While there is some overlap with major depression, complicated grief has core symptoms of yearning and sorrow and great difficulty accepting the reality of death. It’s one of the more controversial proposed DSM disorders, with critics seeing it as medicalizing a normal human experience.
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Patients with both chronic pain and psychiatric issues often see a psychiatrist and a therapist, and are taking both psychotropic and pain medications. This article describes how psychologists conceptualize the treatment of chronic pain and provide some tips for how you, as a busy prescriber, can leverage some successful techniques.
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Many chronic pain patients are dealing with psychiatric problems. Pain patients have tremendously high rates of major depressive disorder which is undertreated and underdiagnosed. It's easy to assume that the depression is a reaction to living with chronic pain, but in fact it’s often the other way around. Dr. Michael Robert Clark describes evaluations and treatment methods clinicians can use to address pain management with their patients.
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These days, opiates are primarily prescribed to treat pain. But there is a long history of using opiates to treat depression and other mental illness.
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Dr. Aiken is the Editor in Chief of The Carlat Psychiatry Report; director of the Mood Treatment Center in North Carolina, where he maintains a private practice combining medication and therapy along with evidence-based complementary and alternative treatments; and Assistant Professor NYU Langone Department of Psychiatry. He has worked as a research assistant at the NIMH and a sub-investigator on clinical trials, and conducts research on a shoestring budget out of his private practice. Follow him on Twitter and find him on LinkedIn.
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