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Psychiatric Clinics of North America

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https://www.readbyqxmd.com/read/28477658/women-s-mental-health-progress-and-realities
#1
EDITORIAL
Susan G Kornstein, Anita H Clayton
No abstract text is available yet for this article.
June 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28477657/reproductive-rights-and-women-s-mental-health
#2
REVIEW
Nada Logan Stotland
Reproductive rights are essential to the recognition/treatment of women as full-fledged human beings/citizens. Barriers to reproductive rights pose a grave danger to women's well-being. This article explores the origins of these barriers, their nature, and their impact on mental health. The most controversial relationship is between induced abortion and mental health. Barriers, misinformation, and coercion affecting contraceptive, abortion, and pregnancy care are an ongoing danger to women's mental health and the well-being of their families...
June 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28477656/mental-health-aspects-of-intimate-partner-violence
#3
REVIEW
Donna Eileen Stewart, Simone Natalie Vigod
Intimate partner violence (IPV) is common worldwide and occurs in more than one-third of American women and psychiatric patients. As well as physical injuries, it may cause mental health sequelae, such as depression, anxiety, posttraumatic stress disorder, psychosis, inability to trust others, self-harm, and a host of psychosomatic conditions, that may be referred to psychiatrists. It is imperative that psychiatrists know the risk factors, how to assist disclosure of IPV, and how to safely respond. Psychiatrists must know the best evidence-based management of IPV and its mental health sequelae to best assist patients who have been exposed to IPV...
June 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28477655/mental-health-in-sexual-minority-and-transgender-women
#4
REVIEW
Julie K Schulman, Laura Erickson-Schroth
Although sexual minority women (SMW) and transgender women have become increasingly visible in recent years and have made progress in achieving civil rights, they continue to face significant levels of discrimination, stigma, and physical violence. As a result, each group faces a wide variety of health disparities, including mental illness and substance use disorders. Overall, both SMW and transgender women experience higher rates of mood and anxiety disorders, suicidality, and substance use disorders than their heterosexual and cisgender counterparts...
June 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28477654/dementia-in-women
#5
REVIEW
Todd M Derreberry, Suzanne Holroyd
Despite the progress made in the understanding of the etiology, neuropathophysiology, and treatment of different types of dementia, such disorders continue to pose huge health problems worldwide. The differential effect of the burden of disease on women is just being realized. These effects range from direct effects of the disease processes themselves, the way women experience the disease, and the caregiver burden. This article provides a brief overview of the available information on this topic.
June 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28477653/women-and-addiction
#6
REVIEW
Nassima Ait-Daoud, Derek Blevins, Surbhi Khanna, Sana Sharma, Christopher P Holstege
Gender-related alcohol and drug abuse problems are related not only to biological differences, but also to social and environmental factors, which can influence the clinical presentation, consequences of use, and treatment approaches. Women are becoming the fastest-growing population of substance abusers in the United States. Given that women experience a more rapid progression of their addiction than men, it is important that we understand and address the differences to help develop prevention and treatment programs that are tailored for women, incorporating trauma assessment and management, identification and intervention for medical and psychiatric comorbidities, financial independence, pregnancy, and child care...
June 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28477652/female-sexual-dysfunction
#7
REVIEW
Anita H Clayton, Elia Margarita Valladares Juarez
Female sexual dysfunction can drastically diminish quality of life for many women. It is estimated that in the United States 40% of women have sexual complaints. These conditions are frequently underdiagnosed and undertreated. Terminology and classification systems of female sexual dysfunction can be confusing and complicated, which hampers the process of clinical diagnosis, making accurate diagnosis difficult. There are few treatment options available for female sexual dysfunctions, however, some interventions may be of benefit and are described...
June 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28477651/binge-eating-disorder
#8
REVIEW
Anna I Guerdjikova, Nicole Mori, Leah S Casuto, Susan L McElroy
Binge eating disorder (BED) is the most common eating disorder and an important public health problem. Lifetime prevalence of BED in the United States is 2.6%. In contrast to other eating disorders, the female to male ratio in BED is more balanced. BED co-occurs with a plethora of psychiatric disorders, most commonly mood and anxiety disorders. BED is also associated with obesity and its numerous complications. Although BED is similar in men and women in presentation and treatment outcomes, there are some key neurobiological differences that should be taken in consideration when personalizing treatment...
June 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28477650/depression-and-menopause-current-knowledge-and-clinical-recommendations-for-a-critical-window
#9
REVIEW
Claudio N Soares
Depression is a disabling condition, which often leads to significant personal, societal, and economic costs. Windows of vulnerability for depression in women likely are associated with an increased sensitivity experienced by some women to changes in the hormonal milieu that occur during the luteal phase of their cycles, during the postpartum period, and/or during the menopause transition. The controversy surrounding a menopause-related depression has been fueled by conflicting methodologies used to characterize reproductive staging or assess psychiatric conditions during midlife years...
June 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28477649/psychopharmacology-in-pregnancy-and-breastfeeding
#10
REVIEW
Jennifer L Payne
The use of psychotropic drugs during pregnancy and breastfeeding remains a controversial topic. There are several reasons for the controversy, ranging from the misperception that pregnancy is protective against mental illness, to the notion that women should be "pure" during pregnancy and avoid all extraneous substance use, and finally, to the stigma and misunderstanding of psychiatric illness and underestimation of how serious it can be. Fortunately, the currently available data are reassuring for most psychiatric medications-properly controlled studies indicate little to no risk for most (but not all) psychiatric medications...
June 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28477648/premenstrual-dysphoric-disorder
#11
REVIEW
Teresa Lanza di Scalea, Teri Pearlstein
Premenstrual dysphoric disorder (PMDD) comprises emotional and physical symptoms and functional impairment that lie on the severe end of the continuum of premenstrual symptoms. Women with PMDD have a differential response to normal hormonal fluctuations. This susceptibility may involve the serotonin system, altered sensitivity of the GABAA receptor to the neurosteroid allopregnanalone, and altered brain circuitry involving emotional and cognitive functions. Serotonin reuptake inhibitors are considered the first-line treatment...
June 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28477647/neuroendocrine-networks-and-functionality
#12
REVIEW
Margaret Altemus
Women undergo developmental and cyclic changes in hormonal exposures that affect brain function and mental health. Some women are more vulnerable to the effects of these hormonal exposures, for reasons that remain to be determined. Evidence to date indicates that anxiety and mood disorders are the most sensitive to hormonal fluctuations in women but there is also growing evidence for a protective effect of female reproductive hormones on schizophrenia. The hormonal exposures of the menstrual cycle, pregnancy, the postpartum period, lactation, and menopause are quite different and may be associated with at least partially distinct symptom profiles...
June 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159149/trans-affirmative-care-moving-from-trans-allies-to-trans-activists
#13
EDITORIAL
Lynne Carroll, Lauren Mizock
No abstract text is available yet for this article.
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159148/hormonal-and-surgical-treatment-options-for-transgender-women-and-transfeminine-spectrum-persons
#14
REVIEW
Linda M Wesp, Madeline B Deutsch
Transgender women and other transfeminine spectrum people may pursue hormonal and/or surgical gender-affirming interventions. Hormone therapy includes androgen blockade and estrogen supplementation. Approaches to hormone treatment vary widely based on patient goals and physiology. Surgical procedures are available, including genital affirmation surgery, breast augmentation, and head or neck feminization procedures. Many people are unable to obtain surgeries owing to prohibitive costs and long waiting lists...
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159147/hormonal-and-surgical-treatment-options-for-transgender-men-female-to-male
#15
REVIEW
Ryan Nicholas Gorton, Laura Erickson-Schroth
Untreated transgender men face serious negative health care outcomes. Effective medical, surgical, and mental health treatment ameliorates these risks. Although the research is not as robust as would be ideal, hormone treatment is effective and generally well tolerated with few serious medical risks. Surgeries carry serious risks; but for most transgender men, the benefits outweigh the risks. This review describes current evidence-based medical treatments for transgender men and provides an overview of surgical therapy to enable practitioners to discuss these options with their transgender male patients...
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159146/barriers-challenges-and-decision-making-in-the-letter-writing-process-for-gender-transition
#16
REVIEW
Stephanie L Budge, Lore M Dickey
This article addresses the challenges that clinicians face in writing letters of support for transgender and gender-diverse clients. It addresses common but challenging clinical representations to help the reader understand the nuances associated with writing letters. Three cases are presented. The first addresses systemic challenges, the second addresses management of care, and the third addresses co-occurring mental health concerns. Recommendations for practice are provided based on the experiences included within the 3 case examples...
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159145/affirmative-psychological-testing-and-neurocognitive-assessment-with-transgender-adults
#17
REVIEW
Colton L Keo-Meier, Kara M Fitzgerald
Neither consensus on best practice nor validated neuropsychological, intelligence, or personality testing batteries exist for assessment and psychological testing on the transgender population. Historically, assessment has been used in a gate-keeping fashion with transgender clients. There are no firm standards of care when considering the content and appropriateness of evaluations conducted presurgically. These evaluations are discussed in the setting of other presurgical evaluations, with a recommendation to move toward a competency to make a medical decisions model...
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159144/treatment-of-trauma-and-nonsuicidal-self-injury-in-transgender-adults
#18
REVIEW
Lore M Dickey, Anneliese A Singh, Daniel Walinsky
This article explores the presence of trauma and nonsuicidal self-injury (NSI) in transgender people. We explore the prevalence of trauma and NSI in transgender people, the ways in which these clinical concerns manifest across the lifespan, and special considerations for assessment and treatment. The article concludes by describing the importance of developing a strong rapport with clients and the concept of reasonably well-controlled cooccurring mental health concerns.
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159143/transgender-and-gender-diverse-clients-with-mental-disorders-treatment-issues-and-challenges
#19
REVIEW
Lauren Mizock
A number of transgender and gender diverse individuals face risks of mental health problems and suicidality, often as a result of transphobia and gender minority stress. There are many resilience and protective factors that transgender individuals use to cope with mental distress and thrive. In this article, a review of the literature on transgender and gender diverse individuals with mental health problems is provided, as well as a discussion of the protective factors that enhance resilience.
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159142/group-psychotherapy-with-transgender-and-gender-nonconforming-adults-evidence-based-practice-applications
#20
REVIEW
Nicholas C Heck
Although there are descriptions of transgender-affirmative group psychotherapy services in the literature, there is limited research on the topic. Mental health professionals who plan to offer such services should draw on evidence-based treatments, where appropriate, and have a working knowledge of current standards of care, practice guidelines, and counseling competencies. This article reviews and synthesizes the existing research and scholarship on this topic, placing an emphasis on group-specific competencies and intervention components that can be integrated into psychotherapy groups for transgender and gender nonconforming clients...
March 2017: Psychiatric Clinics of North America
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