Current Psychiatry

Articles from Vol. 6, No. 7, July

Conquering His Fears, One Step at a Time: Mr. Q Fears Crossing the Street. Nightmares and Flashbacks Fuel His Phobia, and a Stutter Worsens His Anxiety and Blocks Communication. Which Problem Would You Address First?
CASE The big freeze Mr. Q, age 34, is afraid to cross the street. As he steps off the curb, his legs "cramp up." As the cramping intensifies and his feet stiffen, his heart races, he begins to sweat, and he turns back for fear his legs will buckle...
Curbing Nocturnal Binges in Sleep-Related Eating Disorder: Sleepwalking-Like Behavior Is a Frequently Undiagnosed Cause of Patients' Obesity
Ms. G, age 39, has a body mass index (BMI) >35 kg/[m.sup.2] and is pursuing bariatric surgery to treat obesity. She is frustrated with dieting and describes a decade of unconscious nocturnal eating, including peanut butter and uncooked spaghetti....
Dangerous Duo: Antiepileptics Plus Herbals
Antiepileptic drugs (AEDs)--one of the most frequently prescribed medication classes--are used to manage seizures, epilepsy, pain syndromes, migraines, and psychiatric disorders such as bipolar disorder, anxiety, schizophrenia, and depression. When...
How to Treat Nicotine Dependence in Smokers with Schizophrenia: Improve Patients' Health, Help Them Kick Addiction with This Practical Approach
Mr. V, age 49, has stable but symptomatic schizophrenia and a 33-year cigarette smoking history. He is very concerned because his primary care physician told him he has 2 serious smoking-related health problems: diabetes and hypertension. He tried...
IM Aripiprazole for Acute Agitation
In recent clinical trials, a new intramuscular (IM) form of the second-generation antipsychotic (SGA) aripiprazole has controlled agitation in adults with schizophrenia or bipolar mania without causing significant side effects (Table 1). (1-3) Clinical...
'Meth' Recovery: 3 Steps to Successful Chronic Management
Clinicians could become discouraged when confronting methamphetamine-dependent patients' wide-ranging psychiatric symptoms. These patients often present with: [ILLUSTRATION OMITTED] * overlapping primary psychiatric syndromes and secondary substance...
Parkinson's Symptoms or Depression? Look for Clinical Signs: How to Sort through Overlapping Symptoms Using DSM-IV-TR Diagnostic Criteria
Many depressive symptoms are seen in the normal course of Parkinson's disease (PD) (Table 1). (1) As a result, depression--the most common neuropsychiatric disturbance in PD--is difficult to assess in PD and easily can go undetected and untreated....
Trends in Psychiatry: Will We Become 'Diseasologists'? What Is the Future of Psychiatric Practice? the Emerging Trend in Medicine Is toward More and More Specialization, but Will Psychiatry Follow Suit?
Explosive growth in scientific knowledge and increasingly technical aspects of treatment are making it harder than ever for specialists--let alone generalists--to remain current. Gone are the days of Marcus Welby, MD, television's 1970s paragon of...
When Does Conscientiousness Become Perfectionism? Traits, Self-Presentation Styles, and Cognitions Suggest a Persistent Psychopathology
Mr. C is a 50-year-old professional writer who recently made a serious suicide attempt. At his initial session, Mr. C was hesitant to discuss his situation and reason for attending. He did, however, bring a copy of his resume so the therapist could...