General Psychiatry

Open Dialogue: A Novel Approach to Treating People With Psychotic Disorders

February 1, 2017

Adrienne T. Gerken, MD and Joseph B. Stoklosa, MD

Adrienne T. Gerken, MD Department of Psychiatry, McLean Hospital, Belmont, MA Joseph B. Stoklosa, MD Clinical director, Psychotic Disorders Division, McLean Hospital Dr. Gerken and Dr. Stoklosa have disclosed that they have no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Open Dialogue, developed in the 1990s in Tornio, Finland, is both a way of communicating (while paying attention to one’s vocabulary) and a system of care. All communication about patients occurs in their presence and is based on respectful language that is often derived from the patient’s own words. Learn more about this technique as it applies to treating psychosis in this article.

Anecdotes From the Field: Prescribing Ketamine

February 1, 2017

Michael Posternak, MD

Michael Posternak, MD Psychiatrist in private practice, Boston, MA Dr. Posternak has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

I started prescribing ketamine two years ago. I generally tend to be conservative in trying newer treatments—especially ones not yet approved—but I was very impressed with both its safety and efficacy.

Take The CME Post-Test for Treating Psychosis, TCPR, February 2017

February 1, 2017

The post-test for this issue is available for one year after the publication date to subscribers only. By successfully completing the test you will be awarded a certificate for 1 CME credit.

Learning Objectives, Treating Psychosis, TCPR, February 2017

February 1, 2017

After reading these articles, you should be able to…

How to Treat Adult ADHD

January 1, 2017

Aashish R. Parikh, MD

Aashish R. Parikh, MD Staff psychiatrist, Veterans Affairs North Texas Health Care System. Assistant professor, University of Texas Medical School at Southwestern Dr. Parikh has disclosed that he has been a speaker for Sunovion. Dr. Carlat has reviewed this article and has found no evidence of bias in this educational activity.

ADHD is relatively common in adults, with conservative estimates of a 4%–5% prevalence in the adult population, equal in men and women. However, only about 10% of adults with ADHD are receiving treatment for their condition. Over the past decade, it’s become apparent that ADHD does not suddenly end when children grow up, and that the disorder often continues into adulthood. Learn more in this article by Dr. Parikh, who has run a clinic focused on adult AHD for more than a decade.

ADHD Overdiagnosis

January 1, 2017

Alyson Harrison, PhD

Alyson Harrison, PhD Clinical director, Regional Assessment and Resource Center, Queen’s University, Kingston, Ontario Dr. Harrison has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

In this interview, Dr. Harrison shares her insight on adult ADHD. She runs a clinic for adult ADHD screening at Queens University near Ottawa. Most of the people she sees are university students who think they have ADHD but were never diagnosed. The clinic now has data on 260 students.

N-acetylcysteine Shows Promise in Treatment of Co-Occurring PTSD and SUD

January 1, 2017

Colleen Ryan, MD.

Colleen Ryan, MD. Dr. Ryan has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Post-traumatic stress disorder (PTSD) is the most common psychiatric disorder in veterans who seek treatment at the VA, and substance use disorder (SUD) is a common comorbid condition. While SSRIs can be effective for PTSD symptoms, they don’t treat SUD well.

Learning Objectives, Adult ADHD, TCPR, January 2017

January 1, 2017

After reading these articles, you should be able to…

Take The CME Post-Test for Adult ADHD, TCPR, January 2017

January 1, 2017

The post-test for this issue is available for one year after the publication date to subscribers only. By successfully completing the test you will be awarded a certificate for 1 CME credit.