journal
https://read.qxmd.com/read/38526406/the-american-psychiatric-association-publishing-textbook-of-geriatric-psychiatry-sixth-edition
#1
JOURNAL ARTICLE
Matthew J Biller, Art Walaszek
No abstract text is available yet for this article.
March 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38526405/prodromal-or-factitious-psychosis-a-cautionary-tale-in-the-era-of-increasing-social-media-use-by-vulnerable-individuals
#2
JOURNAL ARTICLE
Leo Bastiaens, Stephanie Cristofano-Casella, Jesse Bastiaens
Research on the prodromal phase of schizophrenia has been ongoing for several decades and, more recently, findings from this research are being incorporated into everyday psychiatric practice, such as the use of interviews to evaluate prodromal symptomatology. This evolution is happening in the midst of an explosion of social media use by teenagers and young adults, increasing the exposure of youth to portrayals of psychiatric experiences. For example, reports from around the world of "TIK-TOK tics" emphasize the role of social media in the "creation" of psychiatric symptoms...
March 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38526404/the-moral-dimension-of-mental-health-treatment
#3
JOURNAL ARTICLE
John R Peteet
Patients regularly bring value-laden concerns to treatment, but clinicians are often unsure about what role to play in their patients' moral lives. Addressing problems in moral functioning depends on assessing how individuals are accomplishing basic moral tasks: developing moral commitments, making moral decisions, implementing these decisions, assessing the correspondence between their ideals and behavior, dealing effectively with moral failure, and developing morally admirable character traits, or virtues...
March 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38526403/psychosocial-impairment-in-older-patients-with-bipolar-i-disorder
#4
JOURNAL ARTICLE
Berkay Vahapoğlu, Cana Aksoy Poyraz, Armağan Özdemir
BACKGROUND: The goal of this study was to assess psychosocial functioning in older patients with bipolar I disorder compared with healthy subjects and to identify the psychopathological factors associated with poor functioning in patients. METHODS: We recruited 68 euthymic patients with bipolar I disorder from the outpatient unit and 89 healthy controls who were older than 50 years of age. In addition to clinical variables, we used other standardized measures, including the Young Mania Rating Scale, the Hamilton Depression Rating Scale, the Hamilton Anxiety Rating Scale, the Functional Assessment Short Test, and the Montreal Cognitive Assessment...
March 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38526402/increasing-the-acceptability-of-lethal-means-safety-counseling-for-firearms-tips-and-scripts
#5
JOURNAL ARTICLE
Gabriela K Khazanov, Shimrit Keddem, Katelin Hoskins, Hal S Wortzel, Joseph A Simonetti
In lethal means safety counseling (LMSC), clinicians encourage patients to limit their access to common and lethal means of suicide, especially firearms. However, previous studies have shown that clinicians may hesitate to deliver this evidence-based intervention, in part because of concerns that patients might not find such discussions acceptable. Based on a published review of 18 qualitative studies examining diverse perspectives on LMSC, we discuss strategies that may help clinicians increase the acceptability of LMSC among their patients and present supporting scripts, rationales, and resources...
March 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38526401/how-the-food-and-drug-administration-drug-approval-process-relates-to-the-potential-approval-of-intravenous-racemic-ketamine-for-treatment-resistant-major-depression
#6
JOURNAL ARTICLE
Sheldon H Preskorn
This column focuses on the status of intravenous racemic ketamine for the treatment of patients suffering from a form of major depressive disorder that does not respond to trials of currently available biogenic amine antidepressants. To provide context, the column reviews the 3 pivotal elements of the usual Food and Drug Administration (FDA) drug approval process: (1) the unmet medical need (ie, the indication) for which the drug is being developed, (2) the efficacy of the drug for that condition, and (3) the safety/tolerability of the drug...
March 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38526400/formulary-coverage-of-esketamine-and-ketamine-for-depression-in-ohio-health-insurance-marketplace-and-medicaid-plans
#7
REVIEW
Brian S Barnett
For more than 2 decades, intravenous ketamine has been demonstrated to have rapid antidepressant effects. However, access to this generic drug is limited due to insurers claiming it is "experimental" because ketamine does not have a Food and Drug Administration indication for depression. In contrast, intranasal esketamine, an enantiomer of ketamine, is approved by the Food and Drug Administration for depression and is still under patent. The goal of this column is to provide a clearer understanding of formulary coverage of these similar medications by insurers...
March 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38526399/patterns-of-psychiatric-medication-prescriptions-for-veterans-in-treatment-courts-and-other-specialty-courts
#8
JOURNAL ARTICLE
Jack Tsai, Nicholaus J Christian, Dorota Szymkowiak
Psychiatric medications can serve as important tools for addressing behavioral health issues among criminal justice-involved (CJI) veterans. This study used national data on 12,790 CJI veterans in the U.S. Department of Veterans Affairs (VA) Veterans Justice Outreach program from 2019 to 2020 to compare patterns of psychiatric medication prescriptions among veterans who entered a veterans treatment court (n = 6975), another specialty court (SC; n = 414), or no-SC (n = 5401). Different classes of medications were examined, including antidepressants, stimulants, antipsychotics, benzodiazepines, and medications for substance use disorders...
March 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38526398/psychotic-and-somatic-symptoms-are-frequent-in-refugees-with-posttraumatic-stress-disorder-a-narrative-review
#9
REVIEW
Matthieu Gasnier, Anthony Aouizerat, Kenneth Chappell, Thierry Baubet, Emmanuelle Corruble
OBJECTIVE: In 2021, 89.3 million refugees were vulnerable to posttraumatic stress disorder (PTSD) after exposure to multiple and repeated traumatic experiences. The recent war in Ukraine provoked 7 million refugees to flee their homes. Specific clinical presentations of PTSD in refugee populations may not be familiar to most physicians. The goal of this review is to describe the diagnosis and specific clinical features of PTSD in refugees. METHODS: This narrative review of 263 articles explores 3 PTSD diagnoses that are frequently described in refugee populations and that have been observed in our clinical practices: complex PTSD, PTSD with psychotic symptoms, and PTSD with somatic symptoms...
March 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38526397/navigating-the-discussion-of-mental-illness-with-vietnamese-americans
#10
JOURNAL ARTICLE
Carter Do, Thinh H Le, Emily Nguyen, Thomas K Pak
Approaching mental health issues in the Vietnamese community is challenging due to the distinct cultural practices, the stigma of mental illness, and the language barrier. These complexities are compounded by additional stressors experienced by many Vietnamese Americans stemming from war trauma and the demands of immigration. In this article, the authors discuss the implications that Vietnamese cultural practices have on the perception of mental health in Vietnamese American communities. Specifically, the discussion encompasses mood disorders, particularly depression, and schizophrenia, 2 prevalent mental health conditions that often intersect with cultural nuances...
March 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38526396/clinical-experience-on-the-use-of-a-single-day-two-injection-start-initiation-regimen-of-aripiprazole-once-monthly-in-patients-with-schizophrenia-in-spain-satisfy-study
#11
JOURNAL ARTICLE
Miquel Bioque, María José Moreno, Susana Gómez-Lus, María Isabel Ramos
OBJECTIVE: The two-injection start (TIS) initiation regimen was recently approved for aripiprazole once monthly 400 mg (AOM400), with potential benefits in adherence. The SaTISfy study described in this article analyzed Spanish psychiatrists' perspectives on hospitalization lengths of stay, schizophrenia management, and the use of AOM400-TIS. METHODS: The authors describe an ecological study of aggregated data collected using a 41-question survey. Fifty psychiatrists were asked to provide their perceptions of their patients with schizophrenia and treatment with AOM400...
March 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38526395/attunement
#12
JOURNAL ARTICLE
John M Oldham
No abstract text is available yet for this article.
March 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38227732/scam-susceptibility-thoughts-on-how-to-initially-approach-and-manage-patients-in-a-geriatric-psychiatry-setting
#13
JOURNAL ARTICLE
Weijiao Huang, Anne Carlew, Collin Vas, Izabella De Abreu
Recent studies have demonstrated that older adults are more vulnerable to scams because of social isolation, economic affluence, mental disorders, struggles with technology, and cognitive impairments. In this report, we present the case of a 73-year-old man who fell victim to multiple scams over 8 years, leading to a loss of more than $100,000. We also discuss approaches to managing such patients in the outpatient setting. Susceptibility to scams is considered an increasing threat to the well-being of aging societies...
January 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38227731/anticipating-patient-safety-events-in-psychiatric-care
#14
JOURNAL ARTICLE
Maria C Yerstein, Deepika Sundararaj, Marissa McLean, David S Kroll
OBJECTIVES: Although suicide prevention often dominates patient safety efforts in psychiatry and behavioral health, patients who seek such services are also prone to other kinds of adverse events. The purpose of this study was to more fully characterize the types of safety events that occur in the context of psychiatric care. METHODS: This was a retrospective study of safety events that had been reported to a hospital-based psychiatry department during a 4-year period...
January 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38227730/bridging-neuroscience-and-clinical-assessment-in-a-patient-with-alcohol-use-disorder-anxiety-and-trauma
#15
JOURNAL ARTICLE
Manesh Gopaldas, Elizabeth A Flook, Jennifer Urbano Blackford
This article presents a unique framework that combines insights from neuroscience with clinical assessment to evaluate individuals who have co-occurring alcohol use disorder, anxiety, and trauma. Through the use of a case study, the authors demonstrate the practical application of this framework and contextualize the relevant neurocircuitry associated with alcohol withdrawal, maladaptive fear and anxiety, and chronic stress. By integrating these perspectives, they provide a comprehensive approach for assessing and treating patients with complex psychiatric histories, particularly those presenting with anxiety symptoms, offering valuable insights for practitioners...
January 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38227729/patient-and-caregiver-depression-in-jordan-after-a-first-stroke
#16
JOURNAL ARTICLE
Belal Aldabbour, Majdi Al Qawasmeh, Samah Elamassie, Amal Abuabada, Khalid Abdelrahman, Mohammad Zahran, Mays Khweileh, Khalid El-Salem
BACKGROUND: Poststroke depression among patients is well-recognized, while caregiver depression is understudied. The interaction between patient and caregiver depression is also unclear. METHODS: This cross-sectional and follow-up study recruited 108 patient-caregiver dyads after the first-ever stroke. Demographic and clinical data, stroke severity (NIH Stroke Scale score), functional outcome (Barthel Index), and residual disability (modified Rankin Score) were documented...
January 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38227728/afterword-to-cognitive-behavioral-therapy-approaches-for-chronic-suicidality
#17
JOURNAL ARTICLE
Eric M Plakun
No abstract text is available yet for this article.
January 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38227727/cognitive-behavioral-therapy-approaches-for-chronic-suicidality
#18
REVIEW
Evgenia Royter, Donna Sudak, Eric M Plakun
This review provides an overview of research evidence from the past 5 years concerning cognitive behavioral therapy for suicide prevention. The authors then discuss the clinical implementation of this approach in patients with chronic suicidal behavior.
January 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38227726/the-essential-parallels-between-clinical-practice-and-the-scientific-method
#19
JOURNAL ARTICLE
Sheldon H Preskorn
This column presents a way of conceptualizing the clinical practice of medicine including psychiatry within the framework of the scientific method. The goal is to aid practicing clinicians as well as trainees. This conceptual framework will improve the care of patients as it applies a discipline relative to giving time-limited trials of the various treatments available and then an assessment of whether the treatment worked adequately or not and what to do in the latter case. In this way, this approach should decrease the risk of excessive multiple medication use to treat a specific patient...
January 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38227725/effects-of-ziprasidone-or-haloperidol-on-theory-of-mind-in-patients-with-schizophrenia-a-16-week-pilot-trial
#20
RANDOMIZED CONTROLLED TRIAL
Jie Zhong, Yuan Jia, Hong Zhu, Dan Wang, Hongxiao Jia
OBJECTIVES: Schizophrenia is associated with impairment in theory of mind (ToM), which is defined as the ability to make judgments about mental states and is related to medial prefrontal cortical activity. Ziprasidone, but not haloperidol, is known to have a protective effect in the medial prefrontal cortex. Thus, we hypothesized that these 2 drugs would have different efficacy in improving ToM task performance in patients with schizophrenia. METHODS: Patients with a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) diagnosis of schizophrenia matched for sex, duration of illness, and education were randomized to receive ziprasidone (n=30) or haloperidol (n=30)...
January 1, 2024: Journal of Psychiatric Practice
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