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Are the Media and the Public Still Missing the Clues?It is our responsibility as psychiatrists to educate the media and the public in general.
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Consequences of Social Mitigation StrategiesResearchers found a significant drop in life expectancy from depression, alcohol dependence, suicidality, increased divorce rates, and childhood trauma that are a direct result of social distancing.
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Psychiatric Diagnosis and Treatment of Somatizing Neuropsychiatric DisordersAlthough the somatizing disorders cover a vast array of symptomatic domains across many medical specialties, this article addresses the broad topic conceptually.
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Telepsychiatry Is a Team SportTo run an effective telepsychiatry practice, a solid partnership between skilled personal on-site with patients and the psychiatrist on the other end of the call is a must.
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Tarasoff ReduxNotwithstanding the personal implications and its centrality to mental health professionals, in my 30 years of teaching and writing about the intersection of psychiatry and law, I had managed to avoid that rite of passage. I was not comfortable and found it difficult to say something original on a topic that has been so extensively explored.
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There’s No Place Like GnomeBeing an outpatient psychiatrist is a lot like being married. Things go along, the same-old, for long periods. But then there's a moment. Today, with Leslie, I remember why I love my work.
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Obesity and Psychiatric DisordersObesity has emerged as a significant threat to public health throughout the developed world. The World Health Organization defines overweight as a body mass index of 25.0 to 29.9 kg/m2 and obesity as a BMI of 30.0 kg/m2 or greater.1 Nearly two-thirds of Americans are overweight or obese according to these criteria.2 Numerous health problems, including diabetes, cardiovascular disease, arthritis, and cancer, are associated with obesity. In addition, overweight and obese persons are more likely than their normal-weight peers to have a variety of psychiatric disorders.
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Making Psychotherapy Work: Collaborating Effectively With Your PatientMaking Psychotherapy Work: Collaborating Effectively with Your Patient is an engaging book that will interest most practicing psychotherapists.
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Emotional Maltreatment of Children: Relationship to PsychopathologyEmotional maltreatment is of two major types: emotional abuse and emotional neglect. While emotional abuse is easier to identify, emotional neglect is subtler, possibly more damaging, and poses even more challenging barriers to definition and study.
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Informed Consent and Civil Commitment in Emergency PsychiatryMedical school graduation usually involves taking the Hippocratic oath, in which physicians vow not to intentionally harm their patients. Keeping patients safe is another basic principle of patient care. Physicians are charged with ensuring that their patients are in a safe environment and minimizing risks to their patients by carefully selecting treatment options.
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Advances in Neuroimaging: Impact on Psychiatric PracticeNeuroimaging is often used in clinical psychiatry to rule out medical and neurological conditions that can mimic psychiatric disease rather than for the diagnosis of specific psychiatric disorders.
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Setting the Record Straight: A Response to Frances Commentary on DSM-VThe commentary “A Warning Sign on the Road to DSM-5: Beware of its Unintended Consequences” by Allen Frances, M.D., submitted to Psychiatric Times contains factual errors and assumptions about the development of DSM-V that cannot go unchallenged. Frances now joins a group of individuals, many involved in development of previous editions of DSM, including Dr. Robert Spitzer, who repeat the same accusations about DSM-V with disregard for the facts.
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Tomorrow’s Psychiatrists, Tomorrow’s LeadersThe president and CEO of the Association of American Medical Colleges outlines the reasons psychiatrists are well positioned to lead in this emerging culture of medicine.
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Neuropsychiatry of Psychosis Secondary to Traumatic Brain InjuryPsychotic episodes following brain injuries can often be mistaken for schizophrenia. How can the presentation of psychotic episodes reframe our understanding of this complex phenomenon?
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Online Communities for Drug Withdrawal: What Can We Learn?In this age of chat rooms and social media, an ever-growing number of psychiatric patients use the internet to find their treatment community online.
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Working With Law Enforcement to Provide Health Care for the Acute Mentally IllJails have a much higher percentage of homeless mentally ill than does the general community, and those with psychiatric disorders (eg, schizophrenia) must often fend for themselves. Here are some solutions.
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Intervention Helps Workers With DepressionIn the US, depression ranks fifth in the number of disability-adjusted life years lost due to illness and employment problems often persist, even if help is sought. Helping those who want and/or need to work is part of providing comprehensive, patient-centered care.
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Shedding Light on the 'Black Box': Treating Pediatric DepressionThe FDA has issued a "black box" warning about the use of all antidepressants in the pediatric population due to a 1.8-fold increase in suicidality on drug compared to placebo. Yet these medications can be an effective tool in treating depression. How should parents and patients be educated, considering this information?
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Chronic Opioid Treatment, Addiction and Pseudo-Addiction in Patients With Chronic PainAlthough patients taking opioids for chronic pain may sometimes appear to display addictive behaviors, addiction may not be the case. How can you tell if addiction is the problem or if inadequate pain control is to blame?
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Stress Neurobiology and Corticotropin-Releasing FactorStress Neurobiology and Corticotropin-Releasing Factor
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Pharmacogenomic Screening for Depressed Children and AdolescentsWhile the utilization of clinical genotyping to determine drug response and dosage has been anticipated for many years, the actual utilization of screening for atypical drug metabolizers has only recently become a reality. What is the promise of this technology, as well as the limitations?
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Bipartisan Legislation Seeks to Expand US Approach to Mental HealthLegislation includes a CDC community public health approach to build mental wellness and resilience.
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Best Recent Screen Portrayals of Mental Health IssuesCelebrating accurate representations of psychiatric issues and treatment in film and television from the past year.
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How Clinicians Actually Use the DSM: Psychiatric Times Survey ResultsGiven that one of the primary goals of making DSM revisions is to improve its clinical utility, establishing a baseline of current usage is critical to inform future proposals. For this and other reasons, the authors provide preliminary results from research focused on determining clinicians’ actual use of DSM.
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Common Augmentation Strategies for Depression: Findings Show Lack of EvidenceIt is estimated that at least half of persons who begin antidepressant treatment will not respond to monotherapy.
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Addressing the Youth Mental Health Crisis With Coordinated Systems of CareHow can integrated systems of care help us provide the appropriate level of high-quality care to each individual child?
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The Once-Forgotten Factor in Psychiatry: Research Findings on Religious Commitment and Mental HealthAs previously discussed, new research has made us look much more closely at the influence of religion and spirituality on overall health. Now more than 30 psychiatric residencies including Harvard, Baylor, and Georgetown provide focused training on addressing patients' religious/spiritual beliefs.
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Benefits of Social Media in Mental Health Practices (Part 2)Social media is not a fad. It allows physicians to “get out of the office” in real time, to learn about patients’ concerns, and to connect with others.
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Social Media: A Key Component to the Psychiatrist's PracticeHaving even a basic idea of the potential--as well as of the perils--of social media is therefore not only important to good practice, but it may be essential to good practice.
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Cognitive Impairment in Patients With Bipolar Disorder: Effect on Psychosocial FunctioningThere is growing evidence that individuals with bipolar affective disorder have cognitive impairments, even during periods of symptom remission.
