Current Psychiatry

Articles from Vol. 10, No. 2, February

Dextromethorphan/quinidine for Pseudobulbar Affect
In October 2010, the FDA approved a combination of dextromethorphan (DM) and quinidine for the treatment of pseudobulbar affect (PBA)--also called pathological laughing and crying, affective lability, emotional dyscontrol, emotional incontinence, and...
How to Prepare Patients for Your Maternity Leave
Although a psychiatrist's pregnancy can disrupt the continuity of a patient's care, it also may be a catalyst for patients to address key therapeutic issues. Working with patients in advance can help ensure that they take advantage of this unique therapeutic...
Not All Mood Swings Are Bipolar Disorder: How to Evaluate Children with Mood Lability
M, age 13, is referred by her pediatrician with the chief complaint of "severe mood swings, rule out bipolar disorder (BD)." In the past she was treated for attention-deficit/hyperactivity disorder (ADHD) with stimulants with mixed results. M's parents...
Psychiatry Behind Bars: Practicing in Jails and Prisons: Suicide Risk Assessment, Psychotropic Management Are Mainstays of Clinical Work
Over the last 2 decades mandatory prison sentences, longer prison terms, and more restrictive release policies have lead to a dramatic increase in the number of persons in jails and prisons. Currently, more than 2 million individuals are incarcerated...
The Surgeon Who Operated on Himself
After performing cosmetic surgery on himself, Dr. T passes out and is brought to the emergency department. He wants to leave once he is medically stable. What would you do? CASE Self-surgery Dr. T (a pseudonym), a middle-aged male surgeon, arrives...
Traumatic Brain Injury: Pharmacotherapy Options for Cognitive Deficits: Different Medication Classes Improve Different Areas of Cognitive Function
Mr. A, age 45, presents to the psychiatry clinic complaining of "ADHD." He says he is not able to sit through movies and often gets distracted while on his computer at work. He also is having problems in his relationship with his wife; she says having...
Two Vastly Underutilized Interventions Can Improve Schizophrenia Outcomes: Many Psychiatrists Would Agree That Schizophrenia Is the Most Devastating Psychiatric Brain Disease. Its Disabling Effects Result in Stigma, Unemployment, Poverty, Loneliness, Homelessness, Victimization, Incarceration, Malnutrition, Infections, Social Isolation, Ostracism, Discrimination, Suicide, Poor Health, Medical Neglect, and Early Death
The consequences of schizophrenia are in many ways more malignant than those of cancer, where sympathy, prompt medical care, and preservation of friends and employment are assured. Also, unlike schizophrenia patients, persons with cancer are never...