Psychiatric Times Vol 25 No 12

In the Valley of Elah

October 02, 2008

In the Valley of Elah is an improvised explosive device that writer-director Paul Haggis has set to go off in the hearts and minds of Americans who still support the war in Iraq. Haggis, who earned an Oscar (Best Picture and Screenplay) for Crash, has aimed his second film at the hardworking, churchgoing, flag-flying, decent Americans who cannot imagine that the country they love would engage in an unjust war.

Untreated Vets: A “Gathering Storm” of PTSD/Depression

October 02, 2008

Reports of 1 in 5 military service members returning from Iraq or Afghanistan with posttraumatic stress disorder (PTSD) and/or depression and rising suicide rates have led researchers and military leaders to warn civilian psychiatric care providers of a “gathering storm”1 headed their way.

Detainee Interrogations: Important to Remember Our Past

October 02, 2008

Drs Pope and Gutheil correctly admonish psychologists who partake in detainee interrogations (Psychiatric Times, “The American Psychological Association and Detainee Interrogations: Unanswered Questions,” July 2008, page 16).

SSRIs, Adolescent Suicide, and the Black Box: Lingering Questions

October 02, 2008

In “SSRI Prescribing Rates and Adolescent Suicide: Is the Black Box Hurting or Helping?” (Psychiatric Times, October 2007, page 33) Gibbons and associates primarily use data from their American Journal of Psychiatry article that appeared in September 2007, in a not very veiled attempt to influence doctors and the FDA to roll back the “black-box” warning on the prescription of SSRIs for adolescents.

Topical NSAIDs: Old Wine in a New Bottle

October 01, 2008

Over the past decade, NSAIDs have been on a roller-coaster ride almost as wild as that now being experienced by this country’s housing and financial markets. The selective COX-2 inhibitors-first celecoxib (Celebrex) and then rofecoxib (Vioxx) and valdecoxib (Bextra)-promised to revolutionize the treatment of pain.

Is Diagnosis of Comorbidities Obsolete?

October 01, 2008

Recent research has raised concerns about the adequacy of psychiatric diagnostic evaluations conducted in routine clinical practice, particularly the detection of disorders that are comorbid to the principal diagnosis.

Patienthood: A Different Form of Being

October 01, 2008

Recently, I was involved in a discussion with several other mental health writers and editors regarding the most appropriate term to use for those we treat: patient or client. Our lack of consensus reflected that in contemporary medical and psychiatric literature.

Underdiagnosing and Overdiagnosing Psychiatric Comorbidities

October 01, 2008

Diagnostic assessment of psychiatric disorders and their comorbidities is a challenge for many clinicians. In emergency settings, there is no time to conduct lengthy interviews, and collateralinformation is often unavailable.

Psychiatric Comorbidity Associated With Pathological Gambling

October 01, 2008

Gambling has become a major recreational activity in the United States. Formerly confined to a few states such as Nevada and New Jersey, legal gambling opportunities have exploded across the nation in the past 2 decades.

NIMH Plans Accelerating Research to Remedies

October 01, 2008

A strategic plan to guide research priorities and resource allocations of the NIMH was released recently by NIMH Director, Thomas R. Insel, MD. The plan is intended to provide direction over the next 5 years toward the institute’s stated vision of “a world in which mental illnesses are prevented and cured.”

Substance Abuse in Women With Bulimia Nervosa

October 01, 2008

The high rate of comorbid substance abuse in women with bulimia nervosa (BN) has remained consistent in the literature. This article reviews the prevalence of substance abuse in BN and summarizes treatment approaches for persons with BN and comorbid substance abuse.