Seeking Value: Balancing Cost and Quality in Psychiatric Care
No abstract available (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - November 1, 2022 Category: Psychiatry Tags: Book Review Source Type: research
Commentary: Psychiatric Symptoms Related to Somatic Illness
Although hallucinations, particularly auditory hallucinations, are most commonly associated with psychotic disorders such as schizophrenia, patients experiencing visual and even auditory hallucinations may actually have an underlying somatic illness that is causing the symptoms. This commentary discusses 2 cases of hallucinations due to nonpsychiatric causes, including a case of a semicircular canal dehiscence causing auditory hallucinations and a case of visual hallucinations in Charles Bonnet syndrome caused by hypertensive episodes. When patients with no history of psychosis present with hallucinations, it is crucial th...
Source: Journal of Psychiatric Practice - November 1, 2022 Category: Psychiatry Tags: Clinical Case Discussions Source Type: research
Charles Bonnet Syndrome Associated With Recurrent Hypertensive Crisis
We describe a patient with episodic CBS triggered by recurrent hypertensive crises, which resolved with blood pressure management in the hospital setting. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - November 1, 2022 Category: Psychiatry Tags: Clinical Case Discussions Source Type: research
Superior Semicircular Canal Dehiscence: A Case Report and Literature Review of an Otologic Condition Associated With Severe Psychiatric Disturbance and Suicide Attempt
We report the case of a man suffering from superior semicircular canal dehiscence with severe audiovestibular symptoms. The patient had a history of posttraumatic stress disorder and traumatic brain injury, and he had a presumed diagnosis of schizophrenia, with suicidal ideation. The patient was treated surgically with complete resolution of his symptoms and a retraction of his schizophrenia diagnosis. This case highlights the overlap between tinnitus and auditory hallucinations, as both result in auditory perception without an external stimulus. Ascertaining the appropriate cause of a patient’s auditory symptoms is inte...
Source: Journal of Psychiatric Practice - November 1, 2022 Category: Psychiatry Tags: Clinical Case Discussions Source Type: research
Barriers to Long-acting Injectable Antipsychotic Adherence During the COVID-19 Pandemic: Observations From One Site
Conclusions:
The results of this study suggest that LAI-A access and adherence can be disrupted by pandemics and other public health emergencies but this finding may not generalize to other sites. As patients may not foresee the potential for disruption, psychiatric service providers may need to assist in proactively problem-solving barriers to access. Improved preparedness and additional safeguards against pandemic-related disruptions to LAI-A access and adherence may help mitigate adverse outcomes in the future. Identifying patients at elevated risk for such disruptions may help support these efforts. (Source: Journa...
Source: Journal of Psychiatric Practice - November 1, 2022 Category: Psychiatry Tags: Practitioner's Corner Source Type: research
Transition to Inpatient Telepsychiatry Services and Impact on Quality of Care
This article reports our experience with a transition to telepsychiatry services on an acute eating disorder unit and the impact on quality of care. Forty-two inpatients on an eating disorders unit completed 410 surveys evaluating their experience with telepsychiatry. Simultaneously, surveys were distributed to physicians to identify technical and connectivity issues. Our experience showed that patients on an eating disorder unit, who had an average length of stay of 22 days, were very satisfied with telepsychiatry, with few technical or safety issues. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - November 1, 2022 Category: Psychiatry Tags: Practitioner's Corner Source Type: research
Hazards of Using Constant Observation With Suicidal Patients
Constant observation is a necessary albeit controversial procedure. Although widely used in psychiatric hospitals to maintain the safety of patients experiencing acute suicidality, constant observation is associated with many medicolegal hazards. Some hazards threaten patients directly, others undermine the effectiveness of treatment, and still others challenge clinical decision-making and suicide risk assessment. Nevertheless, clinicians can take proactive steps to minimize potentially adverse effects of constant observation on patients, preserve the integrity of treatment, and limit legal exposure. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - November 1, 2022 Category: Psychiatry Tags: Columns Source Type: research
Medications, Genes, Environmental Stress, and Pursuit of Recovery
This column summarizes the findings of 2 recent studies of interest to psychotherapists. One study reports that the use of antidepressant medication is not associated with long-term improvement in health-related quality of life, while the other finds that psychotic experiences in adolescents are more closely associated with environmental experiences than with genetic risk. The column discusses the implications of these studies for psychotherapists and for the field at large. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - November 1, 2022 Category: Psychiatry Tags: Columns Source Type: research
Comparative Pharmacology of the 3 Marketed Dual Orexin Antagonists—Daridorexant, Lemborexant, and Suvorexant: Part 1: Pharmacokinetic Profiles
This first column in a 2-part series focuses on the pharmacokinetics of the 3 Food and Drug Administration-approved dual orexin receptor antagonists, daridorexant, lemborexant, and suvorexant, specifically as they relate to their use as sleep medications. Although other classes of sleep medications are not discussed, the same pharmacokinetic principles also apply to them. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - November 1, 2022 Category: Psychiatry Tags: Columns Source Type: research
Systematic Review of Clinical Practice Guidelines for Insomnia Disorder
Conclusions:
Indications for starting medications are the only common thread in all of the reviewed CPGs. The CPGs diverged in the choice of first-line pharmacotherapy, and most of the CPGs did not provide recommendations on all subsequent clinical considerations. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - November 1, 2022 Category: Psychiatry Tags: Articles Source Type: research
Seclusion, Restraint, Therapeutic Alliance, and Legal Admission Status: What Really Matters?
Conclusions:
Use of seclusion and restraint was most strongly associated with involuntary admission status and, in the case of seclusion, younger age, rather than sex, diagnosis, symptoms, cognitive function, global functioning, therapeutic alliance, attitudes toward medication, or insight. The network of interactions between involuntary status and use of seclusion and restraint merits much closer attention, especially as use of seclusion and physical restraint appears to be associated with involuntary legal status independent of level of symptoms, therapeutic alliance, or insight. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - November 1, 2022 Category: Psychiatry Tags: Articles Source Type: research
Decreased Psychological Well-Being in Patients With Bipolar Disorder in Remission
Conclusions:
Outpatients with bipolar disorder in remission demonstrated substantially impaired psychological well-being, despite low levels of depressive symptoms, compared with a normative community sample. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - November 1, 2022 Category: Psychiatry Tags: Articles Source Type: research
The Rise, Fall, and Resurgence of Electroconvulsive Therapy
This report reviews some of the key historical events in the rise, fall, and resurgence of ECT and how modern ECT knowledge and practice are more refined, including an improved understanding of its mechanisms of action and optimal treatment parameters. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - November 1, 2022 Category: Psychiatry Tags: Articles Source Type: research
Insomnia
No abstract available (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - November 1, 2022 Category: Psychiatry Tags: From the Editor Source Type: research
Handbook of Psychiatric Education, Second Edition
No abstract available (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - September 1, 2022 Category: Psychiatry Tags: Book Review Source Type: research
