Current Psychiatry

Articles from Vol. 8, No. 10, October

A Mysterious Case of Mania: Mrs. P Appears Manic and Agitated. She Has No Psychiatric History but Is Taking Antidepressants and Multiple Drugs for Chronic Back Pain. How Would You Treat Her?
CASE: First-episode mania Mrs. P, age 47, is brought to the emergency department (ED) because her family is concerned about her behavioral changes over the last week. Her husband reports that Mrs. P has become hyper-religious and talkative. She...
Borderline Personality Disorder: STEPPS Is Practical, Evidence-Based, Easier to Use: 20-Week Adjunctive Group Program Improves Multiple BPD Symptom Domains
Treatment of borderline personality disorder (BPD) often is viewed as challenging and the results so discouraging that some clinicians avoid referrals of BPD patients. (1-3) Psychotherapy has been the treatment mainstay for decades, and supportive...
CAM for Your Depressed Patient: 6 Recommended Options
Americans with depression turn to complementary and alternative medicine (CAM) more often than conventional psychotherapy or FDA-approved medication. In a nationally representative sample, 54% of respondents with self-reported "severe depression"--including...
Does Psychiatric Practice Make Us Wise? Psychiatrists Develop Different Neural Circuits, Compared with Surgeons, Radiologists, or Internists
At a recent morning rounds, a resident presented a case of a do-not-resuscitate decision for an elderly patient, which our psychiatry consultation service received overnight from an internal medicine ward. Another resident casually mentioned how physicians...
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How to Select Pharmacologic Treatments to Manage Recidivism Risk in Sex Offenders: Consider Patient Factors When Choosing Off-Label Hormonal and Nonhormonal Agents
Sex offenders traditionally are managed by the criminal justice system, but psychiatrists are frequently called on to assess and treat these individuals. Part of the reason is the overlap of paraphilias (disorders of sexual preference) and sexual offending....
Making Efficacious Choices: The Integration of Pharmacotherapy and Nonpharmacologic Approaches to the Treatment of Patients with Bipolar Disorder
INTRODUCTION Bipolar disorder (BD) is a serious, recurrent, chronic psychiatric illness that impacts patients, their families, and communities. BD, which includes a spectrum of illnesses, has been subdivided into bipolar I (BP-I), bipolar II (BP-II),...
Posttest Questions
Select the single letter response that best answers the question, and complete the answer key on page S22. 1. Which of the following conditions is the most common misdiagnosis among patients with bipolar disorder? a) Anxiety b) Personality...
Promoting Wellness in Patients with Bipolar Disorder: Strategies to Move beyond Maintaining Stability and Minimizing Adverse Events in Effective Long-Term Management
INTRODUCTION Bipolar disorder (BD) is an episodic illness that requires a multifaceted management strategy in order for patients to maintain wellness. Patients with bipolar disorder experience mood symptoms nearly half of the time. Depressive symptoms...
Regimen Promotes Orlistat Efficacy in Teens
Orlistat is an FDA-approved anorexic agent for adults and adolescents that interferes with gastrointestinal lipase and prevents the absorption of 30% of dietary fat. Some clinical trials have failed to show significant weight reduction with orlistat,...
Wellness and Effectiveness: Key Concepts in Treating Bipolar Disorder
At the 2009 meeting of the American Academy of Clinical Psychiatrists, a CME activity was presented entitled Maintaining Wellness in Patients With Bipolar Disorder: Moving Beyond Efficacy to Effectiveness. The following 2 articles are based on talks...
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