this week, Psychiatric Times® discussed a wide range of psychiatric issues and industry updates, from non-invasive brain stimulation techniques for catatonia to simultaneous treatment of eating disorders and PTSD. Here are some highlights from the week.
988: The First Step on a Long Journey
A year ago, the National Suicide Prevention Lifeline switched to a new three-digit number, 988. Since its inception, Lifeline has received an astounding number of calls. That includes over 5 million calls, including over 1.43 million calls, 416,000 chats, and over 281,000. text. But is it effective in saving lives?
“The move to 988 Suicide & Crisis Lifeline has sparked a transformative moment in behavioral health care in this country. “We are in a state of emergency,” said Monica Johnson, director of the Substance Abuse and Mental Health Administration’s 988 and Behavioral Health Crisis Coordination Office. Service Management (SAMHSA). keep reading
Non-Invasive Brain Stimulation Techniques for Catatonia
Recent studies have described three common noninvasive brain stimulation (NIBS) techniques, electroconvulsive therapy (ECT), repetitive transcranial magnetic stimulation (rTMS), and transcranial direct current stimulation (tDCS), in the treatment of catatonia. role was evaluated.
This is the first systematic review of NIBS techniques for treating catatonia. The studies included 13 systematic reviews and 1 meta-analysis on ECT, 2 systematic reviews and 12 case reports on rTMS, and 7 studies and 14 cases on tDCS. rice field. The study also included patients diagnosed with catatonia. Age and diagnostic details were not considered. Studies included treatment with ECT, rTMS, tDCS alone or in combination with pharmacotherapy or other treatments. The frequency and duration of treatment were not restricted. keep reading
Treating eating disorders and PTSD together leads to long-term recovery
Eating disorders (EDs), including anorexia nervosa, bulimia nervosa, bulimia nervosa, certain other eating and eating disorders, and avoidance-restrictive food intake disorder, affect more than 28.8 million Americans at some point in their lives. presumed to have been affected at some point. Mental illness is the second deadliest of all mental illnesses and is a serious but treatable mental and physical illness. Patients with ED often have comorbid disorders such as anxiety, mood disorders, substance use disorders, and post-traumatic stress disorder (PTSD).
In fact, research shows an undeniable relationship between PTSD and ED. People with significant trauma histories and her PTSD have more severe ED symptoms, more suicidal tendencies, and more anxiety and depressive symptoms. keep reading
Prioritizing Treatment Over Disputes: Ethical and Legal Principles
Consultation psychiatrists and residents are often consulted to assess the performance of inpatients with a history of mental illness. Subsequent decisions regarding the provision of medical and psychiatric care (TOO) ignoring objections may involve hospital ethics committees and legal counsel.
We present a case where the problem of TOO for incapacitated patients was incompletely resolved due to the conflict between the most ethically appropriate and the most legally appropriate treatment. This conflict, along with uncertainty about the ethical and legal principles themselves and the roles of each team, caused significant moral distress for both the medical and psychiatric teams. keep reading
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