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Psychiatry
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Managing Psychosocial Distress in ICD Recipients

New guidelines have been created to improve the precision of identifying and caring for psychosocial distress in implantable cardioverter defibrillator (ICD) patients.

The Impact of Psychological Distress on Atrial Fibrillation

Atrial fibrillation (AF) is the most common arrhythmia in adults and is rapidly reaching epidemic proportions in the United States. Recent studies have suggested that treatment of AF correlates with enhanced overall quality of life. According to current guidelines, the choice of management strategy for AF should be guided by the symptomatic status of patients due to AF.…

Delirium Among Hospitalized AD Patients: The Long-Term Impact

Little attention has been paid to the consequences of delirium on cognitive deterioration among patients with Alzheimer’s disease

OPINION ARTICLES

The Impact of Psychological Distress on Atrial Fibrillation

Atrial fibrillation (AF) is the most common arrhythmia in adults and is rapidly reaching epidemic proportions in the United States. Recent studies have suggested that treatment of AF correlates with enhanced overall quality of life. According to current guidelines, the choice of management strategy for AF should be guided by the symptomatic status of patients due to AF.…

Guidelines for Managing Agitated Patients in the ED

Proper management of agitated patients presenting to the ED is essential to keeping staff safe and ensuring appropriate care. In many cases, agitation cases can be managed with non-pharmacologic methods, but medications are becoming increasingly important in acute agitation in EDs.…

Wait Times for Psychiatric Patients in the ED

Factors outside the direct control of the ED, such as older age and insurance status, may have an even more dramatic influence on ED length of stay for psychiatric patients.

BLOG

The Black Dog: An Unwanted Side Effect in the ED

There is always a risk of patients at their worst in the ED, feeding the black dog of depression that rests his forepaws on your tired shoulder.

Psychiatric Emergencies: Some People Call It Angst

"... ED’s are not meant to handle these patients any longer than it takes to medically clear them. Leaving the patient to suffer the prejudice of those who don’t understand, or the silence of those frightened by the stigma of identifying with them..."

New Autism Definition May Exclude Many

Proposed changes to the definition of autism, currently under review by an expert panel appointed by the American Psychiatric Association, are expected to significantly reduce the soaring rate of autism diagnoses. The panel is completing work on the 5th edition of its Diagnostic and Statistical Manual of Mental Disorders, or “The DSM.”…

NEWS BRIEFS

ED Visits in ADHD Patients Using Stimulants

A report from the Substance Abuse and Mental Health Services Administration indicates that the number of ED visits involving ADHD stimulants increased from 13,379 to 31,244 between 2005 and 2010. The report noted that no significant increases in such visits were observed among children younger than 18.…

Guideline Adherence Impacts Mortality in Schizophrenia

Adherence to the 2009 Schizophrenia Patient Outcomes Research Team (PORT) pharmacologic guidelines appears to help reduce mortality among patients with schizophrenia, according to a study from Johns Hopkins University. The authors recommend that clinicians consider adopting outcomes-monitoring systems and innovative service delivery programs to improve adherence to the PORT guidelines.…

Childhood ADHD Predicts Problems in Adulthood

Adults diagnosed with ADHD during childhood appear to suffer worse outcomes when they reach adulthood, according to a national study. Those diagnosed with ADHD during childhood had significantly worse educational, occupational, economic, and social outcomes.

Abstract: Archives of General Psychiatry, December 2012.…

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