WASHINGTON, DC - Has your patient’s opioid use escalated to opioid addiction? How can you tell, and what interventions can you take to help this patient in the context of a 15-minute appointment?
In this edition of Mental Health Consult, our panel discusses their recommendations for workup and next steps for managing a 45-year-old man who has no history of psychiatric disorders and appears to now be dependent on the opioid painkillers that he initially received after a back injury.
WASHINGTON, DC - Why is your geriatric patient whose life seemed fulfilling before retirement now talking about not feeling “right”? “Am I depressed, or is this normal,” your patient wants to know. What should be your reply, and what interventions can you take to help this patient in the context of a 15-minute appointment?
WASHINGTON – As the prescription opioid crisis rages, how physicians evaluate, define, and treat chronic pain is evolving.
“In the science books, there’s a definition of pain,” explained Dr. Patrice Harris, psychiatrist and chair of the American Medical Association’s Task Force to Reduce Prescription Opioid Abuse.
ORLANDO - “I certainly believe that the time has come to use stress alleviation techniques, at least for selected patients, and this should certainly be part of our armamentarium in the clinic,” said Richard D. Granstein, MD, George W. Hambrick Jr. professor and chairman of the department of dermatology, Cornell University, New York. During the session, he spoke about the emerging science of stress in dermatology.
WASHINGTON, DC - A 12-year-old girl presents for a well-child visit but is withdrawn, and her mother reports recent behavioral changes. Symptoms suggest a possible depressive disorder. The physician did not anticipate a mental health concern and is behind schedule. What are the next steps?
BOSTON, Mass. - Boston University’s PAIRS program (Partnering in Alzheimer’s Instruction Research Study) partners medical school students from the University’s medical school with patients who have early stage Alzheimer’s disease or other cognitive impairment. Oscar Garcia, a second year medical school student from El Paso, Tex., was paired with the Johanson family of Watertown, Mass., whose patriarch, Steve Johanson, has been diagnosed with early stage Alzheimer’s. This is their story.
WASHINGTON, DC - A geriatric patient who recently lost his wife presents with significant weight loss and appears disheveled. He speaks of reuniting with his wife as soon as possible. How do you quickly stabilize this patient who appears to be experiencing psychotic depression?
WASHINGTON, DC - Is your 42-year-old patient with well-controlled hypertension and type 2 diabetes dealing with a mood disorder that should be regarded as a psychiatric illness – or is she experiencing demoralization and grief?
BALTIMORE – Hope is high right now for a genetically engineered Zika virus vaccine currently being tested in humans.
“If we saw something, even early on, that we were concerned about, we would stop the trial and re-evaluate it. And that hasn’t happened, so that’s good news,” said Kathleen M. Neuzil, MD, lead investigator of the trial and a professor at the University of Maryland in Baltimore, where she is also director of the Center for Vaccine Development.
Newtown, Mass. - Steve Johanson was diagnosed with early onset Alzheimer’s disease at age 58. It wasn’t apparent at first, although there were subtle signs and symptoms that in retrospect, an alert physician might have seen. Hear Steve and his wife Judy tell their story and learn ways you can detect memory disorders in patients like Steve.
Dr. Andrew Budson discusses ways you can detect memory disorders in patients like Steve Johanson.
WASHINGTON – Integrated, patient-centered care can help young people with serious mental illness stay productive and find meaning in their lives, according to new data from the RAISE (Recovery After an Initial Schizophrenia Episode) studies, sponsored by the National Institute of Mental Health.
TORONTO – The federal mental health parity law, combined with the new focus on value-based payment, will accelerate the revolution in mental health assessment and treatment in the United States and will reduce the financial risk physicians will be exposed to in their practices.
KAUAI, HAWAII – When a patient is unhappy with your work, do you hand the problem off to your staff, or do you find a way to turn it into an opportunity to demonstrate your commitment to better patient care?
AUSTIN, TEX. – Why would travel restrictions make the Ebola epidemic worse in West Africa and expand its spread to U.S. shores? What can American intensive care units do to prepare, even if they aren’t designated Ebola centers? And are there lessons medical professionals and policymakers can apply from the successes and failures of the AIDS epidemic 30 years ago?
DANA POINT, CALIF. – When you think of lasers, do you consider them as the standard of care for treatment of a range of scars, from dog bites to burns? If not, Dr. Jill Waibel, director of the Miami Dermatology and Laser Institute, thinks you should.