Researchers examined evidence suggesting that probiotics may exert antidepressant effects via anti-inflammatory mechanisms.
Ranging definitions of anxiety associated with depression have caused variations in findings.
Relatively modest changes in population levels of exercise may have important public mental health beneﬁts and prevent a substantial number of new cases of depression.
Greater awareness and enhancing communication between patients and primary care providers can help lower the risk of suicide among US veterans.
Clinicians prescribing antidepressants may need to consider augmenting monotherapy with another agent.
Suboxone can curb drug addiction if it is used correctly.
Research has shown that use of suboxone and methadone, in conjunction with counseling, can be effective addiction treatment.
A greater understanding of the healthcare issues specific to the lesbian, gay, bisexual, and transgender community may improve the quality of care.
One clinician feels that suboxone is not the answer to the opioid crisis.
Low dose lithium can bring return absolute neutrophil count (ANC) to normal levels.
A reader weighs in on suboxone prescribing practices.
The challenge associated with assessing for anxiety disorders is that the clinical features of one disorder can closely resemble those of another.
Caring for a woman who is pregnant and dependent on opioids is an opportunity to make life-changing interventions for the sake of her health and the health of her unborn child.
Learn how to identify and treat opioid abuse, withdrawal, and dependence.
Recognizing red flag symptoms, such as anxiety, depression, and increased substance use, is important in helping victims who are reluctant to report the assault.
Although e-cigarettes may not be considered healthy, they may be the lesser of two evils when compared with traditional tobacco cigarettes.
A patient overdoses when communication breaks down between clinicians.
Ruling out a physiological reason for symptoms is a good starting point for NPs and PAs caring for patients with a new psychiatric disorder.
Geriatric patients who are not responding well to antidepressants may benefit from a combination of pharmacotherapy and psychotherapy.
Approximately two-thirds of patients with Parkinson disease and depression were not taking an antidepressant at any visit.
The WHO indicates NAC is essential for pulmonary and renal protection, antimicrobial uses, and psychiatry.
Females are more likely to have suicide attempts; males are more likely to have completed suicides.
Over the last two decades, the prescribing of tricyclic antidepressants (TCAs) has decreased due to their unfavorable side-effect profile.
Newborns who were exposed to certain substances in utero face unique challenges during their first months of life.
To minimize the risk of abuse and addiction, evidence-based prescribing practices must be used when treating acute and chronic pain with opioids.
Effective treatment requires the recognition of addiction as a brain disease and an understanding of its underlying physiology and pathophysiology.
Dietary supervision may have driven the patient out of his facility.
Children with this condition develop an insatiable appetite that leads to obesity, diabetes, hypertension, and behavioral problems when not treated.
An easy way to remember which antipsychotic medications cause weight loss and which cause weight gain.
Widespread over-diagnosis of certain conditions with new criteria among top concerns.
The latest revision of the diagnostic manual does away with the complex multiaxial organization in favor of a simpler chapter order of disorders.
What can be used to treat vaginal dryness and decreased libido in women who smoke?
An off-label treatment gives a patient in pain a second chance.
A nurse misses a doctor's written order not to remove a patient's hand restraints.
Teenagers often give vague answers when asked about sensitive topics like substance abuse or suicide.
Is there any evidence that psychiatric medications contribute to a greater risk of pulmonary emboli?
What is the most appropriate method for working up a diagnosis of fatigue?
How do I do what is best for the patient if the patient cannot afford a higher level of treatment?
What is the recommended treatment for patients diagnosed with dementia who are suffering with paranoia and/or hallucinations?
Long-acting ADHD medications improve adherence and demonstrate efficacy similar to that of immediate-release dose formulations.
Experienced by up to one in five mothers, postpartum depression often goes untreated. Learn what risk factors to be alert for.
What considerations exist regarding the safety of using aripiprazole during pregnancy?
Around 20% of pediatric patients with ADHD will develop antisocial personality disorder in adulthood.
A clinician shares gender-specific advice for comforting patients with dementia in moments of confusion.
Conversations about weight loss can contribute tremendously to behavioral changes, but tangible examples may be even more effective.
Advice for dealing with parent requests to drug test their teen without the child's knowledge or consent.
What is the best treatment option for a 50-year-old woman with major depression, alcoholism and general anxiety disorder.
Saffron contains more than 50% of the USDA's recommended daily allowance of vitamin C, iron and magnesium, and more than 30 % of the recommended daily phosphorus and potassium.
What are the differences in side effects and responses to the available SSRIs?
The term "contract" when used in regard to agreements with patients who have chronic pain is dated, perceived negatively and not preferred.
Medical hypnotherapy today is most commonly used for pain management, treatment of anxiety or psychosomatic illness, and treatment of behavioral disorders.
Colic can agonize parents and upheave family life. Two pediatric health-care providers offer tips for how best to treat colicky babies and their caregivers.
Anywhere from 10% to 30% of individuals taking a single antidepressant face obstacles to successful treatment, including undiagnosed illness.
Which antidepressant would you recommend for a woman aged 47 years who presents with depressed mood, low energy, decreased motivation and hypersomnia?
A patient is suspected of having hepatic encephalopathy (HE) attributable to liver failure from alcoholism.
Assessment of functional impairments in an aging population is one of the most daunting challenges facing primary-care clinicians.
Discourage teenagers from engaging in risky behaviors such as drug, tobacco and alcohol use in a meaningful way.
While it is true that lower serum ethinyl estradiol and progestin levels have been found in women using combination OCs and antibiotics, these women remain well within the therapeutic window.
How concerned should clinicians be about serotonin syndrome when prescribing a triptan with a selective serotonin reuptake inhibitor (SSRI)?
Obese adults are at risk for many serious health conditions, including diabetes, coronary heart disease, hypertension, stroke, obstructive sleep apnea (OSA), depression and liver disease.
After vacationing on a houseboat, a woman could not stop feeling like she was rocking, especially when walking.
Experts are not certain why reversed sleep-wake cycles occur in patients with dementia, but it may be related to late-day confusion, end-of-day exhaustion and reduced lighting, among other factors.
As obesity rates continue to rise, primary-care clinicians remain integral in assessing, diagnosing, and treating this worldwide epidemic.
Despite salvia's growing notoriety as a hallucinogenic drug abused by teenagers, the herb has medicinal properties and has been used to treat various ailments including diarrhea, headache, rheumatism and mental illnesses.
Depression can be dealt with in the clinical setting if the practitioner is familiar with the latest drug treatments and psychotherapeutic options.
When switching selective serotonin reuptake inhibitors (SSRIs), what is the best way to wean off of one before starting a new prescription?
The most common dementia in the elderly, Alzheimer disease places tremendous physical and emotional strain on patient and caregiver alike.
What first appeared to be infectious esophagitis ended up being a lifelong diagnosis for a young woman.
How should a clinician treat a patient with recurring migraines, that also has a history of drug seeking behavior?
The acetylcholinesterase inhibitors have produced excellent results in patients with Alzheimer's disease or dementia, but are they also beneficial for students preparing for exams?
Postpartum depression occurs in 8%-20% of all new mothers. If a woman with no history of depression develops postpartum depression, is there a greater likelihood of developing recurrent mood disorders later?
Respiratory problems lead to neurologic damage for the child and financial ruin for the family.
Resolving the immediate problem is the primary concern when treating an individual with borderline personality disorder in the midst of a crisis.
Primary-care based psychopharmacologic and psychosocial interventions can be used to manage this common childhood disorder.
Women are increasingly asking health care providers for help with their sex life.
How long do symptoms of methamphetamine withdrawal typically last?
Are family practitioners to blame when a clinically depressed patient succeeds in ending his life?
Women's health care providers should encourage self-awareness, appreciation and acceptance among adolescent patients.
Caregivers often experience burnout and compassion fatigue.
Given the high incidence of sexual abuse, what is the best way to perform a physical examination without inducing anxiety?
Physician assistant solves patient's problem with nontraditional treatment.
Psychiatric ward crafts wedding gifts in occupational therapy.
A fourteen-year-old girl that presents with thick scaling skin becomes less introverted after skin condition improves.
Medications are often used for treatment of adults with attention-deficit hyperactivity disorder (ADHD), but many patients remain symptomatic despite treatment with stimulants or other drugs.
Depression, drug addiction subsides after receiving thyroid treatment.
Hopeless parents seek a nurse's help after years of treatment failure.
First diagnosed with Alzheimer's and Parkinson's, the patient could not tolerate antipsychotic meds.
Guidance and support from a nurse practitioner made all the difference for a hard-working, humble man.
Most children with psychiatric disorders do not receive appropriate evaluation and treatment. A practice parameter offers guidance.
Major depression is commonly treated with a combination of antidepressants and psychotherapy, but many patients experience little or no improvement with treatment.
Do I need to obtain baseline labs before starting an antipsychotic?
Should the clinician have kept silent when asked about the treatment a patient was receiving?
After five years of treatment without side effects, his glucose level took off.
This disabling condition interferes with daily functioning and can cause significant distress. Pharmacotherapy is not the only treatment option.
Evaluation and management of chronic insomnia, the most prevalent sleep disorder, may require behavioral as well as pharmacologic therapies.
Consider buspirone or mirtazapine as an additive agent.
Exercise and psychotherapy are effective in preventing relapse and recurrence of depression.
What can be done for a mood disorder secondary to alcohol abuse when the patient has failed all treatments?
When treating obesity, psychological issues must not be overlooked. Learning why patients eat can help clinicians improve what patients eat.
Instead of attempting to treat the broad categories, primary-care clinicians should focus on symptoms or features that identify a specific subtype.