Could Anti-inflammatory Interventions Earlier in Development Confer Primary Prevention of Psychiatric Disorders?
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - January 1, 2022 Category: Psychiatry Tags: Disruptive Innovation Source Type: research

Introduction
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - January 1, 2022 Category: Psychiatry Tags: Special Issue Source Type: research

Tell Me About It: The Historical Development of the Psychiatric Interview
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - November 1, 2021 Category: Psychiatry Tags: History Source Type: research

Acting Out or Acting In: A Case of Dangerous, Sexual, Self-Injurious Behavior
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - November 1, 2021 Category: Psychiatry Tags: Clinical Challenge Source Type: research

Altered Mental Status in Patients Hospitalized with COVID-19: Perspectives from Neurologic and Psychiatric Consultants
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - November 1, 2021 Category: Psychiatry Tags: Clinical Challenge Source Type: research

Approaching Identity Problems Common in Clinical Practice
The concept of identity is pervasive in psychology and culture, but clinicians have lacked a conceptual framework for addressing problems related to identity. After reviewing the development of identity, I distinguish four of the most common categories of such problems and consider approaches to each: identity diffusion, distorted identity, threats to identity, and difficulty integrating disparate aspects of one’s identity. While making identity a focus of clinical attention can strengthen the alliance and place the treatment within a larger context, doing so raises moral questions about the clinician’s role as an agen...
Source: Harvard Review of Psychiatry - November 1, 2021 Category: Psychiatry Tags: Perspectives Source Type: research

Challenges and Strategies to Mitigate Problematic Social Media Use in Psychiatric Disorders
This article outlines how the strategies that social media sites utilize to increase user engagement can differentially affect individuals with psychiatric disorders, and proposes solutions that may promote more healthy use. With these aims in view, the article (1) delineates the strategies, often unrecognized, that social media sites use to increase user engagement, (2) highlights how these strategies can affect individuals with psychiatric disorders, and (3) proposes novel solutions to encourage healthy use. The first step to creating innovative and universal interventions is to understand the challenges faced by individ...
Source: Harvard Review of Psychiatry - November 1, 2021 Category: Psychiatry Tags: Perspectives Source Type: research

Digital Phenotyping in Child and Adolescent Psychiatry: A Perspective
Digital phenotyping (DP) provides opportunities to study child and adolescent psychiatry from a novel perspective. DP combines objective data obtained from digital sensors with participant-generated “active data,” in order to understand better an individual’s behavior and environmental interactions. Although this new method has led to advances in adult psychiatry, its use in child psychiatry has been more limited. This review aims to demonstrate potential benefits of DP methodology and passive data collection by reviewing studies specifically in child and adolescent psychiatry. Twenty-six studies were identified that...
Source: Harvard Review of Psychiatry - November 1, 2021 Category: Psychiatry Tags: Perspectives Source Type: research

Enhancing Quality Supervision for the Delivery of Mental Health Care Through Nonspecialist Clinicians in Resource-Limited Settings
This article seeks to address psychiatrists’ role in providing supervision and promoting quality of care in low-resource settings. We review the literature on evidence-based supervision practices, address obstacles and current practices of providing high-quality mental health supervision in low-resource settings, and weave this knowledge with our experiences learning from the clinicians at Partners in Health in Haiti. We also discuss feasible strategies and provide recommendations for strengthening the supervision process in resource-limited settings. (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - November 1, 2021 Category: Psychiatry Tags: Perspectives Source Type: research

Note from the Editor in Chief
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - November 1, 2021 Category: Psychiatry Tags: Note from the Editor in Chief Source Type: research

Evaluation and Treatment of New-Onset Psychotic Symptoms in a Patient with Autism Spectrum Disorder and Multiple Autoimmune Disorders
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - September 1, 2021 Category: Psychiatry Tags: Clinical Challenges Source Type: research

Precipitated Withdrawal, Delirium, and Cerebellar Stroke: The Pharmacology of Buprenorphine Induction in Non-pharmaceutical Fentanyl and the Neuropsychiatric Manifestations of Cerebellar Stroke
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - September 1, 2021 Category: Psychiatry Tags: Clinical Challenges Source Type: research

How Shared Is Shared Decision Making? Reaching the Full Potential of Patient-Clinician Collaboration in Mental Health
Shared decision making in mental health is a priority for stakeholders, but faces significant implementation barriers, particularly in settings intended to serve people with serious mental illnesses (SMI). As a result, current levels of shared decision making are low. We highlight these barriers and propose that a novel paradigm, collaborative decision making, will offer conceptual and practical solutions at the systemic and patient/clinician level. Collaborative decision making is tailored for populations like people with SMI and other groups who experience chronic and complex symptoms, along with power imbalances within ...
Source: Harvard Review of Psychiatry - September 1, 2021 Category: Psychiatry Tags: Perspectives Source Type: research

Bipolar Depression: A Historical Perspective of the Current Concept, with a Focus on Future Research
The aim of this narrative review is to trace the origin of the concept of bipolar depression and to expose some of its limitations. Bipolar depression is a broad clinical construct including experiences ranging from traditional melancholic and psychotic episodes ascribed to “manic-depressive insanity,” to another heterogeneous group of depressive episodes originally described in the context of binary models of unipolar depression (e.g., psychogenic depression, neurotic depression). None of the available empirical evidence suggests, however, that these subsets of “bipolar” depression are equivalent in terms of clini...
Source: Harvard Review of Psychiatry - September 1, 2021 Category: Psychiatry Tags: Perspectives Source Type: research

Neurocognitive Effects of Ketamine and Esketamine for Treatment-Resistant Major Depressive Disorder: A Systematic Review
Conclusions Ketamine and esketamine do not seem to exert significant deleterious neurocognitive effects in the short or long term in individuals with treatment-resistant depression. Results suggest neuropsychological functions and brain areas commonly impaired in treatment-resistant depression may especially benefit from subanesthetic ketamine infusions. Key questions that remain unanswered are discussed. (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - September 1, 2021 Category: Psychiatry Tags: Review Source Type: research