The co-occurrence of alcoholism
with other psychiatric disorders in the general population and its impact on treatment
Lifetime co-occurrence of DSM - III - R alcohol abuse and dependence
with other psychiatric disorders in the National Comorbidity Survey
It was hypothesized that preschool depression would show homotypic continuity over the course of 24 months, evidenced by a greater likelihood of subsequent depression when compared with rates observed in
those with other psychiatric disorders and those without disorders at baseline.
PTSD is often co-morbid
with other psychiatric disorders such as depression and substance abuse.
In a new study published in the journal Neuropsychopharmacology, neuroscientists from the University of Chicago show that white matter in a region of the brain called the superior longitudinal fasciculus (SLF) has less integrity and density in people with IED than in healthy individuals and
those with other psychiatric disorders.
Not exact matches
Dr. Kurtz continues to be a significant public voice, dispelling myths about childhood
psychiatric disorders and advocating for comprehensive, individualized care for all children struggling
with behavioral or
other mental health issues.
Now a large survey using data from all patients hospitalized in
psychiatric wards in Israel, and their siblings, has given some answers: having a sibling
with schizophrenia increases your risk of developing the condition by a factor of x10,
with increased risks of developing bipolar
disorder and
other mental
disorders.
People
with schizophrenia and
other psychotic illnesses often report hearing voices, but so do
other people
with no diagnosed
psychiatric disorder.
Statistically significant hazard ratios for specific groups of
psychiatric disorders were found for schizophrenia and psychoses (1.27, 1.16 - 1.38), affective
disorders (1.32, 1.25 - 1.39), anxiety and
other neurotic
disorders (1.37, 1.32 - 1.42), mental and behavioural syndromes including eating
disorders (1.13, 1.04 - 1.24), mental retardation (1.28, 1.17 - 1.40), mental development
disorders including autism spectrum
disorders (1.22, 1.16 - 1.28), and behavioural and emotional
disorders including attention deficit hyperactivity
disorder (ADHD)(1.40, 1.34 - 1.46), when compared
with rates in naturally conceived children.
The new finding is the latest evidence supporting a growing precision medicine model of
psychiatric disease in which disruptions of certain genes during brain development contribute to a person's risk for multiple
psychiatric disorders,
with other genetic or epigenetic drivers, random developmental events, or environmental influences determining the specific disease an individual develops, said senior author Benjamin Cheyette, MD, PhD, an associate professor of psychiatry and a member of the UCSF Weill Institute for Neurosciences and the Kavli Institute for Fundamental Neuroscience at UCSF.
Roy Meadow at St James's University Hospital in Leeds says it is now mainly seen in children of parents
with Münchhausen's syndrome by proxy, a
psychiatric disorder in which people deliberately make
others sick.
«This study illustrates the potential of gaining fundamental insights into brain function while helping patients
with debilitating diseases, and provides us
with a powerful way of selecting targets based on their connectivity to
other regions that can be widely applied to help guide brain stimulation therapy across multiple neurological and
psychiatric disorders.»
«Speech analysis software predicted psychosis in at - risk patients
with up to 83 percent accuracy: Big - data approach has potential to improve prediction of
psychiatric and
other medical
disorders.»
All
other patients were diagnosed
with different
psychiatric disorders, such as major depression, generalized anxiety, PTSD, or obsessive compulsive
disorder.
Bipolar
disorder may share the same genetic roots
with other psychiatric conditions such as autism and schizophrenia.
This new research study out of Yale University suggests some important implications for those dealing
with schizophrenia, epilepsy, or
other psychiatric disorders.
Naukeag An insurance - based treatment program in Ashburnham, Massachusetts providing care for adults
with substance use
disorders that may be complicated by
other psychiatric conditions.
For more than 40 years, McLean Hospital has been providing care for patients
with substance use
disorders with and without
other co-occurring
psychiatric conditions such as major depression, anxiety
disorders, bipolar
disorder, and post-traumatic stress
disorder.
Major Neurocognitive
Disorder is diagnosed when disturbance of a single cognitive ability is severe enough to interfere
with independence, and the disturbance is not caused by drug use, delirium, or various
other medical or
psychiatric conditions.
Other neurological and
psychiatric disorders associated
with mercury include narcolepsy, obsessive - compulsive
disorder, schizophrenia, bipolar
disorder, Tourette syndrome and borderline personality
disorder, as well as neurodegenerative
disorders such as Alzheimer's disease, Parkinson's disease and multiple sclerosis.
Other studies have shown that those
with serious
psychiatric disorders have scored poorly as well.
Costa has inspired many
others in the mad community to fight alongside her to raise consciousness of mental - health narratives, make rights accessible to people in a way they can understand, and promote equity for those
with psychiatric disorders.
Unlike
other service dogs (or assistance, support, or helper dogs), who are trained to perform major everyday tasks for people
with physical disabilities,
psychiatric service dogs (PSDs) are individually trained to help people
with emotional or
psychiatric disabilities including post-traumatic stress
disorder (PTSD), bipolar
disorder, and severe depression.
Social Worker — Duties & Responsibilities Successfully serve as a
psychiatric social worker and practice manager for multiple institutions Perform crisis intervention, adult, geriatric, child, and adolescent case management and therapy Counsel patients facing depression, substance abuse, bipolar
disorder, dementia, and schizophrenia Serve survivors of domestic violence, rape, robbery, child abuse, suicide, and
other traumatic events Responsible for 24 hour on call crisis intervention for multiple hospital emergency rooms Complete psychosocial assessments to ensure appropriate patient diagnosis and care Design and implement treatment plans including medication and individual / group / family therapy sessions Attend weekly team meetings to assess patient progress and document in the DAP system Review psychometric and psychological reports and provide feedback to patients and families Provide clients and family members
with guidance and referrals to community resources Maintain contact
with family members and encouraged their involvement in patient treatment Performed discharge planning including nursing home placement, home health, medication needs, transportation and Passport screening, extended in - patient and out - patient mental health services Serve as public speaker, referral development committee member, and marketing / financial advisor
SS and Relapse Prevention are efficacious short - term treatments for low - income urban women
with PTSD, substance use
disorder, and
other psychiatric symptoms.
To determine the economic effects (including the costs of psychotherapy, admission to a
psychiatric hospital, mortality, disability and impaired work performance, and
other medical and laboratory costs) of providing psychotherapy for patients
with psychiatric disorders.
Among
other points of critique, the DSM - IV Hypochondriasis diagnosis has been criticized for being poorly and arbitrarily defined overlapping
with other somatoform and
psychiatric disorders [1], [4], [5], [19], [20].
Critically ill children hospitalized in intensive care units (ICUs) are especially vulnerable to a multitude of short - and long - term, negative emotional, behavioral, and academic outcomes, including a higher risk of posttraumatic stress
disorder (PTSD) and a greater need for
psychiatric treatment, compared
with matched hospitalized children who do not require intensive care.3 In addition, the parents of these children are at risk for the development of PTSD, as well as
other negative emotional outcomes (eg, depression and anxiety
disorders).4 — 6
The presence of
other psychiatric disorders and their severity were assessed
with use of the Schedule for Affective
Disorders and Schizophrenia (lifetime version), 18 modified to detect personality
disorders.
Borderline personality
disorder (BPD) is 1 of only 2 DSM - IV diagnoses for which suicidal behavior is a criterion.1 Borderline personality
disorder is a severe and persistent mental
disorder experience of severe emotional distress and behavioral dyscontrol.1 - 3 Among patients
with BPD, 69 % to 80 % engage in suicidal behavior,4 - 9
with a suicide rate of up to 9 %.10 Forty percent of the highest users of inpatient
psychiatric services receive a diagnosis of BPD.11, 12 Patients
with BPD use more services than those
with major depression13 and
other personality
disorders.14 Among patients
with BPD seen for treatment, 72 % have had at least 1
psychiatric hospitalization and 97 % have received outpatient treatment from a mean of 6.1 previous therapists.15, 16 Despite this high - use pattern, patients
with BPD have high rates of treatment failure.17, 18
Treating a mother's depression is associated
with improvement of depression and
other disorders in her child.24 The STAR * D — Child (Sequenced Treatment Alternatives to Relieve Depression — Child) project is a study that began in December 2001 and followed 151 mother - child pairs in 8 primary care and 11
psychiatric outpatient clinics across 7 regional centers in the United States.
Among the 232 childhood ADHD cases who participated in the prospective study, 55 (23.7 %) had persistent ADHD
with ≥ 1 comorbid
psychiatric disorder; 13 (5.6 %) had persistent ADHD only (without comorbid
psychiatric disorders); and 77 (33.2 %) had ≥ 1
other psychiatric disorder without persistent ADHD.
Two - week test - retest reliability of CAPA diagnoses in children aged 10 to 18 years is comparable
with that of
other highly structured interviews (κs for individual
disorders range from 0.6 - 1.0).39 To minimize recall bias, the time frame of both interviews for determining the presence of most
psychiatric symptoms was the preceding 3 months.
Whereas a few large studies find a similar prevalence of antineuronal antibodies in patients
with psychotic
disorders,
other psychiatric disorders and healthy controls, 1 2 there is some evidence of an increased prevalence of N - methyl - D - aspartate receptor (NMDAR) antibodies in patients
with first - episode psychosis.3 4 In their present study, the authors aimed to (1) investigate the prevalence of neuronal cell surface antibodies in patients
with first - episode psychosis and healthy controls and (2) compare the clinical and cognitive profile of patient's
with and without these antibodies.
Barkley et al found increased rates of comorbid substance abuse
disorder, anxiety
disorder, mood
disorder, personality
disorders, and disruptive behavior
disorders among adults
with ADHD that had persisted from childhood into adulthood.23 Adults whose childhood ADHD did not persist also had increased rates of
psychiatric comorbidity, although lower than those
with persistent ADHD (47.3 % vs 84.3 %).23
Other smaller studies also report elevated rates of
psychiatric comorbidity (65 — 89 %) among adults
with ADHD.15 — 22 However, these studies used nonrepresentative samples of children referred to specialty treatment programs for ADHD.
A review of twenty studies on the adult lives of antisocial adolescent girls found higher mortality rates, a variety of
psychiatric problems, dysfunctional and violent relationships, poor educational achievement, and less stable work histories than among non-delinquent girls.23 Chronic problem behavior during childhood has been linked
with alcohol and drug abuse in adulthood, as well as
with other mental health problems and
disorders, such as emotional disturbance and depression.24 David Hawkins, Richard Catalano, and Janet Miller have shown a similar link between conduct
disorder among girls and adult substance abuse.25 Terrie Moffitt and several colleagues found that girls diagnosed
with conduct
disorder were more likely as adults to suffer from a wide variety of problems than girls without such a diagnosis.26 Among the problems were poorer physical health and more symptoms of mental illness, reliance on social assistance, and victimization by, as well as violence toward, partners.
In our study, patients
with bipolar
disorder showed the most significant HRV dysregulation compared
with patients
with other kinds of
psychiatric illnesses.
During my clinical internship year, I observed that some staff members at the
psychiatric hospital where I worked literally walked the
other way when they saw a patient
with Borderline Personality
Disorder walking towards them.
Bipolar
disorder manifests itself differently in children than in adults, and in children there is an overlap of symptoms
with other childhood
psychiatric disorders.
In addition, it may be possible to prevent the development of suicidal behavior and
other psychiatric symptoms by helping parents of at - risk youths to modify their child - rearing behavior.50 Because parental
psychiatric disorders are associated
with maladaptive parenting and offspring suicidality, it may also be possible to prevent the onset of suicidal behavior by improving the recognition and treatment of parental
psychiatric disorders.
Other scales in the MCS measured unusual thoughts or perceptual experiences that, although more prevalent in children
with neurodevelopmental
disorders and those who later develop adult
psychiatric illness, are nonetheless common in child populations25: a majority of children (52.2 %) responded «Certainly True» to at least one of the nine PLE items, and the high mean total scores on Perceptual Sensitivity indicated that most children also reported sensitivity to slight, low - intensity stimulation in the environment.
Baseline characteristics of the 87 patients were as follows: mean age 38.6 (SD 11.0) years; 69 men; 64 single; 24 lived alone, 17 lived
with a partner, 31 lived
with parents, and the remainder
with others; 61 left school at 16 years; 76 were unemployed, five were in paid employment, six were in voluntary employment or similar, two had never worked; 64 were unskilled and 21 were skilled or professional; 78 had a diagnosis of schizophrenia, eight had schizoaffective psychosis, and two had delusional
disorder; the median (range) duration of illness was 11 (1 - 42) years; median (range) number of admissions to hospital was 3 (0 - 20); 10 had a forensic
psychiatric history; and 12 had a history of substance abuse.
Finally, the work presented herein did not evaluate the psychometrics of the BITSEA
with respect to autism spectrum
disorders or
other early emerging developmental or
psychiatric disorders (e.g., feeding
disorders).
Comorbidity is a hallmark of late life mental health
disorders,
with psychiatric disorder and physical illness each influencing a range of outcomes of the
other.
Specifically, children
with a depressive
disorder were distinguishable from
other youth
psychiatric patients on the basis of low PA and high NA.
Validation for preschool MDD (based on meeting all DSM - IV symptom criteria) has been supported by the finding of a specific symptom constellation that was distinct from
other psychiatric disorders and stable during a 6 - month period.22 Additionally, alterations in the hypothalamic - pituitary - adrenal axis reactivity similar to those known in adults
with depression, greater family history of mood
disorders, as well as observational evidence of depressive affects and behaviors were detected in preschoolers
with depression, providing further validation.22,25,27 - 30 More recent findings from a larger independent sample (N = 306) ascertained from community sites (and serving as the population for this investigation) have replicated the findings described above and have also demonstrated that preschoolers
with depression display significant functional impairment evident in multiple contexts rated by both parents and teachers.24
However, because
other child
psychiatric control groups (eg, children
with learning problems or
other disruptive behavior
disorders) have not been included, the specificity of these findings to ADHD is not clear.
These outcomes are related to social competence
with peers and teachers, impulse control, conduct
disorders, anxiety, depression, dissociative
disorders, and
other psychiatric and legal problems.
Morphologic studies offered some preliminary support for brain - related differences between children
with and without the
disorder, but additional studies
with control groups of children
with other psychiatric and developmental
disorders and larger sample sizes will be necessary before brain morphology becomes useful in diagnosing ADHD.
In addition it distinguishes children
with attachment
disorder from those
with conduct
disorder or
other psychiatric disorders.