Current Psychiatry

Articles from Vol. 6, No. 5, May

Depression, Medication, and 'Bad Blood': Clinicians Find 2 Antidepressants That Reduce Mr. G's Chronic Depression. Unfortunately, Each Medication Decreases His WBCs. What Would You Do?
CASE Sad and suicidal Mr. G, age 44, has chronic depression with suicidality. At presentation he says he has felt sad and suicidal for 2 weeks. He also has no appetite and trouble sleeping at night. Mr. G's depression has left him unable to...
Do Neural Disconnects Cause Schizophrenia? Research Has Revealed That Schizophrenia Is a Neurodegenerative Disorder with Significant Loss of Brain Tissue
Advances in neuroimaging, cell biology, and post mortem analysis are starting to explain what happens in the brain of a person who develops schizophrenia. Schizophrenia appears to be a developmental disorder of disrupted neural connection within and...
How to Control Weight Gain When Prescribing Antidepressants: Ignoring This Side Effect Can Increase Medical Risk, Treatment Nonadherence
Weight gain occurs with most antidepressants but is frequently overlooked, perhaps because clinicians are focused instead on metabolic effects of antipsychotics and mood stabilizers. Patients taking antidepressants often complain of weight gain, however,...
Innovation Deficit Disorder: Psychiatry Needs 'Disruptive' New Drugs; Clinical Psychiatry, like Other Medical Specialties, Eagerly Awaits Treatment Breakthroughs. despite the Availability of Many Pharmacotherapies, Even Common Illnesses Such as Diabetes, Hypertension, and Bipolar Disorder Cannot Be Cured
Until investigators unravel a disease's pathophysiology, treatments tend to remain symptomatic. Molecular genetics research ultimately may revolutionize the treatment of serious body and mind disorders, but how long must we wait? [ILLUSTRATION OMITTED]...
Interpreting Liver Function Tests: Patients' Elevated LFT Results Can Indicate Hepatocyte Injury, Cholestasis, or Both
Mrs. W, age 53, is referred by her primary provider for consultation on depressive symptoms, including worsening depressed mood, anhedonia, anxiety, and suicidal thoughts for 2 months. She reports at least 2 similar episodes in the past 15 years. Mrs....
'I Want to Leave Now': Handling Discharge against Medical Advice; Discharge against Medical Advice Does Not Absolve the Physician of Responsibility for Poor Outcomes
Patients voluntarily admitted to locked psychiatric intensive care units sometimes ask to leave against medical advice. They may minimize the severity of their acute illness or deny psychiatric symptoms to obtain a discharge. Patient characteristics...
Stalking Intervention: Know the 5 Stalker Types, Safety Strategies for Victims
A patient, a colleague, or perhaps you have been stalked. The chances of a woman being stalked are an estimated 1 in 14; for men, it is 1 in 50. (1) Fearful stalking victims may restrict their lives, change jobs, and curtail social activities to protect...
Teen Girl Brain: High Drama, High Risk for Depression; How Surging Hormones Make the Developing Brain More Vulnerable to Stress
Kate, age 14, is referred for follow-up treatment of depression after she impulsively swallowed a bottle of acetaminophen. She says she is in academic trouble and has no friends. Kate describes her childhood as mostly happy except for her parents'...
This Month's Instant Poll
Have you ever been stalked by a current or former patient? * YES * NO If yes, how did you get the patient to stop pursuing you? * Told him/her to stay away * Called police * Obtained a protective order * Engaged him/her in treatment...
Treating Posttraumatic Stress in Motor Vehicle Accident Survivors: Lessen Anxiety's Impact with Proven CBT Techniques
Stopped at a red light, Mr. O glances in the rearview mirror and sees headlights coming up fast. The sport utility vehicle behind him is not slowing down. He braces himself as the SUV plows into the back of his car, snapping his head back and forth...