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
Podcast on Bath Salts: Not for Human Consumption Bath salts and herbal incense—synthetic legal intoxicating drugs (so-called SLIDs)—have become the focus of grim national headlines lately. According to James Knoll, MD, forensic psychiatrist and Editor in Chief of Psychiatric Times, these substances have potentially serious adverse effects—including acute psychosis, delirium, violent behavior, seizures, and cardiovascular emergencies.
The Adolescent Brain Is Different: Criminal Responsibility Consider this vignette: Sixteen-year-old John and 2 friends go to a club where they get into a verbal argument with 3 members of a rival gang. After receiving a particularly gross insult, John pulls out a handgun and fires 3 shots at one of the gang members. He misses, but one of his shots hits a 15-year-old girl in the head and kills her. John is tried in adult criminal court and is convicted of murder.
The Duty to Protect: When Has it Been Discharged? Here, the author presents the case of Mr P, a 40-year-old man with bipolar disorder and substance use disorder, including the patient's symptomatology, treatment subsequent to hospitalization, concerns for risk upon release, and the outcome.
Familial Influences on Adolescent Substance Use Substance use disorders (SUDs) are associated with significant morbidity and mortality that affects individuals and their families. Problems with substance use most often emerge during adolescence and young adulthood.
Managing Suicide Risk in Borderline Personality Disorder Patients with borderline personality disorder (BPD) are often high users of health care and may present with multiple crises and minor incidents of self-harm or threats.1As with the boy who cried wolf, inpatient consultants and health care providers may end up feeling manipulated and may not take suicide risk very seriously.
Shadow: A Blow So Appalling Here’s why it is painful to see a man cry: he's not supposed to. Emotions are arresting when society tells us they should not be expressed. In the case of a grown man crying, there are some thousands of years of cultural training laying down the prohibitive regulations.