Managing Patients With Personality Disorder on the Acute Care Unit

This review focuses on the identification of patients with personality disorders in acute care and provides an overview of evidence-based behavioural and pharmacological interventions. (1) Personality disorders, pervasive patterns of maladaptive behaviours, thoughts, and emotions that can wreak havoc in the patient’s interpersonal life and are a major challenge in an acute care setting. Having…

Mental disorders significantly increase the risk of physical illness

This is a study looking at the effect that psychiatric co-morbidity has on the subsequent development of physical illness, published in JAMA Psychiatry in 2016. [1] Eighteen face-to-face, cross-sectional household surveys of adults were conducted in 17 countries (47 609 individuals; 2 032 942 person-years) from January 1, 2001, to December 31, 2011. Most associations…

Treatment resistant depression and the prevalence of the metabolic syndrome

This is French study by members of FondaMental from 2019. [1] The authors investigated the prevalence of the metabolic syndrome (MetS) and its components in a cohort of French patients with treatment-resistant depression (TRD) and looked at correlations with sociodemographic, clinical, and treatment-related factors. 205 patients were enrolled in the FondaMental Advanced Centers of Expertise…

Teaching patients to better self-manage their bipolar disorder slows the decline in physical health-related quality of life

A randomized controlled trial that was published in 2008. [1] Persons with bipolar disorder cardiovascular disease were recruited from a large Department of Veterans Affairs mental health facility and randomly assigned to be managed according to the bipolar disorder medical care model (BCM) or usual care. BCM care consisted of four self-management sessions on bipolar…