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Psychiatric Times

Intellectual Jujitsu

3 controversial issues in psychiatry. ©KirillSavenko/ Shutterstock.com

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Helping patients who have significant medical illness as well as mental illness is a challenge, especially when the diagnosis is unclear. Hospital psychiatrists play a critical role in the management of these behaviorally compromised patients.

Madeleine Becker, MD, FAPM

Psychosomatic medicine psychiatrists specialize in managing psychiatric effects of medical treatments and medications.

After lounging on the doorstep of respectability for the past decade, assisted outpatient treatment is here to stay. But some still balk at the notion.

Figure. Levels of psychological impairment

Supportive psychotherapy can serve as the first bridge out of social isolation and marginalization and addresses personality issues, such as deficits in character structure and defense mechanisms.

© ALEXILUSMEDICAL /SHUTTERSTOCK.COM

We’ve been waiting since 1953, the year chlorpromazine was introduced to the US as a revolutionary treatment for schizophrenia, for an active treatment for tardive dyskinesia that the FDA judged to be effective.

The human-animal relationship can provide insight into the patient’s ability to connect, to interact, and to show care and empathy. Plus, companion animals tend not to breach confidentiality.

Med school finals, ten backpack pounds of biochem hauled for months, my epiphany: I would never know more about glucose metabolism than that morning...

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