Acad Psychiatry
February 2019
Objective: Dialectical behavior therapy (DBT) is a widely disseminated evidence-based treatment for patients with borderline personality disorder (BPD). This evaluation of a community psychiatry residency rotation compared a DBT training program to a standard care training program to determine the levels of confidence in treating patients with BPD, willingness to treat patients with BPD, and attitudes towards this patient population.
Methods: Participants were 57 psychiatry residents who completed a 3-month community psychiatry rotation in a DBT clinic (N = 33), or standard care clinic (N = 24) based in a partial hospitalization program in a community mental health center.
Intravenous injection of drugs is associated with a host of medical complications, notably soft-tissue infections. On the contrary, intra-arterial injections of drugs have also been reported, largely restricted to inadvertent injections. Here we describe a patient who engaged in repeated intra-arterial injections of heroin when she exhausted most of her venous access, and presented acutely with a radial artery occlusion requiring thrombolytic therapy.
View Article and Find Full Text PDFBackground: A new class of synthetic hallucinogens called NBOMe has emerged as drugs of abuse.
Objective: Our aim was to conduct a systematic review of published reports of toxicities associated with NBOMe ingestion.
Methods: We searched PubMed for relevant English-language citations that described adverse effects from analytically confirmed human NBOMe ingestion.