Vol 31 No 11

November 28, 2014

The past decade has been an exciting one for the field of psychosomatic medicine. It has been recognized as a specialty and now has a certification examination. In this Special Report, we discuss some of the approaches that are being taken to special populations within the psychosomatic medicine community.

November 28, 2014

This article provides a practical framework that can guide consultation-liaison psychiatrists through solving problems of capacity and informed consent.

November 28, 2014

Although the somatizing disorders cover a vast array of symptomatic domains across many medical specialties, this article addresses the broad topic conceptually.

November 28, 2014

The need to integrate psychiatric treatment with somatic care puts psychosomatic medicine in a unique position to focus on older patients who would not otherwise seek specialized treatment.

November 28, 2014

For severely ill patients, understanding the neurobiological underpinning of assertive coping provides an additional map for rapid assessment, formulation, and intervention to bolster assertive coping.

November 28, 2014

An overview of select topics in clinical psycho-oncology, including assessment and management of delirium and brain lesions, mood and anxiety disorders, medication adverse effects, and existential death anxiety.

November 28, 2014

The role of transplant psychiatrists is to assess both transplant and donor candidates to determine capacity to consent to the surgery, recent stressors and coping skills, social supports and availability of caregivers, and whether there are psychological or substance abuse issues that would affect outcomes.

November 27, 2014

Key issues about geriatric bipolar disorder-epidemiology, assessment, medical and psychiatric comorbidity, and treatment-are the focus.

November 27, 2014

There are a considerable number of aging patients with an eating disorder who have only partial symptom remission or who remain ill for many decades. Here is a case in point.

November 26, 2014

The case for training residents to conduct evaluations of impairments in patients with chronic mental health issues.

November 26, 2014

This volume is written from an emerging edge of basic science and will reward a clinical readership.

November 25, 2014

Here: the case of a woman with bipolar disorder who was admitted for aggressive behavior and nonadherence to medications. Art therapy and pharmacotherapy played a pivotal role in her recovery.

November 25, 2014

Psychiatrists should be playing a key role in end-of-life decisions as well as, not coincidentally, in pain management.

November 24, 2014

What signs are generally regarded as negative symptoms? What etiological factors contribute to a negative symptom presentation? How to treat these symptoms? Insights here.

November 21, 2014

There are probably many social, economic, and familial forces at work in generating the trend toward public incivility, and it would be silly to blame the Internet for the riot in Keene.

November 20, 2014

This article reviews the reasons for measuring serum levels of psychotropics and provides optimum serum levels for various psychotropic agents to optimize their effectiveness and safety.

November 19, 2014

The use of buprenorphine for the treatment of opioid dependence is on the rise. However, buprenorphine withdrawal has its own withdrawal symptoms that in many cases can be as severe as symptoms of opioid withdrawal.

November 19, 2014

This study highlights the need to consider a holistic approach when discussing the problem of disruptive behavior in health care settings.

November 17, 2014

Although the early focus of the NIH component of the BRAIN Initiative is on tool development, the examples listed in this article show that these tools will have relevance to practicing clinicians within the lifetime of the Initiative.

November 15, 2014

We’ve been meeting since his PSA spiked and he decided on surgery. Radiation finished, nerves nicked by the robot...

November 14, 2014

We need to join forces with our natural allies: the patients we treat and their families, as well as government, community, and business leaders, to make addressing the impact of violence and abuse one of our highest public health priorities.

November 14, 2014

After years of working with troubled individuals claiming to have been abducted by extraterrestrials, Harvard University Professor John Mack published a book. What made Mack and the book so controversial was the fact that he had come to accept that his patients’ stories were an accurate description of real events.

November 03, 2014

In the US, suicide is a leading cause of death, ranking third among youths aged 15 to 24. Rates of suicide attempts and death are highest among US Pacific Island indigenous youths. Emergency departments play a key role in suicide prevention, especially in this and other minority populations.