Practice Tools and Tips

Article

Fighting in the Trenches: A Practical Guide to Violence Risk Assessment and Management

Topics: Practice Tools and Tips

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. Documentation of Risk Assessment For starters, a systematic risk assessment should serve as a separately labeled

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Expert Q&A

Patients, Families, and the Legal System

Topics: Practice Tools and Tips

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Article

Depression Rating Scales: Old Favorites and New Players

Topics: Practice Tools and Tips

When treating our depressed patients, objective clinical measures can help guide interventions and reassure us that the treatment course we are on is appropriate. Depression rating scales rose to popularity in the 1950s, primarily as tools to measure the effect of antidepressant medications. Today there are many scales to choose from. Psychiatrists fami

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Article

ADHD, Rating Scales, and Your Practice Today

Topics: ADHD | Practice Tools and Tips

You greet a new patient who complains of difficulty concentrating at work and is unable to “keep up” since making partner at a law firm or becoming an attending physician at a hospital. Is this an authentic case of a high-functioning person with undiagnosed adult ADHD, a subtle request for performance enhancement, or something altogether different?

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Expert Q&A

PTSD in Veterans

Topics: Practice Tools and Tips | PTSD

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Research Update

Can Instant Messaging Enhance Treatment Outcomes?

Topics: Anxiety Disorder | Computers in Psychiatric Practice | Practice Tools and Tips | Research Updates | Smoking Cessation Agents

Subject: TECHNOLOGY Short Description: Can Instant Messaging Enhance Treatment Outcomes? Background: Whether you see your patients quarterly, monthly, or even weekly, you certainly are not with them as much as their cell phones are. Theoretically (at least, for some types of therapy), we could enhance treatment outcomes by texting patients ther

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Article

Financial Incentives to Adopt an EHR, or How to Claim Your $44,000

Topics: Computers in Psychiatric Practice | Practice Tools and Tips

Most of you have probably heard about “meaningful use” and federal incentives to get going with an electronic health record. But how applicable is this for psychiatrists? And what in the world is “meaningful use” anyway? Reading this article may or may not make you any wealthier, but it will at least help you to decide whether it is worth the

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Expert Q&A

Pros and Cons of Adopting an Electronic Health Record

Topics: Computers in Psychiatric Practice | Practice Tools and Tips

Dr. Daviss is co-author of Shrink Rap: Three Psychiatrists Explain Their Work, and blogs at Shrink Rap and at HIT Shrink.

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Article

An Update on Maintenance of Certification

Topics: Practice Tools and Tips

By now you’ve probably heard about the American Board of Psychiatry and Neurology’s (ABPN) new Maintenance of Certification (MOC) Program for psychiatrists. If you haven’t taken some action dictated by the new process, we have some bad news—you're probably already behind. The good news is that there’s still plenty of time to catch up. In this

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Research Update

Restricting Drug Samples May Reduce Costs

Topics: Practice Tools and Tips

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Article

Tips When Reviewing Labs

Topics: Laboratory Testing in Psychiatry | Practice Tools and Tips

Dhwani Shah, MD Associate Clinical Professor of Psychiatry, University of Pennsylvania School of Medicine Lisa Rosenthal, MD Assistant Professor of Clinical Psychiatry, University of Pennsylvania School of Medicine Dr. Shah and Dr. Rosenthal report no financial relationships with any commercial companies related to this article. It’s easy to

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Research Update

The Role of Etiquette-Based Medicine

Topics: Practice Tools and Tips

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Article

Using Treatment Guidelines

Topics: Practice Tools and Tips

One way to enhance the quality of our care of patients is to learn and implement expert practice guidelines. But there are some problems. First of all, there are so many guidelines out there that it is hard to know which ones to learn. A related issue is that some guidelines are funded by drug companies standing to benefit financially from the recommend

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Article

Outcome Scales in Psychiatry

Topics: Practice Tools and Tips

Should we use outcome scales in psychiatric practice? If so, which ones? Which are actually feasible in terms of time and utility? Relatively few psychiatrists use outcome scales on a routine basis. In one study of 314 psychiatrists, for example, only 6.5% said they “almost always” used scales, and 61% said they never or rarely used such scales (

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Expert QA

Using the PHQ-9 in Psychiatric Practice

Topics: Practice Tools and Tips

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Research Update

DEA changes rules to allow post-dating of schedule II substances

Topics: Practice Tools and Tips

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Article

Practice Tips: Four Questions to Evaluate Insomnia

Topics: Practice Tools and Tips

Stephen C. Ellen, a psychiatrist and sleep medicine expert who is the medical director of The Counseling Center of Nashua, New Hampshire, recommends the following four questions for a quick initial evaluation of insomnia. How long does it usually take you to fall asleep? (Normal sleep latency is about 10 minutes; while we focus on long latencies fo

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Expert QA

Practical Sleep Hygiene Tips

Topics: Hypnotics | Practice Tools and Tips

Is Cognitive Behavior Therapy more Effective than Medication? According to a review in the New England Journal of Medicine, cognitive behavioral therapy (CBT) is at least as effective as hypnotics for chronic insomnia, and probably provides more sustained benefit (Silber MH, NEJM 2005;353:803-810). For example, in one study, young and middle-aged pat

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Article

Good Forensic Habits for your Practice

Topics: Practice Tools and Tips

When it comes to legal issues, prevention is by far the best medicine. In this article, we will talk about good forensic habits that will protect you from certified letters signed by attorneys. Much of this advice is gleaned from that classic textbook, Clinical Handbook of Psychiatry and the Law (Gutheil and Appelbaum, Lippincott Williams and Wilkins, 3

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Expert QA

Topics in Confidentiality and Duty to Warn

Topics: Practice Tools and Tips

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