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Neuromodulation in Anorexia Nervosa and BulimiaHow can procedures like repetitive transcranial magnetic stimulation and deep brain stimulation help in the treatment of eating disorders?
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Using Antidepressants During Pregnancy: An UpdateUsing Antidepressants During Pregnancy: An Update
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Little-known Facts About Eating Disorders in Older PatientsEating disorders can frequently be unrecognized or masked behind medical conditions, depression, or the natural changes of aging.
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Poets on Prozac: Mental Illness, Treatment, and the Creative Process“Do poets need to be mentally ill to produce great work? Is creativity heightened by treatment, or does treatment reduce emotional pain to the extent that the poet no longer has anything to say?”
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Prevalence and Consequences of Metabolic Syndrome in Bipolar DisorderMedications used in the treatment of bipolar disorder are commonly associated with weight gain. Antipsychotic drugs have been implicated in new-onset diabetes.
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Traumatic Brain Injury Among Veterans Returning From Afghanistan and IraqThis article addresses the epidemiology, diagnosis, and treatment of mild TBI among combat veterans, with a particular focus on blast injury and the presence of comorbid posttraumatic stress disorder (PTSD).
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Psychiatric Problems in Patients Who Survive Critical Illnesses (Part 2)The psychiatric aftermath of critical illness can involve emerging from the ICU with horrifying memories (of being tortured, raped, assaulted, or imprisoned).
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Inflammation, Psychosis, and the BrainWhen the solution to a clinical or scientific puzzle eludes us for more than a century, as with schizophrenia, we need new methods to examine the pathology. If we want to make an impact on the disease we must shift research paradigms and focus on the early detection, early intervention, and new avenues of treatment that address different symptoms of schizophrenia.
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Mini Quiz: Light Therapy for Winter BluesWhen is the most favorable time for light therapy for seasonal affective disorder? Take the quiz to learn more.
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Maintenance of Certification and Self-MortificationHealth care and medical education must march ever onward-although recently there has been a growing uprising among the ranks of experienced physicians.
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Medical Aid in Dying: Ethical and Practical Issues for PsychiatristsThis CME helps to differentiate the roles of the attending physician and the consulting physician and to recognize the ethical concerns attendant to medical aid in dying.
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Mental Health in a Time of Financial CholeraThe financial tsunami that has hit the United States and most of the rest of the globe is causing unparalleled misery for hundreds of millions. In America, millions of jobs have been lost, and it appears that millions more will be lost. In a nation where home ownership is a cherished expectation and goal, millions are losing their homes. The GNP is shrinking, the value of nearly all investments has plummeted, and the retirement plans of millions have been decimated.
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Novel Methods to Predict Outcome Using NeuroimagingThe capacity of cognitive neuroscience to inform clinical practice has stimulated both excitement and controversy.
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Environmental Toxicants and Autism Spectrum DisorderOn the association between symptoms of autism spectrum disorder with environmental toxin exposure.
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Sex, DSM-5- and the Apocalypse: A CommentaryI just finished reading Dr Zucker’s retort to Dr Frances’ critique of proposed categories for paraphilias in DSM5, as well as Dr Frances’ reply.
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Understanding Anxiety Disorders in Children and Adolescents: Brief Overview and UpdateAnxiety disorders are the most common mental conditions in the general population, including in children and adolescents. Young people can present with a pattern of anxiety symptoms somewhat different from that typically seen in adults. One of the most common aspects of this difference is that children (especially younger ones) may not report overt worries or fears, but instead manifest pronounced physical symptoms.
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Mini Quiz: Glutamate and SchizophreniaThe glutamate model of schizophrenia proposes that dysfunction will involve which brain regions?
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New Drug Developments for Bipolar ManiaWhile challenges in treating mania persist, the future discovery of novel therapeutic agents will likely expand our understanding of this devastating illness and provide key insights into future drug development.
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A Response by Daniel CarlatFrom my standpoint as the author of Unhinged, Dr Haldipur’s review is both good news and bad news.
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“Designer Drug” Use and Abuse: Implications for PsychiatristsPsychiatrists are urged to familiarize themselves with these new drugs and the typical presentations of patients who use them since implications of misdiagnosis can be far-reaching.
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Bipolar Disorder: Diagnostic Challenges and Treatment StrategiesThe past few years have seen substantial progress in recognizing and treating several of the subtypes of bipolar disorder. This Special Report addresses the diagnostic challenges and the different strategies for managing these subtypes.
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Confusion about EHRs - It's Only NaturalThere are a couple of facets of human nature that have a big impact on how people perceive EHRs and what they do, or don't do, with them.
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Problems of Overdiagnosis and Overprescribing in ADHDDoubt and confusion as to where ADHD fits into the general spectrum of illness further feeds the general perception that ADHD is a socially constructed disorder rather than a valid neurobiological disorder
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Cognitive-Behavioral Therapy for Psychotic DisordersThe 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.
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Confounding Factors in Treatment-Resistant Depression (Part 2): Comorbidities and Treatment ResistanceThe role of subtyping and bipolarity in TRD was discussed in Part 1 of this 2-part article. Here we review a number of the most common confounding factors of TRD but limit our scope to comorbidities that can be directly addressed and treated by psychiatrists.
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Structural and Functional Neuroimaging: Focusing on Mild Cognitive ImpairmentAlzheimer disease, cognitive impairment, neurologic imaging
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The Treatment of Adolescent Eating DisordersNotwithstanding sparse treatment data, recent efforts are beginning to provide clinicians with some clear treatment guidelines for medically unstable adolescents with anorexia nervosa.
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The Current Status of Transcranial Direct Current Stimulation as a Treatment for DepressionEvidence has accumulated on the efficacy of transcranial direct current stimulation in major depression. The authors review its potential mechanism of action, findings from recent clinical trials, and potential role in the treatment of depressive disorders.
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Transcranial Magnetic Stimulation in Neuropsychiatry: An UpdateThe potential of TMS as a treatment for cognitive disorders, fatigue, pain, and other manifestations of brain disease is discussed, as is the encouraging prospect for neuropsychiatric management of many patients.
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Transcultural Psychiatry for Clinical PracticeWhat are some of the pitfalls of treating patients from varying cultural backgrounds, what cultural issues should psychiatrists be aware of and how can they fit varying culturally based psychiatric disorders into a proper diagnostic framework? Using case studies, Dr. Moldavsky explores the clinical implications of culture in psychiatric practice.
