Psychotherapy - Articles - Page 7

Addiction and Borderline Personality Disorder

July 1, 2022

Ashley Pierson, PhD

Assistant Professor of Psychiatry and acting director of DBT services, General Adult Intensive Outpatient Program, Yale University, New Haven, CT.

Dr. Pierson, expert for this educational activity, has no relevant financial relationship(s) with ineligible companies to disclose.

Borderline personality disorder is highly comorbid with substance use disorders for reasons that are described by Dr. Pierson. She also reviews some basics of dialectical behavioral therapy, the gold standard treatment for borderline personality disorder, and shows us how therapeutic principles can be applied the treatment of addiction.

What You Need to Know About Vaping

June 13, 2022

Noah Capurso, MD, MHS and Sivabalaji Kaliamurthy, MD

Why is it important for providers to understand how vaping devices work and what type of information should we be providing our patients with?

How to Use Equine-Assisted Psychotherapy

May 16, 2022

Joshua Feder, MD and Mara Goverman

When patients are not amenable to usual therapy, equine-assisted psychotherapy (EAP) might be a good option. In this podcast, we’ll talk about working with horses as an alternative to, or in conjunction with, traditional therapy.

EXPERT Q&A

Mental Illness and Flourishing

March 4, 2022

Margaret Chisolm, MD

Margaret Chisolm, MD Vice Chair for Education in Psychiatry and Behavioral Sciences at Johns Hopkins University. Author of From Survive to Thrive: Living Your Best Life With Mental Illness (2021). Dr. Chisolm has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Photo credit: Greg Dohler

Dr. Margaret Chisolm shares how she and many of her colleagues at Johns Hopkins have found success in working with patients through a unique yet workable lens.

Real-World Alcohol Use Disorder Treatment

March 1, 2022

Ismene Petrakis, MD

Ismene Petrakis, MD

Addiction psychiatrist and professor at Yale School of Medicine. Chief of Mental Health, VA Connecticut Healthcare System, New Haven, CT.

Dr. Petrakis has disclosed that she participated in a study in which she did not receive any compensation from Alkermes apart from medication and Alkermes did not fund the study. Dr. Capurso has reviewed this material and found no evidence of bias pertaining to this educational activity.

Many patient with alcohol use disorder (AUD) also have comorbid psychiatric illness. Treating these patients can be challenging however there are evidenced based approaches that have been shown to be effective. Dr. Petrakis reviews the latest evidence in treating AUD in this challenging population.

Working With Severe Personality Disorders

January 4, 2022

Dan H. Buie, MD and Interview by Marcia L. Zuckerman, MD.

Dan H. Buie, MD Psychiatrist, psychoanalyst, and associate professor of psychiatry, Tufts Medical School, Boston, MA. Author of numerous publications on empathy, aggression, suicide, and borderline personality disorder, including the classic article “Countertransference Hate in the Treatment of Suicidal Patients,” which he coauthored with Terry Maltsberger in 1974 (Maltsberger JT and Buie DH, Arch Gen Psychiatry 1974;30(5):625–633).

Interview by Marcia L. Zuckerman, MD. Board member of The Carlat Psychiatry Report; outpatient psychiatrist, Hallmark Health, Medford, MA; clinical assistant professor in psychiatry, Tufts School of Medicine. Dr. Buie and Dr. Zuckerman have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Psychoanalyst Dan Buie, MD, addresses the powerful emotions that can build up – or tear down – the therapeutic relationship when working with severe personality disorders and other “difficult” patients.

Note From the Editor-in-Chief

September 13, 2021

Victoria Hendrick, MD. Editor in Chief, The Carlat Hospital Psychiatry Report. Chief, Inpatient Psychiatry, Olive View UCLA Medical Center. Dr. Hendrick has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Sometimes we have little choice but to administer sedating medications to a combative patient who is putting others at risk of injury. Which medications work most quickly, safely, and effectively?

Turning Nightmares Into Dreams

August 3, 2021

Barry Krakow, MD

Barry Krakow, MD

Dr. Krakow is a board-certified sleep medicine specialist practicing in Savannah, GA following a 30-year research career that helped spearhead the movement to address sleep disorders in psychiatric patients. Dr. Krakow has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

When patients have more than one nightmare a week, it’s probably affecting their mental health. Barry Krakow has developed a simple behavioral therapy that reduces nightmares, and in this interview he explains how to apply it during brief and long visits.

Does CBT Enhance Pharmacotherapy for Addiction?

July 3, 2021

Jedidiah Perdue, MD, MPH

Jedidiah Perdue, MD, MPH Dr. Perdue has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Psychotherapy has had a mixed track record of efficacy for substance use disorders. This meta-analysis suggests that CBT is only modestly effective when combined with medications and likely no better than any other form of therapy. Although it’s unlikely be a magic bullet, CBT is very low risk, and reasonable to offer alongside other more established treatments.

Psychotherapy and Medication in Recurrent Depression

June 29, 2021

Giovanni Fava, MD

Giovanni Fava, MD

Clinical Professor of Psychiatry at the State University of New York at Buffalo. Editor-in-Chief of the journal Psychotherapy and Psychosomatics and author of over 500 scientific papers. His book, Discontinuing Antidepressant Medications, is due from Oxford University Press in 2021. Dr. Fava has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Antidepressants treat depression, but patients need something more to prevent future episodes. Giovanni Fava describes an evidence-based method that blends medication with psychotherapy in two phases: sequential treatment for prevention of depression.