Although the American College of Obstetricians and Gynecologists and the US Preventive Services Task Force recommend screening for depression in the general adult population, including pregnant and postpartum women, evidence for such screening in the perinatal setting is limited.
Designing the Therapeutic Space: Using Layout, Color, and Other Elements to Get Patients in the Right Frame of Mind
While there is no single way to design a conducive therapeutic room, mental health professionals can help ensure that clients have a comfortable therapeutic experience by keeping the area a welcoming, cozy, warm, and safe environment for emotionally vulnerable individuals.
Adolescents infected with HIV have a greater risk for psychiatric hospitalizations compared with those not infected with HIV.
Researchers examined evidence suggesting that probiotics may exert antidepressant effects via anti-inflammatory mechanisms.
The most robust predictive risk factor for BD is a confirmed history of the illness in a first-degree relative, which is associated with an 8-fold to 10-fold lifetime risk for BD and a 2-fold to 3-fold lifetime risk for depressive disorder vs the general population.
These results suggest that the nitrates in cured meat are driving the association between cured meat consumption and mania.
As depression is one of the most common psychiatric disorders following acute stroke and can be predictive of poor outcomes, identifying biomarkers to recognize the disorder are imperative for improving the clinical course.
Farris K. Timimi, MD, and Lee Aase from the Mayo Clinic Social Media Network shared their views on the role of social media in physician practice.
Approximately 15% of incarcerated people have serious mental illness, although that number can vary depending on the type of illness.
Rumination is common in individuals experiencing suicide bereavement and is unique compared with the responses to bereavement for other reasons.
The Lancet Commission, "Improving Physical Health Outcomes in People With Mental Illness, will launch in August 2019 with a goal summarizing recent advances, identifying high-priority areas, and presenting updated recommendations regarding physical health inequalities in patients with mental illness.
When alcohol and opioid addiction occur together, managing them concomitantly becomes challenging. Whereas some patients may not need medication for alcohol addiction, opioid abuse does require pharmacotherapy.
Although research has filled some of the knowledge gaps in the association between psychosis and hearing impairment, more data about this phenomenon and its confounding factors are needed.
The opioid system is responsible for social pain and reward in the brain; therefore, understanding its underpinnings may help clinicians manage patients with depression and suicidal ideation.
Screening for cardiovascular disease risk is recommended for clinicians who manage patients with bipolar disorder.
The complexities and ambiguities associated with reporting suspected cases of child abuse can contribute to confusion and the potential for harm.
Despite their advantages, many clinicians do not necessarily agree with the centrality or content of CPGs. Others — especially primary care physicians (PCPs) — are overwhelmed by the vast and ever-increasing numbers of guidelines issued by multiple societies.
People are increasingly finding themselves dependent on their mobile phones, and separating themselves from their devices has been associated with high levels of anxiety, as well as feelings of panic and stress.
Emerging research is leading to new theories attempting to address why a significant number of individuals with major depressive disorder do not achieve relief of their symptoms after receiving treatment.
The reasons for physicians' discomfort with conversations about dying are as much cultural, social, and systemic as they are personal.
Individuals with comorbid schizophrenia and narcolepsy are exposed to increased prevalence of various risk factors and worse clinical outcomes compared with individuals with either disorder alone.
The focus of mental health policy and treatment for individuals with schizophrenia in the United States has shifted in recent years from stabilization of those with chronic disease to intervention in the early stages of the illness.
With better understanding of the underlying mechanisms of transcranial direct current stimulation, clinicians will be better equipped to identify the optimal management of their patients with major depressive disorder.
The mechanics of therapy look quite different for younger patients, whose experiences with depression vary by age, emotional vocabulary, cognitive development, and experiences with trauma.
In the last 5 years, many clinicians have faced tough questions about how best to serve transgender youth while doing no harm.
In some patients, cannabis use can complicate the management of bipolar disorder by causing mood instability and psychosis. Other patients believe it helps manage their moods.
Abuse-deterrent opioid formulations have not yet been widely accepted despite their proposed value in reducing opioid abuse and related mortality. Many of the current barriers to broader use are related to their higher cost compared with conventional formulations.
Eligibility criteria employed in clinical trials assessing pharmacologic treatment of bipolar disorder typically preclude many affected patients, casting doubt about the generalizability of their results.
Rapid onset of antidepressant effects, mild and infrequent adverse effects, and cost-effectiveness position light therapy as an alternative to pharmacologic treatments for depression.
Research has been insufficient to elucidate the prevalence, course, and clinical correlates of rapid cycling in bipolar disorder.
The NAVIGATE program shows great promise toward optimizing pharmacologic management of psychosis.
Meditation techniques have an ever-growing evidence base to support their use and have become increasingly accepted in Western medicine as helpful adjuncts to other therapies.
One of the main reasons for the frequent misdiagnosis of catatonia is the continuing misconception that it is synonymous with schizophrenia.
The potential consequences of providing cosmetic treatment to a patient with BDD can extend beyond ethical concerns.
Bipolar disorder is often comorbid with substance use disorders, with alcohol being the top substance. Clinicians should take a thorough history to uncover substance use disorder because it will guide the management of both disorders.
Health professionals from many disciplines need to be able to recognize the clinical presentations, essential diagnostic tests, and treatment approach of Lyme neuroborreliosis.
Comorbid depression, when not well controlled, can affect one's ability to self-manage diabetes. There can be loss of interest in making proper lifestyle choices, monitoring glucose levels, and taking one's medicines.
Despite concerns that the digital revolution in psychiatry might lessen the importance of interpersonal relationships between patient and clinician, digital apps have the potential to make the therapeutic alliance even more powerful.
While pharmacotherapy research has revealed some promising findings, cognitive behavioral therapy (CBT) remains the gold standard for treating hoarding disorder.
FDA Approval of Medication With a Digital Monitoring System: Major Breakthrough or "Brave New World"?
Abilify MyCite adds a digital sensor to the medication aripiprazole. The sensor, an ingestible event marker, is activated by contact with stomach acids and transmits a signal to a skin patch the patient wears, which then transmits to an app.
Sex workers already operate at the social and economic margins. SESTA-FOSTA makes it increasingly difficult for them to advertise and screen clients safely, deeply cutting into their incomes and threatening their livelihoods.
People with migraines and comorbid mood disorders often need treatments that address both conditions, as well as management of sleep, stress, and lifestyle issues.
While researchers continue learning about specific interactions between poor sleep and psychotic symptoms, clinicians should be incorporating more comprehensive questions about sleep into their assessment of patients.
Not all abused children become serial killers, and not all serial killers are victims of childhood abuse. However, the connection between the two cannot be dismissed as just coincidence.
Functional restoration is a multimodal approach to chronic pain and depression, and includes psychoeducation about pain, biofeedback, mindfulness training, physical and occupational therapy, and detoxification of narcotics.
An AAEP task force created recommendations for medical evaluation of psychiatric patients presenting to the ED.
Several notable medical societies have issued ethical statements discouraging physicians from treating family members and friends.
New findings suggest that DSM-5 criteria may apply to betel use disorder and offer opportunities to advance the study and understanding of substance use disorder in general.
The heterogeneity of depression as a disease contributes to the challenge in identifying effective treatments.
The psychological effect on psychiatrist victims should be acknowledged even when the behavior of the perpetrator can be explained by diagnosis.
Before the next set of guidelines are updated and harmonized, individual studies may provide direction for clinicians.
During your career, have you experienced an ethical conundrum regarding involuntary commitment of a patient? Share your de-identified stories with Psychiatry Advisor, and your story could be shared on the site. Help provide insight to other psychiatrists across the globe.
Increased implementation of integrated primary care could help to improve the availability of psychological treatment for this patient population.
Experts provide practical tips to aid in the often-challenging process of incorporating pharmacogenetic testing into clinical practice.
While many treatments for substance use disorder are not evidence based, several evidence-based approaches have shown effectiveness in court-mandated treatment settings.
Mental health professionals supporting patients living with HIV need to make space for their patients to process the emotional effect of their diagnosis, but not to make assumptions about what it means to them.
Offenders with major psychopathic traits can be identified in all ethnic groups that have been studied, including European Americans, African Americans, and Latino Americans, but some of the evidence pointing to the validity of psychopathy is stronger in European Americans.
Rheuatology Advisor speaks with a psychologist about addressing mental health in patients with inflammatory arthritis.
It has been proposed that inflammation stemming from persistent pathogens may influence the development of mood disorders.
Patients will still be at risk for schizophrenia or bipolar disorder even several years after an episode of substance-induced psychosis.
Mood symptoms in patients with bipolar disease may be a marker of cognitive symptom severity or cognitive deficits.
Endocrinologist Kevin M. Pantalone, DO, and psychiatrist Christian Kohler, MD, discuss the risk associated with the use of antipsychotic medications in individuals with type 2 diabetes.
Clinicians address issues relating to treating patients with comorbid chronic fatigue syndrome and mood disorders.
Identifying a patient's preferences and goals leads to a care plan that can reflect those goals, and this may improve patient satisfaction.
"It is important to highlight that VR is a safe method to use in people with psychosis."
Parents using intervention strategies in addition to the interventionist working directly with the child can be very beneficial, as an interventionist only gets to see a child for a few hours a week.
ADHD's many deficits cannot be ameliorated by pharmacotherapy alone. Researchers and clinicians are investigating computer interventions and physical activity that get to the root of the ADHD domain, such as inattention, memory, or time management.
One of the requirements for diagnosing OCD is that the individuals don't want to engage in their behaviors. However, youth with autism who have verbal skills often say that they feel content with their repetitive behaviors and have no interest in stopping them.
No single solution to address sexual harassment in medicine exists, but physicians of all genders must come together to make progress.
Cognitive behavioral therapy may be effective for children in learning how to separate from their parents and engage in activities.
The prevalence of borderline personality disorder is estimated to between 15% and 20% in inpatient settings.
One of the biggest challenges faced by individuals with ASD is finding ways to be happy and successful in a neurotypical world.
As sleep disturbances in patients with depression are associated with increased episode recurrences, persistent illness course, and poor outcomes, assessment of the relationship between both and review of effective treatment modalities is essential for improving quality of life for these patients.
Sarah Hollingsworth Lisanby, MD, director, Translational Research Division at the National Institute of Mental Health, discusses the use of repetitive transcranial magnetic stimulation for maintenance therapy in depression.
Careful clinical and metabolic monitoring should be implemented by clinicians caring for patients with severe mental illness.
Psychiatry Advisor interviews with Allegra I. Broft, MD, to explore the connection between bipolar disorder and binge eating disorder.
Mental health professionals regularly grapple with the best way to support clients navigating an onslaught of sexual violence in their daily lives.
The prevalence of bipolar postpartum depression is greater than previously understood and requires distinct treatment.
Malpractice liability reform would best be analyzed on a specialty-by-specialty basis.
Evidence suggests that several underlying mechanisms of bipolar disorder may be improved with dietary interventions, and good nutrition is associated with improved outcomes in this population.
"Since the current generation of psychiatrists has been raised on second-generation antipsychotics and has relatively little experience with first-generation antipsychotics, keeping tardive dyskinesia in mind is not, on the whole, part of their experience or training," said Christoph U. Correll, MD.
It is not always clear whether treatment resistance in schizophrenia is related to medication underexposure or the result of medication being ineffective.
The Goldwater Rule has proven remarkably resilient and has not been seriously challenged for half a century — until now.
Raloxifene has demonstrated mostly positive results in meta-analyses of men and women with schizophrenia who received the selective estrogen receptor modulator as adjunctive therapy.
In the current treatment landscape where there are few solid strategies to address treatment resistance, augmentation with T3 has been recommended by several clinical practice guidelines.
Awareness of risk factors for bipolar disorder facilitates early intervention, typically beginning with lifestyle changes rather than pharmacotherapy.
As pharmacologic options have largely remained the same during the last decade, there exists a need to consider adjunctive therapies for bipolar disorder treatment.
Even though physician-assisted suicide is legal in 5 states and Washington, DC, no state allows euthanasia.
Neuropathic pain has been linked with negative outcomes including psychological distress.
Various professional guidelines recommend cognitive-behavioral therapy (CBT) for the management of psychosis and schizophrenia; however, the clinical application of CBT is limited by its complexity and the need for intensive training.
Digital technology shows promise in monitoring and collecting patient information to contribute to schizophrenia research.
While results so far may seem to support a link between increased access to cannabis and a reduction in prescription opioid use, findings from a study published in 2018 found otherwise.
The relationship between agoraphobia and panic has gone through some changes and reconceptualization, as evidenced by the diagnostic categories laid out in the Diagnostic and Statistical Manual of Mental Disorders.
Although the theory of the gut-brain axis has existed for more than a century, recent studies are now examining how gut microbiota influence mood.
This article discusses the issue of physician suicide trends, then and now.
As major depressive disorder is a leading causes of disability, and approximately one-third of patients with the condition do not respond to currently approved treatments, there exists an unmet need for more effective and rapidly acting antidepressants.
"Compassion fatigue" is understood to affect workers across the spectrum of helping professions, and to be extremely prevalent among physicians.
Successful management of both the manic and depressive states in bipolar disorder has been difficult to achieve, despite a broad range of pharmacologic treatments available.
Michael Thase, MD, comments on the potential for lithium in drinking water as a psychiatric prophylactic agent.
More than 60% of healthcare institutions in the US are using electronic communication to exchange patient medical information.
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Psychiatry Advisor Articles
- Suicide Attempts Associated With Sleep and Circadian Rhythm Disturbances in Bipolar Disorder
- Anatomical Patterns Present in Childhood ADHD May Predict Phenotypic Variation
- History of ADHD Associated With Increased Risk for Basal Ganglia and Cerebellum Disorders
- Probiotics, Depression, and the Role of Inflammation
- Psychotropic Medications May Improve Pregnancy Outcomes in Bipolar Disorder
- The Opioid System: The Foundation for Social Risk and Reward
- Correctional Psychiatry: Challenges and Rewards
- Those Left Behind: Working With Suicide-Bereaved Families
- The Impact of Deafness on Hallucinations and Delusions
- Is Mandatory Reporting of Child Maltreatment in the Best Interests of the Child?
- Institutional Rearing Associated With Psychopathology Risk in Children
- Perinatal Mood and Anxiety Screening: Recommendations and Controversies
- Few Seniors Who Self-Harm Referred for Mental Health Care
- Violent Video Games Tied to Physical Aggression
- Vortioxetine Beats Escitalopram in Improving SSRI-Induced Sexual Dysfunction