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XYou may have noticed, we have just launched our new website. We will be adding more features over the upcoming weeks that you will like, so there may be a few hiccups along the way. If this is your first time visiting since our relaunch, please reset your password so you can still access our journals and CME activities that we have been providing for over 80 years. If you have any questions or comments please contact us at webadmin@psychiatrist.com.
In this Psychotherapy Casebook article, Dr Schuyler outlines his strategy for training third-year medical students about issues in palliative care. By emphasizing the psychological role inherent in providing palliative care, his hope is that trainees will be encouraged to provide that part of care to their patients. Read the article to find out more.
Did you know that one-quarter of adults who seriously consider suicide realize they need treatment but fail to get it? Discover the top reasons why these patients don' t initiate treatment and gain perspective on how to address the tenth leading cause of death in the United States.
Those involved in palliative care suggest that referral should come much earlier in the patient's course, such as at the time of diagnosis of a severe medical illness. Here, the authors present an updated version of a palliative care survey that incorporates an emotional element by allowing patients the opportunity to talk with a knowledgeable mental health professional.
This commentary by James W. Jefferson, MD, discusses the article "High-Dose Citalopram and Escitalopram and the Risk of Out-of-Hospital Death" by Ray et al.
Older veterans with HIV face numerous behavioral health problems, but what prevents them from engaging in mental health treatment? These researchers attempt to find out by identifying key mood, social, and functional correlates of current participation in mental health treatment in this population.
Providers of palliative care suggest that the referral should come at the time of diagnosis of a severe medical illness, rather than later. Join Dr. Schuyler in developing a survey for patients that would indicate the appropriateness of palliative care.
This study compared standard public health maternity support services versus an 18-month collaborative depression care intervention that provided a choice of acute and maintenance interpersonal psychotherapy, with or without antidepressants, in women with and without PTSD. Read the article to learn if the intervention affected these groups differently.
Most integrated care programs do not include dental care services, presumably due to a variety of economic factors. Here, read the results of a survey on dental health to find out just how important this aspect of care is to your patients.
Use of psychiatric emergency departments in the United States has risen substantially in recent decades. Read this article to see how well a clinical tool performed in triaging emergency department patients and aligning them with the appropriate intensity of care and resources.
Does direct-to-consumer (DTC) marketing of pharmaceuticals influence physician behaviors? Becker and Midoun review the existing literature to analyze the effects of DTC advertising on patient requests for medication or on physician prescribing.
When and how can providers best help treat depression in pregnant women and in those who have recently given birth? This systematic review estimates just how often perinatal depression is identified and treated and suggests ways in which resources for these patients can be better allocated at multiple time points.
When and how can providers best help treat depression in pregnant women and in those who have recently given birth? This systematic review estimates just how often perinatal depression is identified and treated and suggests ways in which resources for these patients can be better allocated at multiple time points.
Baclofen, a French Exception, Seriously Harms Alcohol Use Disorder Patients Without Benefit
To the Editor: Dr Andrade’s analysis of the Bacloville trial in a recent Clinical and Practical Psychopharmacology column, in which he concluded that “individualized treatment with high-dose baclofen (30-300 mg/d) may be a useful second-line approach in heavy drinkers” and that “baclofen may be particularly useful in patients with liver disease,” deserves comment.1
First, Andrade failed to recall that the first pivotal trial of baclofen, ALPADIR (NCT01738282; 320 patients, as with Bacloville), was negative (see Braillon et al2).
Second, Dr Andrade should have warned readers that Bacloville’s results are most questionable, lacking robustness. Although he cited us,3 he overlooked the evidence we provided indicating that the Bacloville article4 was published without acknowledging major changes to the initial protocol, affecting the primary outcome. Coincidentally (although as skeptics, we do not believe in coincidence), the initial statistical team was changed when data were sold to the French pharmaceutical company applying for the marketing authorization in France. As Ronald H. Coase warned, “If you torture the data long enough, it will confess.”