Marc H. Zisselman

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OBJECTIVE The purpose of this study was to evaluate the effects of pet therapy on geriatric psychiatry inpatients. A demonstrable impact could lead to more widespread or targeted use of animal companionship programs for hospitalized older persons. METHOD The study design was a randomized, parallel-group control treatment trial with pretreatment and(More)
Acute catatonia in an adolescent or young adult can present complex clinical challenges. Prominent issues include those involving diagnosis, timely and effective treatment, and diminished capacity to provide consent. The authors describe a 19-year-old woman presenting initially with manic excitement followed by a lengthy period of mutism, immobility, and(More)
There is currently no consensus on how to manage the psychiatric manifestations of neurosyphilis, despite the resurgence of this condition. The authors present five cases of neurosyphilis in inpatient psychiatric settings that manifested with predominantly psychiatric symptoms and were appropriately diagnosed and successfully treated with psychotropic(More)
OBJECTIVE To assess benzodiazepine utilization and documentation in hospitalized medical and surgical patients in relation to demographic characteristics. METHODS Retrospective review of computerized university hospital database and medical records. SUBJECTS 6,020 consecutive medical and surgical admissions from January through June 1992. MEASUREMENTS(More)
Electroconvulsive therapy (ECT) is used increasingly in the older adult population for major depression, particularly when depression is not responsive to medications, when antidepressants are not tolerated due to side effects, or when depression is accompanied by life-threatening complications such as severe weight loss or catatonia where a rapid(More)
Delirium is a common and serious complication of medical illness in frail elderly patients. The authors report on a series of nursing facility delirium patients followed for 3 months during and after acute medical hospitalization. Delirium was persistent to time of death or hospital discharge in 72%. At 1 and 3 months, 55% and 25%, respectively, showed(More)
The authors (within 24 hours of the order) administered a telephone questionnaire to physicians prescribing benzodiazepines to patients over age 65 admitted to a tertiary care university hospital (N = 81 consecutive medical and surgical admissions). Data were obtained from 50 physicians. Prescriptions were most commonly written for preoperative relaxation(More)
Sedative-hypnotic medications are often used to treat anxiety and sleep disorders, although they may not be used appropriately. Relationships between hospital length of stay (LOS), costs, and levels of sedative-hypnotic use were examined. Charts of 856 elderly patients were reviewed for sedative hypnotic use and categorized into three groups: those whose(More)
INTRODUCTION Depression is common in long-term care (LTC) residents and causes increased mortality and morbidity. Treatment resistance or intolerance to antidepressants is not unusual. Electroconvulsive therapy (ECT) is a safe and effective alternative for older community-dwelling residents but has not been well studied in LTC residents. METHODS A(More)
Electroconvulsive therapy has potent cardiovascular effects, which may pose a challenge in treating patients with preexisting cardiac disease. Although it is well studied in the treatment of refractory depression, there are still pitfalls to overcome when treating those with comorbid cardiovascular disease. The synergistic effects of depression and(More)