May Is Mental Health Awareness Month

May 2016 marks the 67th time the United States has observed Mental Health Awareness Month. One in four American adults lives with a diagnosable, treatable mental health condition. As many as 50 percent never seek or receive help due to stigma, lack of information, cost or lack of health care insurance coverage. Primary care providers […]

Depression related to pregnancy

Depression related to pregnancy is a common and potentially serious concern.  Therefore, it is important to understand the various conditions and when it is important to have a clinical intervention. Postpartum Blues: Symptoms of mood lability, irritability, interpersonal hypersensitivity and tearfulness are common in the postpartum period and are commonly known as the postpartum “blues”. […]

Long Term Effects of Childhood Bullying

A recent article in JAMA Psychiatry brings to the forefront an ongoing important topic – the long-term effects of childhood bullying, particularly on a person’s mental health. Bullying at a young age puts people at a higher risk for developing depression and other psychiatric conditions requiring treatment by young adulthood compared to people who were […]

Understanding Disruptive Mood – Dysregulation Disorder

Disruptive Mood Dysregulation Disorder (DMDD) is a new diagnosis in DSM V. It was added as a diagnosis to fill a gap in important diagnostic categorization when thinking about childhood psychiatric concerns. While there is overlap in symptoms among DMDD and Attention Deficit Hyperactivity Disorder (ADHD), Oppositional Defiant Disorder (ODD) and Bipolar Disorder, there are […]

Assessing and Treating Sleep Disturbance in Patients with Dementia (part 2): Treatment

There are non-pharmacological and pharmacological options to treat sleep disturbance in patients with dementia. Non-pharmacological approaches include: light therapy, regular exercise, and behavioral treatment/sleep hygiene. In general, evening bright light treatment is helpful for sleep maintenance problems and morning light exposure is helpful for patients whose sleep is phase-delayed or who are suffering from a […]

Assessing and Treating Sleep Disturbance in Patients with Dementia (part 1): Assessment

Sleep disturbance, including reduced sleep time, fragmented sleep, nighttime wandering, increased sleep latency, and daytime sleepiness and fatigue, are common concerns related to dementia. It is estimated that 1/3 of patients with Alzheimer’s dementia suffer from a sleep disturbance. The goal of this article is to review treatment options for sleep disturbance in patients with […]

Psychiatric Issues Related to Contraceptives

Contraceptives are commonly used in many forms (oral, patch, injection, etc.) in women of childbearing age, many of who also have psychiatric concerns. It is important to be aware of the interactions between contraceptives and certain psychotropic medications as well as the psychiatric side effects of contraceptives themselves. Contraceptives have synthetic estrogen, progesterone or a […]

Insomnia: Assessment and Treatment in Primary Care (Part Two of Two)

When efforts to change sleep hygiene profiles prove unsuccessful and other contributing conditions have been examined and ruled out, use of a medication may be appropriate. Both prescribed and over-the-counter options are available and choice can be based on patient preference, clinical symptoms and need for short-term versus long-term treatment. Prescription Meds: In general the […]

Insomnia: Assessment and Treatment in Adults (Part I)

Insomnia is a frequent complaint of patients in both the medical and psychiatric settings. Nearly 30% of adult will have issues with trouble falling or staying asleep at some point, however most of these issues are generally time limited and not impairing. For others, it is a very troubling issue. Insomnia Defined: ―trouble with either […]

The Link Between PTSD and ADHD

It has been shown that the risk for Post-Traumatic Stress Disorder (PTSD) is higher in individuals with Attention Deficit Hyperactivity Disorder (ADHD) compared to those without ADHD and the risk for ADHD is higher in individuals with PTSD than those without PTSD. The strongest correlation is for the risk of PTSD in individuals with ADHD […]