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American Family Physician December 15, 2003 Bradley D. Grinage	Diagnosis and Management of Post-traumatic Stress Disorder Although PTSD is a debilitating anxiety disorder that may cause significant distress and increased use of health resources, the condition often goes undiagnosed. Treatment relies on a multidimensional approach, including supportive patient education, cognitive behavior therapy, and psychopharmacology.
American Family Physician September 1, 2000 Jennifer Travis Lange	Primary Care Treatment of Post-traumatic Stress Disorder Current treatment strategies combine patient education; pharmacologic interventions, such as selective serotonin reuptake inhibitors, trazodone and clonidine; and psychotherapy...
Nursing April 2008 Kathryn Murphy	Shedding the burden of depression & anxiety Learn about types of depression and available treatments.
AskMen.com Jasper Anson	Anxiety Disorders In the United States alone, there are more than 40 million Americans who are suffering from some form of anxiety disorder. Here are some of the most common disorders and a few specific treatment options.
American Family Physician October 1, 2000 Michael F. Gliatto, M.D.	Generalized Anxiety Disorder Patients with generalized anxiety disorder experience worry or anxiety and a number of physical and psychologic symptoms...
American Family Physician September 1, 2000	Post-traumatic Stress Disorder--What It Is and What It Means to You PTSD is a type of anxiety problem. It can happen after your life is threatened or you see a traumatic event. Usually, the event makes you feel very afraid or helpless. Some examples of the events are war, rape, or a severe car crash...
American Family Physician December 15, 2003	What You Should Know About Post-traumatic Stress Disorder What is post-traumatic stress disorder (PTSD)?... How can I tell I have PTSD?... How is PTSD treated?...
American Family Physician February 15, 2005 Ham, Waters & Oliver	Treatment of Panic Disorder Panic disorder with or without agoraphobia occurs commonly in patients in primary care settings. This article assesses multiple evidence-based reviews of effective treatments for panic disorder.
American Family Physician March 15, 2006 Shearer & Gordon	The Patient with Excessive Worry Worry is an effective short-term response to uncertainty that can become self-perpetuating with adverse long-term consequences. Evidence-based treatments for such disorders can assist family physicians in the management of this disorder.
American Family Physician October 1, 2006 Kavan et al.	A Practical Guide to Crisis Management Physicians often are required to assist patients in crisis. An estimated 4% of visits to primary care physicians involve psychiatric or social crises.
American Family Physician January 1, 2007 Shashi & Subhash Bhatia	Childhood and Adolescent Depression Safe and effective treatment of major depression in this age group requires accurate diagnosis, suicide risk assessment, and use of evidence-based therapies.
Managed Care September 2002 Elizabeth Millard	Managing 9/11-Related Stress September 11 underscored the prevalence of post-traumatic stress disorder. Screening could ultimately reduce utilization. But who should be screened?
American Family Physician November 15, 2003 Jones et al.	Common Problems in Patients Recovering from Chemical Dependency This article describes how to care for patients recovering from chemical dependency, including special concerns that arise during the treatment of common medical conditions, to avoid adverse outcomes or relapse into addiction.
American Family Physician October 15, 2004 Randy K. Ward	Assessment and Management of Personality Disorders Patients with personality disorders are common in primary care settings; caring for them can be difficult. The characteristics of these patients' personalities tend to elicit strong feelings in physicians, lead to the development of problematic physician-patient relationships, and complicate the task of diagnosing and managing medical and psychiatric disorders.
American Family Physician October 15, 2003 Wanda P. Fremont	School Refusal in Children and Adolescents School refusal is a problem that is stressful for children, families, and school personnel. Failing to attend school has significant short- and long-term effects on children's social, emotional, and educational development.
Chemistry World September 13, 2006 Victoria Gill	Treating Post Traumatic Stress with Stress Hormones The human body's own natural stress hormone, corticosterone, could be developed into a treatment for post traumatic stress disorder, report researchers.
American Family Physician November 15, 2000 Son & Kirchner	Depression in Children and Adolescents Depression among children and adolescents is common but frequently unrecognized. It affects 2 percent of prepubertal children and 5 to 8 percent of adolescents...
American Family Physician November 15, 2005 Haas et al.	Management of the Difficult Patient All physicians must care for some patients who are perceived as difficult because of behavioral or emotional aspects that affect their care. Specific communication techniques and greater patient involvement in the process of care may enhance the relationship.
Nursing May 2010 Sharon M. Valente	Assessing patients for suicide risk This article will help you update your knowledge of suicide risk factors and prevention strategies, and provide guidelines for effective intervention.
American Journal of Nursing April 2008 Martin et al.	Traumatic Brain Injuries Sustained in the Afghanistan and Iraq Wars When traumatic brain injury (TBI) occurs simultaneously with more obviously life-threatening wounds, it may go unrecognized. It's important that all nurses know how to use TBI screening and assessment tools effectively.
American Journal of Nursing November 2008 Hyer & Brown	The Impact of Event Scale-- Revised: A Quick Measure of a Patient's Response to Trauma The Impact of Event Scale-Revised (IES-R) provides a structured way for a patient to communicate distress when she or he may not have the words to do so.
Nursing April 2012 Elliott et al.	Managing alcohol withdrawal in hospitalized patients A focused nursing assessment is critical in identifying the potential for alcohol withdrawal symptoms in all hospitalized patients. This article discusses how to assess patients at risk and how to use these assessment findings as a basis for nursing interventions.
National Defense February 2012 Eric Beidel	Virtual Reality Helps Troops Confront Pain The Pentagon wants to discover different ways to treat post-traumatic stress disorder, one of which will take patients back to war via a video game-like simulation.
Nurse Practitioner December 2008 Gill & Saligan	Don't Let SAD Get You Down This Season Information about seasonal affective disorder includes diagnostic tools and common therapies.
American Family Physician May 15, 2004 Birrer & Vemuri	Depression in Later Life: A Diagnostic and Therapeutic Challenge Depression in elderly persons is widespread, often undiagnosed, and usually untreated. Because there is no reliable diagnostic test, a careful clinical evaluation is essential.
American Family Physician March 1, 2002 Vyjeyanthi S. Periyakoil	Identifying and Managing Preparatory Grief and Depression at the End of Life Preparatory grief is experienced by virtually all patients who are dying and can be facilitated with psychosocial support and counseling...
American Family Physician October 15, 2002 Zamorski & Albucher	What to Do When SSRIs Fail: Eight Strategies for Optimizing Treatment of Panic Disorder Effective management of panic disorder is a common challenge for family physicians. Selective serotonin reuptake inhibitors (SSRIs) are the drugs of choice for this condition because of their safety and efficacy. But not all patients have a favorable response to SSRI therapy.
American Journal of Nursing October 2005 Charlotte Thomas-Hawkins	Self-Management of Chronic Kidney Disease Effective management of this disease requires the patient to be the principal illness manager and this skill requires the nurses guidance and support.
Nurse Practitioner May 2012 Diana L. Wadlund	Meeting the challenge of IBS IBS is the best studied, most common functional GI disorder, and is often characterized by debilitating symptoms without any pathologic findings. The predominant symptoms of IBS are abdominal pain and an alteration in bowel habits with an absence of organic pathology.
Nursing October 2009 Yvonne D'Arcy	Overturning barriers to pain relief in older adults This article will describe how to lower the barriers to effective pain control in older patients and provide practical tips for helping them receive the full benefit from pharmacologic and nonpharmacologic therapies.
Nursing May 2012 Tim Blake	Three Medication Pathways for Bipolar Disorder No matter where you work, you're likely to care for patients with bipolar disorder, which affects about 2.6% of people age 18 and older per year.
Managed Care November 2001 Heidi J. Dalzell	Counseling in the aftermath of terror Though the emotional consequences of the acts of terrorism on Sept. 11 may not be fully known for months or years, to the mental health community the tragedy was a call to action...
Reason October 2005 Maia Szalavitz	In Defense of Happy Pills While psychotherapy validated by research has its place, there is no convincing reason why it should be considered inherently superior to drugs. Pleasure can be just as important for emotional recovery and growth as pain, if not more so.
American Family Physician March 1, 2003 Ondria C. Gleason	Delirium Delirium is characterized by an acute change in cognition and a disturbance of consciousness, usually resulting from an underlying medical condition or from medication or drug withdrawal. The associated morbidity and mortality make diagnosis of this condition extremely important.
American Family Physician January 1, 2006 Rupke, Blecke & Renfrow	Cognitive Therapy for Depression Family physicians usually are the first to diagnose and treat patients with depression. They should inform patients that psychotherapy and pharmacotherapy are valid options, and that cognitive therapy is the most studied psychotherapy.
Nursing February 2011 Susan A. LaRocco	Post-polio syndrome: unraveling the mystery This article reviews the basics of PPS, how it affects patients later in life, and what you can do to provide them with the most appropriate, up-to-date care.
American Family Physician February 15, 2006 Rayner et al.	Behavior Disorders of Dementia: Recognition and Treatment Psychosis may pose a greater challenge than cognitive decline for patients with dementia and their caregivers. Goals of treatment should include symptom reduction and preservation of quality of life.
American Family Physician September 15, 2000 Kim S. Griswold, M.D., M.P.H. & Linda F. Pessar, M.D.	Management of Bipolar Disorder A comprehensive management program, including collaboration between the patient's family physician and psychiatrist, should be implemented to optimize medical care...
Nurse Practitioner May 2009 Yvonne D'Arcy	Is Low Back Pain Getting on Your Nerves? The pain and disability of low back pain are the most common reasons patients seek healthcare. Here are tools for diagnosis and treatment options.
American Family Physician January 15, 2003 Ables & Baughman	Antidepressants: Update on New Agents and Indications Many antidepressants have been released in the United States over the past two decades. This article is an update of information about the newer agents for depression and new indications for older antidepressants.
Nurse Practitioner August 2011 Davis et al.	Supportive approaches for Alzheimer Disease Alzheimer disease accounts for almost 80% of all dementia diagnoses. Currently, more than 5 million Americans suffer from this debilitating illness, with the highest prevalence in the oldest age groups.
American Family Physician October 15, 2006	Anxiety and Panic: Getting Control over Your Feelings A patient guide: What is anxiety?... Are there different types of anxiety?... Panic Attack Symptoms... What is generalized anxiety disorder?... etc.
American Family Physician February 1, 2005 Richard D. Blondell	Ambulatory Detoxification of Patients with Alcohol Dependence An appropriate candidate for outpatient detoxification should have arrangements to start an alcohol treatment program and a responsible support person who can monitor progress, and should not have significant, acute, comorbid conditions or risk factors for severe withdrawal.
Nursing June 2008 Yvonne D'arcy	Nursing2008 Pain Management Survey Report See how your responses to this survey compare with those of nursing colleagues across the country and beyond.
AskMen.com Harold Russell	Depression & Fatigue A recent study of adults showed fatigue and lethargy to be the most common and debilitating symptoms of depression. This finding could change the way that physicians treat this illness.
Nurse Practitioner April 2012 Firestone et al.	Optimizing fibromyalgia management This article summarizes current information regarding the etiology, pathophysiology, clinical presentation, diagnostic standards, and pharmacologic and non-pharmacologic treatments necessary to successfully manage FM.
American Family Physician November 15, 2002 William G. Elder	When the Side Effect Is Really the Symptom Several studies have supported the importance of physician-patient relationships on medication compliance in patients with schizophrenia.
American Family Physician April 15, 2003 Dickerson et al.	Premenstrual Syndrome Premenstrual syndrome, a common cyclic disorder of young and middle-aged women, is characterized by emotional and physical symptoms that consistently occur during the luteal phase of the menstrual cycle.
American Family Physician March 15, 2007 Freedy & Simpson	Disaster-Related Physical and Mental Health: A Role for the Family Physician Family physicians should be prepared to work with other health care professionals in the community to share the collective load in meeting post-disaster health needs; such partnerships should be established well in advance of a disaster.
Nursing Management July 2011 Lisa Greenlund	ED violence: Occupational hazard? Workplace violence is an occupational hazard for hospital staff providing psychiatric care in hospital EDs.