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Living with schizophrenia

BALTIMORE--"When the voices in my head first started, I was really scared and confused, and I didn't know how to interact with other people when all this stuff was going on inside my head."

Beyond 'bummed out': endometriosis

NEW YORK--"Pretty bummed out," is how Danika remembers not being believed as a teen with excruciating periods. It took decades for her to learn her pain was worse than most, because she has endometriosis.

'Not all in my head': endometriosis

NEW YORK - Why aren't more gynecologists aware of the signs and symptoms of endometriosis--and how to effectively treat it?

'I didn't know this wasn't normal'

NEW YORK - Often, women suffering from a series of seemingly unrelated symptoms each month, are feeling the effects of full-on endometriosis.

Preventing psychosis in utero

SAN DIEGO--Could schizophrenia be prevented in utero by taking simple nutritional supplements?

Mental health is a 'civil right'

WASHINGTON – Laws that mandate mental illness should be covered by insurance in the same way as any other illness should be viewed on par with the Civil Rights Act, and they should be enforced with the same dedication, according to the former federal lawmaker who authored the Mental Health Parity and Addiction Equity Act of 2008.

Opioid addiction after a back injury

WASHINGTON, DC - Has your patient’s opioid use escalated to opioid addiction? How can you tell, and what interventions can you take to help this patient in the context of a 15-minute appointment? In this edition of Mental Health Consult, our panel discusses their recommendations for workup and next steps for managing a 45-year-old man who has no history of psychiatric disorders and appears to now be dependent on the opioid painkillers that he initially received after a back injury.

Depression or demoralization?

WASHINGTON, DC - Why is your geriatric patient whose life seemed fulfilling before retirement now talking about not feeling “right”? “Am I depressed, or is this normal,” your patient wants to know. What should be your reply, and what interventions can you take to help this patient in the context of a 15-minute appointment?

How to personalize pain management i

WASHINGTON – As the prescription opioid crisis rages, how physicians evaluate, define, and treat chronic pain is evolving. “In the science books, there’s a definition of pain,” explained Dr. Patrice Harris, psychiatrist and chair of the American Medical Association’s Task Force to Reduce Prescription Opioid Abuse.

Stress and skin flare link

ORLANDO - “I certainly believe that the time has come to use stress alleviation techniques, at least for selected patients, and this should certainly be part of our armamentarium in the clinic,” said Richard D. Granstein, MD, George W. Hambrick Jr. professor and chairman of the department of dermatology, Cornell University, New York. During the session, he spoke about the emerging science of stress in dermatology.

Distress or depression in a 12-year-

WASHINGTON, DC - A 12-year-old girl presents for a well-child visit but is withdrawn, and her mother reports recent behavioral changes. Symptoms suggest a possible depressive disorder. The physician did not anticipate a mental health concern and is behind schedule. What are the next steps?

So much to love

BOSTON, Mass. - Boston University’s PAIRS program (Partnering in Alzheimer’s Instruction Research Study) partners medical school students from the University’s medical school with patients who have early stage Alzheimer’s disease or other cognitive impairment. Oscar Garcia, a second year medical school student from El Paso, Tex., was paired with the Johanson family of Watertown, Mass., whose patriarch, Steve Johanson, has been diagnosed with early stage Alzheimer’s. This is their story.

Psychotic geriatric depression

WASHINGTON, DC - A geriatric patient who recently lost his wife presents with significant weight loss and appears disheveled. He speaks of reuniting with his wife as soon as possible. How do you quickly stabilize this patient who appears to be experiencing psychotic depression?

Is it distress or depression?

WASHINGTON, DC - Is your 42-year-old patient with well-controlled hypertension and type 2 diabetes dealing with a mood disorder that should be regarded as a psychiatric illness – or is she experiencing demoralization and grief?

Zika vax in the works

BALTIMORE – Hope is high right now for a genetically engineered Zika virus vaccine currently being tested in humans. “If we saw something, even early on, that we were concerned about, we would stop the trial and re-evaluate it. And that hasn’t happened, so that’s good news,” said Kathleen M. Neuzil, MD, lead investigator of the trial and a professor at the University of Maryland in Baltimore, where she is also director of the Center for Vaccine Development.

Case: when pain Rx becomes addiction

WASHINGTON Has your patient’s opioid use escalated to opioid addiction? How can you tell, and what interventions can you take to help this patient in the context of a 15-minute appointment? In this edition of Mental Health Consult, our panel discusses their recommendations for workup and next steps for managing a 45-year-old man who has no history of psychiatric disorders and appears to now be dependent on the opioid painkillers that he initially received after a back injury.

Case: Depression, distress?

WASHINGTON A 12-year-old girl presents for a well-child visit but is withdrawn, and her mother reports recent behavioral changes. Symptoms suggest a possible depressive disorder. The physician did not anticipate a mental health concern and is behind schedule. What are the next steps?

Implementing collaborative care

WASHINGTON - Dr. Neil Kirschner of the Amer. Coll. of Physicians, and other health policy experts discuss what passage of MACRA will mean for patients and health care providers.

Mental Health Consult: ADHD

WASHINGTON - Dr. David Pickar, former head of NIMH research & a psychiatrist, & pediatrician Dr. Lillian Beard discuss treating pediatric ADHD.

Mental Health Consult for pri-care

WASHINGTON - For those of you who see patients in a primary care setting, those of you who are unsure of how to provide the best in behavioral and mental health care in that setting, and those of you wondering how you will provide the...

What is the new ODD diagnosis?

CHICAGO – How does a primary care doctor know when an adolescent patient’s unruliness has crossed the line into pathology? Dr. Jon E. Grant of the University of Chicago presented clinical perspectives about this and other aspects of what he called "disorders of impulsivity" at Psychiatry Update 2014, sponsored by Current Psychiatry and the American Academy of Clinical Psychiatrists.

ALZ: 'Passing at a cocktail party'

Newtown, Mass. - Steve Johanson was diagnosed with early onset Alzheimer’s disease at age 58. It wasn’t apparent at first, although there were subtle signs and symptoms that in retrospect, an alert physician might have seen. Hear Steve and his wife Judy tell their story and learn ways you can detect memory disorders in patients like Steve. Dr. Andrew Budson discusses ways you can detect memory disorders in patients like Steve Johanson.

New models of schizophrenia care

WASHINGTON – Integrated, patient-centered care can help young people with serious mental illness stay productive and find meaning in their lives, according to new data from the RAISE (Recovery After an Initial Schizophrenia Episode) studies, sponsored by the National Institute of Mental Health.

Patrick Kennedy on parity

TORONTO – The federal mental health parity law, combined with the new focus on value-based payment, will accelerate the revolution in mental health assessment and treatment in the United States and will reduce the financial risk physicians will be exposed to in their practices.

Adult ADHD or dementia?

CHICAGO – Forgetfulness is one of the most common symptoms of adult attention- deficit/hyperactivity disorder and should “definitely” be considered in the differential diagnosis for dementia in older patients who present with this complaint.

Immunotherapy for breast cancer

BETHESDA, MD. - The success of immunotherapy for breast cancer, he believes, lies in being able to identify the mutations driving tumor growth and manipulating the immune system to recognize those mutations. Dr. Rosenberg began studies in July to investigate this hypothesis.

Treatments for hyper sweat glands

KAUAI, HAWAII – When should glycopyrrolate be used as first-line therapy in the treatment of hyperhidrosis? And if it’s not the first treatment, what should take its place?

When your patient isn't very nice

KAUAI, HAWAII – When a patient is unhappy with your work, do you hand the problem off to your staff, or do you find a way to turn it into an opportunity to demonstrate your commitment to better patient care?

Preventing infectious outbreaks

AUSTIN, TEX. – Why would travel restrictions make the Ebola epidemic worse in West Africa and expand its spread to U.S. shores? What can American intensive care units do to prepare, even if they aren’t designated Ebola centers? And are there lessons medical professionals and policymakers can apply from the successes and failures of the AIDS epidemic 30 years ago?

Latest in laser scar treatments

DANA POINT, CALIF. – When you think of lasers, do you consider them as the standard of care for treatment of a range of scars, from dog bites to burns? If not, Dr. Jill Waibel, director of the Miami Dermatology and Laser Institute, thinks you should.

AGA Tech Summit

PHILADELPHIA – Innovators converge to shape rather than react to the future of gastroenterology at this year's American Gastroenterological Association annual Tech Summit.

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