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Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists

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https://www.readbyqxmd.com/read/29087209/compliance-of-metabolic-monitoring-at-rehabilitation-facilities
#1
Catherine Benson, Steve Kisely, Nicole Korman, Katherine Moss
OBJECTIVES: To examine compliance with routine metabolic monitoring at four rehabilitation facilities within the Metro South Addiction and Mental Health Services in Queensland. METHODS: A retrospective chart audit was undertaken on 63 residents of rehabilitation facilities with electronic health records from 1 October 2014 to 30 March 2015. RESULTS: Evidence of any metabolic monitoring was recorded for 87% of residents. Compliance rates differed for monitoring waist circumference (97%), blood pressure (97%), high-density lipoprotein (79%), triglycerides (81%) and plasma glucose (83%)...
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29087208/leadership-mindset-in-mental-health
#2
Lillian Ng, Richard Steane, Natalie Scollay
OBJECTIVES: The objective of this study was to explore the concept of mindset for psychiatrists who are considering stepping into the leadership arena. METHODS: Qualitative themes were extracted from dialogue on leadership development at a Royal Australian and New Zealand College of Psychiatrists forum for early career psychiatrists. RESULTS: Three key themes were identified: adapting to a professional identity as psychiatrists; developing a mindset for leadership; and acting intentionally to seek opportunities for leadership...
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29087206/recommencing-lithium-in-older-adults-with-bipolar-i-disorder
#3
Lara Gallur, Alice Powell, Patrick Flynn
OBJECTIVES: This paper addresses considerations in recommencing lithium in elderly patients with Bipolar I Disorder and medical comorbidity. We focus on nephrotoxicity and cognitive impairment. METHODS: Case reports and review of relevant literature. RESULTS: Three elderly psychogeriatric inpatients admitted with severe manic relapse following lithium cessation are described. In all cases, lithium was recommenced safely with good response...
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29082757/foundation-trainees-and-changes-in-career-intentions
#4
Adam B Joiner, Shamsa Mahmood, Samuel P Dearman, Sarah Maddicott
OBJECTIVES: To understand whether foundation trainees change their career intentions during psychiatry placements and explore what factors influence such changes. METHODS: Over a two-year period, foundation trainees completed questionnaires at the beginning, middle and end of their four-month placement. There were two questions, the first as to how likely they were to pursue a career in psychiatry and the second openly asked them to elaborate on their reasons. RESULTS: Twenty-one out of 41 eligible trainees returned all three questionnaires...
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29082744/case-formulation-using-pattern-based-formulation-pbf-methodology-clinical-case-2
#5
Irosh Fernando, Mahesh Rajasooriya
OBJECTIVES: To teach psychiatric case formulation; to build a repertoire of patterns that can be reused as building blocks in constructing case formulations. METHOD: Pattern-based Formulation. RESULTS: Demonstration of a case formulation and introducing three patterns. CONCLUSION: The demonstration will assist learning case formulation using the Pattern-based Formulation, while the three patterns introduced can be reused when formulating relevant cases...
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29034695/what-is-the-clinical-significance-of-chronic-emptiness-in-borderline-personality-disorder
#6
Daniel Elsner, Jillian H Broadbear, Sathya Rao
OBJECTIVE: The objective of this study was to review the clinical significance of the experience of chronic emptiness in borderline personality disorder (BPD). METHODS: A systematic search of the literature was conducted using MEDLINE and PubMed, employing search terms including 'emptiness', 'personality disorder' and 'borderline personality disorder'. The most relevant English-language articles and books were selected for this review. RESULTS: Published literature and clinical experience suggest that chronic emptiness represents a substantial component of the symptom burden experienced by people with BPD, contributes to functional impairment and may distinguish BPD from other disorders such as major depressive disorder...
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29034694/on-being-supervised-getting-value-from-a-clinical-supervisor-and-making-the-relationship-work-when-it-is-not
#7
Stephen Parker, Shuichi Suetani, Balaji Motamarri
OBJECTIVE: The importance of clinical supervision is emphasised in psychiatric training programs. Despite this, the purpose and processes of supervision are often poorly defined. There is limited guidance available for trainees about their role in making supervision work. This paper considers the nature of supervision in psychiatric training and provides practical advice to help supervisees take active steps to make supervision work. CONCLUSIONS: In obtaining value from supervision, the active role of the supervisee in seeking feedback, finding value in criticism and building autonomy is emphasised...
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29034692/psychiatric-impairment-ratings-in-children-and-adolescents
#8
John Kasinathan, Teresa Flower, Yolisha Singh, Scott Harden
OBJECTIVES: It is accepted practice in Australia and New Zealand for psychiatric impairment rating scales to be applied for persons claiming psychiatric injury. These scales were derived for adults, not children. There is less clarity as to whether and how these scales may be applied for children claiming psychiatric injury. METHODS: We review Australian and New Zealand guidelines and methods for assessing permanent psychiatric impairment, as they apply to children and adolescents...
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29034686/you-have-no-idea-how-much-i-love-you-lozinski-pawel-2016-poland-in-polish-with-english-subtitles
#9
Jun Yong Ma
No abstract text is available yet for this article.
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29017334/brexpiprazole-a-new-leaf-on-the-partial-dopamine-agonist-branch
#10
Judy Hope, David Castle, Nicholas A Keks
OBJECTIVES: Brexpiprazole is a new dopamine partial agonist antipsychotic in the same class as aripiprazole. This paper will briefly review brexpiprazole and compare it with aripiprazole. CONCLUSIONS: Brexpiprazole and aripiprazole are both partial agonists at dopamine D2, and serotonin 5-HT1A and antagonists at serotonin 5-HT2A and noradrenergic α1B receptors. However, the two drugs are significantly different in potencies at various receptors; neurochemical profiles predict that brexpiprazole may be comparable with aripiprazole in its antipsychotic efficacy but may cause less akathisia, extrapyramidal side effects (EPS) and activation...
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29017332/shared-decision-making-in-mental-health-the-importance-for-current-clinical-practice
#11
Victoria Alguera-Lara, Michelle M Dowsey, Jemimah Ride, Skye Kinder, David Castle
OBJECTIVES: We reviewed the literature on shared decision making (regarding treatments in psychiatry), with a view to informing our understanding of the decision making process and the barriers that exist in clinical practice. METHODS: Narrative review of published English-language articles. RESULTS: After culling, 18 relevant articles were included. Themes identified included models of psychiatric care, benefits for patients, and barriers...
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28994620/ptsd-symptoms-associated-with-myocardial-infarction-practical-clinical-implications
#12
Wole Akosile, Ross Young, Bruce Lawford, Joanne Voisey, David Colquhoun
OBJECTIVES: Several studies have demonstrated a link between post-traumatic stress disorder and myocardial infarction. We aim to determine what phenotypic features or symptom profile associated with cardiovascular disease may help with early detection and intervention. METHODS: This is a cross-sectional study. The study population comprises trauma-exposed Vietnam War veterans. RESULTS: Variables significantly associated with myocardial infarction from the bivariate analysis were avoidance memories, avoidance reminders and sleep disturbance...
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28994603/suvorexant-scientifically-interesting-utility-uncertain
#13
Nicholas A Keks, Judy Hope, Simone Keogh
OBJECTIVE: Suvorexant, a new hypnotic, is indicated for the treatment of insomnia characterized by difficulties with sleep onset and/or sleep maintenance, and is used long-term. This paper will briefly review suvorexant. RESULTS: Orexin is a hypothalamic peptide which promotes wakefulness. By blocking orexin receptors, suvorexant induces sleep. Peaking 2 h after ingestion, it has a half-life of 12 h and is hepatically metabolized mainly by CYP3A. Kinetics are not affected by age but concentrations are higher in females and obese patients...
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28990407/clinical-research-in-an-academic-psychiatry-department-some-general-principles-and-case-studies
#14
Philip Keightley, Paul Maguire, Rebecca E Reay, Jeffrey C Cubis, Peggy Craigie, Jeffrey Cl Looi
OBJECTIVE: This paper gives guidance for developing collaborative clinical research within an academic psychiatry department. METHODS: We describe the experience at the Australian National University Medical School, and present three case studies. RESULTS: The results reveal that general principles include, but are not limited to, intellectual curiosity, mentorship, collaboration and protected time. CONCLUSIONS: We conclude that a particular strength of a new research department at a medical school may be close collaborative research within clinical settings...
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28990405/suicide-of-australians-during-the-vietnam-war
#15
Saxby Pridmore, Jamshid Ahmadi, William Pridmore
OBJECTIVES: National suicide rates fall during times of war. This fits with the notion of the population coming together against a common foe. But, what happens in the case of a war which is not fully supported, which draws the population and families apart? We consider this question by examining the Australian suicide rates during the divisive Vietnam War. METHODS: We graphed and examined the Australian suicide figures for 1921-2010. RESULTS: We found clear evidence of a decrease in the suicide rate for World War II (consistent with other studies), but a marked elevation of suicide during the Vietnam War...
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28990400/-trust-me-i-m-a-doctor-a-qualitative-study-of-the-role-of-paternalism-and-older-people-in-decision-making-when-they-have-lost-their-capacity
#16
Joanne Cole, Oleg Kiriaev, Phillipa Malpas, Gary Cheung
OBJECTIVE: The objective of this study was to explore whether older people want their doctors to make treatment decisions on their behalf when they no longer have capacity to do so, and their reasons for these preferences. METHOD: A convenience sample of older people from two retirement villages were interviewed and asked to respond to a hypothetical vignette. Their responses were analysed using qualitative thematic methodology. RESULTS: Thirty-seven people (56...
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28976214/-your-empathiser-will-see-you-now-the-future-of-the-professions-susskind-richard-susskind-daniel-oxford-oxford-university-press-2017-isbn-978-0198799078
#17
Jim Goodbourn
No abstract text is available yet for this article.
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28976215/mania-following-antidepressant-discontinuation-in-depression-two-case-reports
#18
Cecilia Sze Nga Kwok, Leslie Eng Choon Lim
OBJECTIVE: Antidepressant-induced mania and an antidepressant discontinuation syndrome are well documented, whereas mania occurring after antidepressant cessation has been infrequently reported. METHOD: We describe antidepressant discontinuation-related mania in two Chinese patients, as well as a review of the literature on this phenomenon in unipolar depression. RESULTS: A 72-year-old man and a 65-year-old woman had late-onset depression with vascular risk factors, but no personal or family history of mood disorders...
September 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28967286/an-audit-of-the-management-of-nicotine-withdrawal-in-an-australian-inpatient-unit-are-we-there-yet
#19
Reena Iyer, David Smith, Sharon Lawn
OBJECTIVES: This paper reports outcomes of a clinical audit of smoke-free policy implementation within an Australian inpatient psychiatric setting. It aimed to evaluate assessment of smoking status and subsequent management of nicotine withdrawal, and investigate any patient factors influencing these processes. METHODS: A total of 67 medical case notes were retrospectively analysed for inpatients admitted to psychiatric units of a general hospital in South Australia, from July to September 2015...
September 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28967276/salt-in-the-soul-steel-in-the-eye-and-caution-towards-the-winds-a-mariner-s-guide-for-navigating-a-new-academic-psychiatry-department
#20
Jeffrey Cl Looi, Daniel Bonner, Paul Maguire, Raj Parige, Michael Tedeschi, Jeffrey C Cubis, Bjorn Cartledge, Philip Keightley, Rebecca E Reay, Peggy Craigie
OBJECTIVES: This paper describes principles and advice regarding the development of a new academic psychiatry department within a medical school for aspiring academic psychiatrists. We describe general principles based on the experience of the foundation of the Academic Unit of Psychiatry and Addiction Medicine at the Australian National University Medical School. CONCLUSIONS: Perspicacious leadership and organisation are the foundation for an academic psychiatry department which delivers teaching, research and broader intellectual engagement with the medical and broader community...
September 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
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