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Novel Pharmacologic and Other Somatic Treatment Approaches for Posttraumatic Stress Disorder in Adults: State of the Evidence.
Am J Psychiatry
December 2024
National Center for PTSD, U.S. Department of Veterans Affairs, Washington, DC (Sippel, Hamblen, Kelmendi, Schnurr, Holtzheimer); Geisel School of Medicine at Dartmouth, Department of Psychiatry, Hanover, NH (Sippel, Hamblen, Schnurr, Holtzheimer); Northeast Program Evaluation Center, U.S. Department of Veterans Affairs, (Sippel); Department of Psychiatry, Yale University School of Medicine, New Haven, CT (Kelmendi); Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, New York, NY (Alpert); Department of Psychiatry and Human Behavior, Butler Hospital, Brown University, Providence, RI (Carpenter); Department of Psychiatry, David Geffen School of Medicine, University of California, Los Angeles (Grzenda); Department of Psychiatry and Behavioral Health, The Ohio State University, Columbus (Kraguljac); Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA (McDonald); Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, and Veterans Affairs Palo Alto Health Care System, Palo Alto, CA (Rodriguez); Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis (Widge); Dell Medical School, University of Texas at Austin, Austin (Nemeroff).
Posttraumatic stress disorder (PTSD) is a highly prevalent psychiatric disorder that can become chronic and debilitating when left untreated. The most commonly recommended first-line treatments for PTSD among adults are individual trauma-focused psychotherapies. Other evidence-based treatments include specific antidepressant medications and non-trauma-focused psychotherapies.
View Article and Find Full Text PDFCulture change and lessons learned from ten years in the VA centers of excellence in primary care education.
BMC Med Educ
April 2024
Division of General Internal Medicine, Yale School of Medicine, West Haven, CT, USA.
Background: Team-based care is critical to achieving health care value while maximizing patient outcomes. Few descriptions exist of graduate-level team training interventions and practice models. Experience from the multisite, decade-long Veterans Affairs (VA) Centers of Excellence in Primary Care Education provides lessons for developing internal medicine training experiences in interprofessional clinical learning environments.
View Article and Find Full Text PDFMetabolic dysfunction-associated steatotic liver disease: An opportunity for collaboration between cardiology and hepatology.
Atherosclerosis
May 2024
Department of Surgical, Medical, Dental and Morphological Sciences, University of Modena and Reggio Emilia, Italy; Department of Infectious Diseases, Azienda Ospedaliero-Universitaria, Policlinico of Modena, Modena, Italy.
Altered metabolic function has many detrimental effects on the body that can manifest as cardiovascular and liver diseases. Traditional approaches to understanding and treating metabolic dysfunction-associated disorders have been organ-centered, leading to silo-type disease care. However, given the broad impact that systemic metabolic dysfunction has on the human body, approaches that simultaneously involve multiple medical specialists need to be developed and encouraged to optimize patient outcomes.
View Article and Find Full Text PDFThe integrated treatment of eating disorders, posttraumatic stress disorder, and psychiatric comorbidity: a commentary on the evolution of principles and guidelines.
Front Psychiatry
May 2023
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, United States.
Psychiatric comorbidity is the norm in the assessment and treatment of eating disorders (EDs), and traumatic events and lifetime PTSD are often major drivers of these challenging complexities. Given that trauma, PTSD, and psychiatric comorbidity significantly influence ED outcomes, it is imperative that these problems be appropriately addressed in ED practice guidelines. The presence of associated psychiatric comorbidity is noted in some but not all sets of existing guidelines, but they mostly do little to address the problem other than referring to independent guidelines for other disorders.
View Article and Find Full Text PDFExploring the Evidence: Using Technology to Improve Integrated Care Coordination.
Nephrol Nurs J
March 2023
Postdoctoral Fellow and Instructor, Case Western Reserve University, Cleveland, OH
A transition of care is defined as a change in level of health care services, as patient care needs change from one location to another during acute or chronic illness. The location of services can vary from the hospital, skilled nursing facility, an outpatient setting, a primary care provider's office, or home health. Care coordination gaps can occur due to a lack of information exchange through the electronic health record, a lack of evidence-based standards, and poor communication among providers.
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