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Treatment of Psychiatric Disorders in Patients With HIV/AIDSMental illness is a risk factor for HIV infection. It brings a number of behavioral correlates that put patients at risk for getting infected. As HIV infection worsens, it begins to affect the brain, and cyclical relationship between the disease and mental illness begins.
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Are We Overdiagnosing and Overtreating ADHD?This article speaks to the care with which ADHD must be diagnosed and managed to reduce the significant negative impact of the disorder on the individual, family, and society.
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Comorbid Depression and ADHD in Children and AdolescentsADHD, the most common diagnosis in child psychiatry, appears to be more challenging to diagnose and treat when there is a comorbid depressive disorder.
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Challenges Faced by Psychiatrists in the Internet AgeIn January of my third year of medical school while attempting to study for my medical licensing examination, I began a blog. (Any distraction from learning about the Krebs cycle was heartily welcomed!) Within a week, I had posted photos of my family members, criticized an episode of ER, and griped about my studies. A social addict, I was hooked on this self-disclosure.
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6 Key Questions When You Suspect MelancholiaMost depressed people acknowledge impaired concentration and other related symptoms-but skilled clinicians can distinguish between non-melancholic depression and melancholia. How? They ask the right questions.
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Fee Agreements: What Works, What Doesn’t- and How to Use ThemThis article reviews the many forms of fee agreement and notes the important factors to consider as well as questions to ask to properly assess and vet what may be best for one’s practice.
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Life Support for Confidentiality in the Electronic DatabaseMany of us have heard the horror stories and seen them reported on the national news wire services: publicly known persons or their family members have their medical records published, names of HIV-positive persons are released, clerks are bribed to deliver the names of patients and their diagnoses, physicians are given free software in return for their lists of patients' names and addresses. It is not that these breaches of confidentiality could not and did not take place with hard copy medical records, it is just that they are so much easier to accomplish now, and can be done in great number and from remote locations, anonymously.
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Pediatric Major Depressive Disorder: Questions to ConsiderWhat are the options for treating major depressive disorder in children and adolescents? This case offers readers a chance to give their feedback and to interact with the authors, who will present teaching points based on your comments.
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Psychotherapy and Sculpture: A Rewarding New LifeIn the process of both psychotherapy and sculpture, this psychiatrist discovered there is potential for an exciting and rewarding life. Here, a representative piece from his collection.
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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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Into the Snake Pit: An Interview with Ben Harris, PhDTwo doctors discuss the controversial, highly debated film, The Snake Pit.
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Quality of Life in Patients With Bipolar Disorder: Defining and Measuring GoalsA complex and heterogeneous condition characterized by a variety of symptoms and marked variability in disease course, bipolar disorder is marked by episodes of depression, hypomania, mania, or psychosis and,patients can experience a mixture of emotional states.
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Incorporating Meditation Training Into an Outpatient Psychiatry PracticeMeditation training is a valuable, thoroughly secular tool for psychiatrists to incorporate into our patient practices-and our own personal self-care routines. Here: the basics.
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Gender Differences in Panic DisorderAccording to National Comorbidity Survey data, panic disorder is 2.5 times more prevalent in women than in men. Do physiological changes for women during the perimenstrual and perimenopausal phase play a role in this disorder?
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A Literature Review of Videophone Use in Mental HealthIn our survey, we found videophones a surprisingly understudied and underutilized tool in spite of the fact that they are easy to use and do not require any technical support.
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Physician Well Being: Who Cares?The demands on physicians keep growing-they are not only responsible for assessment, diagnosis, and treatment, they are subject to all manner of related administrative and practice responsibilities. Not surprisingly, physicians are susceptible to burnout.
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New Federal BRAIN Research Discoveries Are Targeted to Improve Clinical PracticeAlthough the early focus of the NIH component of the BRAIN Initiative is on tool development, the examples listed in this article show that these tools will have relevance to practicing clinicians within the lifetime of the Initiative.
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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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Comorbid Movement and Psychiatric DisordersThe goal of this article is to improve recognition of comorbid psychiatric and movement disorders and to help the reader formulate a management strategy using a multidisciplinary approach.
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Implications of Impulse Control Disorder in Parkinson DiseaseThe challenges of recognizing behaviors such as hypersexuality, gambling, and excessive buying in Parkinson disease are discussed, as are ways to address them while still managing the underlying condition.
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Working Within a Campus Health Service: A Challenge With Many RewardsPsychiatrists can provide significant support and insight to patients who are now coming to campus with a wide array of mental health challenges.
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Effects of Adolescent Marijuana Use on CognitionIn this brief video, an expert summarizes the effects of marijuana use on the teenage brain, as well as new strategies to discuss the consequences of drug use with adolescents.
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Infant PsychiatryInfant, or developmental, psychiatry is a subspecialty of child and adolescent psychiatry that focuses on the promotion of mental health in infants, toddlers, preschoolers, and their families through the consultation, assessment, and treatment of clinical problems.
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Does TMS Hold Promise for Generalized Anxiety Disorder?Available data suggest that transcranial magnetic stimulation holds promise as a treatment for GAD. Here: a look at what we know.
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Biological Consequences and Transgenerational Impact of Violence and AbuseEvery year, more than 1 million children are exposed to sexual or physical abuse or neglect in the US. The research summarized here clearly demonstrates that exposure to stress before adulthood can result in persistent effects on both mental and physical health.
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Can Psychiatry Sustain Connections While Hosting Sustainable Conferences?Sustainability is more than just cutting carbon emissions. It means creating a system where all of us can thrive—not just survive.
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Novel Research in the Neuropsychiatry of Anorexia NervosaResearch is now making progress in understanding what happens before and during the illness and how this behavior can be explained.
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Speaking Up: Sexual Harassment in the Medical SettingHere: a review of the definition of sexual harassment, its prevalence among physicians and medical students, its potential impact on physicians and trainees, and guidance about its management.
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Seasonal Variation of ViolenceThe author examines how temperature and length of day can affect mood and behavior, both in a general population and a group of inpatients. In both groups, there were two peaks of violent behavior, one in May-June and one in October-November, which correspond with the equinoxes. Is it possible to track violent behavior in various geographical areas depending upon weather and length of day?
