Postpartum Mental Health Care for Mothers of Multiples: A Qualitative Study of New Mothers’ Treatment Preferences
Conclusions:
This study lays the groundwork for the development of a targeted psychosocial intervention to address mental health concerns among new mothers of multiples, particularly those who are already engaged and seeking support and community online. This report also suggests myriad ways in which providers can best address the needs of this population (eg, utilize providers with expertise in multiples, deliver care in the home, use e-health approaches, and normalize unique stressors and negative moods). (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - May 1, 2020 Category: Psychiatry Tags: Articles Source Type: research
Panic Disorder Correlates With the Risk for Sexual Dysfunction
Conclusions:
Although the results were mixed, it appears that patients with panic disorder tended to be more susceptible to sexual dysfunction than the general population. Further trials with larger sample sizes and rigorous research designs are needed to establish the relationship between sexual dysfunction and panic disorder. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - May 1, 2020 Category: Psychiatry Tags: Articles Source Type: research
Obsessive-Compulsive Disorder in Older Adults: A Comprehensive Literature Review
We reviewed English-language articles concerning obsessive-compulsive disorder (OCD) in older adults. PubMed was searched using key words that included obsessive-compulsive disorder, geriatric, elderly, aging, and older. Of the 644 articles identified, we included 78 that were relevant to the topic. Articles that were excluded as irrelevant included studies that were not focused on OCD in older adults, animal studies, and older case reports if we identified similar more recent case reports. The literature contains very little information about the epidemiology, diagnosis, psychopathology, and treatment of OCD in older adul...
Source: Journal of Psychiatric Practice - May 1, 2020 Category: Psychiatry Tags: Articles Source Type: research
The Impact of Personality Pathology on Treatment Outcome in Late-life Panic Disorder
Conclusions:
Cluster B pathology had a detrimental effect on CBT treatment outcome for panic disorder in both age groups. In late-life panic disorder with comorbid personality pathology, CBT may be preferred over treatment with paroxetine. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - May 1, 2020 Category: Psychiatry Tags: Articles Source Type: research
Finding the Best Balance
No abstract available (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - May 1, 2020 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, 2020 Category: Psychiatry Tags: Acknowledgment of Peer Reviewers Source Type: research
Handbook of Mentalizing in Mental Health Practice, Second Edition
No abstract available (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - March 1, 2020 Category: Psychiatry Tags: Book Review Source Type: research
Documentation Practices for Transgender Youth Admitted to an Inpatient Psychiatric Unit
Conclusions:
Findings from this study suggest that inpatient treatment teams show inconsistency in documentation practices for youth transgender inpatients. Further work is necessary to understand the implications of these findings for patient satisfaction and clinical outcomes. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - March 1, 2020 Category: Psychiatry Tags: Practitioner's Corner Source Type: research
Parent-led Behavioral Intervention for a Treatment-refusing Adult With Obsessive-Compulsive Disorder With Poor Insight and Extreme Family Accommodation
Obsessive-compulsive disorder (OCD) with poor insight can contribute to the refusal to receive treatment, leaving the burden of care on parents or other caregivers. The case presented here involved a young adult with OCD with delusional levels of insight paired with extreme family-accommodating behaviors that had resulted in impaired quality of life and functioning for the young adult and his parents. A parent-led behavioral intervention [The Supportive Parenting for Anxious Childhood Emotions (SPACE)] that was developed for children with anxiety was adapted and utilized for a young adult with severe OCD. The case presents...
Source: Journal of Psychiatric Practice - March 1, 2020 Category: Psychiatry Tags: Clinical Case Discussions Source Type: research
Tianeptine Abuse Leading to an Episode of Psychosis: A Case Report and Literature Review
Tianeptine is an atypical mu-opioid receptor agonist. It is available as an antidepressant outside the United States, but it is also classified as a controlled substance in many other countries. It is not approved by the United States Food and Drug Administration for the treatment of depression but it can be obtained online without a prescription. The case described in this article involved a patient who developed symptoms of psychosis on supratherapeutic doses of tianeptine, highlighting the importance of inquiring into all supplements taken by patients when conducting an initial psychiatric evaluation. (Source: Journal o...
Source: Journal of Psychiatric Practice - March 1, 2020 Category: Psychiatry Tags: Clinical Case Discussions Source Type: research
Blackout Versus Pass Out in Allegations of Alcohol-involved Sexual Assault: Why Knowing the Difference Matters
It is common for not only laypersons but also courts, witnesses, attorneys, and even some experts involved in a criminal sexual assault investigation to confuse the terms “blackout” and “pass out” when referring to the memory, consciousness, and other behavioral ramifications of alcohol intoxication. A typical alcohol-involved sexual assault allegation often includes the partial or total absence of memory for events of the alleged incident. The etiology and behavioral presentations of the types of alcohol-induced memory deficiency evidenced are not all created equal and understanding the differences is crucial to u...
Source: Journal of Psychiatric Practice - March 1, 2020 Category: Psychiatry Tags: Columns Source Type: research
The Mental Health Crisis in America: Recognizing Problems; Working Toward Solutions: Part 2. Offering Hope Through Engagement
This column is the second in a series summarizing the 2-day Centennial Conference of the Austen Riggs Center. The conference framed problems in access to care and in the nature of the care being provided that are part of a mental health crisis in America, and then worked to propose solutions. This column addresses problems with the nature of care provided, proposing psychodynamic perspectives that offer hope through engagement. Such approaches play a role in “bending the curve” to improve mental health outcomes. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - March 1, 2020 Category: Psychiatry Tags: Columns Source Type: research
Drug-Drug Interactions (DDIs) in Psychiatric Practice, Part 9: Interactions Mediated by Drug-metabolizing Cytochrome P450 Enzymes
This column is the ninth in a series exploring drug-drug interactions (DDIs) with a special emphasis on psychiatric medications. The first 3 columns in this DDI series discussed why patients being treated with psychiatric medications are at increased risk for taking multiple medications and thus experiencing DDIs, how to recognize such DDIs, strategies for avoiding and/or minimizing adverse outcomes from such DDIs, and pharmacokinetic considerations concerning DDIs in psychiatric practice. The fourth and fifth columns in this series presented a pair of parallel tables, one of which outlined the primary, known mechanism(s) ...
Source: Journal of Psychiatric Practice - March 1, 2020 Category: Psychiatry Tags: Columns Source Type: research
Group Intervention for Young Adults With Mood and Anxiety Disorders Transitioning to College
Young adults with chronic mood and anxiety disorders may receive a range of services in pediatric care (eg, psychiatry, therapy) and within the school system (eg, individualized education plans). Such services rely on the involvement of parents or guardians to support youth (eg, attending appointments, administering medications). However, in college, young adults are often on their own and need to assume responsibility for scheduling appointments, obtaining and taking medications, and seeking out additional services (eg, accommodations). Unfortunately, many young adults may not have developed the skills needed to navigate ...
Source: Journal of Psychiatric Practice - March 1, 2020 Category: Psychiatry Tags: Articles Source Type: research
Obsessive-Compulsive Symptoms in Obsessive-Compulsive Disorder and in Generalized Anxiety Disorder: Occurrence and Correlations
Conclusions:
The study revealed that patients with GAD often have coexisting obsessive-compulsive symptoms, which may not be identified during routine psychiatric examination. Obsessive-compulsive symptoms observed in patients with GAD may show a different structure than obsessive-compulsive symptoms in patients with OCD. The results of this study suggest that compulsions are more specific for the diagnosis of OCD than obsessions. Compulsions, such as counting related to the need for order and symmetry, may be associated with some cognitive dysfunctions and male sex, a finding that requires further research. (Source: Jou...
Source: Journal of Psychiatric Practice - March 1, 2020 Category: Psychiatry Tags: Articles Source Type: research
