The extent to which antidepressant use during pregnancy is associated with increased risks of postnatal adaptation syndrome, persistent pulmonary hypertension in the newborn, first-trimester teratogenicity, stillbirth, and infant mortality is explored in 2 recent studies. A close up look here. . .
Both clinicians and weather forecasters employ the same general process of information gathering, analysis, and reaching a conclusion.
spring-time territory, raucous and free as a New Orleans . . . trumpet, my patient locked-in to the wild tune
Psychiatry residents can carve out a career in the area of psychiatry that interests them. If drawn to specialized topics, such as atypical bipolar disorder, club drugs, glutamate transporters, or genetic links to autism, then they should pursue those avenues.
Because the aftermath of sexual violence can result in suicidal feelings, depression, PTSD, and other mental disorders, clinicians play an important role in treating both victims and perpetrators and helping to prevent further damage.
President Barack Obama proposed a new research initiative designed to further study and better understand, treat, prevent, and cure brain disorders including Alzheimer disease, traumatic brain injury, autism, posttraumatic stress disorder, and schizophrenia.
This mobile-friendly Vanderbilt ADHD Rating Scale follows closely the criteria set forth in DSM-IV and has been customized to make smartphone observations in the office and treatment environments.
Developed by M.Hamilton, this widely-used interview scale measures the severity of a patient's anxiety, based on 14 parameters, including anxious mood, tension, fears, insomnia, somatic complaints and behavior at the interview.
The liveliest debate in psychiatry today is where to draw the line between mental disorder and mental health. So much rides on the decision-who gets treated and how, who pays for it, whether a criminal is deemed mad or bad, whether someone gets damages in tort cases, who qualifies for disability payments and eligibility for extra school services, whether someone can adopt a child-and there's a whole lot more.
In our time, it seems that the number of psychiatrists who believe in a God are increasing, parallel with the decreasing influence of Freud’s ideas.
When critics of psychiatric diagnosis insist that terms like “schizophrenia” or “bipolar disorder” are inherently stigmatizing, they are unwittingly perpetuating the very prejudice they wish to end. It is time to shine a bright light on this self-fulfilling prophecy.
What Skype does not offer is a means of communication clearly suitable for clinical services-especially in mental health and psychiatry.
Medication side effects of weight gain and increased appetite, together with non-adherence often found in persons with schizophrenia, bipolar disorder, and other serious mental illnesses, have challenged clinicians in the past.
Patients with borderline personality disorder or narcissistic personality disorder (or both) can feel entitled to special treatment and often seek only approving forms of attention from those who treat them.
Mental 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.
While the diagnostic categories of DSM-III and DSM-IV (and soon DSM-5) have provided the basis for much useful research, little has been written about how much of DSM-and how much “evidence-based medicine”-is built on a foundation of fantasy.
Outpatient psychiatry is a critical experience in becoming an independent psychiatrist.
The day began on a high note. As I sat and talked with an elderly patient sitting in her wheelchair, quiet, not remembering much, she suddenly broke out in song.
Changes will mean patients will only be covered for psychiatrists’ services that include medical evaluation and management; CPT coding will not allow for coverage of psychotherapy as a separate and equal category for payment.
Adjustment disorder is one of the few psychiatric diagnoses for which the etiology, symptoms, and course, rather than symptoms alone, are central to making the diagnosis. Both emotional and behavioral disturbances are present and include low mood, tearfulness, anxiety, self-harm, withdrawal, anger, and irritability.
Frame analysis can not only help us to discern the roots of such standoffs but also to conceptualize specific ways of addressing the conflicts in therapeutic language with the patient, with the goal of forging an integrated approach to treatment.
Psychological symptoms of depression in patients with diabetes are more specific to depression than their somatic counterparts.
Historically, there has been conflict between psychiatry and religion.
The humanities are a variety of academic disciplines that focus on the human condition with analytic and sometimes speculative methods. This is in contrast to the empirical methods of the natural sciences.
Preliminary evidence shows that dialectical behavior therapy may be beneficial in treating patients with bipolar disorder.
This article summarizes the reasons for switching an antipsychotic and explains when it becomes necessary to switch, as well as how the switch is best accomplished.
But old colleagues said . . . the holocaust made him an atheist with a poet’s heart, . . . a Jew who loved to stand and chant David’s psalms
Overdiagnosis of bipolar disorder is an increasing concern, particularly since a widely cited study that indicates a problem with overdiagnosis as well as with the much less publicized parallel finding of 30% underdiagnosis.
