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Clinical Implications of Substance Use on Suicidality Among YouthsBoth the American Psychiatric Association and the American Academy of Child and Adolescent Psychiatry have identified substance abuse as a top risk factor for suicide in youths.
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Introduction: Trauma and Its Psychiatric ConsequencesThe articles in this Special Report focus on the interplay between trauma and its consequences, including violent behaviors, substance use disorders, and stroke. Taken together, the articles may contribute to a better understanding of-and treatment development for-patients exposed to trauma.
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Assessing Suicide Risk in Patients With Borderline Personality DisorderPatients with borderline personality disorder are at a much higher risk for suicide attempts than patients with almost any other mental illness. Here, a case report and examples are presented to help clinicians assess, diagnose and treat patients with BPD who have attempted or are threatening suicide.
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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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Using Antidepressants During Pregnancy: An UpdateUsing Antidepressants During Pregnancy: An Update
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Treatment-Resistant OCD: Strategies and Novel Treatment OptionsOCD is highly comorbid and warrants consideration in difficult to treat cases. Learn more here.
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What Is the Role of Vitamin D in Depression?Vitamin D has been hailed as the “sunshine” vitamin with many therapeutic attributes. The authors explore the association between vitamin D deficiency and increased risk of depression.
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Film Review: The Last Interview of Thomas SzaszA 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.
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HoardingMany of the things that we busy ourselves with have no apparent utility. Blogging, playing games, and collecting come to mind. To declare that we are compelled to do these things may be too strong, but we do pursue these activities with little deliberation and without concern as to their usefulness. The ubiquity of these pursuits suggests that these activities or their variants helped humans survive at some point and that they now rest on innate brain programs.
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Psychotherapy and Psychoanalysis: The Real Spielrein Between Jung and FreudDown through the decades, psychotherapy and psychoanalysis have been portrayed in many Hollywood films and in television sitcoms but not with the suggestion that they are dangerous methods.
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Psychodynamic Psychiatry: A Case ReportThe author presents a fictionalized case based on a real patient to encourage colleagues to pursue psychodynamic psychiatry.
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Being Human: An Interview With Daniel J. Siegel, MDHow might a better understanding of the mind enhance someone’s life and optimize a clinical encounter?
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6 Diagnostic Features of Hoarding DisorderPeople with HD can experience social isolation, divorce, separation or alienation from family members and friends, not to mention risk of injury or death.
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Reflections on the Cruel and Subtle Costs of Racism and BigotryRecent events in Charlottesville are poignant reminders that the wounds caused by bigotry and racism leave a deep imprint on our spirit, bodies, and psyche.
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Partnering With Primary Care Clinicians to Improve AdherenceMany psychiatrists have patients who they know would do better if their adherence to treatment could be optimized. Here's a case in point.
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Warning: Antidepressants May Cause Messaging ManslaughterNeither time nor science has given pause to some attorneys who exploit the misunderstanding that surrounds the putative "criminogenic" effects of antidepressants.
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QT Prolongation and AntidepressantsIn the past decade, the effects of antidepressants on the QT interval and the subsequent risk of cardiac arrhythmias have become a notable concern. When the FDA released a drug safety communication about the risk of abnormal changes in the electrical activity of the heart with citalopram, providers learned to consider this risk as not only an adverse effect of a specific medication, but also the consequence of drug-drug interactions.
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Partnering With Primary Care Clinicians to Improve AdherenceMany psychiatrists have patients who they know would do better if their adherence to treatment could be optimized. Here's a case in point.
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How Psychiatrists Can Prevent HIV Transmission With Pre- and Post-Exposure ProphylaxisThis article delineates the role of psychiatrists in preventing HIV transmission before and after HIV exposure through pre- and post-exposure prophylaxis.
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Erikson Stages of Psychiatry ResidencyA lighthearted exploration of Erikson’s stages through residency training.
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Sometimes Amazing Things Happen in PsychiatryA psychiatrist recounts her harrowing experiences at both Bellevue Hospital and one of the most notorious correctional systems in the United States.
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MAO Inhibitors: Is Concomitant Use Safe or Too Risky?MAOIs deserve special consideration in the treatment of refractory depression. Here's a case in point.
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6 Diagnostic Features of Hoarding DisorderPeople with HD can experience social isolation, divorce, separation or alienation from family members and friends, not to mention risk of injury or death.
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Off-Label Prescribing of Antipsychotics for Youths: Who Should Be Treated?This article focuses on appropriate versus inappropriate use of antipsychotics, the importance of careful assessment, and the consequences of not treating.
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6 Practical Strategies to Enhance Treatment AdherenceMake the most of brief psychotherapeutic sessions with these practical tips.
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Hemingway’s Chronic Traumatic EncephalopathyIn Dr. Andrew Farah’s new biography of Ernest Hemingway, Hemingway’s Brain, he details the neuropsychiatric demise of a great literary mind.
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Q&A: Clinical Challenges in Substance Use DisordersWhat's the optimal strategy toward recovery from opioid use disorder? Which treatment for nicotine addiction has the most favorable adverse-effect profile?
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Engaging Medical Students in the Time of COVID-19For all educators, this is a time of great uncertainty, yet we must continue to engage and encourage students interested in pursuing careers in psychiatry, as well as facilitate comparable virtual clinical experiences for students
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The Hypothalamic-Pituitary-Gonadal Axis and Women’s Mental Health: PCOS, Premenstrual Dysphoric Disorder, and PerimenopauseThe authors review basic neuroendocrine function and the evidence base of hormonal contribution to psychiatric symptoms in PCOS, PMDD, and perimenopause. They also offer strategies for psychiatrists for both clinical assessment and management of women with neuroendocrine dysfunction.
