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Vol 30 No 12: December 2008

Psychiatric Times Vol 30 No 12: December 2008

Challenging Cases

This case study of a 21-year-old woman—referred by a relative because of long-standing severe interpersonal, academic, and occupational impairment—illustrates the importance of screening patients with brief episodes of depression for mixed features.

Challenging Cases

Bipolar Disorder

A look into longer-term clinical and psychosocial outcomes of depressive disorder in early adulthood, as well as clinical and demographic variables associated with recurrence and lack of remission.

Bipolar Disorder

Do children with manic symptoms continue to experience mania? How common are suicidal ideation and attempts in bipolar youth? How severe is bipolar depression in children and adolescents? Answers to these and other questions from recent studies here. . .

Bipolar Disorder

DSM-5

Catatonia—a syndrome of disturbed motor, mood, and systemic signs (eg, rigidity, immobility, mutism, staring, posturing, waxy flexibility, echopraxia, echolalia, and stereotypies)—has led to the clarification of its appropriate treatment.

DSM-5

Substance Use Disorder

This article provides an overview of research concerning referral strategies for patients with substance use disorder and co-occurring disorders in the emergency department.

Substance Use Disorder

In this CME article, the focus is on the significance of metabolic changes that develop during antipsychotic treatment, as well as on strategies to incorporate metabolic monitoring into clinical practice.

Here: a succinct review of some of the potential promises and pitfalls of DSM-5.

While I watch the artist paint, I imagine him in the time of plague crafting a portrait of a Medico della Peste, a Plague Doctor wearing an ibis-like mask...

Psychopharmacology

A recent systematic review and meta-analysis that compared benzodiazepines with antidepressants for anxiety disorders has triggered a debate among clinicians about first-line treatments, efficacy for specific disorders, and adverse effects.

Psychopharmacology

Couch in Crisis

"The main problem here is not that past DSM leaders were derelict or purely political. The problem is that they now say that they would place science below pragmatism," according to this clinician.

Couch in Crisis

A documentary film review that compels one to wonder if Szasz’s alleged suicide should be seen as a courageous adherence to the principles by which he lived or a symptom of a pathological avoidance of helplessness. Dr Szasz might reply that either way, it was his choice.

Couch in Crisis

Major Depressive Disorder

Information from studies on adolescents with psychosis and a review of the evidence about the risk of suicide and suicidal behavior in this patient population.

Major Depressive Disorder

Cognitive Behavioral Therapy

The first generation of cognitive-behavioral therapy for psychosis, when added to standard care, has demonstrated efficacy in treating patients with delusions and hallucinations. Details in this article.

Cognitive Behavioral Therapy

Psychotherapy

In the first of a two-part Special Report, the evaluation and management of psychosis is explored across a range of disorders and clinical contexts.

Psychotherapy

Cultural Psychiatry

I am pleased to be able to join the dialogue on science, psychiatric diagnosis, and the DSMs that Dr James Knoll initiated with the posts of Drs

Cultural Psychiatry

A range of psychiatrists are remembered—from pioneers in psychoanalysis to trance studies; from psychopharmacology to reality therapy; from the normality of homosexuality to the psychopathology of “brain fag” syndrome; from flowers to film; from childhood to old age; from everyday clinicians to courageous challengers of the status quo; and from student to expert.

Cultural Psychiatry

Career

More than simply a collection of interesting vignettes, the author of this book frequently pushes readers to confront ingrained biases toward some of our most challenging patients.

Career

Integrative Psychiatry

Therapeutic farms that offer psychotherapy and psychopharmacology give patients an opportunity to learn about themselves.

Integrative Psychiatry

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