Excerpt from the pages of Psychiatric Times: July 2022

Experts weighed in on a wide variety of psychiatric issues for the July 2022 issue of Psychiatric Times.

In the July issue of Psychiatric timeMT, we’ve worked with experts from several psychiatric fields to bring you thoughtful articles on a wide variety of psychiatric issues, from the new suicide hotline 988 to the role of antipsychotic drug selection in reducing non -adherence in schizophrenia. Here are some highlights from the question.

New Suicide Hotline 988: Hope or Hype?

The National Suicide Prevention Lifeline gets a makeover. On July 16, 2022, the Lifeline will change from its old number (800-273-8255) to just 3 digits: 988. Although the old number remains available for calls, individuals can call, text or chat at 988 , where they will be put in touch with qualified advisors.

Additionally, if operating as intended, operators will be able to advise callers around the clock and dispatch specially trained responders, which will hopefully reduce armed law enforcement calls and visits to law enforcement agencies. emergency (ED). Continue reading

Time to Think About Women: Mental Health Services for First Episode Psychosis

As the World Health Organization reminds us, gender is a key determinant of health, including mental health. Psychosis affects 3 in 100 people worldwide and usually develops around the age of 21. It includes diagnoses such as those on the spectrum of schizophrenia and affective disorders. Early intervention services promise to change the trajectory of psychosis by providing specialized and coordinated care to people experiencing their first episode of psychosis (FEP). Evidence shows that VET services can improve short- and long-term outcomes for the individual (eg, employment) and for their community (eg, reduction in disruptive public behavior, lawsuits). What remains unknown, and perhaps overlooked, is that women with PEP might experience gender-based disparities in accessing and receiving specialist care. Continue reading

Antipsychotic selection is important to reduce nonadherence in schizophrenia

“Mr Spear” is a 43-year-old white male with a 20-year history of schizophrenia who presents for a first outpatient appointment with a chief complaint of insomnia. After further questioning, he explains that he is afraid to sleep due to paranoia because there are individuals outside his house at night who want to kill him. He will not take any medication that makes him drowsy. His mental state is otherwise unremarkable. He denies any suicidal or murderous thoughts and does not seem to pay attention to internal stimuli. He reports several previous psychiatric hospitalizations, but none in the past 3 years. He works full-time in construction and denies any work-related issues. After a discussion of the risks and benefits, he agrees to a trial of daily low-dose aripiprazole (in the morning) and to return to the clinic in 4 weeks. However, Mr. Spear does not show up for his follow-up appointment, he does not return a phone call to reschedule, and he never returns to the clinic. Continue reading

Caregiving: walking the personal and professional tightrope

August 16, 2019, in New Haven, Connecticut was a beautiful summer evening. A delicious dinner at the Study at Yale hotel, where we were staying for the night, concluded an action-packed day. These included a presentation and conversations on evidence-based addiction treatment modalities. The day couldn’t have been better. I remember thinking it was addiction treatment done right. A colleague invited a group of us to the Arethusa Farm Dairy store for their famous “designer” ice cream. I asked for a minute to go to my room and put on comfortable shoes for the 5 minute walk. I never came back. Instead, I called my co-worker to tell him and everyone else to move on – I had an urgent matter to deal with. I had at least 10 missed calls and several texts from 2 neighbors. Continue reading

See the full July issue of Psychiatric timeMT here. And be sure to stay up to date by subscribing to the Psychiatric timeMT Electronic newsletter.

Do you have a comment on any of these articles or others? You have a good idea for an article and want to write? Interested in sharing your views? Email us at [email protected]

Calvin W. Soper