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Treatment Resistance: Challenges and SolutionsTreatment resistance occurs in a variety of psychiatric disorders and presents an ongoing challenge as we attempt to optimize treatments for our patients.
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Childhood-Onset Schizophrenia: Diagnostic and Treatment ChallengesPersons with childhood-onset schizophrenia appear to have the poorest outcome among those in whom schizophrenia is diagnosed.
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Should We Prescribe Different Dosages of Psychotropic Medications to Men and Women?Finding the right dosage of a psychotropic may be notoriously time consuming, but thought should be granted to the sexually dimorphic expression of CYP450 enzymes when prescribing medication.
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The Role of Psychiatrists in Integrated Health CareThe depth and duration of medical training in psychiatric residency is yet to be determined, but given the increasing emphasis on integrated care, the role of psychiatrists is changing. More in this video.
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The OPTICS Project: An Open-Science Framework for the Analysis of Clinical Trial DataA report of initiatives that have raised awareness of and promoted data sharing and data transparency in order to advance science and improve public health and health care.
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Issues in Family Services for Persons With SchizophreniaExtensive evidence supports the importance of the involvement of families in the mental health care of patients with schizophrenia and other serious mental illnesses. Family involvement is endorsed by the President's New Freedom Commission and the American Psychiatric Association Practice Guidelines on schizophrenia.
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Impact of Sexual Orientation and Gender Identity on Suicide Risk: Implications for Assessment and TreatmentThis article reviews what is known and unknown about LGBT suicide risk, discusses risk and protective factors for LGBT adolescents and adults, and provides recommendations for assessing and treating LGBT patients.
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Assessment and Management of Sleep Disorders in ChildrenSleep disorders are very common and are often underrecognized and underreported in children. If left untreated, these disorders can cause serious developmental and physiologic problems.
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Therapeutic Alliance in the Aftermath of an Emergency Crisis VisitA therapeutic alliance can serve to build a trusting relationship between clinician and patient and increase the patient’s feelings of agency and autonomy.
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5 Manifestations of Methamphetamine PoisoningPowerfully addictive, methamphetamine has devastating effects on health and other aspects of life. What is the net result of chronic methamphetamine abuse? Here are 5 of the major indicators.
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The Arts and Humanities in Psychiatry . . . A DebutCreativity should not be seen as “optional” in psychiatry. Rather, it helps us to approach clinical problems in new ways.
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The Implications of Chronobiology for PsychiatryChronobiology-the science of daily (circadian), monthly, tidal, and seasonal rhythms-has undergone exponential growth in the past decade, with major discoveries at the molecular and neuroanatomic level.
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Adjustment Disorders: Diagnostic and Treatment IssuesAdjustment disorder is one of the few psychiatric diagnoses for which the etiology, symptoms, and course, rather than symptoms alone, are central to making the diagnosis. Both emotional and behavioral disturbances are present and include low mood, tearfulness, anxiety, self-harm, withdrawal, anger, and irritability.
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Would a Suicide Barrier on the Golden Gate Bridge Save Lives?The Golden Gate Bridge in San Francisco has the regrettable distinction of being the number one spot for suicide in the world. There have been more than 1300 known suicides from the bridge, and in 2007 at least 35 people committed suicide by jumping off the Golden Gate Bridge, more than in any other year.
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Brain Aging and Dementia: Practical Tips From Clinical ResearchAge is a major risk factor for the development of Alzheimer disease and other dementias. New technologies in brain imaging represent major advances in our ability to diagnose age-related cognitive and behavioral disorders.
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Social Anxiety in AdolescentsAlthough social anxiety can be a challenge at any point across the lifespan, it can present a unique set of challenges during the teenage years. More in this podcast.
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Treating Adolescent Depression With Psychotherapy: The Three TsDespite the high prevalence of depression among youths, there are empirically supported treatments that have been shown to reduce depressogenic symptoms, including the 3 therapies outlined in this article.
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The King’s Speech: A Talking Cure for the Stiff Upper LipIn this blog, Annemone Ligensa reviews The King's Speech from a psychological and historical perspecive.
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Did California Dodge a “Right-to-Die” Bullet?How a radical proposal from California and 3 cases of anorexia nervosa from Colorado exemplify the "slippery slope" of physician-assisted suicide.
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Clinical Assessment of Dysexecutive SyndromesDysexecutive syndromes result from damage to the anterior regions of the brain and present as a combination of disinhibition, disorganization, or apathy.
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Transcending MedicineTruth be told, gender identity variations are not psychiatric disorders. That said, if you were there, what would you have done?
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Psychiatric Malpractice: Basic Issues in Evolving ContextsThis article focuses on 4 issues in psychiatric malpractice: prescribing, liability for suicide, informed consent, and duty to protect under the Tarasoff v Regents of the University of California ruling. Malpractice is a civil wrong actionable by law. There are 2 goals of malpractice suits: the first is to make an injured plaintiff whole by an award of money, and the second is to inform the profession how courts will decide similar cases in the future.
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Reporting Under Fire: Understanding Psychopathology of War JournalistsThe dozens of journalists killed while covering the current war in Iraq gives currency to the dangers encountered by those who bring us the news from the world's conflict zones. Despite the risks inherent in their profession, it is only recently that the psychological health of war reporters has been captured in a systematic and empirical manner.
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The Light-er Side of Treating Seasonal Affective DisorderSeasonal affective disorder affects 1% to 3% of the North American population. Evidence exists for the efficacy of high-intensity bright, fluorescent light. Pharmacological management with SSRIs has shown equivalent efficacy to light therapy. How can these two therapies be combined? What other therapies are available?
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Future ADHD Treatment OptionsExperts in attention-deficit/hyperactivity disorder discuss future nonmedication interventions, like trigeminal nerve stimulation and digital therapeutics.
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Managed Care: The New ColonialismThe term managed care has become the new blasphemy in the health care industry. Symposia, lectures and other presentations on this topic at the 1997 American Psychiatric Association convention all seemed to conclude that managed care in any form is evil and unethical and that by maintaining the moral high ground, physicians holding out against managed care would ultimately win because the cause is just.
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Deconstructing ADHD, Addiction, and BeyondNews and research highlights on ADHD, conduct disorder, substance use disorder, and behavioral addictions, including compulsive social networking.
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Trauma-Focused Cognitive-Behavioral Therapy for Sexually Abused ChildrenCognitive-behavioral therapy can be tailored for use with children who have experienced sexual abuse in order to relieve symptoms of PTSD.
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Psychopharmacological Enhancement of Neurocognition in SchizophreniaThis article summarizes efforts to develop neurocognitive enhancement drugs administered individually or as an adjunct to other antipsychotics and cognitive remediation.
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Becoming a Mensch: Timeless Talmudic Ethics for EveryoneThe book emerges as a skillful interweaving of 3 elements: an introduction to the Jewish tradition, a set of down-to-earth case examples in practical ethics, and a fine running commentary about Jewish lore and how we can all reflect on it and be enriched by it.
