Vol 32 No 4

Opioid Use Disorder: Update on Diagnosis and Treatment

April 30, 2015

While opioid dependence is among the most severe and lethal of addictions, it also has the most effective medication treatments. The authors provide 2 case vignettes and a step-by-step process for clinical decision making.

A Brief Review of Gambling Disorder and Five Related Case Vignettes

April 30, 2015

The loss of control over urges and behaviors may be the central component of gambling disorders, but there is so much more to consider. Individuals with these problems have exponentially higher rates of suicide attempts and completions.

Reflecting on the Spiritual Man

April 24, 2015

Watchman Nee’s suggestion of a potential link between spirituality and mental health is no longer foreign to the field of psychiatry. Recent studies indicate that spiritual beliefs may have a positive effect on mental health.

Still Alice

April 23, 2015

This film is a must-see for psychiatrists, not because it adds new information about the course of Alzheimer disease or its impact on families, but because it forces us to rethink issues that can affect our clinical practice.

Prescribing Opioid Analgesics: Are We Going in the Right Direction?

April 22, 2015

There are probably few health care professionals who are unaware of the concerns about the apparent overprescription of opioids. However, we have had only limited information on how good a job physicians may actually be doing in prescribing these medications.

Suicide, Violence, and Mental Illness

April 21, 2015

Professions, psychiatry included, do not have a stellar record of protecting those they serve. Do we have reason to believe that professional organizations or corporate entities can be trusted to protect their clientele?

Tips, Cautions, and Successes in Treating Bipolar Patients With Lithium

April 20, 2015

Lithium plays an important role in reducing morbidity and mortality associated with bipolar disorder. Psychiatrists can optimize the benefits of lithium by carefully choosing patients for long-term treatment and educating them about the risks and benefits.

The Making of a Homegrown Terrorist

April 14, 2015

The author applies psychodynamic psychology to understand and recognize so-called "homegrown" terrorists, individuals who are familiar with American culture and thus more difficult to detect.