Forthcoming Issues
Ethics in Psychiatry (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - August 7, 2021 Category: Psychiatry Source Type: research

Pathophysiology of Traumatic Brain Injury, Chronic Traumatic Encephalopathy, and Neuropsychiatric Clinical Expression
This article focuses on neuropsychiatric clinical expression and neuropathology associated with chronic traumatic encephalopathy (CTE), which is thought to develop years after traumatic brain injury. The incidence, prevalence, additional risk factors, and pathophysiology remain largely unknown. CTE is considered a tauopathy because the endogenous brain protein tau, in its hyperphosphorylated state (p-tau), defines the predominant neuropathological findings and may underlie aspects of cell toxicity, synapse and circuit dysfunction, and clinical signs and symptoms. We discuss pathophysiological mechanisms possibly affecting ...
Source: The Psychiatric Clinics of North America - July 6, 2021 Category: Psychiatry Authors: Sharon Baughman Shively, David S. Priemer, Murray B. Stein, Daniel P. Perl Source Type: research

Sport Psychiatry and Its Research Agenda
Athletes commonly experience mental health symptoms. However, prevalence estimates require refinement so that symptoms are interpreted in context and diagnostic labels are accurately applied. Further prevalence studies are also needed in subgroups within sport, in particular female athletes, athletes with disabilities, and coaches. Existing consensus-based and evidence-based therapies must be adapted not only to the individual athlete but also to the ecology of sports. Filling the gaps in our knowledge on what treatment modifications may be required for the individual athlete and how services should be designed to deliver ...
Source: The Psychiatric Clinics of North America - July 6, 2021 Category: Psychiatry Authors: Alan Currie, Rosemary Purcell Source Type: research

Burnout and Motivation in Sport
This review presents a conceptual framework of burnout using models that have been developed throughout the years and provides the basis for the psychological measures used in clinical evaluations. Clinical gold standards, including the Athlete Burnout Questionnaire and the Maslach Burnout Inventory, are reviewed, compared, and contrasted. Because many of the interventional approaches to burnout are centered around the concept of motivation, organizational interventions are proposed using Self-Determination Theory and other models that promote motivation. (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - July 6, 2021 Category: Psychiatry Authors: Paul H. Groenewal, David Putrino, Marissa R. Norman Source Type: research

Depression Assessment
Major depressive disorder and other related disturbances in mood account for the highest proportion of psychiatric illnesses in the general population and are a leading cause of disability around the world. Despite belief to the contrary, athletes are vulnerable to the same mental illnesses as the general population. Unique circumstances experienced by athletes create challenges that are exclusive to that population, which can place them at greater risk for depression and other mental illnesses. This chapter explores the incidence of depression and related mood disturbances in athletes, risk factors for illness, obstacles ...
Source: The Psychiatric Clinics of North America - July 6, 2021 Category: Psychiatry Authors: Carla D. Edwards Source Type: research

Selection/Interview Criteria for Drafting Players
This article identifies and details common features of the drafting procedure, followed by a discussion of best practices for structuring and executing a draft protocol. (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - July 6, 2021 Category: Psychiatry Authors: David Putrino, Paul Groenewal, Rosemarie Perry Source Type: research

Psychosocial Aspects of Sport-Related Concussion in Youth
This article aims to (1) examine the scope of the problem that SRC poses for the athletic community, (2) explore the social impact that SRC and media portrayal of this injury has, (3) discuss how this may affect an athlete who has experience SRC and efforts to return to activity, (4) and evaluate a meaningful way to navigate all of these factors with athletes who experience SRC. (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - July 6, 2021 Category: Psychiatry Authors: Aaron S. Jeckell, R. Shea Fontana Source Type: research

Attention-Deficit/Hyperactivity Disorder and Sports
Attention-deficit/hyperactivity disorder (ADHD), characterized by inattention, impulsivity and hyperactivity is a major health problem. This paper discusses ADHD across the life span and looks at the impact of debilitating symptoms, diagnosis, and treatment in athletes. Psychosocial interventions, with or without psychopharmacology including stimulants and nonstimulants, are discussed to help athletes achieve their highest level of symptom abatement and functioning. The age of the patient, the sport played, the athlete ’s overall health, and the regulations of the sport-governing body play a role in determining the most ...
Source: The Psychiatric Clinics of North America - July 6, 2021 Category: Psychiatry Authors: Lisa MacLean, Deepak Prabhakar Source Type: research

Achieving Mental Health and Peak Performance in Elite Athletes
Many factors place athletes at increased risk of compromised performance, including mental health symptoms and disorders. Mental health disorders are common among athletes and if untreated may impair outcomes. Cultural influences including social media, negative attitudes about help seeking mental help, and stereotyping, when not addressed, compromise a healthy wholesome training environment that may limit outcomes. In addition to addressing mental health needs, cultural influencers and barriers, specifically designed and targeted psychological skills to assist with performance are reviewed. These skills can promote mental...
Source: The Psychiatric Clinics of North America - July 5, 2021 Category: Psychiatry Authors: Pierre Beauchamp, Danielle Kamis, Todd Stull Source Type: research

Neurobehavior and Mild Traumatic Brain Injury
Neurobehavioral sequelae after mild traumatic brain injury are multifactorial, often necessitating a multidisciplinary approach. Neurobehavioral sequelae generally resolve within 3  months; when more persistent, a search for contributing factors beyond a brain injury should be done. To accomplish this, a systematic and comprehensive evaluation is recommended to place the complaint in context of the patient’s premorbid state. The treatment of neurobehavioral sequelae cannot be accomplished without a clear understanding of the underlying cause, and the treatment must be placed within a patient’s social and functional fr...
Source: The Psychiatric Clinics of North America - July 5, 2021 Category: Psychiatry Authors: Megan E. Solberg, Silvana Riggio Source Type: research

Anxiety
Athletes may first seek counsel from mental health professionals with concerns of performance anxiety. The mental health professional must carefully explore the context and origins of the athlete ’s anxiety in order to identify and address the root cause. A detailed history and physical examination will help avoid missing comorbid conditions presenting with anxiety symptoms. This chapter highlights the importance of recognizing the circumstances in which anxiety symptoms may arise in athle tes; identifying stressors that are exclusive to the athlete experience; determining how those symptoms can affect their performance ...
Source: The Psychiatric Clinics of North America - June 16, 2021 Category: Psychiatry Authors: Vuong Vu, David Conant-Norville Source Type: research

Sleep Disorders in the Athlete
Healthy sleep behaviors are a cornerstone to mental wellness and sports performance among athletes. Disturbances in sleep timing, quantity, and quality may impact an athlete ’s performance in the short and long term. Sleep disturbances may contribute to overall health, risk of injury, and career duration. This review discusses the prevalence of sleep disorders among athletes and its impact on mental health problems. A strategic approach is provided and highlights the importance of proactively identifying sleep disorders versus waiting for the problem to express itself. A summary of available therapeutic interventions to ...
Source: The Psychiatric Clinics of North America - June 15, 2021 Category: Psychiatry Authors: Shane A. Creado, Shailesh Advani Source Type: research

Lifelong Learning in Psychiatry and the Role of Certification
In the early twentieth century, the medical profession focused on the development of specialties and specialty/subspecialty training. Parallel to this development was the establishment of certifying boards, which can evaluate and attest to a physician ’s mastery of a set of knowledge and skills; the goal is to provide assurance to patients and the public of a certain guarantee of quality of care. In the early decades of “board certification,” the examination was a one-time, relatively high-stakes process that assessed knowledge, and often c ertain skills and clinical reasoning. (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - May 26, 2021 Category: Psychiatry Authors: Joan M. Anzia Source Type: research

Psychiatric Clinics
Learning is no longer constrained to the classroom or lecture hall. Today ’s students expect teaching to be available 24/7 and on whatever device they own and to be interactive and engaging. Educators need to become familiar with computer-based teaching tools and learn how to implement them or risk losing their audience. Use of these tools is not merely converting the m edium, say from a VHS (video home system) tape to a YouTube stream, but incorporating the features of the educational tools to facilitate active learning. Social media has become a force in the educational arena, providing a foundational framework. (Sourc...
Source: The Psychiatric Clinics of North America - May 26, 2021 Category: Psychiatry Authors: John Luo Source Type: research

Creating Successful Presentations
Lecture presentations may first be improved by thoughtfully reflecting on how learners might best absorb the material, considering the intended audience and focusing on the essential information to be delivered. The addition of slides should augment the presentation, not draw attention away from it. Slides should contain a minimum of verbiage and bullet points. Visual images may enhance the talk. Paying attention to the style of delivery will also aid in getting the message across. (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - May 26, 2021 Category: Psychiatry Authors: Carlyle H. Chan Source Type: research