Biological Consequences and Transgenerational Impact of Violence and Abuse Every year, more than 1 million children are exposed to sexual or physical abuse or neglect in the United States.1 Childhood physical or sexual abuse is associated with adult health problems, including somatic symptoms and medical symptoms, such as heart disease, psychological problems, and substance abuse; for many variables, this association is as strong as for patients who are currently experiencing abuse.2
The Medicalization of Grief: What We Can Learn From 19th-Century Nervousness
In a recent essay published in the New York Times, philosopher Gary Gutting1 raised concerns about DSM-5 revisions in the definition of depression. In particular, Gutting—like many others—worries that eliminating the bereavement exception in the guidelines for the diagnosis of MDD represents a dangerous move.
I Had a Normal Childhood In my work as a psychiatrist and psychoanalyst, it is not unusual for a patient to tell me that he or she had a normal childhood. This always alarms me. Childhood has so many conflicts and worries, so many triumphs and disappointments—how can one reduce it to a notion of normality?
Treating Adolescent Depression With Psychotherapy: The Three T’s Adolescence is a time of increased vulnerability for depression, with risk factors driven by biological, cognitive, and social-environmental changes in development. More than half of all adolescents report experiencing depressed mood, and 8% to 10% experience clinically diagnosable symptoms.1 Depression in the young negatively affects all areas of development, including academic, cognitive, social, and family functioning, and if untreated, it can have significant lasting consequences.
Can Your Older Patient Drive Safely? Approximately 22 million older adults (78%) have valid drivers' licenses, and the number will grow until 2029 as the baby boomer generation ages.1 This dramatic change in demographics will be reflected in the driving population, ...
Comorbid Movement and Psychiatric Disorders Movement and psychiatric disorders are frequently comorbid. When they are, movement abnormalities and psychiatric symptoms often overlap and exacerbate one another. For example, in depressed patients with Parkinson disease (PD), bradykinesia and psychomotor slowing can present similarly and tremor and motor “freezing” can be worsened by anxiety.
Treatment Implications for Comorbid Diabetes Mellitus and Depression Major depression and type 2 diabetes mellitus are common chronic illnesses within the general US population, with prevalence rates of approximately 5% to 10% and 11%, respectively.1,2 Moreover, depression and type 2 diabetes mellitus, individually, can be among the most disabling chronic disorders one can acquire, and when they occur comorbidly, they are even more detrimental. Together they exhibit a bidirectional relationship, with each disease an independent risk factor for development of the other.
New Drug Developments for Bipolar Mania Bipolar disorder (BP) is a chronic, debilitating illness that affects 0.4% to 4% of the US population.1,2 The first nosological efforts describing BP appeared in the early 2nd century ad and culminated in Kraepelin’s eloquent description of its phenomenology in his 1921 textbook on manic-depressive insanity.3Nevertheless, the course and underlying pathophysiology of BP remain elusive.