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COUCH IN CRISIS

Will Your Clinical Records Support You in Court?
Psychiatric Times,  May 21, 2013
Refinements in ECT Techniques
May 21, 2013
Successful Aging: Strategies to Help Maintain and Nurture a Healthy Brain
Psychiatric Times,  May 20, 2013
Ethical and Legal Issues in Geriatric Psychiatry
Psychiatric Times,  May 20, 2013
Eco-Psychiatry: Why We Need to Keep the Environment in Mind
Psychiatric Times,  May 18, 2013

 
PATIENT RESOURCES
Androgen insensitivity syndrome
ghr.nlm.nih.gov - 8/12/12
Swyer syndrome
ghr.nlm.nih.gov - 8/12/12
46,XX testicular disorder of sex development
ghr.nlm.nih.gov - 8/12/12

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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
PsychiatryOnline | APA Practice Guidelines | TREATING SUBSTANCE USE DISORDERSA Quick Reference Guide
ajp.psychiatryonline.org -
DSM-IV-TR Diagnostic and Statistical Manual of Mental Disorders. DSM-IV-TR Handbook of Differential Diagnosis. ... Gabbard's Treatments of Psychiatric Disorders. Cases From DSM-IV-TR Casebook and Its Treatment Companion.
PsychiatryOnline | APA Practice Guidelines | Practice Guideline for the Treatment of Patients With Schizophrenia Second Edition
psychiatryonline.org -
DSM-IV-TR Diagnostic and Statistical Manual of Mental Disorders. DSM-IV-TR Handbook of Differential Diagnosis. ... Gabbard's Treatments of Psychiatric Disorders. Cases From DSM-IV-TR Casebook and Its Treatment Companion.
PsychiatryOnline | APA Practice Guidelines | Practice Guideline for the Treatment of Patients With Substance Use Disorders, Second Edition
psychiatryonline.org -
DSM-IV-TR Diagnostic and Statistical Manual of Mental Disorders. DSM-IV-TR Handbook of Differential Diagnosis. ... Gabbard's Treatments of Psychiatric Disorders. Cases From DSM-IV-TR Casebook and Its Treatment Companion.
PsychiatryOnline | APA Practice Guidelines | Practice Guideline for the Treatment of Patients With Major Depressive Disorder, Third Edition
psychiatryonline.org -
DSM-IV-TR Diagnostic and Statistical Manual of Mental Disorders. DSM-IV-TR Handbook of Differential Diagnosis. ... Gabbard's Treatments of Psychiatric Disorders. Cases From DSM-IV-TR Casebook and Its Treatment Companion.
PsychiatryOnline | APA Practice Guidelines | Practice Guideline for the Treatment of Patients With Bipolar Disorder Second Edition
psychiatryonline.org -
DSM-IV-TR Diagnostic and Statistical Manual of Mental Disorders. DSM-IV-TR Handbook of Differential Diagnosis. ... Gabbard's Treatments of Psychiatric Disorders. Cases From DSM-IV-TR Casebook and Its Treatment Companion.

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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
Primary Care Can't Thrive Without Nurse Practitioners
Courtney H. Lyder, ND,  May 17, 2013
With a projected shortfall of primary-care physicians, it's time for alternate solutions to patient care. Nurse practitioners are one logical remedy.
VWhat Physicians Can Learn from the Allscripts EHR Lawsuit
Marisa Torrieri,  May 16, 2013
Lawsuit prompts question: What should physicians do to ensure they end up with a great EHR instead of buyer’s remorse?
Eight Ways ICD-9 Will Still Matter to Medical Practices
Brenda Edwards, CPC,  May 15, 2013
What should your medical practice do with your ICD-9-CM book after October 1, 2014? Keep it.
Seven Ways Technology Can Speed Up Patient Collections
Cheyenne Brinson,  May 15, 2013
Failing to adopt widely available billing and collections technology can cost medical practices big. Here's how to do it right.
Four Reasons Private Medical Practice is Becoming Extinct
Carol Stryker,  May 15, 2013
It’s becoming increasingly difficult for private medical practices to thrive. Here’s what’s driving the trend toward consolidation.
 

 
 
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