Alexander Kaplan

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Written Exposure Therapy for Posttraumatic Stress Symptoms and Suicide Risk: A Randomized Controlled Trial With High-Ris

Suicide and LifeThreatening Behavior

Feb 2025

Introduction: Active duty service members who are psychiatrically hospitalized for suicide are at the highest risk for suicide death following discharge. It is essential to test brief treatments that can be delivered during the short length of stay in inpatient psychiatry. Written Exposure Therapy, a brief treatment for posttraumatic stress disorder (PTSD), was augmented with Crisis Response Planning (WET + CRP) to address PTSD and suicidal ideation (SI). Methods: This randomized controlled trial evaluated the efficacy of the WET + CRP plus treatment as usual (n = 47; TAU) compared with TAU alone (n = 48) in reducing SI, PTSD symptoms, and rehospitalization among suicidal patients with at least moderate PTSD symptoms admitted to an inpatien

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Accelerated rTMS on a Special Operations Active Duty Military Male With a History of Posttraumatic Stress Disorder and T

Transcranial Magnetic Stimulation

Jan 2025

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Mental Health Considerations in Lymphedema and Lymphatic Diseases.

Standardized Approach for the Diagnosis and Management of Lymphedema LE and Lymphatic Diseases LD

Jul 2024

We aim to provide healthcare professionals with a clear and unified framework for the assessment, diagnosis, and treatment of lymphedema (LE) and various lymphatic diseases (LD). In doing so, we strive to ensure that individuals at risk of or living with lymphedema or lymphatic diseases across the globe receive the highest standard of care, with a focus on early detection, effective intervention, and improved quality of life. This document is a product of extensive research, clinical expertise, and a shared commitment to advancing the understanding and management of lymphatic conditions. [NOTE: Date of Online Publication Estimated].

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A novel sequential bilateral neurostimulation approach for treating anxiety in patients with major depressive disorder

Transcranial Magnetic Stimulation

Jan 2024

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A novel sequential bilateral neurostimulation approach for treatment-resistant depression involving high-frequency repet

Brain Stimulation

Nov 2023

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Psychometric properties of the Self-Injurious Thoughts and Behaviors Interview-Short Form (SITBI-SF) among U.S. active d

Assessment

Jan 2023

United States (U.S.) active duty service members and veterans have been found to have an elevated prevalence of suicide compared with those without a history of military service. The U.S. Departments of Defense and Veterans Affairs have called for advancements in the identification and assessment of suicide risk, particularly among high-risk groups, such as those with posttraumatic stress disorder (PTSD). The Self-Injurious Thoughts and Behaviors Interview-Short Form (SITBI-SF) is a frequently implemented measure used to assess the presence, nature, and timing of suicidal symptoms. However, the psychometric properties of the SITBI-SF have not yet been examined in a military sample. We assessed the interrater reliability, convergent validity

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Written Exposure Therapy for Suicide in a Psychiatric Inpatient Unit: A Case Series

Cognitive and Behavioral Practice

Nov 2022

Patients with posttraumatic stress disorder (PTSD) are at an elevated risk of suicide. For patients hospitalized for suicide risk, psychosocial treatment and stabilization are routinely offered; however, the availability of evidence-based, manualized therapeutic interventions for PTSD is sparse. Typically, the short duration of hospitalization makes it difficult to accommodate evidence-based, trauma-focused treatments. This article presents the clinical course of four active-duty service members with PTSD who were hospitalized in a psychiatric inpatient unit for acute suicide risk and treated with Written Exposure Therapy for Suicide (WET-S). WET-S is a brief, five-session therapy based upon Written Exposure Therapy and augmented with Crisi

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Mental health support of frontline medical personnel in the Javits New York Medical Station Federal COVID-19 Treatment C

Federal Practitioner

May 2022

Background: The federal government responded to the early epicenter of the COVID-19 pandemic in the United States by mobilizing uniformed services and other federal medical personnel to treat patients at the Javits New York Medical Station. Deployment of large numbers of personnel required flexible psychiatric and psychological support. Observations: This report details the establishment of mental health support services for frontline personnel in a large convention center and explores lessons learned to encourage future mental health professionals to apply creative and assertive mental health interventions in disaster settings. Conclusions: Timely and effective interventions included securing safe therapeutic space in high-traffic areas, d

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Written exposure therapy for posttraumatic stress symptoms and suicide risk: Design and methodology of a randomized cont

Contemp Clin Trials

Sep 2021

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 can be challenging to provide evidence-based, trauma-focused, PTSD treatment to high-risk patients on an acute psychiatric inpatient unit because the priority of care is stabilization. Treatment for PTSD requires more time and resources than are typically afforded during inpatient hospitalizations. Written Exposure Therapy is an evidence-based, five-session, trauma-focused treatment for PTSD that may overcome the implementation challenges of providing PTSD treatment in an acute in

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Schizotypal personality disorder disguised as dissociative identity disorder

BMJ Case Reports

Jul 2021

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 to further examination of personality and cultural factors that may contribute to this uncommon presentation. Careful clinical investigation supported a diagnosis of schizotypal personality disorder with elements of fantastical thinking influenced by media presentations of dissociative identity disorder.

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Psychiatric Care in a Novel Federal COVID-19 Treatment Center: Development of a Consultation-Liaison Psychiatry Service

Military Medicine

Jan 2021

At the outset of the 2019 coronavirus disease (COVID-19) pandemic, New York City faced the highest burden of COVID-19 cases in the United States. In response, the U.S. Federal Government deployed medical providers from various uniformed services to treat patients with COVID-19 at the Jacob Javits Convention Center in New York City. There quickly arose a need for psychiatric services for patients with COVID-19 and psychological support for medical staff. Psychiatrists were tasked with establishing a consult-liaison psychiatry service in this unique environment. The authors detail the establishment of a novel consultation-liaison psychiatry service in a large convention center and explore lessons learned from this experience with the aim to e

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An Unexpected Circumstance: Acute Dystonic Reaction in the Setting of Clozapine Administration

Journal of Pharmacy Practice

Nov 2017

Clozapine is a second-generation antipsychotic typically reserved for refractory psychotic disorders due to its high-risk side effect profile to include agranulocytosis, with its attendant need for regular blood draws. While reports of extrapyramidal symptoms (EPS), including acute dystonic reactions, are exceedingly rare, we present the case of a 44-year-old male with a long-standing history of treatment-resistant schizoaffective disorder and no history of EPS who experienced an acute buccal dystonic reaction in the setting of clozapine initiation and discontinuation of depot and oral risperidone. This case report presents one of the few documented episodes of acute dystonic reactions occurring in the setting of clozapine administration. B

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