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Monday, February 11, 2013
  Clinical Accuracy Spoken Here  

Behavioral Health:
Panic Attack Diagnosis

A panic attack typically has an abrupt onset, building to maximum intensity within 10 to 15 minutes. People report a fear of dying, "going crazy," or losing control. The experiences provoke a strong urge to flee and, when associated with chest pain or shortness of breath, results in seeking aid from a hospital emergency room. Yet an attack rarely lasts longer than 30 minutes.

A panic attack must be characterized by at least 4 of the associated somatic and cognitive symptoms as defined by the DMS-IV-TR.

[Reference: BH, Module B, Anxiety Disorders]
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  Excellence in Case Mgmt  

Behavioral Health:
Substance Abuse Criteria

Whether the case is diagnosed with substance abuse or the treating condition is one that is accompanied by substance abuse, the CM's role will include all the CM essential functions: assessment; planning; facilitation, advocacy.

In using DSM-IV criteria, one should specify whether substance dependence is:

  • with physiologic dependence
  • without physiologic dependence

In addition, patients are classified as manifesting one of the following:

  • pattern of abuse
  • pattern of dependence
  • in remission.

[Reference: BH, Module C, Substance Abuse]
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  Improving Patient Care...  

Behavioral Health:
Improved Adherence with Injectables

Treatment adherence is often difficult for people with schizophrenia, but it can be made easier and can lead to improved quality of life. Fortunately, there are strategies that can enhance adherence and prevent worsening of the illness. Some antipsychotic medications are available in long-acting injectable forms that eliminate the need to take pills every day.

A major goal of research on treatments for schizophrenia is to develop a wider variety of long-acting antipsychotics, especially the newer agents with milder side effects, which can be delivered through injection.

[Reference: BH, Module D, High-Risk Behaviors]
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