Dr. Price, for most of your career, you’ve worked closely with psychiatrists in treating patients with neuropsychiatric disease. I thought we might start by discussing how psychiatrists might bring more neurological thinking into their evaluations. When should psychiatrists start thinking neurologically?
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Drug samples are a staple of pharmaceutical marketing. The drug industry argues, quite logically, that samples are useful to treat patients who lack the funds to purchase medications. Yet some reformers have called for drug samples to be banned, an idea that has received a decidedly mixed reception.
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Trichotillomania (TTM) is an impulse control disorder in which patients feel that they can relieve tension by pulling out hair from different parts of their bodies. While sharing some features with obsessive compulsive disorder, DSM-IV-TR does not officially classify it as a type of OCD.
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We know that headaches are common in the general population, but they are particularly common among patients with psychiatric problems. According to one review, (Pompili M et al., J Headache Pain 2009; 10(4):283-290) patients with depression have a 46% lifetime prevalence of migraine, while bipolar patients have a 51% prevalence. Patients with migraines have triple the risk of developing depression than patients without migraines.
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While tremor is traditionally thought of as a neurological issue, the symptom pops up often in psychiatric practice, and some basic knowledge of its diagnosis and treatment comes in handy.
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It has long been thought that one’s genetic makeup combines with stressors to cause depression, but for many years there was little data to support this hypothesis.
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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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