The primary medications used to treat Attention Deficit Hyperactivity Disorder (ADHD) are stimulant medications. These medications can be very helpful for children who struggle with hyperactivity, impulsivity, and inattention so that they can be more successful in the home and school environments. Often these medications can lead to problematic side effects such as decreased appetite, […]
Author Archive: Shirley Fett
Depression in Older Patients – Part 2: Treatment 8/8/19
Last week’s eWeekly discussed the assessment of depression in older patients, and the intricate interplay between depression and cognitive impairment in older patients. This eWeekly addresses treatment of depression in older patients and how it might differ from treatment in younger adults. First it is important to identify and address any medical contributions to a […]
Depression in Older Patients – Part 1: Assessment 8/1/2019
Depression is not an inevitable part of growing older, but there are factors that come with aging that can increase the risk of developing depression, even for a person who does not have a history of depression. These include retiring and losing one’s professional identity, increased medical problems, losing loved ones, and increased isolation. It […]
What is Harm Reduction? 7/25/2019
Harm Reduction is a pragmatic and strategic approach to reduce the harmful effects of substance use that has emerged in recent years that recognizes that people with substance use disorders present for care at different stages in their road to recovery and that successful intervention in substance abuse treatment can be applied even with people […]
Important Psychiatry Crisis and Emergency Resources 7/18/2019
Last week’s e-weekly reviewed what situations might warrant the use of a safety plan and what is included in one. Safety plans typically include resources, both local and possibly hotlines or websites. The goal for this e-weekly is to provide information on some useful resources that could be utilized in a person’s specific safety plan. […]
Developing and Implementing a Safety Plan 7/11/2019
Often when a patient is in crisis, we talk about putting a “safety plan” in place. It may not be clear to all providers what a safety plan is or why it might be helpful. The goal of this e-weekly is to discuss what a safety plan is, how to develop and implement one, and […]
School Safety 6/27/2019
The United States has 57% more school threats than all other industrialized nations combined. Most experts agree that this is at least partially related to the relatively easier access to guns in the United States compared to other developed countries, but this e-weekly is not about the gun debate. It is a review of the […]
Vitamin D Deficiency and Depression 6/20/19
Recent literature has found a link between vitamin D deficiency and psychiatric illnesses, particularly depression. Several studies have shown that vitamin D supplementation can benefit depression symptoms. The goal of this e-Weekly is to review the literature and provide practical information for providers on using vitamin D supplementation as part of a depression treatment plan. […]
Improving Detection of Postpartum Depression 6/13/2019
Postpartum depression (PPD) is fairly common, with a prevalence of 10-15%. PPD can occur anytime in the first year after delivery. The postpartum year is one of the highest risk periods for first-onset depression for women with approximately 50% of women who will have a depressive disorder in their lifetime experiencing their first episode of […]
Using Antidepressants in Bipolar Disorder 5/30/2019
The mainstay of medication treatment for patients diagnosed with bipolar disorder is a mood stabilizer. These medications ideally can help manage the manic/hypomanic symptoms as well as the depressive symptoms that can occur in bipolar disorder. Patients with bipolar disorder, either Bipolar I or Bipolar II, typically spend more time in depression than in mania. […]