Mental Health

  • Off-label and oft-prescribed
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine December 2019, 86 (12) 766-767; DOI: https://doi.org/10.3949/ccjm.86b.12019

    When prescribing drugs for uses beyond their FDA indications, we need to explain their anticipated side effects and benefits.

  • Vaping: The new wave of nicotine addiction
    Perry Dinardo, BA and Ellen S. Rome, MD, MPH
    Cleveland Clinic Journal of Medicine December 2019, 86 (12) 789-798; DOI: https://doi.org/10.3949/ccjm.86a.19118

    Despite perceptions that vaping is harmless and claims that it can aid in smoking cessation, risks are emerging.

  • Functional heartburn: An underrecognized cause of PPI-refractory symptoms
    Functional heartburn: An underrecognized cause of PPI-refractory symptoms
    Scott Gabbard, MD and Sonya Vijayvargiya
    Cleveland Clinic Journal of Medicine December 2019, 86 (12) 799-806; DOI: https://doi.org/10.3949/ccjm.86a.19006

    Functional heartburn is the most common cause of failure of proton pump inhibitor therapy.

  • Beyond depression: Other uses for tricyclic antidepressants
    Joanne Schneider, DNP, RN, CNP, Mary Patterson, CNP and Xavier F. Jimenez, MD, MA
    Cleveland Clinic Journal of Medicine December 2019, 86 (12) 807-814; DOI: https://doi.org/10.3949/ccjm.86a.19005

    The pharmacology of these drugs, their potential uses in conditions other than depression, and safety considerations.

  • Gabapentin for alcohol use disorder: A good option, or cause for concern?
    Vania Modesto-Lowe, MD, MPH, Gregory C. Barron, MD, Benjamin Aronow, BS and Margaret Chaplin, MD
    Cleveland Clinic Journal of Medicine December 2019, 86 (12) 815-823; DOI: https://doi.org/10.3949/ccjm.86a.18128

    There is concern about the potential for abuse. Use it only as a second-line alternative, with caution.

  • SEEDS for success: Lifestyle management in migraine
    Jennifer Robblee, MD, MSc and Amaal J. Starling, MD
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 741-749; DOI: https://doi.org/10.3949/ccjm.86a.19009

    Lifestyle counseling can be based on the mnemonic SEEDS: sleep, exercise, eat, diary, and stress.

  • Adults with autism spectrum disorder: Updated considerations for healthcare providers
    Carol Swetlik, MD, MS, Sarah E. Earp, MD and Kathleen N. Franco, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 543-553; DOI: https://doi.org/10.3949/ccjm.86a.18100

    Social support, community programs, and behavioral therapies can help. Caregivers may also need support.

  • Where have all the children gone? Intentional communities for adults with autism
    Carl R. Brass, LPCC-S, MA and Debra J. Mandell, OTR/L, MA
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 554-558; DOI: https://doi.org/10.3949/ccjm.86a.19080

    Children with ASD grow to be adults with ASD, with complex healthcare needs.

  • Can a humanities background prevent physician burnout?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 225-226; DOI: https://doi.org/10.3949/ccjm.86b.04019

    Osler urged physicians to study the humanities. Can it prevent professional dissatisfaction and burnout?

  • How should I treat acute agitation in pregnancy?
    Joshua D. Niforatos, MTS, Jonathon W. Wanta, MD, Anna P. Shapiro, MD, Justin A. Yax, Do, DTMH and Adele C. Viguera, MD, MPH
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 243-247; DOI: https://doi.org/10.3949/ccjm.86a.18041

    This is an obstetric emergency. Intervention should progress in a stepwise manner.

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