Clinical Issues and Challenges in Treating Undocumented Immigrants
August 15th 2013Despite the need for mental health support, undocumented immigrants underutilize mental health services. Many endure traumatic experiences while emigrating that put them at psychological risk and once in the US, undocumented immigrants face multiple psychosocial stressors.
Clinical Implications of Working With Patients on Parole or Probation
August 15th 2013Many patients with serious mental illness become entangled with the justice system. Extending our notions of interdisciplinary teams to include parole and probation officers provides us with options and opportunities not typically available otherwise in support of our patients.
Issues in Treating Patients With Intellectual Disabilities
August 15th 2013Psychiatric disorders in persons with intellectual disabilities are typically more severe and more difficult to diagnose than in the general population. Clearly, those who diagnose ID and treat patients with this condition face a number of challenges.
The Challenges and Rewards of Rural Psychiatry
August 15th 2013Despite its many challenges, rural psychiatry can be particularly rewarding because it allows an opportunity to provide much-needed care and the ability to be at the forefront of helping to close gaps in health care disparities.The privilege of being a true community resource and the ability to improve overall community mental health give meaningful purpose to the work of a rural psychiatrist.
Introduction: Disparities of Care
August 14th 2013Even as psychiatry advances and develops new clinical techniques and as behavioral health systems seek the means to be able to serve all people needing care, disparities in service persist. The articles in this Special Report examine the demographically hard-to-reach populations-the socially marginalized who require special outreach techniques.
Cognitive Behavioral Therapy: Escape From the Binds of Tight Methodology
July 30th 2013CBT has become rooted as proven dogma in the treatment of depression despite large problems remaining in methodology of CBT clinical trials and the logic behind how CBT works. This article will describe the major methodologic problems in the clinical trials of CBT.
First INIMH-Sponsored International Exchange on Integrative Mental Health Care
July 23rd 2013INIMH is continuing the important work of building bridges between clinicians from different cultures and countries, with the goals of exploring novel treatments and models of care for the benefit of our patients.
Discontinuing Medications: When, Why, and How-to
July 19th 2013Most often, psychiatric medications are discontinued unilaterally by the patient, without the psychiatrist’s input or consent. Setting the stage early with a discussion about medication discontinuation is time well spent. More in this CME.
Characteristics of Sleep Disorders in Women
July 19th 2013This brief review addresses what is currently known about sleep problems in women. The main focus is on sleep issues that are particularly relevant to reproductive stages in a woman’s life cycle and therefore potentially linked to reproductive and/or hormonal factors.
Olanzapine/Fluoxetine Combination Affirmed for Bipolar Depression
July 17th 2013A recent meta-analysis supports evidence of the effectiveness of the fixed olanzapine/fluoxetine combination (Symbyax) in treating the depressive phase of bipolar disorder. Response was ranked higher, but with no more adverse effects, than with treatment with olanzapine alone.