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The Silver Lining in the Graying of America: Healthy Aging Is the New NormClearly, old age is associated with unavoidable decline but in some instances can be mitigated by mental and physical exercise and social activity. How is the preservation of function despite illness and decline accomplished? Insights here. . .
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Psychiatric Care of Peripartum WomenThis article summarizes clinically relevant advances in the psychiatric care of women during and after pregnancy, including recent changes in how the FDA classifies pregnancy risk for medications, and best practices in perinatal psychopharmacology.
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Introduction: Child Psychiatry Is Not Only About ChildrenThe articles in this Special Report reinforce the lesson that children come with parents. This is one of first lessons that I teach my residents: you can’t work with a kid in a vacuum. Parents who do not feel some connection with a caregiver will not bring their child to treatment or follow the recommendations of the treatment team.
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A First-Episode Psychosis Treatment Program: “The Disease Doesn’t Define Me”The Psychiatric Transition Program at the Naval Medical Center in San Diego is a specialized first-episode psychosis program that provides coordinated specialty care to active-duty service members with serious mental illness.
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FDA Advisory Panel Recommends Approval of Tysabrimultiple sclerosis, MS, Tysabri, natalizumab, progressive multifocal leukoencephalopathy, PML
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Perspectives on Consultation-Liaison in Child and Adolescent PsychiatryChild and adolescent psychosomatic medicine, usually in the realm of the pediatric psychiatric consultation-liaison service, seeks to address the complex relationship between a child's physical illness and affective state with the goal of improving the child's emotional well-being.
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Ethical Issues in PsychopharmacologyExcellence in psychopharmacology demands sensitivity to the associated ethical considerations. The key considerations of psychiatry are both complex and dynamic, and psychiatrists who develop and refine their ethics skill set will be in a better position to anticipate and respond to ethical dilemmas as they arise in their practice.
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Why Kids Need Psychotherapy--and Why It Should Be Provided by Psychiatristschildren, Psychotherapy
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Twitter and YouTube: Unexpected Consequences of the Self-Esteem Movement?To Americans over 30, YouTube, Facebook, MySpace and Twitter are buzzwords that lack much meaning. But to those born between 1982 and 2001-often referred to as “millennials” or “Generation Y”-they are a part of everyday life. For the uninitiated, these Web sites are used for social networking and communication. They are also places where individuals can post pictures and news about themselves and express their opinions on everything from music to movies to politics. Some sites, such as YouTube, allow individuals to post videos of themselves, often creating enough “buzz” to drive hundreds and even thousands of viewers; in some instances, these videos create instant media stars-such as the Obama imitator, Iman Crosson.
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Treating Complex Trauma SurvivorsThis CME outlines distinguishing features of PTSD, complex trauma, and the dissociative subtype of PTSD (DPTSD), with an explanation of the distinctive neurobiological subtype of DPTSD.
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On Narcissism, the Internet, and Social Networking SitesI read with interest the posts of Dr John Grohol, PsyD regarding my commentary, "Twitter and YouTube: Unanticipated Consequences of the Self-Esteem Movement.” I had hoped it would bring attention to this topic and am glad that this has opened up an important dialogue. However, the author has missed the point.
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Antidepressants in Pregnancy: Balancing Needs and Risks in Clinical PracticeThis article summarizes the risks of untreated psychiatric illness during pregnancy as well as the risks and benefits of antidepressant use.
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Vaccine Mandate Exemptions for Anxiety: Ethical and Practical ConsiderationsDoes anxiety justify an exemption from vaccine mandates among health care workers?
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Cannabis 2021: What Clinicians Need to KnowThe sharply decreasing perception of risk and easy accessibility of cannabis has many patients turning towards it, despite the potential negative effects.
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Coaching Families to Address Addiction"He'll just have to hit bottom." That bit of outdated advice can be terrifying. How do clinicians trying to help the person with an addiction who refuses to set foot in our office render assistance?
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Addressing Postdeployment NeedsAlthough we would all like to believe otherwise, war is not over when a service member returns home. For many, returning home may be where the harder battles begin. Intensive training prepares troops for warfare, but what training do they have to readjust when they return home?
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Challenging Diagnoses, New Treatments, and Clinical Conundrums Discussed at Annual MeetingThe 2021 American Psychiatric Association Virtual Annual Meeting brought together leaders in psychiatry to discuss hot topics including diversity, COVID-19, mood disorders, and more.
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Posttraumatic Stress Disorder in VeteransThere have been nearly 1.5 million military deployments to the southwest Asian combat zone since the start of the Afghanistan operation and Iraq war in 2001 and 2003, respectively. There have been many casualties, some of which have been highly profiled, such as service members being killed in action, losing limbs, or suffering blast injuries to their brain.
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Posttraumatic Growth: A New Perspective on PsychotraumatologyLittle attention has been paid in the professional literature to a phenomenon that non-professionals have recognized since ancient times: Trauma can lead to personal growth. This article focuses on how traumatic events set processes in motion that produces new perspectives on the self, relationships and philosophy of life. Implications for clinical work with trauma survivors are discussed.
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Five Key Fantasies Embraced by DSMI envision the day when psychiatry and psychology re-embrace the mind, along with the brain and behavior.
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Mirrors, Masks, Field-Dressings, Guts, Hearts, and Our MindsIs it all these things that tell us who we are?
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Koryagin, Suspicious of Glasnost, Recounts Ongoing Soviet AbusesHere: the ordeal of a Russian psychiatrist who objected to the political abuse of psychiatry in the Soviet Union-and did something about it.
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Autism Spectrum and Neurodevelopmental DisordersThis article aims to provide the general psychiatric community with an update on the major findings on the biology of ASDs as well as the advances in diagnostic and interventional strategies.
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Children and Video Games: How Much Do We Know?There is no shortage of hyperbole when politicians of all stripes describe the nature and effects of video games. Republican presidential candidate Mitt Romney proclaimed, "Pornography and violence poison our music and movies and TV and video games.
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Clinical Dilemmas: What’s Good for the Brain Is Good for the HeartDoes it matter which came first, the depression or the heart disease?
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Mini Quiz: Neurobiology of Borderline Personality DisorderWhat do functional magnetic resonance neuroimaging findings reveal about the neurobiology of borderline personality disorder? Take the quiz and learn more.
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The Interface of Depression and DementiaDepression and dementia or Alzheimer's disease often go together. The presence of dementia may also increase the odds of depression. What can clinicians do to treat these two often comorbid conditions?
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Marketing Off-Label Uses: Shady Practices Within a Gray MarketFor pharmaceutical companies, off-label use of a drug represents a substantial “gray market,” to which the company is unable to sell their product directly, yet may be a significant revenue stream. Some drugs have been used more for off-label purposes than for originally approved indications.1
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Topiramate and Heavy Drinking: Implications for Personalized MedicineVery few heavy drinkers receive treatment and fewer still are prescribed medications with demonstrated efficacy. Here, a summary of current research, key takeaways, and highlights from a study on topiramate treatment for heavy drinkers by the lead author of that study.
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Gender Differences, Gamma Phase Synchrony and SchizophreniaThe authors discuss gender differences found in patients with schizophrenia. Their group is the first to explore the possibility that gender differences in schizophrenia are mediated by differences in integrative network activity, reflected in a synchronous phase of high frequency (40 Hz) gamma activity.
