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The Lowdown on Low D

New evidence links vitamin D status with cognition in patients with psychosis.

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Psychotic Disorders in DSM-5: Clinical Implications of Revisions From DSM-IV

  • Rajiv Tandon, MD
  • William T. Carpenter, Jr, MD
Oct 31, 2016

The authors discuss the clinical implications of the changes in the DSM-5 section on schizophrenia spectrum and other psychotic disorders.

The Bed Makes Gestures

  • Richard Noll, PhD
Jan 29, 2013

Emil Kraepelin diagnosed the paranoid, catatonic, and hebephrenic forms of dementia praecox, a disease he created.

Confounding Factors in TRD (Part 1): The Role of Subtyping and Bipolarity

  • Michael I. Casher, MD
  • Daniel Gih, MD
  • Joshua D. Bess, MD
  • Prachi Agarwala, MD
Jul 19, 2012

The current system of payment for mental health care in the US can lead, or even incentivize, clinicians to focus on and code for Axis I disorders and their more readily reimbursed psychopharmacological treatment approaches.

Misunderstanding Psychiatry (and Philosophy) at the Highest Level

  • Ronald W. Pies, MD
Sep 9, 2011

In my view, Dr Angell’s assertions reflect both a serious misunderstanding of psychiatric diagnosis, and—equally important—a failure to address the core philosophical issues involved in her use of the terms “subjective,” “objective,” “behaviors,” and “signs.”


Diagnosing Schizophrenia from DSM-II to DSM-5: A Quiz

  • James Phillips, MD
Jul 13, 2011

DSM-II was published in 1968. DSM-5 will be published in 2013. How much progress have we made? I propose that we approach this question with a quiz.

Electroconvulsive Therapy: The Second Most Controversial Medical Procedure

  • Charles H. Kellner, MD
Feb 9, 2011

ECT, like abortion, is surrounded by controversy and strong opinions on both sides. Fortunately, for those of us who practice ECT, the discussion is not quite as heated nor the risks as high as for our colleagues in ob-gyn.

ECT Today: The Good It Can Do

  • Charles H. Kellner, MD
Sep 15, 2010

Dr Stone's vivid description of the military's abusive use of ECT 50 years ago -- while compelling to read from an historical perspective -- should in no way be confused with ECT today.

Electroconvulsive Rx: A Memoir and Essay (Part 1)

  • Alan A. Stone, MD
Sep 15, 2010

During my residency training at Harvard’s McLean Hospital from 1956-1959, the treatment of choice for all of our patients was intensive psychodynamic psychotherapy.

The Perplexing History of ECT in Three Books

  • Max Fink, MD
  • Charles H. Kellner, MD
Aug 12, 2010

Despite these divergent books, it is important to avoid characterizing ECT as controversial. The Shorter-Healy and Dukakis books should dampen the controversy, because they characterize ECT as a safe, effective, and important treatment that psychiatry almost forgot. With its emotion-laden accusations and name-calling, the Andre book will inflame opinions.

Speed of Response to ECT

  • Charles H. Kellner, MD
May 11, 2010

The overall effectiveness of electroconvulsive therapy (ECT) is well known, but its speed of action is much less talked about. Here I review what is known about the time course of action of ECT in depression.

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