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Psych Central Professional

Archive for May, 2012

  • Issues in Treating Anxiety Disorders in Pregnancy
    Anxiety disorders are a frequent occurrence in pregnancy. While some worries and anxiety are experienced by more than 50% of pregnant women, a full-blown anxiety disorder involves risk to both mother and fetus and increases the risk of postpartum depression.1,2
  • “Bath Salts” and “Herbal Incense”: Legal Highs, Medical Lows
    After being retained as a forensic psychiatrist in a number of cases involving defendants who were intoxicated with “bath salts” and/or “herbal incense” at the time of their crimes, I conferred with several colleagues ...
  • The Outlook for Mental Health Services: A Perfect Storm on Our Hands
    Funding for mental health services has never achieved top legislative priority, and reforms requiring parity succeeded only after years of hard-fought battles. After the 2007 brush with economic collapse, the recession, staggering unemployment, budget deficits, and sparse tax revenues, however, the situation has grown significantly worse.
  • Psychiatrist Burnout: Tips on Promoting Resilience and Wellness
    Depending on specialty, the prevalence of physician burnout ranges from 25% to 60% among practicing physicians. No wonder then, that the meeting room for the workshop on physician burnout was packed at the APA annual meeting.
  • Modeling Schizophrenia: An In Vitro Model of a Tough Disease
    In the April issue of Psychiatric Times, I discussed how adult stem cells were being used to aid in research on a neurological disorder (spinal muscular atrophy). I revisit the technology in this column, now aimed at one of molecular neuropsychiatry’s most intractable, frustrating lines of research: the molecular/cellular basis of schizophrenia.
  • 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.
  • Psychopharmacology of Aggression and Violence in Mental Illness
    Most patients with mental illness are not violent, and when violent behavior does occur, it is usually transient.1 Nevertheless, violent behavior is a challenging problem.
  • Of Two Minds: Countertransference in Contemporary Psychotherapy
    A therapist forgets about a patient’s appointment. She becomes abnormally angry, unusually forgiving, atypically bored, or excessively voyeuristic. What is going on?
  • Determination and Documentation of Insight in Psychiatric Inpatients
    In written evaluations of psychiatric patients, many residents and attending psychiatrists include little nuance or detail on the insight component of the mental status examination. A review of initial psychiatric evaluations and progress notes shows that insight, often in a combined item listed as “Insight/Judgment,” is frequently described as “poor,” “fair,” “limited,” “improving,” etc.