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Violence in Bipolar DisorderWhat is the association between bipolar disorder, trauma, and violence? Here: a guide to assessing violence potential in bipolar patients.
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Mini Quiz: DSM-5 BasicsDSM-5 stands out for the introduction of several new specifiers, which will allow for more accurate coding. Which of the items mentioned in this quiz did not change in DSM-5?
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Take 5 Before You Give 5: The Dos and Don’ts of Political ContributionsCommon legal questions about political donations are discussed.
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Issues in Psycho-Oncology: What Clinicians Need to KnowAn overview of select topics in clinical psycho-oncology, including assessment and management of delirium and brain lesions, mood and anxiety disorders, medication adverse effects, and existential death anxiety.
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Obsessive-Compulsive Symptoms in SchizophreniaThere is currently great controversy over the issue of obsessive-compulsive behaviors in schizophrenia. Are patients who display these behaviors suffering from a separate subtype of schizophrenia?
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Cognitive Impairment in Patients With Bipolar DisorderIt is widely accepted that patients with schizophrenia have some degree of cognitive deficiency and that cognitive deficits are an inherent part of the disorder. Historically, there has been less focus on cognitive deficits in patients with bipolar disorder; however, numerous studies of cognition in patients with bipolar disorder, including several comprehensive meta-analyses of bipolar patients who were euthymic at the time of testing, have recently been undertaken.1-4 Each of these analyses found that cognitive impairment persists during periods of remission, mainly in domains that include attention and processing speed, memory, and executive functioning.4
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Neoplasm or Demyelinating Lesion?A 32-year-old left-handed woman presented with a 4-week history of progressive left hand numbness, tingling, and clumsiness. Symptoms worsened until she found it difficult to write and perform fine motor tasks. She reported having no transient neurological symptoms in the past. Her medical history was significant only for Dengue fever acquired several years ago while on a visit to Southeast Asia. She was taking no medications, and a review of systems was noncontributory.
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A Case of Gambling DisorderA patient is brought to the emergency department by her daughter for bizarre behavior and symptoms of mania after gambling from the casino for 48 continuous hours.
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Mini Quiz: DSM-5 BasicsDSM-5 stands out for the introduction of several new specifiers, which will allow for more accurate coding. Which of the items mentioned in this quiz did not change in DSM-5?
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New Drug Developments for Bipolar ManiaWhile challenges in treating mania persist, the future discovery of novel therapeutic agents will likely expand our understanding of this devastating illness and provide key insights into future drug development.
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The Intersection of Mental Health and Successful AgingOne consequence of the "graying" of the world's population is that psychiatrists, along with all health care professionals, will increasingly be providing services to older adults. In the United States, the first set of people belonging to the baby boom generation turned 60 in 2005, and the number of people older than 60 will soonoutnumber children for the first time in recorded history.
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A New Tool for Teaching PsychopharmacologyEveryone would probably agree that the practice of clinical psychiatry has changed profoundly over the second half of the past century. One of the most remarkable changes has been the rapid development and expansion of clinical psychopharmacology, which has become, like it or not, a dominant part of the clinical practice of most psychiatrists. Available treatments for mental disorders changed and our armamentarium broadened. We have numerous medications for psychiatric disorders. We even use medications for disorders traditionally considered only amenable to and suitable for psychotherapy.
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Podcast: Pandora's Box and Integrative Treatment of SchizophreniaHere, Dr Ira Steinman, discusses the concept behind "Beyond Pandora's Box: Exploring Integrative Approaches to Treating Psychosis."
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Do We Need Psychiatrists?For a couple of years, I have been a member of the American Society of Clinical Psychopharmacology (ASCP). I guess many of us carry this need to belong from our adolescent years. It always felt good for me to be a part of a professional group, sharing the same interests, united by special education and knowledge. How wrong of me!
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The Relationship Between Anxiety Disorders and Sexual DysfunctionIn this article, we examine the relationship between anxiety disorders and SDs, using DSM-IV-TR categories, although we are conscious of the limits of this approach. In doing so, we will consider not only the dichotomy between normal and pathological functioning but also the issue of sexual satisfaction as part of wellness.
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Can Epigenetics Promote Resilience Without Genetic Reductionism?The emergence of epigenetic models has generated a surge of optimism, opening new possibilities for psychiatric intervention.
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Treating Prodromal Symptoms of PsychosisA review of some of the latest study findings on the pharmacological treatment of prodromal psychosis.
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Alternative Brief Interventions for Mild DepressionDepression has long been recognized as a primary concern for health care providers. Many approaches to treating depression have been developed, ranging from medications, to long-term psychotherapy, to shorter, more structured cognitive-behavioral treatments--all of which help some of the patients, some of the time, to some extent.
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New Directions in PsychiatryIn order to make positive changes in the field of psychiatry, it is important to appreciate and understand the current challenges and significant limitations of the present approach to psychiatric therapy.
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Violence in Bipolar DisorderWhat is the association between bipolar disorder, trauma, and violence? Here: a guide to assessing violence potential in bipolar patients.
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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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Multiple Chemical SensitivitiesThe patient who presents with vague psychiatric somatic complaints may, in fact, be suffering from chemical sensitivities. Such sensitivities are tied to lower incidences of certain psychiatric disorders while correlating with the higher prevalence of others. Neurogenic inflammation, limbic kindling and psychiatric co-factors are discussed.
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STAR*D’s Cumulative Remission Rate and Why It Still MattersContesters of STAR*D discuss the impact and relevance of the study's remission rates.
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A Unifying Premorbid DiagnosisOne cannot but be impressed at the ingenuity of our DSM-5 mavens at conjuring up new diagnostic syndromes.
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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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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?
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Je Suis Charlie: A First-Person Account From the Paris RallyA commentary on France's response to recent acts of terrorism that unified a nation and the world, co-written by a psychiatrist who was at the Paris Rally.
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Addictive Disorders: Updates and FindingsAn introduction to the Annual Meeting of the American Academy of Addiction Psychiatry and its coverage of topics such as alcohol use disorders, e-cigarettes, prescription opioid use and abuse, cannabis use, stimulant use, medical marijuana, gambling, and opioid antagonist therapy to prevent overdose.
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Alcohol Disorders: Practical Tips From New ResearchIn this review, we discuss the established medications as well as experimental therapeutic options that may emerge as future medications for alcohol intoxication, withdrawal, and/or long-term abstinence maintenance or harm-reduced drinking.
