Stimulant and Designer Drug Use: Primary Care Management - American Family Physician
Jul 15, 2018 - Approximately 10% of the U.S. population 12 years and older reported using illicit substances in 2015. This article reviews the clinical effects and treatment of persons who use cocaine, methamphetamines, 3,4-methylenedioxymethamphetamine (MDMA), synthetic cannabinoids, and synthetic ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0715/p85.html
Autism Spectrum Disorder: Primary Care Principles - American Family Physician
Dec 15, 2016 - Autism spectrum disorder is characterized by difficulty with social communication and restricted, repetitive patterns of behavior, interest, or activities. The Diagnostic and Statistical Manual of Mental Disorders, 5th ed., created an umbrella diagnosis that includes several previously ...
American Family Physician : Article
https://www.aafp.org/afp/2016/1215/p972.html
Behavioral Disorders in Dementia: Appropriate Nondrug Interventions and Antipsychotic ...
Aug 15, 2016 - Behavioral and psychological symptoms of dementia pose management challenges for caregivers and clinicians. Firstline nonpharmacologic treatments include eliminating physical and emotional stressors, modifying the patient’s environment, and establishing daily routines. Family members ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0815/p276.html
Identification and Management of Peripartum Depression - American Family Physician
May 15, 2016 - Peripartum depression affects up to one in seven women and is associated with significant maternal and neonatal morbidity if untreated. A history of depression is the strongest risk factor for developing peripartum depression. The U.S. Preventive Services Task Force recommends screening...
American Family Physician : Article
https://www.aafp.org/afp/2016/0515/p852.html
Nonpharmacologic Management of Chronic Insomnia - American Family Physician
Dec 15, 2015 - Insomnia affects 10% to 30% of the population with a total cost of $92.5 to $107.5 billion annually. Short-term, chronic, and other types of insomnia are the three major categories according to the International Classification of Sleep Disorders, 3rd ed. The criteria for diagnosis are ...
American Family Physician : Article
https://www.aafp.org/afp/2015/1215/p1058.html
Common Questions About the Pharmacologic Management of Depression in Adults - American ...
Jul 15, 2015 - One in 11 U.S. adults currently meets diagnostic criteria for major depressive disorder, and a similar number report that they have taken an antidepressant medication in the past 30 days. In the primary care population, medications are modestly superior to placebo in achieving ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0715/p94.html
Recognition and Differential Diagnosis of Psychosis in Primary Care - American Family ...
Jun 15, 2015 - Psychosis is a symptom complex that may include hallucinations, delusions, disorders of thought, and disorganized speech or behavior. Acute psychosis is primary if it is symptomatic of a psychiatric disorder, or secondary if caused by a specific medical condition. Patients with primary ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0615/p856.html
Delirium in Older Persons: Evaluation and Management - American Family Physician
Aug 1, 2014 - Delirium is defined as an acute, fluctuating syndrome of altered attention, awareness, and cognition. It is common in older persons in the hospital and long-term care facilities and may indicate a life-threatening condition. Assessment for and prevention of delirium should occur at ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0801/p150.html
Care of the College Student - American Family Physician
Nov 1, 2013 - There are approximately 20 million students in U.S. colleges and universities. Although this population is characterized as having good health, 600,000 students report some form of disability or some type of medical problem, including attention-deficit/hyperactivity disorder, learning ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1101/p596.html
A Primary Care Approach to Substance Misuse - American Family Physician
Jul 15, 2013 - Substance misuse is common among patients in primary care settings. Although it has a substantial health impact, physicians report low levels of preparedness to identify and assist patients with substance use disorders. An effective approach to office-based treatment includes a coherent...
American Family Physician : Article
https://www.aafp.org/afp/2013/0715/p113.html
Clinical Vignettes in Geriatric Depression - American Family Physician
Nov 15, 2011 - The diagnosis of depression in older patients is often complicated by comorbid conditions, such as cerebrovascular disease or dementia. Tools specific for this age group, such as the Geriatric Depression Scale or the Cornell Scale for Depression in Dementia, may assist in making the ...
American Family Physician : Article
https://www.aafp.org/afp/2011/1115/p1149.html
Postpartum Major Depression - American Family Physician
Oct 15, 2010 - Postpartum major depression is a disorder that is often unrecognized and must be distinguished from baby blues. Antenatal depressive symptoms, a history of major depressive disorder, or previous postpartum major depression significantly increase the risk of postpartum major depression. ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1015/p926.html
Prevention, Recognition, and Management of Serotonin Syndrome - American Family Physician
May 1, 2010 - Serotonin syndrome is a potentially life-threatening condition caused by excessive serotonergic activity in the nervous system. It is characterized by mental status changes, autonomic instability, and neuromuscular hyperactivity. Most reported cases of serotonin syndrome are in patients...
American Family Physician : Article
https://www.aafp.org/afp/2010/0501/p1139.html
Pharmacologic Management of Adult Depression - American Family Physician
Mar 15, 2008 - Major depression is a common and treatable disease. Many patients benefit from pharmacologic treatment and, because there is little variation in antidepressant effectiveness, medication choices should be made based on patient characteristics, safety, and anticipated side effects. Most ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0315/p785.html
Treating Eating Disorders in Primary Care - American Family Physician
Jan 15, 2008 - Binge-eating disorder, bulimia nervosa, and anorexia nervosa are potentially life-threatening disorders that involve complex psychosocial issues. A strong therapeutic relationship between the physician and patient is necessary for assessing the psychosocial and medical factors used to ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0115/p187.html
Methamphetamine Abuse - American Family Physician
Oct 15, 2007 - Methamphetamine is a stimulant commonly abused in many parts of the United States. Most methamphetamine users are white men 18 to 25 years of age, but the highest usage rates have been found in native Hawaiians, persons of more than one race, Native Americans, and men who have sex with ...
American Family Physician : Article
https://www.aafp.org/afp/2007/1015/p1169.html
Managing Opioid Addiction with Buprenorphine - American Family Physician
May 1, 2006 - Legislation has enabled physicians to treat opioid-dependent patients with an office-based maintenance program using buprenorphine, a partial mu-opioid receptor agonist. Clinical studies indicate buprenorphine effectively manages opioid addiction. Buprenorphine is more effective than ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0501/p1573.html
Ambulatory Detoxification of Patients with Alcohol Dependence - American Family Physician
Feb 1, 2005 - Detoxification from alcohol can be undertaken in ambulatory settings with patients who are alcohol-dependent and show signs of mild to moderate withdrawal when they are not drinking. An appropriate candidate for outpatient detoxification should have arrangements to start an alcohol ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0201/p495.html
Club Drugs: MDMA, Gamma-Hydroxybutyrate (GHB), Rohypnol, and Ketamine - American Family...
Jun 1, 2004 - Club drugs are substances commonly used at nightclubs, music festivals, raves, and dance parties to enhance social intimacy and sensory stimulation. The most widely used club drugs are 3,4-methylenedioxymethamphetamine (MDMA), also known as ecstasy; gamma-hydroxybutyrate (GHB); ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0601/p2619.html
Recognition of Alcohol and Substance Abuse - American Family Physician
Apr 1, 2003 - Ten percent of the population abuses drugs or alcohol, and 20 percent of patients seen by family physicians have substance-abuse problems, excluding tobacco use. These patients can be identified by relying on regular screening or a high index of suspicion based on
American Family Physician : Article
https://www.aafp.org/afp/2003/0401/p1529.html
Chronic Illness and Sexual Functioning - American Family Physician
Jan 15, 2003 - Chronic illness and its treatments can have a negative impact on sexual functioning. The mechanism of interference may be neurologic, vascular, endocrinologic, musculoskeletal, or psychologic. Patients may mistakenly perceive a medical prohibition to the resumption of sexual activity, ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0115/p347.html
Smoking Cessation: Integration of Behavioral and Drug Therapies - American Family ...
Mar 15, 2002 - Family physicians should take advantage of each contact with smokers to encourage and support smoking cessation. Once a patient is identified as a smoker, tools are available to assess readiness for change. Using motivational interviewing techniques, the physician can help the patient ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0315/p1107.html
Evaluation and Treatment of ADHD - American Family Physician
Sep 1, 2001 - Symptoms of attention-deficit/hyperactivity disorder (ADHD) are present in as many as 9 percent of school-age children. ADHD-specific questionnaires can help determine whether children meet diagnostic criteria for the disorder. The recommended evaluation also includes documenting the ...
American Family Physician : Article
https://www.aafp.org/afp/2001/0901/p817.html
Assessment and Treatment of Depression Following Myocardial Infarction - American ...
Aug 15, 2001 - Approximately 65 percent of patients with acute myocardial infarction report experiencing symptoms of depression. Major depression is present in 15 to 22 percent of these patients. Depression is an independent risk factor in the development of and mortality associated with ...
American Family Physician : Article
https://www.aafp.org/afp/2001/0815/p641.html
The Child With ADHD: Using the AAP Clinical Practice Guideline - American Family Physician
May 1, 2001 - The American Academy of Pediatrics developed an evidence-based clinical practice guideline that provides recommendations for the assessment and diagnosis of school-aged children with attention-deficit/hyperactivity disorder (ADHD). This guideline, the first of two guidelines to provide ...
American Family Physician : Article
https://www.aafp.org/afp/2001/0501/p1803.html