It’s important to realize that psychosis can result from many different non-psychiatric conditions—for example, substance use, electrolyte imbalances, thyroid abnormalities, systemic infections, nutritional deficiencies, brain tumors, and seizures, among others. By the time we see them, patients have usually already had a basic medical evaluation in an inpatient hospital or emergency room, and most non-psychiatric medical causes have been ruled out.

Open Dialogue, developed in the 1990s in Tornio, Finland, is both a way of communicating (while paying attention to one’s vocabulary) and a system of care. All communication about patients occurs in their presence and is based on respectful language that is often derived from the patient’s own words. Learn more about this technique as it applies to treating psychosis in this article.

I started prescribing ketamine two years ago. I generally tend to be conservative in trying newer treatments—especially ones not yet approved—but I was very impressed with both its safety and efficacy.

The post-test for this issue is available for one year after the publication date to subscribers only. By successfully completing the test you will be awarded a certificate for 1 CME credit.

After reading these articles, you should be able to…

ADHD is relatively common in adults, with conservative estimates of a 4%–5% prevalence in the adult population, equal in men and women. However, only about 10% of adults with ADHD are receiving treatment for their condition. Over the past decade, it’s become apparent that ADHD does not suddenly end when children grow up, and that the disorder often continues into adulthood. Learn more in this article by Dr. Parikh, who has run a clinic focused on adult AHD for more than a decade.

In this interview, Dr. Harrison shares her insight on adult ADHD. She runs a clinic for adult ADHD screening at Queens University near Ottawa. Most of the people she sees are university students who think they have ADHD but were never diagnosed. The clinic now has data on 260 students.

Post-traumatic stress disorder (PTSD) is the most common psychiatric disorder in veterans who seek treatment at the VA, and substance use disorder (SUD) is a common comorbid condition. While SSRIs can be effective for PTSD symptoms, they don’t treat SUD well.

After reading these articles, you should be able to…

The post-test for this issue is available for one year after the publication date to subscribers only. By successfully completing the test you will be awarded a certificate for 1 CME credit.