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Applying Motivational Interviewing Strategies to Facilitate Secure Firearm Storage During Clinical Encounters-Part 2: Technical Strategies. 应用动机性访谈策略促进临床接触期间安全的枪支储存-第2部分：技术策略。
IF 1 4区 医学
Journal of Psychiatric Practice Pub Date : 2025-11-01 DOI: 10.1097/PRA.0000000000000890
Frances M Aunon, Steve Martino, Gabriela Khazanov, Suzanne E Decker, Steven Dobscha, Joseph A Simonetti
{"title":"Applying Motivational Interviewing Strategies to Facilitate Secure Firearm Storage During Clinical Encounters-Part 2: Technical Strategies.","authors":"Frances M Aunon, Steve Martino, Gabriela Khazanov, Suzanne E Decker, Steven Dobscha, Joseph A Simonetti","doi":"10.1097/PRA.0000000000000890","DOIUrl":"https://doi.org/10.1097/PRA.0000000000000890","url":null,"abstract":"<p><p>Motivational interviewing (MI) is an evidence-based clinical approach that aims to assist patients in navigating ambivalence and in building motivation and commitment for behavior change. MI may be an especially helpful approach in lethal means safety (LMS) counseling, given the challenges in encouraging patients to adopt new firearm storage practices. The purpose of this 2-part series is to demonstrate how MI strategies might be applied to evoke motivation to change firearm storage practices. This column builds on part 1 of this series, in which we provided a rationale for considering an MI-based approach and discussed how the relational foundation of MI may help facilitate LMS counseling. In part 2, we focus on the technical strategies we use to evoke motivation to change behavior (eg, language and tools), including the use of \"ask-offer-ask,\" recognizing and reflecting change talk, and using importance rulers.</p>","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"31 6","pages":"333-336"},"PeriodicalIF":1.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145653679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Use of Nutritional Psychiatry in the Treatment of a Patient With Treatment-resistant Depression: A Biopsychosocial Case Report. 营养精神病学在治疗难治性抑郁症患者中的应用：一个生物心理社会病例报告。
IF 1 4区 医学
Journal of Psychiatric Practice Pub Date : 2025-11-01 DOI: 10.1097/PRA.0000000000000896
Victoria Hertl, Sonja Lackner, Anna Ramirez-Obermayer, Andreas Baranyi, Jolana Wagner-Skacel, Sabrina Mörkl
{"title":"The Use of Nutritional Psychiatry in the Treatment of a Patient With Treatment-resistant Depression: A Biopsychosocial Case Report.","authors":"Victoria Hertl, Sonja Lackner, Anna Ramirez-Obermayer, Andreas Baranyi, Jolana Wagner-Skacel, Sabrina Mörkl","doi":"10.1097/PRA.0000000000000896","DOIUrl":"10.1097/PRA.0000000000000896","url":null,"abstract":"<p><p>This case study describes a 30-year-old patient with recurrent depressive disorder and pharmacological treatment resistance. After 2 courses of electroconvulsive therapy without significant improvement, the illness was classified as treatment-refractory. A comprehensive nutrient analysis and dietary history identified malnutrition, nutrient deficiencies, and gastrointestinal issues. By supplementing the treatment-as-usual approach with personalized nutritional and nutrient therapy, a significant reduction in depressive symptoms was achieved, and the pharmacological medication could be reduced. This case suggests that targeted nutritional and nutrient interventions may help enhance the effectiveness of pharmacological treatment and support mental health by promoting metabolic processes.</p>","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"31 6","pages":"337-345"},"PeriodicalIF":1.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145654439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Why an Antibiotic That is Effective Against a Type of Bacteria May Not Work Better Than "Placebo" in a Randomized Controlled Clinical Trial: Understanding Placebo and Its Implications for Psychiatric Drug Development, Part 2. 为什么在一项随机对照临床试验中，一种对某种细菌有效的抗生素可能并不比“安慰剂”效果更好：理解安慰剂及其对精神药物开发的影响，第2部分。
IF 1 4区 医学
Journal of Psychiatric Practice Pub Date : 2025-11-01 DOI: 10.1097/PRA.0000000000000887
Sheldon H Preskorn
{"title":"Why an Antibiotic That is Effective Against a Type of Bacteria May Not Work Better Than \"Placebo\" in a Randomized Controlled Clinical Trial: Understanding Placebo and Its Implications for Psychiatric Drug Development, Part 2.","authors":"Sheldon H Preskorn","doi":"10.1097/PRA.0000000000000887","DOIUrl":"https://doi.org/10.1097/PRA.0000000000000887","url":null,"abstract":"<p><p>\"Placebo\" is a short-handed way of summarizing good clinical management, or treatment as usual (TAU). While the media and others sometimes equate a placebo with a \"sugar pill,\" by which they mean nothing, the placebo arm in a double-blind randomized controlled trial (RCT) is instead all the treatment received in such a trial except for the investigational treatment. For that reason, an antibiotic effective against bacteria causing an infection may not do better than TAU in an RCT depending on the specific conditions of the infection that the patient has. This finding is important to consider when evaluating the results of RCTs in psychiatric drug development.</p>","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"31 6","pages":"327-328"},"PeriodicalIF":1.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145654374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Contextualizing Clinical Benchmarks: A Tripartite Approach to Evaluating LLM-Based Tools in Mental Health Settings. 情境化临床基准：评估心理健康设置中基于法学硕士的工具的三方方法。
IF 1 4区 医学
Journal of Psychiatric Practice Pub Date : 2025-11-01 DOI: 10.1097/PRA.0000000000000892
Matthew Flathers, Bridget Dwyer, Eden Rozenblit, John Torous
{"title":"Contextualizing Clinical Benchmarks: A Tripartite Approach to Evaluating LLM-Based Tools in Mental Health Settings.","authors":"Matthew Flathers, Bridget Dwyer, Eden Rozenblit, John Torous","doi":"10.1097/PRA.0000000000000892","DOIUrl":"https://doi.org/10.1097/PRA.0000000000000892","url":null,"abstract":"<p><p>The rapid proliferation of Large Language Model (LLM)-based tools in mental health care presents an urgent need for clinical evaluation frameworks. With millions already engaging with Artificial Intelligence (AI) tools, mental health disciplines require immediate, practical evaluation approaches rather than awaiting idealized methodologies. This paper introduces a practical, implementable approach to evaluating LLM-based tools in mental health settings through both theoretical analysis and actionable assessment methods. We propose a tripartite evaluation framework comprising: (1) the technical profile layer, which assesses foundational model safety and infrastructure compliance; (2) the health care knowledge layer, which validates domain-specific clinical knowledge and safety boundaries; and (3) the clinical reasoning layer, which evaluates decision-making capabilities and reasoning processes. Each proposed layer includes concrete evaluation methods that clinical teams can implement immediately, from direct model questioning to adversarial testing approaches. As health care organizations conduct and share evaluations using this approach, the field can collectively develop the specialized benchmarks and reasoning assessments essential for ensuring LLM integrations enhance rather than compromise patient care in the mental health space. The framework serves both as an immediate practical guide and a foundation for building more sophisticated evaluation resources tailored to mental health contexts.</p>","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"31 6","pages":"294-301"},"PeriodicalIF":1.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145654412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Manual of Child and Adolescent Psychopharmacology, Fourth Edition. 儿童和青少年精神药理学临床手册，第四版。
IF 1 4区 医学
Journal of Psychiatric Practice Pub Date : 2025-11-01 DOI: 10.1097/PRA.0000000000000889
Adrianne Lona
{"title":"Clinical Manual of Child and Adolescent Psychopharmacology, Fourth Edition.","authors":"Adrianne Lona","doi":"10.1097/PRA.0000000000000889","DOIUrl":"https://doi.org/10.1097/PRA.0000000000000889","url":null,"abstract":"","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"31 6","pages":"351-353"},"PeriodicalIF":1.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145654461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pseudologia Fantastica: A Case Report and Review of Existing Literature. 幻想假想病：个案报告及现有文献回顾。
IF 1 4区 医学
Journal of Psychiatric Practice Pub Date : 2025-11-01 DOI: 10.1097/PRA.0000000000000895
Eric Sah, Catherine Myong, Paula Askalsky, Connor T Hoch, Jon A Levenson, Peter A Shapiro
{"title":"Pseudologia Fantastica: A Case Report and Review of Existing Literature.","authors":"Eric Sah, Catherine Myong, Paula Askalsky, Connor T Hoch, Jon A Levenson, Peter A Shapiro","doi":"10.1097/PRA.0000000000000895","DOIUrl":"10.1097/PRA.0000000000000895","url":null,"abstract":"<p><p>Pseudologia fantastica (PF), also known as pathologic lying, compulsive lying, or mythomania, is a rare psychiatric syndrome involving enduring falsifications with extraordinarily colorful and detailed narratives. There is a limited amount of literature on PF, and it remains a challenge for clinicians to diagnose and manage. We present a case of PF with a focus on clinical features and management strategies. The literature on PF is reviewed using the PubMed database. Management strategies reported in previous case reports were successfully adapted for this patient. This report describes the clinical presentation of an individual with PF who experienced a range of psychiatric presentations and had a favorable response to psychotropic medication. Management of such patients should include collaborative effort from treatment teams to provide supportive listening and focus on building rapport with patients. Recognition of PF does not preclude other psychiatric conditions, and any coexisting psychiatric conditions should be treated following current guidelines.</p>","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"31 6","pages":"346-350"},"PeriodicalIF":1.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145654401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Guest Editorial: Will Chatbots Replace Psychiatrists? 客座评论：聊天机器人会取代精神病医生吗？
IF 1.1 4区 医学
Journal of Psychiatric Practice Pub Date : 2025-11-01 DOI: 10.1097/PRA.0000000000000893
Allen Frances, Luciana Ramos
{"title":"Guest Editorial: Will Chatbots Replace Psychiatrists?","authors":"Allen Frances, Luciana Ramos","doi":"10.1097/PRA.0000000000000893","DOIUrl":"10.1097/PRA.0000000000000893","url":null,"abstract":"","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"31 6","pages":"291-293"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145654425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Digital Interventions in Inpatient Psychiatry. 住院精神病学中的数字干预。
IF 1 4区 医学
Journal of Psychiatric Practice Pub Date : 2025-09-01 DOI: 10.1097/PRA.0000000000000882
Greg Kurtzman, Jessica C Badawi, Chasee E Boyd, David Kimhy, John Torous, Michelle A Patriquin
{"title":"Digital Interventions in Inpatient Psychiatry.","authors":"Greg Kurtzman, Jessica C Badawi, Chasee E Boyd, David Kimhy, John Torous, Michelle A Patriquin","doi":"10.1097/PRA.0000000000000882","DOIUrl":"10.1097/PRA.0000000000000882","url":null,"abstract":"<p><p>Digital mental health interventions for inpatient psychiatry show promise in improving outcomes. We provide a narrative literature review of studies that examined technology use and outcomes in patients admitted to inpatient psychiatric settings. Overall, the studies demonstrated that technology-smartphones, wearables, tablets, apps-are feasible for use by and acceptable to patients who are receiving mental health care in inpatient psychiatric settings. Given its acceptability, technology offers another strategy and tool for implementing evidence-based practices (eg, psychotherapies) as well as for translating science (eg, findings regarding neuroscience and psychophysiology) into direct practice in inpatient psychiatric settings, ultimately improving outcomes.</p>","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"31 5","pages":"238-244"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
First Episode Psychosis After Recent Mid-life Emigration From Afghanistan: A Case Report. 最近从阿富汗移民的中年后的第一集精神病：一个病例报告。
IF 1 4区 医学
Journal of Psychiatric Practice Pub Date : 2025-09-01 DOI: 10.1097/PRA.0000000000000881
Hannah Lynch, Salonee Shah, Matthew Majeske
{"title":"First Episode Psychosis After Recent Mid-life Emigration From Afghanistan: A Case Report.","authors":"Hannah Lynch, Salonee Shah, Matthew Majeske","doi":"10.1097/PRA.0000000000000881","DOIUrl":"10.1097/PRA.0000000000000881","url":null,"abstract":"<p><p>Immigration is considered a general risk factor for psychotic disorders, and migrants with a history of trauma exposure are likely to be at an elevated risk of developing psychosis. This is increasingly important with recent political instability, war, and violent trauma creating a wave of new refugee populations worldwide. The Afghan population has a particularly high rate of trauma exposure and also has a high rate of experiencing psychotic symptoms, yet Afghan refugees are the least likely to use antipsychotics compared with other refugee groups. This case report highlights the presentation of an Afghan immigrant who developed a first episode of psychosis shortly after mid-life migration following recent war trauma. The patient was treated and responded well to a long-acting injectable antipsychotic.</p>","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"31 5","pages":"282-284"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The 16-minute Hour: Combining Abbreviated Psychotherapy With Medication Visits. Part 4: Cognitive-behavioral Therapy. 16分钟一小时：结合简短的心理治疗和药物治疗。第四部分：认知行为疗法。
IF 1 4区 医学
Journal of Psychiatric Practice Pub Date : 2025-09-01 DOI: 10.1097/PRA.0000000000000884
Michael E Thase, John C Markowitz, David Mintz, Samuel Dotson
{"title":"The 16-minute Hour: Combining Abbreviated Psychotherapy With Medication Visits. Part 4: Cognitive-behavioral Therapy.","authors":"Michael E Thase, John C Markowitz, David Mintz, Samuel Dotson","doi":"10.1097/PRA.0000000000000884","DOIUrl":"10.1097/PRA.0000000000000884","url":null,"abstract":"<p><p>Psychiatrists frequently incorporate strategies learned in their psychotherapy training into medication visits. This final installment in a 4-part series focuses on the integration of pharmacotherapy and cognitive-behavioral therapy (CBT), which is the most extensively studied form of psychotherapy for depressive and anxiety disorders. Evidence supporting the value of combined treatment (as compared with pharmacotherapy alone) is strong, but these data come almost exclusively from studies in which the 2 components of treatment were delivered by separate providers. Data are sorely lacking for the integrated approach described in this paper. We hope that the apparent face validity of this approach is evident and helps to foster a new generation of pragmatic research addressing issues that are truly relevant to the contemporary practice of psychiatric medicine, including the possibility that it is more cost-effective when a single provider delivers both modalities.</p>","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"31 5","pages":"270-274"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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