Diagnosis, Etiology, and Treatment of Premenstrual Dysphoric Disorder

2018 ◽  
Author(s):  
Edwin Raffi ◽  
Marlene P. Freeman
Keyword(s):  
Mental Health ◽  
Depressive Disorders ◽  
Premenstrual Dysphoric Disorder ◽  
Reproductive Age ◽  
Treatment Modalities ◽  
Mental Health Providers ◽  
Health Providers ◽  
Diagnostic And Statistical Manual ◽  
Exact Etiology ◽  
Premenstrual Exacerbation

Premenstrual dysphoric disorder (PMDD) was recognized as an official psychiatric diagnosis among depressive disorders in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The exact etiology of PMDD is not yet fully understood, and it is a topic of current research. The hope is that learning more about PMDD can lead to improved treatment modalities for this disorder and better understanding of other related disorders (such as premenstrual mood exacerbation and postpartum- or menopause-related mood disorders). Often misdiagnosed and likely underdiagnosed, PMDD has a 12-month prevalence that ranges from 1.8 to 5.8% for women who menstruate. Mental health providers who treat women of reproductive age should be familiar with the diagnostic criteria, related differential diagnosis, and available treatment modalities for PMDD. This review contains 5 figures, 5 tables and 59 references Key words: mood disorder, premenstrual dysphoric disorder, premenstrual exacerbation, premenstrual syndrome, reproductive mental health, reproductive psychiatry, women’s mental health

scholarly journals Why are programmes for offenders with personality disorder not informed by the relevant scientific findings?

2008 ◽  
Vol 363 (1503) ◽  
pp. 2599-2612 ◽  
Author(s):  
Conor Duggan
Keyword(s):  
Mental Health ◽  
Personality Disorder ◽  
Social Services ◽  
Primary Outcome ◽  
Scientific Basis ◽  
Forensic Mental Health ◽  
Mental Health Providers ◽  
Health Providers ◽  
Diagnostic And Statistical Manual ◽  
Correctional Settings

This paper examines the evidence to justify intervening in those with personality disorder, specifically antisocial personality disorder (ASPD) as defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV, American Psychiatric Association 1994). The evidence from randomized controlled trials in the mental health literature is reviewed and found to be deficient with only five trials satisfying Cochrane criteria, all of which had a reduction in substance misuse as their primary outcome, rather than a change in the personality disorder per se . Next, I consider the contribution of Thomas Kuhn to explain why it is difficult to develop a scientific basis in forensic mental health. I argue that, because forensic mental health is inclusive in its purpose (interacting with the law, social services and the penal system, all of which have different rules and agendas), it is difficult to develop a consensus on fundamentals, this consensus being a hallmark of a science. Finally, I argue that despite the absence of evidence from mental health, providers for ASPD are in a fortunate position in being able to draw upon the correctional literature. This is relevant, provided that we agree that a reduction in offending is the primary outcome. While mental health can learn much from correctional practice, it can also enhance the efficacy of the latter by, for instance, drawing attention to the specific vulnerabilities of the personality structure that might impede programme delivery in correctional settings. Means of achieving a conjunction of mental health and correctional practice are urgently required as this would be beneficial to both.

Introduction to the Unified Protocol

2017 ◽  
pp. 3-8
Author(s):  
David H. Barlow ◽  
Todd J. Farchione ◽  
Shannon Sauer-Zavala ◽  
Heather Murray Latin ◽  
Kristen K. Ellard ◽  
...  
Keyword(s):  
Mental Health ◽  
Eating Disorders ◽  
Emotional Disorders ◽  
Depressive Disorders ◽  
Mental Health Providers ◽  
Health Providers ◽  
Transdiagnostic Treatment ◽  
Unified Protocol

Chapter 1 of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide introduces the treatment program, which is applicable to all anxiety and unipolar depressive disorders, and potentially other disorders with strong emotional components (e.g., eating disorders, borderline personality disorder). This introductory chapter lays out the advantages of a unified, transdiagnostic approach as well as the efficacy of the Unified Protocol (UP). The chapter concludes with an explanation of the purpose of the therapist guide, which gives mental health providers guidance on administration of the UP.

Development of a Scale to Assess Mental Health Providers' Mindfulness in Session

2013 ◽  
Author(s):  
Jill Calderon ◽  
Paul E. Hagan ◽  
Jennifer A. Munch ◽  
Crystal Rofkahr ◽  
Sinead Unsworth ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Providers ◽  
Health Providers

Addressing COVID-19 Worry and Social Isolation in Home-Based Primary Care

2020 ◽  
Author(s):  
Rachel Elizabeth Weiskittle ◽  
Michelle Mlinac ◽  
LICSW Nicole Downing
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Primary Care ◽  
Social Workers ◽  
Social Isolation ◽  
Mental Health Providers ◽  
Health Providers ◽  
Home Based Primary Care ◽  
Home Based ◽  
Socially Isolated

Social distancing measures following the outbreak of COVID-19 have led to a rapid shift to virtual and telephone care. Social workers and mental health providers in VA home-based primary care (HBPC) teams face challenges providing psychosocial support to their homebound, medically complex, socially isolated patient population who are high risk for poor health outcomes related to COVID-19. We developed and disseminated an 8-week telephone or virtual group intervention for front-line HBPC social workers and mental health providers to use with socially isolated, medically complex older adults. The intervention draws on skills from evidence-based psychotherapies for older adults including Acceptance and Commitment Therapy, Cognitive-Behavioral Therapy, and Problem-Solving Therapy. The manual was disseminated to VA HBPC clinicians and geriatrics providers across the United States in March 2020 for expeditious implementation. Eighteen HBPC teams and three VA Primary Care teams reported immediate delivery of a local virtual or telephone group using the manual. In this paper we describe the manual’s development and clinical recommendations for its application across geriatric care settings. Future evaluation will identify ways to meet longer-term social isolation and evolving mental health needs for this patient population as the pandemic continues.

Blank Screens (Preprint)

2020 ◽  
Author(s):  
Adrienne Lapidos
Keyword(s):  
Mental Health ◽  
Clinical Psychologist ◽  
Mental Health Providers ◽  
Health Providers ◽  
Theoretical Orientations ◽  
Self Disclosure

UNSTRUCTURED With the advent of COVID-19, psychiatry video visits have become commonplace practically overnight. Patients and mental health providers are now presented with new opportunities and risks with respect to self-disclosure. In this Viewpoint, a clinical psychologist grapples with the new self-disclosure landscape as she and a patient both connect to therapy from their homes. The piece explores how various theoretical orientations in psychotherapy have addressed self-disclosure historically, and how video visit technologies have changed the boundaries of what can be shared.

scholarly journals Burnout and depression among psychiatry residents during COVID-19 pandemic

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Abdulmajeed A. Alkhamees ◽  
Hatem Assiri ◽  
Hatim Yousef Alharbi ◽  
Abdullah Nasser ◽  
Mohammad A. Alkhamees
Keyword(s):  
Mental Health ◽  
Saudi Arabia ◽  
Depressive Symptoms ◽  
Mental Health Treatment ◽  
Maslach Burnout Inventory ◽  
Depression Symptoms ◽  
Psychiatry Residents ◽  
Mental Health Providers ◽  
Health Providers ◽  
Frontline Workers

AbstractVery few studies have been concerned with assessing the prevalence of burnout and depressive symptoms, especially during an infectious outbreak on non-frontline health care workers, such as a psychiatrist. In such instances, the role of psychiatrists and other mental health providers as a source of psychological support to the public and frontline workers is indispensable and valuable. This study aims to assess the prevalence of burnout and depressive symptoms, and their correlation, during the COVID-19 pandemic among psychiatry residents in Saudi Arabia. A total of 121 out of 150 psychiatry residents in Saudi Arabia completed the Maslach Burnout Inventory and Patient’s Health Questionnaire for the assessment of burnout and depressive symptoms. Burnout symptoms were found in 27.3%, and another 27.3% reported having depression symptoms. In addition, 16.5% reported having both burnout and depressive symptoms, with a significant relationship between them. Participants in the first 2 years of training and having a history of receiving mental health treatment in the past 2 years were at higher risk. The need is urgent to increase investment in mental health services and to construct a plan to reduce this risk of burnout and depression among psychiatrists by developing preventative strategies to prevent burnout and promote wellness is more important than ever.

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