SPOTLIGHT -
Assessing Psychosis: A Clinician’s Guide
Methods of identifying and understanding the intricacies of psychosis in clinical settings.
How Antipsychotic Medication May Save Lives
For patients suffering the chronic, debilitating symptoms of schizophrenia, antipsychotic medication is a critical component of treatment-and may literally be life-saving.
Emerging Treatments and Pharmacogenetics for Cocaine Use Disorder
There are no FDA-approved pharmacotherapies for cocaine use disorder. Here: a review of the off-label use of promising medications for this addiction.
Suicide Prevention: Translating Evidence Into Practice
A growing body of research has given us strategies at population, community, and clinical levels that can be put into practice. Details here.
Jury Is Out on Omega-3 for Major Depression
Here: Insights regarding both the potential positive and negative effects of omega-3 fatty acids on depressive symptoms.
College Students and Mental Illness: Strategies for Optimal Results
Suicide is now the second leading cause of death among college students. But only 60% of colleges and universities have a psychiatrist on staff.
A True Believer
There’s no procedure code for a visit like this. But I can’t fault my psychiatrist wife for crossing a boundary and getting too personal.
The Interplay of Mood Disorders and Eating Disorders
A 20-year-old college sophomore with “depression and anxiety,” who is exercising ferociously and who is literally dying to lose more weight sets the stage.
Macho, Bravado, and Eating Disorders in Men: Special Issues in Diagnosis and Treatment
Eating disorders are still thought of as a “female problem.” But 25% of those with anorexia and 36% of those with bulimia are males.
Diagnosis and Assessment Issues in Eating Disorders
You must assess the presenting problem and identify the appropriate diagnostic code needed for insurance billing. But diagnosis is complicated. Help here.
Social Media and Depression
More social media use was associated with more depression in this study. Findings suggest that clinicians need to ask about social media use by people who are depressed.
Did Freud Ever Do This? A Reflection on the Epidemic of Crazy
“Hey, man, why is the world so crazy these days?”
Telepsychiatry for Vulnerable and Underserved Populations
When timely psychiatric care or consultation is difficult or impossible to obtain, telepsychiatry may be an acceptable, economical, and effective alternative.
At-Risk Children in the US Deserve Careful Assessment
In an international network of patients with bipolar illness, more offspring of US patients than of those from Europe had received a mental illness diagnosis. This suggests greater epigenetic vulnerability in Americans.
CBT for Psychosis
How to make cognitive behavioral therapy for psychosis feasible in a busy practice with limited resources.
Update on Mood Disorders: Implications for Practice
How generalizable are the results of depression treatment studies? Which factors predict readmission and length of stay in inpatients with mood disorders?
Psychiatry and Its Dichotomies
To neglect the cultural components of any given diagnosis or behavior, to ignore the role of culture-based individual attitudes, beliefs or practices in the face of adversity, would be a disservice.
At Last . . . I Hope!
The CDC and FDA have -- at last -- recognized that there might be something of a problem in the way opiates are prescribed!
Using Motivational Interviewing to Improve Health Behaviors in Psychotic Patients
Broaching the subject of changing behaviors can be daunting. Motivational interviewing may make these conversations easier.
Characteristics of Completed Suicides
In this study, about 70% of patients who completed suicide had recently sought treatment. Will you recognize those at risk?
Treatment Options in Late-Life Treatment-Resistant Depression
This article sheds light on the strengths and weaknesses of various approaches to TRD management in adults 60 years and older.
Resiliency and Creativity in the Face of Great Odds
Is creativity augmented or inhibited by mental illness? Insights from 4 case studies of troubled yet brilliant minds.
Challenging Patients
What factors lie at the heart of the patient/physician relationship?
Über Coca
He didn’t notice snow falling in the Krankenhaus courtyard the night he fell in love. A mere intern, castrated by Jew-hating med school professors...
Detection and Intervention for Adolescents With Early Psychosis: Promising Approaches
The key to identification of prodromal psychosis may lie in community-based outreach.
Biomarkers, Personalized Medicine, and Schizophrenia
The personalized medicine approach is predicated upon a greater understanding of the biology of illness and how it plays out-uniquely and specifically-for each individual patient.
A Multidisciplinary Approach to First-Episode Psychosis
First-episode psychosis cases are presented here using the RAISE study model-individual sessions, family psycho-education, social advancement in school work, and an expert psychiatrist prescriber.
How Mental Health Apps Are Regulated-or Are They?
Is there clinical evidence for the use of digital tools like smartphone apps for schizophrenia and other psychiatric illnesses?
Identifying Mild Neurocognitive Disorder in Older Patients
Depression can be accompanied by cognitive symptoms, but the nature of the relationship between these symptom categories is multifaceted.
The Impact of Patient Suicide on Clinicians
What are the effects on the clinician who loses a patient? How to respond?