Family medicine providers at a large family medicine clinic were surveyed regarding their impression of the impact, utility and safety of the Primary Care Prescribing Psychologist (PCPP) model in which a prescribing psychologist is embedded in a primary care clinic. This article describes the model and provides indications of its strengths and weaknesses as reported by medical providers who have utilized the model for the past 2 years. A brief history of prescribing psychology and the challenges surrounding granting psychologists the authority to prescribe psychotropic medication is summarized. Results indicate family medicine providers agree that having a prescribing psychologist embedded in the family medicine clinic is helpful to their practice, safe for patients, convenient for providers and for patients, and improves patient care. Potential benefits of integrating prescribing psychology into primary care are considered and directions for future research are discussed.

Preliminary report on childhood sexual abuse, suicidal ideation, and suicide attempts among middle-aged and older depressed women.

The present article discusses the integration of a civilian prescribing psychologist into a primary care clinic at Madigan Army Medical Center. A description of the role of the prescribing psychologist in this setting is provided. The author asserts that integrating prescribing psychology into primary care can improve patient access to skilled behavioral health services including psychotherapeutic and psychopharmacologic treatment. Potential benefits to the primary care providers (PCPs) working in primary care clinics are discussed. The importance of collaboration between the prescribing psychologist and PCP is emphasized. Initial feedback indicates that integration of a prescribing psychologist into primary care has been well received in this setting.

Exercise has beneficial acute mood effects; however, for Type A Behaviour Pattern (TABP) individuals the positive mood effects of exercise may not be consistent because of their tendency to perceive exercise situations as competitive. This study examined whether competition (and the ensuing effort) would influence the acute affective response of exercising TABP individuals. Results indicated that TABP individuals exercising in the competitive condition had less favourable affective response than those in the non-competitive condition. Effects were most apparent for general affect, depression, and anger, and less notable for state anxiety. There was a trend for TABP individuals in the noncompetitive condition to show affective benefit whereas the affect of those in the competitive condition tended to be uninfluenced by exercise.

No abstract