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F E A T U R E D    A R T I C L E

Autism Spectrum Disorder: DSM-5 Changes, Epidemiology & Outcomes

August 20th, 2014
Autism Spectrum Disorder: DSM-5 Changes, Epidemiology, and OutcomesThe definition of autism has evolved over the seven decades since Leo Kanner first described this unique syndrome in 1943. Variously referred to as “childhood schizophrenia” in the 1950s and ...

Physical Activity Improves Mental Health in Obese Adults

Research Updates in PsychiatryMuch research over the past decade has demonstrated the benefits of physical exercise in reducing symptoms of anxiety and depression. What’s not clear, however, is whether exercise provides a benefit specifically in obese adults, or whether even low levels of physical activity may also be helpful in this population. Investigators studied 850 patients with severe obesity being evaluated for bariatric (weight-loss) surgery as part of the Longitudinal Assessment of Bariatric Surgery-2 (LABS-2) observational study. All ...

Outpatient Psychiatric Care for Developmental Disabilities

Outpatient Psychiatric Care for Developmental DisabilitiesBetween 1.5 percent to 2.5 percent of people in the US population have a developmental disorder, which includes autism spectrum disorder (ASD) and intellectual disability (often defined by having an IQ ≤70) (Morstad, D; Bethesda Institute How Prevalent Are Intellectual and Developmental Disabilities in the United States? March 2012: http://bit.ly/16omOPA). ASD occurs in one out of 50 school children and at least 1% of older adults (Blumberg SJ et al, National Center for ...


From Reflections from a Children's Therapist:

Anxiety Relief: 3 Activities to help Kids Manage Their Anxiety

girl-406137_640 Kids have a lot to worry about including meeting expectations from school, meeting the expectations of all the adults in their life, bullying, navigating natural life changes that come with things such as starting school, having a new baby sibling, moving to a new home, and simply growing up. And some kids have experiences that go beyond the typical life ...


From Private Practice Toolbox:

How Your Therapy Skills Can Help Build Your Online Presence (Part 1)

canstockphoto9611721 This is the first post of a 2 part series of how to best utilize social media to engage your readers.   Developing and maintaining a strong online presence to engage readers employs the same skills you use as a therapist: the ability to foster trust, build rapport, and serve your community.   The internet allows you to expand ...

Outpatient Psychiatric Care for Developmental Disabilities

Outpatient Psychiatric Care for Developmental DisabilitiesBetween 1.5 percent to 2.5 percent of people in the US population have a developmental disorder, which includes autism spectrum disorder (ASD) and intellectual disability (often defined by having an IQ ≤70) (Morstad, D; Bethesda Institute How Prevalent Are Intellectual and Developmental Disabilities in the United States? March 2012: http://bit.ly/16omOPA). ASD occurs in one out of 50 school children and at least 1% of older adults (Blumberg SJ et al, National Center for ...

Q&A: Running a Private Practice

This Month’s Expert Running a Private PracticeTCPR: Dr. Dunne, please tell us about your training and experience in helping psychiatrists work as independent practitioners. Dr. Dunne: I have been involved in the private practice committee of the American Academy of Child and Adolescent Psychiatry (AACAP) since about 1980. Over the years, I have run workshops on starting a group practice, starting a private practice, marketing a practice, closing a practice, and managing a practice. Right now I focus ...

 

Q&A: Employment for Adults with Autism

This Month’s Expert Employment for Adults with AutismTCPR: Dr. Standifer, can you tell us a little about your background working with adults with autism? Dr. Standifer: I am a researcher and instructional designer in a support office for state vocational rehabilitation agencies. We cover a wide range of disabilities and educate vocational rehab counselors about best practices on specific disabilities or specific approaches to employment. TCPR: Can you please define what, generally, is “vocational rehab”? Dr. Standifer: Every state vocational ...

Belief in God Improves Treatment Outcomes

Research Updates in PsychiatryA comprehensive psychiatric evaluation usually includes questions about a patient’s spirituality and religious beliefs, but there is little research to show whether or how spiritual or religious factors may contribute to mental health. A recent study demonstrates that belief in God is significantly associated with better treatment outcomes, although the reasons for this connection remain unknown. Researchers recruited 159 patients in a psychiatric day-treatment program in an academic hospital in the Boston area. Interviewing patients ...


CPT Codes in Psychiatry: A Primer

CPT: A PrimerSince the start of 2013, we’ve all been using them—the new Current Procedural Terminology (CPT) codes for Psychiatry, and Evaluation and Management (E/M). Despite the initial confusion, most of us have probably come up with some working system by now. In this article I’ll discuss the most frequently used codes for outpatient psychiatry, and other information that should help streamline the coding process and make it clearer and more bearable. E/M codes were first introduced in ...

Marijuana May Hurt Cognitive Function; Anti-Inflammatory Drug an Antidepressant?

Research Updates in PsychiatrySUBSTANCE USE Marijuana May Hurt Cognitive Function, Worse with Heavier Use Does marijuana affect cognitive function? There seems to be no shortage of opinions on this question, but no prospective, longitudinal study has ever been published. Until now, that is. Researchers in New Zealand followed more than 1,000 subjects from their birth in 1972–1973 until age 38, to ask whether regular cannabis users showed any evidence of cognitive decline. The answer, surprisingly (or not, depending on where ...

 

What’s New With Suboxone

Suboxone: What’s NewIn 2010, TCPR published an overview of Suboxone (buprenorphine/ naloxone) (TCPR, May 2010). Lots has happened in the three+ years since then. For starters, the American Society of Addiction Medicine (ASAM) issued a consensus statement in December 2011 on the office-based use of buprenorphine for opioid addiction treatment (Kraus ML et al, J Addict Med 2011;5(4):254–263). The purpose of the statement was to synthesize the literature on the clinical use of buprenorphine and to streamline general ...

Atypical Antipsychotics: Where is the Science, Where is the Evidence?

Atypical Antipsychotics: Where is the Science, Where is the Evidence?Any psychiatrist who has practiced during the last decade has probably written more than a few prescriptions for an atypical antipsychotic. But do these drugs provide any clear advantages over their predecessors? This is a question that is best answered by science, not by anecdote or by popular impression. Unfortunately, good science on this topic is hard to find. Pharmaceutical companies have exerted a tremendous influence not only ...

Cognitive Behavioral Therapy for Treatment Resistant Depression

Research Updates in PsychiatryWe have an abundance of medications to treat depression, but “treatment resistance” remains all too common. Accordingly, there has been a rise in the number of “augmentation” or “adjunctive” medications to address this population. Unfortunately, comparable attention has not been drawn to the role of psychotherapy in the management of treatment-resistant depression. To evaluate the effect of psychotherapy on treatment-resistant depression, investigators recruited 469 patients with depression who had taken antidepressants (mostly SSRIs) for at ...

Q&A: Management of Bipolar Depression

Management of Bipolar DepressionTCPR: Dr. Baldassano, could you please share with us your definition of bipolar depression, and why we hear so much about it these days? Dr. Baldassano: Bipolar depression is simply the term used when someone has a depressive episode in the context of having bipolar disorder type I or type II. We hear a lot about bipolar depression for two reasons. First, our bipolar patients suffer many more days with depression than they do with ...

ADHD, Rating Scales & Your Practice Today

ADHD, Rating Scales, and Your Practice TodayYou greet a new patient who complains of difficulty concentrating at work and is unable to “keep up” since making partner at a law firm or becoming an attending physician at a hospital. Is this an authentic case of a high-functioning person with undiagnosed adult ADHD, a subtle request for performance enhancement, or something altogether different? We all know about specialized ADHD clinics that offer imaging and comprehensive assessment; but in your ...

A Review of Depression Rating Scales: Old Favorites & New Players

Depression Rating Scales: Old Favorites and New PlayersWhen treating our depressed patients, objective clinical measures can help guide interventions and reassure us that the treatment course we are on is appropriate. Depression rating scales rose to popularity in the 1950s, primarily as tools to measure the effect of antidepressant medications. Today there are many scales to choose from. Psychiatrists familiar with these tools will be better able to interpret clinical trial results and to employ them in ...