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A Bureaucratic RebellionEvery residency class needs its symbolic rebel, an outsider who will risk it all in the fight against inane and superfluous paperwork. When your program is demanding redundant treatment plans, insisting on triplicate no-show notes, or reminding you to complete some tedious log, this resident is the kind of leader who will confront the administration with tough phrases, like “This form is ridiculous.”
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Hypnosis and Medical Ethics in GermanyWhen Leo Alexander, the psychiatrist who served as advisor at the Nuremberg doctors’ trial, helped draft the articles of the Nuremberg code, his attention was drawn to two earlier episodes in German medical history.
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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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Global and Social ConsiderationsIn this introduction to our Trauma Special Report, Dr. Novac places the articles in historical perspective and reminds the reader of the importance of understanding trauma within today's global constructs and impending war.
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Serving the Underserved: Who Needs Mental Health Care?Experts address specific concerns when treating the immigrant sector and describe supervised mental health services for uninsured, largely undocumented patients.
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Cultural Aspects of the Pharmacological Treatment of Depression: Factors Affecting Minority and YouthThe cultural and demographic profile of the United States is undergoing a rapid transformation. In many areas of the country, there is no longer an ethnic majority but a multiplicity of racial and cultural groups.
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Unrecognized and Untreated: Preventing and Treating Depression in Patients With EpilepsyThe relationship between depression and epilepsy is bidirectional as not only are patients with epilepsy at higher risk of developing depression but patients with depression have a three- to sevenfold higher risk of developing epilepsy. Several studies have found that the presence of depression in patients with intractable epilepsy was a stronger predictor of poor quality of life than the frequency and severity of seizures. The principles of managing depression in epilepsy are reviewed in this article.
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Deep Brain Stimulation for Memory DeficitsHere: a review of the neurobiology and circuitry behind memory as well as current studies involving neuromodulation for memory disorders.
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Reconceptualizing Hispanics in America: From Reading Stark Statistics to Confronting Racial and Ethnic TraumaUnderstanding a patient's sociocultural background will have an important effect on treatment, especially for Hispanic patients.
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Rebels Without a Cause? Adolescents and Their AntiheroesAdolescents reject their parents’ icons and seek out and empower their own. Antiheroes seem deliberately provocative, assailing almost every social convention of the adult generation, and parents often fear they are leading youth astray.
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Using the Internet to Increase Access to Evidence-Based Treatment for Obsessive-Compulsive DisorderInternet-based CBT has shown promise to improve access to therapy for patients with OCD, which is associated with a profoundly diminished quality of life and social isolation.
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Developing Your Skills at the Intersection of Work and PsychiatryHere’s how the Academy of Organizational and Occupational Psychiatry can help you connect with your fellow psychiatrists about complex mental health issues in the workplace.
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Handbook of Clinical Issues in Couple TherapyUnlike other handbooks, such as the Clinical Handbook of Couple Therapy (Guilford, 2002) and the Handbook of Couples Therapy (Wiley, 2005), which give considerable attention to specific theoretical approaches for treating couples, this handbook addresses clinical issues only. There are no chapters on cognitive-behavioral couple therapy, emotion-focused couple therapy, or the like. Instead, this handbook’s 18 chapters cover biological and physiological issues, traumatic issues, divorce and remarital issues, sociological issues, primary prevention issues, and training issues.
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Adolescent PsychosisAdolescents who present with symptoms that suggest a psychotic disorder pose a number of diagnostic and treatment challenges. This article attempts to provide a practical guide to the assessment and management of adolescents with severe psychotic illness, including schizophrenia, schizophrenia-like disorders, and bipolar disorder.
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Delirium With Catatonic Features: A New Subtype?Delirium has been recognized and described since antiquity. It is a brain disturbance manifested by a syndrome of diverse neuropsychiatric symptoms. Various terms have been used for delirium, such as acute brain disorder, metabolic encephalopathy, organic brain syndrome, and ICU psychosis.
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Neuropsychiatry of Catatonia: Clinical ImplicationsAs a neuropsychiatric and general medical syndrome, catatonia represents an important diagnostic and treatment challenge for all clinicians given its morbidity and mortality.
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Mini Quiz: Inflammation and Psychiatric DisordersBecause immunologic processes connected to psychiatric disorders have received considerable attention, we invite you to test your knowledge on the pathophysiologic process of depression and inflammation.
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Key Takeaways for Treatment of Bipolar 1 DisorderAndrew Cutler, MD, shares his key takeaway advice to psychiatrists for the diagnosis and treatment of patients with bipolar 1 disorder.
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A Brief Overview of Child-Parent PsychotherapyChild-parent psychotherapy has been shown to be an effective treatment in helping caregivers and their children when they have experienced significant life trauma, often domestic violence. More in this podcast.
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Cognitive Impairment in Patients Receiving Cancer ChemotherapyAnxiety and depression are the most often cited problems related to a cancer diagnosis, because receiving this diagnosis is often very frightening. Feeling sad, worrying relentlessly, and being unable to experience pleasure often lead people to feel that they may be on the path to losing their minds. However, in the past few years a more subtle phenomenon has been identified related to cognitive deficits allegedly associated with chemotherapy treatment, sometimes called chemobrain.
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Marijuana-Legal, But Not by PrescriptionWhat are the pros and cons of marijuana use? Dr Andrew Saxon gives his viewpoint on why he is against medical marijuana but in favor of legalization of recreational use of marijuana.
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In Support of Early Psychotherapy TrainingRecent reports have noted an alarming decrease in the practice of psychotherapy among psychiatrists.
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The Lure of the Context–Dependent Psychiatric DiagnosisIn “Major Depression After Recent Loss Is Major Depression-Until Proved Otherwise” (Psychiatric Times, December 2008, page 12), Dr Pies highlights one of the more provocative questions encountered when we train in clinical psychiatry: “Suppose your new patient Mr Jones, tells you he is feeling ‘really down.’ He meets all DSM–IV symptomatic and duration criteria for a major depressive episode (MDE) after having lost his wife to cancer 2 weeks ago. Should you diagnose MDD?”
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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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About To Have ECT? Fine, but Don't Watch It in the Movies: The Sorry Portrayal of ECT in FilmHollywood has had a long-standing love affair with psychiatry and its portrayals of electroconvulsive therapy reflect and influence public attitudes toward the treatment. One-third of medical students decreased their support for the treatment after being shown ECT scenes from movies, and the proportion of students who would dissuade a family member or friend from having ECT rose from less than 10% prior to viewing to almost 25% afterward. So what is the legacy of portrayals that have been so abhorrent, and are there any exceptions to the rule?
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Keeping Communities Safe: Early Intervention to Prevent School ShootingsIf you missed this session, check out the highlights here!
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SSRI Treatment of Children and AdolescentsHow Risky? How to Manage the Risk?Identifying and Reducing Professional Liability When Treating Older Adults, by Jacqueline M. Melonas, RN, MS, JD and Charles D. Cash, JD, LLM, ARM
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Recovering From Depression and Difficulty: Finding Meaning in AdversityIn this video, Dr Andrew Solomon talks about how psychiatrists and psychologists can help depressed or traumatized patients foster resilience, without trivializing their pain.
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The Effects of Antidepressants on SleepKnowledge of how different antidepressants are likely to affect parameters of sleep can provide an important basis for selecting an appropriate antidepressant drug among the roughly 2 dozen marketed options to meet the needs of depressed patients.
