RESUMO
Antidepressant-related sexual dysfunction is one of the most frequently met adverse effects for individuals suffering from major depressive disorder. When primary prevention by non-pharmacological measures fails, empirical coping strategies might be proposed. In this article, we present a brief overview of pharmacological strategies for antidepressant-related sexual dysfunction, considering antidepressants and conceivable corrective medications. We suggest dividing these strategies into three groups: (1) tapering (dose reduction, therapeutic window or short-term treatment interruption); (2) maintenance (focusing on spontaneous remission); (3) optimizing treatment (substitution for another antidepressant or addition of treatments to correct sexual side effects). Whichever strategy is selected, we encourage the clinician to propose the most adequate therapeutic option for the patient, while considering the efficacy and overall tolerance of the current antidepressant strategy, the affected phase of sexuality and patient preferences and gender. This summary is limited to antidepressant treatments and correctors marketed in France and aimed at a clinician reading to help manage patients suffering from antidepressant-induced sexual dysfunction.
Assuntos
Antidepressivos , Transtorno Depressivo Maior , Disfunções Sexuais Fisiológicas , Humanos , Antidepressivos/efeitos adversos , Antidepressivos/uso terapêutico , Disfunções Sexuais Fisiológicas/induzido quimicamente , Disfunções Sexuais Fisiológicas/terapia , Transtorno Depressivo Maior/tratamento farmacológico , Transtorno Depressivo Maior/psicologia , Feminino , Masculino , Disfunções Sexuais Psicogênicas/induzido quimicamente , Disfunções Sexuais Psicogênicas/terapiaRESUMO
While difficult, early detection of bipolar disorders in children and adolescents is crucial. Depending on age, diagnosis may be more or less difficult. Family history and the environment must also be taken into account.
Assuntos
Transtorno Bipolar/diagnóstico , Adolescente , Psiquiatria do Adolescente , Transtorno Bipolar/epidemiologia , Transtorno Bipolar/etiologia , Criança , Psiquiatria Infantil , Comorbidade , Diagnóstico Diferencial , Diagnóstico Precoce , Humanos , Classificação Internacional de Doenças , Anamnese , Avaliação em Enfermagem , Enfermagem Psiquiátrica , Fatores de RiscoRESUMO
Clinical aspects of post-traumatic psychiatric disorders are now well-known. But it might be advisable to not extend wrongly the field of these disorders. Authors emphasize differences between life event and traumatic event, and dwell on the singularity of trauma which gathers of subjectivity. By another way they describe specific characteristics of different traumatisms, at any age. At last, they recall the risks connected to some professions, especially firemen, policemen and all rescuers.