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Treating Comorbid Anxiety Disorders in Patients With Schizophrenia: A New PathwayIdentifying comorbid anxiety disorders as potential treatment targets may contribute to more positive outcomes for patients with schizophrenia. Details here.
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Coaching Families to Address Addiction"He'll just have to hit bottom." That bit of outdated advice can be terrifying. How do clinicians trying to help the person with an addiction who refuses to set foot in our office render assistance?
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Psychodynamic Psychiatry: A Case ReportThe author presents a fictionalized case based on a real patient to encourage colleagues to pursue psychodynamic psychiatry.
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Autism Spectrum Disorders, Down Syndrome, and 22q Deletion SyndromeWith aging, a multitude of medical conditions can occur and/or existing conditions can be exacerbated, contributing causally to or amplifying neuropsychiatric comorbidities.
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Outside the Pill Box: The Systems-Based Practice of PsychiatryMeet "Gary," whose case provides an introduction to the value of systems-based practice.
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We Journey OnA poem written by a psychiatrist: "A faith in human kindness lost, abandonment with lasting cost."
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Brain Imaging Data of ADHDThe past two decades have ushered in a new era of methodological advances in tools for noninvasive imaging of the living brain. The information gleaned from advances in neuroimaging have been used to provide insights into ADHD's etiology, diagnosis and treatment.
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The Correlation Between Sleep-Disordered Breathing and PsychiatrySleep-disordered breathing is common in patients with mood and anxiety disorders. This article explores the implication for practicing psychiatrists whose patients have sleep disorders.
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Commercial Influence on Psychiatric Drug StudiesA discussion of the evidence that the pharmaceutical industry influences how physicians evaluate drugs in ways that encourage sales of their products and that are not always in the best interests of the patient.
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Knee pain in an 81-year-old manAn 81-year-old man presented to an urgent care facility with a 1-year history of pain in his right knee.
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Instrument Measures for Behavioral Symptoms in Patients With DementiaPsychiatric disorders, such as primary sleep disturbances, depression, substance abuse, mania, sexually inappropriate behaviors, and psychosis, can complicate the care of patients with dementia.
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Radio as a Public Health InterventionA Q&A with a board-certified psychiatrist, whose radio show has become a vehicle for hundreds of hidden experiences to be brought into the light and transformed into inspiring narratives.
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Assessment and Evaluation of Child and Adolescent Psychiatric EmergenciesThe incidence of child and adolescent psychiatric emergencies has increased over the past 20 years. This rise in emergency department (ED) mental health visits coincides with an overall increase in ED use from 89.8 million visits in 1992 to 107.5 million visits in 2001. Psychiatric presentations by children and adolescents (often in the absence of medical complaints) account for up to of the total visits to an ED in a given year and, in some reports, such presentations account for as many as 16% of ED visits.
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The State of the Evidence on Pediatric Bipolar DisorderPediatric bipolar disorder (PBD) is a serious psychiatric illness that impairs children’s emotional, cognitive, and social development. PBD causes severe mood instability that manifests in chronic irritability, episodes of rage, tearfulness, distractibility, grandiosity or inflated self-esteem, hypersexual behavior, a decreased need for sleep, and behavioral activation coupled with poor judgment. While research in this area has accelerated during the past 15 years, there are still significant gaps in knowledge concerning the prevalence, etiology, phenomenology, assessment, and treatment for PBD.
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SolaceMy patient allowed me a glimpse into the suicidal mind. And, in that way, she taught me a lot.
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Teaching Children With Disabilities How To SucceedThe Child School in New York City provides a unique learning experience for children with learning and developmental disabilities. What teaching methods and curriculum are employed at the school? What is the link between parent and teacher involvement and the children's progress at The Child School?
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Adolescent Substance Use: Reasons for Optimism and Concern"Although adolescent substance use is a topic that can be challenging for families and clinicians alike, data demonstrate that interventions during this time are effective for preventing, identifying, and reducing risky use."
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Rape-Related PTSD: Issues and InterventionsRape is a crime that is defined as an unwanted sexual act that results in oral, vaginal, or anal penetration. Generally speaking, there are 2 major types of rape. Forcible rape involves unwanted sexual penetration obtained by the use of force or threat of force. Drug- or alcohol-facilitated rape occurs when the victim is passed out or highly intoxicated because of voluntary or involuntary consumption of alcohol or drugs. Rape can happen to boys and men as well as to girls and women but this article will focus primarily on women.
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HeartbeatOn December 27, I learned that my pregnancy would not come to fruition with a baby for me. The healing process begins for me as it has for countless women before me. More in Portrait of a Psychiatrist.
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Bullying and SuicideChildhood and adolescent bullying-and, recently, cyberbullying-is a major public health problem with potentially devastating consequences. In any prevention effort, students need hope and to learn the skills to end the abuse, as described here.
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Are Animal Models Relevant in Modern Psychiatry?Studies of mammalian species suggest that they possess awareness of self and even more subtle “human” qualities associated with empathy and social joy.
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Bullying and SuicideChildhood and adolescent bullying-and, recently, cyberbullying-is a major public health problem with potentially devastating consequences. In any prevention effort, students need hope and to learn the skills to end the abuse, as described here.
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Rehabilitation of Sexual Boundary TransgressorsIn my work in sexual boundary violations, now spanning almost 25 years, there are 2 things that have not changed. One is the prevalence or the frequency of at least one type of sexual boundary transgression.
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Antidepressants for Bipolar DisorderWhat is the effectiveness (if any) of antidepressants in bipolar depression? What is the risk of manic switching? How effective are antidepressants in preventing relapse of bipolar depression? Insights here.
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Key Stressors in Transplant PsychiatryHere: A summary of indicators for stress and anxiety in patients undergoing transplantation, and why it is important for psychiatrists to be aware of these factors.
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Psychosocial Interventions to Reduce Premature Mortality in Patients With Serious Mental IllnessThe mortality rate is unacceptably high in patient with serious mental illnesses. Several psychosocial interventions have been developed that may benefit these patients.
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Comorbid Tobacco Dependence and Psychiatric DisordersSmokers with co-morbid psychiatric and substance use disorders smoke at a much higher rate and seem to have more difficulty quitting than those in the general population. Tobacco treatment that is integrated into mental health settings may lead to greater success than non-integrated treatment. As a result, mental health care providers can play a critical role by careful assessments of smoking, employment of motivational techniques and increasing access to pharmacological and behavioral treatments.
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Developing Clinical Evidence for Locomotor TrainingLocomotor training is an emerging rehabilitation intervention to help patients who have spinal cord injuries or who are recovering from stroke walk again. The basis for the intervention lies in understanding the neurobiology of walking and the nervous system's capacity for activity-dependent plasticity.
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Developing an Effective Treatment ProtocolAnxiety disorders are the most prevalent disorders among children and adolescents in both community and clinical settings. The high prevalence of anxiety disorders in children and adolescents leads to increased interest in the development and implementation of effective treatments.
