ABSTRACT
PURPOSE: The field of psychiatry has conventionally employed a medical model in which mental health disorders are diagnosed and treated. However, the evidence is amassing that using a strengths-based approach that promotes wellness by engaging the patient's assets and interests may work in synergy with the medical model to promote recovery. This harmonizes with the patient-centered care model that has been promoted by the Institute of Medicine. METHODS: The article uses a clinical case to highlight the attributes of a strength-based model in the psychiatric treatment of adolescents. RESULTS: Outcome metrics from a number of studies have demonstrated enhanced youth and parent satisfaction and decreased use of hospital level of care with the implementation of strengths-based therapeutic modalities. IMPLICATIONS: Incorporating strengths-based interventions into conventional psychiatric practice provides a multi-faceted treatment approach that promotes recovery in children and adolescents with psychiatric disorders.
ABSTRACT
Due to the intractability, at times, in the treatment of PTSD, clinicians and researchers continue to explore different options for treatment. This article discusses the renewed interest in hallucinogens for such treatment.
Subject(s)
Hallucinogens/therapeutic use , Stress Disorders, Post-Traumatic/drug therapy , Hallucinogens/history , History, 20th Century , History, 21st Century , Humans , N-Methyl-3,4-methylenedioxyamphetamine/therapeutic useSubject(s)
Drug Antagonism , Drug Inverse Agonism , Drug Partial Agonism , Neurotransmitter Agents/agonists , Neurotransmitter Agents/antagonists & inhibitors , Parkinson Disease/drug therapy , Psychotic Disorders/drug therapy , Humans , Parkinson Disease/complications , Psychotic Disorders/etiologyABSTRACT
Delusions as a feature of psychosis have long captured the fascination of both psychiatry and the public at large. The French first described three famous delusions: the Cotard delusion, folie à deux, and Capgras delusion. In this article, we examine a case illustrating each delusion and the hallmark features of each as well as a brief discussion about the current understanding of these disorders.
Subject(s)
Delusions/psychology , Schizophrenia, Paranoid/classification , Schizophrenia, Paranoid/psychology , Shared Paranoid Disorder/psychology , Adult , Aged , Female , France , Humans , Male , Middle Aged , PsychiatryABSTRACT
PURPOSE: This article explores the recently recognized anti-NMDA receptor encephalitis, which may produce psychiatric symptoms. CONCLUSIONS: Historically, some patients presenting for psychiatric care may have actually been suffering from anti-NMDA encephalitis; thus, awareness of this disorder may facilitate appropriate treatment. TREATMENT IMPLICATIONS: Early diagnosis and aggressive treatment promote better outcomes. First-line treatment includes immunotherapy.
Subject(s)
Anti-N-Methyl-D-Aspartate Receptor Encephalitis/diagnosis , Anti-N-Methyl-D-Aspartate Receptor Encephalitis/etiology , Anti-N-Methyl-D-Aspartate Receptor Encephalitis/physiopathology , Diagnosis, Differential , Humans , Prognosis , Receptors, N-Methyl-D-Aspartate/physiologySubject(s)
Antipsychotic Agents/administration & dosage , Dementia/diagnosis , Huntington Disease/complications , Huntington Disease/genetics , Mood Disorders/diagnosis , Adult , Benzodiazepines/administration & dosage , Brain/pathology , Cognition Disorders , Dementia/drug therapy , Humans , Magnetic Resonance Imaging , Male , Memory, Short-Term , Mood Disorders/drug therapy , Mood Disorders/therapy , Olanzapine , Paroxetine/administration & dosageABSTRACT
Neuroanatomy correlates with the psychological changes of pain. Neuroplastic transformation appears in the reduction of gray matter volume, or shrinkage in the top-down cortical areas vital for working memory, problem solving, sequencing and discrimination of different information and cognitive modulation of pain via the descending pain modulatory tracts and control over other cortical areas involved in the emotional perception of pain. These latter areas become more active,thereby intensifying the susceptibility to negative affect associated with pain (Geha & Apkarian, 2006).An animal model of chronic neuropathic pain was associated with impairment in the firing activity of the locus coeruleus and its expression of noradrenaline in ascending and descending pathways, which plays roles in not only pain perception, but mood, anxiety,attention and concentration, the sympathetic nervous system,and the activity of the hypothalamic-pituitary-adrenal axis,which serves to mobilize an organism's survival by the expression of cortisol in an immediate survival circumstance.