Authors
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Update on AutismAutism is demanding increased attention by professional and lay audiences; prevalence seems to be increasing. There are differing opinions about whether the increase is due to greater recognition and reporting, diagnostic expansion and substitution, or increasing acceptability.
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Post-TBI Gait RehabilitationHypertonicity in plantar flexion is a frequent complication of traumatic brain injury (TBI), which affects more than 1.5 million persons in the United States.
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Climate Disruption and the Psychiatric PatientWhile some psychiatrists may doubt the connection between climate disruption and psychiatric disorders, the evidence is growing stronger every day.
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Traditional Healing Concepts and Psychiatry: Collaboration and Integration in Psychiatric PracticeThe authors share a model for psychiatrists interested in collaborating with traditional healing and medicine.
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Tips for Conducting Disability EvaluationsPsychiatrists may find themselves embroiled in matters that extend beyond the routine doctor-patient relationship unless they are clear about the differences between their treatment and forensic roles.
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Correctional Psychiatry: Room for ImprovementDr Jeffrey Metzner's brief article, "Evolving Issues in Correctional Psychiatry" (Psychiatric Times, September 2007) related many of the difficulties and complexities of the corrections world; however, it did not mention the greatest problem of all--"deinstitutionalization," which, over the past half century, has resulted in the wholesale diversion of patients with chronic mental illnesses--many of whom cannot be managed as outpatients--from hospitals to jails and prisons.
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SSRI Prescribing Rates and Adolescent Suicide: Is the Black Box Hurting or Helping?Suicide is the third leading cause of death in younger (10- to 14-year-old) adolescents in the United States and the leading cause of death in this age group in other countries, including China, Sweden, Ireland, Australia, and New Zealand.
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Insights Into Depression & Anxiety: Living With an Ambiguity in Clinical Practice: Antidepressant Drug-Drug InteractionsInsights Into Depression & Anxiety: Living With an Ambiguity in Clinical Practice: Antidepressant Drug-Drug Interactions
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Study Links CSF and Brain Imaging for Identifying DementiaMeasuring amyloid-beta (Abeta) protein levels in cerebrospinal fluid (CSF) and using positron emission tomography (PET) to image amyloid in the brain might become the best diagnostic test for presymptomatic Alzheimer disease (AD), according to a study published online in December 2005 and appearing in the March issue of Annals of Neurology.
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Computerized Neurocognitive Tests in Clinical PracticeAs with most tests in medicine, the results of computerized neurocognitive tests are not diagnostic, but they are useful adjuncts to the diagnostic process.
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PTSD, the Traumatic Principle and LawsuitsThe most common psychiatric sequelae following trauma include major depressive disorder, somatoform pain disorder, adjustment disorder and posttraumatic stress disorder (PTSD). In law, trauma that precipitates PTSD is viewed as a tort, which stems from the root word "torquere" (to twist), as does the word torture. In a sense, plaintiffs do allege torture in personal injury cases. A tort constitutes a civil or private wrong, as opposed to a criminal wrong, and rests on the general principle that every act of a person causing damage to a legally protected interest of another obliges that person, if at fault, to repair the damage (Slovenko, 1973).
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Understanding and Treating Bipolar DepressionBipolar disorder is a longitudinal disorder defined by multiple episodes that may occur years apart. As a result, the proper diagnosis requires careful evaluation of both the current symptoms and the patient’s history.
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Introduction: The Successful Management of PsychosisIn the first of a two-part Special Report, the evaluation and management of psychosis is explored across a range of disorders and clinical contexts.
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Update on Diagnosis and Treatment of Alzheimer DiseaseAlzheimer disease (AD) affects between 6% and 8% of Americans older than 65 years. As the population of older adults increases, the number of persons with AD is expected to rise from 4.5 million in 2000 to 13.2 million by 2050.1 This disease is important not only because of the number of patients affected but also because it leads to significant physical and emotional burdens on families and caregivers.
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Considering PTSD in the Treatment of Female Victims of Intimate Partner ViolenceThe distress and functional impairment associated with PTSD may make it difficult for IPV victims to benefit from interventions to increase their safety and reduce their exposure to violence. Empirically supported PTSD treatments include pharmacotherapy and cognitive behavioral therapy. Incorporating these treatments into interventions to improve victims' safety and reduce exposure to violence may improve their effectiveness in protecting women from IPV.
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Resilience Can’t Be Taught-But It Can Be LearnedResidency was going according to plan until a phone call changed everything.
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Rural Telepsychiatry: The Future Is BrightVarious populations of patients can benefit from telepsychiatry. The goal is not to replace local mental health resources but to enhance existing capabilities. This article articulates successful interventions as well as topics to consider when developing a telepsychiatry service.
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Trauma Associated With Living in Violent NeighborhoodsPsychiatrists need to understand how living in violent families and neighborhoods increases the likelihood of trauma and the psychiatric sequelae associated with it as well as how to respond in the aftermath.
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Developmental Psychopathology Comes of AgeChild and adolescent psychiatry is in a position to inform the entire practice of general psychiatry in numerous other areas, including mood disorders, ADHD, and psychosis, as well as the topics...
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A Look at the Ethical, Legal, and Clinical Issues Associated With Information TechnologyNew technologies pose challenges in the need to maintain boundaries and confidentiality. The same boundaries and ethical standards that existed in the 20th century must be thoughtfully applied with all new and developing technologies of the 21st century.
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Motivational Interviewing: An Inspirational OverviewHere: A 10-minute podcast on the spirit and principles that underlie motivational interviewing and the key skills and tools to encourage positive behavioral change.
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Video: Medical Malpractice: A Focus on TechnologyMany health care professionals do not know how standards of care and medical malpractice are determined. This lack of knowledge can result in either inadequate communication or defensive medical treatment. Dr Rodgers reviews malpractice standards and addresses issues regarding technologies such as email, social networking, and cyber-treatment.
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Promising Strategies for Treatment-Resistant DepressionIn this CME, review novel, currently available, and promising pharmacological treatment options for treatment-resistant depression.
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Psychopharmacologic Therapy in Pregnancy: Effects on NewbornsThere is a tendency to avoid psychiatric medications during pregnancy, but the high prevalence of psychiatric disorders in pregnant women means that women and their physicians must make impromptu decisions regarding the initiation or continuation of drug therapy.
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Neurobiological Underpinnings of Obesity and Addiction: A Focus on Binge Eating Disorder and Implications for TreatmentThis CME is intended to help differentiate binge eating disorder (BED) from other eating disorders and understand the mechanisms that may put BED into the realm of addiction disorders.
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The Concept of Recovery in Major DepressionIn clinical medicine, the term recovery connotes the act of regaining or returning to a normal or usual state of health. However, there is lack of consensus about the use of this term (which may indicate both a process and a state), as well as of the related word remission, which indicates a temporary abatement of symptoms. Such ambiguities also affect the concepts of relapse (the return of a disease after its apparent cessation) and recurrence (the return of symptoms after a remission).
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Can Atypical Antipsychotics Reduce Suicide Risk in Patients With Schizophrenia?Suicide is a devastating, tragically frequent outcome for persons with varying psychiatric conditions, including schizophrenia. An estimated 5% to 10% of persons with schizophrenia commit suicide and 20% to 50% attempt suicide during their lifetime.1,2 Patients with schizophrenia have more than an 8-fold increased risk of completing suicide (based on the standardized mortality ratio) than the general population.3
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Postpartum Psychosis: Updates and Clinical IssuesThe authors focus on the epidemiology of postpartum psychosis, its clinical presentation, etiology, treatment, and strategies to prevent its recurrence.
