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Obsessive Compulsive Disorder-OCD 7/19/2018

It used to be thought that obsessive-compulsive disorder (OCD) was fairly rare, but it is more common than originally thought. The prevalence is between 2-3% worldwide and it affects males and females equally. Symptoms usually present between late childhood and early adulthood, with 75% of patients having symptoms before the age of 18. OCD can […]

Improving Detection of Postpartum Depression 7/12/2018

Postpartum depression (PPD) is fairly common, with a prevalence of 10-15%. PPD can occur anytime in the first year after delivery. The postpartum year is one of the highest risk periods for first-onset depression for women with approximately 50% of women who will have a depressive disorder in their lifetime experiencing their first episode of […]

Cannabis-Induced Psychosis and Long-term Implications 7/5/2018

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 […]

E-cigarettes and Vaping in Adolescents – Part II 6/28/2018

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 […]

E-Cigarettes and Vaping: Part 1 6/21/2018

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 […]

Treating Depression in Older Patients 6/14/2018

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 […]

Non-stimulant approach to ADHD symptoms

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 […]

Appropriate Use of Benzodiazepines 5/24/2018

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 […]