Supportive therapy is a practical and flexible psychosocial intervention that busy practitioners can use to help patients struggling emotionally with a medical illness. Learn more in this CME journal article.
In this Psychotherapy Casebook article, Dr Schuyler continues outlining his strategy for training third-year medical students about issues in palliative care. Read the article to find out how you might incorporate similar training in your own practice.
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.
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.
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.
Palliative care improves the quality of life of patients and their families facing the problems associated with life-threatening illnesses. In this article, the authors, a psychiatrist and a nurse practitioner, share some of the stories they have encountered when treating patients at the end of life.
Your patients' caretakers include more than the internists, residents, and clinicians you work with. Here, Dr Schuyler discusses his experiences working with some of the most important caretakers your patients are going to encounter—their friends and loved ones.
There are 2 complementary approaches to palliative care—that of the psychologically minded internist and that of the medically informed psychiatrist. Neither is right or wrong, and they both have the underlying goal of making sure that the patient is as comfortable as possible at the end of life. This article describes both approaches to palliative care in detail.
Have you ever wondered "When will these thoughts go away?" Then, you should read about the case of Mr A, a 50 year-old man who experienced significant loss of function in his arms and legs due to a genetic illness. The prognosis for his illness was poor, but he hoped to regain his independence. His story shows how mindset can affect a patient's outcomes.Â
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.”