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American Family Physician December 15, 2003 Bradley D. Grinage |
Diagnosis and Management of Post-traumatic Stress Disorder Although PTSD is a debilitating anxiety disorder that may cause significant distress and increased use of health resources, the condition often goes undiagnosed. Treatment relies on a multidimensional approach, including supportive patient education, cognitive behavior therapy, and psychopharmacology. |
Nursing Management May 2012 Joanne Lavin |
Surviving posttraumatic stress disorder Posttraumatic stress disorder is an anxiety disorder that develops after exposure to a terrifying event or ordeal in which grave physical harm occurred or was threatened. |
American Family Physician October 1, 2000 Michael F. Gliatto, M.D. |
Generalized Anxiety Disorder Patients with generalized anxiety disorder experience worry or anxiety and a number of physical and psychologic symptoms... |
American Family Physician November 15, 2000 Son & Kirchner |
Depression in Children and Adolescents Depression among children and adolescents is common but frequently unrecognized. It affects 2 percent of prepubertal children and 5 to 8 percent of adolescents... |
American Family Physician September 15, 2000 Kim S. Griswold, M.D., M.P.H. & Linda F. Pessar, M.D. |
Management of Bipolar Disorder A comprehensive management program, including collaboration between the patient's family physician and psychiatrist, should be implemented to optimize medical care... |
American Family Physician November 1, 2000 Searight, Burke & Rottnek |
Adult ADHD: Evaluation and Treatment in Family Medicine Attention-deficit/hyperactivity disorder (ADHD) affects 30 to 50 percent of adults who had ADHD in childhood. Accurate diagnosis of ADHD in adults is challenging and requires attention to early development and symptoms of inattention, distractibility, impulsivity and emotional lability... |
Nursing April 2008 Kathryn Murphy |
Shedding the burden of depression & anxiety Learn about types of depression and available treatments. |
American Family Physician February 15, 2005 Ham, Waters & Oliver |
Treatment of Panic Disorder Panic disorder with or without agoraphobia occurs commonly in patients in primary care settings. This article assesses multiple evidence-based reviews of effective treatments for panic disorder. |
American Family Physician October 15, 2003 Wanda P. Fremont |
School Refusal in Children and Adolescents School refusal is a problem that is stressful for children, families, and school personnel. Failing to attend school has significant short- and long-term effects on children's social, emotional, and educational development. |
American Family Physician October 15, 2001 Michael L. Szymanski |
Attention-Deficit/Hyperactivity Disorder: Management Attention-deficit/hyperactivity disorder (ADHD) is the most common psychiatric disorder of childhood and often persists into adulthood. With time and interest, the family physician can develop the skills needed to treat this disorder... |
American Family Physician January 1, 2007 Shashi & Subhash Bhatia |
Childhood and Adolescent Depression Safe and effective treatment of major depression in this age group requires accurate diagnosis, suicide risk assessment, and use of evidence-based therapies. |
American Family Physician April 15, 2001 H. Russell Searight |
Conduct Disorder: Diagnosis and Treatment in Primary Care Conduct disorder is a common childhood psychiatric problem that has an increased incidence in adolescence. The primary diagnostic features of conduct disorder include aggression, theft, vandalism, violations of rules and/or lying... |
American Family Physician July 1, 2000 Ted D. Epperly |
Health Issues in Men: Part II. Common Psychosocial Disorders During screening examinations and, when appropriate, other health-related visits, family physicians should be alert for signs and symptoms of common psychosocial disorders in men. Health issues of concern include alcohol and substance abuse, domestic violence, midlife crisis and depression. |
American Family Physician September 1, 2000 |
Post-traumatic Stress Disorder--What It Is and What It Means to You PTSD is a type of anxiety problem. It can happen after your life is threatened or you see a traumatic event. Usually, the event makes you feel very afraid or helpless. Some examples of the events are war, rape, or a severe car crash... |
American Family Physician September 1, 2001 William D. Smucker & Marjaneh Hedayat |
Evaluation and Treatment of ADHD Symptoms of attention-deficit/hyperactivity disorder (ADHD) are present in as many as 9 percent of school-age children. ADHD-specific questionnaires can help determine whether children meet diagnostic criteria for the disorder... |
American Family Physician August 15, 2002 Ward & Zamorski |
Benefits and Risks of Psychiatric Medications During Pregnancy Decisions regarding the use of psychiatric medications should be individualized, and the most important factor is usually the patient's level of functioning in the past when she was not taking medications. |
American Family Physician March 15, 2006 Shearer & Gordon |
The Patient with Excessive Worry Worry is an effective short-term response to uncertainty that can become self-perpetuating with adverse long-term consequences. Evidence-based treatments for such disorders can assist family physicians in the management of this disorder. |
American Family Physician October 15, 2002 Zamorski & Albucher |
What to Do When SSRIs Fail: Eight Strategies for Optimizing Treatment of Panic Disorder Effective management of panic disorder is a common challenge for family physicians. Selective serotonin reuptake inhibitors (SSRIs) are the drugs of choice for this condition because of their safety and efficacy. But not all patients have a favorable response to SSRI therapy. |
American Family Physician October 15, 2004 Randy K. Ward |
Assessment and Management of Personality Disorders Patients with personality disorders are common in primary care settings; caring for them can be difficult. The characteristics of these patients' personalities tend to elicit strong feelings in physicians, lead to the development of problematic physician-patient relationships, and complicate the task of diagnosing and managing medical and psychiatric disorders. |
Managed Care September 2002 Elizabeth Millard |
Managing 9/11-Related Stress September 11 underscored the prevalence of post-traumatic stress disorder. Screening could ultimately reduce utilization. But who should be screened? |
American Journal of Nursing November 2008 Hyer & Brown |
The Impact of Event Scale-- Revised: A Quick Measure of a Patient's Response to Trauma The Impact of Event Scale-Revised (IES-R) provides a structured way for a patient to communicate distress when she or he may not have the words to do so. |
Nurse Practitioner March 2012 Vanya Hamrin et al. |
Evaluation and Management of Pediatric and Adolescent Depression The primary care setting is an appropriate venue for screening and identifying pediatric depression. Nurse practitioners can provide initial management or referral to psychiatric mental health professionals for evidence-based treatments. |
AskMen.com Jasper Anson |
Anxiety Disorders In the United States alone, there are more than 40 million Americans who are suffering from some form of anxiety disorder. Here are some of the most common disorders and a few specific treatment options. |
American Family Physician December 1, 2001 John Koo |
Psychodermatology: The Mind and Skin Connection Psychodermatology, or psychocutaneous medicine, focuses on the boundary between psychiatry and dermatology. Understanding the psychosocial and occupational context of skin diseases is critical to the optimal management of psychodermatologic disorders... |
American Family Physician October 1, 2002 Bhatia & Bhatia |
Diagnosis and Treatment of Premenstrual Dysphoric Disorder From 2 to 10 percent of women of reproductive age have severe distress and dysfunction caused by premenstrual dysphoric disorder, a severe form of premenstrual syndrome. Current research implicates mechanisms of serotonin as relevant to etiology and treatment. |
American Family Physician November 15, 2003 Jones et al. |
Common Problems in Patients Recovering from Chemical Dependency This article describes how to care for patients recovering from chemical dependency, including special concerns that arise during the treatment of common medical conditions, to avoid adverse outcomes or relapse into addiction. |
American Family Physician August 15, 2001 Thomas P. Guck |
Assessment and Treatment of Depression Following Myocardial Infarction Depression is an independent risk factor in the development of and mortality associated with cardiovascular disease in otherwise healthy persons... |
American Family Physician October 1, 2006 Kavan et al. |
A Practical Guide to Crisis Management Physicians often are required to assist patients in crisis. An estimated 4% of visits to primary care physicians involve psychiatric or social crises. |
American Family Physician May 15, 2004 Birrer & Vemuri |
Depression in Later Life: A Diagnostic and Therapeutic Challenge Depression in elderly persons is widespread, often undiagnosed, and usually untreated. Because there is no reliable diagnostic test, a careful clinical evaluation is essential. |
American Family Physician January 15, 2003 Ables & Baughman |
Antidepressants: Update on New Agents and Indications Many antidepressants have been released in the United States over the past two decades. This article is an update of information about the newer agents for depression and new indications for older antidepressants. |
American Family Physician August 15, 2000 Robert L. Phillips, Jr. |
Depression and Sexual Desire Asking a depressed patient about libido and sexual function and tailoring treatment to minimize adverse effects on sexual function can significantly increase treatment compliance and improve the quality of the patient's life... |
Nursing April 2012 Elliott et al. |
Managing alcohol withdrawal in hospitalized patients A focused nursing assessment is critical in identifying the potential for alcohol withdrawal symptoms in all hospitalized patients. This article discusses how to assess patients at risk and how to use these assessment findings as a basis for nursing interventions. |
Nurse Practitioner May 2012 Diana L. Wadlund |
Meeting the challenge of IBS IBS is the best studied, most common functional GI disorder, and is often characterized by debilitating symptoms without any pathologic findings. The predominant symptoms of IBS are abdominal pain and an alteration in bowel habits with an absence of organic pathology. |
American Family Physician April 15, 2003 Dickerson et al. |
Premenstrual Syndrome Premenstrual syndrome, a common cyclic disorder of young and middle-aged women, is characterized by emotional and physical symptoms that consistently occur during the luteal phase of the menstrual cycle. |
American Family Physician August 1, 2006 Warner et al. |
Antidepressant Discontinuation Syndrome Antidepressant discontinuation syndrome occurs in approximately 20% of patients after abrupt discontinuation of an antidepressant medication that was taken for at least six weeks. |
Nurse Practitioner August 2009 Fisher & Valente |
Evaluating and managing insomnia Insomnia is the most frequent complaint in sleep disorders, and in the past, it had been viewed as a transient problem related only to other medical issues. That line of thought has changed |
American Family Physician November 15, 2005 Haas et al. |
Management of the Difficult Patient All physicians must care for some patients who are perceived as difficult because of behavioral or emotional aspects that affect their care. Specific communication techniques and greater patient involvement in the process of care may enhance the relationship. |
American Journal of Nursing April 2008 Martin et al. |
Traumatic Brain Injuries Sustained in the Afghanistan and Iraq Wars When traumatic brain injury (TBI) occurs simultaneously with more obviously life-threatening wounds, it may go unrecognized. It's important that all nurses know how to use TBI screening and assessment tools effectively. |
American Family Physician November 1, 2006 Lurie et al. |
Seasonal Affective Disorder Patients with seasonal affective disorder have episodes of major depression that tend to recur during specific times of the year, usually in winter. Like major depression, seasonal affective disorder probably is underdiagnosed in primary care settings. |
American Family Physician December 15, 2003 |
What You Should Know About Post-traumatic Stress Disorder What is post-traumatic stress disorder (PTSD)?... How can I tell I have PTSD?... How is PTSD treated?... |
American Family Physician August 1, 2003 Stone et al. |
Off-Label Applications for SSRIs Clinical experience supported by ongoing research continues to expand on the broad array of therapeutic applications for this class of medication. |
American Family Physician May 1, 2001 Carla T. Herrerias |
The Child with ADHD: Using the AAP Clinical Practice Guideline The American Academy of Pediatrics developed an evidence-based clinical practice guideline that provides recommendations for the assessment and diagnosis of school-aged children with attention-deficit/hyperactivity disorder... |
Nurse Practitioner August 2011 Davis et al. |
Supportive approaches for Alzheimer Disease Alzheimer disease accounts for almost 80% of all dementia diagnoses. Currently, more than 5 million Americans suffer from this debilitating illness, with the highest prevalence in the oldest age groups. |
American Family Physician December 15, 2001 Peggy R. Cyr & George K. Dreher |
Neurotic Excoriations Neurotic excoriations are self-inflicted skin lesions produced by repetitive scratching. Because there is no known physical problem of the skin, this is a physical manifestation of an emotional problem... |
Nurse Practitioner May 2010 Townsend-Roccichelli et al. |
Managing sleep disorders in the elderly This article will provide an overview of sleep physiology in the aging population, identify common sleep disorders, and suggest pharmacologic and nonpharmacologic treatment options. |
Nursing May 2010 Sharon M. Valente |
Assessing patients for suicide risk This article will help you update your knowledge of suicide risk factors and prevention strategies, and provide guidelines for effective intervention. |
Nurse Practitioner April 2012 Firestone et al. |
Optimizing fibromyalgia management This article summarizes current information regarding the etiology, pathophysiology, clinical presentation, diagnostic standards, and pharmacologic and non-pharmacologic treatments necessary to successfully manage FM. |
American Family Physician March 15, 2007 Freedy & Simpson |
Disaster-Related Physical and Mental Health: A Role for the Family Physician Family physicians should be prepared to work with other health care professionals in the community to share the collective load in meeting post-disaster health needs; such partnerships should be established well in advance of a disaster. |
Managed Care November 2001 Heidi J. Dalzell |
Counseling in the aftermath of terror Though the emotional consequences of the acts of terrorism on Sept. 11 may not be fully known for months or years, to the mental health community the tragedy was a call to action... |
Chemistry World September 13, 2006 Victoria Gill |
Treating Post Traumatic Stress with Stress Hormones The human body's own natural stress hormone, corticosterone, could be developed into a treatment for post traumatic stress disorder, report researchers. |