ITEMS IN AFP WITH KEYWORD:
Referring a patient to a neuropsychologist for evaluation provides a level of rigorous assessment of brain function that often cannot be obtained in other ways. The neuropsychologist integrates information from the patient’s medical history, laboratory tests, and imaging studies; an in-depth intervi...
What are the effects of treatments to reduce relapse rates in persons with schizophrenia? What are the effects of interventions in persons with schizophrenia who are resistant to standard antipsychotics? What are the effects of interventions to improve adherence to medication?
Jun 1, 2010 Issue
Aripiprazole vs. Other Atypical Antipsychotics for Schizophrenia [Cochrane for Clinicians]
Aripiprazole is less effective in treating schizophrenia than olanzapine (Zyprexa), but has fewer metabolic and sedative adverse effects. There is no difference in effectiveness between aripiprazole and risperidone (Risperdal); however, aripiprazole may be associated with less dystonia, smaller incr...
Compared with placebo, risperidone improves symptoms based on some disease-specific symptom scores for schizophrenia. However, it does not appear to improve symptoms on a more important Clinical Global Impression scale.
May 1, 2010 Issue
Practical Considerations for Determining Patient Capacity and Consent [Curbside Consultation]
The core issue is whether the patient possesses decisional capacity and can provide informed consent.
The use of antipsychotic medications entails a difficult trade-off between the benefit of alleviating psychotic symptoms and the risk of troubling, sometimes life-shortening adverse effects. There is more variability among specific antipsychotic medications than there is between the first- and secon...
Jan 15, 2010 Issue
Recognizing Mental Illness in Culture-bound Syndromes [Curbside Consultation]
Somatic symptoms often replace emotional complaints in foreign-born students from cultures where mental illness is stigmatized.
The mental status examination is an essential tool that aids physicians in making psychiatric diagnoses. Familiarity with the components of the examination can help physicians evaluate for and differentiate psychiatric disorders. The mental status examination includes historic report from the patien...
Obsessive-compulsive disorder is an illness that can cause marked distress and disability. It often goes unrecognized and is undertreated. Primary care physicians should be familiar with the various ways obsessive-compulsive disorder can present and should be able to recognize clues to the presence ...