As cannabis use increases, with easier access in the face of recent changes in legislation, there has been significant emerging evidence for cannabis-related risks. It is important for primary care providers to be aware of these, because the primary care office is can be a valuable opportunity for primary prevention frequently activity or may be […]

The use of e-cigarettes has increased dramatically in the last few years among teens. It is estimated that 4 million adolescents are using e-cigarettes and there was a 10-fold increase between 2011 and 2016. This is Part II of a 2 part series on e-cigarettes. There is concern that use of e-cigarettes by adolescents leads […]

The use of e-cigarettes has increased dramatically in the last few years, among adults and teens, so it is important for health care providers to have a basic knowledge to be better able to help patients make safe decisions about this habit. This is Part I of a 2 part series on e-cigarettes. E-cigarettes were […]

Previous eWeekly’s have discussed assessment of depression in older patients, and the intricate interplay between depression and cognitive impairment in older patients. This eWeekly addresses treatment of depression in older patients and how it might differ from treatment in younger adults. First it is important to identify and address any medical contributions to a person’s […]

There are situations that come up in a primary care setting when a pediatric (and some adult patients) presents with symptoms that are compatible with a diagnosis for Attention Deficit Hyperactivity Disorder (ADHD) but where there are concerns about prescribing a stimulant medication. These are some of the situations when this can occur: 1. The […]

Mental health concerns can occur in the postpartum period, and depression is the most common mental health concern that is seen. Previous e-Weekly’s have discussed the effects of postpartum depression on a new mother and her bonding with her baby. It is not uncommon for a new mother to feel like she has to make […]

Millions of prescriptions are written every year for benzodiazepines which can be important therapeutic agents. In a large percentage of these cases, the provider is uncomfortable with the prescription. For this reason and many others, it is important to have a good understanding of when it might be appropriate to prescribe a benzodiazepine for a […]

Most children can have oppositional and defiant behavior (this is developmentally appropriate in young and latency age children) but that does not mean they qualify for a diagnosis of ODD. The key is that it has to be pervasive and across settings to consider a diagnosis of ODD. It also has to be present in […]

In Part 1 of this 2 part series, we will discuss what Oppositional Defiant Disorder (ODD) is and how to diagnosis and treat it. The second part of this series will discuss in more detail the differential diagnosis for ODD and begin the discussion about if the diagnosis is over used in clinical practice. Oppositional […]

Is this Bipolar Disorder? Case Presentation: 24 year old female who meets criteria for a major depressive episode is started on fluoxetine and titrated to 20mg per day. Depressive symptoms include: sad mood, hypersomnia, fatigue, poor concentration, hopelessness, and crying spells for 1 month, and the symptoms are impacting her functioning at work. She tolerated […]