The Efficacy of PowerPoint-based CBT Delivered Through Email: Breaking the Barriers to Treatment for Generalized Anxiety Disorder
Conclusions:
Delivery of PowerPoint e-CBT modules via email was found to be a viable method for delivering CBT to individuals with GAD and a simple method for overcoming language, cultural, and travel barriers to accessing mental health resources. This simplified approach to the individualization and delivery of treatment modules has the potential to improve access to CBT as a treatment option throughout the world. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - March 1, 2020 Category: Psychiatry Tags: Articles Source Type: research
Digital Opportunities for Outcomes in Recovery Services (DOORS): A Pragmatic Hands-On Group Approach Toward Increasing Digital Health and Smartphone Competencies, Autonomy, Relatedness, and Alliance for Those With Serious Mental Illness
This article introduces the need and theoretical foundation for and the experience of running the resulting Digital Opportunities for Outcomes in Recovery Services (DOORS) group in the setting of 2 programs: a first-episode psychosis program and a clubhouse for individuals with serious mental illness. The experience of running these 2 DOORS groups resulted in 2 publicly available, free training manuals to empower others to run such groups and adapt them for local needs. Future work on DOORS will expand the curriculum to best support digital health needs and increase equity of access to and knowledge and skills related to t...
Source: Journal of Psychiatric Practice - March 1, 2020 Category: Psychiatry Tags: Articles Source Type: research
Digital Psychiatry
No abstract available (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - March 1, 2020 Category: Psychiatry Tags: From the Editor Source Type: research
Silent Virtues: Patience, Curiosity, Privacy, Intimacy, Humility, and Dignity
No abstract available (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - January 1, 2020 Category: Psychiatry Tags: Book Review Source Type: research
An Inpatient Psychiatric Program Targeting Opioid Overdoses
The United States is currently experiencing an opioid epidemic, as drug overdose deaths have become a leading cause of death. According to the Centers for Disease Control, in 2017, opioids were responsible for 47,000 deaths, which involved both illicit and prescription opioids. A multifaceted public health approach that utilizes public health authorities, health care providers, local hospitals, and affected communities is required to effectively reduce opioid-related morbidity and mortality. The authors of this paper developed an inpatient program on the dual-diagnosis unit at Gracie Square Psychiatric Hospital in New York...
Source: Journal of Psychiatric Practice - January 1, 2020 Category: Psychiatry Tags: Practitioner's Corner Source Type: research
Adapting Dialectical Behavior Therapy for Treating Problematic Interactive Media Use
This article documents the therapeutic benefit of dialectical behavior therapy (DBT) adapted to treat PIMU and applied to a 15-year-old male individual with a history of dysregulated use of the Internet in the categories of gaming, pornography, information-bingeing, and social media. Outcomes were measured by diary cards, documenting the patient’s affective states, urges to engage in PIMU, the number of times he acted upon these urges, and collateral information provided by both parents and teachers from his school. Over the course of a 7-module DBT intervention covered during 14 sessions, the patient showed improvement ...
Source: Journal of Psychiatric Practice - January 1, 2020 Category: Psychiatry Tags: Clinical Case Discussions Source Type: research
Commentary on “Bosch-Boonstra-Schaaf Optic Atrophy Syndrome Presenting as New-Onset Psychosis in a 32-Year-Old Man: A Case Report and Literature Review”
Bosch-Boonstra-Schaaf optic atrophy syndrome (BBSOAS) is a recently described autosomal dominant disorder caused by mutations in the nuclear receptor subfamily 2 group F member 1 (NR2F1) gene. Its common features include optic atrophy and/or hypoplasia, developmental delay, intellectual disability, attention deficit disorder, autism spectrum disorder, seizures, hearing defects, spasticity, hypotonia, and thinning of the corpus callosum. Mitochondrial involvement has also been described with BBSOAS. Currently, 31 cases of BBSOAS have been described in the literature. Here we report a case of undiagnosed BBSOAS presenting as...
Source: Journal of Psychiatric Practice - January 1, 2020 Category: Psychiatry Tags: Clinical Case Discussions Source Type: research
Bosch-Boonstra-Schaaf Optic Atrophy Syndrome Presenting as New-Onset Psychosis in a 32-Year-Old Man: A Case Report and Literature Review
Bosch-Boonstra-Schaaf optic atrophy syndrome (BBSOAS) is a recently described autosomal dominant disorder caused by mutations in the nuclear receptor subfamily 2 group F member 1 (NR2F1) gene. Its common features include optic atrophy and/or hypoplasia, developmental delay, intellectual disability, attention deficit disorder, autism spectrum disorder, seizures, hearing defects, spasticity, hypotonia, and thinning of the corpus callosum. Mitochondrial involvement has also been described with BBSOAS. Currently, 31 cases of BBSOAS have been described in the literature. Here we report a case of undiagnosed BBSOAS presenting as...
Source: Journal of Psychiatric Practice - January 1, 2020 Category: Psychiatry Tags: Clinical Case Discussions Source Type: research
The Mental Health Crisis in America: Recognizing Problems; Working Toward Solutions: Part 1. Defining the Crisis
This column is the first 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 care provided that are part of a mental health crisis in America, and then worked to propose solutions. This column focuses on framing the problems and on beginning to address what it might take to “bend the curve” in mental health outcomes. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - January 1, 2020 Category: Psychiatry Tags: Columns Source Type: research
Drug-Drug Interactions (DDIs) in Psychiatric Practice, Part 8: Relative Receptor Binding Affinity as a Way of Understanding the Differential Pharmacology of Currently Available Antidepressants
This column is the eighth 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 - January 1, 2020 Category: Psychiatry Tags: Columns Source Type: research
Repetitive Transcranial Magnetic Stimulation in the Treatment of Bipolar Depression: Experience From a Clinical Setting
Conclusions:
Our data suggest that rTMS may be equally effective and safe for patients with both unipolar and bipolar depression. Patients with bipolar TRD showed a similar response profile over treatment time compared with patients with unipolar TRD. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - January 1, 2020 Category: Psychiatry Tags: Articles Source Type: research
A Randomized Study Comparing the Short-Term Neurocognitive Outcome of Electroconvulsive Therapy Versus Repetitive Transcranial Magnetic Stimulation in the Treatment of Patients With Depression
Conclusions:
rTMS was well tolerated with less negative impact on cognitive functioning than ECT. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - January 1, 2020 Category: Psychiatry Tags: Articles Source Type: research
Availability of Buprenorphine Treatment in the 10 States With the Highest Drug Overdose Death Rates in the United States
The objective of this study was to assess the accuracy of the Substance Abuse and Mental Health Services Administration (SAMHSA) database for patients who use it to seek buprenorphine treatment.
Design and Measurements:
Buprenorphine providers within a 25-mile radius of the county with the highest drug-related death rates within the 10 states with the highest drug-related death rates were identified and called to determine whether the provider worked there, prescribed buprenorphine, accepted insurance, had appointments, or charged for visits.
Results:
The number of providers listed in each county ranged from 1 to 166...
Source: Journal of Psychiatric Practice - January 1, 2020 Category: Psychiatry Tags: Articles Source Type: research
Personality Factors and Attachment Styles as Predictors of the Therapeutic Efficacy of a Short-Term Ambulatory Intervention for Depression
In this study, we evaluated sociodemographic factors, and scores on the Global Assessment of Functioning Scale, the Big Five Inventory personality assessment, the Montgomery-Åsberg Depression Rating Scale, and the Adult Attachment Scale.
Results:
Mean scores on the Montgomery-Åsberg Depression Rating Scale decreased significantly from 26.3 (SD=9.0) at admission to 10.6 (SD=8.1) at the end of the CIn (t=23.9; P (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - January 1, 2020 Category: Psychiatry Tags: Articles Source Type: research
Opioids
No abstract available (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - January 1, 2020 Category: Psychiatry Tags: From the Editor Source Type: research
