What an exciting time to be involved in understanding and providing care for people with schizophrenia spectrum disorders! 

Introduction: Innovations in Care for People With Schizophrenia Spectrum Disorders

Psychiatrists who treat patients with psychosis in institutional, community, and crisis settings provide evaluations and medication management, but rarely consider psychotherapeutic interventions. However, such interventions can be critical in recovery. 

Brief Cognitive Behavioral Therapy Interventions for Psychosis

Culture-the way people make meaning and live their lives in particular social worlds-matters in psychosis. The authors explore how a patient's cultural background should influence the way clinicians think about treatment and care.

Providing Culturally Competent Care: Understanding the Context of Psychosis

The authors discuss the clinical implications of the changes in the DSM-5 section on schizophrenia spectrum and other psychotic disorders.

Psychotic Disorders in DSM-5: Clinical Implications of Revisions From DSM-IV

A review of the distinction between depressive and psychotic symptom domains, current knowledge about the etiology and neurobiology of depression and psychosis, and how this knowledge can inform the treatment of patients with features of both.

Exploring the Psychosis-Depression Interface: Clinical Implications

It is not unusual for patients to seek consultation with questions about their sexuality. This article provides useful definitions and clinical examples for therapists who wish to address these patient concerns.

“Doctor, Am I Gay?” A Primer on Sexual Identities

Meet "Gary," whose case provides an introduction to the value of systems-based practice.

Outside the Pill Box: The Systems-Based Practice of Psychiatry

I started promoting pharmacogenetic tests in the 1990s-before they were fashionable-and now, after going through the 3 phases of pharmacogenetic testing (fear, failure, and hype), I am embarrassed. 

Nonvalidated Pharmacogenetic Tests, Part I: Confessions of an Embarrassed Psychiatry Professor

The authors focus on the psychiatric management of transplant recipients and the evaluation and care of living organ donors. 

Transplant Psychiatry: Psychiatric Care of Organ Donors and Recipients

What does mandated electronic prescribing have to do with that old show, Twilight Zone?

“A Penny for Your Thoughts”-or What Would Rod Serling Say About E-prescribing?

The assessment, diagnosis, and treatment of conditions in which persistent pain is a feature despite lack of evidence of a pathological cause are reviewed in this article. 

Psychiatric and Psychosomatic Aspects of Chronic Pain: Clinical Implications, Solutions

The next phase of HIPAA compliance audits has arrived. Clinicians who are HIPAA-covered entities-or business associates-would be well served to prepare now.

Phase 2 HIPAA Audits: Strategies for Clinicians

I hope readers look seriously at what the Presidential candidates have to say-or if they say anything at all-about addressing the current and increasing disaster in the mental health system before casting their votes. 

Frankly, My Dear, They Don’t Give a Damn

Is it time again for greater unification of neurology and psychiatry?

Brain Pathways: New Approaches to Structure-Function Localization

He wrote that he didn’t know what to say to comfort us, so he decided to describe the view from his rented room near Sydney...

Letter From Luke

“Googling” a patient does not seem much different from the old-fashioned obtaining of collateral information, but the ramifications may be far more than you bargain for.

To Google or Not to Google? This Is the Question

It’s not health care expenses that are driving up costs.

The Heavy Economic Burden of Schizophrenia

Why is there so little clamor for a drug that prevents neurodegeneration, carries very low risk, and is unlikely to produce significant side effects?

Lithium for Alzheimer Prevention: What Are We Waiting for?

The ethical core of the Goldwater Rule is sound, but the rule needs clearer and more nuanced language.

Deconstructing and Reconstructing the “Goldwater Rule”

Making the Case for Community-Based Programs

"Like many good psychiatrists, I have empathy and concern for my patients. But in my case, I’ve quite literally walked in their shoes."

I Was My First Patient

With the modern office environment comes another type of “climate change”-designed to shape workers psychologically.

Get Well Soon-at Work

Bravely enter territory that academia has largely neglected-the nebulous region between full bipolar disorder and major depression. 

Vol 33 No 10