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COUCH IN CRISIS

The Role of Biological Tests in Psychiatric Diagnosis
Psychiatric Times,  May 23, 2013
You Are—And Your Mood Is—What You Eat
Psychiatric Times,  May 23, 2013
Experts Discuss Changes, Updates in DSM-5
Psychiatric Times,  May 22, 2013
The Paradox of Choice: When More Medications Mean Less Treatment
Psychiatric Times,  May 22, 2013
Will Your Clinical Records Support You in Court?
Psychiatric Times,  May 21, 2013

 
PATIENT RESOURCES
AHRQ Research and Other Activities Relevant to American Indians and Alaska Natives
www.ahrq.gov - 8/31/09
Psych Central
psychcentral.com - 12/10/06
Revised Guidelines for HIV Counseling, Testing, and Referral
www.cdc.gov - 11/8/01

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CLINICAL TRIALS
Sex Steroids and the Serotonin Transporter
www.clinicaltrials.gov -

 
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Sexual And Gender Disorders
 
LATEST FEATURES
September 28, 2012
Gender Identity Disorder in Prison: Depending on a Diagnosis That Is Soon to Disappear?
A recent case has caused a flurry of opposing opinions. Not surprisingly, transgender advocacy groups have praised the judge's decision that the... More »
September 6, 2012
Working With Transgender Persons
Using a question-and-answer format, we present a brief overview of issues that arise when mental health professionals explore how to best serve this... More »
July 13, 2012
Sex Orientation Change Therapy: Back in the Headlines
A bill banning mental health providers from engaging in sexual orientation change efforts with patients passed the California Senate just weeks after... More »
July 9, 2012
LGBT: Tips for Trans-Inclusion in Mental Health
Psychiatrists, physicians, and mental health professionals are often asked to treat patients facing issues of sexual orientation and gender identity.... More »
December 16, 2011
Sexual Minority Identity Development
More »
February 2, 2011
A Conservative Approach to Diagnosis Grandfathers in Weak Links
A DSM critic, Andrew Hinderliter sent this perceptive email questioning the wisdom of the most fundamental decision we made in preparing DSM IV-- ie,... More »
Showing 1 - 6 of 22 results.
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JOURNAL SCAN
CAPMH | Full text | Internalizing and externalizing problems, depression, and self-esteem in non-detained male juvenile offenders
www.capmh.com - 2/26/13
High rates of mental disorders have been found in detained juvenile offenders, whereas the role of psychopathology in non-detained offenders is less clear. Therefore, the present study compared psychopathology in male non-detained delinquent juveniles and two matched samples from the community and an adolescent psychiatric clinic.|High rates of mental disorders have been found in detained juvenile offenders, whereas the role of psychopathology in non-detained offenders is less clear. Therefore, the present
PLOS ONE: Body Conscious? Interoceptive Awareness, Measured by Heartbeat Perception, Is Negatively Correlated with Self-Objectification
www.plosone.org - 2/5/13
PLOS ONE: an inclusive, peer-reviewed, open-access resource from the PUBLIC LIBRARY OF SCIENCE. Reports of well-performed scientific studies from all disciplines freely available to the whole world.
PLoS ONE: Body Integrity Identity Disorder
www.plosone.org - 4/13/12
PLoS ONE: an inclusive, peer-reviewed, open-access resource from the PUBLIC LIBRARY OF SCIENCE. Reports of well-performed scientific studies from all disciplines freely available to the whole world.
PsychiatryOnline | The Journal of Neuropsychiatry and Clinical Neurosciences | 2012 American Neuropsychiatric Association Annual Meeting Abstracts
neuro.psychiatryonline.org - 2/29/12
The Journal of Neuropsychiatry and Clinical Neurosciences VOL 24 No 2. NP. Departments | March 01, 2012 . 2012 American Neuropsychiatric Association Annual Meeting Abstracts. The Journal of Neuropsychiatry and Clinical Neurosciences 2012;
PsychiatryOnline | The Journal of Neuropsychiatry and Clinical Neurosciences | Impulse-Control Disorders in Gilles de la Tourette Syndrome
neuro.psychiatryonline.org - 12/31/11
NP. Special Articles | January 01, 2012 . Impulse-Control Disorders in Gilles de la Tourette Syndrome. ... From the Department of Neuropsychiatry, University of Birmingham and BSMHFT, Birmingham, UK; University of Birmingham Medical School,

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MEDLINE
Thoughts on the nature of identity: how disorders of sex development inform clinical research about gender identity disorders.
pubmed.gov - 1/1/12
Disorders of sex development (DSD), like gender dysphoria, are conditions with major effects on child sexuality and identity, as well as sexual orientation. Each may in some cases lead to change of gender from that assigned neonatally. These similarities-and the conditions' differences-provide a context for reviewing the articles in this issue about clinical approaches to children with gender dysphoria, in relation to assessment, intervention, and ethics.
Gender identity and sexual orientation in women with borderline personality disorder.
pubmed.gov - 2/1/11
In the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, text revision (DSM-IV-TR) (and earlier editions), a disturbance in "identity" is one of the defining features of borderline personality disorder (BPD). Gender identity, a person's sense of self as a male or a female, constitutes an important aspect of identity formation, but this construct has rarely been examined in patients with BPD.|In the present study, the presence of gender identity disorder or confusion was examined in women diagnosed with BPD.|We used a validated dimensional measure of gender dysphoria. Recalled gender identity and gender role behavior from childhood was also assessed with a validated dimensional measure, and current sexual orientation was assessed by two self-report measures.|A consecutive series of 100 clinic-referred women (mean age, 34 years) with BPD participated in the study. The women were diagnosed with BPD using the International Personality Disorder Exam-BPD Section.|None
The DSM diagnostic criteria for gender identity disorder in adolescents and adults.
pubmed.gov - 4/2/10
Apart from some general issues related to the Gender Identity Disorder (GID) diagnosis, such as whether it should stay in the DSM-V or not, a number of problems specifically relate to the current criteria of the GID diagnosis for adolescents and adults. These problems concern the confusion caused by similarities and differences of the terms transsexualism and GID, the inability of the current criteria to capture the whole spectrum of gender variance phenomena, the potential risk of unnecessary physically invasive examinations to rule out intersex conditions (disorders of sex development), the necessity of the D criterion (distress and impairment), and the fact that the diagnosis still applies to those who already had hormonal and surgical treatment. If the diagnosis should not be deleted from the DSM, most of the criticism could be addressed in the DSM-V if the diagnosis would be renamed, the criteria would be adjusted in wording, and made more stringent. However, this would imply
Schizophrenia modifying the expression of gender identity disorder.
pubmed.gov - 4/2/09
According to the Brazilian Federal Medical Association, transsexualism is recognized as a gender identity disorder if a long-term diagnostic therapeutic process has demonstrated that the transposition of gender roles is irreversible, and if only hormonal and surgical procedures are appropriate to relieve the stress associated with the gender identity. Although such treatment will only be initiated with caution and after a long phase of intense diagnostic screening, the differentiation between pure identity disorders and transsexual feelings secondary to an ongoing psychopathologic process, such as schizophrenia, can be arduous for many health professionals.|To report a case of a female patient with schizophrenia and transsexualism and the risks of a potential diagnostic confusion.|A 19-year-old black woman, with an 8-year history of undifferentiated schizophrenia and intense gender dysphoria, was referred for sex reassignment surgery evaluation in the Ambulatory for the Treatment of
A follow-up study of girls with gender identity disorder.
pubmed.gov - 1/1/08
This study provided information on the natural histories of 25 girls with gender identity disorder (GID). Standardized assessment data in childhood (mean age, 8.88 years; range, 3-12 years) and at follow-up (mean age, 23.24 years; range, 15-36 years) were used to evaluate gender identity and sexual orientation. At the assessment in childhood, 60% of the girls met the Diagnostic and Statistical Manual of Mental Disorders criteria for GID, and 40% were subthreshold for the diagnosis. At follow-up, 3 participants (12%) were judged to have GID or gender dysphoria. Regarding sexual orientation, 8 participants (32%) were classified as bisexual/homosexual in fantasy, and 6 (24%) were classified as bisexual/homosexual in behavior. The remaining participants were classified as either heterosexual or asexual. The rates of GID persistence and bisexual/homosexual sexual orientation were substantially higher than base rates in the general female population derived from epidemiological or survey

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PRACTICE GUIDELINES
Guide to Clinical Preventive Services, 2010-2011: Section 3. Recommendations for Children and Adolescents
www.ahrq.gov - 8/31/10
Reviews the evidence for and against hundreds of preventive health services, recommending tests, and counseling interventions when evidence exists that it is effective.
National Guideline Clearinghouse | Practice parameter on gay, lesbian or bisexual sexual orientation, gender nonconformity, and gender discordance in children and adolescents.
www.guidelines.gov -
Practice parameter on gay, lesbian or bisexual sexual orientation, gender nonconformity, and gender discordance in children and adolescents.
Proposed Lifelong Learning Modules | American Academy of Child & Adolescent Psychiatry
www.aacap.org -
Maintenance of Certification. Proposed Lifelong Learning Modules. 2012 - Developmental Disorders, Developmental Variables ( Protective and Risk), Infancy and Pregnancy, Normal Development, Prevention, Sexual and Gender Identity Disorders, Sexual

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FROM PHYSICIANS PRACTICE
Five Steps to Improving Patient Access
Judy Capko,  May 21, 2013
Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.
Growing HIPAA Threat – Ignore Windows XP at Your Own Peril
Marion K. Jenkins,  May 21, 2013
Chances are good that you have some major ticking software time bombs lurking in your medical practice's computer environment, namely Windows XP and Server 2003.
Finding Physician Work-Life Balance in the Small Moments
Jennifer Frank, MD,  May 21, 2013
At my practice and at home, things are always busy. There's laundry or homework, or a patient with needs.
Three Areas to Reduce Costs at Your Medical Practice
Greg Mertz,  May 19, 2013
By taking a hard look at reducing costs for staffing, overhead, and technology at your medical practice, you may see increased physician compensation.
Dos and Don’ts for Starting a Physician Blog
Michael Woo-Ming, MD,  May 18, 2013
Starting a physician blog can provide your medical practice with marketing benefits, but it's important to do it right.
 

 
 
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