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Diagnostic Criteria for PIISD – Private Insurance Induced Stress DisorderSimilar to some forms of PTSD, this disorder is prone to be severe because the stressor is of human/corporate design. Note: this diagnosis is not currently reimbursed by health insurance carriers.
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Research in Psychosomatic Medicine: Beginning to Set the Future AgendaA discussion of the current evidence base of psychosomatic medicine in the context of its public health significance and suggestions for the future development of the field.
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Can You Trust Your Physician?Statutes in 8 states are not designed to assure informed decision-making, say these psychiatrists; instead they represent an unprecedented effort by the government to use physician communications as an instrument for discouraging pregnant women from exercising their constitutional right to make their own reproductive choices.
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Psychiatric Liability: A French Psychiatrist Sentenced After a Murder Committed by Her PatientOn December 18, 2012, French psychiatrist Daniele Canarelli, age 58, received a 1-year suspended prison sentence by the Criminal Court of Marseille after one of her patients killed someone.
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Meeting the Mental Health Needs of Patients With Chronic Medical Illness: A Crisis in AccessAccording to recent estimates,chronic medical conditionsaccount for 7 of every 10 deathsin the United States and have been foundto severely limit daily functioning in morethan 1 of 10 Americans, or 25 millionpeople This tremendous disease burdenaccounts for most of the dollars spenton health care annually in the UnitedStates.
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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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Posttraumatic Stress Disorder: Neurobiology, Psychology, and Public HealthIn recent years, we have learned a great deal about posttraumatic stress disorder (PTSD) and its public health implications. From 9/11 to Katrina and the present Iraq war, PTSD has been in the forefront of health concerns and public policy.
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Creative Expressions and the Unconscious MindPainting and writing are ways in which this clinician expresses herself and relaxes after a hard day's work with patients.
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The Grief MonsterShe wondered what the secret was to life as a psychiatrist, a grieving daughter, and a new mother of twins.
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New Approaches and Considerations to Cancer and SuicideAlthough estimates vary, patients with cancer are at least twice as likely to die by suicide than people who do not have cancer. By identifying those at greatest risk, these treatment modalities can help support patients.
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The Challenges and Rewards of Rural PsychiatryDespite its many challenges, rural psychiatry can be particularly rewarding because it allows an opportunity to provide much-needed care and the ability to be at the forefront of helping to close gaps in health care disparities.The privilege of being a true community resource and the ability to improve overall community mental health give meaningful purpose to the work of a rural psychiatrist.
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Addiction and the Eating DisordersAlthough comprehensive theories of addiction recognize the etiological importance of environmental and cognitive factors, it has been widely accepted for many years that addiction is also a brain disease and that individuals differ in their susceptibility to this condition.
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The Role of Substance Abuse in Intimate Partner ViolenceIntimate partner violence is a common problem and a significant public health concern. Substance use is involved in 40% to 60% of IPV incidents. Several lines of evidence suggest that when substance use and IPV co-occur, substance use may play a facilitative role in IPV by precipitating or exacerbating violence. This article will review epidemiological, clinical and treatment research relevant to substance-abusing men with co-occurring domestic violence.
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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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Beyond AddictionThe authors of this book leave readers feeling empowered, knowing that they can be an important driver of change. It also reminds psychiatrists about some core components of the patient experience.
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Hard Choices: Whether and How to Address SUDEP With Epileptic PatientsNeurologists have always faced tough decisions when it comes to sudden unexpected death in epilepsy (SUDEP). Not the least of these is how to explain to bereaved family members what happened to their loved one and how it could have been prevented, because no one really knows.
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Mini Quiz: Informed ConsentWho wrote the legal opinion that is considered to be the birth of the informed consent doctrine?
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Hoarding in Late Life: Implications for CliniciansDSM-5 criteria for hoarding disorder necessitate that the hoarding behaviors cause clinically significant impairment in the patient’s ability to function.
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Confabulation: A Bridge Between Neurology and Psychiatry?Mr A is a 73-year-old resident of a nursing home, where the irate aides describe him as “a liar and a troublemaker.” Mr A’s “stories” were regarded by the staff as deliberate mischief on his part.
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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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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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Assessing Psychosis: A Clinician’s GuideMethods of identifying and understanding the intricacies of psychosis in clinical settings.
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Behavioral and Emotional Problems Among Children of Drug AbusersBehavioral and Emotional Problems Among Children of Drug Abusers
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Marketing Off-Label Uses: Shady Practices Within a Gray MarketFor pharmaceutical companies, off-label use of a drug represents a substantial “gray market,” to which the company is unable to sell their product directly, yet may be a significant revenue stream. Some drugs have been used more for off-label purposes than for originally approved indications.1
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Taking Culture Into Account When Assessing a Young PatientThis list serves as a guide when treating persons of diverse cultures and backgrounds.
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Financial Policies, Money Transference, and NonpaymentThe goal of this article is to further assist psychiatrists in tackling some of the more difficult financial issues in hopes of managing and reducing risk.
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Drug Therapies for the Neurobehavioral Sequelae of Traumatic Brain InjuryTraumatic brain injury (TBI) is one of the most common causes of morbidity and mortality, especially in young adults. Recognition and early accurate diagnosis of neurobehavioral TBI sequelae are important in reducing the severity of postinjury symptoms. Sequelae of TBI include cognitive impairments, personality changes, aggression, impulsivity, apathy, anxiety, depression, mania, and psychosis.
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PTSD and Suicide After Natural DisastersThis article summarizes literature on post-disaster mental health and describes the public health crisis in Puerto Rico. Special attention is given to highlight higher suicide rates and PTSD that develop in post-disaster areas.
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The Psychiatric Dimensions of NarcolepsyNarcolepsy, cataplexy: symptoms are broad and associated with a range of medical and psychiatric comorbidities. Here: diagnostic and treatment strategies and a look at the BOND study.
