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The Light-er Side of Treating Seasonal Affective DisorderSeasonal affective disorder affects 1% to 3% of the North American population. Evidence exists for the efficacy of high-intensity bright, fluorescent light. Pharmacological management with SSRIs has shown equivalent efficacy to light therapy. How can these two therapies be combined? What other therapies are available?
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Future ADHD Treatment OptionsExperts in attention-deficit/hyperactivity disorder discuss future nonmedication interventions, like trigeminal nerve stimulation and digital therapeutics.
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Managed Care: The New ColonialismThe term managed care has become the new blasphemy in the health care industry. Symposia, lectures and other presentations on this topic at the 1997 American Psychiatric Association convention all seemed to conclude that managed care in any form is evil and unethical and that by maintaining the moral high ground, physicians holding out against managed care would ultimately win because the cause is just.
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Deconstructing ADHD, Addiction, and BeyondNews and research highlights on ADHD, conduct disorder, substance use disorder, and behavioral addictions, including compulsive social networking.
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Trauma-Focused Cognitive-Behavioral Therapy for Sexually Abused ChildrenCognitive-behavioral therapy can be tailored for use with children who have experienced sexual abuse in order to relieve symptoms of PTSD.
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Psychopharmacological Enhancement of Neurocognition in SchizophreniaThis article summarizes efforts to develop neurocognitive enhancement drugs administered individually or as an adjunct to other antipsychotics and cognitive remediation.
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Becoming a Mensch: Timeless Talmudic Ethics for EveryoneThe book emerges as a skillful interweaving of 3 elements: an introduction to the Jewish tradition, a set of down-to-earth case examples in practical ethics, and a fine running commentary about Jewish lore and how we can all reflect on it and be enriched by it.
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Pandemic Stress ManagementHealth professionals' emotional reactions to the COVID-19 pandemic range from numbness, anxiety, fear, and rapid shifts to survivor guilt, helplessness, and feelings of detachment. Here: Stress management tactics and what to expect today and beyond.
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Trait Stages of Diagnosis for Borderline Personality DisorderThe authors describe an alternative model for BPD diagnosis that is dimensional in nature and requires fulfillment of 4 of 7 personality traits.
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Assessing Violence Risk in Psychiatric Inpatients: Useful ToolsPsychiatrists who work in inpatient units are faced with daily decisions about predicting which patients will be violent, both in the hospital and after discharge. These decisions are often made using unstructured clinical judgment based on the clinician's experience and knowledge of the literature. How long such judgment stays the standard of care remains to be seen, because psychiatric researchers have produced a number of assessment and management tools to improve the accuracy and use of violence risk assessment. This article briefly outlines 3 tools: the Brøset Violence Checklist (BVC), the Classification of Violence Risk (COVR), and the Historical Clinical Risk-20 (HCR-20).
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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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The Role of Psychiatrists in HIV PreventionBecause over half of persons with HIV infection have a lifetime history of depression or bipolar disorder, psychiatrists are uniquely positioned to provide both preventive and therapeutic interventions to vulnerable patients.
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Preventing the Onset of Cognitive DeclineBy the year 2050, it is estimated that the number of people with Alzheimer disease and other forms of dementia will explode to 36 million in the US and over 160 million worldwide, over 3 times the current rate.
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The Emerging Field of Sports Psychiatry: A New Niche for Psychiatric PracticeThere are a number of well-established niches in psychiatry, from forensics to addictions to LGBT. This author relates how she established her niche as a sports psychiatrist.
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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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Applications of Transcranial Magnetic Stimulation to Therapy in PsychiatryTranscranial magnetic stimulation has been applied in a growing number of psychiatric disorders as a putative treatment. As a focal intervention that may exert lasting effects, TMS offers the hope of targeting underlying circuitry and ameliorating the effects of psychiatric disorders. The ultimate success of such an approach depends upon our knowledge of the neural circuitry involved, on how TMS exerts its effects and on how to control its application to achieve the desired effects. Current challenges in the field include determining how to enhance the efficacy of TMS in these disorders and how to identify patients for whom TMS may be efficacious.
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Update on Psychogenic Nonepileptic SeizuresThe authors take an in-depth look at the evaluation, diagnosis, and fundamental treatment recommendations, protocols, and guides to therapy for psychogenic nonepileptic seizures.
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Novel Therapies for Cognitive Dysfunction Secondary to Substance AbuseAdvances in the fields of neuropsychological assessment and neuroimaging have enormously expanded our knowledge about the profile and severity of cognitive deficits in patients with substance use disorders.
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Patient Case: Trauma and Impact of PTSD on Quality of LifeA patient discusses their struggles coming to terms with a posttraumatic stress disorder (PTSD) diagnosis after multiple traumatic events, detailing their initial resistance to seeking help, the breakthrough moments in therapy that led to acceptance, and their ongoing journey of healing through various treatment approaches.
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Childhood-Onset Schizophrenia: Diagnostic and Treatment ChallengesPersons with childhood-onset schizophrenia appear to have the poorest outcome among those in whom schizophrenia is diagnosed.
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Organized Psychiatry Provides Strength and Value to Mental Health Professionals"Organized medicine and specialty organizations are key pillars of support for individual physicians that provide opportunities to advocate for more funding and resources for the medical system and education."
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5 Useful Apps for Adult ADHDA psychiatrist reviews some digital apps you might suggest as an adjunct to established interventions (eg, medications, therapy) for adult ADHD.
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An Early Warning Sign for ViolenceBullying and being bullied put adolescents at risk for developing violent behaviors. Depression and anxiety are two of the underlying issues related to this type of behavior. Recognizing the warning signs may help mental health care professionals prevent violence in the adolescent's life.
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Kurt Cobain: A Modern Tragedy From a Mental Health PerspectiveClinicians will be drawn in by author Charles R. Cross's personal experience documenting, Here We Are Now: The Lasting Impact of Kurt Cobain. Cobain, lead singer of Nirvana, committed suicide 20 years ago this month.
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Developing Technology for People with DementiaAdvances in technology are providing assistive and supportive interventions for people with dementia across all aspects of their lives. These interventions are mainly addressed at meeting the safety, security and social needs of people with dementia. The psychological needs of people with dementia for conversation and other forms of positive social interactions are also being tackled through developments such as the CIRCA project.
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Creativity and Mental IllnessSince the terms “genius” and “creativity” have different definitions, Psychiatric Times asked a neuropsychologist and creativity expert to clarify how the terms are being used in scientific studies.
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The Hoarding of Animals: An UpdateThe authors provide information about the human-animal bond that may provide a starting point for understanding the development of animal-hoarding disorder.
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Newer Perspectives on Domestic ViolenceDomestic violence emerges from a host of causes and motivations, and that each case deserves individual attention and solutions.
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The Role of B Vitamins, Homocysteine in AD and Vascular DementiaAlzheimer's disease (AD) is a devastating and debilitating neurodegenerative condition, and the most common cause of dementia among the elderly. Despite considerable advances in the cellular and molecular biology of AD, however, little progress has been made in identifying the causes of the disease.
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The State of the Mental Health SystemThe federal government must realize that decades of allowing mental health care to go begging leaves a very weak chance of detecting or treating those who need help.
