Could "safe consumption sites" help the heroin epidemic in the US?

"Safe consumption sites" are medically-supervised venues where heroin users can inject heroin in clean, safe, and medically-supervised facilities.

When a young friend overdoses

Experiencing the loss of a friend brings a new perspective to working in addiction medicine.

Advances for PAs practicing addiction medicine

Both PAs and NPs who practice addiction medicine have seen progress made in 2016 to increase practice authority.

OSA treatment linked to depression improvement

Patients presenting with depression should be evaluated for sleep disorders.

Door open or door closed? Drawing inspiration from patients in recovery

Patients facing addiction aren't from another planet - they're our parents, our siblings, our neighbors, and our friends.

Impaired provider programs give clinicians a safe place to recover

For clinicians who struggle with substance abuse and other mental health problems, impaired provider programs offer a safe, supportive space where they can recover.

Full practice authority and opiate use

Federal law does not allow nurse practitioners and physician assistants to prescribe buprenorphine to patients with opiate use disorder.

When life imitates art: Gaslighting in the bedroom

In sleep studies, a partner's report of the patient's symptoms can be invaluable, but what if they're lying?

When suicide becomes personal

Experiencing the grief of losing someone to suicide can bring a new perspective on the importance of suicide prevention resources.

Psychotropic medication use in children

Whether to prescribe psychotropic medications in children with anxiety and sleep disorders is a common ethical dilemma faced by primary care providers.

Visual hallucinations may not always mean mental illness

Patients with Charles Bonnet syndrome do not have mental illness or cognition problems and are very aware that they are seeing images that are not there.

Stay alert for seasonal affective disorder

Employ these strategies for keeping season affective disorder (SAD) at bay.

Prazosin versus imagery rehearsal therapy for nightmares

In sleep medicine, clinicians often use the alpha blocker prazosin to control nightmares if the nightmares are overwhelming the patient.

Physician assistants, nurse practitioners recognized at PainWeek 2014

PainWeek 2014 featured its first ever PA- and NP- centered tracks, which included talks on pain management and medical errors.

Keep an eye out for depression

Females are more likely to have suicide attempts; males are more likely to have completed suicides.

Consider grief's role in significant sleep disturbances

Patients diagnosed with complicated grief and sleep disturbance have nearly double the risk of early death.

Treating anxiety can improve patients' sleep

About 50% to 70% of patients diagnosed with anxiety report having difficulty sleeping.

Distorted body image not just a girl problem

Clinicians are seeing more boys with eating disorders and/or complications related to inappropriate diets, supplement use and steroid use.

Opioid-addicted patients aren't from Mars

Remembering commonalities helps when treating difficult patient populations.

Are you prepared to treat methadone patients?

One of the major challenges for clinicians is the almost complete lack of knowledge about methadone treatment that pervades the medical community.

Mirtazapine linked to periodic limb movements of sleep

Paying close attention to your patients' medications and how they relate to sleep symptoms aids in diagnosis and treatment.

Recognizing and treating PTSD in primary care

As more military personnel return to the United States with PTSD symptoms, now is the perfect time to refresh our knowledge on treating this disorder.

Combating patient stress in primary care

Many patients are so overwhelmed with the day-to-day activities of life that health takes a back seat.

What are bath salts?

The long-term health consequences of bath salts are not yet known, but experience suggests that proactive efforts are needed to minimize it's public health impact.

Making sense of mass shootings

Efforts to end gun violence in Newtown's wake must address 'culture of violence.'

Treating insomnia in schizophrenic patients

During psychotic episodes or relapse, patients with schizophrenia may experience total sleeplessness, worsening their illness.

Screen patients with sleep disorders for suicidal ideation

Nearly one million people die of suicide each year, according to WHO, and sleep may play a bigger role in the problem than you think.

Substance addiction may influence patients' sleep patterns

Remember to ask about caffeine and alcohol use when patients present with sleep complaints.

Help kids who are bullied or bullies

Bullying can begin as early as kindergarten, and it can affect all children regardless of race, gender and socioeconomic status.

Motivate healthy choices with the Transtheoretical Model

Getting patients to make behavior changes that stick can be tough. Treating the change as a process can help.

Asking teens about uncertainties helps ID depression

Assessing mental health in primary care can be daunting, especially if community resources are scarce and your patient has limited finances.

Treating the complete patient

With our heavy schedules, it is often easier to focus on the task at hand. But is this really providing our patients with the best care?

Antidepressants during pregnancy can be perfectly safe

Patients must understand that depression during pregnancy can be more risky to the mother and child than antidepressant use.

Are there therapeutic uses for lucid dreaming?

Patients who lucid dream are able to change their dreams at will, as if switching the channel on a television.

Is a child's snoring the root cause of his ADHD?

Unrefreshing sleep can lead to prefrontal cortical dysfunction. In children, this can manifest as behavioral problems, difficulty controlling emotions and difficulty with attention and hyperactivity.

Don't let patients tan their lives away

Teen girls will come up with 100 reasons to use tanning beds. We as health-care providers need to give parents one really big reason to say no.

Treating sleep disorders with bright light therapy

Try bright light therapy before sleep medications or stimulants for patients with insomnia and circadian rhythm disorders.

Exploding head syndrome or SSRI withdrawal?

A patient visits the sleep clinic complaining of being awakened by a bomb-like noise.

Simple solutions for a common sleep complaint

Combating daytime sleepiness is often as easy as turning off the TV before bed.

Prescribing pain meds the right way

Just 8% of participants in a study assessing how primary care patients who are prescribed opioids are tracked underwent urine testing, only half made regular visits to their prescribers and 23% received more than one early opioid refill.

Help patients stay on track with 2012 New Year's resolutions

A simple model for change can help you effectively reevaluate your patient's progress towards lifestyle modifications in the new year.

Supply and demand imbalance to blame for attention deficit drug shortage

Children with attention deficit hyperactivity disorder (ADHD) and their families suffer most, as drug manufacturers produce fewer generic medications.

High on bath salts: what to know

"Bath salts" are new synthetic drugs that are typically found as white, light tan or brown powders, believed to contain psychoactive chemicals known as mephedrone and/or methylenedioxypyvrovalerone.

Florida gun law interferes with patient relationships

Florida House Bill 155 prohibits health care providers from inquiring about the presence of firearms in the homes of patients. Does it violate the clinician-patient relationship?

Incorporating mental health into clinician training programs

Are health care providers adequately prepared to address patients' psychological issues?

Consider CAM before writing your next prescription

Although it might be cheaper to fill a prescription, many medications for depression, anxiety and pain have unwanted side effects. Try discussing alternatives, such as medication and yoga, with your patients.

Lifestyle change the only 'secret' to weight loss

When it comes to losing weight, many patients seek instant gratification.

Flipping the covers off female sexual dysfunction

Women are increasingly asking health care providers for help with their sex life.

Are vaginas troublesome for girls with body image issues?

Women's health care providers should encourage self-awareness, appreciation and acceptance among adolescent patients.

This is how it's done

Prospective authors take note.

When a delusion is not a delusion

There has been a recent explosion in the diagnosis if delusions of parasitosis, in which patients mistakenly believe they have a skin infestation.

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