatric or neurologic adverse effects of treatment, and signs of disease progression--issues that are the focus here.
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From Unwanted to Unconditional: How One Mother's Love Changed My CareerUp until her last year of training, this psychiatrist was convinced she only wanted to consult in the hospital-that is, until she met a 31-year-old expectant mother.
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Is PTSD a Systemic Disorder?In addition to psychosocial problems, there is a growing realization that PTSD may also lead to or exacerbate chronic medical health conditions.
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Anxiety Disorders: Aortic Aneurysm in the Differential?Worsening anxiety is a common symptom that may result in psychiatric consultation or evaluation in an emergency setting. Aneurysms are rarely considered in the medical differential for anxiety disorders, and the available literature and research regarding this possible connection are very limited. Overlooking this diagnosis, however, can have disastrous consequences. Here we present 2 case reports as well as a review of the literature regarding a possible relationship between aortic and thoracic aneurysms and psychiatric symptoms.
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Positive Computing and Designing for Mental HealthExperts discuss positive computing, an emerging field at the intersection of mental health and technology.
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Comorbid Clinical and Personality Disorders: The Risk of SuicidePersonality disorders are arguably the most challenging for psychiatrists because they are difficult to diagnose and frequently coexist with psychotic, affective, and anxiety disorders.
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Are We Overdiagnosing and Overtreating ADHD?This article speaks to the care with which ADHD must be diagnosed and managed to reduce the significant negative impact of the disorder on the individual, family, and society.
