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Article ; Online: Caring for Traumatized Elders: Lessons Learned From Trauma-Informed Care.

Popescu, Dominique / Mellen, Emily / Ander, Ilana / Vyas, Chirag M / Ishikawa, Rachel Zack / Stern, Theodore A

The primary care companion for CNS disorders

2024 Volume 26, Issue 2

MeSH term(s)	Humans ; Aged ; Mental Disorders/therapy ; Psychological Trauma/therapy
Language	English
Publishing date	2024-04-23
Publishing country	United States
Document type	Journal Article
ZDB-ID	2675414-9
ISSN	2155-7780 ; 2155-7780
ISSN (online)	2155-7780
ISSN	2155-7780
DOI	10.4088/PCC.23f03643
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Late-Life Depression: A Narrative Review on Risk Factors and Prevention.

Vyas, Chirag M / Okereke, Olivia I

Harvard review of psychiatry

2020 Volume 28, Issue 2, Page(s) 72–99

Abstract: Learning objectives: After participating in this activity, learners should be better able to:• Identify risk factors for late-life depression• Evaluate strategies to prevent late-life depression ABSTRACT: Late-life depression (LLD) is one of the major ... ...

Abstract	Learning objectives: After participating in this activity, learners should be better able to:• Identify risk factors for late-life depression• Evaluate strategies to prevent late-life depression ABSTRACT: Late-life depression (LLD) is one of the major sources of morbidity and mortality in the world. Because LLD is related to increased public health burden, excess health care costs and utilization, reduced quality of life, and increased mortality, prevention is a priority. Older adults differ from younger adults with respect to key features, such as their chronicity and lifetime burden of depression and their constellation of comorbidities and risk factors. LLD likely arises from a complex interplay of risk factors, including medical, physiologic, psychosocial, behavioral, and environmental factors. Thus, a comprehensive understanding of LLD risk factors is necessary to inform prevention strategies. In this narrative literature review, we address both the risk architecture of LLD and several potential strategies for prevention. Our description of LLD risk factors and prevention approaches is informed by the framework developed by the National Academy of Medicine (formerly, Institute of Medicine), which includes indicated, selective, and universal approaches to prevention.
MeSH term(s)	Aging/psychology ; Comorbidity ; Depression/prevention & control ; Humans ; Primary Prevention/methods ; Randomized Controlled Trials as Topic ; Risk Factors
Language	English
Publishing date	2020-02-05
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1174775-4
ISSN	1465-7309 ; 1067-3229
ISSN (online)	1465-7309
ISSN	1067-3229
DOI	10.1097/HRP.0000000000000240
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Vitamin D and Psychosis in Alzheimer Disease: New Insights From Pharmacogenomics Research.

Vyas, Chirag M / Okereke, Olivia I

The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry

2019 Volume 27, Issue 9, Page(s) 918–919

MeSH term(s)	Alzheimer Disease ; Humans ; Pharmacogenetics ; Psychotic Disorders ; Vitamin D
Chemical Substances	Vitamin D (1406-16-2)
Language	English
Publishing date	2019-06-04
Publishing country	England
Document type	Editorial ; Comment
ZDB-ID	1278145-9
ISSN	1545-7214 ; 1064-7481
ISSN (online)	1545-7214
ISSN	1064-7481
DOI	10.1016/j.jagp.2019.05.021
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Zs.A 4443: Show issues

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Article ; Online: Assessment and Treatment of Abnormal Involuntary Movements: A Clinically Focused Narrative Review.

Petriceks, Aldis / Vyas, Chirag M / Paudel, Shreedhar / Donovan, Abigail L / Van Alphen, Manjola U / Stern, Theodore A

Harvard review of psychiatry

2024 Volume 32, Issue 2, Page(s) 47–57

Abstract: Learning objectives: After participating in this CME activity, the psychiatrist should be better able to:• Categorize and describe different types of abnormal involuntary movements (AIMs).• Identify assessment tools and treatment options for AIMs.: ... ...

Abstract	Learning objectives: After participating in this CME activity, the psychiatrist should be better able to:• Categorize and describe different types of abnormal involuntary movements (AIMs).• Identify assessment tools and treatment options for AIMs. Abstract: Abnormal involuntary movements (AIMs) comprise a diverse group of movement disorders characterized by uncontrolled and unintended movements (e.g., tremors, tics, dystonia). AIMs can occur at any stage of life and pose significant challenges for clinicians. It is difficult to determine their underlying causes due to the complex neurobiological mechanisms involved. Therefore, it is crucial to quantify the severity and progression of AIMs using well-validated measurement scales, such as the Abnormal Involuntary Movement Scale (AIMS). By employing reliable assessment approaches, clinicians can objectively evaluate the motoric manifestations of AIMs and track them over time. Treatment of AIMs varies depending on their nature and etiology. While AIMs often respond to treatment, serious side effects can undermine treatment efficacy. In this clinically focused narrative review, we categorize different types of AIMs and discuss their neurobiological aspects. Further, we emphasize the importance of using well-validated measurement scales for accurate assessment and discuss available treatment modalities that target the specific AIMs manifestations. Additionally, we cover the need for comprehensive care to address the multifaceted nature of AIMs, accounting for their physical manifestations as well as their psychological, social, and functional toll on patients. By embracing a multidisciplinary approach, health care professionals can provide patient-centered care that promotes overall well-being and enhances the lives of patients coping with AIMs. Regular follow-up assessments are necessary to monitor treatment response, adjust medications when needed, and provide ongoing support for individuals affected by AIMs.
MeSH term(s)	Humans ; Dyskinesias ; Movement Disorders ; Dystonia
Language	English
Publishing date	2024-03-07
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	1174775-4
ISSN	1465-7309 ; 1067-3229
ISSN (online)	1465-7309
ISSN	1067-3229
DOI	10.1097/HRP.0000000000000390
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Drug-Induced Abnormal Involuntary Movements: Prevalence and Treatment.

Paudel, Shreedhar / Donovan, Abigail L / Petriceks, Aldis / Vyas, Chirag M / Van, Manjola U / Stern, Theodore A

The primary care companion for CNS disorders

2023 Volume 25, Issue 3

Abstract: The Psychiatric Consultation Service at Massachusetts General Hospital sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. During their twice-weekly rounds, Dr Stern and other members of the Consultation Service ... ...

Abstract	The Psychiatric Consultation Service at Massachusetts General Hospital sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. During their twice-weekly rounds, Dr Stern and other members of the Consultation Service discuss diagnosis and management of hospitalized patients with complex medical or surgical problems who also demonstrate psychiatric symptoms or conditions. These discussions have given rise to rounds reports that will prove useful for clinicians practicing at the interface of medicine and psychiatry.
MeSH term(s)	Humans ; Prevalence ; Mental Disorders/drug therapy ; Mental Disorders/epidemiology ; Psychiatry ; Hospitals, General ; Comorbidity ; Referral and Consultation
Language	English
Publishing date	2023-05-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	2675414-9
ISSN	2155-7780 ; 2155-7780
ISSN (online)	2155-7780
ISSN	2155-7780
DOI	10.4088/PCC.22f03305
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Use of Physical Restraints in the Emergency Department: Rationale, Risks, and Benefits.

Donovan, Abigail L / Petriceks, Aldis H / Paudel, Shreedhar / Vyas, Chirag M / Stern, Theodore A

The primary care companion for CNS disorders

2023 Volume 25, Issue 3

Abstract	The Psychiatric Consultation Service at Massachusetts General Hospital sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. During their twice-weekly rounds, Dr Stern and other members of the Consultation Service discuss diagnosis and management of hospitalized patients with complex medical or surgical problems who also demonstrate psychiatric symptoms or conditions. These discussions have given rise to rounds reports that will prove useful for clinicians practicing at the interface of medicine and psychiatry.
MeSH term(s)	Humans ; Restraint, Physical ; Mental Disorders/diagnosis ; Mental Disorders/therapy ; Psychiatry ; Emergency Service, Hospital ; Hospitals, General ; Referral and Consultation
Language	English
Publishing date	2023-05-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	2675414-9
ISSN	2155-7780 ; 2155-7780
ISSN (online)	2155-7780
ISSN	2155-7780
DOI	10.4088/PCC.22f03320
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Acute Psychosis: Differential Diagnosis, Evaluation, and Management.

Vyas, Chirag M / Petriceks, Aldis H / Paudel, Shreedhar / Donovan, Abigail L / Stern, Theodore A

The primary care companion for CNS disorders

2023 Volume 25, Issue 2

Abstract	The Psychiatric Consultation Service at Massachusetts General Hospital sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. During their twice-weekly rounds, Dr Stern and other members of the Consultation Service discuss diagnosis and management of hospitalized patients with complex medical or surgical problems who also demonstrate psychiatric symptoms or conditions. These discussions have given rise to rounds reports that will prove useful for clinicians practicing at the interface of medicine and psychiatry.
MeSH term(s)	Humans ; Diagnosis, Differential ; Psychotic Disorders/diagnosis ; Psychotic Disorders/therapy ; Mental Disorders/epidemiology ; Psychiatry ; Comorbidity ; Hospitals, General ; Referral and Consultation
Language	English
Publishing date	2023-03-23
Publishing country	United States
Document type	Journal Article
ZDB-ID	2675414-9
ISSN	2155-7780 ; 2155-7780
ISSN (online)	2155-7780
ISSN	2155-7780
DOI	10.4088/PCC.22f03338
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Article ; Online: Child Maltreatment Among Older Adults: A Narrative Review of Psychotherapeutic Interventions and Clinical Considerations.

Ishikawa, Rachel Zack / Ander, Ilana / Popescu, Dominique L / Vyas, Chirag M / Okereke, Olivia I

Clinical gerontologist

2023 , Page(s) 1–15

Abstract: Objectives: The goals of this narrative review are to review the literature on psychotherapeutic interventions for older adults with histories of child maltreatment (CM) and to examine the unique considerations for assessing, diagnosing, and treating ... ...

Abstract	Objectives: The goals of this narrative review are to review the literature on psychotherapeutic interventions for older adults with histories of child maltreatment (CM) and to examine the unique considerations for assessing, diagnosing, and treating older adults with CM histories. Methods: Online database searches were conducted to identify the extant research into the efficacy of psychotherapeutic interventions for older adults with CM-related trauma. Results: Eight studies met inclusion criteria. The primary target diagnoses were post-traumatic stress disorder and depression. Psychotherapeutic interventions included Narrative Exposure Therapy, exposure-based treatments, Life Review Therapy, integrated treatments, and a spiritually-focused group therapy. Conclusions: While limited in number and generalizability due to study design and sample size and characteristics, the studies provide preliminary evidence of potentially effective psychotherapeutic treatments for older adults with CM histories. Further research is needed to determine the most effective psychotherapeutic interventions for this population. Clinical implications: Many older adults suffer for decades with the repercussions of CM. Due to knowledge gaps regarding best practices for treating older adults with CM histories, many clinicians are poorly equipped to treat this population. Therefore, awareness of CM-related pathology and familiarity with effective psychotherapeutic interventions are essential for clinicians to meet the needs of this population.
Language	English
Publishing date	2023-05-31
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	226146-7
ISSN	1545-2301 ; 0731-7115
ISSN (online)	1545-2301
ISSN	0731-7115
DOI	10.1080/07317115.2023.2219671
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.B 2772: Show issues

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Article ; Online: A Prescription for Deprescribing Antipsychotics: Managing Polypharmacy in Schizophrenia.

Paudel, Shreedhar / Vyas, Chirag M / Stern, Theodore A

The primary care companion for CNS disorders

2020 Volume 22, Issue 6

Abstract	The Psychiatric Consultation Service at Massachusetts General Hospital sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. During their twice-weekly rounds, Dr Stern and other members of the Consultation Service discuss diagnosis and management of hospitalized patients with complex medical or surgical problems who also demonstrate psychiatric symptoms or conditions. These discussions have given rise to rounds reports that will prove useful for clinicians practicing at the interface of medicine and psychiatry.
MeSH term(s)	Antipsychotic Agents/therapeutic use ; Deprescriptions ; Humans ; Polypharmacy ; Prescriptions ; Schizophrenia/drug therapy
Chemical Substances	Antipsychotic Agents
Language	English
Publishing date	2020-12-17
Publishing country	United States
Document type	Journal Article
ZDB-ID	2675414-9
ISSN	2155-7780 ; 2155-7780
ISSN (online)	2155-7780
ISSN	2155-7780
DOI	10.4088/PCC.20f02708
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: New-Onset Paranoia in an Elderly Woman With Bipolar Disorder: Differential Diagnosis, Evaluation, and Treatment.

Paudel, Shreedhar / Vyas, Chirag M / Peay, Celeste / Sorg, Emily / Abuali, Inas / Stern, Theodore A

The primary care companion for CNS disorders

2022 Volume 24, Issue 4

Abstract	The Psychiatric Consultation Service at Massachusetts General Hospital sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. During their twice-weekly rounds, Dr Stern and other members of the Consultation Service discuss diagnosis and management of hospitalized patients with complex medical or surgical problems who also demonstrate psychiatric symptoms or conditions. These discussions have given rise to rounds reports that will prove useful for clinicians practicing at the interface of medicine and psychiatry.
MeSH term(s)	Aged ; Bipolar Disorder/complications ; Bipolar Disorder/diagnosis ; Bipolar Disorder/therapy ; Diagnosis, Differential ; Female ; Hospitals, General ; Humans ; Mental Disorders/therapy ; Paranoid Disorders/complications ; Paranoid Disorders/diagnosis ; Paranoid Disorders/therapy ; Psychiatry ; Referral and Consultation
Language	English
Publishing date	2022-07-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	2675414-9
ISSN	2155-7780 ; 2155-7780
ISSN (online)	2155-7780
ISSN	2155-7780
DOI	10.4088/PCC.21f03141
Database	MEDical Literature Analysis and Retrieval System OnLINE

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