Pediatric Psychiatric Emergencies: When a Child Needs an ER, Crisis Bed, or Inpatient Admission

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Maya Reynolds, fourteen, sat in the children’s emergency department in Newark on a Tuesday night, holding her mother’s hand and waiting. Maya had told her school counselor that morning that she had been thinking about her stepfather’s pistol for the last week, that she had Googled how to load it, and that she had stood … Read more

Exercise Prescription for Depression: The 150-Minute Threshold and Why Walking Fails Without Intensity

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Marcus from Tucson had tried three antidepressants over four years. His new psychiatrist did something the others had not. She wrote a real exercise depression prescription on a pad with her DEA number at the top: “Moderate-vigorous exercise, 150 minutes weekly, four sessions, beginning week one.” She also referred him to a behavioral health exercise … Read more

Refeeding Syndrome: Recognising and Preventing the Sometimes-Fatal Complication of Eating Disorder Recovery

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Hannah was 16, admitted to Cincinnati Children’s Hospital after months of restrictive eating that ended with a heart rate of 38 and a potassium of 2.7. Her parents, who had been begging her to eat for nearly a year, finally exhaled when she sat at the meal tray on day two and finished her oatmeal. … Read more

Adult ADHD Lifestyle Management: Beyond Medication, Practical Systems That Work

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Jenna was thirty-four, an attorney in Austin, when she finally got the diagnosis that explained two decades of half-finished projects, lost keys, and panicked all-nighters. The psychiatrist prescribed a stimulant, which helped, and then said something Jenna did not expect. He said the medication was the floor, not the ceiling. He said she would still … Read more

TMS Centers Near Me: Finding NeuroStar, BrainsWay, and Magstim Providers That Take Insurance

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Devon Pritchard had spent four years as a Cincinnati firefighter before the depression became something he could no longer outrun on a treadmill or drown at a craft brewery. The 33-year-old had failed sertraline, escitalopram, duloxetine, and a six-month trial of bupropion that gave him insomnia. His psychiatrist at the University of Cincinnati Medical Center … Read more

Catatonia: Recognition, Lorazepam Challenge, and ECT for the Most-Missed Psychiatric Emergency

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Eleanor, a 62-year-old retired schoolteacher from Asheville, North Carolina, had been in the geriatric psychiatry unit for nine days with a diagnosis of severe major depression. She would not eat. She would not speak. She lay in the same position for hours, her right arm raised slightly off the mattress as if she had been … Read more

Vitamin D and Depression: When Supplementation Helps and the 50,000 IU vs 5,000 IU Question

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Rebecca from Minneapolis came in for her annual physical in late February with a complaint that had become routine. She was tired all winter, irritable in ways she did not recognize as herself, sleeping ten hours and waking up unrefreshed, and her mood was creeping toward what she would have called depression in another context. … Read more

Equine-Assisted Therapy: EAGALA-Certified Programs and Whether the Evidence Supports the Cost

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Sergeant First Class Daniel had served three deployments in Afghanistan with the Tenth Mountain Division when he came home to Watertown, New York, with a diagnosis of post-traumatic stress disorder, a marriage on the brink, and the kind of insomnia that turns three in the morning into a familiar enemy. After eighteen months of trauma-focused … Read more