Kenneth R. Silk, MD University of Michigan Health System Ann Arbor, MI
|
|
|
- Jonathan Phelps
- 7 years ago
- Views:
Transcription
1 Kenneth R. Silk, MD University of Michigan Health System Ann Arbor, MI
2 BPD PSYCHOPHARM: IMMEDIATE ISSUES No medications carry a specific indication for use in treatment of personality disorders Thus off label (though that is not uncommon) Medications for BPD are less effective for symptom or symptom complex than when used in other disorders BPD patients seem exquisitely sensitive to side effects Thus the cost- benefit ratio is different BPD.Psychopharm.Res.APA 2
3 TRANSFERENCE- COUNTERTRANSFERENCE REACTIONS Being a psychopharmacologist does not protect one against transference/ countertransference reactions Patient wonders why the psychopharmacologist should be different from all the others who have denied and withheld from them and frustrated them No psychopharmacological treatment is ever purely psychopharmacological BPD.Psychopharm.Res.APA 3
4 HOW TO PROCEED - I Is it time to try medication? Why? Why now? What symptom or symptom complex are you trying to target? Would the target respond in pure axis I? Though too often these patients do NOT respond in the manner that a pure axis I patient would respond. How would you track improvement? No response for emptiness, loneliness, abandonment fears BPD.Psychopharm.Res.APA 4
5 HOW TO PROCEED - II Do not get distracted by crises and other things re following the progress of the target symptom. If you are the psychopharmacologist and another is the therapist, make sure there is collaboration and understanding Remember that medications at best are adjunctive Might be more useful to think in terms of dimensions (next slide) than symptoms or symptom complexes BPD.Psychopharm.Res.APA 5
6 TRAITS TO CONSIDER IN PERSONALITY DISORDERS Affective Instability: abandonment, affective instability, capacity for pleasure, depression, emptiness, euphoria/ mania, identify disturbance, interpersonal sensitivity, irritability, rejection sensitivity, suicidality Cognitive perceptual: paranoid ideation, perceptual distortion, psychoticism- schizotypy Impulsivity/Aggression: aggression, anger, hostility, impulsiveness Anxiety inhibition: general anxiety, obsessive- compulsive score, phobic anxiety, somatization Adapted from: Siever & Davis (1991). "A psychobiological perspective on the personality disorders." Am J Psychiatry 148(12): BPD.Psychopharm.Res.APA 6
7 TRAITS OR SYMPTOMS: WHICH MEDICATIONS TO USE? Afft/Instb Agg/Imp ^ CogPer Anx/In Glob Binks (Coch) (AD) (AD) AP NA (AP) Lieb (Coch) MS (AP) MS (AP) AP NA Nosѐ AD/MS AP NA NA (AP) WFSBP AD AP/MS AP AD Duggan NA MS AP NA Toronto AP/MS MS Ingenhoven MS MS/AP AP MS MS SUMMARY MS (AD*) MS/AP AP (AD) AP * If concurrently depressed ^including anger BPD.Psychopharm.Res.APA 7
8 HOW TO PROCEED- III Need to emphasize the limitations of the medications prior to prescribing them, in fact need to discuss how you prescribe One at a time. Prefer to stop and switch rather than augment Long enough trial to have an appreciation of drug s effectiveness Try to avoid making major psychopharm decisions during crisis Careful with benzos (very short term but can disinhibit) Move slowly (usually). It took them a long time to arrive at where they are and it will not be solved overnight Be patient. Do not allow the patient s impatience to make you impatient BPD.Psychopharm.Res.APA 8
9 DON T BE FOOLED BY CHEMICAL IMBALANCE CLAIMS Patients claim they have it Patients want a quick fix Popular literature Advertisements (direct to public in USA) The drugs can cure everything culture They may have been treated previously by an overenthusiastic psychopharmacologist All of what we feel and do are mediated by chemicals. But chemicals (alone) have not been or been only minimally helpful BPD.Psychopharm.Res.APA 9
10 GETTING ON AND OFF MEDICATIONS Not easy to get on Highly sensitive to side effects Highly sensitive to weight gain Not easy to get off They can get attached to the medication as rapidly as they do to people They can use the medications as transitional objects BPD.Psychopharm.Res.APA 10
11 IT IS EASY TO ARRIVE AT Especially with BPD POLYPHARMACY Criterion 4 Impulsivity and anger à SSRI Criterion 6 Affective instability à Mood stabilizer Criterion 7 Emptiness as depression Augment Criterion 9 Paranoid under stress Antipsychotic And something to sleep BPD.Psychopharm.Res.APA 11
12 IT IS EASY TO ARRIVE AT POLYPHARMACY Patients are on all these medications and then they have a crisis or they still feel badly. They want more meds They want new meds They want different meds They want you to fix it What we can guarantee is weight gain and drug- drug interactions! BPD.Psychopharm.Res.APA 12
13 HOW TO PROCEED - IV Use medications one at a time Do not add a second until you think there is a response to the first Be careful about augmenting when there is such a tendency to use multiple medications Do not make medication changes during crises. Choose the safest medication in a group if you have a choice BPD.Psychopharm.Res.APA 13
14 DO MEDICATIONS WORK HERE? They are non- specific in their response There is a high placebo response rate in clinical trials Some times we can t appreciate that the medications are working until we experience the patient in the absence of the medication No long- term studies No continuation studies BPD.Psychopharm.Res.APA 14
HOW TO THINK ABOUT MEDICATIONS IN THE TREATMENT OF BPD
HOW TO THINK ABOUT MEDICATIONS IN THE TREATMENT OF BPD Kenneth R Silk, MD Professor Emeritus of Psychiatry University of Michigan Health System Ann Arbor, MI 48109-2700 ksilk@umich.edu DISCLOSURES l I
How to Recognize Depression and Its Related Mood and Emotional Disorders
How to Recognize Depression and Its Related Mood and Emotional Disorders Dr. David H. Brendel Depression s Devastating Toll on the Individual Reduces or eliminates pleasure and jo Compromises and destroys
Informed Consent for Research in Borderline Personality Disorder
Informed Consent for Research in Borderline Personality Disorder Rachel E. Dew MD Post-doctoral Fellow, Center for Spirituality, Theology, and Health, Duke University Medical Center, Durham, NC Adjunct
Does Non-Suicidal Self-injury Mean Developing Borderline Personality Disorder? Dr Paul Wilkinson University of Cambridge
Does Non-Suicidal Self-injury Mean Developing Borderline Personality Disorder? Dr Paul Wilkinson University of Cambridge If I see a patient who cuts themself, I just assume they have borderline personality
What is a personality disorder?
What is a personality disorder? What is a personality disorder? Everyone has personality traits that characterise them. These are the usual ways that a person thinks and behaves, which make each of us
Study Guide - Borderline Personality Disorder (DSM-IV-TR) 1
Study Guide - Borderline Personality Disorder (DSM-IV-TR) 1 Pervasive pattern of instability of interpersonal relationships, selfimage, and affects, and marked impulsivity that begins by early adulthood
Affective Instability in Borderline Personality Disorder. Brad Reich, MD McLean Hospital
Affective Instability in Borderline Personality Disorder Brad Reich, MD McLean Hospital Characteristics of Affective Instability Rapidly shifting between different emotional states, usually involving a
Borderline Personality Disorder and Treatment Options
Borderline Personality Disorder and Treatment Options MELISSA BUDZINSKI, LCSW VICE PRESIDENT, CLINICAL SERVICES 2014 Horizon Mental Health Management, LLC. All rights reserved. Objectives Define Borderline
Unraveling (some of) The Mystery of Borderline Personality Disorder Have we been barking up the wrong tree?
Unraveling (some of) The Mystery of Borderline Personality Disorder Have we been barking up the wrong tree? Barbara Stanley, Ph.D. Director, Suicide Intervention Center New York State Psychiatric Institute
Personality Disorders
Personality s The Good, the Bad and the Really, Really Ugly: Borderline and other Cluster B Personality s BY CHRIS OKIISHI, MD! Long standing! Often life long! Developmental origins! Genetic origins! Resistant
Lisa Davies Consultant Forensic Psychologist Malta, October 2012
Lisa Davies Consultant Forensic Psychologist Malta, October 2012 What is Borderline Personality Disorder How to treat BPD effectively Pink Elephants Principles of Dialectical Behaviour Therapy BPD is:
Putting the smiles back. When Something s Wr ng o. Ideas for Families
Putting the smiles back When Something s Wr ng o Ideas for Families Borderline Personality Disorder (BPD) Disorder is characterized by an overall pattern of instability in interpersonal relationships and
Client: Date: Bern Inventory of Treatment Goals (US - 1.0) Goals Checklist
Client: Date: Therapist: Bern Inventory of Treatment Goals (US - 1.0) Goals Checklist Setting goals is an important part of psychotherapy. That s why we d like to learn about your personal goals for therapy.
Recognizing and Treating Depression in Children and Adolescents.
Recognizing and Treating Depression in Children and Adolescents. KAREN KANDO, MD Division of Child and Adolescent Psychiatry Center for Neuroscience and Behavioral Medicine Phoenix Children s Hospital
Borderline Personality Disorder
Borderline Personality Disorder What Is It, and How to Work More Effectively With People Who Have It State Public Defenders Conference September 2005 Ronald J Diamond M.D. Department of Psychiatry University
Dialectical Behaviour Therapy (DBT) for Borderline Personality Disorder
Dialectical Behaviour Therapy (DBT) for Borderline Personality Disorder Dr. Kathy Fitch, Psychiatrist Janice Wingrave,, RPN, Clinical Supervisor Janice Wingrave,, RPN Clinical supervisor to comprehensive
Ways to support the person with bipolar disorder
Ways to support the person with bipolar disorder People differ in what help they need and want from caregivers. Caregivers differ in how involved they are in providing support. Finding ways to provide
Associates for Life Enhancement, Inc. 505 New Road ~ PO Box 83 ~ Northfield, NJ 08225 Phone (609) 569-1144 ~ Fax (609) 569-1510 ~ 1-800-356-2909
Parents Names (If Client is a Minor) Client Information Sheet Client s Last Name First M.I.. Social Security No. Date of Birth: Age Sex M / F Home Phone No.( ) Education Level: Marital Status: Home Address:
DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource
E-Resource March, 2015 DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource Depression affects approximately 20% of the general population
Diagnosis and Assessment of Personality Disorders
Diagnosis and Assessment of Personality Disorders Michael B. First, M.D. Editor, DSM-IV Text and Criteria Department of Psychiatry, Columbia University What is a Personality Disorder? an enduring pattern
Personality disorder. Caring for a person who has a. Case study. What is a personality disorder?
Caring for a person who has a Personality disorder Case study Kiara is a 23 year old woman who has been brought to the emergency department by her sister after taking an overdose of her antidepressant
Bipolar Disorder. Mania is the word that describes the activated phase of bipolar disorder. The symptoms of mania may include:
Bipolar Disorder What is bipolar disorder? Bipolar disorder, or manic depression, is a medical illness that causes extreme shifts in mood, energy, and functioning. These changes may be subtle or dramatic
`çããçå=jéåí~ä= aáëçêçéêëw=^åñáéíó=~åç= aééêéëëáçå. aêk=`=f=lâçåü~ jéçáå~ä=aáêéåíçê lñäé~ë=kep=cçìåç~íáçå=qêìëí=
`çããçå=jéåí~ä= aáëçêçéêëw=^åñáéíó=~åç= aééêéëëáçå aêk=`=f=lâçåü~ jéçáå~ä=aáêéåíçê lñäé~ë=kep=cçìåç~íáçå=qêìëí= Overview: Common Mental What are they? Disorders Why are they important? How do they affect
Mental Health Needs Assessment Personality Disorder Prevalence and models of care
Mental Health Needs Assessment Personality Disorder Prevalence and models of care Introduction and definitions Personality disorders are a complex group of conditions identified through how an individual
ADHD AND ANXIETY AND DEPRESSION AN OVERVIEW
ADHD AND ANXIETY AND DEPRESSION AN OVERVIEW A/Professor Alasdair Vance Head, Academic Child Psychiatry Department of Paediatrics University of Melbourne Telephone: 9345 4666 Facsimile: 9345 6002 Email:
THE ABSENT MOTHER. The Psychological and Emotional Consequences of Childhood Abandonment and Neglect. Dr. Judith Arndell Clinical Psychologist
THE ABSENT MOTHER. The Psychological and Emotional Consequences of Childhood Abandonment and Neglect Dr. Judith Arndell Clinical Psychologist The Psychological Parent The object of the child s deepest
Update on guidelines on biological treatment of depressive disorder. Dr. Henry CHEUNG Psychiatrist in private practice
Update on guidelines on biological treatment of depressive disorder Dr. Henry CHEUNG Psychiatrist in private practice 2013 update International Task Force of World Federation of Societies of Biological
Case Formulation in Cognitive-Behavioral Therapy. What is Case Formulation? Rationale 12/2/2009
Case Formulation in Cognitive-Behavioral Therapy What is Case Formulation? A set of hypotheses regarding what variables serve as causes, triggers, or maintaining factors for a person s problems Description
Contents of This Packet
Contents of This Packet 1) Overview letter 2) Dialectical Behavior Therapy (DBT) Clinic flyer 3) Diagnostic criteria for borderline personality disorder 4) Guidelines and agreements for participating in
TREATING BORDERLINE PERSONALITY DISORDER
TREATING BORDERLINE PERSONALITY DISORDER A Quick Reference Guide Based on Practice Guideline for the Treatment of Patients With Borderline Personality Disorder, originally published in October 2001. 1
Personality Difficulties
Personality Difficulties The essential features of a personality disorder are impairments in personality (self and interpersonal) functioning and the presence of pathological personality traits. There
Duval, Larry. Discharge Summary
The Best Clinic 12707 High Bluff Dr, Suite 200 Arlington, TX 22202 Phone: 777-111-2222 Fax: 777-234-2455 2:32:44 PM DATE ADMITTED: 4/20/2009 DATE DISCHARGED: This discharge summary consists of 1. The Initial
Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1
What is bipolar disorder? There are two main types of bipolar illness: bipolar I and bipolar II. In bipolar I, the symptoms include at least one lifetime episode of mania a period of unusually elevated
The Many Emotions of Grief
The Many Emotions of Grief While it is important to understand grief and know how it can affect us, we must also acknowledge that: The focus of grief is not on our ability to understand, but on our ability
Brief Review of Common Mental Illnesses and Treatment
Brief Review of Common Mental Illnesses and Treatment Presentations to the Joint Subcommittee to Study Mental Health Services in the 21st Century September 9, 2014 Jack Barber, M.D. Medical Director Virginia
Unit 4: Personality, Psychological Disorders, and Treatment
Unit 4: Personality, Psychological Disorders, and Treatment Learning Objective 1 (pp. 131-132): Personality, The Trait Approach 1. How do psychologists generally view personality? 2. What is the focus
Facts About Men's Mental Health - The Hidden Happiness of Gender Differences
Men s hidden depressions, Ph.D. Head of Department Copenhagen University Hospital, Rigshospitalet Denmark Gender differences in mental health statistics There are significant gender differences in mental
TELEMEDICINE SERVICES Brant Haldimand Norfolk INITIAL MENTAL HEALTH ASSESSMENT NAME: I.D. # D.O.B. REASON FOR REFERRAL:
TELEMEDICINE SERVICES Brant Haldimand Norfolk TMS INITIAL MENTAL HEALTH ASSESSMENT NAME: I.D. # D.O.B. (OPTINAL) ADDRESS: CITY: P.C. HOME PHONE: ALTERNATE PHONE: G.P: MARITAL STATUS: AGE: ASSSESSMENT DATE:
Borderline Personality Disorder NEA-BPD Meet and Greet New York, NY October 21, 2011
Borderline Personality Disorder NEA-BPD Meet and Greet New York, NY October 21, 2011 John M. Oldham, M.D. Senior Vice President and Chief of Staff The Menninger Clinic; Professor and Executive Vice Chair
Borderline Personality Disorder
Borderline Personality Disorder Borderline Personality Disorder Formerly called latent schizophrenia Added to DSM III (1980) as BPD most commonly diagnosed in females (75%) 70-75% have a history of at
COUNTY OF LOS ANGELES - DEPARTMENT OF MENTAL HEALTH OFFICE OF THE MEDICAL DIRECTOR. 3.4 PARAMETERS FOR THE USE OF ANXIOLYTIC MEDICATIONS October 2014
COUNTY OF LOS ANGELES - DEPARTMENT OF MENTAL HEALTH OFFICE OF THE MEDICAL DIRECTOR 3.4 PARAMETERS FOR THE USE OF ANXIOLYTIC MEDICATIONS October 2014 I. GENERAL CONSIDERATIONS A. Definition: Anxiolytic
Psychiatrists should be aware of the signs of Asperger s Syndrome as they appear in adolescents and adults if diagnostic errors are to be avoided.
INFORMATION SHEET Age Group: Sheet Title: Adults Depression or Mental Health Problems People with Asperger s Syndrome are particularly vulnerable to mental health problems such as anxiety and depression,
DSM-V: DISRUPTIVE BEHAVIORS, PERSONALITY DISORDERS AND V-CODES
DSM-V: DISRUPTIVE BEHAVIORS, PERSONALITY DISORDERS AND V-CODES STEPHEN SOLTYS, MD PROFESSOR AND CHAIRMAN DEPARTMENT OF PSYCHIATRY SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE DISCLOSURES No conflicts
SUBSTANCE ABUSE & DEPRESSION: WHAT YOU SHOULD KNOW
SUBSTANCE ABUSE & DEPRESSION: WHAT YOU SHOULD KNOW TABLE OF CONTENTS What is Depression? 4 Symptoms of Depression 6 Substance Abuse as a Coping Mechanism 8 Which Occurs First? 10 Substance Abuse and the
Aggression and Borderline Personality Disorder. Michele Galietta, Ph.D. January 15, 2012 NEA.BPD Call-In Series
Aggression and Borderline Personality Disorder Michele Galietta, Ph.D. January 15, 2012 NEA.BPD Call-In Series Goals for this Presentation Define Aggression Distinguish Anger from Aggression Discuss Evidence-Based
Psychopharmacotherapy for Children and Adolescents
TREATMENT GUIDELINES Psychopharmacotherapy for Children and Adolescents Guideline 7 Psychopharmacotherapy for Children and Adolescents Description There are few controlled trials to guide practitioners
FACT SHEET 4. Bipolar Disorder. What Is Bipolar Disorder?
FACT SHEET 4 What Is? Bipolar disorder, also known as manic depression, affects about 1 percent of the general population. Bipolar disorder is a psychiatric disorder that causes extreme mood swings that
REFERRAL INFORMATION CHILD, YOUTH AND FAMILY PROGRAM
Please Note the following information: WE DO NOT OFFER EMERGENCY OR CRISIS SERVICE Please print clearly and ensure contact information is correct. Complete all forms. We will contact the family to set
Registered Charity No. 5365
THE MULTIPLE SCLEROSIS SOCIETY OF IRELAND Dartmouth House, Grand Parade, Dublin 6. Telephone: (01) 269 4599. Fax: (01) 269 3746 MS Helpline: 1850 233 233 E-mail: mscontact@ms-society.ie www.ms-society.ie
Personality Disorders
Personality Disorders Chapter 11 Personality Disorders: An Overview The Nature of Personality and Personality Disorders Enduring and relatively stable predispositions (i.e., ways of relating and thinking)
Self Assessment: Substance Abuse
Self Assessment: Substance Abuse Please respond TRUE (T) or FALSE (F) to the following items as they apply to you. Part 1 I use or have used alcohol or drugs for recreational purposes. I use alcohol despite
Feeling Moody? Major Depressive. Disorder. Is it just a bad mood or is it a disorder? Mood Disorders. www.seclairer.com S Eclairer 724-468-3999
Feeling Moody? Is it just a bad mood or is it a disorder? Major Depressive Disorder Prevalence: 7%; 18-29 years old; Female>Male DDx: Manic episodes with irritable mood or mixed episodes, mood disorder
HEALTH 4 DEPRESSION, OTHER EMOTIONS, AND HEALTH
HEALTH 4 DEPRESSION, OTHER EMOTIONS, AND HEALTH GOALS FOR LEADERS To talk about the connection between certain emotions (anger, anxiety, fear, and sadness and health) To talk about ways to manage feelings
Treating Co-Occurring Mental Health and Substance Abuse Issues
Treating Co-Occurring Mental Health and Substance Abuse Issues September 20, 2012 Nick Turner, LCSW, CADC 1 Objectives My hope is that you walk away with increased knowledge and perspective on current
Revised 7/05. Copyright 2005 St. Jude Children's Research Hospital www.stjude.org Page 1 of 6
Antidepressants are drugs used, most often, to treat depression. Depression is a complex illness that involves sad and hopeless feelings that do not go away. Doctors sometimes order these drugs for other
BIPOLAR DISORDER IN PRIMARY CARE
E-Resource January, 2014 BIPOLAR DISORDER IN PRIMARY CARE Mood Disorder Questionnaire Common Comorbidities Evaluation of Patients with BPD Management of BPD in Primary Care Patient resource Patients with
Borderline personality disorder
Understanding NICE guidance Information for people who use NHS services Borderline personality disorder NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases
Sue/Sue/Sue Understanding Abnormal Behavior, 9 th edition 2010 Cengage Learning CHAPTER EIGHT. Personality Disorders
Sue/Sue/Sue Understanding Abnormal Behavior, 9 th edition 2010 Cengage Learning CHAPTER EIGHT Personality Disorders PERSONALITY DISORDERS Personality Disorder: Sue/Sue/Sue Understanding Abnormal Behavior,
DC BOOKS. Antidepressants And Their Side Effects
Research has shown that up to ten percent of depressed people also abuse alcohol. Many people abuse alcohol when depressed because it makes the sad feelings go away. However this is only a temporary fix.
Depression ENGELSK. Depresjon
Depression ENGELSK Depresjon Depression What is depression? Everyone will feel sadness, loneliness, or grief at one time or another, for example at the death of a loved one. This is a natural part of life,
Borderline Personality Disorder
Borderline Personality Disorder Sources: www.palace.net, National Institute of Mental Health (NIMH) Borderline Personality Disorder (BPD) is one of the most controversial diagnoses in psychology today.
Depression & Multiple Sclerosis
Depression & Multiple Sclerosis Managing specific issues Aaron, diagnosed in 1995. The words depressed and depression are used so casually in everyday conversation that their meaning has become murky.
Borderline Personality Disorder
Borderline Personality Disorder What is Borderline Personality Disorder? Borderline Personality Disorder (BPD) is a most misunderstood, serious mental illness characterized by pervasive instability in
Bipolar Disorder UHN. Information for patients and families. Read this booklet to learn:
Bipolar Disorder UHN Information for patients and families Read this booklet to learn: what bipolar disorder is what causes it the signs or symptoms of bipolar disorder what treatments can help Please
Comorbid Conditions in Autism Spectrum Illness. David Ermer MD June 13, 2014
Comorbid Conditions in Autism Spectrum Illness David Ermer MD June 13, 2014 Overview Diagnosing comorbidities in autism spectrum illnesses Treatment issues specific to autism spectrum illnesses Treatment
Obsessive Compulsive Disorder (OCD)
Obsessive Compulsive Disorder (OCD) Introduction Obsessive compulsive disorder, or OCD, is a type of anxiety disorder. OCD causes repeated upsetting thoughts called obsessions. To try and get rid of these
Treatment Interventions for Suicide Prevention. Kate Comtois, PhD, MPH University of Washington
Treatment Interventions for Suicide Prevention Kate Comtois, PhD, MPH University of Washington Suicide prevention has many forms Treating Depression Gatekeeper Training Public health or injury prevention
Borderline Personality. Disorder. N.P. Costigan, MD. Alberta Health Services. Community Addiction & Mental Health. Central Zone. Clinical Professor
Borderline Personality 1 N.P. Costigan, MD Alberta Health Services Community Addiction & Mental Health Central Zone Disorder Clinical Professor University of Alberta 2 Introductory Comments The terms borderline
Schizoaffective Disorder
FACT SHEET 10 What Is? Schizoaffective disorder is a psychiatric disorder that affects about 0.5 percent of the population (one person in every two hundred). Similar to schizophrenia, this disorder is
Learners with Emotional or Behavioral Disorders
Learners with Emotional or Behavioral Disorders S H A N A M. H A T Z O P O U L O S G E O R G E W A S H I N G T O N U N I V E R S I T Y S P E D 2 0 1 S U M M E R 2 0 1 0 Overview of Emotional and Behavioral
ADHD, bipolar and borderline personality disorder
ADHD, bipolar and borderline personality disorder Philip Asherson MRCPsych, PhD Professor of Molecular Psychiatry & Honorary Consultant Psychiatrist, MRC Social Genetic Developmental Psychiatry, Institute
CHAPTER 6 Diagnosing and Identifying the Need for Trauma Treatment
CHAPTER 6 Diagnosing and Identifying the Need for Trauma Treatment This chapter offers mental health professionals: information on diagnosing and identifying the need for trauma treatment guidance in determining
Evaluating Dimensions of
Evaluating Dimensions of Geriatric Depression and Anxiety Joel E. Streim, MD Professor, Psychiatry Geriatric Psychiatry Section University of Pennsylvania VISN 4 MIRECC Philadelphia VA Medical Center Philadelphia,
Borderline Personality Disorder in Primary Care
Borderline Personality Disorder in Primary Care Sherie Ramsgard RN, MSN Family Nurse Practitioner Psychiatric Nurse Practitioner Owner Borderline Personality Disorder (BPD) Learning Objectives: 1.To understand
IS IT A MOOD OR A MOOD DISORDER
TEENAGE DEPRESSION & BIPOLAR IS IT A MOOD OR A MOOD DISORDER PRESENTED BY THE MOOD DISORDERS ASSOCIATION OF MANITOBA MOOD DISORDERS ASSOCIATION OF MANITOBA We are a self-help organization whose purpose
Supporting children in the aftermath of a crisis
Supporting children in the aftermath of a crisis David J. Schonfeld, MD Thelma and Jack Rubinstein Professor of Pediatrics Director, National Center for School Crisis and Bereavement Division of Developmental
Tourette syndrome and co-morbidity
Tourette syndrome and co-morbidity Nanette M.M. Mol Debes, M.D., Ph.D. Tourette clinic, Herlev University Hospital, Denmark Outline of presentation Research project Herlev University Hospital Denmark Prevalence
Frequently Asked Questions About Prescription Opioids
Mental Health Consequences of Prescription Drug Addictions Opioids, Hypnotics and Benzodiazepines Learning Objectives 1. To review epidemiological data on prescription drug use disorders Ayal Schaffer,
Santa Fe Sage Counseling Center
Couple/Family Client Intake Date: Names: Partner/Parent/Child (circle one) Partner/Parent/Child (circle one) Parent/Child (circle one) Parent/Child (circle one) Parent/Child (circle one) Insurance ID #:
Major Depression. What is major depression?
Major Depression What is major depression? Major depression is a serious medical illness affecting 9.9 million American adults, or approximately 5 percent of the adult population in a given year. Unlike
30 Minute Lesson: Personality Disorders Participant Version
30 Minute Lesson: Personality Disorders Participant Version People with personality disorders (PD) display personality traits that are noticeably different from other people, and that show up and cause
MCPS Special Education Parent Summit
MCPS Special Education Parent Summit May 17, 2014 Rockville High School 2100 Baltimore Road Rockville, MD 20851 When ADHD Is Not ADHD: ADHD Look-Alikes and Co-occurring Disorders David W. Holdefer MCPS
Mental Health Ombudsman Training Manual. Advocacy and the Adult Home Resident. Module V: Substance Abuse and Common Mental Health Disorders
Mental Health Ombudsman Training Manual Advocacy and the Adult Home Resident Module V: Substance Abuse and Common Mental Health Disorders S WEHRY 2004 Goals Increase personal comfort and confidence Increase
Delusions are false beliefs that are not part of their real-life. The person keeps on believing his delusions even when other people prove that the be
Schizophrenia Schizophrenia is a chronic, severe, and disabling brain disorder which affects the whole person s day-to-day actions, for example, thinking, feeling and behavior. It usually starts between
Burnout. Learn the signs and symptoms of burnout, as well as some tips of how to deal with it! Sponsored by
Burnout Learn the signs and symptoms of burnout, as well as some tips of how to deal with it! Sponsored by Burnout In 1974, Herbert Freudenberger wrote a book entitled, Burnout: The High Cost of High Achievement.
Predictably Unpredictable: Ethical Challenges in Caring for Persons with Borderline Personality Disorder
Predictably Unpredictable: Ethical Challenges in Caring for Persons with Borderline Personality Disorder Lunchtime Ethics Series, April 2015 Amanda Porter, PhD Clinical Ethicist, AHS Amanda.Porter@albertahealthservices.ca
PSYCHIATRIC EMERGENCY. Department of Psychiatry Pomeranian Medical University in Szczecin
PSYCHIATRIC EMERGENCY Department of Psychiatry Pomeranian Medical University in Szczecin Sudden psychic disturbances including: - cognition - thought process - emotional area - psychomotor activity when
Depression & Multiple Sclerosis. Managing Specific Issues
Depression & Multiple Sclerosis Managing Specific Issues Feeling blue The words depressed and depression are used so casually in everyday conversation that their meaning has become murky. True depression
Chapter 12 Personality Disorders
The Nature of Personality Disorders Chapter 12 Personality Disorders Enduring patterns of perceiving, relating to, and thinking about the world and oneself Manifest across many life areas Are inflexible
Cures for Everything. a discovery to cure borderline personality disorder. As the years have progressed scientists have
Student 4M 1 Student 4M ENGL 1007.001 Mr. McCarty February 12, 2014 Cures for Everything With all the new technology that we have come across in these past years has there been a discovery to cure borderline
Drugs PSYCHOSIS. Depression. Stress Medical Illness. Mania. Schizophrenia
Drugs Stress Medical Illness PSYCHOSIS Depression Schizophrenia Mania Disorders In preschool children imaginary friends and belief in monsters under the bed is normal (it may be normal in older developmentally
Alzheimer s and Depression: What is the Connection?
Alzheimer s and Depression: What is the Connection? Ladson Hinton MD Professor and Director of Geriatric Psychiatry Department of Psychiatry and Behavioral Sciences Director, Education Core, Alzheimer
Breaking the cycles of Borderline Personality Disorder
Breaking the cycles of Borderline Personality Disorder Borderline Personality Disorder (BPD) is a complex and difficult to treat condition affecting up to 2 % of the UK s adult population, and 50 % of
Responding to the Needs of Justice-Involved Veterans. Mark Mayhew, LCSW VA Justice Outreach Coordinator
Responding to the Needs of Justice-Involved Veterans Mark Mayhew, LCSW VA Justice Outreach Coordinator There is inherent sympathy for those who sustain damage in defense of country, whether that damage
Depression Assessment & Treatment
Depressive Symptoms? Administer depression screening tool: PSC Depression Assessment & Treatment Yes Positive screen Safety Screen (see Appendix): Administer every visit Neglect/Abuse? Thoughts of hurting
Criteria to Identify Abnormal Behavior
Criteria to Identify Abnormal Behavior Unusualness Social deviance Emotional distress Maladaptive behavior Dangerousness Faulty perceptions or interpretations of reality Hallucinations Delusions Copyright
Adolescent Depression. Danielle Bradshaw, DO Diplomate of the American Board of Psychiatry and Neurology Adult and Child/Adolescent Psychiatry
Adolescent Depression Danielle Bradshaw, DO Diplomate of the American Board of Psychiatry and Neurology Adult and Child/Adolescent Psychiatry Adolescence When does it start? When does it end? Characteristics:
4.8 Contact. treatment of people with borderline personality disorder (BPD) is one of the
Earn 4.8 Contact Hours Abstract Psychotherapeutic treatment of people with borderline personality disorder (BPD) is one of the greatest challenges confronting mental health professionals today. Clients
INPATIENT SERVICES. Inpatient Mental Health Services (Adult/Child/Adolescent)
INPATIENT SERVICES Inpatient Mental Health Services (Adult/Child/Adolescent) Acute Inpatient Mental Health Services represent the most intensive level of psychiatric care and is delivered in a licensed
INTRODUCTION. The Seven Rules of. Highly Worried People
INTRODUCTION The Seven Rules of Highly Worried People WORRYING IS SECOND NATURE to you, but imagine that someone who has been raised in the jungle and knows nothing about conventional modern life approached