Current psychiatry最新文献_第6页

Lamotrigine interactions with oral contraceptives 拉莫三嗪与口服避孕药的相互作用

Current psychiatry Pub Date : 2023-07-01 DOI: 10.12788/cp.0373

Megan E. Maroney

引用次数: 1

More on an asymmetric life, transient global amnesia 更多关于不对称的生活，短暂的全球健忘症

Current psychiatry Pub Date : 2023-07-01 DOI: 10.12788/cp.0380

Sudhir Nagaraja

引用次数: 0

Interventional psychiatry: What are the next steps? 介入精神病学:下一步是什么?

Current psychiatry Pub Date : 2023-07-01 DOI: 10.12788/cp.0378

K. Vincent

{"title":"Interventional psychiatry: What are the next steps?","authors":"K. Vincent","doi":"10.12788/cp.0378","DOIUrl":"https://doi.org/10.12788/cp.0378","url":null,"abstract":"Psychiatry’s failure to address these changes would be a dire error, as psychiatrists could lose control of our field’s advances and growth. But this creates an even larger question: what are the next steps we need to take? We believe interventional psychiatry must be recognized as its own psychiatric subspeciality, receive greater emphasis in psychiatry residency training, and be subject to standardization by professional organizations. Psychiatry has incorporated procedures into patient care for almost 100 years, starting with electroconvulsive therapy (ECT) and insulin shock therapy in the 1930s.3,4 However, in the last 10 years, the rapid expansion of FDA approvals of neuromodulation procedures to treat psychiatric conditions (including vagus nerve stimulation in 2005, transcranial magnetic stimulation [TMS] in 2008, and the device exception granted for the use of deep brain stimulation in 2009) has produced the moniker “interventional psychiatry” for this unofficial psychiatric subspeciality.5,6 If we are to establish interventional psychiatry as a recognized subspeciality, it is important to create a universally accepted definition. We propose the term refer to therapeutic techniques or processes that may or may not be invasive but require special training to perform. Additionally, interventional psychiatry should include even minimally invasive procedures, such as ketamine infusions, medication implants, long-acting injectable (LAI) medications, and processes that require a Risk Evaluation and Mitigation Strategy (REMS), such as those utilized with clozapine, esketamine, or olanzapine for extended-release injectable suspension7 (see “Risk Evaluation and Mitigation Strategy programs: How they can be improved,” page 14). The proportions of clinicians who prescribe clozapine (7%)8 or LAIs (32.1% to 77.7%, depending on the patient population being To comment on this editorial or other topics of interest: henry.nasrallah @currentpsychiatry.com Guest Editorial","PeriodicalId":10971,"journal":{"name":"Current psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41589033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using apps in clinical practice: 8 studies 在临床实践中使用应用程序:8项研究

Current psychiatry Pub Date : 2023-07-01 DOI: 10.12788/cp.0377

Ashish Khanchandani

{"title":"Using apps in clinical practice: 8 studies","authors":"Ashish Khanchandani","doi":"10.12788/cp.0377","DOIUrl":"https://doi.org/10.12788/cp.0377","url":null,"abstract":"COVID-19’s increased demand on the mental health care delivery system led to expanded utilization of technology-based solutions, including digital tools to deliver care.1 Technologybased solutions include both synchronous telehealth (eg, real-time interactive audio/ video visits) and asynchronous tools such as smartphone applications (apps). Both real-time telehealth and apps continue to gain popularity. More than 10,000 mental health–related apps are available, and that number continues to rise.2 Numerous webor mobile-based apps are available to aid in the treatment of various psychiatric conditions, including generalized anxiety disorder (GAD), major depressive disorder, insomnia, and posttraumatic stress disorder (PTSD). Clinicians may find it challenging to choose the best psychiatry-related apps to recommend to patients. This dilemma calls for an approach to help clinicians select apps that are safe and effective.2 The American Psychiatric Association provides information to help mental health professionals navigate these issues and identify which aspects to consider when selecting an app for clinical use.3 The M-Health Index and Navigation Database also provides a set of objective evaluative criteria and offers guidance on choosing apps.4 In this article, we review 8 randomized controlled trials (RCTs) of mental health– related apps. We took several steps to ensure the RCTs we included were impactful and meaningful. First, we conducted a general search using mainstream search engines to assess which psychiatric apps were most popular for use in clinical practice. Using this list, we conducted a scholarly search engine query of RCTs using the name of the apps as a search parameter along with the following keywords: “mobile,” “web,” “applications,” and “psychiatry.” This search yielded approximately 50 results, which were narrowed down based on content and interest to a list of 8 articles (Table,5-12 page 38). These articles were then graded using the limitations of each study as the primary substrate for evaluation.","PeriodicalId":10971,"journal":{"name":"Current psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42607409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A pivot in training: My path to reproductive psychiatry 训练的转折点：我的生殖精神病学之路

Current psychiatry Pub Date : 2023-07-01 DOI: 10.12788/cp.0370

R. Mergler

引用次数: 0

From smiling to smizing: Assessing the affect of a patient wearing a mask 从微笑到微笑：评估患者戴口罩的影响

Current psychiatry Pub Date : 2023-07-01 DOI: 10.12788/cp.0369

Nada K Abdallah

引用次数: 0

Homelessness in urban areas: The role of mental illness and need for collaboration 城市地区的无家可归者:精神疾病的作用和合作的需要

Current psychiatry Pub Date : 2023-07-01 DOI: 10.12788/cp.0379

Victor Ajluni