A community-based sample of 107 women completed the Beck Anxiety Inventory, Beck Depression Inventory, State-Trait Anxiety Inventory, and Edinburgh Postnatal Depression Scale at 14 weeks postpartum and at 30 weeks postpartum. The point prevalence of anxiety was 8.7% at 14 weeks and 16.8% at 30 weeks postpartum. The point prevalence of depression was 23.3% at 14 weeks and 18.7% at 30 weeks postpartum. The incidence of anxiety during this time period was 10.28%, and the incidence of depression was 7.48%, indicating high incidences of both postpartum anxiety and depression later in the postpartum period. The Edinburgh Postnatal Depression Scale was found to have a strong correlation with the State Anxiety Scale of the State-Trait Anxiety Inventory (r = .73 at 14 weeks, r = .82 at 30 weeks), suggesting that the Edinburgh Postnatal Depression Scale may be a good screening instrument for anxiety as well as depression.

In September of 2020, Guan and colleagues wrote about their experience of an Assertive Community Psychiatry Program responding to the COVID-19 pandemic. We describe our own experience as an Assertive Community Treatment team in Minnesota responding to challenges of effectively and safely delivering service to clients. As the pandemic has progressed since last year, so has the literature, and updated references are highlighted. Common threads are woven between our experience, the experience of Guan and colleagues, and others to suggest the beginnings of a template to adapt services to a new post-pandemic world.

Nursing burnout is a common and costly organizational problem that affects both nurses and patient care. Health behaviors, such as healthy nutrition, and adequate sleep and exercise, have been cited as burnout reduction strategies. At Mayo Clinic, the authors developed an educational program for nurses and other healthcare team members to address burnout and consider strategies to navigate work and life stressors. Audience participation software measured the percentage of audience members meeting criteria for burnout, as well as confidence in their ability to manage three basic health-influencing behaviors that included eating, sleeping, and moving well. Findings revealed a high prevalence of nursing burnout and low confidence in achieving healthy nutrition, sleep, and exercise. In this article the authors review selected background information about self–care, describe the course design and implementation of an educational program, and discuss findings from a brief survey included in the program. Their discussion considers their findings in relation to select literature and identifies needs for further inquiry and project limitations. They conclude by encouraging the profession of nursing and nurses to continue efforts to support self-care through healthy behaviors throughout their careers.

Patients frequently attribute symptoms and distress to their workplace. Such workplaces are characterized as “stressful,” “hostile,” or “toxic.” Such phrases cannot serve as a substitute for clinical assessment of the patient's work problem. Proper assessment entails understanding the situation at the workplace and the patient's reaction to the situation. This article discusses several ways in which legal and psychiatric frameworks used to assess workplace problems can be mutually incompatible. Poor clinical and functional outcomes, such as chronic anxiety or depressive symptoms, separation from the workplace facilitated by prolonged claims of work incapacity, long-term unemployment, and patient involvement in protracted litigation, can occur in the absence of informed and proactive clinical engagement. This article identifies steps to consider when a patient presents with work complaints. Active and skillful engagement with patients who present with a workplace problem not only mitigates negative clinical and functional outcomes but also promotes the psychological, social, and economic well-being of the patient. [ Psychiatr Ann . 2021;51(2):70–75.]

Separation from the workplace is generally disruptive. Although weathered well by some, it can result in a literal lethal outcome for others. Psychiatry in general would benefit from greater awareness and understanding of how and when separation from work becomes a psychiatric emergency. Psychiatrists are well versed in handling psychiatric emergencies of possible harm to self or others. However, there is less training regarding how to address problems that are at high risk for occurring whenever a patient leaves work. Psychiatrists are in an ideal position to prevent disability and adverse health outcomes associated with unemployment. This article explores the health hazards of unemployment (including increased risk of death), positive consequences of working, and the important role psychiatrists play in setting appropriate expectations. Psychiatrists best serve patients and their employers by sustaining employment and helping their patients navigate workplace challenges and improve their work, which also likely to improve their self-efficacy. [ Psychiatr Ann . 2021;51(2):58–63.]