E. Moore, Anshuman Srivastava, Senthil Vel Rajan Rajaram Manoharan, Najeeb Hussain
{"title":"Mania and psychosis associated with right parietal meningioma","authors":"E. Moore, Anshuman Srivastava, Senthil Vel Rajan Rajaram Manoharan, Najeeb Hussain","doi":"10.1177/0091217419885218","DOIUrl":"https://doi.org/10.1177/0091217419885218","url":null,"abstract":"Objective Meningioma is the most common type of primary central nervous system and intracranial tumor, and psychiatric changes attributed to meningioma include depression, apathy, psychosis, and personality changes. We present a case of a 59-year-old man with right parietal meningioma who developed mania with psychotic features throughout multiple hospitalizations. Method Single-case report. Results The patient originally presented with headache and bilateral lower extremity weakness. He was found to have a large medial sphenoidal wing meningioma and a small right parietal meningioma. The sphenoidal wing meningioma was removed via craniotomy, but the right parietal meningioma was not resected. In the following years, the patient developed symptoms of mania and psychosis which coincided with an increase in size of the right parietal meningioma. Conclusions Previous studies have linked right parietal meningioma to psychosis, but this case is one of the first to suggest that right parietal meningioma may be associated with the development of mania along with psychotic features.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"54 1","pages":"74 - 81"},"PeriodicalIF":0.0,"publicationDate":"2019-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81920934","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}
{"title":"Collaborative work partnerships: Fuel for personal resilience","authors":"Amy M Romain, Amy J Odom","doi":"10.1177/0091217419856771","DOIUrl":"https://doi.org/10.1177/0091217419856771","url":null,"abstract":"Collaborative work partnerships bring joy and meaning to one’s work. Additionally, outcomes and productivity from the partnership are often richer and more expansive, contributing more to the system and more to the profession than individuals alone. Using stories and examples from their 12-year work relationship, the authors will explore elements that contribute to successful collaboration. This article will highlight the importance of embracing vulnerability as a preparatory step to creating collaborative partnerships and will discuss a model to understand how a partnership can advance the relationship to a higher level. Finally, it will examine how relational coordination in work settings can support productive collaboration.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"57 1","pages":"259 - 265"},"PeriodicalIF":0.0,"publicationDate":"2019-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79381002","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}
A. Valeras, Erin L. Cobb, Mark Prodger, E. Hochberg, Lucy Allosso, Haley VandenHazel
{"title":"Addressing adults with adverse childhood experiences requires a team approach","authors":"A. Valeras, Erin L. Cobb, Mark Prodger, E. Hochberg, Lucy Allosso, Haley VandenHazel","doi":"10.1177/0091217419860359","DOIUrl":"https://doi.org/10.1177/0091217419860359","url":null,"abstract":"Objective The primary care office is an ideal setting to identify and address adverse childhood experiences, which is a strong predictor of chronic health outcomes and morbidity. This study sought to understand the experiences of primary care from the perspective of patients who experienced trauma. Method Purposive sampling was used to select eligible and interested participants who identify a high adverse childhood experience score at a residency-based community health center, which offers integrated behavioral health services in primary care. Semistructured in-depth interviews conducted by doctoral-level behavioral health clinicians were audio-recorded, transcribed, and analyzed thematically. Results Subjects (n = 6) described aspects of medical setting, including removal of clothing or physical touch, that trigger their past trauma, which often resulted in maladaptive stress responses. Subjects also reported sensing when their complexity resulted in negative interpersonal dynamics between team members, and they described fearing abandonment from their team during these heightened stress states. The behavioral health clinician on the health care team served as an advocate, enhanced trust, and allowed for increased continuity and access to care. Conclusions Given the role of adverse childhood experiences in health outcomes and the results of this study, incorporating a trauma-informed approach is essential to treating patients with adverse childhood experiences. We propose that integrating mental health professionals into primary care settings better serves patients with trauma histories.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"16 1","pages":"352 - 360"},"PeriodicalIF":0.0,"publicationDate":"2019-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80048041","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}
{"title":"Implementation of psychiatric e-consultation in family medicine community health centers","authors":"Jiayun Lu, E. Ketterer, P. Mcguire","doi":"10.1177/0091217419869081","DOIUrl":"https://doi.org/10.1177/0091217419869081","url":null,"abstract":"Psychiatric E-consult is an innovative model of psychiatric consultation via the electronic health record. The project was completed as a quality improvement effort within a residency program in order to increase timely access to psychiatric consultation. Over 100 electronic consultations were requested in the initial 20 months of this project. Questions ranged from assistance with medication management, diagnostic clarification, to referral to outside resources. Findings from this quality improvement project include that the e-consultation model enhanced primary care physicians’ and associated primary care health professionals’ management of behavioral issues, increased behavioral health knowledge, and subjectively improved patient care.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"25 1","pages":"296 - 306"},"PeriodicalIF":0.0,"publicationDate":"2019-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77639221","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}
{"title":"Embracing and advancing the value of teams in Family Medicine","authors":"J. Freedy, S. Fields, Emilee J Delbridge","doi":"10.1177/0091217419869104","DOIUrl":"https://doi.org/10.1177/0091217419869104","url":null,"abstract":"","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"18 1","pages":"247 - 252"},"PeriodicalIF":0.0,"publicationDate":"2019-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74594598","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}
Emilee J Delbridge, Tanya Wilson, James D. McGregor, Jared S Ankerman
{"title":"Interdisciplinary video review: Assessing milestones and providing feedback","authors":"Emilee J Delbridge, Tanya Wilson, James D. McGregor, Jared S Ankerman","doi":"10.1177/0091217419870002","DOIUrl":"https://doi.org/10.1177/0091217419870002","url":null,"abstract":"Literature within residency education states that directly observing resident–patient visits with the goal of providing formative and summative feedback to learners is helpful for resident skill development. However, limited literature exists regarding what specifically is most effective to observe and evaluate. Furthermore, the perspectives of learners are not always taken into consideration in the development and implementation of direct observation or video review of resident–patient encounters. This article overviews some of the current literature relevant to family medicine training and provides a description of some of the changes in one residency’s use of recorded encounters. Suggestions are provided for future steps for family medicine residencies to effectively utilize video review.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"99 1","pages":"266 - 274"},"PeriodicalIF":0.0,"publicationDate":"2019-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86089754","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}
{"title":"Monitoring the organizational wellness of a physician residency program: A quality improvement process","authors":"Mary R. Talen, D. Edberg, Ari Pence, Laura Khan","doi":"10.1177/0091217419862480","DOIUrl":"https://doi.org/10.1177/0091217419862480","url":null,"abstract":"Background Burnout and depression throughout physicians’ career cycles have been increasing. There has been a call for medical education leaders to devote resources to bolster the next generation of providers and shift the culture of medicine to organizational initiatives that impact physician well-being. Objective: The goal of this project has been to monitor and improve the organizational wellness of a residency program based on four core organizational areas: (1) culture of meaning and mission, (2) work capacity, (3) control and flexibility in decision-making, and (4) creativity in work–life balance. Method: A quality improvement strategy was implemented to monitor organizational wellness. The wellness was assessed five times over the course of 18 months. The survey was designed to evaluate the four core components. At each time interval, improvement strategies were implemented to address the wellness drains and strengthen drivers. Results: The four time series evaluations (residents: n = 19) indicated that culture of meaning, teamwork, and personal creativity are consistent wellness drivers. Work capacity and lack of control over decision-making were consistent drains. From first until last measurement, there was a slight improvement in control-decision-making; however, the burden of electronic medical record (EMR) charting and strains of coverage continue to drain our residency. Discussion and Conclusions: This model incorporates four categories for assessing organizational wellness within a residency program. The conceptual model is used as a framework to define, measure, analyze, and improve on organizational wellness. This process provides programs with a feedback approach to continually monitor and reassess the wellness of the organizational systems.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"76 1","pages":"316 - 326"},"PeriodicalIF":0.0,"publicationDate":"2019-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84789059","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}
{"title":"Foundations of consultation-liaison psychiatry: The bumpy road to specialization Don R Lipsitt","authors":"Jeanne M. Lackamp","doi":"10.1177/0091217419848253","DOIUrl":"https://doi.org/10.1177/0091217419848253","url":null,"abstract":"","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"81 1","pages":"242 - 244"},"PeriodicalIF":0.0,"publicationDate":"2019-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80421701","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}
M. Atmaca, H. Yildirim, Seda Yılmaz, Neslihan Caglar, Osman Mermi, S. Korkmaz, Unsal Akaslan, M. Gurok, Yasemin Kekilli, H. Turkcapar
{"title":"Orbito-frontal cortex and thalamus volumes in the patients with obsessive-compulsive disorder before and after cognitive behavioral therapy","authors":"M. Atmaca, H. Yildirim, Seda Yılmaz, Neslihan Caglar, Osman Mermi, S. Korkmaz, Unsal Akaslan, M. Gurok, Yasemin Kekilli, H. Turkcapar","doi":"10.1177/0091217415621038","DOIUrl":"https://doi.org/10.1177/0091217415621038","url":null,"abstract":"Background The effect of a variety of treatment modalities including psychopharmacological and cognitive behavioral therapy on the brain volumes and neurochemicals have not been investigated enough in the patients with obsessive-compulsive disorder. Therefore, in the present study, we aimed to investigate the effect of cognitive behavioral therapy on the volumes of the orbito-frontal cortex and thalamus regions which seem to be abnormal in the patients with obsessive-compulsive disorder. We hypothesized that there would be change in the volumes of the orbito-frontal cortex and thalamus. Methods Twelve patients with obsessive-compulsive disorder and same number of healthy controls were included into the study. At the beginning of the study, the volumes of the orbito-frontal cortex and thalamus were compared by using magnetic resonance imaging. In addition, volumes of these regions were measured before and after the cognitive behavioral therapy treatment in the patient group. Results The patients with obsessive-compulsive disorder had greater left and right thalamus volumes and smaller left and right orbito-frontal cortex volumes compared to those of healthy control subjects at the beginning of the study. When we compared baseline volumes of the patients with posttreatment ones, we detected that thalamus volumes significantly decreased throughout the period for both sides and that the orbito-frontal cortex volumes significantly increased throughout the period for only left side. Conclusions In summary, we found that cognitive behavioral therapy might volumetrically affect the key brain regions involved in the neuroanatomy of obsessive-compulsive disorder. However, future studies with larger sample are required.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"24 1","pages":"243 - 255"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82544077","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}
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