journal
https://read.qxmd.com/read/37437253/should-medical-insurance-review-serve-the-patient-s-best-interests-examples-and-considerations-illustrated-by-behavioral-health-cases
#21
JOURNAL ARTICLE
Peter Q Harris, Melissa E Abraham, Bruce M Cohen
Physician medical directors working for health care insurance companies conduct utilization reviews, participate in quality-of-care reviews, and adjudicate appeals. As a result, they have access to substantial and important clinical information. The medical director may have both current and historical information that can assist the treatment team in providing care. Sharing this information with a patient's current health care provider(s) is problematic due to concerns about patient privacy and the insurer's goal of not assuming legal liability for patient care...
July 2023: Harvard Review of Psychiatry
https://read.qxmd.com/read/37437252/treatment-of-amphetamine-induced-truman-show-delusion-and-delusional-parasitosis-with-high-dose-ziprasidone
#22
JOURNAL ARTICLE
Ziad A Ali, Ben Sanders, Rif El-Mallakh, Melissa Mathews, Shawn Brown
No abstract text is available yet for this article.
July 2023: Harvard Review of Psychiatry
https://read.qxmd.com/read/37437251/making-an-mpct-building-and-sustaining-a-multicultural-psychology-consultation-team-mpct-within-an-academic-medical-center
#23
JOURNAL ARTICLE
Stephanie Pinder-Amaker, Jeffrey P Winer, Lauren P Wadsworth, Caitlin M Nevins, Andrew Peckham, Jacob A Nota, Courtney Beard
The synergistic epidemics of COVID-19, racial injustice, and health inequities sparked an unprecedented commitment from US hospital systems and treatment settings to address health disparities by increasing access to care for historically oppressed and underserved communities. However, the inability of hospital systems to actually provide multiculturally responsive care and, more broadly, to consistently practice cultural humility will only exacerbate patient distrust and the deleterious health and social outcomes we seek to mitigate...
July 2023: Harvard Review of Psychiatry
https://read.qxmd.com/read/37437250/psychopharmacological-considerations-for-gender-affirming-hormone-therapy
#24
REVIEW
Hyun-Hee Kim, Teddy G Goetz, Victoria Grieve, Alex S Keuroghlian
The field of transgender health has grown exponentially since the early 2010s. While this increased visibility has not been without controversy, there is growing acknowledgement of the needs of transgender, nonbinary, and gender expansive (TNG) patients and the health disparities they experience compared to the cisgender population. There is also increased interest among clinicians and trainees in providing gender-affirming care in all medical specialties. This is particularly relevant in psychiatry as mental health disparities in TNG patients have been well-documented...
July 2023: Harvard Review of Psychiatry
https://read.qxmd.com/read/37437249/status-of-type-ii-vs-type-i-bipolar-disorder-systematic-review-with-meta-analyses
#25
JOURNAL ARTICLE
Carolina V Hernandorena, Ross J Baldessarini, Leonardo Tondo, Gustavo H Vázquez
LEARNING OBJECTIVES AFTER PARTICIPATING IN THIS CME ACTIVITY, THE PSYCHIATRIST SHOULD BE BETTER ABLE TO: • Analyze and compare the different bipolar disorder (BD) types.• Identify markers that distinguish BD types and explain how the DSM-IV defines the disorder. ABSTRACT: Since the status of type II bipolar disorder (BD2) as a separate and distinct form of bipolar disorder (BD) remains controversial, we reviewed studies that directly compare BD2 to type I bipolar disorder (BD1)...
July 2023: Harvard Review of Psychiatry
https://read.qxmd.com/read/37171475/closed-loop-deep-brain-stimulation-for-psychiatric-disorders
#26
JOURNAL ARTICLE
Alik S Widge
Deep brain stimulation (DBS) is a well-established approach to treating medication-refractory neurological disorders and holds promise for treating psychiatric disorders. Despite strong open-label results in extremely refractory patients, DBS has struggled to meet endpoints in randomized controlled trials. A major challenge is stimulation "dosing"-DBS systems have many adjustable parameters, and clinicians receive little feedback on whether they have chosen the correct parameters for an individual patient. Multiple groups have proposed closed loop technologies as a solution...
May 2023: Harvard Review of Psychiatry
https://read.qxmd.com/read/37171474/accelerated-repetitive-transcranial-magnetic-stimulation-to-treat-major-depression-the-past-present-and-future
#27
JOURNAL ARTICLE
Leo Chen, Deborah C W Klooster, Martin Tik, Elizabeth H X Thomas, Jonathan Downar, Paul B Fitzgerald, Nolan R Williams, Chris Baeken
Repetitive transcranial magnetic stimulation (rTMS) is an effective and evidence-based therapy for treatment-resistant major depressive disorder. A conventional course of rTMS applies 20-30 daily sessions over 4-6 weeks. The schedule of rTMS delivery can be accelerated by applying multiple stimulation sessions per day, which reduces the duration of a treatment course with a predefined number of sessions. Accelerated rTMS reduces time demands, improves clinical efficiency, and potentially induces faster onset of antidepressant effects...
May 2023: Harvard Review of Psychiatry
https://read.qxmd.com/read/37171473/photobiomodulation-for-major-depressive-disorder-linking-transcranial-infrared-light-biophotons-and-oxidative-stress
#28
REVIEW
Willians Fernando Vieira, Maia Gersten, Marco Antonio Knob Caldieraro, Paolo Cassano
Incompletely treated major depressive disorder (MDD) poses an enormous global health burden. Conventional treatment for MDD consists of pharmacotherapy and psychotherapy, though a significant number of patients do not achieve remission with such treatments. Transcranial photobiomodulation (t-PBM) is a promising novel therapy that uses extracranial light, especially in the near-infrared (NIR) and red spectra, for biological and therapeutic effects. The aims of this Review are to evaluate the current clinical and preclinical literature on t-PBM in MDD and to discuss candidate mechanisms for effects of t-PBM in MDD, with specific attention to biophotons and oxidative stress...
May 2023: Harvard Review of Psychiatry
https://read.qxmd.com/read/37171472/the-impact-of-sex-hormones-on-transcranial-magnetic-stimulation-measures-of-cortical-excitability-a-systematic-review-and-considerations-for-clinical-practice
#29
JOURNAL ARTICLE
Ana Maria Rivas-Grajales, Tracy Barbour, Joan A Camprodon, Michael D Kritzer
Repetitive transcranial magnetic stimulation (rTMS) has emerged as a promising alternative for the treatment of major depressive disorder (MDD), although its clinical effectiveness varies substantially. The effects of sex hormone fluctuations on cortical excitability have been identified as potential factors that can explain this variability. However, data on how sex hormone changes affect clinical response to rTMS is limited. To address this gap, we reviewed the literature examining the effects of sex hormones and hormonal treatments on transcranial magnetic stimulation (TMS) measures of cortical excitability...
May 2023: Harvard Review of Psychiatry
https://read.qxmd.com/read/37171471/electroconvulsive-therapy-mechanisms-of-action-clinical-considerations-and-future-directions
#30
REVIEW
Michael D Kritzer, Angel V Peterchev, Joan A Camprodon
LEARNING OBJECTIVES: • Outline and discuss the fundamental physiologic, cellular, and molecular mechanisms of ECT to devise strategies to optimize therapeutic outcomes• Summarize the overview of ECT, its efficacy in treating depression, the known effects on cognition, evidence of mechanisms, and future directions. ABSTRACT: Electroconvulsive therapy (ECT) is the most effective treatment for a variety of psychiatric illnesses, including treatment-resistant depression, bipolar depression, mania, catatonia, and clozapine-resistant schizophrenia...
May 2023: Harvard Review of Psychiatry
https://read.qxmd.com/read/37171470/introduction
#31
JOURNAL ARTICLE
Joan A Camprodon, Tracy Barbour
No abstract text is available yet for this article.
May 2023: Harvard Review of Psychiatry
https://read.qxmd.com/read/36884041/applications-of-speech-analysis-in-psychiatry-erratum
#32
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
March 2023: Harvard Review of Psychiatry
https://read.qxmd.com/read/36884040/remembering-paul-e-meehl-historical-contributions-to-predictive-modeling-in-human-behavior
#33
JOURNAL ARTICLE
Jihan Ryu
This article briefly examines the life and work of the late clinical psychologist and philosopher of science Paul E. Meehl. His thesis in Clinical versus Statistical Prediction (1954) that the data combination performed by mechanical operations, as compared to clinicians, achieves higher accuracy in predicting human behavior is one of the earliest theoretical works that laid the groundwork for utilizing statistics and computational modeling in research in psychiatry and clinical psychology. For today's psychiatric researchers and clinicians grappling with the challenges of translating the ever-increasing data of the human mind into practice tools, Meehl's advocacy for both accurate modeling of the data and their clinically relevant use is timely...
March 2023: Harvard Review of Psychiatry
https://read.qxmd.com/read/36884039/co-occurring-autism-spectrum-and-borderline-personality-disorder-an-emerging-clinical-challenge-seeking-informed-interventions
#34
JOURNAL ARTICLE
Lukas Cheney, Robert B Dudas, Jenna M Traynor, Josephine A Beatson, Sathya Rao, Lois W Choi-Kain
No abstract text is available yet for this article.
March 2023: Harvard Review of Psychiatry
https://read.qxmd.com/read/36884038/evidence-based-mind-body-interventions-for-children-and-adolescents-with-functional-neurological-disorder
#35
JOURNAL ARTICLE
Kasia Kozlowska, Catherine Chudleigh, Blanche Savage, Clare Hawkes, Stephen Scher, Kenneth P Nunn
LEARNING OBJECTIVES: • Develop and implement treatment plans for children and adolescents with functional neurological disorder (FND)• Outline a plan to increase awareness and standardize the care for patients with FND using evidence-based interventions. ABSTRACT: Functional neurological disorder (FND) in children and adolescents involves the biological embedding of lived experience in the body and brain. This embedding culminates in stress-system activation or dysregulation and in aberrant changes in neural network function...
March 2023: Harvard Review of Psychiatry
https://read.qxmd.com/read/36884037/hikikomori-syndrome-and-digital-technologies-a-systematic-review
#36
JOURNAL ARTICLE
Gabriel S Sales-Filho, Igor D Bandeira, Nayara Argollo, Rita Lucena
Hikikomori syndrome (HS) is a voluntary prolonged social isolation associated with personal and community impact. Previous evidence pointed out a possible relationship between this syndrome with addiction to digital technologies. Here we aim to understand the relationship between HS and digital technology use, overuse, and addictive behaviors, as well as potential therapeutic approaches.We conducted a systematic review of observational and intervention studies available in PubMed/MEDLINE, LILACS, IBECS, Embase, PsycINFO, and SciELO databases, following the Preferred Reporting Items for Systematic Review and Meta-Analyses Protocols (PRISMA 2020) criteria...
March 2023: Harvard Review of Psychiatry
https://read.qxmd.com/read/36884036/why-don-t-you-take-this-to-a-friend-a-question-psychotherapists-should-ask-more-often
#37
JOURNAL ARTICLE
Jacqueline Olds, Richard S Schwartz
No abstract text is available yet for this article.
March 2023: Harvard Review of Psychiatry
https://read.qxmd.com/read/36608082/clinical-implications-of-the-neurosteroid-allopregnanolone-in-reproductive-depression
#38
JOURNAL ARTICLE
Leah C Susser
Certain women develop depression with fluctuations in hormone levels whereas other women do not; this hormonally driven depression has been termed reproductive depression. The pathophysiology of reproductive depression differs from that of major depressive disorder, and this distinction has important clinical-including treatment-implications. Recent advances have revealed that the neurosteroid, allopregnanolone, plays a central role in reproductive depression. Appreciation of allopregnanolone's role in reproductive depression aids in selecting targeted treatments and in predicting symptom worsening during subsequent reproductive stages, and it can be used to reduce risk of relapse...
January 2023: Harvard Review of Psychiatry
https://read.qxmd.com/read/36608081/psychotic-misdiagnosis-of-racially-minoritized-patients-a-case-based-ethics-equity-and-educational-exploration
#39
JOURNAL ARTICLE
Anita M Jegarl, Oluwole Jegede, Jessica Isom, Nicole Ciarleglio, Carmen Black
The overdiagnosis and misdiagnosis of racially minoritized groups as having a primary psychotic disorder is one of psychiatry's longest-standing inequities born of real-time clinician racial bias. Evidence suggests that providers assign a diagnosis of schizophrenia and/or schizoaffective disorder according to race more than any other demographic variable, and this inequity persists even in the absence of differences in clinician symptom ratings. This case report describes the journey of one young Black woman through her racialized misdiagnosis of schizophrenia and the process by which interdisciplinary, health equity-minded providers across the spectrum of medical education and practice joined together to provide a culturally informed, systematic rediagnosis of major depressive disorder and post-traumatic stress disorder...
January 2023: Harvard Review of Psychiatry
https://read.qxmd.com/read/36608080/challenges-of-agitation-in-dementia-a-plea-for-early-discussion
#40
JOURNAL ARTICLE
Leah G Richler, Mariko Shimizu, Hsiang Huang, Rachel Kester
Behavioral and psychological symptoms of dementia (BPSD) occur frequently among people with dementia and are known precipitants for placement in care facilities. Despite the social, financial, and psychological impact on dementia care, education and discussions on BPSD have not been routinely included in advance care planning (ACP). As a result, families can face great challenges in making complex medical decisions when their loved ones are admitted to the geriatric psychiatric inpatient unit with refractory BPSD...
January 2023: Harvard Review of Psychiatry
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