A look at a multidisciplinary team --  and its focus on meaningful recovery -- for patients with schizophrenia.

Optimizing Care in a Team Setting: A Program for People With Schizophrenia

What if we were able to harness the immense power of our digital connections to create tools that can potentially make our lives happier and healthier? 

Harnessing Social Media and Mobile Apps for Mental Health

This review focuses on post-stroke depression, apathy, anxiety, and PTSD, because these disorders occur and have been studied most frequently. 

Neuropsychiatric Sequelae of Stroke: Issues and Implications for Clinicians

Your patient is recovering from a traumatic brain injury. He asks you, “Doc, why do I need so much extra sleep?” 

Moving Beyond “Hand Waving”: Why Do People Sleep a Lot After a Traumatic Brain Injury?

The authors differentiate between 3 types of deliberate self-harm: nonsuicidal self-injury, culturally sanctioned body modifications (tattooing or body piercing), and unintentional or accidental injury. 

Predicting, Assessing, and Treating Self-Harm in Adolescents

Dr Thompson introduces a Special Report meant to provoke thoughtful contemplation on various topics related to aggressive behavior.

A Call to Arms to Understand and Treat Aggressive Behavior

What role might electroconvulsive therapy play for short-term treatment of agitation and aggression in patients with dementia? 

Dementia, Agitation, and Aggression: The Role of Electroconvulsive Therapy

This review critically addresses 4 central assumptions that underlie many US political and popular associations between gun violence and mental illness.

Gun Violence, Stigma, and Mental Illness: Clinical Implications

The key focus is on understanding violent offending (eg, reactive, proactive, firearm violence) tied to antisocial personality disorder and psychopathy using a psychobiological lens. 

Psychobiological Aspects of Antisocial Personality Disorder, Psychopathy, and Violence

Here: a close up look at impulsive aggression. 

Intermittent Explosive Disorder

When did human rights become negotiable in the US? A commentary on dismantling and closure of federal and state mental hospitals.

If It Were Physical Pain, It Would Be Called Torture: A Story of Two Young Men

Neither facile liberal censure nor rabid applause from the right speak to Eastwood’s purposes in this superbly crafted picture.

American Sniper

The authors review mechanisms of suicide and the effectiveness of current treatments, and zero in on ketamine--a potential novel, rapidly acting treatment for suicidality.

Does Ketamine Hold Promise in Mitigating Suicide Risk?

Here: assessment approaches, treatment options, and potential risks inherent in treating tobacco dependence in individuals with major mental illnesses and substance use disorders.

Clinical Issues and Strategies Associated With Smoking Cessation

What psychiatry needs is a new approach to “psychiatric theory.” Here are a few practical suggestions. 

Improving the Mental Health System by Addressing Core Problems

Here's how a single question I don't normally ask changed the course of one patient's life. The story highlights how widespread the effects of violence are. 

Remember That Drive-by Shooting?

The ABIM is not sure whether the MOC program accomplishes a critical goal of ensuring maintenance of physician competency and has suspended the Practice Assessment, Patient Voice and Patient Safety requirements of MOC for at least 2 years.

ABIM Finally Gets It Right

The Big Bad Wolf and Wicked Witch liked to creak the stairs by her bedroom door and wake her from dreams calling, “Daddy!”

Sleeping Daughter

In clinical terms, one of the most distinguishing diagnostic features of addictive disorders is that those affected continually and repeatedly revert to their addictive behaviors, despite the devastating negative and adverse consequences.

Insights on the Insanity of Addiction

What do physicians intend by the term “disease”? The recent IOM report on “systemic exertion intolerance disease” (formerly known as chronic fatigue syndrome) casts this question in a new light and has many practical implications for patients, physicians, and third-party payers.

Vol 32 No 3