PTSD/Substance Use Disorder Comorbidity: Treatment Options and Public Health Needs
AbstractPurpose of reviewPosttraumatic stress disorder (PTSD) commonly co-occurs with substance use disorder (SUD) and is challenging to treat. We review all behavioral therapy models with at least one randomized controlled trial in a current PTSD/SUD population. We identify factors in selecting a model for clinical use, emphasizing a public health framework that balances the need for evidence with the need for feasibility in frontline settings.Recent findingsSeven published models and 6 unpublished models are reviewed. Public health considerations for choosing a model include the following: whether it has been studied acr...
Source: Current Treatment Options in Psychiatry - September 23, 2020 Category: Psychiatry Source Type: research

Treatment of Opioid Use Disorder in the Elderly
AbstractPurpose of ReviewWith the increasing age of those born between 1946 and 1965, issues relating to the “baby boomer” generation are more relevant than ever. This review aims to both highlight the importance of screening for substance use disorders in the elderly (specifically in this case, opioid use disorder) and then summarize the available treatment options for this vulnerable population.Recent FindingsA narrative review of the literature showed surprisingly little research on the treatment of substance use disorders, especially opioid use disorder, in the elderly. None of the three medications that ar...
Source: Current Treatment Options in Psychiatry - September 7, 2020 Category: Psychiatry Source Type: research

Clinical Off-Label Use of Deep Transcranial Magnetic Stimulation in Psychiatric Conditions
AbstractPurpose of reviewRepetitive transcranial magnetic stimulation (rTMS) is a noninvasive neuromodulation approach to psychiatric treatment that is FDA approved for the management of major depressive disorder (MDD) and obsessive compulsive disorder (OCD). Standard TMS appears to exert biological effects by inducing current in the cortex more shallowly than deep TMS (dTMS); it may be that this modality of treatment differs from standard TMS. Given the potential difference in the manner in which dTMS stimulates the targeted brain regions, it is reasonable to review and summarize the various off-label and experimental app...
Source: Current Treatment Options in Psychiatry - September 7, 2020 Category: Psychiatry Source Type: research

Pharmacological Management of Neuropsychiatric Symptoms of Dementia
AbstractPurposeNeuropsychiatric symptoms are universal across all stages and types of dementia and can cause significant challenges for patients and caregivers. While there are currently no approved medications for treatment of neuropsychiatric symptoms of dementia, a variety of psychotropic medications such as antipsychotics, benzodiazepines, anticonvulsants, and antidepressants are used off-label to treat these symptoms. This systematic review evaluated the available evidence for effectiveness and tolerability of pharmacologic treatments in addressing behavioral disturbances in dementia.Recent findingsInclusion criteria ...
Source: Current Treatment Options in Psychiatry - September 1, 2020 Category: Psychiatry Source Type: research

A Comprehensive Review of the Evaluation, Diagnosis, and Treatment of Older Adult Bipolar Disorder
AbstractPurpose of reviewThis review summarizes the extant literature on the epidemiology, neuropsychology, clinical assessment, and treatment/management of older adult bipolar disorder (OABD). The primary aim was to provide a contemporary and accessible reference for clinicians involved in the care of OABD patients.Recent findingsImportant research into the unique features of OABD has been carried out in recent years, providing a more robust albeit still limited foundation to help guide clinical decision-making. Some of the more consistent findings have highlighted (1) the importance of assessing for potentially reversibl...
Source: Current Treatment Options in Psychiatry - August 31, 2020 Category: Psychiatry Source Type: research

Emerging Complementary and Integrative Therapies for Geriatric Mental Health
AbstractPurposeThe use of complementary and integrative medicine (CIM) is on the rise among diverse populations of older adults in the USA. CIM is commonly perceived as safer, less expensive, and more culturally acceptable. There is a growing body of evidence to support the use of CIM, especially mind-body therapies, diet and nutritional supplements used for mental disorders of aging.Recent findingsWe summarize the results of the recent clinical trials and meta-analyses that provide the evidence for the role of CIM in treating older adults with mood or cognitive disorders that includes the use of diet and supplements, and ...
Source: Current Treatment Options in Psychiatry - August 31, 2020 Category: Psychiatry Source Type: research

Integrating Evidence-Based Guidelines on Pain and Opioids into Medical School Education
AbstractPurpose of reviewDirected, quality educational content, integration, and experience are required to prepare new medical professionals to improve access to and deliver high quality treatment for individuals with opioid use disorders. The collaboration of medical schools, their deans, and faculties as well as the involvement of local, state, and federal partners yields some important observations for success to expedite curricular customization to ultimately improve the core competence of future providers.Recent findingsMuch of the recent literature discusses what to teach medical students about substance use disorde...
Source: Current Treatment Options in Psychiatry - August 28, 2020 Category: Psychiatry Source Type: research

Positive Psychiatry Interventions in Geriatric Mental Health
AbstractPurpose of reviewPositive psychiatry shifts the focus of geriatric mental healthcare beyond studying disorders and psychopathology to studying factors that contribute to mental well-being and successful aging. An increasing number of interventional studies are using treatments that target modifiable positive psychosocial characteristics (PPCs) and study their impact on mental health. Here we provide an overview of the literature on positive psychiatry interventions using illustrative examples of interventions targeting social connectedness, meaning in life, wisdom, and resilience.Recent findingsThere is growing evi...
Source: Current Treatment Options in Psychiatry - August 28, 2020 Category: Psychiatry Source Type: research

Prognostic Significance of Personality Disorders in Patients with Major Depressive Disorder
AbstractPurpose of ReviewUpdate the evidence regarding how co-occurring personality disorders influence treatment outcomes for major depressive disorder and update the evidence regarding treatment options for personality disorders that are co-occurring with major depressive disorder.Recent FindingsThere is evidence that personality disorders can be effectively treated through a variety of psychotherapeutic modalities. Given the substantial evidence that co-occurring personality disorders impede the recovery from major depressive disorder, comprehensively addressing any co-occurring personality disorders is an essential par...
Source: Current Treatment Options in Psychiatry - August 27, 2020 Category: Psychiatry Source Type: research

Longitudinal Course of Borderline Personality Disorder: What Every Clinician Needs to Know
AbstractPurposeLongitudinal research describing the course of borderline personality disorder (BPD) has radically revised psychiatry ’s stigmatizing assumptions of its immutability and poor prognosis. This review outlines major findings from four of the largest, most methodologically rigorous prospective studies of BPD in childhood and adulthood to provide a scientifically informed understanding of its precursors, structure, tr ajectory, interaction with other psychiatric illnesses, and impact on treatment utilization and functional outcomes.Recent findingsBPD ’s fluctuating symptoms and underlying diathesis in...
Source: Current Treatment Options in Psychiatry - August 5, 2020 Category: Psychiatry Source Type: research

Buprenorphine Dosing for the Treatment of Opioid Use Disorder Through Pregnancy and Postpartum
We present data from a retrospective chart review of patients at our institution describing trends in buprenorphine dosing during pregnancy and postpartum. Utilizing this information, we synthesize findings to provide clinical recommendations for providers. Changes in the total daily dose of buprenorphine used across pregnancy and through 12 months postpartum at the individual level do not follow consistent patterns, highlighting substantial individual variability. Altogether, buprenorphine dosing should be individualized through pregnancy and postpartum with frequent evaluations by providers and solicited input from patie...
Source: Current Treatment Options in Psychiatry - July 27, 2020 Category: Psychiatry Source Type: research

Treating Depression in the Context of Mania or Mania Risk in Youth
AbstractPurposeBipolar disorder (BD) is a heritable and episodic psychiatric disorder that is increasingly being recognized to take onset in childhood or adolescence. Youth with a parent or sibling with BD may also be at risk for mania, but frequently present with depression. In a busy clinical practice, treating depression in the context of mania or risk for mania can be obfuscated by a number of factors, including clinical heterogeneity and co-occurring conditions, changes in symptom presentation over the course of development, and treatment-emergent affective switching. In this review, we critically appraise recently pu...
Source: Current Treatment Options in Psychiatry - June 18, 2020 Category: Psychiatry Source Type: research

Treatment of Sleep Comorbidities in Posttraumatic Stress Disorder
AbstractPurpose of the reviewSleep disturbances, insomnia and recurrent nightmares in particular, are among the most frequently endorsed symptoms of posttraumatic stress disorder (PTSD). The present review provides a summary of the prevalence estimates and methodological challenges presented by sleep disturbances in PTSD, highlights the recent evidence for empirically supported psychotherapeutic and pharmacological interventions for comorbid sleep disturbances implicated in PTSD, and provides a summary of recent findings on integrated and sequential treatment approaches to ameliorate comorbid sleep disturbances in PTSD.Rec...
Source: Current Treatment Options in Psychiatry - June 11, 2020 Category: Psychiatry Source Type: research

Psychotherapy for Borderline Personality Disorder: Does the Type of Treatment Make a Difference?
AbstractPurpose of ReviewThe first aim of this review is to summarize the major evidence-based psychotherapies for borderline personality disorder (BPD) and the research supporting their use. The second aim is to explore the evidence for the differential effectiveness of these treatments.Recent FindingsFour types of specific psychotherapies are identified that show promising results in at least two randomized controlled trials. In addition, several adjunctive and minimal/pragmatic interventions are available that are supported by research evidence. Recent findings highlight the applicability of these treatments across sett...
Source: Current Treatment Options in Psychiatry - June 9, 2020 Category: Psychiatry Source Type: research

Harnessing the Healing Power of Relationships in Trauma Recovery: a Systematic Review of Cognitive-Behavioral Conjoint Therapy for PTSD
AbstractPurposeThe goal of this systematic review was to examine the empirical literature on cognitive-behavioral conjoint therapy for PTSD (CBCT). The aims were to (1) review the efficacy of CBCT for PTSD, relationship satisfaction, and related symptoms; (2) describe novel adaptations to the treatment; and (3) identify potential moderators and mediators of treatment outcomes. A systematic search of peer-reviewed publications was conducted across three databases (PsycINFO, PubMed, and SCOPUS). Relevant publications were rated by two authors using a validated checklist.FindingsFourteen articles met inclusion criteria. Quali...
Source: Current Treatment Options in Psychiatry - June 9, 2020 Category: Psychiatry Source Type: research

Advances in PTSD Treatment Delivery: Evidence Base and Future Directions for Intensive Outpatient Programs
This article will review the existing literature on evidence-based psychotherapy for PTSD delivered within an intensive outpatient format.Recent findingsStudies indicate that the intensive outpatient format substantially increases retention rates and demonstrates treatment outcomes at least equivalent to those demonstrated in traditional outpatient settings. Findings are limited by the dearth of randomized clinical trials to date.SummaryCurrent research highlights the utility of implementing evidence-based PTSD treatment in massed intensive format, which evidences improved treatment retention and comparable outcomes with t...
Source: Current Treatment Options in Psychiatry - June 4, 2020 Category: Psychiatry Source Type: research

Current Pharmacological Treatments for Childhood-Onset Somatic Symptom and Related Disorders (SSRD) and Functional Gastrointestinal Disorders (FGID)
AbstractPurpose of reviewSomatic symptom and related disorders (SSRD) and functional gastrointestinal disorders (FGID) are common causes of morbidity in children and adults. They are associated with impaired functioning in multiple domains and increasing health care utilization and costs. Their complex nature with medical and psychiatric comorbidities, diverse symptomatology, and often waxing and waning course can make them difficult to study and treat. However, there is some literature in this area regarding pharmacologic and behavioral treatment approaches. This review aims to examine the existing evidence for pharmacolo...
Source: Current Treatment Options in Psychiatry - June 3, 2020 Category: Psychiatry Source Type: research

Simulation Methods as a Tool to Enhance Medical Student Education and Combat Stigma in Addictions
AbstractPurposeIndividuals with substance use disorders are besieged by stigma, within their community and also the broader social context. This stigma may also pervade interactions with health care professionals, preventing individuals with SUD from seeking treatment for medical and/or psychiatric conditions. Given the current opioid crisis, providers must be equipped with the skills to diagnose and treat individuals with SUD, as well as the ability to communicate in an empathic, nonjudgmental manner. While training in addictions has often been absent from medical school curriculum, increasing numbers of programs are inco...
Source: Current Treatment Options in Psychiatry - June 2, 2020 Category: Psychiatry Source Type: research

The Efficacy and Safety of Neuromodulation Treatments in Late-Life Depression
AbstractPurpose of ReviewIn this review, the efficacy and safety of FDA-approved neuromodulation devices (electroconvulsive therapy (ECT), transcranial magnetic stimulation (TMS), and vagus nerve stimulation (VNS)), as well as emerging neuromodulation treatments currently under investigation.Recent FindingsECT is the “gold standard” somatic therapy for treatment-resistant depression (TRD). Although the clinical benefits are outweighed by potential cognitive and cardiovascular side effects in a majority of cases, it remains unfairly stigmatized. TMS has few cognitive or somatic side effects but is not as effe ct...
Source: Current Treatment Options in Psychiatry - June 2, 2020 Category: Psychiatry Source Type: research

Advances in PTSD Treatment Delivery: Review of Findings and Clinical Considerations for the Use of Telehealth Interventions for PTSD
AbstractPurpose of reviewEffective treatments for posttraumatic stress disorder (PTSD) remain underutilized and individuals with PTSD often have difficulty accessing care. Telehealth, particularly clinical videoconferencing (CVT), can overcome barriers to treatment and increase access to care for individuals with PTSD. The purpose of this review is to summarize the literature on the delivery of PTSD treatments through office-based and home-based videoconferencing, and outline areas for future research.Recent findingsEvidence-based PTSD treatments delivered through office-based and home-based CVT have been studied in pilot ...
Source: Current Treatment Options in Psychiatry - May 29, 2020 Category: Psychiatry Source Type: research

Addressing Diversity in PTSD Treatment: Disparities in Treatment Engagement and Outcome Among Patients of Color
AbstractPurposePosttraumatic stress disorder (PTSD) is a prevalent mental disorder characterized by difficulty recovering from exposure to a traumatic event. The prevalence of PTSD varies by race/ethnicity, with studies in US samples indicating higher prevalence and lower treatment use among some racial and ethnic minority groups compared with Whites. Clarifying the extent to which race and ethnicity influence PTSD treatment outcomes is crucial to delivering treatments that are equitably effective and culturally relevant.Recent findingsThere are few rigorous studies of racial/ethnic differences in PTSD treatment-related ou...
Source: Current Treatment Options in Psychiatry - May 22, 2020 Category: Psychiatry Source Type: research

Engaging in Late-Life Mental Health Research: a Narrative Review of Challenges to Participation
AbstractPurpose of reviewThis narrative review seeks to ascertain the challenges older patients face with participation in mental health clinical research studies and suggests creative strategies to minimize these obstacles.Recent findingsChallenges to older adults ’ engagement in mental health research include practical, institutional, and collaboration-related barriers applicable to all clinical trials as well as more personal, cultural, and age-related patient barriers specific to geriatric mental health research. Universal research challenges include (1) institutional barriers of lack of funding and researchers, ...
Source: Current Treatment Options in Psychiatry - May 21, 2020 Category: Psychiatry Source Type: research

Non-Trauma-Focused Psychotherapies for the Treatment of PTSD: a Descriptive Review
AbstractPurpose of reviewPosttraumatic stress disorder (PTSD) is a serious disorder with high rates of chronicity and significant functional impairment. There is strong research support for several psychotherapies that focus on trauma, and these are recommended as first-line treatments. However, many patients are reluctant or unwilling to engage in treatments that focus on trauma, and some desire treatment for other pressing issues. As such, there is a need for effective alternative treatment options. The purpose of this review is to describe existing non-trauma-focused psychotherapies and summarize the available evidence ...
Source: Current Treatment Options in Psychiatry - May 19, 2020 Category: Psychiatry Source Type: research

Double Trouble: Treatment Considerations for Patients with Comorbid PTSD and Depression
AbstractPurpose of reviewPosttraumatic stress disorder (PTSD) rarely occurs alone, with an approximate 80% syndromal comorbidity rate of which 50% is major depression. Evidence-based psychotherapy is the first-line treatment for PTSD and is very efficacious in some, but is directed toward PTSD symptomatology not depression, and many do not fully recover. This review presents the evidence for psychotherapy, pharmacotherapy, neurostimulation, and combinations of these modalities in treating PTSD with comorbid depression.Recent findingsModifications to evidence-based psychotherapy for PTSD and comorbid depression can be made ...
Source: Current Treatment Options in Psychiatry - May 17, 2020 Category: Psychiatry Source Type: research

Cannabis and the Developing Adolescent Brain
AbstractPurpose of reviewThis review summarizes (1) recent trends in delta-9-tetrahydrocannabionol [THC] and cannabidiol (CBD) content in cannabis products, (2) mechanism of action of THC and CBD and the neurobiological correlates of cannabis use on the developing adolescent brain, (3) effects of cannabis on psychiatric symptoms and daily functioning in youth (i.e., academic performance, cognition, sleep and driving), (4) cannabis products used to relieve or treat medical issues in youth, and (5) available treatments for cannabis use disorder in adolescence.Recent findingsDespite marked increases in THC content and availab...
Source: Current Treatment Options in Psychiatry - April 17, 2020 Category: Psychiatry Source Type: research

Telemental Health in the Context of a Pandemic: the COVID-19 Experience
(Source: Current Treatment Options in Psychiatry)
Source: Current Treatment Options in Psychiatry - April 1, 2020 Category: Psychiatry Source Type: research

Ensuring Successful Telepsychiatry Program Implementation: Critical Components and Considerations
AbstractPurposeTelepsychiatry in the USA witnessed exponential growth in the last decade, having been proven to be a cost-effective and sustainable approach to delivering high-quality mental health services. This surge was aided by the availability of high-speed Internet, improved software, and an increase in demand paired with expanded reimbursement models. Despite a growing interest in adopting telepsychiatry programs, many health organizations continue to face challenges at the implementation stage. This review aims to identify the critical components and the associated challenges met at the planning, deployment, and ma...
Source: Current Treatment Options in Psychiatry - March 31, 2020 Category: Psychiatry Source Type: research

Advances in PTSD Treatment Delivery: the Role of Digital Technology in PTSD Treatment
AbstractPurpose of reviewPost-traumatic stress disorder (PTSD) is a common mental health disorder affecting about 7% of the general population during their lifetime. PTSD typically has a chronic course, is often comorbid with other psychiatric disorders, and negatively impacts functioning and quality of life. This review examines the evidence for several digital technology –based applications being used to deliver PTSD interventions, including video telehealth, Internet-based interventions, virtual reality exposure therapy, and mobile apps.Recent findingsA number of randomized controlled trials (RCTs) have examined t...
Source: Current Treatment Options in Psychiatry - March 26, 2020 Category: Psychiatry Source Type: research

Predicting and Managing Treatment Non-response in Posttraumatic Stress Disorder
AbstractPurpose of reviewThis review aims to synthesize existing research regarding the definition of treatment resistance in posttraumatic stress disorder (PTSD), predictors of treatment non-response to first-line interventions, and emerging second-line PTSD treatment options into an accessible resource for the practicing clinician.Recent findingsThe concept of treatment resistance in PTSD is currently poorly defined and operationalized. There are no well-established predictors of treatment non-response utilized in routine clinical care, but existing research identifies several potential candidate markers, including male ...
Source: Current Treatment Options in Psychiatry - March 22, 2020 Category: Psychiatry Source Type: research

Emotional Overinvolvement with Adolescents: a Problematic Construct?
AbstractPurpose of reviewThe purpose of the current study was to examine emotional overinvolvement (EOI) among caregivers of adolescents with a range of physical and psychiatric disorders to determine whether it is a problematic construct.Recent findingsExpressed emotion is a robust predictor of treatment dropout, outcome, and relapse across a range of physical and psychiatric disorders. The two components of expressed emotion that have received the most research attention are criticism and EOI. Although criticism plays a significant role in treatment outcome, evidence is mixed for EOI, particularly in children and adolesc...
Source: Current Treatment Options in Psychiatry - March 15, 2020 Category: Psychiatry Source Type: research

Addressing Diversity in PTSD Treatment: Clinical Considerations and Guidance for the Treatment of PTSD in LGBTQ Populations
AbstractPurpose of reviewTrauma exposure is widespread but is especially common among lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals. LGBTQ individuals also experience higher rates of discrimination, victimization, and minority stress which can complicate posttraumatic stress disorder (PTSD) treatment but also represent independent intervention targets. In this review, we highlight existing evidence-based practices, current limitations, and provide recommendations for care in the absence of established guidelines for treatment PTSD among LGBTQ patients.Recent findingsTrauma-focused therapies (e.g., CPT,...
Source: Current Treatment Options in Psychiatry - March 15, 2020 Category: Psychiatry Source Type: research

Empirically Supported Treatment Options for Children and Adolescents with Posttraumatic Stress Disorder: Integrating Network Models and Treatment Components
AbstractPurpose of reviewThis review aims to provide an overview of recent neurodevelopmental network models of PTSD in youth as an avenue towards a better understanding of treatment options for this group. Present empirically supported psychosocial intervention components for youth exposed to trauma in the context of the neurodevelopmental network model of PTSD in youth.Recent findingsKey brain regions and regional connections implicated in childhood trauma may be targeted by the specific components taught in interventions. Intervention components may have differential use and effectiveness by community therapists and dep...
Source: Current Treatment Options in Psychiatry - March 15, 2020 Category: Psychiatry Source Type: research

Antipsychotics for Treatment of Adolescent Onset Schizophrenia: a Review
This article reviews the pharmacological treatment of adolescents with schizophrenia, when possible, with a focus on the past five years of research.Recent FindingsThere are relatively few randomized controlled trials (RCTs) and head-to-head trials informing selection of a medication in pediatric schizophrenia. However, recent literature focusing on the efficacy and tolerability of atypical antipsychotics has led to the Food and Drug Administration (FDA) approval of multiple agents, specifically risperidone, olanzapine, quetiapine, aripiprazole, paliperidone, and lurasidone, for the treatment of pediatric schizophreni...
Source: Current Treatment Options in Psychiatry - February 13, 2020 Category: Psychiatry Source Type: research

The Treatment of Suicide and Self-Injurious Behaviors in Children and Adolescents
This article reviews the efficacy of current treatments for youth suicidality and SIBs.Recent FindingsMost of the existing literature on treatment for suicidality and NSSI in children and adolescents is focused on psychotherapy, specifically cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), psychoeducation, family therapy, and school-based interventions. In contrast, psychopharmacology studies have focused on addressing disorders related to suicidality and NSSI such as major depressive disorder, rather than on the behaviors themselves.SummaryCurrently, there is no single treatment that is considered...
Source: Current Treatment Options in Psychiatry - February 13, 2020 Category: Psychiatry Source Type: research

Project ECHO and Opioid Education: a Systematic Review
AbstractPurpose of ReviewThe widespread incidence of morbidity and mortality associated with opioid use disorder (OUD) has resulted in a national crisis. One component of this public health epidemic includes a lack of an adequately trained healthcare workforce to provide opioid case management, prescribing, and dispensing. The Extension for Community Healthcare Outcomes (Project ECHO) is a tele-mentoring, guided practice model, which provides knowledge exchange from specialists and subspecialists to enable primary care providers and clinicians to deliver best practice care for complex health conditions like OUD. Project EC...
Source: Current Treatment Options in Psychiatry - January 26, 2020 Category: Psychiatry Source Type: research

New ACGME-Accredited Addiction Medicine Fellowship Programs and Their Impact on the Field
AbstractPurposeWith the recognition of addiction medicine as a medical subspecialty by the American Board of Medical Specialties (ABMS) in 2016, fellowship training programs for physicians have sprung up across the country at a rapid pace. As of this writing, 70 such fellowship programs exist (including in Canada and Puerto Rico), with most accredited by the Accreditation Council for Graduate Medical Education (ACGME) or in the process of accreditation. This review explores the significant changes that have occurred already due to these training programs and the potential future implications for the field of addiction medi...
Source: Current Treatment Options in Psychiatry - January 13, 2020 Category: Psychiatry Source Type: research

Current Pharmacological Treatments for Childhood Onset OCD
AbstractPurpose of reviewObsessive-compulsive disorder (OCD) is a chronic condition associated with substantial morbidity, comorbidity, and functional impairment in affected youths. Fortunately, efficacy has been established for multiple pharmacotherapies; however, treatment response remains neither universal nor complete; hence, treatment development efforts continue.Recent findingsThis review aims to examine evidence for recent trials examining augmentation strategies for partial responders to serotonin reuptake inhibitors (SRIs), the efficacy of adding D-cycloserine (DCS) to cognitive behavioral therapy (CBT), intervent...
Source: Current Treatment Options in Psychiatry - January 8, 2020 Category: Psychiatry Source Type: research

Correction to: A Systemic Review of Treatment Options for Grieving Older Adults
The original version did not include Appendix A where noted in the text. Appendix A is seen below. (Source: Current Treatment Options in Psychiatry)
Source: Current Treatment Options in Psychiatry - December 19, 2019 Category: Psychiatry Source Type: research

Current Pharmacological Treatments for Childhood-Onset Eating Disorders
AbstractPurpose of reviewEating disorders are common in childhood and adolescence and have the highest mortality rate of the mental illnesses, largely due to the medical complications of malnutrition. Psychiatric co-morbidities can lead to death by suicide. Despite a dearth of evidence on the topic, psychiatrists are often asked to comment on the potential utility of adding psychotropic medications to the treatment plan.Recent findingsIt is challenging to recruit patients with eating disorders to medication studies. There are no psychotropic medications approved for the treatment of eating disorders in children and adolesc...
Source: Current Treatment Options in Psychiatry - December 9, 2019 Category: Psychiatry Source Type: research

Transference-Focused Psychotherapy (TFP)
AbstractPurpose of ReviewIn this article, we describe the goals of transference-focused psychotherapy (TFP), its indications, underlying theory, and its broad structure and techniques. We summarize the current empirical support for TFP in regard to symptom and personality change. Lastly, we discuss recent developments and applications in TFP.Recent FindingsTFP is a theory-based, manualized, empirically supported, outpatient psychotherapy designed specifically to treat patients with severe personality disorders, such as borderline and narcissistic personality disorders. Overall TFP focuses on consolidating identity, increas...
Source: Current Treatment Options in Psychiatry - December 9, 2019 Category: Psychiatry Source Type: research

Group Psychotherapy for Late-Life Depression
AbstractPurpose of reviewDepression is a common and disabling diagnosis in the elderly. Psychotherapy, both individual and group, has emerged as an important adjunctive treatment for late-life depression along with medications and neurostimulation therapies. This review seeks to summarize recent literature on group psychotherapy for late-life depression, define the type of therapies commonly used, and discuss both the theory and practice of group psychotherapy.Recent findingsStudies show that various group-based psychotherapies are effective for late-life depression, and there is increasing support for an integrated approa...
Source: Current Treatment Options in Psychiatry - December 4, 2019 Category: Psychiatry Source Type: research

Digital Mental Health for Alcohol and Substance Use Disorders
AbstractPurposeOnly about 20% of people suffering from substance use disorders access available treatments due to various obstacles; digital interventions could potentially overcome some of these. Meta-analyses suggest the strongest evidence for interventions targeting alcohol use reduction, followed by cannabis and illicit substances. However, most randomized controlled trials (RCTs) used unguided standalone interventions compared to non-active controls, with limited follow-up periods and disregarded comorbidity. This review examines the literature published over the last three years (2016 –2019), with a focus on re...
Source: Current Treatment Options in Psychiatry - November 25, 2019 Category: Psychiatry Source Type: research

Treatment of Parkinson ’s Disease Psychosis
AbstractPurposePsychotic symptoms in Parkinson ’s disease are relatively common and include hallucinations, illusions, and delusions. Psychosis is a major cause of disability and is one of the most distressing symptoms for both patients and caregivers. The management of psychosis is often complex and challenging and involves determining the de gree and severity of psychotic symptoms and whether intervention is required. In this review, the authors describe the phenomenology and risk factors of Parkinson’s disease psychosis (PDP) and current evidence-based treatment options.Recent findingsIn randomized, double-b...
Source: Current Treatment Options in Psychiatry - November 15, 2019 Category: Psychiatry Source Type: research

New Somatic Treatments for Child and Adolescent Depression
AbstractPurpose of ReviewDepression is a common clinical problem in youth, with prevalence increasing significantly during the adolescent period. Although several evidence-based treatments are currently available for treating depression in adults, only a subset of these have been investigated in a pediatric sample. Unfortunately, even well-established, first-line interventions do not lead to sufficient treatment response for many children and adolescents suffering from depression. However, recent research has been conducted in the area of somatic treatments for youth with depression. This review focuses on current (past 3 ...
Source: Current Treatment Options in Psychiatry - November 11, 2019 Category: Psychiatry Source Type: research

A Systematic Review of Treatment Options for Grieving Older Adults
AbstractPurpose of reviewThe purpose of this systematic review was to characterize the studies published on grief interventions for bereaved older adults in the last 5 years. Grief intervention studies were included that exclusively focused on older adults as well as those that included older adults in their samples, in order to summarize the most up-to-date treatment options available for bereaved older adults.Recent findingsTwenty-four articles that investigated grief interventions in older adults were identified. Generally, findings suggest that viable treatment approaches for bereaved older adults are those incorporati...
Source: Current Treatment Options in Psychiatry - October 31, 2019 Category: Psychiatry Source Type: research

Using Acceptance and Commitment Therapy in the Treatment of Borderline Personality Disorder: Rationale, Preliminary Evidence, and Future Directions
AbstractAimsRecent iterations of behavior therapy emphasize transdiagnostic processes highlighting commonalities of human experience, mindfulness, language, and acceptance. In contrast to traditional treatment models —which emphasize symptom reduction—these therapies instead prioritize improving quality of life and life engagement. Acceptance and commitment therapy (ACT) is one such approach with over 300 randomized controlled trials, 40 meta-analyses, and countless uncontrolled studies published on its use. ACT not only shares features of many existing evidence-based treatments for borderline personality disor...
Source: Current Treatment Options in Psychiatry - October 11, 2019 Category: Psychiatry Source Type: research

Self-Ratings of Personality Pathology: Insights Regarding Their Validity and Treatment Utility
AbstractPurpose of reviewThe validity of self-ratings of personality pathology often is questioned because personality disorders (PD) historically have been viewed as being characterized by poor insight. However, recent research indicates that PD self-ratings are valid in many ways and have significant clinical utility. Building upon this growing literature, our goal here is to provide practical discussion of how incorporating dimensional PD ratings into assessment protocols can benefit diagnosis and treatment.Recent findingsWe first review evidence suggesting that PD self-ratings are particularly useful for assessing cons...
Source: Current Treatment Options in Psychiatry - September 12, 2019 Category: Psychiatry Source Type: research

Harnessing the Potential of Social Media to Develop the Next Generation of Digital Health Treatments in Youth Mental Health
AbstractPurpose of reviewThis narrative review presents a summary of current research regarding the impact of social networking sites (SNS) on the health and well-being of young people. The review consolidates research on the following topics: risks and benefits associated with SNS use by young people with anxiety and depression, and psychosis respectively; an outline of eOrygen ’s Moderated Online Social Therapy (MOST) platform; and a discussion of the ways in which research in the digital health field inform the design and delivery of the MOST intervention.Recent findingsRecent findings in the digital health field ...
Source: Current Treatment Options in Psychiatry - September 10, 2019 Category: Psychiatry Source Type: research

Digital Innovations for Global Mental Health: Opportunities for Data Science, Task Sharing, and Early Intervention
AbstractPurposeGlobally, individuals living with mental disorders are more likely to have access to a mobile phone than mental health care. In this commentary, we highlight opportunities for expanding access to and use of digital technologies to advance research and intervention in mental health, with emphasis on the potential impact in lower resource settings.Recent findingsDrawing from empirical evidence, largely from higher income settings, we considered three emerging areas where digital technology will potentially play a prominent role: supporting methods in data science to further our understanding of mental health a...
Source: Current Treatment Options in Psychiatry - September 6, 2019 Category: Psychiatry Source Type: research

The DSM-5 Alternative Model for Personality Disorders and Clinical Treatment: a Review
AbstractPurpose of reviewThe goal of the current paper is to review theDSM-5 Alternative Model for Personality Disorders (AMPD), with particular focus on treatment of personality pathology. We briefly outline limitations of the traditional personality disorder diagnostic system, then, review differences between it and the AMPD, and how the alternative model can be applied for intervention planning.Recent findingsCriterion A of the AMPD refers to the level of self and interpersonal impairment and is required for establishing the presence of a personality disorder diagnosis. Criterion B characterizes the nature of that diagn...
Source: Current Treatment Options in Psychiatry - September 5, 2019 Category: Psychiatry Source Type: research