American Journal Of Psychiatry Audio

This audio program discusses how ketamine creates its rapid antidepressant effect, skin-picking disorder, the IQ and behavioral problems in children of mothers who took antidepressants during pregnancy comparing them with children whose mothers were depressed but untreated and with children of nondepressed mothers, psychopathology in adolescent offspring of parents with panic disorder or depression, and the continuity of psychiatric disorders between ages 3 and 6. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses a modified approach to bulimia nervosa for patients who are overweight, the role of medical comorbidity and the interaction of NSAIDs and antidepressants, the sensitivity and specificity of the proposed DSM-5 criteria for autism spectrum disorder, a meta-analysis of ADHD to clarify affected neural systems instead of individual regions, and a functional brain imaging study of patients with OCD and their siblings to identify a shared biological characteristic to serve as a marker of OCD. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses the relationship between mental disorders and unpredictability during gestation and the early postnatal period, changes in adult defense mechanisms during dynamic psychotherapy, using creatine monohydrate to augment citalopram for depressed women, Alzheimer-related genes on the trajectory of cognitive decline, managing safety concerns when using atypical antipsychotics for patients with dementia, and interventions for family caregivers that can reduce behavioral and psychological symptoms of dementia patients in the community. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses integrated treatment for PTSD and comorbid alcohol dependence in an Iraq veteran, an analysis of mental illness coverage in health insurance exchanges, treating schizophrenia with combined cognitive remediation and functional skills training and treating hallucinations with transcranial direct-current stimulation, and how smoking cessation is affected by the interplay of genetic risk factors and treatment type. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses chronic care models for mental health conditions, an over-the-counter antioxidant for treating cannabis dependence in adolescents, deep brain stimulation of the anteromedial globus pallidus interna for the treatment of severe Tourette’s syndrome, adding metformin in the treatment of women with antipsychotic-induced amenorrhea and weight gain, occupational psychiatry and the Fukushima nuclear disaster, and the relationship between childhood malnutrition and schizotypal characteristics in adulthood. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses medical marijuana and the role of physicians, an outbreak of tuberculosis among mentally ill patients, a review article on intermittent explosive disorder, the neurodevelopment of children with autism, pharmacologic regimens for women at high risk of postpartum psychosis or mania, and a 2 year follow-up study comparing outcomes for borderline personality disorder patients who received dialectical behavior therapy and those who received general psychiatric management. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses premenstrual dysphoric disorder and its case for inclusion in DSM-5; long-term outcomes for symptoms and suicidal behaviors in borderline personality disorder; suicidal phenomena and other neuropsychiatric disorders in primary care patients taking glucocorticoids; a clinical trial for treatment of polydrug dependence that tested a naltrexone implant in patients using both heroin and amphetamine; and neural network functional connectivity during and after an episode of delirium. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses postpartum obsessions and compulsions; a new perspective on anhedonia in schizophrenia; the perception of emotion in schizophrenia; functional outcomes of psychosis; brain activity in depressed adolescents before and after fluoxetine treatment; and neural responses to stress and drug cues in men and women with cocaine dependence. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses whether striatal dopamine transporter abnormalities are part of ADHD or a response to medication; the effect of gastric bypass on the pharmacokinetics of antidepressants; use of fluoxetine to treat repetitive behaviors in adults with autism spectrum disorders; a new approach to the diagnosis of personality pathology; the relationship between suicidal behavior and anticonvulsants prescribed for bipolar disorder; a link between cerebral emboli and accelerated cognitive decline in patients with dementia. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses abnormal thyroid function tests in psychiatric patients; persistent pulmonary hypertension of the newborn and its relation to serotonin reuptake inhibitors; the relationship of childhood maltreatment to both the course of depression and to treatment outcome; the response of the striatum to both negative and positive stimuli in depressed patients; and research on ADHD medications--their change in use over a 12-year period and their cardiovascular effects. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses Oregon’s experience with insurance parity for mental illness, links between behaviors during adolescence and mental health outcomes, a comparison of mortality risks from different antipsychotics given to patients with dementia, treatment for PTSD related to the World Trade Center attacks, and the relationship between religiosity and depression in the offspring of depressed parents. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses a project in China that introduced psychiatry to thousands of rural physicians; how disorders of fear extinction could be used as a model for anxiety disorders; the validity of the Columbia-Suicide Severity Rating Scale; the connection between age at immigration and the future risk of psychotic disorders; and the relationship of childhood trauma to psychosis across different types of genetic risk, psychopathology, and trauma. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses a study showing that alcohol consumption is affected by the interaction of psychosocial stress and a gene involved in circadian rhythm; a treatment article discussing safety considerations for T3 augmentation of antidepressants; a comparison of lithium and valproate for preventing suicidal behavior among bipolar patients with previous suicide attempts; nationwide trends in antipsychotic use for anxiety disorders; and a trial of CBT for depression in Parkinson’s disease. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses the relationship between nearly 100 candidate genes and 12 endophenotypes for schizophrenia; the metabolic effects of switching from olanzapine, quetiapine, or risperidone to aripiprazole; the role of genetics in posttraumatic stress disorder; the relationship between depressive symptoms and inflammation in patients with coronary heart disease; a research article reporting a surprisingly high prevalence of autism spectrum disorder in a total population sample; and a clinical case conference about a suicidal man with an unexpected diagnosis of autism spectrum disorder. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses psychiatric complications of medical marijuana; linkage of depression to a region on chromosome 3; cognitive effects of antipsychotics in demented patients; the relationship of schizophrenia to Toxoplasma gondii and to herpes simplex, type 1; the relationship between cognition and functioning in young people at high risk for psychosis; and outcomes of young people at high risk for psychosis who do not become psychotic. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses combining medications for depression; switching from polypharmacy to monotherapy for schizophrenia; combining gabapentin with naltrexone for alcohol dependence; treatments for refractory depression in older patients; the balance between habit formation and goal-directed behavior displayed by obsessive-compulsive disorder patients as they perform an instrumental learning exercise; and the ability of soldiers’ visual fixation on emotional stimuli to predict PTSD and depressive symptoms after deployment. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses the relationship between remission of depression in mothers and psychiatric symptoms in their children; brain structure in childhood- versus adolescent-onset conduct disorder; an apparent case of postpartum psychosis that turned out to be a late-onset urea cycle disorder; how stress affects decision making in patients who’ve been abstinent from heroin; ADHD and deficient emotional self-regulation; early outcomes for first-episode schizophrenia treated with oral or depot antipsychotics; and clarifying the use of interpersonal psychotherapy for major depressive disorder. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses treatment for dependence on prescription painkillers; the effect of national health insurance reform on coverage of individuals with severe mental illnesses; predictors of suicide attempts and nonsuicidal self-injury in depressed adolescents; long-term follow-up of deep brain stimulation for treatment-resistant depression; the association of antidepressants with stroke. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses repetitive transcranial magnetic stimulation for depression; nicotine replacement for agitation in schizophrenia patients who smoke; outcomes of mental health screening of soldiers before deployment; a functionally relevant measure in clinical trials of drugs to improve cognition in schizophrenia. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses the outcome of risperidone nonadherence in early schizophrenia, a pharmacogenetic approach to treatment for alcohol dependence, the relationship of personality disorders to the course of depression, and new perspectives on the neural processing of emotion in schizophrenia. Articles can be viewed online at www.ajp.psychiatryonline.org.