Afterword: Beyond Diagnosis to Mourning and the Meaning of Symptoms
Reports of destructive behavior by military personnel after demobilization have become more frequent; however, the pathways that might lead these individuals to commit such acts are not clear enough. This column presents the case of a retired soldier who reported the onset of pyromania after military service, and the relationship between dissociation and reenactment of the trauma is discussed. The main conclusions are that psychotherapy of traumatized patients should focus on helping them create a verbal representation of the trauma and that integrating ceremonies and rituals into treatment is a possible and significant op...
Source: Journal of Psychiatric Practice - May 1, 2022 Category: Psychiatry Tags: Columns Source Type: research
Fire Walk With Me: Posttraumatic Stress Disorder and Pyromania
Reports of destructive behavior by military personnel after demobilization have become more frequent; however, the pathways that might lead these individuals to commit such acts are not clear enough. This column presents the case of a retired soldier who reported the onset of pyromania after military service, and the relationship between dissociation and reenactment of the trauma is discussed. The main conclusions are that psychotherapy of traumatized patients should focus on helping them create a verbal representation of the trauma and that integrating ceremonies and rituals into treatment is a possible and significant op...
Source: Journal of Psychiatric Practice - May 1, 2022 Category: Psychiatry Tags: Columns Source Type: research
How an Understanding of the Function of the Locus Coeruleus Led to Use of Dexmedetomidine to Treat Agitation in Bipolar Disorder: Example of Rational Development of Psychiatric Medications
This column reviews>50 years of research on the functions subsumed by the locus coeruleus (LC) (also called the central adrenergic system). A major role of the LC is monitoring acid-base balance in the brain and responding by regulating blood-brain permeability to water and other small molecules and cerebral blood flow. The LC, through its downward projections, also regulates and coordinates respiratory and cardiac functions. Through its effect regionally or more globally depending on the stimulus and its magnitude, the LC can regulate the extracellular space in the brain, which in turn can alter ionic concentrations and t...
Source: Journal of Psychiatric Practice - May 1, 2022 Category: Psychiatry Tags: Columns Source Type: research
An Annotated Bibliography on Human Trafficking for the Mental Health Clinician
Conclusions:
The articles presented cover a broad range of trafficking types and topics. However, there is a dearth of literature about labor trafficking and the trafficking of men, boys, transgender, and nonbinary people. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - May 1, 2022 Category: Psychiatry Tags: Articles Source Type: research
Cognitive-Behavioral Therapy in Intensive Case Management: A Multimethod Quantitative-Qualitative Study
This study suggests that CBT can be used effectively in ICM teams working with patients suffering from severe and persistent mental illness. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - May 1, 2022 Category: Psychiatry Tags: Articles Source Type: research
Functional Rehabilitation: An Integrated Treatment Model for Patients With Complex Physical and Psychiatric Conditions
This article describes an innovative model of care called functional rehabilitation that is designed to address existing barriers in treatment. The functional rehabilitation program seeks to disrupt the escalating effects of interacting comorbidities by offering highly collaborative treatment from a small team of clinicians, personalized interventions using a shared decision-making framework, multipronged treatment options, colocation in a large hospital system, and significant 1:1 time with patients. The article includes a case example with longitudinal outcome data that illustrates how progress can be made with appropria...
Source: Journal of Psychiatric Practice - May 1, 2022 Category: Psychiatry Tags: Articles Source Type: research
Effects of Patient Suicide on Professional Practice Among Mental Health Providers
Conclusions:
Controlling for demographic/professional differences, clinicians who experienced a patient suicide had more training, knowledge, and felt more comfortable working with suicidal patients. It is critical that sufficient training be available to clinicians, not only to reduce patient deaths, but also to help clinicians increase their comfort, knowledge, skill, and ability to support those bereaved by suicide loss. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - May 1, 2022 Category: Psychiatry Tags: Articles Source Type: research
Trauma and Stress
No abstract available (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - May 1, 2022 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, 2022 Category: Psychiatry Tags: Acknowledgment of Peer Reviewers Source Type: research
Practical Strategies in Geriatric Mental Health: Cases and Approaches
No abstract available (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - March 1, 2022 Category: Psychiatry Tags: Book Review Source Type: research
A Case Report of Clozapine-induced Pleural Effusion in a 28-Year-Old Chinese Male
Increasing reports have appeared of pleural effusion and peripheral eosinophilia associated with clozapine treatment. These reports describe the onset of pleural effusion from 2 to 5 weeks after initiation of clozapine. Here, we describe a case of a 28-year-old Chinese male who presented with pleural effusion and peripheral eosinophilia ∼17 weeks after initiation of clozapine. We discuss this delayed presentation and examine the potential significance of the patient’s East Asian ethnicity. We recommend clinicians consider ethnicity and other factors that can affect the metabolism of clozapine when choosing a clozapine ...
Source: Journal of Psychiatric Practice - March 1, 2022 Category: Psychiatry Tags: Clinical Case Discussions Source Type: research
Transient Clozapine-induced Myocarditis Without Discontinuation of Medication: A Series of 2 Patients
This report describes 2 cases of patients with treatment-refractory schizophrenia evidencing transient clozapine-induced myocarditis. Detailed information including laboratory values, imaging results, and clinical notes were gathered.
Findings:
The 2 cases demonstrated differing manifestations of clozapine-induced myocarditis. Both cases showed that such myocarditis can be transient and can be treated clinically with close observation without discontinuation of clozapine.
Implications:
These cases show that clozapine-induced myocarditis is transient at times and can self-resolve without discontinuation of clo...
Source: Journal of Psychiatric Practice - March 1, 2022 Category: Psychiatry Tags: Clinical Case Discussions Source Type: research
Carbamazepine-induced DRESS Syndrome: A Rare Delayed Hypersensitivity Reaction
This report describes the case of a patient with DRESS syndrome who was evaluated with the RegiSCAR scoring system as a “definite case,” which was possibly induced by carbamazepine prescribed to treat bipolar I disorder. The young female patient was successfully treated with steroid medication after carbamazepine was discontinued. She was prescribed aripiprazole for mood stabilization without a subsequent recurrence of DRESS syndrome. We recommend that, in cases such as described here, clinicians take DRESS syndrome into consideration and provide proper timely management, particularly for patients receiving psychotropi...
Source: Journal of Psychiatric Practice - March 1, 2022 Category: Psychiatry Tags: Clinical Case Discussions Source Type: research
Assessment of Sleep and Sleepiness in Patients With Mental Disorders: Applicability of the German Version of the SCOPA-Sleep Questionnaire
Sleep problems affect the majority of patients with mental disorders and are very clinically relevant. However, they are often not assessed and treated appropriately and, to date, there is no established screening routine for sleep disturbances in this specific patient group. For patients with Parkinson disease, the Scales for Outcomes in Parkinson’s Disease–Sleep (SCOPA-Sleep) questionnaire is widely used. This questionnaire has excellent psychometric properties. It consists of 2 scales for assessing nighttime sleep problems (NS) and daytime sleepiness (DS). As the items in the scales are not disease-specific, the goa...
Source: Journal of Psychiatric Practice - March 1, 2022 Category: Psychiatry Tags: Practitioner's Corner Source Type: research
Video Games as a Complementary Therapy for Schizophrenia: A Systematic Review
Conclusions:
Cognitive training could be one of the main mechanisms underlying the usefulness and effectiveness of video game-based therapeutic interventions. Software optimization and greater collaboration between developers and health care professionals are some of the priorities for future research in this area. (Source: Journal of Psychiatric Practice)
Source: Journal of Psychiatric Practice - March 1, 2022 Category: Psychiatry Tags: Practitioner's Corner Source Type: research
