The week in review: May 29-June 2

This week, Psychiatric times discussed a wide variety of psychiatric issues and industry updates, from substance use among adolescents and young adults to managing the behavioral and psychological symptoms of dementia. Here are some highlights from the week.

Understanding and managing the behavioral and psychological symptoms of dementia


In his well-attended APA Annual Meeting 2023 session, Clinicians’ Guide to the Management of Behavioral and Psychological Symptoms of Dementia in the Era of Canned Warnings, Rajesh R. Tampi, MD, MS, DFAPA, DFAAGP, discussed the emerging data on several important aspects of dementias, the most common neurodegenerative condition in humans.

As Tampi shared, there are over 5 million people with dementia in the United States, and this number is projected to rise to over 11 million over the next 30 years. Despite the increasing prevalence, the diagnosis and management of these disorders are not standardized. How can clinicians address the behavioral and psychological symptoms of dementia (BPSD)? Keep reading

Substance use among adolescents and young adults

Adolescence is a developmental stage characterized by rapid physical and psychosocial growth and maturation. With such dynamic neurobiological and social changes comes a unique set of vulnerabilities to risk-taking and substance use. Reward-mediated limbic pathways develop prior to the maturation of executive control centers in the prefrontal cortex and may offer a neurobiological explanation for the propensity for risky behavior among adolescents.

Compared to other age demographics, adolescents have the greatest access to substances along with the lowest perception of substance-associated risks. This is a critical point, since the perception of the harm that a substance can cause is generally inversely related to its use in adolescents and young individuals. Keep reading

Current state of health Equity and diversity within children’s mental health

In recent years, our camp has joined others in marching towards equity. In 1998, research by Fellitti and colleagues definitively linked adverse childhood experiences with significant subsequent health problems. ranging from cardiovascular health to mental health.

The list of adverse experiences has grown from the initial 3 categories and multiple subcategories used in the original CDC-Kaiser Permanente ACE study to include other childhood adverse events that incorporate various forms of racism, including structural and interpersonal.Keep reading

The debt crisis and a bio-psycho-social-financial model for psychiatry

In recent times, there has been much discussion in our field whether the traditional bio-psycho-social model of medicine still fits well enough. Some feel that a bio-bio-bio model would better fit the current emphasis on our specialties. Others want to add eco, for ecological, and spiritual, like I did. Given that we have come to emphasize the social determinants of health and mental health, the theme of this year’s American Psychiatric Association (APA) annual meeting, there is a more appropriate emphasis on the neglect of the social in the model.

As our country’s recent debt crisis emerged, I wondered what parallels there might be in psychiatry. Even though the crisis was barely averted, there was much concern about how default would threaten the financial well-being of so many people. In psychiatry, with government funding for many treatments, the deadline depended on whether the country had sufficient financial cushion to pay the bills and continue funding. Keep reading

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