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F E A T U R E D    A R T I C L E

Antipsychotics & Anticonvulsants for Anxiety Disorders

October 28th, 2014
Antipsychotics and Anticonvulsants for Anxiety DisordersWe know how frequently our patients complain of anxiety. Anxiety disorders are common, chronic conditions. They also increase the risk for mood and substance disorders, and complaints of anxiety are found in ...

What Does Integrative Mental Health Care Look Like?

Q & A With the Expert: Integrative Mental Health CareThis is an interview with Dr. James Lake regarding integrative medicine. TCPR: Dr. Lake, please tell us what integrative medicine is. Dr. Lake: In the broadest sense, integrative medicine encompasses methods and research findings from both mainstream biomedicine and the range of so-called complementary and alternative (CAM) specialties including, for example, acupuncture, naturopathic medicine, and homeopathy. Integrative medicine acknowledges the advantages and limitations of the dominant biomedical model while recognizing ...

Optimal Treatment for First Episode of Psychosis

Research Updates in PsychiatryIs Dose Reduction the Ideal Strategy after First Episode of Psychosis? What’s the optimal treatment for a first episode of psychosis? Few would argue against antipsychotic treatment, but what happens when the patient achieves remission? Is it best to continue medication indefinitely, or can the antipsychotic be reduced or discontinued altogether? One hundred and twenty eight patients who had a first episode of psychosis (FEP) in 2001–2002 were successfully treated with antipsychotics. Of these, half were ...


From Reflections from a Children's Therapist:

How to Raise a Confident Daughter

Raising Daughters; Encouraging natural, internal beauty (Raising Daughters; Encouraging natural, internal beauty; Source: leandroviliel) Raising a daughter in today’s society can be a challenge. There are more and more opportunities available for girls as compared to the past, but there are also mixed messages and new issues our girls are facing. With the relationship and guidance ...


From Private Practice Toolbox:

Choosing the Right Electronic Health Record (EHR) for Your Private Practice

Electronic Health RecordThe key to running any company smoothly is to keep meticulous and clear records, and psychotherapy private practices are no exception. Virtually all businesses today operate with an electronic data-keeping system; paper files don’t cut it anymore. More and more private practitioners are moving toward a paperless practice, which includes a professional Electronic Health Record. And advances in ...


From Private Practice Kickstart:

5 Strategies to Decrease Loneliness When You Have a Private Practice

5 Strategies to Decrease Loneliness InI’ve been in private practice for just about a year now and it’s been an amazing experience.  I actually feel more connected to others through my work now than I’ve ever felt before.  However, throughout this time I’ve heard many other therapists with a private practice talk about how lonely and isolated ...

 

Anxiety Disorders in DSM-5 & Beyond

Anxiety Disorders in DSM-5 and BeyondTCPR: Dr. Pine, can you describe the background on the two new categories for anxiety disorders in DSM-5: Obsessive-Compulsive Disorders and Trauma- and Stressor-Related Disorders? Dr. Pine: First, I will say that the overall changes from the standpoint of the day-to-day practice of a clinician are pretty mild and minor. The biggest change to anxiety disorders in DSM-5 is taking a collection of syndromes that were all grouped together in DSM-IV and splitting ...

Suicide: Beyond Dialectic Behavioral Therapy (DBT)

Suicide: Beyond Dialectic Behavioral Therapy (DBT)The Link between Borderline Personality Disorder and Treatment of Suicidality In must be emphasized that dialectical behavioral therapy (DBT), while making use of the cognitive-behavioral approach, is aimed at a population (Borderline Personality Disorder - BPD) whose suicidal behavior rarely has death as a target (Kiehn & Swales, 1997), so the results cannot be generalized to all cases of suicidal behavior. However, a number of studies aimed at applying cognitive-behavioral therapy (CBT) for ...

Engaging Narcissists in Couples Counseling

Engaging Narcissists in Couples CounselingIn my practice, I frequently see couples where one partner lacks empathy, is self-centered and self-aggrandizing, and believes that he is never at fault in any situation (I’ll use “he” here, because although there are narcissists of both genders, it is mostly diagnosed in men.) This partner may meet criteria for narcissistic personality disorder, although it has never been formally diagnosed, since narcissists usually see no reason to seek individual therapy. Narcissists are extremely ...


What Is Transcranial Magnetic Stimulation (TMS)?

What is Transcranial Magnetic Stimulation?Faraday was the first to discover the principle of mutual induction in 1831 and in his law, quantified the conversion of electrical energy into magnetic fields and vice versa. Magnetic stimulation was first used toward the end of the 19th century in experiments conducted by d'Arsonval (1896), the inventor of the galvanometer. Given the technical limitations of the day, d'Arsonval could only stimulate his subject’s retinas, eliciting a phenomenon known as magneto ...

Sign Up for Our Pro Newsletter, Get 20 Percent Off CEUs

Sign Up for Our Pro Newsletter, Get 20 Percent Off CEUsWe are pleased to announce that we have partnered with the Zur Institute to offer our members a 20 percent discount code of which is applied to all 170+ online CE courses.   The discount also applies to Essential 60 Clinical Forms, HIPAA Compliant Kit, and other private practice material. The Zur Institute is accredited to give CE credits to psychologists, social workers, MFTs, counselors, LPC and nurses. If ...

 

Nootropics & Antioxidants: The Next Big Things in Psychiatry?

Nootropics and Antioxidants: The Next Big Things in Psychiatry?With an ongoing desire for “natural” products, and disappointment with the cost and efficacy of current prescription medications, more patients have turned to supplements. As a psychiatrist, the more you know about these supplements, the better you can have a conversation about their known risks and benefits. Nootropics One relatively new group of supplements is called the “nootropics,” otherwise known as “smart drugs” or “neuroenhancers.” Young urban professional men, and students, ...

Don’t Let PowerPoint Overpower Your Point

Don't Let PowerPoint Overpower Your Point You’ve been asked to present a talk at a civic organization. Or you have been accepted to present a paper at a conference. Or maybe a colleague has asked you to do a guest lecture for her class at a local college. Hmm. Is it time to make a PowerPoint presentation? Maybe. Only maybe. If you’ve ever sat through a PowerPoint talk full of slides too hard to ...

Q&A With the Expert: Diet & Mental Health

Q & A with the expert: Diet and Mental HealthTCPR: Dr. Ramsey, how did you get involved and interested in the role of diet in mental health? Dr. Ramsey: About five years ago, I was running a day treatment program where almost everyone was obese and we were feeding patients an institutional lunch. One of our public psychiatry fellows implemented a lifestyle intervention, and that got me curious about what would be the best diet if you were ...

OTC Agents for Depression, Anxiety & Insomnia

OTC Agents for Depression, Anxiety, and InsomniaMore than 38 percent of Americans use complementary and alternative medicine (CAM) yearly, with 12.7 percent using so-called “natural products” (Barnes PM et al, CDC Nat Health Stat Rep #12, 2008). More than a third of people over age 50 report use of supplements, yet only about half have discussed this with their doctors (AARP/ NCCAM Survey of US Adults 50+, 2010). Whether or not you share your patients’ enthusiasm for ...

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

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 1960s, and “infantile autism” in the 1980s, it was ultimately classified as a “pervasive developmental disorder” (PDD) in DSM-IV-TR. DSM-5, published in 2013, includes a new, all-encompassing category, “autism spectrum disorder” (ASD), which incorporates autism and a number of autism-related ...

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 ...