Understanding the Brain: From Cells to Behavior to Cognition
No abstract available (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - July 1, 2019 Category: Psychiatry Tags: Book Reviews Source Type: research
Psychodynamic Approaches to Behavioral Change
No abstract available (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - July 1, 2019 Category: Psychiatry Tags: Book Reviews Source Type: research
Off-Label Use of Second-generation Antipsychotics in Bipolar Disorder: A Survey of Italian Psychiatrists
Bipolar disorder (BD) is characterized by recurrent depressive and manic episodes. Lithium, valproate, lamotrigine, and some second-generation antipsychotics (SGAs) are the most typical pharmacological treatments for BD, the main goal being mood stabilization. However, despite these treatments, most patients continue to experience recurrent mood episodes and residual symptoms. Findings from several studies suggest that some SGAs may be beneficial beyond approved indications. The goal of the survey presented in this article was to examine Italian psychiatrists’ attitudes concerning the off-label use of SGAs in depressive ...
Source: Journal of Psychiatric Practice - July 1, 2019 Category: Psychiatry Tags: Practitioner's Corner Source Type: research
Lurasidone Malabsorption Following Bariatric Surgery: A Case Report
We describe the case of a patient with incomplete response to lurasidone therapy in the year following a duodenal switch procedure. This case raises concern about the effect that the duodenal switch procedure may have on lurasidone absorption. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - July 1, 2019 Category: Psychiatry Tags: Clinical Case Discussions Source Type: research
Commentary on “A Call for Caution in Prescribing Gabapentin to Individuals with Concurrent Polysubstance Abuse: A Case Report”
Gabapentin is an anticonvulsant medication with an indication from the US Food and Drug Administration for use in partial onset seizures and postherpetic neuralgia in the United States. Currently, gabapentin is only classified as a controlled substance subject to stricter prescribing and distributing regulations in certain states, as opposed to pregabalin, an anticonvulsant with a similar mechanism of action which is a considered a Schedule V medication under federal law. Gabapentin shares a structural similarity to pregabalin, and several case reports have suggested that gabapentin has a similar propensity for abuse. The ...
Source: Journal of Psychiatric Practice - July 1, 2019 Category: Psychiatry Tags: Clinical Case Discussions Source Type: research
A Call for Caution in Prescribing Gabapentin to Individuals With Concurrent Polysubstance Abuse: A Case Report
Gabapentin is an anticonvulsant medication with an indication from the US Food and Drug Administration for use in partial onset seizures and postherpetic neuralgia in the United States. Currently, gabapentin is only classified as a controlled substance subject to stricter prescribing and distributing regulations in certain states, as opposed to pregabalin, an anticonvulsant with a similar mechanism of action which is a considered a Schedule V medication under federal law. Gabapentin shares a structural similarity to pregabalin, and several case reports have suggested that gabapentin has a similar propensity for abuse. The ...
Source: Journal of Psychiatric Practice - July 1, 2019 Category: Psychiatry Tags: Clinical Case Discussions Source Type: research
Psychiatric Advance Directives: Origins, Benefits, Challenges, and Future Directions
Psychiatric advance directives (PADs) are legal documents that allow individuals with psychiatric illness to designate decisions, while competent, about their future psychiatric care were they to lose competency due to psychiatric illness in the future. Among other items, these documents often include preferences regarding a surrogate decision-maker, types of medications, doses and routes of medications, seclusion and restraints, electroconvulsive therapy, and instructions for care of their property while incapacitated. While the concept and legal recognition of PADs has existed in the United States for several decades, us...
Source: Journal of Psychiatric Practice - July 1, 2019 Category: Psychiatry Tags: Columns Source Type: research
One Hundred Years of Austen Riggs
This column reviews the history of the Austen Riggs Center on the occasion of its centennial. Riggs has come to stand for high quality, state of the art, biopsychosocial, psychodynamic treatment in contemporary psychiatry and psychoanalysis. This column reviews elements of the positioning of Riggs in the field, and contributions that have emerged from Riggs that continue to have an impact on psychiatry, psychoanalysis, and their intersection—psychodynamic psychiatry. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - July 1, 2019 Category: Psychiatry Tags: Columns Source Type: research
Drug-Drug Interactions (DDIs) in Psychiatric Practice, Part 6: Pharmacodynamic Considerations
This column is the sixth 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 - July 1, 2019 Category: Psychiatry Tags: Columns Source Type: research
Borderline Personality Features in Inpatients with Bipolar Disorder: Impact on Course and Machine Learning Model Use to Predict Rapid Readmission
This study involved 714 adult patients with a primary diagnosis of BD per DSM-IV criteria who were admitted to the psychiatric unit at an academic hospital in Houston, TX between July 2013 and July 2018. All patients completed the BPQ within 72 hours of admission. Statistical analysis was used to detect correlations between severity of BD, length of stay (LOS), and scores on the BPQ. A machine learning model was constructed to predict the parameters affecting patients’ readmission rates within 30 days.
Results:
Analysis revealed that the severity of certain BPD traits at baseline was associated with mood state and out...
Source: Journal of Psychiatric Practice - July 1, 2019 Category: Psychiatry Tags: Winner of Resident Paper Award 2018 Source Type: research
Evaluating the Use of a Computerized CBT Program for Outpatients on a Waitlist in a University CBT Unit
Conclusions:
Offering a general cCBT program to waiting list patients may not confer an advantage over referring them to an online workbook, at least in terms of symptom reduction. Results could be partly explained by difficulties translating knowledge into practice, especially if participants’ main problem was not directly addressed by the intervention. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - July 1, 2019 Category: Psychiatry Tags: Articles Source Type: research
L-Methylfolate Calcium Supplementation in Adolescents and Children: A Retrospective Analysis
Previous studies have shown l-methylfolate to be a safe and beneficial therapy for neuropsychiatric conditions, including major depressive disorder and schizophrenia in adults. The purpose of this study was to assess safety and describe patient experience using l-methylfolate calcium in a real-world pediatric and adolescent population. A retrospective chart review of patients (7 to 20 y of age, mean age 16 y) prescribed l-methylfolate calcium at a psychiatry clinic in Amherst, NY, between January 1, 2010 and November 10, 2015 was conducted. Patients to whom l-methylfolate calcium 15 mg/d (n=139) or 7.5 mg/d (n=7) w...
Source: Journal of Psychiatric Practice - July 1, 2019 Category: Psychiatry Tags: Articles Source Type: research
State of the Art Treatment Options for Actual and Potential Sexual Offenders and New Prevention Strategies
This article presents an overview for clinicians of state-of-the-art offender treatment, describing the most common treatment approaches, in particular the RNR model, cognitive-behavioral programs (relapse prevention programs, sexual offender treatment programs), psychodynamic approaches (transference-focused psychotherapy, mentalization-based therapy), the Good Lives Model, as well as pharmacological options. In addition, it provides an evaluation of the various treatment programs. However, given the fact that most acts of sexual violence will never be reported to the police, the question arises if treating convicted perp...
Source: Journal of Psychiatric Practice - July 1, 2019 Category: Psychiatry Tags: Articles Source Type: research
On the Border
No abstract available (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - July 1, 2019 Category: Psychiatry Tags: From the Editor Source Type: research
Narcissism and Its Discontents: Diagnostic Dilemmas and Treatment Strategies With Narcissistic Patients
No abstract available (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - May 1, 2019 Category: Psychiatry Tags: Book Reviews Source Type: research
