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Treatment of Insomnia in Anxiety DisordersHow often do insomnia and anxiety disorders coexist? And how best to treat patients with comorbid insomnia and anxiety? Answers here..
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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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Introduction: Mental Health Correlates of TraumaOver half of the population is exposed to at least one lifetime traumatic event, yet relatively few of those exposed have lasting psychiatric sequelae. As psychiatrists, we attend to the needs of those who suffer.
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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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Dispatch From the Repressed-Memory Legal FrontDespite the fact that recent juries have discounted repressed-memory testimony as viable, the emotional cost of such cases still takes its toll. Why are such cases so controversial, and how can psychiatrists avoid their pitfalls?
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Recognizing and Addressing Domestic Violence: Issues for PsychiatristsA cultural shift has occurred and intimate partner violence (IPV) is no longer defined as a family affair, but one that has lasting effects on the individual, the family, and the community.
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Evacuation of Psychiatric Inpatients from Bellevue Hospital Post Hurricane SandyIn the immediate aftermath of Hurricane Sandy, incarcerated psychiatric patients at Bellevue Hospital had to be evacuated. Because the hospital was flooded and without power, those inpatients had to be moved without the help of elevators, electronic or phone communication, or even running water.
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Group Therapy Requires Good Clinical Judgment, Careful Screening"You really have to prepare patients for group treatment and have to compose your groups and select patients for that particular group with some care."
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What Depression Does to Our Minds When It Attacks"Depression is overwhelming and overpowering, and it crushes its prey." Here: a pediatrician tells of her 40-year battle with severe depression, and offers insights about how to talk with someone who is depressed.
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Optimizing ADHD TreatmentWeight-based dosing strategies have been used in psychostimulant studies for ADHD in children between the ages of 6 and 12 years. The efficacy of weight-based psychostimulant doses changes throughout early childhood and into adolescence in ways that are not in keeping with weight-based dosing practices. Future treatment and research must explore new possibilities in order to afford patients the most benefit for the least amount of effective drug intervention.
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Psychological Therapies for Schizophrenia: Family and Cognitive InterventionsPsychological Therapies for Schizophrenia: Family and Cognitive Interventions
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The Perinatal Psychiatric ConsultationWhat happens when our patients get pregnant or plan to get pregnant? What if psychiatric illness manifests during pregnancy or the perinatal period? Dr Elizabeth Fitelson answers these questions and more in this video.
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Understanding and Managing Psychosis in Late LifeAlthough late-onset psychosis is not as common as the early-onset variety, it can still pose difficulties in diagnosing and treating patients. How are patients with late-onset psychosis different from those who have early-onset, and what sorts of issues should clinicians be aware of?
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Confidentiality and the Family: 5 Guidelines for Better OutcomesFamily involvement is often misunderstood as being a hindrance to individuation, when in fact family-oriented interventions can improve patient functioning, agency, and autonomy.
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Exploring the Link Between Conduct Disorder in Adolescence and Personality Disorders in AdulthoodThe evidence showing a relationship between mental disorders in childhood and adulthood has increased in the last several decades.
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Circadian Rhythms Factor in Rapid- Cycling Bipolar DisorderAt this time, both patients and professionals seem to have an unprecedented interest in circadian rhythms. We now know that the body's clock is located in the suprachiasmatic nucleus (SCN) of the hypothalamus, and that the SCN regulates the pineal gland's secretion of the hormone melatonin.
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Cyberbullying and College Students: What Can Be Done?Clinicians have a powerful voice that can be used to address cyberbullying, improve campus climate, and support a positive undergraduate experience.
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Translational Research: Pathway to Improved Practice?Advances in basic behavior and neuroscience research have been stunning, but until quite recently, efforts to encourage the clinical application of new knowledge have not kept pace. To aid in applying new knowledge to important public health issues, the National Institutes of Health has placed emphasis on "translational research," which aims to provide a bridge between basic research and clinical care. Particularly promising areas of study are highlighted.
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Premenstrual Dysphoric Disorder and Psychiatric ComorbidityDiagnostic Dilemmas-Effective Treatment Approaches
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The Existential Fallout of COVID-19During the pandemic, Albert Camus’ existential novels have become newly popular—and with good reason.
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Artists and Psychiatrists-or the “Art” of PsychiatryArt theory from the 20th century onward-despite the latter day efforts at denial-was nearly indistinguishable from psychoanalytic theory, and it parallels the philosophical struggles and pains that continue to plague psychiatry.
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Assessment and Diagnosis of Posttraumatic Stress DisorderThis article, based on a comprehensive review by Weathers and associates, provides a selective and brief summary of trauma and PTSD assessments in adults.
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Mini Quiz: Narcissistic Personality DisorderWhat is the clinical approach to pathological narcissism and narcissistic personality disorder?
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You Can't Beat the ScreensKids will find the screens. Health care providers should join them in order to supply the most helpful digital treatments.
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“Switching” of Mood From Depression to Mania With AntidepressantsMood switching is not uncommon and it is much more prevalent in depressed juveniles than in depressed adults, and there is a large apparent excess of antidepressant-associated switching over reported spontaneous diagnostic changes to bipolar disorder. Details here.
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PatientsLikeMe: Crowdsourced Patient Health Data as a Clinical Tool in PsychiatryPatients want to know what to expect with a given treatment, how their experiences compare with those of others, or whether they are alone in coping with their conditions. Who best to answer these questions than others like them?
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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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Preventive Interventions for Children of DivorceStudies have shown that children of divorced parents may suffer more mental health problems, particularly conduct disorders. What programs might be effective in helping these children deal with the stress of their parents' divorce? Are there effective programs to teach parents better coping skills?
