Crisis Intervention Psychotherapy in the Age of COVID-19
This article reviews the history of critical incident stress management and the use of its replacement, psychological first aid. The history and core principles of crisis psychotherapy and 8 core elements of treatment are described. The use of digital and virtual technology has enabled the delivery of crisis psychotherapy during the COVID-19 pandemic. A case study of a family impacted by COVID-19 is reported as an illustration. The use of a 6-week timeline, an ecological map, and a problem-solving wheel-and-spoke treatment plan are demonstrated. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - May 1, 2021 Category: Psychiatry Tags: Articles Source Type: research
The New Normal
No abstract available (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - May 1, 2021 Category: Psychiatry Tags: From the Editor Source Type: research
Acknowledgment of Peer Reviewers
No abstract available (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - March 1, 2021 Category: Psychiatry Tags: Acknowledgment of Peer Reviewers Source Type: research
The American Opioid Epidemic: From Patient Care to Public Health
No abstract available (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - March 1, 2021 Category: Psychiatry Tags: Book Review Source Type: research
Commentary on 2 Cases of Neuropsychiatric Symptoms Occurring in Association With COVID-19
Two cases are presented involving neuropsychiatric symptoms occurring in the context of coronavirus disease 2019 (COVID-19) infections. The first case involved a middle-age man with no known psychiatric history who presented with acute psychotic symptoms (delusions, hallucinations, disorganization) after recovery from a recent respiratory illness. This patient tested positive for COVID-19 on admission. The patient’s symptoms were not consistent with delirium and testing did not suggest a neurological etiology. The patient’s psychosis eventually resolved 6 weeks after its abrupt onset with treatment with antipsychotic m...
Source: Journal of Psychiatric Practice - March 1, 2021 Category: Psychiatry Tags: Clinical Case Discussion Source Type: research
Suspected Recurrence of Symptomatic COVID-19: Management During Inpatient Psychiatric Treatment
We report a case of recurrence of respiratory symptoms and positive severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) reverse transcription-polymerase chain reaction (RT-PCR) testing in a patient on an inpatient psychiatric unit occurring 42 days after the initial positive SARS-CoV-2 RT-PCR test, 38 days after initial symptom resolution, and 30 days after the first of 3 negative SARS-CoV-2 RT-PCR tests. Over the course of the admission, the patient was safely initiated on clozapine. Recent literature on COVID-19’s potential recurrence and neuropsychiatric effects is reviewed and implications for the management...
Source: Journal of Psychiatric Practice - March 1, 2021 Category: Psychiatry Tags: Clinical Case Discussion Source Type: research
Abrupt Late-onset Psychosis as a Presentation of Coronavirus 2019 Disease (COVID-19): A Longitudinal Case Report
We present a longitudinal case of COVID-19 psychosis in a patient who underwent comprehensive diagnostic evaluation. This case is a contribution to the inchoate characterization of neuropsychiatric manifestations of COVID-19 infection.
Case Report:
We present a case of late-onset psychosis in a middle-aged man with no psychiatric history who tested positive for COVID-19 on admission following a recently resolved upper respiratory illness. His acute presentation—characterized by delusions, hallucinations, and disorganized thought and behavior, for which he required inpatient medical admission and subsequent inpatie...
Source: Journal of Psychiatric Practice - March 1, 2021 Category: Psychiatry Tags: Clinical Case Discussion Source Type: research
Postviral Depression
A previously healthy 68-year-old man rapidly developed a severe melancholic depression following influenza infection. There is an evolving understanding of the complex and possibly bidirectional relationship between depression and inflammation. We review the literature concerning this relationship in the context of viral infection and discuss possible implications for treatment. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - March 1, 2021 Category: Psychiatry Tags: Clinical Case Discussion Source Type: research
Moving Forward While Standing Still: A Case of Mental Health Advocacy Evolving in the Time of COVID-19
There have been shifts over time in the value placed on long-term psychotherapeutic modalities even though they can be life-saving. For example, the province of Ontario in Canada has been dealing with a government proposal put forward in 2019 to limit the length of psychotherapy treatment. In response, stakeholders from numerous groups came together to advocate for the importance of continuing unrestricted access to long-term psychotherapy. Approaches to this advocacy then had to unexpectedly adapt to the Coronavirus Disease 2019 (COVID-19) pandemic that came to the forefront in 2020 and will continue to develop in respons...
Source: Journal of Psychiatric Practice - March 1, 2021 Category: Psychiatry Tags: Columns Source Type: research
Consistency of the Antidepressant Effect of Intranasal Esketamine in Phase 3 Clinical Trials
This column reviews the development of intranasal esketamine with particular emphasis on the consistency of the clinical trial results. In the process, it illustrates methodological issues important in the approval process by an agency such as the United States Food and Drug Administration. Topics covered include the importance of study design, the nature of the comparator, and the prespecified statistical analysis plan. The column also discusses what is considered a positive versus a supportive study and the differences between phase 2 and phase 3 studies and the rationale for including both in the development process. Wh...
Source: Journal of Psychiatric Practice - March 1, 2021 Category: Psychiatry Tags: Columns Source Type: research
Pilot Study of a Brief Sleep Intervention for Suicidal Ideation in Bipolar Disorder
Objective:
We investigated the feasibility and acceptability of a brief sleep intervention and sleep monitoring device in bipolar disorder (BD), as well as the intervention’s effectiveness in reducing suicidal ideation through improved sleep quality and duration.
Methods:
Participants (N=13) with BD received 4 sessions of cognitive-behavioral therapy for sleep disturbance and completed assessments of the intervention and sleep device acceptability, mood, suicidal ideation, and sleep at pretreatment and posttreatment.
Results:
Feasibility and acceptability of the intervention were high at both pretreatme...
Source: Journal of Psychiatric Practice - March 1, 2021 Category: Psychiatry Tags: Articles Source Type: research
The Psychiatric Inpatient Multidisciplinary Team Meeting: A Model for Current Practice
The multidisciplinary treatment team meeting (MTTM) has been the central forum for treatment planning and clinical decision-making on many psychiatric inpatient units for decades. While the principles underlying MTTMs were described in the distant past, a detailed model for how these meetings are structured and how they function has not been well presented. In an era of very brief hospital lengths of stay, collaborative, thoughtful, comprehensive, and efficient team meetings have become increasingly important. The goal of this article is to describe a highly structured, successful MTTM model that borrows heavily from an in...
Source: Journal of Psychiatric Practice - March 1, 2021 Category: Psychiatry Tags: Articles Source Type: research
Improving Psychiatric Care Through Integrated Digital Technologies
This manuscript provides an overview of our efforts to implement an integrated electronic monitoring and feedback platform to increase patient engagement, improve care delivery and outcome of treatment, and alert care teams to deterioration in functioning. Patients First utilizes CareSense, a digital care navigation and data collection system, to integrate traditional patient-reported outcomes monitoring with novel biological monitoring between visits to provide patients and caregivers with real-time feedback on changes in symptoms such as stress, anxiety, and depression. The next stage of project development incorporates ...
Source: Journal of Psychiatric Practice - March 1, 2021 Category: Psychiatry Tags: Articles Source Type: research
A Naturalistic Study of Outcomes for Durable Remission in Patients With Bipolar Disorder
The objective of the current study was to determine the status of the patients after 3 additional years, as well as the medications associated with remission.
Methods:
Data were extracted from clinical records. The criteria for remission in both the original study and the follow-up were 12 continuous months of euthymia, mild symptoms, and no clinical relapse. Active illness was defined as (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - March 1, 2021 Category: Psychiatry Tags: Articles Source Type: research
A Study in Contrasts: Technology Versus “Humanology”
No abstract available (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - March 1, 2021 Category: Psychiatry Tags: From the Editor Source Type: research
