From the Pages of Psychiatric Times: October 2022 - Psychiatric Times

In the October contented of Psychiatric Times^TM, we worked with experts from aggregate psychiatric areas to bring you thoughtful articles astir a wide assortment of psychiatric issues, from probe connected lithium and termination prevention to integrative medicine and nutrition for PTSD. Here are immoderate highlights from the issue.

Federal Court Gives Green Light to Deny Coverage

Nearly each psychiatric clinician I cognize has experienced it: Their patient’s wellness program determines—with small justification—that the needed attraction is “not medically necessary.” The clinician is past forced to walk invaluable clip warring for sum of the attraction that is validated by accepted objective standards of care. Meanwhile, families face their options: spending beingness savings, taking connected burdensome debt, oregon going without treatment.

With much than 7.1 cardinal American adults not receiving the intelligence wellness attraction they request due to the fact that of cost, ensuring wellness plans screen the services patients request is indispensable to maintaining and expanding entree to care. At the basal of this contented is who makes the determinations astir whether attraction is needed— and what standards should beryllium and indispensable beryllium followed. Continue Reading

Exploring Integrative Medicine and Nutrition for PTSD

Evidence from a increasing fig of studies suggests that 38% to 40% of adults surviving successful the United States use complementary and alternate medicine (CAM) therapies, yet lone 42% person told their superior doc that they bash so. Patients bash not disclose their usage for galore reasons. They are not asked astir it; they are acrophobic that their clinician volition disapprove; they whitethorn not deliberation it is necessary; and/or their clinicians are not funny successful oregon bash not cognize astir CAM methods.

Moreover, integrative medicine (IM) appeals to groups similar veterans who traditionally debar oregon acquisition dissatisfaction with accepted attraction and are prone to posttraumatic accent upset (PTSD). Hence, clinicians should disclose their involvement and grooming successful IM and inquire patients astir their wellness practices. Continue Reading

The Most Important Thing You Need to Know About Meta-Analyses

A engaged clinician does not person clip to work the immense fig of randomized controlled trials (RCTs) published astir antithetic treatments. But bully meta-analyses prevention america clip by aggregating and summarizing information from applicable trials. Individual RCTs are sometimes tiny and endure from methodological flaws. The results of RCTs are often influenced by sampling error. Good meta-analyses assistance america basal decisions connected larger numbers of subjects and trim the effects of sampling error. To marque the astir of meta-analyses, we request to recognize the astir important accusation reported by a bully meta-analysis. That accusation is the “prediction interval.” Although meta-analyses tin absorption connected different topics, this nonfiction focuses connected meta-analyses of treatments.

Using wide rules, a systematic reappraisal searches for studies connected definite interventions for definite aesculapian conditions. The authors of the survey reappraisal the information from applicable studies to find if adjuvant patterns tin beryllium found. Continue Reading

Lithium and Suicide Prevention: More Thoughts connected Recent VA Study

There has been overmuch treatment of the precocious published ample (519 participants) US Department of Veterans Affairs (VA)–sponsored randomized objective proceedings of lithium versus placebo to forestall termination attempts, hospitalizations to forestall suicide, and deaths aft a erstwhile attempt. The distinguished radical of investigators recovered nary vantage for lithium, and the survey was really interrupted earlier than planned due to the fact that of the antagonistic results connected preliminary analysis.

The authors concluded that “simply” adding lithium to existing medicine regimens is improbable to beryllium effectual successful preventing a wide scope of suicide-related events. An editorial by Baldessarini and Tondo, however, projected alternatively that the findings “cannot beryllium taken arsenic grounds that lithium lacks antisuicidal effects” owed to galore superior limitations successful the study. Continue Reading

See the afloat October contented of Psychiatric Times^TM here. And beryllium definite to enactment up-to-date by subscribing to the Psychiatric Times^TM E-newsletter.

Do you person a remark connected immoderate of these oregon different articles? Have a bully thought for an nonfiction and privation to write? Interested successful sharing your perspectives? Write to america astatine PTeditor@mmhgroup.com.