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PsychiatryRounds Psychiatry News's Blog – April 2007 Archive (24)

Long-Term Effects of Psychotherapy: The Internalized Therapeutic Relationship

(PSYCHIATRIC TIMES) - As I approach retirement, I have been looking back over the patients I have seen. Although I was trained as a psychoanalyst, most of the therapeutic procedures I have engaged in have, of necessity, been adaptations of my analytic skills in order to meet the needs of particular patients. What emerged is that, regardless of the mode of adaptation—be it work with a recovering psychotic or a well-functioning woman doing once-a-week analytic work for a crucial interpersonal… Continue

Added by psychiatryRounds Psychiatry News on April 1, 2007 at 9:30pm — No Comments

COPD and mood disorders, part 2: Sleep problems

(PSYCHIATRIC TIMES) - Chronic obstructive pulmonary disease (COPD) is a common and costly condition that is usually diagnosed in older adults with a history of smoke exposure or a1-antitrypsin deficiency. Therefore, COPD is seldom the patient's only condition requiring medical evaluation, management, and follow-up.

Among the multiple morbidities that are common in persons with COPD are mood disorders, including anxiety and depression, and sleep disorders. Like COPD, these conditions… Continue

Added by psychiatryRounds Psychiatry News on April 1, 2007 at 8:00pm — No Comments

Improving Electroconvulsive Therapy Practice

(PSYCHIATRIC TIMES) - What is the state of the clinical practice of electroconvulsive therapy (ECT) in the United States today?

Surveys of ECT use in the United States show disparate applications, with the principal use in academic medical centers. While more than half the treatments are given to outpatients, whole populations are underserved.1 Reports of ECT practices in community settings are disquieting, with out-of-date equipment and nonstandard treatment protocols described,… Continue

Added by psychiatryRounds Psychiatry News on April 1, 2007 at 5:30am — No Comments

Treating Adults With Attention-Deficit/Hyperactivity Disorder

(PSYCHIATRIC TIMES) - Attention-deficit/hyperactivity disorder (ADHD) is often underappreciated and inadequately treated in adults.1 Long thought to be a disorder of childhood, ADHD is now believed to persist into adulthood in approximately half of all cases.2 Current epidemiological data suggest an estimated prevalence of 4.4% in adults.3 However, this may be an underestimation; a recent study questioned the requirement that symptoms be present before age 7 and suggested that the criteria for… Continue

Added by psychiatryRounds Psychiatry News on April 1, 2007 at 4:00am — No Comments

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