In the aftermath of a tragic event carried out by an individual with a psychiatric history, descriptions of the perpetrator as being in some way “off” or “quiet” have almost become cliché. And those clichés, when we inevitably compare them to our own patients, make many of us nervous.
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Dealing with potentially violent patients is daunting, but we can play an effective role in assessing and reducing violence risk. In this article I’ll discuss some practical techniques to help you accomplish this in everyday practice.
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The legal system can provide much-needed help to psychiatry patients and their families. Forensic psychiatrist Annette Hanson, MD, expertly explains legal options such as mental health courts and guardianship.
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We have an abundance of medications to treat depression, but “treatment resistance” remains all too common. Accordingly, there has been a rise in the number of “augmentation” or “adjunctive” medications to address this population.
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Dr. Aiken is the Editor in Chief of The Carlat Psychiatry Report; director of the Mood Treatment Center in North Carolina, where he maintains a private practice combining medication and therapy along with evidence-based complementary and alternative treatments; and Assistant Professor NYU Langone Department of Psychiatry. He has worked as a research assistant at the NIMH and a sub-investigator on clinical trials, and conducts research on a shoestring budget out of his private practice. Follow him on Twitter and find him on LinkedIn.
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