There are no FDA-approved pharmacotherapies for cocaine use disorder. Here: a review of the off-label use of promising medications for this addiction.

Emerging Treatments and Pharmacogenetics for Cocaine Use Disorder

A growing body of research has given us strategies at population, community, and clinical levels that can be put into practice. Details here.

Suicide Prevention: Translating Evidence Into Practice

Suicide is now the second leading cause of death among college students. But only 60% of colleges and universities have a psychiatrist on staff. 

College Students and Mental Illness: Strategies for Optimal Results

There’s no procedure code for a visit like this. But I can’t fault my psychiatrist wife for crossing a boundary and getting too personal.

A True Believer

A 20-year-old college sophomore with “depression and anxiety,” who is exercising ferociously and who is literally dying to lose more weight sets the stage.

The Interplay of Mood Disorders and Eating Disorders

Eating disorders are still thought of as a “female problem.” But 25% of those with anorexia and 36% of those with bulimia are males. 

Macho, Bravado, and Eating Disorders in Men: Special Issues in Diagnosis and Treatment

You must assess the presenting problem and identify the appropriate diagnostic code needed for insurance billing. But diagnosis is complicated. Help here. 

Diagnosis and Assessment Issues in Eating Disorders

More social media use was associated with more depression in this study. Findings suggest that clinicians need to ask about social media use by people who are depressed.

Social Media and Depression

“Hey, man, why is the world so crazy these days?” 

Did Freud Ever Do This? A Reflection on the Epidemic of Crazy

When timely psychiatric care or consultation is difficult or impossible to obtain, telepsychiatry may be an acceptable, economical, and effective alternative.

Telepsychiatry for Vulnerable and Underserved Populations

In an international network of patients with bipolar illness, more offspring of US patients than of those from Europe had received a mental illness diagnosis. This suggests greater epigenetic vulnerability in Americans.

At-Risk Children in the US Deserve Careful Assessment

To neglect the cultural components of any given diagnosis or behavior, to ignore the role of culture-based individual attitudes, beliefs or practices in the face of adversity, would be a disservice. 

Psychiatry and Its Dichotomies

The CDC and FDA have -- at last -- recognized that there might be something of a problem in the way opiates are prescribed!

At Last . . . I Hope!

Broaching the subject of changing behaviors can be daunting. Motivational interviewing may make these conversations easier.

Using Motivational Interviewing to Improve Health Behaviors in Psychotic Patients

This article sheds light on the strengths and weaknesses of various approaches to TRD management in adults 60 years and older.

Treatment Options in Late-Life Treatment-Resistant Depression

He didn’t notice snow falling in the Krankenhaus courtyard the night he fell in love. A mere intern, castrated by Jew-hating med school professors...

Über Coca

In recent years, health care insurance companies (and the businesses that use them) have begun to invest in mindfulness research and programs What has happened to explain this development?

Meditation, Managed Care, and Mental Health

Ethics case quiz: A patient's inconsistent decisions regarding treatment are cause for concern. What to do?

Of Blood and Truth

How radically do we want to alter the physician’s traditional ethical obligations to the most vulnerable of patients?

Vol 33 No 5