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Journal of Psychiatric Practice

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https://www.readbyqxmd.com/read/29509185/beyond-social-media-a-cross-sectional-survey-of-other-internet-and-mobile-phone-applications-in-a-community-psychiatry-population
#1
Michelle Colder Carras, Ramin Mojtabai, Bernadette Cullen
OBJECTIVE: Popular media applications have been shown to benefit people with severe mental illness by facilitating communication and social support, helping patients cope with or manage symptoms, and providing a way to monitor or predict mental health states. Although many studies of technology use by individuals with severe mental illness have focused primarily on use of social media, this study provides additional information about use of Internet applications such as blogs, wikis (websites that allow collaborative editing of content and structure by users), video games, and Skype by a community psychiatry population...
March 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29509184/commentary-on-2-cases-of-rare-but-serious-side-effects-of-commonly-used-medications-dilemmas-in-clinical-decision-making
#2
David A Kahn
In this issue of the journal, 2 case reports are presented that describe rare but serious side effects of commonly used medications. These cases illustrate dilemmas in clinical decision-making. The first describes the induction of seizures by low-dose venlafaxine in a predisposed individual, and the second describes the development of mild but significant leukopenia with sequential trials of olanzapine and risperidone. The association between a drug and a rare but potentially serious side effect in an individual patient can be difficult to determine with precision, and the decision to press ahead and try to work around the reaction, versus stopping the likely offender and finding a substitute, is a matter for seasoned clinical judgment...
March 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29509183/olanzapine-induced-and-risperidone-induced-leukopenia-a-case-of-synergistic-adverse-reaction
#3
Luke Sy-Cherng Woon, Chun Keat Tee, Lydia Lay Yen Gan, Kanit Tha Deang, Lai Fong Chan
Leukopenia is a known hematological side effect of atypical antipsychotics. We report a case of an antipsychotic-naive patient with schizophrenia who developed leukopenia after a single dose of olanzapine, which worsened during subsequent treatment with risperidone. Normalization of the white blood cell counts occurred within 24 hours of risperidone discontinuation. Possible synergistic mechanisms underlying olanzapine-induced and risperidone-induced leukopenia are discussed. This case highlights the challenges in identifying and managing nonclozapine antipsychotic-induced leukopenia in a susceptible patient...
March 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29509182/seizure-induced-by-a-therapeutic-dose-of-venlafaxine-er-a-case-report
#4
Chuanzhong Ye, Megan Ninneman, Judd S Christian, Fanglin Zhang, Dominique Musselman
Venlafaxine is a selective serotonin and norepinephrine reuptake inhibitor commonly used for the treatment of depression. Although listed as an adverse reaction, seizure activity associated with a therapeutic dose of venlafaxine has rarely been documented. A review of the literature reveals only 2 cases of venlafaxine-induced seizures, both of which were generalized tonic-clonic seizures in patients on doses at the higher end of the therapeutic range. We report the case of a 44-year-old woman undergoing antituberculosis therapy who suffered complex partial seizures after ingestion of a low therapeutic dose of venlafaxine extended release (ER)...
March 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29509181/clinical-and-insurance-perspectives-on-intermediate-levels-of-care-in-psychiatry
#5
Eric M Plakun
This column compares a clinical perspective on the continuum of care for mental health and substance use disorders with a different perspective derived from publicly available insurance company documents and experience dealing with managed care utilization reviewers. The latter perspective tends to determine the need for access to levels of care based on the need for crisis stabilization, whereas the generally accepted clinical standard is more nuanced than the need for crisis stabilization alone. The column proposes that this discrepancy in perspectives makes a substantial contribution to disagreements between treating clinicians, such as therapists, and insurance utilization reviewers concerning the medical necessity of various requested levels of care...
March 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29509180/cns-drug-development-lessons-learned-part-5-how-preclinical-and-human-safety-studies-inform-the-approval-and-subsequent-use-of-a-new-drug-suvorexant-as-an-example
#6
Sheldon H Preskorn
This column is the fifth in a series examining the advances being made in central nervous system drug development because of advances in molecular pharmacology and an improved understanding of the neurobiology underlying disturbances in brain function including psychiatric illnesses. This column covers the special animal and human studies conducted as part of the development of suvorexant, which is the first in the class of dual orexin 1 and 2 receptor antagonists to be approved; it has an indication for the treatment of disturbances in sleep onset and maintenance...
March 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29509179/does-late-onset-anorexia-nervosa-exist-findings-from-a-comparative-study-in-singapore
#7
Shian Ming Tan, Kah Foo Victor Kwok, Kelly A Zainal, Huei Yen Lee
OBJECTIVE: The incidence of cases of older onset anorexia nervosa (AN) has increased in recent years. However, the literature on late-onset AN has been inconclusive. The goal of this study was to compare late-onset with early-onset cases of AN. METHODS: Cases of AN presenting to an eating disorders treatment service were identified and the associated medical records were studied retrospectively. RESULTS: Of the 577 cases of AN that were studied, 7...
March 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29509178/what-therapies-are-favored-in-the-treatment-of-the-psychological-sequelae-of-trauma-in-human-trafficking-victims
#8
Temilola Salami, Mollie Gordon, John Coverdale, Phuong T Nguyen
Human trafficking is a major public health concern that brings about deleterious psychological consequences and sequelae. Although a number of risk and protective factors for the health consequences of human trafficking victims have been identified, there is a dearth of information in the area of treatment. Specifically, we found no articles comparing the different components of prevailing trauma treatment strategies, and the potential usefulness of these strategies in the treatment of human trafficking victims...
March 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29509177/psychiatry-s-role-in-the-management-of-human-trafficking-victims-an-integrated-care-approach
#9
Mollie Gordon, Temilola Salami, John Coverdale, Phuong T Nguyen
Human trafficking is an outrageous human rights violation with potentially devastating consequences to individuals and the public health. Victims are often underrecognized and there are few guidelines for how best to identify, care for, and safely reintegrate victims back into the community. The purpose of this paper is to propose a multifaceted, interdisciplinary, and interprofessional guideline for providing care and services to human trafficking victims. Databases such as PubMed and PsycINFO were searched for papers outlining human trafficking programs with a primary psychiatric focus...
March 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29509176/relationship-between-antipsychotic-medications-and-cerebrovascular-disease-in-patients-with-serious-mental-illness
#10
Nuria Berrocal-Izquierdo, Miquel Bioque, Miguel Bernardo
INTRODUCTION AND OBJECTIVES: Cerebrovascular disease (CVD), especially in its asymptomatic forms, is relatively common in patients with serious mental illness (SMI). Nevertheless, the literature on this topic is scarce and sometimes contradictory. Antipsychotic medications, especially atypical agents, play an important role in the overall cardiovascular health of these patients. The goal of this study was to analyze the frequency of CVD in patients with and without SMI. PATIENTS AND METHODS: This retrospective cohort study compared the frequency of CVD, including silent forms, in a group of patients without mental illness and without a history of taking antipsychotic medication, with another group of patients diagnosed with SMI who had received antipsychotic treatment...
March 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29509175/human-trafficking
#11
John M Oldham
No abstract text is available yet for this article.
March 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29320386/examining-the-feasibility-and-acceptability-of-an-online-yoga-class-for-mood-disorders-a-moodnetwork-study
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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