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GLAD-PC Steering Group Releases Guidelines for the Management of Adolescent Depression ...

Sep 1, 2008 - The Guidelines for Adolescent Depression in Primary Care (GLAD-PC) Steering Group developed the first evidence-based, expert consensus-derived guidelines for the management of adolescent depression by primary care physicians.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0901/p652.html

Herbal and Dietary Supplements for Treatment of Anxiety Disorders - American Family ...

Aug 15, 2007 - Use of complementary and alternative medicine has increased over the past decade. A variety of studies have suggested that this use is greater in persons with symptoms or diagnoses of anxiety and depression. Data support the effectiveness of some popular herbal remedies and dietary ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0815/p549.html

How Can I Help My Patient Stop Drinking? - Curbside Consultation - American Family ...

Apr 1, 2002 - There is no harder task than trying to help a patient who denies having a problem. Self-delusion and denial are key elements of alcoholism. Alcoholics may delude themselves into thinking that they are not drinking too much or that they can control their drinking.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2002/0401/p1475.html

How Family Physicians Can Combat the Opioid Epidemic - Editorials - American Family ...

Sep 15, 2017 - Family physicians must commit to responsible prescribing of opioid medications. The decision to initiate opioid therapy should be a careful and deliberate one, especially in patients who are at risk of addiction.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0915/p357.html

Identification of and Treatment for Unhealthy Alcohol Use in Primary Care Settings - ...

Jun 15, 2019 - We have identified the ways in which family physicians can implement the USPSTF screening recommendation for unhealthy alcohol use and then intervene when a patient has a positive screen.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0615/p733.html

Immediate-Release Methylphenidate for the Treatment of ADHD in Adults - Cochrane for ...

Apr 1, 2015 - In adults with ADHD, immediate-release methylphenidate improves symptoms of hyperactivity, impulsiveness, and inattentiveness compared with placebo. Short-term adverse effects such as weight loss and decreased appetite do not appear to be serious. However, larger studies of longer ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0401/p445.html

Implantable Buprenorphine (Probuphine) for Maintenance Treatment of Opioid Use Disorder...

May 15, 2018 - Implantable buprenorphine is an expensive alternative for patients on a stable dosage of transmucosal buprenorphine. Based on current research and guidance, implantable buprenorphine should not be used as initial treatment for opioid dependence or as a substitute for medication-assisted...

American Family Physician : STEPS

https://www.aafp.org/afp/2018/0515/p668.html

Improving Care for Patients with Serious Mental Illness - Editorials - American Family ...

Aug 1, 2008 - Advertisement << Previous article Next article >> Aug 1, 2008 Issue Editorials Improving Care For Patients with Serious Mental Illness KATHERINE J. GOLD, MD, MSW, MS, University of Michigan Medical School, Ann Arbor, Michigan AMY M. KILBOURNE, PhD, MPH, and MARCIA VALENSTEIN, MD, MS,...

American Family Physician : Editorials

https://www.aafp.org/afp/2008/0801/p314.html

Individual Behavioral Counseling for Smoking Cessation - Cochrane for Clinicians - ...

Jul 1, 2018 - Individual behavioral counseling conducted by a trained therapist provides some benefit when compared with brief counseling and support; however, this benefit is less pronounced in the context of pharmacotherapy.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0701/p21.html

Initial Counseling of Children with Eating Disorders and Their Families - Curbside ...

Feb 15, 2008 - It can be challenging to work with adolescents and their parents when eating disorders are involved.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2008/0215/p532.html

Injectable Extended-Release Naltrexone Effective for Opioid Use Disorder - POEMs - ...

Jun 15, 2018 - Injectable extended-release naltrexone administered every four weeks is similar in efficacy to daily oral buprenorphine/naloxone for the treatment of opioid use disorder. Patients using extended-release naltrexone reported higher satisfaction with treatment and were more likely to ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0615/p819.html

Insomnia: Pharmacologic Therapy - American Family Physician

Jul 1, 2017 - Insomnia accounts for more than 5.5 million visits to family physicians each year. Although behavioral interventions are the mainstay of treatment, pharmacologic therapy may be necessary for some patients. Understanding the risks and benefits of insomnia medications is critical. ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0701/p29.html

Integrating Cognitive Behavioral Therapy into Management of Depression - Editorials - ...

Apr 1, 2012 - Cognitive behavioral therapy (CBT) is a well-established, scientifically proven treatment for patients with depression. For family physicians to take full advantage of this treatment, they must be able to understand the nature and application of CBT; access professional resources that ...

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0401/p686.html

Interventions for Tobacco Cessation in Patients Being Treated for or Recovering from ...

Nov 1, 2017 - Pharmacotherapy alone and pharmacotherapy plus counseling are effective for tobacco cessation among patients being treated for or recovering from alcohol and substance use disorders. Counseling interventions without pharmacotherapy are not effective for tobacco cessation among patients ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/1101/p572.html

Interventions to Help Patients Reduce or Eliminate the Use of Smokeless Tobacco - ...

Dec 1, 2009 - Although the studies of behavior interventions were heterogeneous in this Cochrane review, behavior interventions such as mailings, oral or dental screenings, group discussions, workplace interventions, and telephone support showed the best evidence for smokeless tobacco cessation.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/1201/p1226.html

Is Pharmacotherapy Useful in Social Phobia? - Cochrane for Clinicians - American Family...

May 1, 2005 - In adults, medications may improve the symptoms of social phobia in the short term, but their usefulness may be overstated because of publication bias. Selective serotonin reuptake inhibitors (SSRIs) have the strongest evidence of efficacy and the most favorable side-effect profile.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0501/p1700.html

Key Practice Points in the Management of Fibromyalgia - Editorials - American Family ...

Jul 15, 2007 - Advertisement << Previous article Next article >> Jul 15, 2007 Issue Editorials Key Practice Points in the Management of Fibromyalgia CHRISTINE N. HUYNH, MD, LEANNE M. YANNI, MD, and LAURA A. MORGAN, PharmD, Virginia Commonwealth University School of Medicine, Richmond, Virginia Am...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/0715/p195.html

Levomilnacipran (Fetzima) for Major Depressive Disorder - STEPS - American Family ...

Oct 15, 2015 - Levomilnacipran should not be used in patients with mild to moderate depression until studies have proven its effectiveness. It is somewhat effective in patients with moderate to severe depression. The short-term adverse effect profile of levomilnacipran is similar to that of other SNRIs.

American Family Physician : STEPS

https://www.aafp.org/afp/2015/1015/p727.html

Light Therapy Improves Behavioral Disturbances, Sleep, Depression in Older Patients ...

Feb 15, 2018 - In this meta-analysis, older patients with cognitive impairment who were exposed to light therapy had moderate improvements in behavioral disturbances, small improvements in sleep quality, and moderate improvements in depression. The authors did not report data on responders vs. ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0215/od2.html

Lithium for Acute Mania - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

May 1, 2020 - Lithium is more effective at inducing a reduction of at least 50% on the validated Young Mania Rating Scale compared with placebo (number needed to treat [NNT] = 6; 95% CI, 5 to 8; six studies; n = 1,707).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0501/p528.html

Lofexidine (Lucemyra) for Treatment of Opioid Withdrawal Symptoms - STEPS - American ...

Mar 15, 2019 - Lofexidine has been shown to be as effective as clonidine at controlling some of the symptoms of withdrawal from opioid use. It may have a small additional benefit for maintaining abstinence in patients switched to buprenorphine or methadone for long-term maintenance.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0315/p392.html

Lorazepam Added to Haloperidol Effective for Agitated Delirium in End-of-Life Cancer ...

Feb 15, 2018 - Using a single dose of lorazepam in combination with haloperidol decreases agitation in end-of-life patients with cancer who had persistent agitated delirium despite scheduled haloperidol. A recent POEM reported that haloperidol increases symptoms of distress in patients with cancer and...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0215/od4.html

Making Psychotherapy Work in Primary Care Medicine - Editorials - American Family ...

Jan 1, 2006 - Advertisement << Previous article Next article >> Jan 1, 2006 Issue Editorials Making Psychotherapy Work in Primary Care Medicine THOMAS E. SCHACHT, PSY.D., James H. Quillen College of Medicine, East Tennessee State University, Johnson City, Tennessee Am Fam Physician. 2006 Jan...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/0101/p34.html

Management of ADHD in Preschool-Aged Children - FPIN's Clinical Inquiries - American ...

Sep 15, 2013 - Behavior therapy interventions, such as parent training, are first-line treatment for ADHD in preschool-aged children (three to five years of age). Medication is an option for children with moderate to severe ADHD if behavior therapy has not been effective and if the benefits outweigh ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/0915/p398.html

Management of Binge-Eating Disorder in Adults - Implementing AHRQ Effective Health Care...

Mar 1, 2017 - What are the benefits and harms of treatments for adults with binge-eating disorder?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2017/0301/p324.html

Management of Bipolar Disorder - American Family Physician

Sep 15, 2000 - Bipolar disorder most commonly is diagnosed in persons between 18 and 24 years of age. The clinical presentations of this disorder are broad and include mania, hypomania and psychosis. Frequently associated comorbid conditions include substance abuse and anxiety disorders. Patients with...

American Family Physician : Article

https://www.aafp.org/afp/2000/0915/p1343.html

Management of Insomnia Disorder in Adults - Implementing AHRQ Effective Health Care ...

Sep 1, 2018 - What are the effectiveness, comparative effectiveness, and adverse effects of interventions for insomnia disorder in adults?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2018/0901/p319.html

Management of the Difficult Patient - American Family Physician

Nov 15, 2005 - All physicians must care for some patients who are perceived as difficult because of behavioral or emotional aspects that affect their care. Difficulties may be traced to patient, physician, or health care system factors. Patient factors include psychiatric disorders, personality ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1115/p2063.html

Management of Withdrawal Syndromes and Relapse Prevention in Drug and Alcohol Abuse - ...

Jul 1, 1998 - The primary care physician is in a good position to diagnose, manage and intervene with patients who are undergoing the process of treatment and recovery from alcohol and drug disorders. Medications such as benzodiazepines are effective in the treatment of withdrawal syndromes, and ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0701/p139.html

Managing Grief and Depression at the End of Life - American Family Physician

Aug 1, 2012 - Psychological distress is common in terminally ill persons and can be a source of great suffering. Grief is an adaptive, universal, and highly personalized response to the multiple losses that occur at the end of life. This response may be intense early on after a loss manifesting ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0801/p259.html

Managing Opioid Addiction with Buprenorphine - American Family Physician

May 1, 2006 - Legislation has enabled physicians to treat opioid-dependent patients with an office-based maintenance program using buprenorphine, a partial mu-opioid receptor agonist. Clinical studies indicate buprenorphine effectively manages opioid addiction. Buprenorphine is more effective than ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0501/p1573.html

Managing Somatic Preoccupation - American Family Physician

Jun 1, 1999 - Somatically preoccupied patients are a heterogeneous group of persons who have no genuine physical disorder but manifest psychologic conflicts in a somatic fashion; who have a notable psychologic overlay that accompanies or complicates a genuine physical disorder; or who have ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0601/p3113.html

Medications for Alcohol Use Disorder - American Family Physician

Mar 15, 2016 - The U.S. Preventive Services Task Force recommends that clinicians screen adults for alcohol misuse and provide persons engaged in risky or hazardous drinking behaviors with brief behavioral counseling to reduce alcohol misuse. However, only a minority of American adults with high-risk ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0315/p457.html

Medications for Treating Alcohol Dependence - American Family Physician

Nov 1, 2005 - Medications for treating alcohol dependence primarily have been adjunctive interventions, and only three medications--disulfiram, naltrexone, and acamprosate--are approved for this indication by the U.S. Food and Drug Administration. Disulfiram, an aversive agent that has been used for ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1101/p1775.html

Methadone Maintenance - Editorials - American Family Physician

Jun 15, 2001 - Advertisement << Previous article Next article >> Jun 15, 2001 Issue Editorials Methadone Maintenance SHARON STANCLIFF, M.D. AIDS Institute, New York State Department of Health New York, New York Am Fam Physician. 2001 Jun 15;63(12):2335-2336. Related Article The development of...

American Family Physician : Editorials

https://www.aafp.org/afp/2001/0615/p2335.html

Methadone Therapy for Opioid Dependence - American Family Physician

Jun 15, 2001 - The 1999 Federal regulations extend the treatment options of methadone-maintained opioid-dependent patients from specialized clinics to office-based opioid therapy (OBOT). OBOT allows primary care physicians to coordinate methadone therapy in this group with ongoing medical care. This ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0615/p2404.html

Mirtazapine: A Newer Antidepressant - American Family Physician

Jan 1, 1999 - Mirtazapine is a newer antidepressant that exhibits both noradrenergic and serotonergic activity. It is at least as effective as the older antidepressants for treating mild to severe depression. Sedation is the most common side effect. Although agranulocytosis is the most serious side ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0101/p159.html

Monitoring Therapy for Patients with Alzheimer's Disease - FPIN's Clinical Inquiries - ...

Jun 1, 2007 - Patients with Alzheimer's disease who undergo treatment of any kind should be monitored eight weeks after initiation of therapy and at least every six months thereafter.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2007/0601/p1703.html

Multimodal Treatment of Attention-Deficit/Hyperactivity Disorder in Children - ...

Apr 15, 2009 - Advertisement << Previous article Next article >> Apr 15, 2009 Issue Editorials Multimodal Treatment of Attention-Deficit/Hyperactivity Disorder in Children BARBARA T. FELT, MD; JULIE LUMENG, MD; and JENNIFER CHRISTNER, MD, University of Michigan Medical School, Ann Arbor, Michigan...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0415/p640.html

Music Therapy for Depression - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

Mar 1, 2020 - Moderate-quality evidence shows that music therapy added to standard care is more effective in the first three months than standard care alone for depressive symptoms based on clinician-rated outcomes and patient-reported outcomes.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0301/p273.html

No Increased Risk of ASD, ADHD, or SGA with First-Trimester Antidepressant Use - POEMs ...

Aug 15, 2017 - This study found that maternal antidepressant use during the first trimester of pregnancy is associated with an increased risk of preterm birth, but not SGA, ASD, or ADHD. Another study in the same issue also reported no increased risk of ASD with in utero exposure to selective ...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0815/p261.html

No Reduction in Delirium with the Use of Haloperidol or Ziprasidone in Critically Ill ...

Apr 1, 2019 - For patients with acute respiratory failure or shock who develop delirium in the intensive care unit (ICU), the use of haloperidol or ziprasidone (Geodon) does not reduce the duration of delirium. This trial was powered to detect at least a two-day difference in the duration of ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0401/p460.html

Nonpharmaceutical Treatment of Anxiety in Institutionalized Older Adults - FPIN's Help ...

Apr 1, 2016 - Cognitive behavior therapy (CBT) or relaxation training, alone or in combination, can be used to treat anxiety in older adults. Music therapy can also be used to reduce anxiety in older adults. Appropriate training of institutional caregivers is also helpful in reducing anxiety in older...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2016/0401/p592.html

Nonpharmacologic Approaches Are Better Than Medication to Control Aggression and ... Restricted content. Login required.

May 15, 2020 - Nonpharmacologic approaches to agitation or aggression in patients with dementia are more effective than medication (e.g., haloperidol). Outdoor activities, multidisciplinary care, and massage and touch therapy with or without music are all effective.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0515/p631a.html

Nonpharmacologic Management of Chronic Insomnia - American Family Physician

Dec 15, 2015 - Insomnia affects 10% to 30% of the population with a total cost of $92.5 to $107.5 billion annually. Short-term, chronic, and other types of insomnia are the three major categories according to the International Classification of Sleep Disorders, 3rd ed. The criteria for diagnosis are ...

American Family Physician : Article

https://www.aafp.org/afp/2015/1215/p1058.html

Obsessive-Compulsive Disorder - Clinical Evidence Handbook - American Family Physician

Dec 1, 2004 - What are the effects of initial treatments in adults? What are the best forms of maintenance treatment in adults? What are the effects of treatments in adults who have not responded to initial treatment with serotonin reuptake inhibitors?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2004/1201/p2183.html

Off-Label Applications for SSRIs - American Family Physician

Aug 1, 2003 - Selective serotonin reuptake inhibitors (SSRIs) are widely used because of their safety, tolerability, and demonstrated efficacy across a broad range of clinical conditions. Medical literature supports the use of SSRIs for the treatment of many conditions outside of the indications ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0801/p498.html

One-Third of Patients with Anxiety Disorder Will Relapse When Antidepressant Treatment ...

May 1, 2018 - Discontinuing the antidepressant treatment in patients with anxiety disorders will cause a relapse in almost one-third of them. One in six patients previously treated successfully will also relapse despite continued treatment.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0501/p605.html

Opioid Abuse and Pain Management - Editorials - American Family Physician

Oct 1, 2012 - Chronic nonmalignant pain affects a significant number of Americans. Concurrent with the increased need for pain management is a considerable increase in the use of prescription pain relievers for nonmedical purposes. Nonmedical use of prescription pain relievers is now the second most ...

American Family Physician : Editorials

https://www.aafp.org/afp/2012/1001/p600.html

Opioid Antagonists for the Treatment of Alcohol Dependence - Cochrane for Clinicians - ...

Nov 1, 2011 - Although it does not improve overall alcohol abstinence rates, the oral formulation of the opioid antagonist naltrexone (Revia) is moderately effective in decreasing the amount and frequency of alcohol consumption in patients with alcohol dependence.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/1101/p990.html

Opioid Dependence - Clinical Evidence Handbook - American Family Physician

Sep 15, 2012 - What are the effects of drug treatments for stabilization (maintenance), withdrawal, and relapse prevention in persons with opioid dependence?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2012/0915/p565.html

Opioid Use Disorder: Medical Treatment Options - American Family Physician

Oct 1, 2019 - Opioid use disorder is highly prevalent and can be fatal. At least 2.1 million Americans 12 years and older had opioid use disorder in 2016, and approximately 47,000 Americans died from opioid overdoses in 2017. Opioid use disorder is a chronic relapsing condition, the treatment of ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1001/p416.html

Oppositional Defiant Disorder - American Family Physician

Oct 1, 2008 - Oppositional defiant disorder is defined by the Diagnostic and Statistical Manual of Mental Disorders, 4th ed., as a recurrent pattern of developmentally inappropriate, negativistic, defiant, and disobedient behavior toward authority figures. This behavior often appears in the preschool...

American Family Physician : Article

https://www.aafp.org/afp/2008/1001/p861.html

Optimal Dosage of Tricyclic Antidepressants - Cochrane for Clinicians - American Family...

Oct 1, 2004 - Although the quality of the data limits the strength of the recommendation, current evidence shows that 75 to 100 mg per day of a tricyclic antidepressant is more effective than placebo. Higher dosages are not more effective and are associated with more dropouts because of side effects.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/1001/p1270.html

Outpatient Detoxification of the Addicted or Alcoholic Patient - American Family Physician

Sep 15, 1999 - Outpatient detoxification of patients with alcohol or other drug addiction is being increasingly undertaken. This type of management is appropriate for patients in stage I or stage II of withdrawal who have no significant comorbid conditions and have a support person willing to monitor ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1175.html

Outpatient Management of Alcohol Withdrawal Syndrome - American Family Physician

Nov 1, 2013 - Approximately 2% to 9% of patients seen in a family physician’s office have alcohol dependence. These patients are at risk of developing alcohol withdrawal syndrome if they abruptly abstain from alcohol use. Alcohol withdrawal syndrome begins six to 24 hours after the last intake of ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1101/p589.html

Palliative Care in Advanced Dementia - Curbside Consultation - American Family Physician

Apr 1, 2019 - What is the best way for family physicians to determine prognosis and applicability of palliative care for patients with dementia?

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/0401/p456.html

Panic Disorder: Effective Treatment Options - American Family Physician

May 15, 1998 - Panic disorder is a distressing and debilitating condition with a familial tendency; it may be associated with situational (agoraphobic) avoidance. The diagnosis of panic disorder requires recurrent, unexpected panic attacks and at least one of the following characteristics: persistent ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0515/p2405.html

Pet Therapy: Enhancing Patient Care Through Time with Animals - Curbside Consultation -...

Nov 1, 2016 - A 16-year-old girl and her parents presented to my office for her wellness evaluation. The patient has generalized anxiety disorder with comorbid major depression, for which she has been prescribed a serotonergic antidepressant. She is a high school student, lives with her parents, and ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2016/1101/p737.html

Pharmacologic Interventions for Apathy in Patients with Alzheimer Disease - Cochrane ...

Jan 1, 2019 - Methylphenidate may improve apathy in select patients with AD (mean difference [MD] = –4.99 on the apathy evaluation scale; 95% confidence interval [CI], –9.55 to –0.43), although the clinical significance associated with these findings remains unclear and the evidence is considered low...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0101/p14.html

Pharmacologic Management of Adult Depression - American Family Physician

Mar 15, 2008 - Major depression is a common and treatable disease. Many patients benefit from pharmacologic treatment and, because there is little variation in antidepressant effectiveness, medication choices should be made based on patient characteristics, safety, and anticipated side effects. Most ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0315/p785.html

Pharmacologic Treatment of Borderline Personality Disorder - FPIN's Help Desk Answers -...

Mar 1, 2019 - There is no pharmacotherapy regimen that improves the overall symptoms of borderline personality disorder. When used for six months or less, antipsychotics can improve paranoia, dissociation, mood lability, anger, and global functioning.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0301/od2.html

Pharmacotherapy for Adults with Alcohol Use Disorder - Implementing AHRQ Effective ...

Jul 15, 2016 - What are the potential benefits and adverse effects of medications used to treat alcohol use disorder (AUD) in adult outpatients?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2016/0715/p155.html

Post-traumatic Stress Disorder - Clinical Evidence Handbook - American Family Physician

Jan 1, 2006 - What are the effects of preventive intervention and treatment?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/0101/p120.html

Postnatal Depression - Clinical Evidence Handbook - American Family Physician

Oct 1, 2005 - What are the effects of drug and nondrug treatments?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2005/1001/p1294.html

Practical Management of Treatment-Resistant Depression - American Family Physician

Dec 1, 1998 - Patients receiving antidepressant monotherapy may be partially or totally resistant to treatment in 10 to 30 percent of cases. In patients who have experienced only partial treatment results, the clinician should first consider optimizing antidepressant dosage or lengthening therapy. ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1201/p2059.html

Practical Steps to Smoking Cessation for Recovering Alcoholics - American Family Physician

Apr 15, 1998 - Smoking rates among persons with a history of alcohol abuse are triple that of the general public. Strong evidence indicates that the risk of cancer and cardiovascular disease is higher in recovering alcoholics than in peers who smoke, but do not drink alcohol. Yet these persons often ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0415/p1869.html

Practice Guidelines - Aug 15, 2007 - American Family Physician

Aug 15, 2007 - New guidelines on the use of selective serotonin reuptake inhibitors (SSRIs) during pregnancy are available from the American College of Obstetricians and Gynecologists (ACOG).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0815/p587.html

Practice Guidelines - Aug 15, 2007 - American Family Physician

Aug 15, 2007 - The Centers for Disease Control and Prevention (CDC) has released a report on the racial differences in patients with end-stage renal disease (ESRD).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0815/p587a.html

Practice Guidelines - Jun 1, 2005 - American Family Physician

Jun 1, 2005 - Advertisement << Previous article Next article >> Jun 1, 2005 Issue Practice Guideline Briefs FDA Warns Against Off-Label Use of Antipsychotic Drugs AMBER HUNTZINGER Am Fam Physician. 2005 Jun 1;71(11):2205. The U.S. Food and Drug Administration (FDA) has released a warning to...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0601/p2205.html

Practice Guidelines - Jun 1, 2005 - American Family Physician

Jun 1, 2005 - Advertisement << Previous article Next article >> Jun 1, 2005 Issue Practice Guideline Briefs Other FDA Advisories: AMBER HUNTZINGER Am Fam Physician. 2005 Jun 1;71(11):2205-2206. Recall of urine processing kit. The U.S. Food and Drug Administration (FDA) has issued a Class I recall...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0601/p2205a.html

Practice Guidelines - Nov 15, 2004 - American Family Physician

Nov 15, 2004 - Advertisement << Previous article Next article >> Nov 15, 2004 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2004 Nov 15;70(10):2021. Strategy to Strengthen Safeguards for Children Treated with Antidepressants The U.S. Food and Drug Administration...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/1115/p2021a.html

Practice Guidelines - Nov 15, 2004 - American Family Physician

Nov 15, 2004 - Advertisement << Previous article Next article >> Nov 15, 2004 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2004 Nov 15;70(10):2021-2026. Updated CDC Influenza Vaccination Recommendations The Centers for Disease Control and Prevention (CDC) has...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/1115/p2021.html

Pregabalin for Fibromyalgia Pain in Adults - Cochrane for Clinicians - American Family ...

Sep 1, 2017 - There is high-quality evidence that pregabalin in daily dosages of 300 mg, 450 mg, and 600 mg reduces pain associated with fibromyalgia. The most effective dosage seems to be 450 mg daily; this dosage is more effective than placebo at reducing pain by at least 50% (number needed to ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0901/p291.html

Prescribing Opioids for Chronic Pain: Unintended Consequences of the 2016 CDC Guideline...

Apr 15, 2020 - Since the 2016 CDC guideline for the use of opioid pain relievers was released, there has been a significant reduction in opioid prescribing, and the guideline has been adopted by state Medicaid agencies, insurers, and others. Widespread implementation of the guideline has had ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0415/p458.html

Primary Care Treatment of Post-traumatic Stress Disorder - American Family Physician

Sep 1, 2000 - Post-traumatic stress disorder, a psychiatric disorder, arises following exposure to perceived life-threatening trauma. Its symptoms can mimic those of anxiety or depressive disorders, but with appropriate screening, the diagnosis is easily made. Current treatment strategies combine ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0901/p1035.html

Psychological and Pharmacologic Treatments for Adults with PTSD - Implementing AHRQ ...

May 1, 2019 - What are the benefits and harms of psychotherapies and pharmacologic agents for the treatment of adults with posttraumatic stress disorder (PTSD)?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2019/0501/p577.html

Psychological Interventions for Medically Unexplained Physical Symptoms - Cochrane for ...

Dec 1, 2015 - Psychological therapy, specifically cognitive behavior therapy (CBT), has been shown to reduce the severity of medically unexplained physical symptoms in patients with somatoform disorders. The effect is small to moderate in magnitude, but in these studies CBT was as acceptable as usual...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/1201/p975.html

Psychological Interventions for Noncardiac Chest Pain - Cochrane for Clinicians - ...

Nov 1, 2005 - Noncardiac chest pain can be caused by gastroesophageal reflux disease (GERD), panic disorder, or a number of other psychological conditions. Psychotherapy, particularly cognitive behavior therapy, has been shown to reduce the number of days with chest pain significantly over a ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/1101/p1701.html

Psychological Therapies for Chronic Posttraumatic Stress Disorder - Cochrane for ...

Oct 1, 2014 - Trauma-focused cognitive behavior therapy (CBT) and eye movement desensitization and reprocessing (EMDR) are more effective than other therapies in reducing PTSD symptom severity up to four months after treatment, but more robust studies are needed to evaluate the long-term effectiveness.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/1001/p454.html

Psychosocial Interventions Delivered by Primary Care Physicians to Patients with ...

Nov 1, 2006 - Few high-quality studies have been conducted examining the effectiveness of psychosocial interventions performed by primary care physicians for patients with major depression. Two randomized controlled clinical trials (RCTs) found that a psychosocial intervention, specifically ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2006/1101/p1580.html

Psychotherapy in Primary Care: The BATHE Technique - American Family Physician

May 1, 1998 - The family physician occupies a front-line position in the detection and treatment of emotional problems and psychiatric illnesses. The practice pattern of the family physician necessitates an efficient, effective model of psychotherapy The BATHE technique is a brief psychotherapeutic ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0501/p2131.html

Quality of Life in Older Persons with Dementia Living in Nursing Homes - FPIN's ...

Apr 1, 2008 - There is no gold standard to measure the QOL in older persons with dementia. For those requiring increased care, nursing homes may offer some benefit, including more frequent physician assessment and treatment of pain and depression, compared with assisted living/residential care ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/0401/p1011.html

Ramelteon (Rozerem) for Insomnia - STEPS - American Family Physician

Apr 15, 2006 - Ramelteon is safe and effective for decreasing the time to persistent sleep in patients with chronic insomnia. It does not have the potential for abuse or dependence that sedative hypnotics have and is not a controlled substance.

American Family Physician : STEPS

https://www.aafp.org/afp/2006/0415/p1437.html

Realistic Approaches to Counseling in the Office Setting - American Family Physician

Feb 15, 2009 - Although it is often unrecognized, family physicians provide a significant amount of mental health care in the United States. Time is one of the major obstacles to providing counseling in primary care. Counseling approaches developed specifically for ambulatory patients and traditional ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0215/p277.html

Risks Associated with Long-Term Benzodiazepine Use - Editorials - American Family ...

Aug 15, 2013 - Many patients underestimate the degree of impairment caused by benzodiazepines. Benzodiazepines increase the risk of addiction, withdrawal, cognitive decline, motor vehicle crashes, and hip fracture. The risk of overdose is particularly great when combined with sedative drugs such as ...

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0815/p224.html

Risperidone (Risperdal) for Management of Autistic Disorder - STEPS - American Family ...

Jun 15, 2009 - Risperidone does not alter the course of autistic disorder, but is effective for controlling irritability and other associated symptoms. Patients taking risperidone should be appropriately monitored for adverse effects, especially abnormal movements.

American Family Physician : STEPS

https://www.aafp.org/afp/2009/0615/p1104.html

Risperidone vs. Placebo for Schizophrenia - Cochrane for Clinicians - American Family ...

May 1, 2010 - 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.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0501/p1096.html

Rural Opioid Use Disorder Treatment Depends on Family Physicians - Graham Center Policy...

Oct 1, 2016 - The nation's growing opioid use disorder epidemic disproportionately impacts rural areas, where physicians who can prescribe buprenorphine are scarcest. Among physicians approved to prescribe buprenorphine, family physicians (FPs) are the most likely to work in rural areas.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2016/1001/p546.html

Schizophrenia (Maintenance Treatment) - Clinical Evidence Handbook - American Family ...

Aug 15, 2010 - 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?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/0815/p338.html

School Refusal in Children and Adolescents - American Family Physician

Oct 15, 2003 - School refusal is a problem that is stressful for children, families, and school personnel. Failing to attend school has significant short- and long-term effects on children's social, emotional, and educational development. School refusal often is associated with comorbid psychiatric ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1015/p1555.html

Second-Generation Antidepressants for Depression in Adults - Implementing AHRQ ...

Nov 15, 2013 - What are the comparative effectiveness and adverse effects of second-generation antidepressants for treating depression in adults?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2013/1115/p687.html

Selegiline Transdermal Patch (Emsam) for Major Depressive Disorder - STEPS - American ...

Feb 15, 2008 - Transdermal selegiline is an expensive treatment option for patients with major depressive disorder who have not responded to other antidepressants or who cannot swallow or take oral medications. Based on guidelines from the American Psychiatric Association, MAO inhibitor ...

American Family Physician : STEPS

https://www.aafp.org/afp/2008/0215/p505.html

Sertraline Reduces Risk of Depression in Adults After Traumatic Brain Injury - POEMs - ...

Feb 1, 2017 - This study found that sertraline is more effective than placebo (number needed to treat = 6) in preventing the onset of a major depressive disorder in adults following a TBI. This study included patients with mild, moderate, and severe TBI.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0201/p194.html

Short-Term Antipsychotics for Alzheimer Disease - FPIN's Help Desk Answers - American ...

Apr 1, 2018 - Physicians should consider not using antipsychotics in patients with dementia. Patients with dementia, including Alzheimer disease, who are treated with antipsychotics for any length of time have a higher mortality rate than those not taking antipsychotics.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0401/od2.html

Smoking Cessation with Text Messaging and App-Based Interventions - Cochrane for ... Restricted content. Login required.

Aug 1, 2020 - Automated text messaging interventions are more effective than minimal smoking cessation support (absolute risk reduction [ARR] = 3%; 95% CI, 1% to 5%).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0801/p148.html

Smoking Cessation: Integration of Behavioral and Drug Therapies - American Family ...

Mar 15, 2002 - Family physicians should take advantage of each contact with smokers to encourage and support smoking cessation. Once a patient is identified as a smoker, tools are available to assess readiness for change. Using motivational interviewing techniques, the physician can help the patient ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0315/p1107.html

Social Media Use and Mood Disorders: When Is It Time to Unplug? - Curbside Consultation...

Oct 15, 2017 - Americans spend more time on Facebook, the world's largest online social network, than any other website. On the surface, social media networks provide an invaluable resource for fulfilling the basic human need for social connection. However, rather than enhancing well-being by ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2017/1015/p537.html

Somatizing Patients: Part II. Practical Management - American Family Physician

Mar 1, 2000 - Somatization is the experiencing of physical symptoms in response to emotional distress. It is a common and costly disorder that is frustrating to patients and physicians. Successful treatment of somatization requires giving an acceptable explanation of the symptoms to the patient, ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0301/p1423.html

Some Drugs Slightly Improve Cognition in People with Dementia; Effects on Behavioral or... Restricted content. Login required.

Dec 1, 2020 - Some treatments can improve cognition on research scales, but daily function will not be affected in a noticeable way. Managing behavioral or psychological issues with medication is not supported by current evidence

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1201/p694.html

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