Current Treatment Options in Psychiatry 
This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.
This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.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 interact o...
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 ctive as t...
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
