Chronobiology—the science of daily (circadian), monthly, tidal, and seasonal rhythms—has undergone exponential growth in the past decade, with major discoveries at the molecular and neuroanatomic level.
Results of an annual physical examination of a 54-year-old man have led you to suspect he may have—or be at high risk for—sleep apnea syndrome. His BMI is 37 and his blood pressure is 126/82 mm Hg. He has hypertension and hyperlipidemia.
You are performing an annual visit evaluation for a 54-year-old sales manager. He has a history of hypertension and hyperlipidemia, both managed. He has no major complaints. He reports restful sleep and no daytime sleepiness.
In this podcast, Dr Lieberman discusses the associated features of three specific mental disorders: anxiety, major depressive disorder, and bipolar disorder. He offers practical techniques that can be used in diagnosing each of these disorders and provides suggestions for treatment.
Primary care physicians are often the first to see patients with mental health problems and they provide 70% of metal health care to patients. They also write a majority of the prescriptions for antidepressant and antianxiety medications in the United States. This is understandable in light of the fact that physical and mental ailments are often comorbid. But, there may be more to treating a patient who presents with depression than prescribing a pill.
Doctors, especially primary care doctors, love stories. We love hearing them from patients and telling them to one another. “Anecdotal learning” it’s called by some (somewhat derisively because it’s not science).