Expert Column

 
 
  • New Challenges for Psychiatry to Help Prevent Domestic Terrorism A major challenge for US society is to prevent other potential future violent attacks.
  • I Am Part of the Problem In seeking to serve a racially proportionate population, psychiatrist Dr Dinah Miller acknowledges that medical practices that do not support racially balanced access to care are part of the problem.
  • 'COVID-Sorting': Deciding Whom to Get Close to and Whom to Avoid Regardless of what they actually know or don't know, people are making calculations about managing physical distancing using their own internal formulas. A psychiatrist shares his thoughts.
  • Preventing Arrhythmias in COVID-19 Patients on Psychotropics Patients with preexisting mental health conditions who are being treated for COVID-19 are particularly susceptible to clinical deterioration. Three mental health clinicians share their thoughts.
  • Incidence, Impact, Current Management Strategy for Treatment-Resistant MDD This expert column explores the epidemiology, clinical impact, and management strategies associated with treatment-resistant major depressive disorder.
  • Preventing Relapse: The Role of Medical Treatment in Alcohol Dependence Raymond F. Anton, MD, discusses the medical treatment of alcohol dependence in the context of its biological basis.
  • Alcohol Dependence: The Importance of Neurobiology to Treatment George F. Koob, PhD, discusses the biological basis of different aspects of alcohol dependence.
  • The Neurobiology of ADHD The process of attention is a dance of consciousness requiring the coordination of cortical and subcortical functioning. Explore the complex steps, missteps, and major partners involved.
  • Diagnosis of Alcohol Dependence Update your knowledge about screening and diagnosis of alcohol abuse and dependence in this discussion by Hugh Myrick, MD.
  • Recognizing Minor Depression The National Comorbidity Study in the United States estimates the lifetime prevalence of minor depression in individuals aged 15-54 years at 10%. What is this disorder, and what treatments work best?
  • Nonpharmacologic Approaches to Treating ADHD When is behavior therapy effective for patients with ADHD? Which 4 types of patients will benefit from receiving behavior therapy in addition to or instead of pharmacologic treatment?
  • Bipolar Disorder Psychotherapy Do psychoeducation, cognitive behavior therapy, family-focused therapy, or interpersonal and social rhythm therapy work? Which psychotherapy successfully treats bipolar depressive symptoms?
  • Improving Adherence in Adults and Adolescents With ADHD Which 3 factors lead 88% of adults to become nonadherent within 2 months of starting treatment? Which 5 specific strategies can help? Which stimulant formulations are most likely to improve adherence?
  • The Use of Anticonvulsants in Bipolar I Disorder Updated TIMA guidelines include anticonvulsants into the treatment strategy mix. Find out why this is good news for clinicians.
  • Postpartum Depression Despite recent media portrayal, recognition of postpartum depression is important, but not always straightforward. Two doctors review etiology, epidemiology, differential, and best treatment approach.
  • Antidepressants and Bipolar I Affective Disorder A meta-analysis spanning 40 years of research on antidepressant therapy for bipolar disorder has netted 11 randomly controlled trials. Find out what the "A-level" treatments are.
  • Functional Roles of Norepinephrine and Dopamine in ADHD Are we only treating one side of ADHD? Research suggests that the disorder is not the prerogative of a single neurotransmitter. Read about the implications for treatment.
  • Managing ADHD With Long-Acting Stimulant Agents What medications are best for children? Adolescents? Adults? How do these agents compare with each other? How can you achieve optimal results with your patients?
  • Relationship of Acute Mania Symptomatology to Maintenance Tx How can data on maintenance therapy reveal the best treatment for the acute phase and vice versa? Which antipsychotics and mood stabilizers work best when?
  • Drug Delivery Systems for ADHD Here's a straightforward review and assessment of current pharmacologic treatments for ADHD, especially the extended-release agents. Behavioral and alternative interventions are also discussed.