Hypervigilance and Helplessness in Facing Death of a Patient

It’s an early Friday morning during the pandemic. I arrive at my clinic to find my 8 o’clock slot booked with a same-day patient. As a clinical psychologist embedded within a primary care team, I meet with patients at varying frequency. I had just met with this patient on Monday — twice in one week … Read more

Unique Primary Care Model Effective for Comorbid Depression, PTSD

A unique primary care program successfully manages patients with depression and comorbid posttraumatic stress disorder (PTSD) and, if widely implemented may result in more rapid treatment and help alleviate wait times for specialty psychiatric care. Zachary Zuschlag, MD “We know there are strains on the mental healthcare system, and sometimes something as simple as getting … Read more

Specialties Differ on Value, Utilization of Telehealth: Study

Attitudes toward the use of telehealth differ markedly among mental health, primary care, and specialty care clinicians, according to a study published June 7 in JAMA Network Open. The study involved eight clinics of the Department of Veterans Affairs (VA) New England Healthcare System. Mental health professionals used telehealth — including phone and video visits … Read more

U of Washington, Harvard Ranked Top Medical Schools ― Again

It may seem like déjà vu as not much has changed regarding the rankings of top US medical schools over the past 2 years. The University of Washington in Seattle retained its ranking from the US News & World Report as the top medical school for primary care for 2023. Also repeating its 2022 standing … Read more

Disparities Shrink With Aggressive Depression Screening

An analysis at a large academic health system suggests that universal screening might help to reduce problematic disparities in depression treatment. The study began soon after the US Preventive Services Task Force recommended depression screening for all adults in 2016. The task force based this recommendation on evidence that people who are screened and treated … Read more

New Tool Cuts CVD Risk in Patients With Serious Mental Illness

A clinical decision support (CDS) system that can be implemented in primary care reduces cardiovascular risk factors (CV) common in patients with serious mental illness (SMI), new research suggests. Investigators assessed more than 70 primary care clinics that treated close to 9000 patients with SMI. Disorders included schizophrenia, bipolar disorder, and schizoaffective disorder. The clinics … Read more

Mindfulness Intervention Curbs Opioid Misuse, Chronic Pain

A psychotherapeutic intervention that unites mindfulness training, “third wave” cognitive behavioral therapy (CBT), and positive psychology significantly reduces chronic pain and opioid misuse, new research suggests. In a randomized clinical trial, 250 adults with both opioid misuse and chronic pain received either the intervention, called mindfulness-oriented recovery enhancement (MORE), or supportive psychotherapy. Results showed the … Read more