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ECT for Self-Injurious Behavior in Autism: A New IndicationECT has been found effective in mitigating the deleterious consequences of SIB.
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The Correlation Between Sleep-Disordered Breathing and PsychiatrySleep-disordered breathing is common in patients with mood and anxiety disorders. This article explores the implication for practicing psychiatrists whose patients have sleep disorders.
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The Relevance of Neuroscience for PsychiatristsMany psychiatrists are not familiar with the latest developments in neuroscience and many clinicians are a bit skeptical about the relevance of neuroscience in their practice.
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Treatment-Resistant Bulimia Nervosa: Clinical Implications and Future DirectionsDialectical behavior therapy may be particularly effective in mitigating biologically-driven vulnerabilities, and zonisamide and lamotrigine may play a role.
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Telepsychiatry TrainingTelemedicine-the use of electronic technologies to deliver medical care at a distance-continues to gain popularity and widespread use in all medical specialties, including psychiatry. However, many residents enter their training without any clinical experience in telemedicine in general or its applications in psychiatry.
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Management of Antipsychotic-Induced Weight GainIndividuals with schizophrenia are at greater risk for weight gain than the general population. From recent research, it appears that some of the second-generation antipsychotics may be more likely to cause weight gain than others. Recommendations for treatment strategies are provided.
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Weight Loss Associated With Cholinesterase Inhibitors in the ElderlyDo cholinesterase inhibitors lead to weight loss in older adults with dementia? Here's a wrap up of a large study of patients in a real-world setting who had newly started these medications.
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QTc Prolongation Associated With Psychotropics: Therapeutic ConsiderationsA focus on QTc monitoring in patients receiving psychotropics, especially when multiple medications are prescribed.
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Psychiatric Polypharmacy: The Good, the Bad, and the UglyA great deal of data exists about the dangers of polypharmacy. Persons with psychiatric disorders experience increased risk for adverse drug interactions because of the great frequency with which multiple medications are used.
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Cyberbullying and College Students: What Can Be Done?Clinicians have a powerful voice that can be used to address cyberbullying, improve campus climate, and support a positive undergraduate experience.
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The Complex Interrelationships of Menstrual Cyclicity and Anxiety DisordersThe ocurrence and severity of anxiety disorders have been correlated with fluctuations in female sex steroid levels in both epidemiological and experimental studies.1-5 Female reproductive hormones play a role not only in the development and course of anxiety disorders but also in treatment response.
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Dialectical Behavior Therapy Skills Training Is Effective InterventionThe latest research on DBT for treating psychiatric disorders, such as ADHD, bipolar disorder, eating disorders, and depression.
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Anxiety Disorders in Later LifeOlder adults can present with anxiety or worries about physical health (illness, changes in vision or hearing), cognitive difficulties, finances, and changes in life status (widowhood, care-giving responsibilities, retirement). Clinicians need to be aware that older adults may deny psychological symptoms of anxiety (fear, worry) but endorse similar emotions with different words (worries, concerns).
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Sexual Assault Among Male VeteransLittle attention has been paid to the prevalence of sexual assault and its sequelae among military men. The past-year prevalence of sexual assault among enlisted men ranges from 0.4% to 3.7%, a figure equal to or exceeding the lifetime prevalence among civilian men in some studies. Increased awareness and understanding of male sexual assault as well as routine screening of all patients, regardless of gender, for exposure to sexual victimization will enhance their recovery.
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Prostitution Is Sexual ViolenceDespite the image presented in films, books and television, prostitution places women and children at high risk for PTSD and other comorbid disorders. What experiences lead to this life?
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Effects of Ethnicity on Psychiatric Diagnosis: A Developmental PerspectiveCompared with Caucasians, African Americans receive an excess of schizophrenia-spectrum diagnoses. Potential explanations for the ethnic differences in clinical assignment of psychiatric diagnoses are reviewed.
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Inter-Rater Reliability in Psychiatric DiagnosisDSM-5 presents psychiatry with a potential “reset button” for diagnostic reliability.
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In Private Practice, There's Very Little 'Off' TimeAs an employed physician, when I was off, I was off. In private practice, the same is not true.
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Special Issues for Patients With Bipolar Disorder Coping With COVID-19Patients with bipolar disorder often find it difficult to maintain schedules and routines, all the more challenging with the COVID-19 pandemic. More in this video.
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The Limitations of Our Diagnostic Classification: Beyond DSM’s ChecklistsWe do not need psychiatrists who fit people into categories and slots and treat them as if they are robots, according to the dictates of a recipe book called “The Diagnostic and Statistical Manual.”
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Mini Quiz: The Aggression-Depression ConnectionBesides being sad, patients who are depressed often feel disgruntled, resentful, or irritable. Such emotions can lead to violence in people who are predisposed to such behavior. Consider the questions in this quiz.
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Gaming Addiction in ICD-11: Issues and ImplicationsWith internet and video gaming here to stay, game designers will continue to prioritize habitual gaming over the health of players, and the burden of pathological gaming will fall on users and their families.
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Mood Disorders in Later Life, 2nd edThis text provides an excellent overview of mood disorders during older adulthood. Chapter 1 deals with diagnosis and includes helpful diagnostic tools and pertinent laboratory values. Chapter 2 addresses nonmajor depressive syndromes-a much-needed area of discussion-and provides a literature review in an easy-to-read table. Chapter 3 includes very good information about epidemiology and a most useful table of information. Another strength is a discussion of potential reasons for low rates of depressive disorders.
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Sexual Offenders With Mental Illness: Special Considerations for a Special PopulationWhether or not sexual offending behavior-or the predisposition to such-is a mental illness, there are patients with traditional mental illnesses who also present with sexually inappropriate and even sexual offending behavior.
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Culture and Eating DisordersCulture has been identified as one of the etiological factors leading to the development of eating disorders. Rates of these disorders appear to vary among different cultures and to change across time as cultures evolve. Additionally, eating disorders appear to be more widespread among contemporary cultural groups than was previously believed.
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'Pop' Psychology: Putting Rock and Roll Music on the Psychoanalytic CouchMusic as a creative expression can rouse emotions. Sometimes, music can be used as a means of exploring those emotions and making a connection between musician and listener. Two examples, the Beatles' White Album and the Talking Heads' Remain in Light, show how music can do more than soothe the savage beast--it can also tell us something about ourselves.
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Concerns About Practice GuidelinesSeveral readers have responded with comments and concerns regarding my column, "Do Physicians Use Practice Guidelines?" Since the issues these readers raised are important and concern many psychiatrists, they merit some discussion.
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How Quickly Do Antidepressants Begin to Work?Is there such a thing as a placebo effect? If so, at what point does the drug effect really occur? How do we distinguish between the two?
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Recovery From Disability: Manual of Psychiatric RehabilitationGiven Dr Liberman’s remarkable productivity and his amazing capacity to keep his finger on the pulse of the field, I expect to find practical guidance in such circumstances in the next edition of Recovery From Disability.
