From diagnosis to treatment, paraphilias and paraphilic disorders present unique challenges for the general psychiatrist.

Paraphilias: From Diagnosis to Treatment

Sexual life is not just about sexual identity and sexual behavior. 

Illuminate Life Processes by Taking a Sexual History

Environmental factors in addition to climate change-air pollution, toxins, noise-seem to have detrimental psychological repercussions.

Toward A Bio-Psycho-Social-Eco Model of Psychiatry

As hospital-based psychiatric emergency programs around the country demonstrate the ability to minimize ED boarding, provide cost-savings, and improve patient outcomes and clinician satisfaction, the challenge will be how to keep these models of psychiatric care self-supporting.

Hospital-Level Psychiatric Emergency Department Models

There appears to be some confusion regarding the efficacy of aripiprazole in bipolar mania and depression and for preventing bipolar episodes.

Clinical Updates From Bipolar Telehealth

When people turn to mental health professionals about sexual problems-cyber or otherwise-how comfortable and informed are we?

Erotic and Psychological Identities

Adolescents explore their sexuality. In most cases, this exploration is normative. At times, however, compulsive sexual behavior is developed and maintained.

Normal Versus Abnormal Sexual Behavior in Adolescents

Transgender adolescents and their families experience barriers to care and specialized providers might not always be available. However, the work with transgender adolescents can be rewarding.

Special Issues in Treating Adolescents With Gender Dysphoria

To improve access to and quality of mental health care for individuals who identify as LGBTQ, it is important for clinicians to become allies to this marginalized community.

LGBTQ Mental Health: What Every Clinician Needs to Know

The rise of the Internet and smart phones has created a proliferation of “sexting” between adults and, even more concerning, youths.

Sexting: the Technological Evolution of the Sexual Revolution

The author shares conclusions about what prompts some veteran suicides, drawn from published war accounts and memoirs and his own clinical experience.

Veterans and Suicide: The Last Straw

"Psychiatry has been frozen in time since the 80s, and hence the absence of progress since then is no surprise." So says, S. Nassir Ghaemi, MD, MPH, in the next installment of Conversations in Critical Psychiatry with Awais Aftab, MD.

The Rise and Fall of Pragmatism in Psychiatry

Agitation can worsen function, pose safety concerns, and increase caregiver stress. It can be both confusing and frustrating to understand and manage these behaviors, but there are several approaches that can make all the difference.

Understanding and Managing Agitation Associated with Dementia

This CME activity provides an understanding of problematic pornography use and how it relates to compulsive sexual behavior disorder.

When Pornography Becomes a Problem: Clinical Insights

Our daughter’s first day of Med School ten years ago, computer charged, a career choice . . .

Not Guilty

Something Hot for the Cold Months Ahead

In our role as clinicians, we participate in the practice of medicine because there is always more to learn, and more experience to be gained. Such is the case with mindfulness...

Mindfulness

Can kindness help determine who gets sick and who stays healthy?

The Rabbit Effect

Maternal viral infection during pregnancy is a risk factor for schizophrenia. But there has been relatively less research on the association between maternal bacterial infection during pregnancy and psychosis risk.

Maternal Infection During Pregnancy: Increased Risk of Psychosis in Offspring

Patients with a family history of Alzheimer disease worry that normal aging symptoms are the initial indication of a progressive cognitive impairment that they have observed in their relatives. A variety of interventions are discussed.

Management of Age-Related Cognitive Decline

The most frequently researched aspect of the relationship between BPD and bipolar disorder has been the frequency of their co-occurrence. Several reviews have estimated a 20% overlap in diagnostic frequency.

Psychiatric Times Vol 36, Issue 12