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Journal of Psychiatric Practice

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https://www.readbyqxmd.com/read/29320386/examining-the-feasibility-and-acceptability-of-an-online-yoga-class-for-mood-disorders-a-moodnetwork-study
#1
Lisa Uebelacker, Steven C Dufour, Jacob G Dinerman, Samantha L Walsh, Casey Hearing, Lee T Gillette, Thilo Deckersbach, Andrew A Nierenberg, Lauren Weinstock, Louisa G Sylvia
BACKGROUND: Despite ongoing advances in the treatment of mood disorders, a substantial proportion of people diagnosed with major depression or bipolar disorder remain symptomatic over time. Yoga, which has been shown to reduce stress and depressive symptoms, as well as to improve overall quality of life, shows promise as an adjunctive treatment. However, dissemination of yoga for clinical populations remains challenging. The purpose of this pilot study was to test the feasibility and acceptability of an online yoga intervention for individuals with mood disorders...
January 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29320385/ketamine-use-for-suicidal-ideation-in-the-general-hospital-case-report-and-short-review
#2
Hélène Vulser, Claire Vulser, Marion Rieutord, Amélie Passeron, Didier Lefebvre, Emilie Baup, Anne-Sophie Seigneurie, Isabelle Thauvin, Frédéric Limosin, Cédric Lemogne
Low-dose infusion of ketamine may have rapid antisuicide properties. Such a treatment may therefore be useful in the general hospital to prevent suicide in an environment that cannot be made safe enough. We report on the use of ketamine as an efficient, well-tolerated treatment for persistent suicidal ideation in a patient hospitalized in a general hospital after a severe suicide attempt. Based on data in the literature, we suggest that the benefit-risk ratio for ketamine use in such a context is highly favorable...
January 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29320384/cannabinoid-hyperemesis-syndrome-and-the-consulting-psychiatrist-a-case-study-of-diagnosis-and-treatment-for-an-emerging-disorder-in-psychiatric-practice
#3
Kristopher A Kast, Liliya Gershengoren
The increasing prevalence of cannabis use in the United States requires awareness of cannabis-related disorders and familiarity with treatment options. We present a case of cannabinoid hyperemesis syndrome that required psychiatric consultation for diagnostic clarification and effective treatment with intravenous haloperidol. Literature from emergency medicine, toxicology, and gastroenterology is reviewed, including proposed diagnostic criteria for cannabinoid hyperemesis syndrome and reported off-label treatment options, with a specific focus on clinical questions facing the practicing psychiatrist regarding this emerging disorder...
January 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29320383/the-mask-of-happiness-unmasking-coercive-control-in-intimate-relationships
#4
Nicole Schneider
While most mental health professionals know how to recognize the obvious and most concerning presentations of possible intimate partner violence, there are numerous ways in which a partner may be controlled, bullied, isolated, exploited, and manipulated that do not present such observable signs. The literature pertaining to domestic abuse has increasingly moved away from injury as a necessary marker and instead has begun to highlight the importance of more covert but similarly deleterious processes within certain intimate relationships...
January 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29320382/two-new-psychotherapy-studies-back-to-the-future
#5
Eric M Plakun
This column reviews 2 recent high-quality psychotherapy research studies. One study by Steinert and colleagues suggests that psychodynamic therapy is equivalent to cognitive behavioral therapy (CBT) (or medication when this was the comparator) for a range of disorders. A second study by Barlow and colleagues finds Unified Protocol CBT targeting underlying emotional dysregulation to be equivalent to single disorder-specific CBT for a range of anxiety disorders. Taken together, these studies help bridge the gap between CBT and psychodynamic therapy and refocus us on the realities of clinical settings, where most patients present with multiple comorbid disorders...
January 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29320381/a-brief-interview-to-detect-panic-attacks-and-panic-disorder-in-emergency-department-patients-with-cardiopulmonary-complaints
#6
Sharon C Sung, A John Rush, Arul Earnest, Leslie E C Lim, Maeve P P Pek, Joen M F Choi, Magdalene P K Ng, Marcus E H Ong
OBJECTIVES: Patients with panic-related anxiety often initially present to the emergency department (ED) complaining of respiratory or cardiac symptoms, but rates of detection of panic symptoms by ED physicians remain low. This study was undertaken to evaluate the relevance of panic attacks and panic disorder in ED patients who present with cardiopulmonary symptoms and to determine whether a brief symptom-based tool could be constructed to assist in rapid recognition of panic-related anxiety in the ED setting...
January 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29320380/reducing-the-risk-of-type-2-diabetes-in-nonselected-outpatients-with-schizophrenia-a-30-month-program
#7
Peter Hjorth, Caroline H Espensen, Nikolaj J Madsen, Anne G Viuff, Povl Munk-Jørgensen
BACKGROUND: Type 2 diabetes is 2- to 3-fold more common in patients with schizophrenia than in the general population. A lifestyle with a focus on diet, exercise, and medication is required to prevent complications from type 2 diabetes, but patients with schizophrenia frequently have trouble maintaining such a lifestyle because of factors related to their illness, such as cognitive disturbances, negative and positive symptoms, and side effects of psychotropic medications. OBJECTIVE: To measure and reduce risk factors for type 2 diabetes in patients with schizophrenia and examine characteristics associated with positive outcomes...
January 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29320379/botulinum-toxin-as-a-treatment-for-depression-in-a-real-world-setting
#8
Sanjay Chugh, Anjali Chhabria, Stefanie Jung, Tillmann H C Kruger, M Axel Wollmer
OBJECTIVES: A series of randomized controlled trials have shown the efficacy of glabellar botulinum toxin (BTX) injection as a treatment for depression in women. We wanted to extend these findings and assess how they may be translated to a real-world setting. METHODS: For that purpose, 42 patients with severe, in most cases chronic and treatment-resistant depression received adjunctive treatment with BTX in private practice. Depression severity was rated before and 3 weeks after the treatment using the Hamilton Depression Rating Scale, the Montgomery Åsberg Depression Rating Scale, and the Beck Depression Inventory...
January 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29320378/an-examination-of-fluoxetine-for-the-treatment-of-selective-mutism-using-a-nonconcurrent-multiple-baseline-single-case-design-across-5-cases
#9
Justin A Barterian, Joel M Sanchez, Jed Magen, Allison K Siroky, Brittany L Mash, John S Carlson
This study examined the utility of fluoxetine in the treatment of 5 children, aged 5 to 14 years, diagnosed with selective mutism who also demonstrated symptoms of social anxiety. A nonconcurrent, randomized, multiple-baseline, single-case design with a single-blind placebo-controlled procedure was used. Parents and the study psychiatrist completed multiple methods of assessment including Direct Behavior Ratings and questionnaires. Treatment outcomes were evaluated by calculating effect sizes for each participant as an individual and for the participants as a group...
January 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29320377/out-of-the-box
#10
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29303955/reward-dysfunction-in-the-manic-spectrum-unable-to-win-the-use-of-biographical-information-to-refine-neurobiological-modeling
#11
David A Kahn
OBJECTIVE: The manic spectrum is thought to be characterized by a hypersensitive biobehavioral reward system, the behavioral activation system. Evidence for this framework comes from questionnaire-based, self-report data collected in cross-sectional and prospective studies of mania, mania in remission, and proneness to hypomania, and from functional neuroimaging investigations of brain reward circuit activity during incentivized choice protocols. Although heightened reward anticipation is consistently documented, the status of later goal attainment activity, hedonic responses, and satiety reactions is less clear...
November 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29303954/reward-dysfunction-in-the-manic-spectrum-unable-to-win-the-use-of-biographical-information-to-refine-neurobiological-modeling
#12
John F Gottlieb
OBJECTIVE: The manic spectrum is thought to be characterized by a hypersensitive biobehavioral reward system, the behavioral activation system. Evidence for this framework comes from questionnaire-based, self-report data collected in cross-sectional and prospective studies of mania, mania in remission, and proneness to hypomania, and from functional neuroimaging investigations of brain reward circuit activity during incentivized choice protocols. Although heightened reward anticipation is consistently documented, the status of later goal attainment activity, hedonic responses, and satiety reactions is less clear...
November 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29303953/voltage-gated-potassium-channel-antibody-autoimmune-encephalopathy-presenting-with-isolated-psychosis-in-an-adolescent
#13
David A Kahn
Antibody-mediated encephalopathies associated with serum or cerebrospinal fluid antibodies directed against neuronal structures may present with a multitude of neuropsychiatric syndromes. Although some of the antibody-driven conditions are now well recognized in adults (eg, N-methyl-D-aspartate receptor antibody encephalitis), the spectrum of neuropsychiatric manifestations in the pediatric population is less clear. Psychosis, confusion, catatonia, and additional behavioral changes, along with seizures, encephalopathy, and movement disorders, may be initial manifestations or concurrent features in all age groups...
November 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29303952/voltage-gated-potassium-channel-antibody-autoimmune-encephalopathy-presenting-with-isolated-psychosis-in-an-adolescent
#14
Natalie C Pon, Kimberly M Houck, Eyal Muscal, Sindhu A Idicula
Antibody-mediated encephalopathies associated with serum or cerebrospinal fluid antibodies directed against neuronal structures may present with a multitude of neuropsychiatric syndromes. Although some of the antibody-driven conditions are now well recognized in adults (eg, N-methyl-D-aspartate receptor antibody encephalitis), the spectrum of neuropsychiatric manifestations in the pediatric population is less clear. Psychosis, confusion, catatonia, and additional behavioral changes, along with seizures, encephalopathy, and movement disorders, may be initial manifestations or concurrent features in all age groups...
November 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29303951/why-suicide-risk-assessment-still-matters
#15
Hal S Wortzel, Sarra Nazem, Nazanin H Bahraini, Bridget B Matarazzo
Both public awareness of suicide and professional efforts directed at suicide prevention have increased considerably in recent years. Unfortunately, rates of death by suicide have remained relatively stable over the past decade despite these enhanced efforts. Some have argued that "suicide risk assessment doesn't work" and have called into question the utility of devoting clinical time and energy to risk assessment. In this column, the authors first present an overview of the argument against suicide risk assessment and the data supporting that argument, followed by an alternate argument as to why suicide risk assessment still matters...
November 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29303950/cns-drug-development-lessons-learned-part-4-the-role-of-brain-circuitry-and-genes-tasimelteon-as-an-example
#16
Sheldon H Preskorn
This is the fourth in a series of columns discussing the rational and targeted development of drugs to affect specific central nervous system (CNS) circuits in specific ways based on knowledge gained by molecular biology and the human genome project. The first column in this series described 6 CNS drugs with novel mechanisms of action developed over the last 25 years. The second column discussed differences between syndromic diagnoses as exemplified by the third through the fifth editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM III through DSM-5) and the new approach to psychiatric diagnoses championed by the National Institute of Mental Health in their Research Domain Criteria Initiative...
November 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29303949/psychosis-risk-syndrome-what-now
#17
Othman Sentissi, Maria A Andreou, Clotilde Moeglin, Logos Curtis, Micaela Santos Brosch
BACKGROUND: Schizophrenia is a chronic psychiatric disorder that generally begins in late adolescence or early adulthood. This early onset is often linked with a devastating lifelong impact on both the social network and work capacities of the affected subjects. Beginning in the mid-1990s, several sets of diagnostic criteria aiming to identify "high-risk" patients were developed and applied in clinical studies. Short-term rates of onset of psychosis in this subgroup of subjects ranged from 20% to 40%...
November 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29303948/cognitive-behavioral-therapy-for-chronic-pain-one-therapeutic-approach-for-the-opioid-epidemic
#18
Muhammad Hassan Majeed, Donna M Sudak
Opioids are frequently prescribed for chronic pain. For the past 2 decades, long-term opioid analgesic therapy was considered the cornerstone of effective pain management for chronic nonmalignant conditions, despite a lack of documented effectiveness and safety, with the attendant risk of addiction, overdose, and death. Cognitive behavioral therapy (CBT) may be used effectively to treat chronic pain, either as a stand-alone treatment or with other nonopioid pharmacological treatments. CBT improves pain-related outcomes along with mobility, quality of life, and disability and mood outcomes...
November 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29303947/outcomes-of-acute-partial-hospital-treatment-comparison-of-two-programs-and-a-waiting-list-control
#19
Paul B Lieberman, Rendueles Villalba, Samantha G Farris
OBJECTIVE: To investigate the effectiveness of acute, very brief partial hospital treatment, and the comparative benefits of different types of partial hospitalization programs (PHPs), this exploratory study examined changes in psychiatric symptoms and elements of cognitive functioning during an acute PHP compared with a waiting list control, and also compared such changes in 2 PHPs that treated similar patient groups but used different treatment approaches. METHODS: Patients were admitted to 2 PHPs, one utilizing cognitive-behavioral therapy and the other interpersonal and existential psychotherapy...
November 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29303946/use-of-rapid-response-teams-in-psychiatry-variables-that-impact-safety
#20
Ryan Greytak, Joanna Y Wang, Yea-Jen Hsu, Jill Marsteller, Geetha Jayaram
OBJECTIVE: The addition of rapid response teams (RRTs) has emerged as a treatment option for medically deteriorating psychiatric inpatients. The goal of this study was to identify risk factors for use of RRTs at the time of initial psychiatric evaluation and develop measures to predict use of this emergent medical intervention. We have not located any studies that have previously addressed this issue. METHODS: We studied the use of RRTs and code teams (CTs) on inpatient general and specialty psychiatric services in a large urban academic psychiatric hospital...
November 2017: Journal of Psychiatric Practice
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