In a decade-long study of antipsychotic prescribing for hospitalized children and adolescents, researchers found that antipsychotics were used in 44.3% of patients and were often prescribed for behavioral disorders, PTSD, and other anxiety disorders as well as psychotic disorders.
Researchers are developing a scale to measure a clinically identified emotional “trigger state” that puts individuals with suicidal ideation at increased risk of acting on their ideations.
In response to mounting physician interest in vitamins and dietary supplements, Monique Yohanan, MD, MPH, a physician editor at Epocrates, Inc, reviewed her picks for articles about vitamin D, calcium, and glucosamine that she considers “most likely to influence clinical practice” at the recent APA meeting in Honolulu.
Watch as Glen Gabbard, MD, and his colleagues Holly Crisp-Han, MD, and Gabrielle Hobday, MD, discuss some of the challenges you may face when you are called on to assess another physician. This topic was the focus of a workshop at the APA meeting.
Your one click will help provide emergency medical care to millions of people caught in crises in nearly 60 countries around the world.
/* @override http://dev.facilitydude.com/css/facilitydude.css *//* @group Blog */.social_links li#tellfriendhover { position: relative;}#tellfriend { position: absolute; margin-top: 250px; *margin-top: 250px; /* IE7 and below */ *margin-left: 100px; /* IE7 and below */ left: 60px; color: #fff; padding: 15px; margin-bottom: 20px; width: 450px; z-index: 5000; border: 1px solid #ccc; -webkit-border-radius: 5px; -moz-border-radius: 5px; background-color: #f2f2f2;}#tellfriend a.close { position: absolute; right: -10px; top: -10px; _right: 0px; /* IE6 and below */ _top: 0px; /* IE6 and below */ background: url(http://imaging.ubmmedica.com/all/jquery/fancy_closebox.png) no-repeat; height: 30px; width: 30px; overflow: hidden; text-indent: -1000px;}#tellfriend form textarea { height: 80px;}/* @end *//* @group Forms */.contact-form { padding: 15px; margin-bottom: 20px; border: 1px solid #ccc; -webkit-border-radius: 5px; -moz-border-radius: 5px; background-color: #f2f2f2; z-index:5000;}.contact-form form input.std_input { margin-bottom: 10px;}form label.clear { clear: both; float: left; margin-top: 10px;}form label.full { width: 99%;}form label.required { font-weight: bold;}form select { margin-bottom: 10px; background-color: #fff; border: 1px solid #ccc; font: 14px "Helvetica Neue", Arial, Helvetica, Geneva, sans-serif; color: #6e6e6e;}form label { --color: #808080; color: #000000; font-size: 14px;}form input.std_input,form textarea { --border: 1px solid #ccc; width: 90%; font: 15px "Helvetica Neue", Arial, Helvetica, Geneva, sans-serif; padding: 5px; padding-left:20px; color: #6e6e6e; --background-color: transparent; --border-style: none; border: 1px solid #ccc; -webkit-border-radius: 5px; -moz-border-radius: 5px;}form table { width: 100%;}form table input.std_input { width: 93%;}form table.three-col input.std_input { width: 90%;}form input.form_but { margin-top: 10px; float: left; background-color: #93ba31; border: 3px solid #afdd39; color: #fff; font: bold 15px "Helvetica Neue", Arial, Helvetica, Geneva, sans-serif; -webkit-border-radius: 5px; -moz-border-radius: 5px; padding: 5px 10px;}#message_std, #subject { border: none; background-color: #f2f2f2; color: #3B3B3B; font: 14px "Helvetica Neue", Arial, Helvetica, Geneva, sans-serif;}#message_std { padding-left: 25px;}.loading { float:right; background:url(http://imaging.ubmmedica.com/all/jquery/ajax-loader-clock.gif) no-repeat 1px; height:50px; width:50px; display:none; color: black;}.done { background:url(iconIdea.gif) no-repeat 2px; padding-left:20px; font-family:arial; font-size:12px; width:70%; margin:20px auto; display:none}.element * { padding:5px; margin:2px; font-family:arial; font-size:12px;}.element label { float:left; width:450px; font-weight:700; text-align: left;}.element input.text { float:left; width:270px; padding-left:20px;}.element .textarea { height:120px; width:270px; padding-left:20px;}.element .hightlight { border:2px solid #9F1319; background:url(http://imaging.ubmmedica.com/all/jquery/iconCaution.gif) no-repeat 2px; background-color: #FFFFFF;}.element #submit { float:right; margin-right:10px;}div .help { color: black;}#dialog-overlay { /* set it to fill the whil screen */ width:100%; height:100%; /* transparency for different browsers */ filter:alpha(opacity=50); -moz-opacity:0.5; -khtml-opacity: 0.5; opacity: 0.5; background:#000; /* make sure it appear behind the dialog box but above everything else */ position:absolute; top:0; left:0; z-index:3000; /* hide it by default */ display:none;}/* @end */$jq.fn.fadeToggle = function(speed, easing, callback) { return this.animate({opacity: 'toggle'}, speed, easing, callback);};$jq.fn.clearForm = function() { return this.each(function() { var type = this.type, tag = this.tagName.toLowerCase(); if (tag == 'form') return $jq(':input',this).clearForm(); if (type == 'text' || type == 'password' || tag == 'textarea') this.value = ''; else if (type == 'checkbox' || type == 'radio') this.checked = false; else if (tag == 'select') this.selectedIndex = -1; });};function launchbutton(){ $jq(function() { //Overlay // get the screen height and width var maskHeight = $jq(document).height(); var maskWidth = $jq(window).width(); // calculate the values for center alignment var dialogTop = (maskHeight/3) - ($jq('#dialog-box').height()); var dialogLeft = (maskWidth/2) - ($jq('#dialog-box').width()/2); // assign values to the overlay and dialog box $jq('#dialog-overlay').css({height:maskHeight, width:maskWidth}).show(); //clear the form $jq('#from').clearForm(); $jq('#to').clearForm(); $jq('#name').clearForm(); $jq('#message_custom').clearForm(); //re-enable the fields $jq('.std_input').removeAttr('disabled'); //but lock out non-editable ones :-) $jq('#subject').attr('disabled','true'); $jq('#message_std').attr('disabled','true'); //hide the loading message $jq('.loading').hide(); $jq('.done').hide(); $jq("#tellfriend").fadeToggle('slow'); });}var hostname=window.location.hostname;var linkArray = new Array();linkArray['www.cancernetwork.com'] = "cn";//change these when we have final link valueslinkArray['www.consultantlive.com'] = "cl";linkArray['www.diagnosticimaging.com'] = "di";linkArray['www.psychiatrictimes.com'] = "pt";linkArray['www.physicianspractice.com'] = "p2";linkArray['mediakit.ubmmedica.com'] = "ubm";linkArray['hcp.obgyn.net'] = "hcp";linkArray['www.musculoskeletalnetwork.com'] = "msn";linkArray['www.pediatricsconsultantlive.com'] = "ped";//for testinglinkArray['localhost'] = "localhost";var refererrLink = "";try{ referrerLink = linkArray[hostname];}catch (err) //might not be in array{}$jq(document).ready(function() { $jq('#tellfriend').hide(); $jq('a.email').click(function() { //Overlay // get the screen height and width var maskHeight = $jq(document).height(); var maskWidth = $jq(window).width(); // calculate the values for center alignment var dialogTop = (maskHeight/3) - ($jq('#dialog-box').height()); var dialogLeft = (maskWidth/2) - ($jq('#dialog-box').width()/2); // assign values to the overlay and dialog box $jq('#dialog-overlay').css({height:maskHeight, width:maskWidth}).show(); //clear the form $jq('#from').clearForm(); $jq('#to').clearForm(); $jq('#name').clearForm(); $jq('#message_custom').clearForm(); //re-enable the fields $jq('.std_input').removeAttr('disabled'); //but lock out non-editable ones :-) $jq('#subject').attr('disabled','true'); $jq('#message_std').attr('disabled','true'); //hide the loading message $jq('.loading').hide(); $jq('.done').hide(); $jq("#tellfriend").fadeToggle('slow'); }); $jq('#tellfriend a.close').click(function() { //Overlay // get the screen height and width var maskHeight = $jq(document).height(); var maskWidth = $jq(window).width(); // calculate the values for center alignment var dialogTop = (maskHeight/3) - ($jq('#dialog-box').height()); var dialogLeft = (maskWidth/2) - ($jq('#dialog-box').width()/2); // hide the overlay $jq('#dialog-overlay').hide(); //clear the form $jq('#from').clearForm(); $jq('#to').clearForm(); $jq('#name').clearForm(); $jq('#message_custom').clearForm(); //re-enable the fields $jq('.std_input').removeAttr('disabled'); //but lock out non-editable ones :-) $jq('#subject').attr('disabled','true'); $jq('#message_std').attr('disabled','true'); //hide the loading message $jq('.loading').hide(); $jq('.done').hide(); $jq("#tellfriend").fadeToggle('slow'); });});$jq(document).ready(function() { //if submit button is clicked $jq('#submit').click(function () { //Get the data from all the fields var sn = $jq('input[name=sn]'); var se = $jq('input[name=se]'); var re = $jq('input[name=re]'); //remove extra spaces between emails var mc = $jq('textarea[name=mc]'); var ms = $jq('input[name=ms]'); var sub = $jq('input[name=sub]'); //Simple validation to make sure user entered something //If error found, add hightlight class to the text field //Also email address validation on sender and recipient fields var emailReg = /^([\w-\.]+@([\w-]+\.)+[\w-]{2,4})?$/; if (sn.val()=='') { sn.addClass('hightlight'); return false; } else sn.removeClass('hightlight'); if (se.val()=='') { se.addClass('hightlight'); return false; } else if(!emailReg.test(se.val())) { se.addClass('hightlight'); return false; } else se.removeClass('hightlight'); if (re.val()=='') { re.addClass('hightlight'); return false; } else re.removeClass('hightlight'); //strip out whitespace between address var re_clean = re.val().replace(/ /g,''); //need to split values first var recipient_emails = re_clean.split(';') for (i = 0; i< recipient_emails.length; i++) { if(!emailReg.test(recipient_emails[i])) { re.addClass('hightlight'); return false; } } //organize the data properly var data = 'sn=' + sn.val() + '&se=' + se.val() + '&re=' + re.val() + '&mc=' + mc.val() + '&sub=' + sub.val() + '&ms=' + ms.val() + '&referrer=' + referrerLink; //disabled all the text fields $jq('.std_input').attr('disabled','true'); //show the loading sign $jq('.loading').show(); //$jq('.loading').fadeIn('slow'); //start the ajax $jq.ajax({ //this is the php file that processes the data and send mail url: "http://www.psychiatrictimes.com/all/emailfriend.php", //GET method is used type: "GET", //pass the data data: data, //Do not cache the page cache: false, //success success: function (html) { //if process.php returned 1/true (send mail success) //if (html==1) { //hide the form $jq('#tellfriend').fadeOut('slow'); //show the success message $jq('.done').fadeIn('slow'); //if process.php returned 0/false (send mail failed) //} else alert('Sorry, unexpected error. Please try again later.'); } }); //cancel the submit button default behaviours $jq('#dialog-overlay').hide(); return false; });});
By now, insured Americans are familiar with the routine “cost-saving” measures created and implemented by insurance companies. What is probably not known to most people, however, are the routine oversight procedures that intrude on patient care, aggravate “providers,” and consume untold amounts of time.
Attention Deficit Disorder is now two or three times more common than it was just twenty years ago. A recent study reported that a whopping 10% of kids in the general population would qualify for the diagnosis. There has also been an incredible explosion in the use of medication in treating it.
If Blake were alive today, maybe he’d start one of his famous stanzas with something like, “To see meaning in a 15-minute med check…” If not, I will. Here’s how I’ve come to justify this.
One click can help millions around the world. Every new healthcare professional who creates a free account on www.psychiatrictimes.com will trigger our donation of $10 to the international organization Doctors Without Borders/ Mdecins Sans Frontires (MSF) - a non-profit delivering emergency medical assistance in nearly 60 countries to people affected by armed conflict, epidemics, malnutrition, natural disasters, or exclusion from health care. It's our way of promoting global social good for doctors caring for those in desperate need. Our goal is to donate $25,000 - enough for vaccinations for 25,000 people against meningitis, measles, polio or other deadly epidemics.
David Osser, MD, and his colleagues from Harvard Medical School summarize key aspects of the Psychopharmacology Algorithm for PTSD.
More than 1 in 4 inpatients with schizophrenia received add-on antidepressants as recorded at discharge, according to Megan Jo Ehret, Pharm D., BCPP, and assistant professor in the University of Connecticut’s School of Pharmacy.
A large-scale, systematic depression screening of adults with cardiovascular disease (CVD) conducted by Kaiser Permanente in Southern California produced some unexpected result. Even those with negative depression screens benefitted.
Children of active-duty military face increased risk of psychiatric hospitalization when a parent is deployed for longer than 6 months, as suggested by new research presented during the American Psychiatric Association meeting in Hawaii.
Psychiatrists and other physicians are sometimes pressured to participate in torture and less extreme methods to extract information "for the greater good." Does the good ever outweigh the bad?
Every new healthcare professional that creates a free account with UBM Medica will trigger our donation of $10 to the international non-profit organization Doctors Without Borders/Mdecins Sans Frontires (MSF) – a non-profit delivering emergency medical assistance to people affected by armed conflict, epidemics, malnutrition, natural disasters, or exclusion from health care in nearly 60 countries. It's our way of promoting global social good for doctors caring for those in desperate need. Our goal is to donate $25,000 over the month of June – enough to immunize and nourish over 10,000 children and provide clean water to thousands of people in need.
A report on the first international conference on Daniel Paul Schreber: "No comparison can be drawn between the sublime suffering of 1 individual-a man who, even in his madness, remained a member of Germany’s elite-and the horrors that would be perpetrated in that institution in the years to come..."
Psychiatry is a wonderful specialty. We have highly effective medication and psychotherapy tools. Forty years of accumulated clinical research have given us a pretty clear idea of optimal treatment guidelines. With an accurate diagnosis and an appropriate treatment, most of our patients benefit greatly and many recover completely.
Osama Bin Laden is dead. 9/11 lives on. The sudden annihilation of the man responsible for that cruel and ultimately defining act brought me joy, and rekindled a sense of pride in our country and its capabilities.
The current situation in Japan has been called the worst crisis in the country since World War II. Relief effort organizations are urged to take hikikomori seriously when planning strategies to help the victims of the recent disasters in Japan.
The proposal to include "coercive paraphilia" as an official diagnosis in the main body of DSM-5 has been rejected. This sends an important message to everyone involved in approving psychiatric commitment under Sexually Violent Predator (SVP) statutes.
Many physicians are frustrated with government involvement, insurance companies, and reimbursement (or lack of reimbursement) systems. Does this prohibit you from helping your patients?
Excellence in psychopharmacology demands sensitivity to the associated ethical considerations. The key considerations of psychiatry are both complex and dynamic, and psychiatrists who develop and refine their ethics skill set will be in a better position to anticipate and respond to ethical dilemmas as they arise in their practice.
Like every drug or technology that has therapeutic value, MDMA (3,4-methylenedioxymethamphetamine) has potential risks and benefits. Unlike most other drugs under clinical investigation, MDMA has a complex and controversial history that has delayed dispassionate scientific investigation into its therapeutic use.
In addition to receiving birthday cards, on this birthday, one of our bloggers, Dr. Moffic, decided to send out a card to all those he loved. It is being reprinted here. "If you are what you love, There is no longer reason to be most modest, so step aside Muhammad Ali, for I Am The Greatest!"
