- Posttraumatic Stress Disorder Research
- Suicide and Self-Harm Studies
- Traumatic Brain Injury Research
- Psychosomatic Disorders and Their Treatments
- COVID-19 and Mental Health
- Schizophrenia research and treatment
- Pain Management and Treatment
- Long-Term Effects of COVID-19
- Parkinson's Disease and Spinal Disorders
- Personality Disorders and Psychopathology
- Aortic aneurysm repair treatments
- Peripheral Artery Disease Management
- LGBTQ Health, Identity, and Policy
- Transcranial Magnetic Stimulation Studies
- COVID-19 and healthcare impacts
- Vascular Procedures and Complications
- Treatment of Major Depression
- Functional Brain Connectivity Studies
- Reproductive Health and Technologies
- Disaster Response and Management
- Neurological disorders and treatments
- Mental Health and Psychiatry
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Sexuality, Behavior, and Technology
Carl R. Darnall Army Medical Center
2021-2025
Cambridge Health Alliance
2024
Department of Behavioral Health
2021
Tripler Army Medical Center
2017
Active duty service members who are psychiatrically hospitalized for suicide at the highest risk death following discharge. It is essential to test brief treatments that can be delivered during short length of stay in inpatient psychiatry. Written Exposure Therapy, a treatment posttraumatic stress disorder (PTSD), was augmented with Crisis Response Planning (WET + CRP) address PTSD and suicidal ideation (SI). This randomized controlled trial evaluated efficacy WET CRP plus as usual (n = 47;...
Purpose: Transgender and gender diverse (TGD) people experience deleterious minority stress, contributing to high rates of suicide attempt. However, little is known about TGD individuals' health care engagement or documented stressors before attempts. Methods: We used diagnosis codes rapid keyword-based review clinical notes identify patients with a attempt in electronic record data an urban, safety net system. priori open coding thematically analyze free-text potential up 6 months attempt,...
We assessed the interrater reliability, convergent validity, and discriminant validity of Self-Injurious Thoughts Behaviors Interview-Short Form (SITBI-SF) in a sample 1,944 active duty service members veterans seeking services for posttraumatic stress disorder (PTSD) related conditions. The SITBI-SF demonstrated high reliability good validity. measurement properties were comparable across veterans. Approximately 8% participants who denied history suicidal ideation on reported separate...
Studies of active duty service members have shown that military personnel who screen positive for posttraumatic stress disorder (PTSD) are more than twice as likely to make a suicide attempt. Evidence-based PTSD treatments can reduce suicidal ideation; however, it be challenging provide evidence-based, trauma-focused, treatment high-risk patients on an acute psychiatric inpatient unit because the priority care is stabilization. Treatment requires time and resources typically afforded during...
Clozapine is a second-generation antipsychotic typically reserved for refractory psychotic disorders due to its high-risk side effect profile include agranulocytosis, with attendant need regular blood draws. While reports of extrapyramidal symptoms (EPS), including acute dystonic reactions, are exceedingly rare, we present the case 44-year-old male long-standing history treatment-resistant schizoaffective disorder and no EPS who experienced an buccal reaction in setting clozapine initiation...
ABSTRACT At the outset of 2019 coronavirus disease (COVID-19) pandemic, New York City faced highest burden COVID-19 cases in United States. In response, U.S. Federal Government deployed medical providers from various uniformed services to treat patients with at Jacob Javits Convention Center City. There quickly arose a need for psychiatric and psychological support staff. Psychiatrists were tasked establishing consult-liaison psychiatry service this unique environment. The authors detail...
A 20-year-old man was admitted to an inpatient psychiatric unit for self-professed dissociative identity disorder. His presentation of multiple personalities without amnesia, dissociation or depersonalisation led further examination personality and cultural factors that may contribute this uncommon presentation. Careful clinical investigation supported a diagnosis schizotypal disorder with elements fantastical thinking influenced by media presentations
The federal government responded to the early epicenter of COVID-19 pandemic in United States by mobilizing uniformed services and other medical personnel treat patients at Javits New York Medical Station. Deployment large numbers required flexible psychiatric psychological support.This report details establishment mental health support for frontline a convention center explores lessons learned encourage future professionals apply creative assertive interventions disaster settings.Timely...