Episode 10: Alcohol Use Disorder

Episode 10: Alcohol Use Disorder

Assessment, Diagnoses
Today’s topic is the diagnosis and management of alcohol use disorder. Alcohol use disorder is a prevalent illness throughout the country, and it accounts for over 85,000 deaths per year in the United States, with an estimated yearly cost of alcohol use disorder estimated at over 250 billion dollars. In the US, the 12-month prevalence of AUD is estimated to be 4.6% in teenagers and 8.5% in adults, with the 18 to 29-year-old age group having the highest rate of 16.2%. There are a number of risk factors that can contribute to development of AUD, and these include male gender, Native American or Alaska Native races, co-occurring conduct disorder or antisocial behavior in adolescence, family history of AUD or other substance abuse, and comorbid schizophrenia or bipolar disorder. Alcohol is the…
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Episode 5: Dementia in DSM5 – Part 1

Episode 5: Dementia in DSM5 – Part 1

Assessment, Diagnoses
On today’s episode, we will discuss the first part of a 2-part discussion on neurocognitive disorders according to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders. Neurocognitive disorders involve acquired disruptions in one or more of the domains of cognition, which include Memory Language, Orientation, Judgment, Conductance of interpersonal relationships, Performing of tasks, and Problem-solving. It is important to be able to identify, diagnose, treat, and manage neurocognitive disorders in our patients as they can commonly be the basis for psychiatric symptoms, especially in our more elderly population. However, this proves to a challenging field in that it is not always black and white: there are a lot of gray areas as dementia can often have a multifactorial etiology. Neurocognitive disorders are a broad field, and…
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Episode 3: Assessment of Safety in an Emergency Setting

Episode 3: Assessment of Safety in an Emergency Setting

Assessment
On today’s episode, our topic of discussion is the assessment of patient safety in an emergency setting. This is a topic that I think is a good review at any stage in our training, as safety of our patient’s while in a crisis should be our foremost concern. This will be a good review for residents who are currently taking call in an emergency department setting, as well as psychiatrists working in these positions. References Palmer, Brian A. “The Lifetime Risk of Suicide in Schizophrenia.” Archives of General Psychiatry 62 (2005): 247-253. Pirkis J, Burgess P. “Suicide and Recency of Health Care Contacts: A Systematic Review.” Br J Psychiatry. 1998: 173(6)462-474. Lund-Sorensen, Helene. “A nationwide cohort study of the association between hospitalization with infection and risk of death by suicide.”…
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