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Home » Keywords » forensic psychiatry

Items Tagged with 'forensic psychiatry'

ARTICLES

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Clinical Update

Factitious Disorder: Navigating the Challenges of Deceptive Illnesses

January 1, 2025
Jonathan Heinzman, MD and Michael A. Strong, MD, MSEd
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Jonathan Heinzman, MD. Department of Psychiatry, University of Iowa, Iowa City, IA.

Michael A. Strong, MD, MSEd. Clinical Assistant Professor and Vice Chair for Clinical Services; Director of C-L Psychiatry, Department of Psychiatry, University of Iowa, Iowa City, IA.

Drs. Heinzman and Strong have no financial relationships with companies related to this material.

Factitious disorder occurs when people intentionally produce or fake symptoms without clear external incentives, like financial gain or avoiding legal trouble. The goal is to adopt the “sick role” to gain attention or sympathy. It’s a tricky condition to diagnose since patients’ symptoms mimic real medical conditions. Take a nonjudgmental approach, practice supportive confrontation, and coordinate with your multidisciplinary team to ensure the patient receives appropriate care, though treatment adherence and outcomes are often poor.


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Clinical Update

Exit Strategy: Discharging Patients Who Resist Leaving

October 1, 2024
Victoria Hendrick, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Victoria Hendrick, MD. Chief, Inpatient Psychiatry, Olive View-UCLA Medical Center, Los Angeles, CA; Editor-in-Chief, The Carlat Hospital Report.

Dr. Hendrick has no financial relationship with companies related to this material.

Malingering, deceptive, or disruptive patients: what do you do when you encounter a patient who is resistant to discharge yet does not exhibit a clinical need for continued inpatient care? In this article, we review the key steps of the administrative discharge process.


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Research Update

Daily Alcohol Intake and Risk for All-Cause Mortality

July 1, 2024
Eli Neustadter, MD, MSc.
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

Eli Neustadter, MD, MSc. Dr. Neustadter has no financial relationships with companies related to this material.

It was once thought that moderate alcohol intake was protective against cardiovascular disease. However, new research has revealed flaws in the methodology of these old studies and instead finds that even in moderation, alcohol does not have health benefits and can increase mortality at lower doses than once thought, particularly for women.


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Clinical Update

Drug Testing and the Legal System

July 1, 2024
Paul A. Bryant, MD
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

Paul A. Bryant, MD, Assistant Professor of Psychiatry; Stephanie Eng, MD, Fellow in Forensic Psychiatry; Melissa Lavoie, MD, Fellow in Forensic Psychiatry. Yale University, New Haven, CT.

Drs. Bryant, Eng, and Lavoie have no financial relationships with companies related to this material.

Urine drug screens are frequently ordered for patients receiving addiction treatment. However, the results of these everyday tests can have outsized consequences for patients involved in the legal system. Here, we provide an overview of how drug testing is used in the legal system and how you can be an advocate for your patient.



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Expert Q&A

Opioid Use Disorder in Correctional Facilities

July 1, 2024
Elizabeth Needham Waddell, PhD
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

CATR_QA2-Elizabeth-Needham-Waddell_headshot.jpgElizabeth Needham Waddell, PhD. 

Associate Professor, OHSU-PSU School of Public Health & Section of Addiction Medicine, Division of General Internal Medicine, Oregon Health & Science University, Portland, OR.

Dr. Waddell has no financial relationships with companies related to this material.

People with opioid use disorder who are incarcerated have an elevated rate of morbidity and mortality, particularly following release.


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Expert Q&A

Pregnancy, Addiction, and the Law

July 1, 2024
Elisabeth Johnson, PhD, FNP-BC, CARN-AP, LCAS
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

CATR_QA1_Johnson-Elisabeth_headshot.jpgElisabeth Johnson, PhD, FNP-BC, CARN-AP, LCAS.

Division Director, UNC Horizons; Clinical Assistant Professor,UNC-Chapel Hill, Carrboro, NC.

Dr. Johnson has no financial relationships with companies related to this material.

Dr. Johnson tells us all about Child Protective Services and how they work with pregnant patients who use substances. In this interview, she reviews the role of medical and mental health providers in the care of pregnant patients with addictive disorders and their legal obligations. She also provides tips for discussing these sensitive matters with your patients.


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Clinical Update

A Clinician’s Guide to Drug Courts

July 1, 2024
Stephen Wemakor, MD and Noah Capurso, MD
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

Stephen Wemakor, MD, Department of Psychiatry, Yale University, New Haven, CT; Noah Capurso, MD, MHS, Assistant Professor of Psychiatry, Yale University, & Editor-in-Chief, The Carlat Addiction Treatment Report.

Drs. Wemakor and Capurso have no financial relationships with companies related to this material.

Many of your patients with substance use disorders will become involved with the legal system over the course of their work with you, and one of the most common avenues is through the drug
court system. Here, we provide the basics of how drug courts function and review how best to work with these courts when they request information.


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Research Update

Are Individuals With Major Depressive Symptoms More Likely to Own a Gun in the United States?

January 31, 2024
Susan Siegfreid, MD.
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Susan L. Siegfreid, MD. Dr. Siegfreid has no financial relationships with companies related to this material.

A survey of gun ownership and gun purchasing plans found that individuals with depressive symptoms were significantly more likely to purchase a gun, or plan to purchase a gun, compared to non-depressed individuals, especially during the COVID-19 pandemic.


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CARLAT WEBINAR

A Primer on Delusional Misidentification Syndromes

July 6, 2023
Victoria Hendrick, MD
0.50 CME Credits. Explore the clinical presentations, prevalence, underlying factors, and management approaches associated with delusional misidentification syndromes.
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BOOK REVIEWS FOR PSYCHIATRISTS

A Review of A Mother's Reckoning

Stories that color-in the stark lines of evidence-based medicine.
April 13, 2023
Emily E. Whisler, DO and Edmund S. Higgins, MD.

Discover the emotional journey of a mother whose life was forever changed when she learned her son was involved in a crime.


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