Residency

Adult ADHD: Beyond Childhood

Attention Deficit Hyperactivity Disorder is a common neuropsychiatric condition impacting 4.4% of the adult population age 18-44 according to a recent epidemiological survey. As in childhood, the condition is often marked by challenges with attention, organization and forgetfulness, although adults who were hyperactive as children often grow out of physical hyperactivity. There is evidence that ADHD is associated with poorer outcomes in domestic and occupational endeavors, as well as higher rates of motor vehicle accidents.

Management of Depression in Post-stroke Patients

Although the prevalence of PSD depends upon whether the patients are examined in community settings or acute hospitals, the mean prevalence of major depressive disorder based on pooled data from the world’s literature is 20% during acute poststroke period for major depression and 19% for minor depression.  The diagnosis of depression is based on DSM-IV criteria for major or minor depression.  There is relatively little effect of physical illness on the manifestations of depressive symptoms.  The major risk factors for developing poststroke depression include severity of impairment in activities of daily living, in cognitive function and in social support.

Antidepressants and Suicide Risk in Children and Adults: Using Evidence to Separate Fact from Fiction

Suicide is considered rare in non-depressed individuals but it occurs in between 5 and 15% of those suffering from depression.  The Columbia Suicide Severity Rating Scale (C-SSRS) is recommended for assessing an individual patient’s suicide risk.  Suicide risk factors in children, adolescents and adults include untreated depression, psychosis, access to firearms. Additional factors that increase suicide risk in children and adolescents include maternal depression, witnessing suicide attempts or sexual abuse or experiencing sexual abuse or trauma themselves.  Cyber-bullying is becoming more recognized as a contributing factor to suicide in youth.

Recommendation for a new book "Anatomy of an Epidemic" by Robert Whitaker

Dear CPNP Listserve: I wanted to recommend a new book that was written by Robert Whitaker called “Anatomy of an Epidemic” – Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America (Crown ...

MTM - Psychiatry

Hello,   Is anyone participating in/on a MTM or Medical Home type of model that manages patients with chronic mental illness?   I am working on a proposal to create something similar to what I describe above ...

Meet a Member: Ericka L. Breden

Ericka L. Breden, PharmD, BCPP, CGP, FASCP, is a clinical pharmacy specialist in psychiatry and clinical assistant professor with both the Departments of Pharmacy and Psychiatry at Virginia Commonwealth University Health System in Richmond, VA. She also is the Director of a PGY-2 Psychiatric Pharmacy Residency program. Dr. Breden began her career at VCUHS after completion of both a geriatric residency and a psychiatric residency. Her current position entails rounding primarily with the geropsychiatry and the medical psychiatry teams. Her role is to ensure medication safety, educate patients and family members, and educate psychiatrists-in-training on the safe use of medications. She feels the greatest impact she makes in her practice is ensuring patients and families have access to and can afford their medications and helping them to understand the importance of taking their medications.

Article from PsychiatricTimes - 45,000 More Psychiatrists, Anyone?

Interesting article.   Carla Cobb Office: 406-651-6428 Cell: 406-670-3722 Carla.Cob@riverstonehealth.org From: PsychiatricTimes ...

Psychologist's Prescribing: A Threat or a Promise

Authors and Disclosures Author(s) David J. Reinhardt, MS, PhD Clinical Psychologist, private practice, Long Beach, California Disclosure: David J. Reinhardt, MS, PhD, has disclosed the following relevant financial ...

How to fund CE and Meetings? I don't know.

Debate Over Drug Industry Funding Of Medical Education Intensifies. The New York Times (6/24, B1, Singer, Wilson) reports on the front page of its Business Day section that "the University of Michigan Medical School has become the ...