Current Psychiatry

Articles from Vol. 9, No. 6, June

A Psychiatrist/lawyer Crossfire: A Friendly Debate Lays to Rest Lawyers' Misconceptions about Psychiatry
Do lawyers understand psychiatry? To answer that semi-rhetorical question, I imagined the following conversation between 2 friends, Barry the barrister and Harry the psychiatrist. Barry: Harry, I think psychiatry is a politically incorrect discipline....
Communicating with Deaf Patients: 10 Tips to Deliver Appropriate Care
When treating deaf psychiatric patients, appropriate psychiatric care is possible when you maintain an awareness of deaf culture and language. Consider these 10 points: 1. Certified American Sign Language (ASL) interpreters are necessary. The Americans...
Impaired Physicians: How to Recognize, When to Report, and Where to Refer: Legal and Ethical Issues Complicate Intervening When a Colleague Needs Assistance
From all outward appearances Dr. S, a part-time psychiatrist at an inpatient psychiatric facility and in private practice for 12 years, is living the "perfect life," with a wife, children, and successful practice. In retrospect, his drug addiction...
Lowering Risk of Alzheimer's Disease: Medical, Dietary, and Lifestyle Choices May Promote Healthy Brain Aging
Pharmacologic treatments for Alzheimer's disease (AD) may improve symptoms but have not been shown to prevent AD onset. Primary prevention therefore remains the goal. Although preventing AD by managing risk factors such as age or genetics is beyond...
PPD: 3 Keys to Assessing Suicide Risk
In the United States > 33,000 people take their lives each year. (1) Depression is involved in 65% to 90% of all suicides; (2) however, some patients may not appear acutely depressed or might minimize suicidal thoughts to avoid treatment or hospitalization....
Successfully Navigating the 15-Minute 'Med Check'
Dear Dr. Mossman: Where I work, I'm required to see patients in 15 minutes or less. How can I possibly attend to patients' needs, be empathic, listen actively, and still produce proper documentation? Should I just use a documentation template, cutting...
The Manipulative Self-Harmer: Involuntarily Admitted to a Forensic Unit, Ms. L Often Tests the Staff by Hurting Herself and Making Suicidal Gestures. Which Treatments Would You Try?
CASE Self-destructive behaviors After being acquitted of 4 counts of second-degree forgery for writing checks from her mother's bank account, Ms. L, age 52, is sent to the state hospital for a forensic examination to determine competency. Two years...
This Month's Instant Poll
Your colleague Dr. Z, age 48, is a valued attending physician at the hospital where you consult twice a week. In recent months, however, his behavior has become erratic--he is moody, frequently snaps at the nursing staff, is inexplicably late or absent,...