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Neurocognitive Disorders Cardiovascular Risk Management May Slow Neurocognitive Decline in HIV

Cardiovascular Risk Management May Slow Neurocognitive Decline in HIV

HIV-associated neurocognitive disorder is a term used to describe a range of neurocognitive dysfunction issues linked to HIV infection.

Depressive Disorder Maintenance rTMS for Treatment-Resistant Depression

Maintenance rTMS for Treatment-Resistant Depression

This review explored studies that investigated the efficacy and safety of maintenance rTMS following successful acute treatment with rTMS or ECT in treatment-resistant patients with unipolar or bipolar depression.

Eating Disorders Continuing Research, Emerging Treatments Hold Promise for Treating Anorexia Nervosa

Continuing Research, Emerging Treatments Hold Promise for Treating Anorexia Nervosa

In the past, clinicians believed anorexia arose from control battles with parents and that the individual had to develop insight and motivation to recover.

Depressive Disorder Vagus Nerve Stimulation in HIV-Associated Depression

Vagus Nerve Stimulation in HIV-Associated Depression

Up to 30% of patients with HIV are resistant to standard interventions for depression.

Anxiety Anxiety Prevention Interventions: How Effective Are They?

Anxiety Prevention Interventions: How Effective Are They?

"Anxiety disorders are persistent and incapacitating, and despite the availability of effective treatments, not all individuals with anxiety receive adequate treatment."

Practice Management Will Lowering the P-Value Improve Quality of Research Standards?

Will Lowering the P-Value Improve Quality of Research Standards?

Should the statistical significance of the P-value be lowered?

Child/Adolescent Psychiatry Fetal Alcohol Spectrum Disorders: Update & Expert Q&A

Fetal Alcohol Spectrum Disorders: Update & Expert Q&A

Work continues on refining our understanding on the identification of alcohol-related neurodevelopmental disorder (ARBD).

Schizophrenia and Psychoses Secondary Outcome Bias Prevalent in Antipsychotic Randomized Controlled Trials

Secondary Outcome Bias Prevalent in Antipsychotic Randomized Controlled Trials

Understanding more about the original protocols of RCTs for various drugs may offer helpful insights into the clinical implications of those trials' findings.

Depressive Disorder CBT, Acceptance Commitment Therapy Helpful for Those With Chronic Pain

CBT, Acceptance Commitment Therapy Helpful for Those With Chronic Pain

For people with chronic pain, psychological interventions have been helpful.

Bipolar Disorder Examining Rates of Conversion From Unipolar Depression to Bipolar Disorder

Examining Rates of Conversion From Unipolar Depression to Bipolar Disorder

Making mental health predictions based on clinical presentation has major limitations.

Practice Management When Patients Are Pathological Liars: Implications For Psychiatrists

When Patients Are Pathological Liars: Implications For Psychiatrists

The concept that lying is more cognitively draining than telling the truth has found considerable support in clinical studies.

Depressive Disorder Depression Augmentation Therapy Requires Clinical Judgment With Limited Evidence

Depression Augmentation Therapy Requires Clinical Judgment With Limited Evidence

Clinicians prescribing antidepressants may need to consider augmenting their therapy with another agent.

Practice Management emPATH Units as a Solution for ED Psychiatric Patient Boarding

emPATH Units as a Solution for ED Psychiatric Patient Boarding

Mental health patients with urgent symptoms may be assisted by emPATH units.

Depressive Disorder Mood Disturbances in Older Adults with Impaired Vision

Mood Disturbances in Older Adults with Impaired Vision

Among older people with visual impairment, 57.2% are at risk for mild or moderate depression.

Depressive Disorder Older Patients With Inadequately Treated Depression Have Poorer Prognosis Overall

Older Patients With Inadequately Treated Depression Have Poorer Prognosis Overall

Contrary to common belief, the prevalence of depression in older adults does not decrease with age.

Practice Management Malware: A Race Between Hackers and Security Experts

Malware: A Race Between Hackers and Security Experts

The malware race is a battle between hackers and security experts.

Addiction Criteria For Identification of Smartphone Addiction

Criteria For Identification of Smartphone Addiction

Smartphone addiction appears to be linked to sleep disorders, anxiety and stress disorders, and greater consumption of alcohol and tobacco.

Practice Management How Will Accountable Care Organizations Reshape the Healthcare System?

How Will Accountable Care Organizations Reshape the Healthcare System?

Healthcare systems are expanding in the numbers of people covered and in the care across lifespan.

Depressive Disorder Advice for Parents Whose Child Is Seeking Mental Health Treatment

Advice for Parents Whose Child Is Seeking Mental Health Treatment

Well-intentioned parents may not realize that it is terrifying for a youngster to be left without any parental direction, even if the child does not act scared.

Practice Management How Can Men Be Encouraged to Seek Help for Mental Health?

How Can Men Be Encouraged to Seek Help for Mental Health?

Men, including male physicians, are less likely than female physicians to seek medical treatment for their own health conditions.

Depressive Disorder Depression Screening Yields Benefits Despite Inadequate Tools

Depression Screening Yields Benefits Despite Inadequate Tools

Clinicians should be better trained about the importance and roles of depression screening to improve patient care.

Practice Management Strategies To Support Non-Monogamous, Polyamorous Patients

Strategies To Support Non-Monogamous, Polyamorous Patients

Non-monogamy can have rules and meanings as varied as the clients who practice it.

Child/Adolescent Psychiatry Emotional Problems Facing Siblings of Children With Disabilities

Emotional Problems Facing Siblings of Children With Disabilities

Siblings of children with disabilities may experience a "wide range of emotions.

Anxiety Dr Beth Darnall on Treating Catastrophizing for Pain Relief

Dr Beth Darnall on Treating Catastrophizing for Pain Relief

Catastrophizing undermines pain treatment effectiveness and facilitates structural brain changes that serve to maintain pain and distress.

PTSD trauma and stressor-related Expert Interview: Sex Assault Survivors Troubled By Political Climate

Expert Interview: Sex Assault Survivors Troubled By Political Climate

Rape has been linked with the strongest risk for PTSD in both women and men, followed by combat exposure and child molestation.

Disruptive Impulse-Control and Conduct Disorders Impulse Control Disorders An Area of Focus in Parkinson's Disease

Impulse Control Disorders An Area of Focus in Parkinson's Disease

Impulse control disorders are thought to be related to impaired function of decisional impulsivity associated with rapid, disinhibited decision-making, rather than motor impulsivity.

Addiction Adult Children of Alcoholics: Healing Lifelong Scars

Adult Children of Alcoholics: Healing Lifelong Scars

Alcoholism can have a deleterious effect on interpersonal relationships, including romantic partners, friends, and coworkers.

Depressive Disorder Maternal Depression in Low- and Middle-Income Countries Carries Heavy Burden of Morbidity

Maternal Depression in Low- and Middle-Income Countries Carries Heavy Burden of Morbidity

Both postpartum and prenatal depression are among the most significant contributors to maternal morbidity and mortality.

Practice Management National ID Health Initiatives Threatened by Changes to Legislation

National ID Health Initiatives Threatened by Changes to Legislation

The FY2017 appropriations bill raised serious concerns about significant reductions in funding for many proposed programs by the NIH and the CDC.

ADHD New ADHD Pharmacologic Treatments Needed But Few Are On the Way

New ADHD Pharmacologic Treatments Needed But Few Are On the Way

Little progress has been made in identifying effective agents for patients who don't respond to existing ADHD medications.

Anxiety Postpartum PTSD: Beyond Postpartum Depression in Maternal Mental Health

Postpartum PTSD: Beyond Postpartum Depression in Maternal Mental Health

Postpartum PTSD is an area with limited physician knowledge.

Depressive Disorder Major Depressive Disorder Treatment Looks to Role of Lipids

Major Depressive Disorder Treatment Looks to Role of Lipids

Increased rates of depression in the United States could be at least partially due to the dietary shift away from omega-3 consumption.

Practice Management Challenges of Medical Liability Reform in a Rapidly Changing Healthcare Environment

Challenges of Medical Liability Reform in a Rapidly Changing Healthcare Environment

A new bill aimed specifically at limiting medical liability was passed by Congress on March 1, 2017.

Practice Management Aging LGBTQ Patients and Barriers to Care

Aging LGBTQ Patients and Barriers to Care

Elderly LGBTQ individuals are more likely to be depressed and have poor general health than non-LGBTQ seniors.

Practice Management Antibiotic Resistance Problem Addressed in New Congressional Bill

Antibiotic Resistance Problem Addressed in New Congressional Bill

New classes of antibiotics are vital to ensure that effective treatment of patients with multidrug-resistant infections is available.

Practice Management Medical Malpractice and the Current State of Reform

Medical Malpractice and the Current State of Reform

Michelle Mello, JD, PhD, discusses key issues surrounding medical liability, and why now is the right time to address malpractice reform in a meaningful fashion.

Depressive Disorder Depression Identification, Stigma as Focus of World Health Day

Depression Identification, Stigma as Focus of World Health Day

Shekhar Saxena, MD, director of the Department of Mental Health and Substance Abuse at the World Health Organization, speaks about depression.

Addiction Postoperative Pain as a Spectrum: Treatment Strategies

Postoperative Pain as a Spectrum: Treatment Strategies

Post-surgery pain is a continuum with no clear delineation.

Eating Disorders Dual Diagnosis of an Eating Disorder and Diabetes Mellitus

Dual Diagnosis of an Eating Disorder and Diabetes Mellitus

"Diabulimia" may or may not be associated with bulimia or any of its symptoms.

Depressive Disorder Seasonal Affective Disorder: An Overview

Seasonal Affective Disorder: An Overview

Seasonal Affective Disorder is frequently believed to be a mild condition and is often overlooked by clinicians.

Practice Management Body Image in Gay Men: When and How to Intervene

Body Image in Gay Men: When and How to Intervene

Nearly 15% of all gay men report dealing with anorexia or bulimia during their lifetime.

Practice Management Challenges for Medicaid Consumers Under the Affordable Care Act

Challenges for Medicaid Consumers Under the Affordable Care Act

Medicaid patients experienced increased wait times for appointments to see healthcare providers.

Bipolar Disorder Suicidal Ideation in Bipolar Depression: A Potential New Treatment

Suicidal Ideation in Bipolar Depression: A Potential New Treatment

A new agent would be the first oral treatment for suicidal behavior in patients with bipolar depression.

Practice Management Challenges For a Proper Transition from Pediatric Care to Adult Care

Challenges For a Proper Transition from Pediatric Care to Adult Care

Planning for transitioning from pediatric care to adult care beings when the patients is a child or adolescent.

Practice Management New Informed Consent Advances Lead to Increased Opportunities

New Informed Consent Advances Lead to Increased Opportunities

Technological advances have permitted us to improve the process by which informed consent is obtained.

Practice Management Corrective Action Plan Can Be Severe Penalty in Addition to HIPAA Fines

Corrective Action Plan Can Be Severe Penalty in Addition to HIPAA Fines

Corrective action plans ares intended to prevent HIPAA violation fines from recurring.

Practice Management Ethical Concerns With Non-Reporting of Negative Clinical Trial Results

Ethical Concerns With Non-Reporting of Negative Clinical Trial Results

Non-reporting of negative results contributes to a body of knowledge that is at best, incomplete, and at worst, wrong.

Neurocognitive Disorders Cognitive Difficulties During Migraine Affect Functioning

Cognitive Difficulties During Migraine Affect Functioning

Is cogniphobia can be a modifiable factor in the treatment of patients with migraine?

Depressive Disorder Bright Light Therapy for Nonseasonal Depression: An Emerging Intervention

Bright Light Therapy for Nonseasonal Depression: An Emerging Intervention

Bright light therapy is an accepted treatment for seasonal affective disorder.

Practice Management Active Medical Device Safety Surveillance: A New Imperative

Active Medical Device Safety Surveillance: A New Imperative

The development of new device technologies points to the need for new strategies to monitor their continuing safety and efficacy.

Addiction ASIPP: Opioid Prescribing Guidelines for Chronic, Non-Cancer Pain

ASIPP: Opioid Prescribing Guidelines for Chronic, Non-Cancer Pain

Updated guidelines focus on safe and effective opioid prescribing practices.

Practice Management Psychosocial Care Addressed by ADA in First Published Recommendations

Psychosocial Care Addressed by ADA in First Published Recommendations

Providing care for the mental and physical health of people with diabetes will simultaneously improve both outcomes.

Practice Management FDA Drafts Offer Guidance for Medical Product Marketing Language

FDA Drafts Offer Guidance for Medical Product Marketing Language

The FDA will consider electronic or written queries and comments submitted before April 19, 2017 to the final guidance documents to be completed.

Bipolar Disorder Best Practices for Treatment of Bipolar Disorder

Best Practices for Treatment of Bipolar Disorder

While lithium has been the mainstay of treatment for decades, several other classes of medication have recently been used with varying degrees of success.

Depressive Disorder Psychedelics a Viable Therapeutic Option for Depression

Psychedelics a Viable Therapeutic Option for Depression

Further research is necessary to clarify the psychiatric viability of psychedelic use.

Depressive Disorder Comorbid Depression in Epilepsy: Challenges in Diagnosis and Treatment

Comorbid Depression in Epilepsy: Challenges in Diagnosis and Treatment

Psychiatric comorbidities including depression are a common complication of epilepsy in both children and adults.

Neurocognitive Disorders Addressing Gender Disparities in Concussion Diagnosis and Treatment

Addressing Gender Disparities in Concussion Diagnosis and Treatment

Compared with male athletes, female athletes face a greater incidence of and longer recovery time from concussion.

Depressive Disorder Anxiety, Depression Often Unrecognized in Parkinson's Disease

Anxiety, Depression Often Unrecognized in Parkinson's Disease

Neuropsychiatric symptoms such as depression and anxiety are common in Parkinson's Disease, but often go unrecognized.

Addiction Health Effects and Therapeutic Benefits of Cannabis

Health Effects and Therapeutic Benefits of Cannabis

A National Academy of Sciences study looks at the health risks and benefits of cannabis.

Alzheimer’s Disease and Dementia Learning From the Failed Solanezumab Trial: An Interview With Ronald Petersen, MD, PhD

Learning From the Failed Solanezumab Trial: An Interview With Ronald Petersen, MD, PhD

Ronald Petersen, MD, PhD, discusses the implications of the failed solanezumab trial.

Suicide and Self-Harm Suicide Prevention and Intervention: Cross-Cultural Perspectives

Suicide Prevention and Intervention: Cross-Cultural Perspectives

Factors such as shame and stigma impede the dialogue about mental illness across cultures.

Depressive Disorder Facebook Addiction Associated With Social Insecurity

Facebook Addiction Associated With Social Insecurity

Physicians who deem Facebook use compulsive should prescribe taking a 1-week break.

Practice Management Depression High Among Medical Students

Depression High Among Medical Students

Effort must be made to create a more supportive medical education environment.

Practice Management Health Care Providers Fined for Outdated Vendor Agreements

Health Care Providers Fined for Outdated Vendor Agreements

HHS fined providers for not having a business associate agreement in place or using an outdated one.

Schizophrenia and Psychoses Art Therapy as an Intervention for Psychosis

Art Therapy as an Intervention for Psychosis

A patient does not have to be verbal to benefit from art therapy.

Practice Management PLISSIT Model: Introducing Sexual Health in Clinical Care

PLISSIT Model: Introducing Sexual Health in Clinical Care

The PLISSIT model offers a method for introducing sexual health into the clinical conversation.

Practice Management How to Maximize Revenues and Prepare for Payor Changes

How to Maximize Revenues and Prepare for Payor Changes

Practices must remain current, compliant, and efficient to respond to shrinking reimbursements, pay-for-performance payment models, stricter compliance regulations, and narrower margins

Practice Management Artificial Intelligence Applications in Medicine: Interview with Expert Dr Isaac Kohane

Artificial Intelligence Applications in Medicine: Interview with Expert Dr Isaac Kohane

Artificial intelligence applications have been used in cardiology, endocrinology, neurology, and more.

Practice Management Medical Education Improvement Steps Considered

Medical Education Improvement Steps Considered

More research is needed to show that medical residents' ability to provide high-quality. efficient patient care is accurately measured.

Practice Management Patient EHR Access Offers Benefits, Barriers

Patient EHR Access Offers Benefits, Barriers

Disparities in direct patient access to EHR need to be addressed.

Autism Spectrum Disorders Treating ASD With Theater: Interview with Expert Dr Blythe Corbett

Treating ASD With Theater: Interview with Expert Dr Blythe Corbett

Psychiatrists should think beyond traditional models of therapy when looking to engage patients with ASD.

Practice Management PRECISION Trial Measured Efficacy of Celecoxib

PRECISION Trial Measured Efficacy of Celecoxib

A PRECISION trial tested cardiovascular risks of COX-2 inhibitors and NSAIDs.

PTSD trauma and stressor-related SPECT Imaging Offers More Accurate Diagnosis of Traumatic Brain Injury

SPECT Imaging Offers More Accurate Diagnosis of Traumatic Brain Injury

Advanced neuroimaging can more accurately diagnose traumatic brain injury and post-traumatic stress disorder than CT or MRI.

Therapies Sport Psychiatry: An Emerging Specialty

Sport Psychiatry: An Emerging Specialty

The development of the psyche of an athlete typically begins in childhood and evolves through the life cycle.

Schizophrenia and Psychoses Psychiatric Care for Incarcerated Patients

Psychiatric Care for Incarcerated Patients

According to one review, there are more individuals with serious mental illness in correctional institutions than in all US state hospitals.

Neurocognitive Disorders Cognitive Processes' Influence on Pain Perception

Cognitive Processes' Influence on Pain Perception

Evidence indicates that distraction can provide pain relief, highlighting the influence cognitive processes have on pain perception.

Neurocognitive Disorders Advancing Pain Management: Human Studies

Advancing Pain Management: Human Studies

Research on monogenic disorders has made vital contributions to all aspects of medical care, including our understanding of pain pathophysiology.

Neurocognitive Disorders Medication Overuse Headache: Diagnosis & Treatment

Medication Overuse Headache: Diagnosis & Treatment

The recovery time varies depending on which class of medication the patient is overusing.

Sleep-Wake Disorders Assessing Beliefs and Treating Insomnia and Chronic Pain

Assessing Beliefs and Treating Insomnia and Chronic Pain

The Pain-Related Beliefs and Attitudes about Sleep (PBAS) scale offers a tool to assess the interaction between sleep, insomnia and chronic pain.

Feeding and Eating Disorders Update on Anorexia Treatment and Research

Update on Anorexia Treatment and Research

It's the deadliest mental illness. What's being done about it?

Opinion Haloperidol in the Emergency Department Setting

Haloperidol in the Emergency Department Setting

Dr. Scott Zeller suggests it is time to move away from emergency intramuscular haloperidol.

Addiction Criticism of 12-Step Groups: Is It Warranted?

Criticism of 12-Step Groups: Is It Warranted?

One topic of criticism is the relative dearth of scientific evidence regarding the efficacy of 12-step programs.

Opinion Big Data, Big Psychiatry — Big Potential?

Big Data, Big Psychiatry — Big Potential?

You have probably heard the term 'Big Data' being bandied around, but what does it actually mean for the psychiatry sector? Dr Nicola Davies explains what Big Data is, before exploring how it's currently being applied within psychiatry.

Alzheimer’s Disease and Dementia Sundowning: Phenomenology, Pathophysiology, and Treatment Approaches

Sundowning: Phenomenology, Pathophysiology, and Treatment Approaches

Sundowning is a complex multifactorial condition that has eluded rigorous understanding of its pathophysiological causes.

Depressive Disorder Cognition in Depression: A Critical Domain for Health Outcomes, Measurement, and Treatment

Cognition in Depression: A Critical Domain for Health Outcomes, Measurement, and Treatment

Dr. Roger McIntyre suggests that the clinical relevance of cognitive dysfunction for any individual patient can only be adjudicated on a case-by-case basis.

Suicide and Self-Harm Spotlight on Teen Suicide Prevention

Spotlight on Teen Suicide Prevention

National Suicide Prevention Week, September 5 - 11, 2016

Opinion Chronic Fatigue Syndrome is Not Merely Dysbiosis

Chronic Fatigue Syndrome is Not Merely Dysbiosis

Dr. Henderson suggests treating Myalgic Encephalomyelitis/Chronic Fatigue Syndrome with antivirals rather than with antidepressants.

Suicide and Self-Harm Is This Patient Suicidal? Tips for Effective Assessment

Is This Patient Suicidal? Tips for Effective Assessment

Many suicidal people experience difficulty describing their internal states, making assessment more challenging and demanding a high level of skill.

Anxiety Emerging Treatments for Obsessive-Compulsive Disorder

Emerging Treatments for Obsessive-Compulsive Disorder

Several promising novel treatment options exist for those with OCD.

Suicide and Self-Harm Veteran Suicides Fuel Widespread Demands for Answers

Veteran Suicides Fuel Widespread Demands for Answers

As the Congress, VA, CDC and the Obama Administration address the issue, recent neuroimaging studies point to effective diagnostic tools available for PTSD and TBI — two common conditions among suicide victims.

Depressive Disorder What Neuroimaging Can Teach us About Depression

What Neuroimaging Can Teach us About Depression

Neuroimaging studies have shown several neurophysiological substrates for depression: An overview by Theodore Henderson, MD, PhD.

Feeding and Eating Disorders New Surgical Weight Loss Device Alarms Eating Disorders Experts

New Surgical Weight Loss Device Alarms Eating Disorders Experts

FDA approval was based on a single clinical trial involving 111 patients, which was funded by the device manufacturer.

Addiction Expanded Naloxone Access Could Help Curb Opioid Deaths

Expanded Naloxone Access Could Help Curb Opioid Deaths

The Role of Psychiatrists as Naloxone Advocates

Suicide and Self-Harm Suicide Prevention in Veterans

Suicide Prevention in Veterans

Meeting the Needs of a Vulnerable Population

Therapies The Future of Mental Health Apps

The Future of Mental Health Apps

Nicola Davies, PhD, suggests that a great deal of research is still required, but apps are certainly showing great promise as a means of enhancing treatment outcomes when used as an adjunct to therapy and medication.

Therapies CBT in Individuals With Rheumatoid Arthritis for Managing Chronic Pain

CBT in Individuals With Rheumatoid Arthritis for Managing Chronic Pain

In an email interview with Rheumatology Advisor, Louise Sharpe, PhD, spoke about the practical ramifications of her research for clinicians who treat rheumatoid arthritis.

Addiction Microstructure of Ethanol Consumption in Rodent Models of Alcoholism

Microstructure of Ethanol Consumption in Rodent Models of Alcoholism

Comprehensive measurements of drinking behavior during episodes such as binge, abstinence, and relapse are essential to reveal the factors and mechanisms that underlie alcohol abuse and dependence.

Autism Spectrum Disorders Addressing Common Nutritional Deficiencies in Autism

Addressing Common Nutritional Deficiencies in Autism

Ann Neumayer, MD, suggests that giving too many supplements can be harmful as well as giving too few.

PTSD trauma and stressor-related Functional Role of Adult-Born Neurons in Stress Vulnerability and Resilience

Functional Role of Adult-Born Neurons in Stress Vulnerability and Resilience

Involvement of Hippocampal Neurogenesis in Fear Memory Overgeneralization Following Exposure to Traumatic Stress

Obsessive-Compulsive and Related Disorders Body Dysmorphic Disorder: A Distorted Lens

Body Dysmorphic Disorder: A Distorted Lens

The behaviors associated with body dysmorphic disorder diminish quality of life and create tremendous interference.

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