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Treatment of Insomnia in Anxiety Disorders 9/20/2018

Insomnia is a common symptom in anxiety disorders, in fact it is a criteria for several DSM 5 Anxiety Disorders. It is important to inquire about sleep disturbance as part of the assessment for anxiety disorders, especially because there is clear evidence that the presence of insomnia in anxiety disorders is associated with increased morbidity. […]

ADHD in Adults 9/6/2018

Attention-deficit/hyperactivity disorder (ADHD) affects about one-third of adults who had ADHD in childhood. It can be difficult to diagnose because of the overlap in symptoms of adult ADHD with depression, anxiety and substance abuse, and reliance of the patient’s self report of symptoms. Studies of self-referral suggest that only 1/3 – ½ of adults who […]

Is There a Link Between Vitamin D Deficiency and Depression? 8/30/2018

There has been a lot of discussion recently in the scientific world and lay press about the prevalence and consequences of vitamin D deficiency. As part of that discussion, there has been a suggestion that vitamin D deficiency could contribute to depression and that vitamin D supplementation could be a viable treatment option for depression. […]

“My child can’t focus. What does that mean?” 8/23/2018

Many children and adolescents present to their primary care provider’s office with concerns about inattention, poor focus or poor concentration. Since the primary care provider’s office is typically the first stop, it is important to be comfortable further evaluating the presenting problem, identifying associated symptoms, determining the diagnosis and implementing the best treatment plan. Many […]

Depression in Adolescents 8/16/2018

The prevalence of Major Depression Disorder (MDD) in adolescents is 6%, with an additional 5-10% of teens presenting with sub-syndromal symptoms of depression. There is a 2:1 female:male ratio for MDD in adolescents. Teens frequently don’t necessarily present with the typical DSM criteria for MDD. Common depressive symptoms in adolescents include: irritability (as opposed to […]

Opioid Use Disorders: Assessment and Treatment (Part 2)

The last e-weekly discussed the opioid epidemic. This article will discuss more about assessing for opioid use disorders and appropriate treatments. A person is diagnosed as having an opioid use disorder if he develops symptoms of tolerance and withdrawal to opioids as well as at least two other symptoms in the same year. Tolerance is […]

Opioid Use Disorders: The Current Epidemic (Part 1) 8/2/2018

The opioid epidemic has become a national emergency. Opioid related deaths have increased ~300% from 2001 to 2016. It is known that overdoses are a leading cause of accidental death in the United States, and the number has been increasing yearly from 2002 to present time. Drug overdoses cause more deaths than car accidents and […]

Children and Guns 7/26/2018

This is an important public health concern that warrants a discussion apart from political stance. Violence from firearms accounts for almost 4,000 deaths and over 15,000 injuries in children and adolescents yearly. The rate of firearm-related deaths in children in the United States is nearly 16 times greater than the rate in 25 other industrialized […]

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 […]