Johnson & Johnson and its subsidiaries will pay more than $2.2 billion to resolve criminal and civil liability arising from allegations relating to the prescription drugs Risperdal, Invega and Natrecor, including promotion for uses not approved as safe and effective by FDA and payment of kickbacks to physicians and to the nation’s largest long-term care pharmacy provider.
Mood switching is not uncommon and it is much more prevalent in depressed juveniles than in depressed adults, and there is a large apparent excess of antidepressant-associated switching over reported spontaneous diagnostic changes to bipolar disorder. Details here.
Experts address specific concerns when treating the immigrant sector and describe supervised mental health services for uninsured, largely undocumented patients.
The depth and duration of medical training in psychiatric residency is yet to be determined, but given the increasing emphasis on integrated care, the role of psychiatrists is changing. More in this video.
The challenges of identifying patients at risk for alcohol withdrawal have been found to be mitigated by the development of a Risk Stratification Questionnaire, now being adopted by the VA regionally throughout New England. More in this video.
In the graph, bands of color recede like mountain silhouettes drawn by a child...
Some serendipitous occurrences made me wonder (even as a rational psychiatrist) whether something spooky and supernatural had been transmitted to me by the shaman who conducted a "Mother Earth" ceremony. Here's what happened.
In this video, Dr Lloyd Sederer, Medical Director of the New York State Office of Mental Health; Adjunct Professor at Columbia University Mailman School of Public Health; and Mental Health Medical Editor for The Huffington Post discusses a topic close to his heart.
A range of psychiatrists are remembered-from pioneers in psychoanalysis to trance studies; from psychopharmacology to reality therapy; from the normality of homosexuality to the psychopathology of “brain fag” syndrome; from flowers to film; from childhood to old age; from everyday clinicians to courageous challengers of the status quo; and from student to expert.
Here, barriers to successful referral to a psychiatrist, principles of management of medically unexplained symptoms, and tips on when to refer a patient to a psychiatrist.
During the first half of the 19th century, the asylum appeared to offer an innovative way for society to humanely manage and effectively treat mental illness.
Why is it important to exercise caution in the treatment of bipolar depression, especially in young women? Take the quiz and learn more.
A documentary film review that compels one to wonder if Szasz’s alleged suicide should be seen as a courageous adherence to the principles by which he lived or a symptom of a pathological avoidance of helplessness. Dr Szasz might reply that either way, it was his choice.
Sexual abuse is shockingly common in the US prison system. It has been reported that about 200,000 prisoners are victims of coercive sex each year. Most of those abused are psychiatric patients misplaced in prison.
Bipolar disorder is a longitudinal disorder defined by multiple episodes that may occur years apart. As a result, the proper diagnosis requires careful evaluation of both the current symptoms and the patient’s history.
One is reminded of an ancient tale of 10 blind men sent by a king to describe an elephant. Whichever piece of the beast each blind man touched, so ran his faulty description. At one time or another the FBI, Army, and Hasan’s superiors each touched a piece of Nidal Hasan. Tragically, no one was able to assemble the entire frightful picture, and head him off at the pass.
Most New Yorkers were afraid to venture outdoors after the Twin Towers toppled, so a short term, part-time locums post opened upstate, an escape from the decaying metropolis and retreat to the country. What could go wrong in such an idyllic setting?
On the value of drawing from past experiences to establish a relationship with an elderly patient.
The authors evaluate the effects of nicotine and cannabis on neurocognitive function in individuals with schizophrenia and review potential pharmacological treatment strategies.
Psychiatrists have patients who need help and we have the tools to help them. Some of these tools are technical and specific (meds; CBT); but even these work best only in the context of a rich therapeutic relationship that is based on all that makes us human.
The physician’s knowledge is almost always fragmentary and incomplete--and often, “we see through a glass, darkly.” But we must not allow these limitations to deter us from diagnosing and treating our patients to the best of our ability.
If science is defined as some kind of systematic study of observed experience applied to hypotheses or theories, and then confirmation or refutation of those hypotheses or theories, followed by new hypotheses or theories that are further tested and refined by new observations – if this is the core of any scientific inquiry, I think that no objective observer can attribute the history of DSM-III, IV, and 5 to anything that approximates this process.
This child's behaviors suggested ADHD-combined or primarily hyperactive type and conduct disorder. However, there was a strong history of trauma and affective disturbance. A structured interview format indicated that he formally met criteria for both PTSD and mixed episode. Without this format, features defining these disorders might have been missed and the child treated only for ADHD.
Undoubtedly there will be problems with some of the additions to DSM-5, with some of the combinations, with some of the new nomenclature, and with some of the new criteria sets. But practitioners will find most of DSM-5 to be well considered and well written. It is unfortunate, however, that much of its nomenclature is out of sync with the rest of medicine.
This article explores the current state of knowledge regarding personalized medicine in psychiatry and discusses how the tools might be used to help psychiatrists understand the components of their patients’ unique endophenotypic profiles.
There are a number of well-established niches in psychiatry, from forensics to addictions to LGBT. This author relates how she established her niche as a sports psychiatrist.
There have been considerable advances in the research on and clinical use of neurostimulation for psychiatric disorders, especially mood disorders and MDD. Three of the most recognized are reviewed here. An experimental new treatment-- trigeminal nerve stimulation-- is also briefly discussed.
Clearly, old age is associated with unavoidable decline but in some instances can be mitigated by mental and physical exercise and social activity. How is the preservation of function despite illness and decline accomplished? Insights here. . .
Psychiatric Times asked this psychiatrist to compile and edit a series worthy of its readers’ attention. We hope you find that this special section has achieved the literary and professional standards we set.