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Eating Disorders: Much Progress but Still Far to GoPsychiatry has seen a transition from art to science in the past century and, largely because of 2 developments in the past several decades, this has also been the case for the field of eating disorders.
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Black Psychiatrists of America Speak About Desmond TutuOn behalf of the Black Psychiatrists of America, we are writing to the American Psychiatric Association regarding the recent “issues” that have been raised by some members of your association with respect to Archbishop Tutu being this year’s convocation speaker at your annual meeting in Hawaii in May.
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Peer Specialists as Educators for Recovery-Based Systems TransformationProject GREAT efforts in psychoeducation are geared toward educating providers about recovery so that they can, in turn, transform their own practices to be in concert with the recovery model.
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The Impact of Life Stresses on Semen QualityA recently published study found that certain types of stress affect the quality and quantity of men's sperm. The senior author of that study addresses the topic and provides take-away points for psychiatrists in this brief podcast.
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Purging DisorderA syndrome described as purging following the ingestion of normal or small amounts of food in normal-weight persons has gained increasing attention in the field of eating disorders. Various terms have been used in the literature for this newly characterized syndrome, with purging disorder and eating disorder not otherwise specified-purging (only), or EDNOS-P, used most frequently.
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Opportunities and Challenges in Treating Adolescents and Young Adults With Major Depressive DisorderHalf of all mental health disorders occur by age 14. Early interventions may mitigate progression to more serious and persistent mental health concerns.
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Issues in Treating Anxiety Disorders in PregnancyAnxiety disorders are a frequent occurrence in pregnancy. While some worries and anxiety are experienced by more than 50% of pregnant women, a full-blown anxiety disorder involves risk to both mother and fetus and increases the risk of postpartum depression.
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Managing the Adverse Effects of AntidepressantsMost, if not all, antidepressants can cause bothersome adverse effects. These are described here along with strategies to help patients cope.
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Psychotherapy for Late-Life DepressionThis article provides a practical overview of the available evidence-based treatment and discusses circumstances in which certain interventions may be preferred over others.
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Apathy and Its Treatment in Alzheimer's Disease and Other DementiasAffecting 70% of patients with Alzheimer's disease and common in patients suffering from other dementing illnesses, apathy is associated with functional impairment and caregiver distress at all levels of disease severity. Assessment and treatment for this under-recognized syndrome are discussed.
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Adjustment Disorders: Diagnostic and Treatment IssuesAdjustment disorder is one of the few psychiatric diagnoses for which the etiology, symptoms, and course, rather than symptoms alone, are central to making the diagnosis. Both emotional and behavioral disturbances are present and include low mood, tearfulness, anxiety, self-harm, withdrawal, anger, and irritability.
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“Designer Drug” Use and Abuse: Implications for PsychiatristsPsychiatrists are urged to familiarize themselves with these new drugs and the typical presentations of patients who use them since implications of misdiagnosis can be far-reaching.
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Neurobiology and Neurophysiology of Breath Practices in Psychiatric CareSlow voluntarily regulated breathing practices are noninvasive, easy to learn, and generally safe for treating patients with symptoms of anxiety, insomnia, depression, stress- and trauma-related disorders, ADHD, schizophrenia, and substance abuse.
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The Long War Comes HomeMost military families successfully adapt to a service member's deployments for military duties. Nevertheless, almost a decade of wartime stress associated with the current wars in Iraq and Afghanistan has presented unprecedented challenges for military families.
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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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An Update on the Maintenance of Certification Program for PsychiatryEverything you need to know about the MOC process.
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Understanding and Fostering Resilience in Persons Exposed to TraumaWhen attempting to incorporate resilience-building strategies into practice, it is worthwhile to note that resilience is a dynamic concept in which successful coping may mean a mixture of major real-life successes in the context of continuing difficulties.
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Culture and Substance Abuse: Impact of Culture Affects Approach to TreatmentThere have been numerous definitions of culture. Dwight Heath1 offers a simple definition: "It [culture] is a system of patterns of belief and behavior that shape the worldview of the member of a society. As such, it serves as a guide for action, a cognitive map, and a grammar for behavior."
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Stage-Specific Treatment of Psychotic DisordersPsychotic disorders are potentially serious and enduring and have been seriously neglected in health systems worldwide. The good news is that better medium-term outcomes are now achievable.
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Reducing Risk Associated With Seclusion and RestraintThis article briefly reviews the federal standards regarding S/R and methods of reducing the risk associated with their use. CMS standards that went into effect February 6, 2007, will be emphasized; however, some of these standards vary from JCAHO standards.
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Depression in Adults With DiabetesDiabetes doubles the likelihood of comorbid depression, which impairs functioning and quality of life. This mood disorder has a unique importance in diabetes because of its associations with treatment noncompliance, insulin resistance, hyperglycemia and an increased risk for diabetes complications.
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Borderline Personality Disorder: New Reasons for HopeBorderline Personality Disorder: New Reasons for Hope is one in a series being published by Johns Hopkins University Press on major psychiatric disorders.
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Suicidal Patients: Defining and Addressing EmergenciesHere: a review of issues related to assessment of patients for suicide risk in the ED -- and an overview of emerging approaches and research that one day will lead to more reliable assessment and interventions based more on science than on art or luck.
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Reading the Humanities for HumanityCynthia Geppert has done it again! She has written a timely article that expresses what I have thought for a long time (“Why Psychiatrists Should Read the Humanities,” Psychiatric Times, February 2008, page 10). Recently, I was sitting in a nonscience course for first-year medical students wondering why it was difficult for some of them to respond to the professor’s questions.
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Quitting Smoking: Therapeutic in Mental Health TreatmentMany patients report that smoking helps them with their stress and psychological disturbances. However, smoking may actually worsen some of these symptoms. When is the right time for your patients to quit?
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Depression in Patients With Alzheimer DementiaAlzheimer dementia (AD) represents a profound global health concern. By the year 2050, the prevalence of AD in the United States is expected to reach 15 million. At present, there are 4.5 million cases in the United States, which equals an estimated cost of $100 billion each year in medical and family expenses.
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Japan: Denial of Hikikomori Could Hinder Relief EffortsThe current situation in Japan has been called the worst crisis in the country since World War II. Relief effort organizations are urged to take hikikomori seriously when planning strategies to help the victims of the recent disasters in Japan.
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Suicide in Older Adults: How Do We Detect Risk and What Can We Do About It?Older adults have higher rates of suicide than younger adults in many industrialized nations.
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Stalkers and Their Victims"Stalking" is defined as repeated and persistent unwanted communications and/or approaches that produce fear in the victim. The stalker may use such means as telephone calls, letters, e-mail, graffiti and placing notices in the media. A stalker may approach or follow the victim, or keep their residence under surveillance.
Latest:
Apathy and Its Treatment in Alzheimer's Disease and Other DementiasAffecting 70% of patients with Alzheimer's disease and common in patients suffering from other dementing illnesses, apathy is associated with functional impairment and caregiver distress at all levels of disease severity. Assessment and treatment for this under-recognized syndrome are discussed.
