DOCSLIB.ORG

Effective Treatments for PTSD PTSD-Related Symptoms and Other PTSD-Related Symptoms Overall Symptoms of PTSD

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Effective Treatments for PTSD PTSD-Related Symptoms and Other PTSD-Related Symptoms Overall Symptoms of PTSD PTSD OVERVIEW Posttraumatic stress disorder, or PTSD, can occur after someone goes through or sees a traumatic event like combat, physical or sexual abuse, assault, serious accidents or natural disasters. If your reactions to these events do not go away after time and they disrupt your daily life, you may have PTSD. The good news is that there are effective treatments available for PTSD that can help you get better. Effective Treatments Treatments that Work “ Some of you may be questioning Both antidepressants and cognitive behavioral for PTSD therapy have been shown effective for the yourself – if I reach out for help and get treatment of PTSD. treatment will it help me? I am a living 1.4 testimony that it helped me. But there Learn About: 1.2 are some caveats here and this is, first of • What you should know about PTSD and TBI 1 all you need to want the help. Secondly, 1.28 • Recommended treatment options for PTSD you need to embrace the help. Thirdly, 0.8 0.6 Recommended treatment options for • if medication is suggested be willing to ect size(d) Eff insomnia and anxiety symptoms related utilize the tools given to you. Be willing to 0.4 to your PTSD .43 fully participate in your own recovery.” 0.2 • New information about anti-anxiety 0 Watts, Schnurr et al., 2013 medications and PTSD and why you may Robert Murphy Antidepressants Cognitive Behavior Therapy want to talk to your doctor about these US Army (1966-1969) Effects of Treatment on PTSD Severity medications 1st Lieutnenant / 1Lt, Infantry Unit Commander Vietnam This graph shows effect sizes for antidepressants and cognitive behavioral therapy. An effect size tells us how big or noticeable a change is. An effect size of 0.8 is considered large which means See more success stories at that other people would notice that there has www.ptsd.va.gov/apps/AboutFace been a change. Recommended Psychotherapy PTSD and TBI Caution about Benzodiazepines Treatments If you have PTSD and a history of concussion or Some doctors have prescribed benzodiazepines Cognitive behavioral therapy (CBT) is the most effective traumatic brain injury (TBI), it is important for you for patients with PTSD. These medications may treatment for PTSD. CBT usually involves meeting with to know that: be known as Valium, Xanax, Klonopin or Ativan. your therapist weekly up to four months. The two most Benzodiazepines may help in the short term and effective types of CBT for PTSD are Cognitive Processing • CBT treatments have been shown effective in make you feel better quickly, but we now know that Therapy (CPT) and Prolonged Exposure (PE). patients with this co-occurring condition they do not improve the overall symptoms of PTSD and their helpful effects do not last. • Antidepressants have also been shown to be In CPT you examine what you’re thinking and telling effective but patients should work with their yourself about your trauma and decide whether those These medications are often prescribed to help thoughts are accurate or inaccurate. It can be done provider to reach the appropriate dose treat specific symptoms such as anxiety or insomnia. individually or in a group. • Anti-anxiety medications such as benzodiazepines However, long-term use of these medications may may cause harmful side effects and should not be lead to harmful side effects. PE works through repeated exposure to thoughts, used feelings, and situations that you have been avoiding and helps you learn that reminders of the trauma do not have If you have PTSD and have had a head injury, it is For more information visit www.ptsd.va.gov to be avoided. PE is done individually with your therapist. particularly important that your doctor be aware of Or contact your local evidence-based treatment your history. This will then help determine the best coordinator: treatment options for you. Recommended Medications Recommended medications for PTSD include antidepressants such as Zoloft and Paxil. These medications work by helping brain cells communicate which can make you feel better. Anxiety Treatment Comparison Chart Psychotherapy Treatment Option(s): Cognitive Cognitive Behavioral Therapy Antidepressants Prazosin Trazodone Behavioral Therapy (CBT), CBT for Anxiety How it Works Helps you learn about how your Helps brain cells send and receive Helps brain cells send and receive Medication Option(s): Antidepressants like Zoloft Blocks adrenalin in the beliefs and memories about your messages messages and Paxil, or Effexor trauma have impacted your life brain Reduces nightmares Reduces the core symptoms of PTSD Limited effects on overall Focuses on symptoms such as symptoms of PTSD anxiety or insomnia Insomnia Improves sleep Psychotherapy Treatment Option(s): Cognitive Potential Benefits Decreases PTSD symptoms, anxiety, Improves PTSD symptoms, but Significant improvement in sleep Improves sleep disruption Behavioral Therapy for insomnia (CBT-I) is highly depression, and can improve sleep has variable effects on sleep for PTSD patients effective. Other forms of CBT may be helpful. Potential Drawbacks May cause lightheadedness May worsen mood Medication Option(s): low dose trazodone, prazosin, Talking about trauma can May cause headaches, nausea, amitriptyline, doxepin, or benadryl be difficult initially decreased sex drive, and fatigue Duration 8-15 weekly sessions with Usually need to continue indefinitely Need to continue Usually need to continue indefinitely long-lasting effects Do not STOP or change any medications you are Evidence of Success Research shows this is one of the Significant overall improvement in Significant improvement in sleep Helpful for sleep, but not for currently taking without first discussing it with your doctor. most effective treatments for PTSD PTSD-related symptoms and other PTSD-related symptoms overall symptoms of PTSD Copyright ©2013 by the National Center for PTSD | ptsd.va.gov.
Load more

Recommended publications
  • Table 2. 2012 AGS Beers Criteria for Potentially
    Table 2. 2012 AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults Strength of Organ System/ Recommendat Quality of Recomm Therapeutic Category/Drug(s) Rationale ion Evidence endation References Anticholinergics (excludes TCAs) First-generation antihistamines Highly anticholinergic; Avoid Hydroxyzin Strong Agostini 2001 (as single agent or as part of clearance reduced with e and Boustani 2007 combination products) advanced age, and promethazi Guaiana 2010 Brompheniramine tolerance develops ne: high; Han 2001 Carbinoxamine when used as hypnotic; All others: Rudolph 2008 Chlorpheniramine increased risk of moderate Clemastine confusion, dry mouth, Cyproheptadine constipation, and other Dexbrompheniramine anticholinergic Dexchlorpheniramine effects/toxicity. Diphenhydramine (oral) Doxylamine Use of diphenhydramine in Hydroxyzine special situations such Promethazine as acute treatment of Triprolidine severe allergic reaction may be appropriate. Antiparkinson agents Not recommended for Avoid Moderate Strong Rudolph 2008 Benztropine (oral) prevention of Trihexyphenidyl extrapyramidal symptoms with antipsychotics; more effective agents available for treatment of Parkinson disease. Antispasmodics Highly anticholinergic, Avoid Moderate Strong Lechevallier- Belladonna alkaloids uncertain except in Michel 2005 Clidinium-chlordiazepoxide effectiveness. short-term Rudolph 2008 Dicyclomine palliative Hyoscyamine care to Propantheline decrease Scopolamine oral secretions. Antithrombotics Dipyridamole, oral short-acting* May
    [Show full text]
  • Appendix A: Potentially Inappropriate Prescriptions (Pips) for Older People (Modified from ‘STOPP/START 2’ O’Mahony Et Al 2014)
    Appendix A: Potentially Inappropriate Prescriptions (PIPs) for older people (modified from ‘STOPP/START 2’ O’Mahony et al 2014) Consider holding (or deprescribing - consult with patient): 1. Any drug prescribed without an evidence-based clinical indication 2. Any drug prescribed beyond the recommended duration, where well-defined 3. Any duplicate drug class (optimise monotherapy) Avoid hazardous combinations e.g.: 1. The Triple Whammy: NSAID + ACE/ARB + diuretic in all ≥ 65 year olds (NHS Scotland 2015) 2. Sick Day Rules drugs: Metformin or ACEi/ARB or a diuretic or NSAID in ≥ 65 year olds presenting with dehydration and/or acute kidney injury (AKI) (NHS Scotland 2015) 3. Anticholinergic Burden (ACB): Any additional medicine with anticholinergic properties when already on an Anticholinergic/antimuscarinic (listed overleaf) in > 65 year olds (risk of falls, increased anticholinergic toxicity: confusion, agitation, acute glaucoma, urinary retention, constipation). The following are known to contribute to the ACB: Amantadine Antidepressants, tricyclic: Amitriptyline, Clomipramine, Dosulepin, Doxepin, Imipramine, Nortriptyline, Trimipramine and SSRIs: Fluoxetine, Paroxetine Antihistamines, first generation (sedating): Clemastine, Chlorphenamine, Cyproheptadine, Diphenhydramine/-hydrinate, Hydroxyzine, Promethazine; also Cetirizine, Loratidine Antipsychotics: especially Clozapine, Fluphenazine, Haloperidol, Olanzepine, and phenothiazines e.g. Prochlorperazine, Trifluoperazine Baclofen Carbamazepine Disopyramide Loperamide Oxcarbazepine Pethidine
    [Show full text]
  • Commonly Prescribed Psychotropic Medications
    COMMONLY PRESCRIBED PSYCHOTROPIC MEDICATIONS NAME Generic (Trade) DOSAGE KEY CLINICAL INFORMATION Antidepressant Medications* Start: IR-100 mg bid X 4d then ↑ to 100 mg tid; SR-150 mg qam X 4d then ↑ to 150 mg Contraindicated in seizure disorder because it decreases seizure threshold; stimulating; not good for treating anxiety disorders; second Bupropion (Wellbutrin) bid; XL-150 mg qam X 4d, then ↑ to 300 mg qam. Range: 300-450 mg/d. line TX for ADHD; abuse potential. ¢ (IR/SR), $ (XL) Citalopram (Celexa) Start: 10-20 mg qday,↑10-20 mg q4-7d to 30-40 mg qday. Range: 20-60 mg/d. Best tolerated of SSRIs; very few and limited CYP 450 interactions; good choice for anxious pt. ¢ Duloxetine (Cymbalta) Start: 30 mg qday X 1 wk, then ↑ to 60 mg qday. Range: 60-120 mg/d. More GI side effects than SSRIs; tx neuropathic pain; need to monitor BP; 2nd line tx for ADHD. $ Escitalopram (Lexapro) Start: 5 mg qday X 4-7d then ↑ to 10 mg qday. Range 10-30 mg/d (3X potent vs. Celexa). Best tolerated of SSRIs, very few and limited CYP 450 interactions. Good choice for anxious pt. $ Fluoxetine (Prozac) Start: 10 mg qam X 4-7d then ↑ to 20 mg qday. Range: 20-60 mg/d. More activating than other SSRIs; long half-life reduces withdrawal (t ½ = 4-6 d). ¢ Mirtazapine (Remeron) Start: 15 mg qhs. X 4-7d then ↑ to 30 mg qhs. Range: 30-60 mg/qhs. Sedating and appetite promoting; Neutropenia risk (1 in 1000) so avoid in immunosupressed patients.
    [Show full text]
  • Schizophrenia Care Guide
    August 2015 CCHCS/DHCS Care Guide: Schizophrenia SUMMARY DECISION SUPPORT PATIENT EDUCATION/SELF MANAGEMENT GOALS ALERTS Minimize frequency and severity of psychotic episodes Suicidal ideation or gestures Encourage medication adherence Abnormal movements Manage medication side effects Delusions Monitor as clinically appropriate Neuroleptic Malignant Syndrome Danger to self or others DIAGNOSTIC CRITERIA/EVALUATION (PER DSM V) 1. Rule out delirium or other medical illnesses mimicking schizophrenia (see page 5), medications or drugs of abuse causing psychosis (see page 6), other mental illness causes of psychosis, e.g., Bipolar Mania or Depression, Major Depression, PTSD, borderline personality disorder (see page 4). Ideas in patients (even odd ideas) that we disagree with can be learned and are therefore not necessarily signs of schizophrenia. Schizophrenia is a world-wide phenomenon that can occur in cultures with widely differing ideas. 2. Diagnosis is made based on the following: (Criteria A and B must be met) A. Two of the following symptoms/signs must be present over much of at least one month (unless treated), with a significant impact on social or occupational functioning, over at least a 6-month period of time: Delusions, Hallucinations, Disorganized Speech, Negative symptoms (social withdrawal, poverty of thought, etc.), severely disorganized or catatonic behavior. B. At least one of the symptoms/signs should be Delusions, Hallucinations, or Disorganized Speech. TREATMENT OPTIONS MEDICATIONS Informed consent for psychotropic
    [Show full text]
  • THE USE of MIRTAZAPINE AS a HYPNOTIC O Uso Da Mirtazapina Como Hipnótico Francisca Magalhães Scoralicka, Einstein Francisco Camargosa, Otávio Toledo Nóbregaa
    ARTIGO ESPECIAL THE USE OF MIRTAZAPINE AS A HYPNOTIC O uso da mirtazapina como hipnótico Francisca Magalhães Scoralicka, Einstein Francisco Camargosa, Otávio Toledo Nóbregaa Prescription of approved hypnotics for insomnia decreased by more than 50%, whereas of antidepressive agents outstripped that of hypnotics. However, there is little data on their efficacy to treat insomnia, and many of these medications may be associated with known side effects. Antidepressants are associated with various effects on sleep patterns, depending on the intrinsic pharmacological properties of the active agent, such as degree of inhibition of serotonin or noradrenaline reuptake, effects on 5-HT1A and 5-HT2 receptors, action(s) at alpha-adrenoceptors, and/or histamine H1 sites. Mirtazapine is a noradrenergic and specific serotonergic antidepressive agent that acts by antagonizing alpha-2 adrenergic receptors and blocking 5-HT2 and 5-HT3 receptors. It has high affinity for histamine H1 receptors, low affinity for dopaminergic receptors, and lacks anticholinergic activity. In spite of these potential beneficial effects of mirtazapine on sleep, no placebo-controlled randomized clinical trials of ABSTRACT mirtazapine in primary insomniacs have been conducted. Mirtazapine was associated with improvements in sleep on normal sleepers and depressed patients. The most common side effects of mirtazapine, i.e. dry mouth, drowsiness, increased appetite and increased body weight, were mostly mild and transient. Considering its use in elderly people, this paper provides a revision about studies regarding mirtazapine for sleep disorders. KEYWORDS: sleep; antidepressive agents; sleep disorders; treatment� A prescrição de hipnóticos aprovados para insônia diminuiu em mais de 50%, enquanto de antidepressivos ultrapassou a dos primeiros.
    [Show full text]
  • Prazosin: Preliminary Report and Comparative Studies with Other
    298 BRITISH MEDICAL JOURNAL 1 1 MAY 1974 Prazosin: Preliminary Report and Comparative Studies with Other Antihypertensive Agents Br Med J: first published as 10.1136/bmj.2.5914.298 on 11 May 1974. Downloaded from GORDON S. STOKES, MICHAEL A. WEBER British Medical Journal, 1974, 2, 298-300 bilirubin. One patient had minimal grade 3 hypertensive ocu- lar fundus changes, 10 had grade 1 or 2 changes, and four had normal fundi. Serum crea-tinine concentration was normal in Summary every patient. A diagnosis of uncomplicated essential hypertension was In a group of 14 hypertensive patients a 10-week course made in 12 patients. In two other patients pyelographic of treatment with prazosin 3-7 5 mg/day produced a signifi- evidence of analgesic nephropathy was found. The remaining cant reduction in mean blood pressure without serious side patient had essential hypertension and stable angina pectoris. effects. The fall in diastolic pressure exceeded the response After at least two baseline blood pressure readings, taken mm more to a placebo by 10 Hg or in 9 patients. The average when patients were recumbent and standing, treatment was decrease in diastolic pressure was similar to that produced started with prazosin, 1-mg capsules by mouth, three times or by methyldopa 750 mg/day propranolol 120-160 mg/day daily. Thereafter the patient visited the clinic at intervals of was but the fall in systolic pressure comparatively smaller, one to three weeks. At each visit blood pressure was meas- that the consistent with reported experimental work showing ured to the nearest 5 mm Hg with an Accoson sphygmomo- drug causes vasodilatation.
    [Show full text]
  • Repeated Lysergic Acid Diethylamide in an Animal Model of Depression
    JOP0010.1177/0269881114531666Journal of PsychopharmacologyBuchborn et al. 531666research-article2014 Original Paper Repeated lysergic acid diethylamide in an animal model of depression: Normalisation of learning behaviour and Journal of Psychopharmacology 2014, Vol. 28(6) 545 –552 hippocampal serotonin 5-HT signalling © The Author(s) 2014 2 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0269881114531666 jop.sagepub.com Tobias Buchborn, Helmut Schröder, Volker Höllt and Gisela Grecksch Abstract A re-balance of postsynaptic serotonin (5-HT) receptor signalling, with an increase in 5-HT1A and a decrease in 5-HT2A signalling, is a final common pathway multiple antidepressants share. Given that the 5-HT1A/2A agonist lysergic acid diethylamide (LSD), when repeatedly applied, selectively downregulates 5-HT2A, but not 5-HT1A receptors, one might expect LSD to similarly re-balance the postsynaptic 5-HT signalling. Challenging this idea, we use an animal model of depression specifically responding to repeated antidepressant treatment (olfactory bulbectomy), and test the antidepressant-like properties of repeated LSD treatment (0.13 mg/kg/d, 11 d). In line with former findings, we observe that bulbectomised rats show marked deficits in active avoidance learning. These deficits, similarly as we earlier noted with imipramine, are largely reversed by repeated LSD administration. Additionally, bulbectomised rats exhibit distinct anomalies of monoamine receptor signalling in hippocampus and/or frontal cortex; 35 from these, only the hippocampal decrease in 5-HT2 related [ S]-GTP-gamma-S binding is normalised by LSD. Importantly, the sham-operated rats do not profit from LSD, and exhibit reduced hippocampal 5-HT2 signalling. As behavioural deficits after bulbectomy respond to agents classified as antidepressants only, we conclude that the effect of LSD in this model can be considered antidepressant-like, and discuss it in terms of a re-balance of hippocampal 5-HT2/5-HT1A signalling.
    [Show full text]
  • Medication: Trazodone (Desyrel) 50 Mg
    Trazodone COMPLEX CHRONIC DISEASES PROGRAM Medication Handout Date: May 15, 2018 Medication: Trazodone 50 mg What is trazodone: Trazodone is an antidepressant that is now used for insomnia; it helps with both falling asleep and staying asleep. Expected Benefit: As a sleep aid, you should notice a benefit on the first night within about 30 minutes of taking the medication. Watch for possible side effects: This list of side effects is important for you to be aware of however, it is also important to remember that not all side effects happen to everyone. If you have problems with these side effects talk with your doctor or pharmacist: Hangover effect (drowsiness that continues after waking up in the morning) Dizziness Dry mouth Headache Nausea Stopping the medication: Stopping trazodone is not usually a problem as there is no withdrawal effect you are taking it regularly at higher doses than prescribed below. Please ask your doctor or pharmacist before stopping the medication. Rebound insomnia is not usually a problem which makes trazodone a good option for taking a sleeping aid as needed How to use this medication: Take this medication with or without food Dosing Schedule: Start with 12.5 mg (¼ tablet) or 25 mg (½ tablet) at bedtime Increase the dose by ¼ or ½ a tablet every night until: o You can fall asleep, and/or o Stay asleep The usual effective dose is 50 – 150 mg at bedtime (1 – 3 tablets) Do not continue increasing the dose if you experience a hangover effect Talk with your doctor if you are still having problems with sleep, as you may need a different medication.
    [Show full text]
  • Trazodone Is Not As Effective As Other Antidepressants in Treating a Patient with Major Depressive Disorder
    Case Report Taiwanese Journal of Psychiatry (Taipei) Vol. 26 No. 4 2012 • 311 • Trazodone Is Not as Effective as Other Antidepressants in Treating a Patient with Major Depressive Disorder Kah Kheng Goh, M.D.1, Weng-Kin Tam, M.D.1, Winston W. Shen, M.D.1, 2* Background: Trazodone in clinical use is ineffective because of its sed ation to let patient receive an adequate dose for treating a patient with major depressive disorder. We are report a case report to demonstrate this clinical effi cacy issue in the treatment with trazodone. Case Report: A 83-year old male Taiwanese patient had suffered from MDD for six months. He did not response to the treatment of trazodone 150 mg/day for four months, but consequently, he responded to the treatment of milnacipran 100 mg/day or mirtazapine 30 mg/day. Conclusion: Psy- chiatrists in Taiwan should be alert to the fact that trazodone is not as effective as other antidepressants, and that trazodone should not be prescribed as a single anti- depressant in treating an MDD patient. Key words: antidepressant therapy, suicide, venlafaxine, bupropion (Taiwanese Journal of Psychiatry [Taipei] 2012; 26: 311-5) guideline in the paragraph in describing individu- Introduction al drug trazodone also indicates “other investiga- tors found trazodone to be less effective than other The practice guideline of the American antidepressant medications” [1]. In this case re- Psychiatric Association in the paragraph of intro- port here, we are reporting a case of a major de- ducing antidepressants states “Although some pressive disorder (MDD) patient, who did not re- studies have suggested superiority of one mecha- spond to daily dose of 150 mg of trazodone, but nism of action over another, there are no replica- responded well to antidepressants 100 mg of mil- ble or robust fi ndings to establish a clinically nacipran per day and maybe 30 mg of mirtazapine meaningful difference.
    [Show full text]
  • Depression in the Prime of Life —Its Characteristics and Precautions —Required in Treatment—
    ⅥDepression Depression in the Prime of Life —Its Characteristics and Precautions —Required in Treatment— JMAJ 44(5): 221–224, 2001 Tetsuya HIROSE Professor, Department of Psychiatry, Teikyo University School of Medicine Abstract: Depression may occur at any age, but that occurring in the prime of life (maturity) is considered most typical, given its symptoms, course, and other aspects of serving as a prototypic model. The 3 major depressive symptoms of depressive mood, retardation, and anxiety are often observed to the same extent, demon- strating a stable cycle in mature depression. Attention should be paid, however, to the onset of hypomania because some patients end up as rapid cyclers alternately repeating manic and depressive episodes. This disease often occurs in those with melancholic personality who are scrupulous and have a strong sense of obligation and responsibility when encountering change such as career changes, or may often occur in postpartum depression. Even though endocrine changes should be consid- ered in the latter, it is helpful to handle these cases as attributable to the entangle- ment of character and circumstance. Pharmacotherapy is most effective against depression in this generation. Unlike elderly patients, serious adverse reactions rarely occur, but, it is essential to administer sufficient tricyclic antidepressants, etc., for a long enough time. Mood stabilizers are also required in the treatment of bipolar II disorder. Key words: Mature depression; Typical symptoms; Melancholic personality; Antidepressants; Hypomanic state Introduction often occurs for the first time in those in their late 20s to 30s. Depression is thus considered While schizophrenia is regarded as a disease as a disease typically occurring in the prime of of adolescence, depression is characterized by life.
    [Show full text]
  • Psychotropic Medication Concerns When Treating Individuals with Developmental Disabilities
    Tuesday, 2:30 – 4:00, C2 Psychotropic Medication Concerns when Treating Individuals with Developmental Disabilities Richard Berchou 248-613-6716 [email protected] Objective: Identify effective methods for the practical application of concepts related to improving the delivery of services for persons with developmental disabilities Notes: Medication Assistance On-Line Resources OBTAINING MEDICATION: • Needy Meds o Needymeds.com • Partnership for Prescriptions Assistance o Pparx.org • Patient Assistance Program Center o Rxassist.org • Insurance coverage & Prior authorization forms for most drug plans o Covermymeds.com REMINDERS TO TAKE MEDICATION: • Medication reminder by Email, Phone call, or Text message o Sugaredspoon.com ANSWER MOST QUESTIONS ABOUT MEDICATIONS: • Univ. of Michigan/West Virginia Schools of Pharmacy o Justaskblue.com • Interactions between medications, over-the-counter (OTC) products and some foods; also has a pictorial Pill Identifier: May input an entire list of medications o Drugs.com OTHER TRUSTED SITES: • Patient friendly information about disease and diagnoses o Mayoclinic.com, familydoctor.org • Package inserts, boxed warnings, “Dear Doctor” letters (can sign up to receive e- mail alerts) o Dailymed.nlm.nih.gov • Communications about drug safety o www.Fda.gov/cder/drug/drugsafety/drugindex.htm • Purchasing medications on-line o Pharnacychecker.com Updated 2013 Psychotropic Medication for Persons with Developmental Disabilities April 23, 2013 Richard Berchou, Pharm. D. Assoc. Clinical Prof., Dept. Psychiatry & Behavioral
    [Show full text]
  • The American Journal Of
    The American Journal of Psychiatry Residents’ Journal July 2015 Volume 10 Issue 7 Inside IN THIS ISSUE 2 New Formats and New Opportunities: The Time to Get Involved is “Now”! Rajiv Radhakrishnan, M.B.B.S., M.D. 3 Prevention of Posttraumatic Stress Disorder: Predicting Response to Trauma Jennifer H. Harris, M.D. 7 Weight Gain in Patients With Schizophrenia: A Recipe For Timely Intervention Ammar El Sara, M.B.Ch.B. 10 Hyperprolactinemia and Antipsychotics: Update for the Training Psychiatrist Stephanie Pope, M.D. 13 A Clinical Case Conference on Spiritual Growth and Healing Elizabeth S. Stevens, D.O. This issue of the Residents’ Journal features a variety of topics. Jennifer H. Har- ris, M.D., discusses prevention of posttraumatic stress disorder, with an overview 15 Priapism: A Rare but Serious of various responses to trauma. Ammar El Sara, M.B.Ch.B., presents a review of Side Effect of Trazodone clinically applicable evidence-based interventions targeting obesity in schizophre- Kamalika Roy, M.D. nia patients. Stephanie Pope, M.D., examines antipsychotic-induced hyperprolac- 17 Classifying Psychopathology: tinemia, including variables affecting prolactin and clinical implications. Elizabeth Mental Kinds and Natural Kinds S. Stevens, D.O., discusses several psychological, social, and spiritual developmen- Reviewed by Aaron J. Hauptman, tal frameworks in a clinical case conference. Kamalika Roy, M.D., presents a case M.D. of priapism as a side effect of trazodone in a middle-aged patient. Lastly, Aaron J. Hauptman, M.D., offers his review of the book Classifying Psychopathology: Mental 18 Residents’ Resources Kinds and Natural Kinds. Editor-in-Chief Associate Editors Editors Emeriti Rajiv Radhakrishnan, M.B.B.S., M.D.
    [Show full text]