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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 recent...
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-blind, pl...
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 disorder (BPD...
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 sugg...
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

Correction to: Using Optogenetics to Dissect the Neural Circuits Underlying OCD and Related Disorders
The article Using Optogenetics to Dissect the Neural Circuits Underlying OCD and Related Disorders, written by Sean C. Piantadosi and Susanne E. Ahmari, was originally published electronically on the publisher ’s internet portal (currently SpringerLink) on 15 July 2015 without open access. (Source: Current Treatment Options in Psychiatry)
Source: Current Treatment Options in Psychiatry - August 18, 2019 Category: Psychiatry Source Type: research

Adapting Evidence-Based Psychotherapies While Maintaining Fidelity
AbstractPurpose of reviewExtensive resources have been devoted to implementing evidence-based psychotherapies (EBPs) to facilitate the best available treatments to clients. Yet, when treatment settings or client characteristics do not align with the contexts in which an EBP was developed and tested, adaptations may be indicated. The purpose of this article is to provide a summary of the adaptation literature and highlight key issues, using Cognitive Processing Therapy as an example throughout the paper.Recent findingsInformed by the literature to date, we use Stirman and colleagues ’ Framework for Reporting Adaptations a...
Source: Current Treatment Options in Psychiatry - July 21, 2019 Category: Psychiatry Source Type: research

Digital Technology to Enhance Clinical Care of Early Psychosis
AbstractPurpose of reviewDespite considerable evidence supporting the clinical benefits of early intervention for psychosis, issues remain with access and maintenance of long-term recovery. As digital technology has advanced rapidly over recent decades, so too has recognition for its capacity to address the challenges in providing care for those with mental ill health. The current report provides an overview of research focusing on the use of digital technologies to enhance clinical care of people with early psychosis.Recent findingsResearch suggests that people with early psychosis use technology in a similar fashion to t...
Source: Current Treatment Options in Psychiatry - July 10, 2019 Category: Psychiatry Source Type: research