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Springer eBooks, Sep 19, 2017

Springer eBooks, 2018

Overabundance of ideas with only superficial connections. Evidenced by a flow of speech moving ra... more Overabundance of ideas with only superficial connections. Evidenced by a flow of speech moving rapidly from one idea to another such that one thought is not carried through to completion before another takes its place. The logical sequence of thought is generally preserved, but ideas may become linked by distracting verbal cues such as clang associations or plays on words. In severe cases, speech may present as incoherent or disorganized. Most frequently occurs during a manic or hypomanic episode. May occur during the course of a schizophrenic illness or other psychotic disorder.

Springer eBooks, 2018

Accelerated speech that is increased in amount and difficult or impossible to interrupt. Affected... more Accelerated speech that is increased in amount and difficult or impossible to interrupt. Affected persons may present with speech that is incessant, rapid, loud, or emphatic. It is not uncommon for the person to talk without any social exchange and continue even though no one is listening. Typically considered a symptom of schizophrenia; also occurs during the course of a manic episode.

Psychopharm review, Mar 1, 2012

ancer is a common, diverse, and deadly disease, and its long and painful course can affect the mi... more ancer is a common, diverse, and deadly disease, and its long and painful course can affect the mind as severely it does the body. Although each patient with cancer handles his or her fight differently, there are patterns to the psychiatric conditions presented, and a sizeable body of research on treatment specific to this population. Treatment of these issues can improve the mental well-being of the patient, and results from a growing number of studies indicate a link between improvements in mental and physical health. EPIDEMIOLOGY Most practitioners are familiar with the prevalence of cancer and its impact on mortality rates. According to the National Vital Statistics Report, 1 produced by the Centers for Disease Control and Prevention (2009), malignant neoplasms were the second leading cause of death in the United States after heart disease. The Surveillance Epidemiology and End Results database from 2007, produced by the National Cancer Institute, 2 reports that more than 11 million Americans were living with a diagnosis of cancer, with the most common types being breast, prostate, and colorectal. Studies indicate that approximately 50% of cancer patients also suffer from a mental disorder, with the majority of these relating to the cancer and its treatment. 3 A meta-analysis of 94 interview-based studies 4 documented that the prevalence of adjustment disorder ranged from 15% to 20%, and anxiety disorders occurred in approximately 10% of patients. This study also demonstrated that 17% of patients with cancer develop depression alone, and 25% develop depression plus another disorder. The third most common psychiatric condition in patients with cancer is delirium, which is diagnosed more frequently in the latter stages of cancer, and it occurs in more than 80% of patients with advanced cancer. 5 ADJUSTMENT AND ANXIETY DISORDERS Adjustment disorders are defined by their proximity to an identifiable stressor and must develop within 3 months of the onset of that stressor, according to the Diagnostic and Statistical After participating in this CME activity, the psychiatrist should be better able to: • Assess the prevalence, time course, and patterned nature of psychiatric issues in patients with cancer. • Analyze the research findings about some of the common psychiatric issues in patients with cancer including adjustment disorders, depression, and delirium. • Evaluate how mental health can affect cancer progression and mortality. LWW.com Lippincott Continuing Medical Education Institute, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit ™. Physicians should only claim credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article(s) and complete the quiz and evaluation assessment survey on the enclosed form, answering at least 80% of the quiz questions correctly. This activity expires on February 28, 2013.

Journal of Clinical Psychology in Medical Settings, Apr 29, 2020

Olfactory reference syndrome (ORS) is a lesser known disorder that is related to obsessive-compul... more Olfactory reference syndrome (ORS) is a lesser known disorder that is related to obsessive-compulsive disorder. ORS is the obsessional and inaccurate belief that one is emitting a foul odor leading to embarrassment or concern about offending others, excessive hygiene behaviors, and social avoidance that significantly interferes with daily functioning. Although ORS is rare, it is challenging to diagnose. ORS-sufferers first seek treatment from non-psychiatric providers (e.g., dermatologists, dentists.) to alleviate the perceived odor, which frequently leads to misdiagnosis and unnecessary treatments. Additionally, because ORSsufferers can have limited insight and ideas of reference, they can be misdiagnosed as having a psychotic or delusional disorder. We present a case report of a 42-year-old woman with ORS, and how the correct diagnosis of ORS provided with psychiatric treatment led to significant improvement in her daily functioning. We provide a literature review on the disorder as well as a short screener to assess ORS.

Encyclopedia of Clinical Neuropsychology, 2016

An exaggerated sense of self-importance, power or knowledge, or believing that one is superior to... more An exaggerated sense of self-importance, power or knowledge, or believing that one is superior to others and deserves special treatment. Individuals may present as self-centered, entitled, or condescending. The term is generally used to describe the "larger-than-life" feelings of expansiveness or indestructibility often experienced by those in a manic, hypomanic, or mixed episode. It may also occur during the course of a delusional disorder or other psychotic illness.

Accelerated speech that is increased in amount and difficult or impossible to interrupt. Affected... more Accelerated speech that is increased in amount and difficult or impossible to interrupt. Affected persons may present with speech that is incessant, rapid, loud, or emphatic. It is not uncommon for the person to talk without any social exchange and continue even though no one is listening. Typically considered a symptom of schizophrenia; also occurs during the course of a manic episode.

Encyclopedia of Clinical Neuropsychology, 2017

Encyclopedia of Clinical Neuropsychology, 2018

Overabundance of ideas with only superficial connections. Evidenced by a flow of speech moving ra... more Overabundance of ideas with only superficial connections. Evidenced by a flow of speech moving rapidly from one idea to another such that one thought is not carried through to completion before another takes its place. The logical sequence of thought is generally preserved, but ideas may become linked by distracting verbal cues such as clang associations or plays on words. In severe cases, speech may present as incoherent or disorganized. Most frequently occurs during a manic or hypomanic episode. May occur during the course of a schizophrenic illness or other psychotic disorder.

Encyclopedia of Clinical Neuropsychology, 2017

Springer eBooks, Sep 19, 2017

Springer eBooks, 2018

Overabundance of ideas with only superficial connections. Evidenced by a flow of speech moving ra... more Overabundance of ideas with only superficial connections. Evidenced by a flow of speech moving rapidly from one idea to another such that one thought is not carried through to completion before another takes its place. The logical sequence of thought is generally preserved, but ideas may become linked by distracting verbal cues such as clang associations or plays on words. In severe cases, speech may present as incoherent or disorganized. Most frequently occurs during a manic or hypomanic episode. May occur during the course of a schizophrenic illness or other psychotic disorder.

Springer eBooks, 2018

Accelerated speech that is increased in amount and difficult or impossible to interrupt. Affected... more Accelerated speech that is increased in amount and difficult or impossible to interrupt. Affected persons may present with speech that is incessant, rapid, loud, or emphatic. It is not uncommon for the person to talk without any social exchange and continue even though no one is listening. Typically considered a symptom of schizophrenia; also occurs during the course of a manic episode.

Psychopharm review, Mar 1, 2012

ancer is a common, diverse, and deadly disease, and its long and painful course can affect the mi... more ancer is a common, diverse, and deadly disease, and its long and painful course can affect the mind as severely it does the body. Although each patient with cancer handles his or her fight differently, there are patterns to the psychiatric conditions presented, and a sizeable body of research on treatment specific to this population. Treatment of these issues can improve the mental well-being of the patient, and results from a growing number of studies indicate a link between improvements in mental and physical health. EPIDEMIOLOGY Most practitioners are familiar with the prevalence of cancer and its impact on mortality rates. According to the National Vital Statistics Report, 1 produced by the Centers for Disease Control and Prevention (2009), malignant neoplasms were the second leading cause of death in the United States after heart disease. The Surveillance Epidemiology and End Results database from 2007, produced by the National Cancer Institute, 2 reports that more than 11 million Americans were living with a diagnosis of cancer, with the most common types being breast, prostate, and colorectal. Studies indicate that approximately 50% of cancer patients also suffer from a mental disorder, with the majority of these relating to the cancer and its treatment. 3 A meta-analysis of 94 interview-based studies 4 documented that the prevalence of adjustment disorder ranged from 15% to 20%, and anxiety disorders occurred in approximately 10% of patients. This study also demonstrated that 17% of patients with cancer develop depression alone, and 25% develop depression plus another disorder. The third most common psychiatric condition in patients with cancer is delirium, which is diagnosed more frequently in the latter stages of cancer, and it occurs in more than 80% of patients with advanced cancer. 5 ADJUSTMENT AND ANXIETY DISORDERS Adjustment disorders are defined by their proximity to an identifiable stressor and must develop within 3 months of the onset of that stressor, according to the Diagnostic and Statistical After participating in this CME activity, the psychiatrist should be better able to: • Assess the prevalence, time course, and patterned nature of psychiatric issues in patients with cancer. • Analyze the research findings about some of the common psychiatric issues in patients with cancer including adjustment disorders, depression, and delirium. • Evaluate how mental health can affect cancer progression and mortality. LWW.com Lippincott Continuing Medical Education Institute, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit ™. Physicians should only claim credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article(s) and complete the quiz and evaluation assessment survey on the enclosed form, answering at least 80% of the quiz questions correctly. This activity expires on February 28, 2013.

Journal of Clinical Psychology in Medical Settings, Apr 29, 2020

Olfactory reference syndrome (ORS) is a lesser known disorder that is related to obsessive-compul... more Olfactory reference syndrome (ORS) is a lesser known disorder that is related to obsessive-compulsive disorder. ORS is the obsessional and inaccurate belief that one is emitting a foul odor leading to embarrassment or concern about offending others, excessive hygiene behaviors, and social avoidance that significantly interferes with daily functioning. Although ORS is rare, it is challenging to diagnose. ORS-sufferers first seek treatment from non-psychiatric providers (e.g., dermatologists, dentists.) to alleviate the perceived odor, which frequently leads to misdiagnosis and unnecessary treatments. Additionally, because ORSsufferers can have limited insight and ideas of reference, they can be misdiagnosed as having a psychotic or delusional disorder. We present a case report of a 42-year-old woman with ORS, and how the correct diagnosis of ORS provided with psychiatric treatment led to significant improvement in her daily functioning. We provide a literature review on the disorder as well as a short screener to assess ORS.

Encyclopedia of Clinical Neuropsychology, 2016

An exaggerated sense of self-importance, power or knowledge, or believing that one is superior to... more An exaggerated sense of self-importance, power or knowledge, or believing that one is superior to others and deserves special treatment. Individuals may present as self-centered, entitled, or condescending. The term is generally used to describe the "larger-than-life" feelings of expansiveness or indestructibility often experienced by those in a manic, hypomanic, or mixed episode. It may also occur during the course of a delusional disorder or other psychotic illness.

Accelerated speech that is increased in amount and difficult or impossible to interrupt. Affected... more Accelerated speech that is increased in amount and difficult or impossible to interrupt. Affected persons may present with speech that is incessant, rapid, loud, or emphatic. It is not uncommon for the person to talk without any social exchange and continue even though no one is listening. Typically considered a symptom of schizophrenia; also occurs during the course of a manic episode.

Encyclopedia of Clinical Neuropsychology, 2017

Encyclopedia of Clinical Neuropsychology, 2018

Overabundance of ideas with only superficial connections. Evidenced by a flow of speech moving ra... more Overabundance of ideas with only superficial connections. Evidenced by a flow of speech moving rapidly from one idea to another such that one thought is not carried through to completion before another takes its place. The logical sequence of thought is generally preserved, but ideas may become linked by distracting verbal cues such as clang associations or plays on words. In severe cases, speech may present as incoherent or disorganized. Most frequently occurs during a manic or hypomanic episode. May occur during the course of a schizophrenic illness or other psychotic disorder.

Encyclopedia of Clinical Neuropsychology, 2017