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Treating Comorbid Ptsd And Bpd: A Dialectical Approach, Meredith Pescatello 2018 Brigham Young University

Treating Comorbid Ptsd And Bpd: A Dialectical Approach, Meredith Pescatello

Intuition: The BYU Undergraduate Journal in Psychology

According to the Biosocial Developmental Model for Borderline Personality Disorder (BPD), individuals with a biological vulnerability (i.e., heightened emotional sensitivity and impulsive tendencies), plus an invalidating environment may develop BPD (Crowell, Beauchaine, & Linehan, 2009). Individuals with BPD are especially difficult to treat, because of their “extreme emotional, behavioral, and cognitive dysregulation” (Crowell, Beauchaine, & Linehan, 2009). Though challenging to treat, BPD can be successfully treated using Dialectical Behavior Therapy (DBT) (Linehan, 1993; Linehan 2015). Similarly, Posttraumatic Stress Disorder (PTSD) is complex and often burnout inducing to treat, because of the intensity of the emotional content related to traumatic events and high symptom severity including flashbacks, dissociation, and nightmares (Foa, 1993). PTSD can be adequately treated using exposure-based interventions, such as prolonged exposure (Foa, Chrestman, & Gilboa-Schechtman, 2009). However, when BPD is comorbid with PTSD, symptom severity is often heightened to ...


The Critical Need For Mental Health Education To Be Mandated In New Mexico's Public Schools, Bonnie L. Murphy 2018 University of New Mexico

The Critical Need For Mental Health Education To Be Mandated In New Mexico's Public Schools, Bonnie L. Murphy

Shared Knowledge Conference

Based on a review of research and best practices in mental health awareness and skills, this inquiry project argues for state legislative policies that would require mental health awareness and skills in the K-12 curriculum. Mental health affects individual accomplishments in every stage of people’s lives beginning in early childhood and throughout the life cycle. Prevention and treatment of mental illness plays a key role in the ability of an individual to cope with loss and develop resiliency and perseverance in challenging times and to make better decisions that improve the individual’s life and the lives of those ...


Integrated Treatment Of Substance Use Disorders And Trauma Experiences: The Women Of Worth Program, Melissa A. Lemke, Lisa Berger 2018 Center for Urban Population Health

Integrated Treatment Of Substance Use Disorders And Trauma Experiences: The Women Of Worth Program, Melissa A. Lemke, Lisa Berger

Journal of Patient-Centered Research and Reviews

Background: Up to 60% of women who enter substance use disorder (SUD) treatment also have been diagnosed with posttraumatic stress disorder (PTSD), which is higher than the U.S. general population of women. Traditionally, SUD and mental health treatment have occurred in separate systems, and providers in each system tend to not be dually trained. Yet, current research has found that clients with PTSD in standard SUD treatment programs experience poorer outcomes compared to their counterparts without PTSD. Given the high prevalence of PTSD among women in SUD treatment, treating both disorders at the same time and by the same ...


Ssri Maintenance Therapy Reduces Rate Of Recurrence For Elderly Patients With First Episode Of Major Depression, Blake J. Arthurs 2018 Wayne State University

Ssri Maintenance Therapy Reduces Rate Of Recurrence For Elderly Patients With First Episode Of Major Depression, Blake J. Arthurs

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Reynolds CF 3rd, Dew MA, Pollock BG, et al. Maintenance treatment of major depression in old age. N Engl J Med. 2006 Mar 16;354(11):1130-8. doi: 10.1056/NEJMoa052619. Based on the appraisal, long term SSRI maintenance therapy is recommended for elderly patients suffering from first episode of major depression.


Susceptibility Of Mental Disorders: Examining The Comorbidity Of Seasonal Affective Disorder, Nathaniel Wasden 2018 Brigham Young University

Susceptibility Of Mental Disorders: Examining The Comorbidity Of Seasonal Affective Disorder, Nathaniel Wasden

All Student Publications

This literature review examines the symptoms, theorized causes, and comorbidity of seasonal affective disorder (SAD). Although causes of SAD remain unknown, researchers have observed a common pattern of vitamin D deficiency among patients with SAD. The importance of vitamin D in regulating serotonergic activity has been well documented, including the positive correlation between decreased serotonin levels and increased depressive symptoms. For more than 30 years, researchers have hypothesized that decreased serotonin activity is linked to symptoms of SAD. Furthermore, patients with other mental disorders, including depression, bipolarity, obsessive-compulsive disorder, etc. are likely to experience aggravation of symptoms during peak SAD ...


"Born Out Of Fear": A Grounded Theory Study Of The Stigma Of Bipolar Disorder For New Mothers, Walker Ladd Ph.D. 2018 University of Phoenix

"Born Out Of Fear": A Grounded Theory Study Of The Stigma Of Bipolar Disorder For New Mothers, Walker Ladd Ph.D.

The Qualitative Report

Childbirth is an established trigger for the onset of bipolar disorders (BD) in the postpartum period, causing significant pathology and disability. Research has shown that the stigma of mental illness for new mothers is a powerful obstacle to care, preventing women from accessing critical treatment and social support. However, the majority of research has examined the relationship between the stigma and postpartum depression, leaving a gap in knowledge regarding stigma and postpartum bipolar disorder. The problem addressed in this grounded theory study was the lack of knowledge regarding the stigma of a diagnosis of bipolar disorder (BD) in the first ...


Kinship Diversion In The District Of Columbia: A Review Of Local Practice To Inform National Policy, Marla P. Spindel, Beth A. Stekler, Stephanie Ridgway McClellan 2018 DC KinCare Alliance

Kinship Diversion In The District Of Columbia: A Review Of Local Practice To Inform National Policy, Marla P. Spindel, Beth A. Stekler, Stephanie Ridgway Mcclellan

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

This article addresses a practice commonly known in the child welfare community as “kinship diversion,” where a child welfare agency informally places children with relatives as an alternative to foster care. While evidence predominantly shows that abused and neglected children have better outcomes when they are placed with relatives when they cannot remain safely at home, serious concerns about these children’s safety and well-being arise when the placement with relatives is informal. Indeed, it is often not understood that these same relatives can be approved as foster parents and can receive essential financial assistance and supportive services to help ...


Protocol For The Rose Sustainment (Roses) Study, A Sequential Multiple Assignment Randomized Trial To Determine The Minimum Necessary Intervention To Maintain A Postpartum Depression Prevention Program In Prenatal Clinics Serving Low-Income Women, Jennifer E. Johnson, Shannon Wiltsey-Stirman, Alla Sikorskii, Ted Miller, Amanda King, Jennifer L. Blume, Xuan Pham, Tiffany A. Moore Simas, Ellen Poleshuck, Rebecca Weinberg, Caron Zlotnick 2018 Michigan State University

Protocol For The Rose Sustainment (Roses) Study, A Sequential Multiple Assignment Randomized Trial To Determine The Minimum Necessary Intervention To Maintain A Postpartum Depression Prevention Program In Prenatal Clinics Serving Low-Income Women, Jennifer E. Johnson, Shannon Wiltsey-Stirman, Alla Sikorskii, Ted Miller, Amanda King, Jennifer L. Blume, Xuan Pham, Tiffany A. Moore Simas, Ellen Poleshuck, Rebecca Weinberg, Caron Zlotnick

Open Access Articles

BACKGROUND: More research on sustainment of interventions is needed, especially return on investment (ROI) studies to determine cost-benefit trade-offs for effort required to sustain and how much is gained when effective programs are sustained. The ROSE sustainment (ROSES) study uses a sequential multiple assignment randomized (SMART) design to evaluate the effectiveness and cost-effectiveness of a stepwise approach to sustainment of the ROSE postpartum depression prevention program in 90 outpatient clinics providing prenatal care to pregnant women on public assistance. Postpartum depression (PPD) is common and can have lasting consequences. Outpatient clinics offering prenatal care are an opportune place to provide ...


The Effect Of Exercise On Symptoms Of Depression In Adults Diagnosed With Clinical Depression: An Integrative Literature Review, Tibil Felix 2018 DePaul University

The Effect Of Exercise On Symptoms Of Depression In Adults Diagnosed With Clinical Depression: An Integrative Literature Review, Tibil Felix

Grace Peterson Nursing Research Colloquium

Background: While many healthcare providers are currently looking for alternative methods such as exercise to treat depression, there are limited studies to report how exercise effects symptoms of depression in adults diagnosed with clinical depression and whether an ideal exercise prescription exists.

Objective: The purpose of this integrative literature review was to evaluate the effect of exercise on adults with clinical depression.

Method: An integrative literature review was used. The tidal model of mental health as proposed by Dr. Phil Barker and Poppy Buchanan-Barker was used as a basis for this review. The keywords “clinical depression, exercise, adults, depression treatments ...


Relationship Between Theory Of Mind, Emotion Recognition, And Social Synchrony In Adolescents With And Without Autism, Paula Fitzpatrick, Jean A. Frazier, David E. Cochran, Teresa V. Mitchell, Caitlin Coleman, R. C. Schmidt 2018 Assumption College

Relationship Between Theory Of Mind, Emotion Recognition, And Social Synchrony In Adolescents With And Without Autism, Paula Fitzpatrick, Jean A. Frazier, David E. Cochran, Teresa V. Mitchell, Caitlin Coleman, R. C. Schmidt

Open Access Articles

Difficulty in social communication and interaction is a primary diagnostic feature of ASD. Research has found that adolescents with ASD display various impairments in social behavior such as theory of mind (ToM), emotion recognition, and social synchrony. However, not much is known about the relationships among these dimensions of social behavior. Adolescents with and without ASD participated in the study. ToM ability was measured by viewing social animations of geometric shapes, recognition of facial emotions was measured by viewing pictures of faces, and synchrony ability was measured with a spontaneously arising interpersonal movement task completed with a caregiver and an ...


Depression, Anxiety, Post-Traumatic Stress Disorder And A History Of Pervasive Gender-Based Violence Among Women Asylum Seekers Who Have Undergone Female Genital Mutilation/Cutting: A Retrospective Case Review, Hazel Lever, Deborah Ottenheimer, Jimmitti Teysir, Elizabeth Singer, Holly G. Atkinson 2018 Icahn School of Medicine

Depression, Anxiety, Post-Traumatic Stress Disorder And A History Of Pervasive Gender-Based Violence Among Women Asylum Seekers Who Have Undergone Female Genital Mutilation/Cutting: A Retrospective Case Review, Hazel Lever, Deborah Ottenheimer, Jimmitti Teysir, Elizabeth Singer, Holly G. Atkinson

Publications and Research

We sought to evaluate the frequency of anxiety, depression, PTSD, and any experiences of violence in women who had undergone Female Genital Mutilation/Cutting (FGM/C) and were seeking asylum in the United States. We undertook a retrospective qualitative descriptive study of FGM/C cases seen in an asylum clinic over a 2-year period. Standardized questionnaires provided quantitative scores for anxiety, depression and PTSD. Clients’ personal and physician medical affidavits were analyzed for experiences of violence. Of the 13 cases, anxiety and depression were exhibited by 92 and 100% of women, while all seven women screened for PTSD had symptoms ...


An Investigation Of The Neurobiology Of Psychogenic Non-Epileptic Seizures, Finian O'Brien 2018 The Royal College of Surgeons in Ireland

An Investigation Of The Neurobiology Of Psychogenic Non-Epileptic Seizures, Finian O'Brien

PhD theses

Background: Psychogenic non-epileptic seizures (PNES) are paroxysmal episodes of seizure-like behaviour that superficially resemble epileptic events, but lack EEG correlates of epilepsy. Diagnosis is often delayed and the condition is associated with significant impairments of general functioning. At the time that this project was commenced, there were few neuropsychological studies of PNES and the neural correlates of this condition were unknown.

Aims: This project aimed to firstly, examine the prevalence and management of PNES in an Irish epilepsy monitoring unit (EMU) and secondly to examine neuropsychiatric, neuropsychological, structural and functional neuroimaging correlates of adults with PNES.

Methods: Standardised assessments and ...


Transcranial Magnetic Stimulation: Design Of A Stimulator And A Focused Coil For The Application Of Small Animals, Jayaprakash Selvaraj, Priyam Rastogi, Neelam G. Prabhu Gaunkar, Ravi L. Hadimani, Mani Mina 2018 Iowa State University

Transcranial Magnetic Stimulation: Design Of A Stimulator And A Focused Coil For The Application Of Small Animals, Jayaprakash Selvaraj, Priyam Rastogi, Neelam G. Prabhu Gaunkar, Ravi L. Hadimani, Mani Mina

Electrical and Computer Engineering Publications

Transcranial magnetic stimulation (TMS) is a non-invasive, safe, effective, and food and drug administration approved treatment for major depressive disorder. TMS relies on time-varying magnetic fields to induce an electric field in the brain, resulting in depolarization or hyperpolarization of the neurons. Recently, there has been extensive research to improve the magnetic coil design, effectiveness of TMS treatment, and improvement in the computer modeling of human brains, yet little development is reported on the TMS pulse generators and coil design for small animals. TMS pulse generators, or stimulators, are the circuits which provides pulse current to drive the inductive coils ...


Massoptions Transforms The Way Elderly And People With Disabilities Get Much Needed Long-Term Services And Supports In Massachusetts, Jeff A. Auger, Kerrie Topi 2018 University of Massachusetts Medical School

Massoptions Transforms The Way Elderly And People With Disabilities Get Much Needed Long-Term Services And Supports In Massachusetts, Jeff A. Auger, Kerrie Topi

Commonwealth Medicine Publications

Some of the Commonwealth’s most underserved populations—the elderly, people with disabilities, and their caregivers— now have simplified access to the long-term services and supports (LTSS) they need, thanks to MassOptions, an innovative collaboration between UHealthSolutions, the nonprofit business affiliate of UMass Medical School, and the Massachusetts Executive Office of Elder Affairs.


Exploratory Study Of The Use Of Community Treatment Orders With Clients Of An Ontario Act Team, Magnus Mfoafo-M'Carthy, Cara Grosset, Carol Stalker, Irene Dullaart, Linda McColl Dr. 2018 Wilfrid Laurier University

Exploratory Study Of The Use Of Community Treatment Orders With Clients Of An Ontario Act Team, Magnus Mfoafo-M'Carthy, Cara Grosset, Carol Stalker, Irene Dullaart, Linda Mccoll Dr.

Social Work Faculty Publications

Community Treatment Orders (CTOs) have raised questions about coercion, lack of autonomy, and effectiveness in reducing hospitalizations and improving service users’ quality of life. This study examined the experiences of clients and clinicians when CTOs are used in combination with Assertive Community Treatment (ACT) in a recovery oriented approach. Eleven clients who were or had previously been on a CTO and eight ACT clinicians were interviewed. Although most clients had negative feelings about CTOs, some acknowledged their lives had improved. Clinicians reported that the decision to employ a CTO is sometimes debated within the team but they agreed that combining ...


An Examination Of The Impact Traumatic Events Has On Psychosocial Impairment In Eating Disorder Patients, Jennifer Parker Hackett 2018 California State University, San Bernardino

An Examination Of The Impact Traumatic Events Has On Psychosocial Impairment In Eating Disorder Patients, Jennifer Parker Hackett

Electronic Theses, Projects, and Dissertations

Research suggests that trauma has an impact on eating disorders. While prior research has demonstrated that the trauma from abuse has a significant impact on eating disorders, research has failed to explore other types of trauma. In addition, previous studies have stopped short of examining the impact trauma has on functioning among individuals with an eating disorder. This study aimed to address that gap in the literature. The purpose of this study is to examine whether traumatic life events impact psychosocial functioning among individuals living with an eating disorder. Furthermore, this study aimed to identify which traumas are shown to ...


Schizophrenia: An Evolutionary Explanation For A Maladapted Modern Environment, Tiffany Turner, Guillermo Ruiz NMD, William Mitchell, Jeffrey Langland 2018 Southwest College of Naturopathic Medicine

Schizophrenia: An Evolutionary Explanation For A Maladapted Modern Environment, Tiffany Turner, Guillermo Ruiz Nmd, William Mitchell, Jeffrey Langland

Journal of Evolution and Health

No abstract provided.


Gender, Sexuality, And Eating Disorders, Haley Leishman 2018 College of the Holy Cross

Gender, Sexuality, And Eating Disorders, Haley Leishman

Gender, Sexuality and Women's Studies Student Scholarship

This literature review considers how navigating gender and sexuality can have detrimental effects on the development and maintenance of eating disorders. My research explores how societal expectations of masculinity, femininity, and sexuality impact an individual’s relationship with their body, food, and exercise. Unique life stressors faced by members of gender and sexual minorities are also examined. My paper examines and explains how much of the research surrounding eating disorders does not include gender and sexual minority participants, despite the fact that such individuals are overrepresented in diagnosed cases of eating disorders. This gap in the literature has implications for ...


Open Ears, Open Mind, Open Heart: Active Listening, Mia Nguyen 2018 Dominican University of California

Open Ears, Open Mind, Open Heart: Active Listening, Mia Nguyen

Service-Learning | Student Scholarship

Active listening is the act of listening with all senses– the body, the mind, and the soul. It means empathizing with another person and finding that place within ourselves where we can listen beyond our initial judgements and personal feelings. It is listening beyond words and allowing our souls to understand, connect, and accept one another. Active listening sparks internal purity eliminating all types of judgement and allowing us to truly take in what another person has to offer. It is “an experience of language as a bodily felt process” in which we have a felt understanding rather than a ...


An Evidence-Based Co-Occurring Disorder Intervention In Va Homeless Programs: Outcomes From A Hybrid Iii Trial, David A. Smelson, Matthew Chinman, Gordon Hannah, Thomas Byrne, Sharon McCarthy 2018 University of Massachusetts Medical School

An Evidence-Based Co-Occurring Disorder Intervention In Va Homeless Programs: Outcomes From A Hybrid Iii Trial, David A. Smelson, Matthew Chinman, Gordon Hannah, Thomas Byrne, Sharon Mccarthy

Psychiatry Publications and Presentations

BACKGROUND: Evidence-based treatment for co-occurring disorders is needed within programs that serve homeless Veterans to assist with increasing engagement in care and to prevent future housing loss. A specialized co-occurring disorders treatment engagement intervention called Maintaining Independence and Sobriety Through Systems Integration, Outreach and Networking - Veterans Edition (MISSION-Vet) was implemented within the Housing and Urban Development - Veterans Affairs Supportive Housing (HUD-VASH) Programs with and without an implementation strategy called Getting To Outcomes (GTO). While implementation was modest for the GTO group, no one adopted MISSION in the non-GTO group. This paper reports Veteran level outcome data on treatment engagement and ...


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