Cultural Competence in Therapy: Finding a Mental Health Provider Who Understands Your Identity, Faith, and Background

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Why Cultural Fit With Your Therapist Is Not Optional For decades, the dominant assumption in American mental health care was that any properly trained therapist could effectively treat any patient, regardless of identity, background, or worldview. Clinical research and patient outcomes have steadily dismantled that assumption. Cultural competence, the capacity of a clinician to understand and work … Read more

Spravato Esketamine Clinics: REMS-Certified Centers and Insurance Coverage for Treatment-Resistant Depression

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Marisol Vega had tried seven antidepressants by the time she walked into a Phoenix psychiatric office on a 112-degree afternoon in July. SSRIs flattened her into a fog. SNRIs gave her tremors. Two trials of bupropion did nothing. The 41-year-old marketing director had been depressed since her second child was born in 2019, and the … Read more

Spravato Esketamine Clinics: REMS-Certified Centers and Insurance Coverage for Treatment-Resistant Depression

by
Free stock photo via Pexels

Marisol Vega had tried seven antidepressants by the time she walked into a Phoenix psychiatric office on a 112-degree afternoon in July. SSRIs flattened her into a fog. SNRIs gave her tremors. Two trials of bupropion did nothing. The 41-year-old marketing director had been depressed since her second child was born in 2019, and the … Read more

Acute Cannabis-Induced Psychosis: Emergency Treatment and the Connection to Schizophrenia Risk

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Devon was 22, a junior at Arizona State, the kind of student who built mechanical keyboards and ran a Discord server for indie game devs. He had used cannabis since high school. The change began the week he switched from flower to a 92 percent THC concentrate his roommate brought back from a Phoenix dispensary. … Read more

Acute Cannabis-Induced Psychosis: Emergency Treatment and the Connection to Schizophrenia Risk

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Free stock photo via Pexels

Devon was 22, a junior at Arizona State, the kind of student who built mechanical keyboards and ran a Discord server for indie game devs. He had used cannabis since high school. The change began the week he switched from flower to a 92 percent THC concentrate his roommate brought back from a Phoenix dispensary. … Read more

Lithium Toxicity: Recognising the Dosing Window and When Dialysis Is Required

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Margaret was 71, a retired librarian in Tucson, Arizona, who had been on lithium for forty-three years for bipolar I disorder. Her psychiatrist had retired the previous winter, and her primary care physician inherited the prescription without much review. In late August, during a heatwave, her cardiologist added lisinopril for blood pressure and a low-dose … Read more

Lithium Toxicity: Recognising the Dosing Window and When Dialysis Is Required

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Free stock photo via Pexels

Margaret was 71, a retired librarian in Tucson, Arizona, who had been on lithium for forty-three years for bipolar I disorder. Her psychiatrist had retired the previous winter, and her primary care physician inherited the prescription without much review. In late August, during a heatwave, her cardiologist added lisinopril for blood pressure and a low-dose … Read more

Anorexia Medical Emergency: When Eating Disorders Become a Code Stroke / Code Sepsis Equivalent

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Marisol was nineteen, a sophomore at the University of Denver, when her residence director found her unconscious on the bathroom floor. Her roommate had called twice that week, worried. Marisol had stopped going to the dining hall in November. By February, she weighed 78 pounds. The paramedics noted a heart rate of 32 beats per … Read more

Anorexia Medical Emergency: When Eating Disorders Become a Code Stroke / Code Sepsis Equivalent

by
Free stock photo via Pexels

Marisol was nineteen, a sophomore at the University of Denver, when her residence director found her unconscious on the bathroom floor. Her roommate had called twice that week, worried. Marisol had stopped going to the dining hall in November. By February, she weighed 78 pounds. The paramedics noted a heart rate of 32 beats per … Read more

When Alcohol and Anxiety Collide: Understanding Dual Diagnosis, Integrated Treatment, and Finding Help for Co-Occurring Disorders

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The Question You Have Been Afraid to Ask You drink to calm your anxiety. Three beers and the racing thoughts slow down. A glass of wine and the tightness in your chest loosens. The alcohol works. That is the problem. It works so well that you have started to depend on it. Now you wake … Read more