American Journal of Psychiatry Audio

This audio program includes a study of postpartum psychosis and mania, a home-visiting intervention for pregnant teenage American Indian mothers, brain patterns underlying learning deficits in autism spectrum disorders, the clusters of genetic variants and clinical features of schizophrenia, the Affordable Care Act and its expansion of insurance for young adults. Articles can be viewed online at ajp.psychiatryonline.org.

This audio program includes a discussion of hypercalcemia and hyperparathyroidism during lithium therapy. It also examines ECT for treatment-resistant bipolar depression and for clozapine-resistant schizophrenia; a weight loss intervention for individuals taking antipsychotic medications; an intervention for kindergartners with chronic conduct problems; a clinical trial offering depression care in OB-GYN clinics; and treatment response related to insurance. Articles can be viewed online at ajp.psychiatryonline.org.

This audio program includes a discussion of mercury poisoning and its neuropsychiatric presentations and presents a large study that used a new approach to testing the effect of antidepressants on heart rate. Several articles are about biomarkers of psychiatric illness: one identified a combined epigenetic and genetic biomarker for suicide, and another found that a measure of inflammation in depressed patients predicted the outcome of treatment with escitalopram and nortriptyline. Finally, a commentary on biomarkers considers how biological tests can be incorporated into psychiatric diagnostic criteria. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program explores pulmonary embolism in psychiatric patients, a trial of smoking cessation combining varenicline and bupropion, a trial comparing quetiapine with placebo for treatment of borderline personality disorder, a study of positive traits in co-twins of patients with bipolar disorder, a study evaluating the genetic and environmental contributions to familial recurrence of autism spectrum disorder, and a long-term study of the effectiveness of supported employment for persons with severe mental illness. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program explores relapse prevention in pediatric depression and the risk of mania or hypomania for patients with bipolar depression taking an antidepressant without a mood stabilizer. The series on global mental health describes a man in Cambodia with seizures, anorexia, and depression. The issue covers adverse neuropsychiatric effects of glucocorticoid medications, the patient-therapist relationship in psychotherapy, and the outcomes of psychodynamic therapy and CBT in social anxiety disorder. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program presents diagnostic and treatment aspects of disruptive mood dysregulation disorder, predictors of long-term outcome in youths with bipolar disorder, reading ability and elements of impulsivity related to aggression in schizophrenia, a global health review of a woman in Uganda with HIV and major depression, and the connection between schizophrenia and maternal levels of C-reactive protein. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program presents a case of delirium with manic symptoms in a patient with end-stage COPD, a clinical vignette about a chronically depressed woman in Iran, low dopamine transmission in the prefrontal cortex of people with alcoholism, a test of mindfulness training as a way to increase resilience in Marines before deployment, the influences of maternal and paternal PTSD on epigenetic regulation of the glucocorticoid receptor gene in the offspring of Holocaust survivors, and the ties between the unexpected death of a loved one and psychiatric disorders across the life span. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses a new tool for screening military veterans to evaluate the risk of violence. One article reviews the care of pregnant women with ADHD, and another one reports on outcomes after in-utero exposure to lithium. Also discussed is the treatment of separation, generalized, and social anxiety disorders in children and adolescents, and two longitudinal studies shed light on the continuity of preschool depression and on adult health and functioning in people who were bullied as children. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses DSM-5 classification of anxiety and related disorders, antipsychotic use in breast cancer patients, and adult outcomes of disruptive mood dysregulation disorder. Treatment trials for a parental intervention aimed at preventing antisocial personality and family-focused treatment plus medication for adolescents with bipolar disorder are also examined. The issue also looks at Internet-delivered treatment for substance abuse, virtual reality therapy for PTSD in conjunction with either D-cycloserine or alprazolam, and treatment with a synthetic neuro-active steroid via aerosol nasal spray for women with social anxiety disorder. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program begins with a new section, Perspectives in Global Mental Health, featuring cultural aspects of depression and ideas for global dissemination of psychological treatments. The issue also examines psychological interventions for psychosis, cognitive training, dietary coaching for elderly persons with subsyndromal depressive symptoms, psychiatric symptoms as risk factors for mild cognitive impairment, and how brain development relates to depression onset. Articles can be viewed online at www.ajp.psychiatryonline.org.