Guns, Violence, and Mental Health: Did We Close the State Mental Hospitals Prematurely?
When our jails become our largest public mental health facilities, we definitely have a problem-a problem we created-in how we respond to serious mental illness.
The Family Guide to Mental Health Care
If your practice or your advocacy efforts place you anywhere near people encountering the mental health system for the first time, please have a look at this book.
Repetitive Transcranial Magnetic Stimulation in Depression: A Changing Landscape
Clinicians can feel confident in the evidence base when referring patients with a moderate level of treatment resistance for rTMS. Preliminary results suggest that deep rTMS may be an effective option in patients who have failed to respond to more than one antidepressant treatment.
“PRN” Medication for Alcohol Dependence May Reduce Harm
In a new study, "as needed" use of an opioid antagonist for heightened alcohol craving appeared to reduce the number of heavy drinking days and total amount of alcohol consumed.
No Mortality Increase With Antipsychotics in Prospective Study
Results of a 10-week prospective study, recently reported at the Annual Meeting of the American Association for Geriatric Psychiatry, offered no conclusive evidence about the mortality risk of elderly patients with Alzheimer disease who were treated with antipsychotics.
Epidemiology and Treatment of Substance Use and Abuse in Adolescents
This article covers the spread of substance use problems in adolescents and some of the currently available scientifically proven behavioral treatments for these conditions.
Bias Against Schizophrenic Patients Seeking Medical Care
Surprisingly, psychiatrists and psychiatric nurses “were just as likely” as their primary care counterparts to display negative biases toward individuals with schizophrenia seeking general medical care.
Pain and Suicide
The rise in suicides and lethal overdoses of opioid analgesics is probably not coincidental. In most overdose deaths, we have no way of knowing with any degree of certainty whether they were accidental deaths or intentional suicides.
Shared Risk Factors in Multiple Psychiatric Disorders
The aggregation of psychiatric diagnoses in individual psychiatric patients, ie, the presence of multiple disorders in one individual, is a curious and sometimes disturbing observation in psychiatry.
Genetics and Pharmacogenetics of Schizophrenia: Recent Progress
This article reviews some of the most recent findings in genetics and pharmacogenetics of schizophrenia-especially those with clinical implications.
Genetic Testing for Psychiatric Disorders: Its Current Role in Clinical Psychiatric Practice
Genetics seems to be a subject of particular interest for everyone. This article explores how the current state of knowledge regarding genetics might be used to help psychiatrists diagnose psychiatric disorders or predict their onset.
Psychiatric Epigenetics: A Key to the Molecular Basis of and Therapy for Psychiatric Disorders
The major challenges for epigenetic therapies are target specificity of the drugs-an issue that is also true for most of the currently used drugs in medicine, especially in psychiatry.
Before I knew much psychiatry I met his angry stare in the ER, a homeless man with a three day beard...
SuperAgers: Insights Into the Brains of 80+-Year-Old Memory Superstars
Despite the prevalent perception that cognitive decline in the aged population is inevitable, researchers with Northwestern University's SuperAging Project are finding that "excellent memory capacity in late life is a biological possibility."
Experts Discuss Changes, Updates in DSM-5
A panel of experts at the APA Annual Meeting discussed how changes in DSM-5 may affect clinical practice. Highlights here.
Cultural Psychiatry and the 'No-Chicken' Doctor
This psychiatrist has learned to ask if his Hmong patients have also consulted a shaman to help with their depressive symptoms and with their PTSD.
The Paradox of Choice: When More Medications Mean Less Treatment
Two problems persist in the treatment of severe mental illness that constitute a barrier to effective patient-centered care: excessive reliance on a limited number of antipsychotic medications at the expense of other effective treatments, and the underutilization of other evidence-based treatment options.
Mindfulness and the Medication Management Visit
Engaging in mindfulness activities either individually or with patients who come to us for brief medication visits can have a profound influence on the therapeutic process.
Journey of the Traumatized Hero: Kerouac’s On the Road and Gandhi’s Railroad Ride
The art of living is the ability to use life’s inevitable traumas in some constructive fashion. This occurs on an odyssey that the resilient take that could be termed “the Journey of the Traumatized Hero.”
Synthetic Cathinones: Signs, Symptoms, and Treatment
Sometimes viewed as “legal cocaine,” the over-the-counter status of synthetic cathinones (aka bath salts) gives the illusion that they are safe. In fact, they are highly toxic.
Grief and Depression: The Sages Knew the Difference
While it is true that the intense grief of bereavement and major depressive disorder often share some features-for example, tearfulness, insomnia, low mood, and decreased appetite-there are many substantive differences.
Inpatient Suicide: Identifying Vulnerability in the Hospital Setting
It is important for the inpatient psychiatrist to understand the perspective of the newly admitted patient. Many patients will find the experience depersonalizing, threatening, and socially alienating and may perceive it as a personal failure.
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