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    1889 results match your criteria Australasian Psychiatry [Journal]

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    Transcranial magnetic stimulation (TMS) safety: a practical guide for psychiatrists.
    Australas Psychiatry 2018 Jan 1:1039856217748249. Epub 2018 Jan 1.
    Professor of Psychiatry, School of Psychiatry, University of New South Wales, Randwick, NSW, and; Black Dog Institute, University of New South Wales, Randwick, NSW, and; Psychiatrist, St George Hospital, Kogarah, NSW, and; Psychiatrist, The Wesley Hospital, Kogarah, NSW, Australia.
    Objectives: Repetitive transcranial magnetic stimulation (rTMS) is increasingly being utilised as a treatment option for depression, and with this comes a need for a practical review of safety issues intended for clinicians. This article provides an overview of the current literature regarding safety issues with rTMS for depression, and provides recommendations for clinical practice.

    Conclusions: Overall, rTMS is a well-tolerated treatment with common side effects (such as headache or local pain at the site of stimulation) being mild. Read More

    Impact of an assertive community treatment model of care on the treatment of prisoners with a serious mental illness.
    Australas Psychiatry 2018 Jan 1:1039856217748247. Epub 2018 Jan 1.
    Professor, The University of Auckland, Auckland, New Zealand.
    Objectives: This study aims to describe the impact of a mental health assertive community treatment prison model of care (PMOC) on improving the ability to identify prisoner needs, provide interventions and monitor their efficacy.

    Methods: We carried out a file review across five prisons of referrals in the year before the implementation of the PMOC in 2010 ( n = 423) compared with referrals in the year after ( n = 477).

    Results: Some improvements in the identification of needs and providing interventions were detected. Read More

    Physical and psychological health of carers of young people with first episode psychosis.
    Australas Psychiatry 2018 Jan 1:1039856217748250. Epub 2018 Jan 1.
    Senior Lecturer, School of Psychiatry, University of New South Wales, Sydney, NSW, Australia.
    Objective: Carers of people with psychosis may experience psychological distress and caregiving burden. However, few studies have examined both psychological and physical health of carers of young people with first episode psychosis (FEP).

    Method: A total of 32 young people with FEP and 42 of their carers were recruited from a mental health service. Read More

    Use of ECT in the presence of acute bilateral posterior vitreous detachmanet.
    Australas Psychiatry 2018 Jan 1:1039856217749023. Epub 2018 Jan 1.
    Consultant Psychiatrist Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
    Objectives: We describe a case of acute bilateral posterior vitreous detachment (PVD) in a 71-year-old female, which developed during a course of electroconvulsive therapy (ECT) for treatment-resistant depression. The risks and benefits of continuing ECT were assessed and the patient completed the full course of 16 ECT treatments without further ophthalmic complications.

    Conclusions: As the incidence of PVD increases with age, and ECT is used more frequently in elderly people with depression, we recommend paying attention to ophthalmic symptoms as part of the routine clinical monitoring of ECT side effects. Read More

    Ethnic youth and sexual identity: the role of clinical and social support for 'double minorities'.
    Australas Psychiatry 2018 Jan 1:1039856217748809. Epub 2018 Jan 1.
    Academic Psychiatrist, University of Auckland, Auckland, New Zealand.
    Objectives: Sexual-minority youth exhibit increased rates of psychiatric morbidity, subject to various social factors. We examine the impact of ethnicity and culture on these phenomena, with particular reference to Asian youth living in Western societies.

    Conclusions: Youth from minority ethnic groups who do not identify with their native gender and/or who are not exclusively heterosexual are known as 'double minorities'. Read More

    Paradigm shift in psychiatry: what may it involve?
    Australas Psychiatry 2018 Jan 1:1039856217748857. Epub 2018 Jan 1.
    Retired, Melbourne, VIC, Australia.
    Objective: This study aims to examine the potential nature of an ongoing paradigm shift in psychiatry that has been suggested to be occurring.

    Conclusions: New findings in traumatology and neuroscience do form a potential platform for a paradigm shift. Prior conflicting paradigms are suggested to be due to biases arising from mental structures themselves. Read More

    Compliance of metabolic monitoring at rehabilitation facilities.
    Australas Psychiatry 2017 Oct 1:1039856217737899. Epub 2017 Oct 1.
    Registrar, Psychiatry, Metro South Addiction and Mental Health Services; University of Queensland, Brisbane, QLD, Australia.
    Objectives: To examine compliance with routine metabolic monitoring at four rehabilitation facilities within the Metro South Addiction and Mental Health Services in Queensland.

    Methods: A retrospective chart audit was undertaken on 63 residents of rehabilitation facilities with electronic health records from 1 October 2014 to 30 March 2015.

    Results: Evidence of any metabolic monitoring was recorded for 87% of residents. Read More

    Leadership mindset in mental health.
    Australas Psychiatry 2017 Oct 1:1039856217734676. Epub 2017 Oct 1.
    Psychiatrist, Auckland & Waitemata District Health Boards, Auckland, New Zealand.
    Objectives: The objective of this study was to explore the concept of mindset for psychiatrists who are considering stepping into the leadership arena.

    Methods: Qualitative themes were extracted from dialogue on leadership development at a Royal Australian and New Zealand College of Psychiatrists forum for early career psychiatrists.

    Results: Three key themes were identified: adapting to a professional identity as psychiatrists; developing a mindset for leadership; and acting intentionally to seek opportunities for leadership. Read More

    Recommencing lithium in Older Adults with Bipolar I Disorder.
    Australas Psychiatry 2017 Dec 31;25(6):571-573. Epub 2017 Oct 31.
    Senior Consultant Old Age Psychiatrist, Central Adelaide Local Health Network, Adelaide, SA, Australia.
    Objectives: This paper addresses considerations in recommencing lithium in elderly patients with Bipolar I Disorder and medical comorbidity. We focus on nephrotoxicity and cognitive impairment.

    Methods: Case reports and review of relevant literature. Read More

    Foundation trainees and changes in career intentions.
    Australas Psychiatry 2017 Oct 1:1039856217737882. Epub 2017 Oct 1.
    Consultant Psychiatrist & Foundation Tutor. Cumbria Partnership NHS Foundation Trust, Carlisle, UK.
    Objectives: To understand whether foundation trainees change their career intentions during psychiatry placements and explore what factors influence such changes.

    Methods: Over a two-year period, foundation trainees completed questionnaires at the beginning, middle and end of their four-month placement. There were two questions, the first as to how likely they were to pursue a career in psychiatry and the second openly asked them to elaborate on their reasons. Read More

    Case formulation using Pattern-based Formulation (PBF) methodology: clinical case 2.
    Australas Psychiatry 2017 Oct 1:1039856217737885. Epub 2017 Oct 1.
    Senior Lecturer, Department of Psychiatry, University of Colombo, Sri Lanka; Honorary Consultant Psychiatrist, University Psychiatry Unit, National Hospital of Sri Lanka, Sri Lanka; Director of the Centre for Combating Tobacco, University of Colombo, Sri Lanka.
    Objectives: To teach psychiatric case formulation; to build a repertoire of patterns that can be reused as building blocks in constructing case formulations.

    Method: Pattern-based Formulation.

    Results: Demonstration of a case formulation and introducing three patterns. Read More

    What is the clinical significance of chronic emptiness in borderline personality disorder?
    Australas Psychiatry 2017 Oct 1:1039856217734674. Epub 2017 Oct 1.
    Executive Clinical Director, Spectrum, Eastern Health, Ringwood East, VIC, Australia.
    Objective: The objective of this study was to review the clinical significance of the experience of chronic emptiness in borderline personality disorder (BPD).

    Methods: A systematic search of the literature was conducted using MEDLINE and PubMed, employing search terms including 'emptiness', 'personality disorder' and 'borderline personality disorder'. The most relevant English-language articles and books were selected for this review. Read More

    On being supervised: getting value from a clinical supervisor and making the relationship work when it is not.
    Australas Psychiatry 2017 Dec 16;25(6):625-629. Epub 2017 Oct 16.
    Executive Director Clinical Services, Metro South Addiction and Mental Health Service, Brisbane, QLD, Australia.
    Objective: The importance of clinical supervision is emphasised in psychiatric training programs. Despite this, the purpose and processes of supervision are often poorly defined. There is limited guidance available for trainees about their role in making supervision work. Read More

    Psychiatric impairment ratings in children and adolescents.
    Australas Psychiatry 2017 Dec 16;25(6):603-608. Epub 2017 Oct 16.
    Forensic, Child and Adolescent Psychiatrist, and; Medical Director, Children's Health Queensland Hospital and Health Service, Brisbane, QLD, Australia.
    Objectives: It is accepted practice in Australia and New Zealand for psychiatric impairment rating scales to be applied for persons claiming psychiatric injury. These scales were derived for adults, not children. There is less clarity as to whether and how these scales may be applied for children claiming psychiatric injury. Read More

    Brexpiprazole: a new leaf on the partial dopamine agonist branch.
    Australas Psychiatry 2017 Oct 1:1039856217732473. Epub 2017 Oct 1.
    Professor, Monash University, Monash Medical Centre and Centre for Mental Health Education and Research at Delmont Private Hospital, Melbourne, VIC, Australia.
    Objectives: Brexpiprazole is a new dopamine partial agonist antipsychotic in the same class as aripiprazole. This paper will briefly review brexpiprazole and compare it with aripiprazole.

    Conclusions: Brexpiprazole and aripiprazole are both partial agonists at dopamine D2, and serotonin 5-HT1A and antagonists at serotonin 5-HT2A and noradrenergic α1B receptors. Read More

    Shared decision making in mental health: the importance for current clinical practice.
    Australas Psychiatry 2017 Dec 10;25(6):578-582. Epub 2017 Oct 10.
    Professor, Department of Psychiatry, St Vincent's Hospital; The University of Melbourne, Melbourne, VIC, Australia.
    Objectives: We reviewed the literature on shared decision making (regarding treatments in psychiatry), with a view to informing our understanding of the decision making process and the barriers that exist in clinical practice.

    Methods: Narrative review of published English-language articles.

    Results: After culling, 18 relevant articles were included. Read More

    PTSD symptoms associated with myocardial infarction: practical clinical implications.
    Australas Psychiatry 2017 Oct 1:1039856217734738. Epub 2017 Oct 1.
    Professor of Cardiology, School of Medicine, University of Queensland, Brisbane, QLD, Australia.
    Objectives: Several studies have demonstrated a link between post-traumatic stress disorder and myocardial infarction. We aim to determine what phenotypic features or symptom profile associated with cardiovascular disease may help with early detection and intervention.

    Methods: This is a cross-sectional study. Read More

    Suvorexant: scientifically interesting, utility uncertain.
    Australas Psychiatry 2017 Dec 10;25(6):622-624. Epub 2017 Oct 10.
    Senior Fellow, Centre for Mental Health Education and Research at Delmont Private Hospital, Melbourne, VIC, Australia.
    Objective: Suvorexant, a new hypnotic, is indicated for the treatment of insomnia characterized by difficulties with sleep onset and/or sleep maintenance, and is used long-term. This paper will briefly review suvorexant.

    Results: Orexin is a hypothalamic peptide which promotes wakefulness. Read More

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