A First-Episode Psychosis Treatment Program: “The Disease Doesn’t Define Me”
The Psychiatric Transition Program at the Naval Medical Center in San Diego is a specialized first-episode psychosis program that provides coordinated specialty care to active-duty service members with serious mental illness.
Introduction: Violence Toward Staff in Health Care Settings
Here's an overview of motivation for assaults by chronically aggressive inpatients and steps to de-escalate.
Depressive Symptoms Associated With Aggression
The authors review the association between depression and violence, and the role that anger and emotional dysregulation play.
The Role of Psychiatrists in Countering Violent Extremism
There is no predictive tool that is likely to have validity for rare outcomes such as terrorist attacks. More here.
Strategies to Reduce and Prevent Restraint and Seclusion in Pediatric Populations
Here's compelling reason for judicious use of restraint and seclusion, and a review of various alternative approaches.
Practical Tips for Managing the Agitated Patient: Avoiding Violence in the Clinical Setting
How could this have happened? What could you do to keep yourself and your team safe from another code white?
APA Position on Medical Euthanasia
The APA's historic Position Statement provides guidance for psychiatrists in the face of a rapidly changing landscape of social values and expectations of medical services. Details here.
Exercise and Depression in Youth
These studies shed light on the relationship between exercise and depression in children and adolescents.
A Crisis in the Public Service Psychiatric Workforce
Here's what's known about the growing shortage of psychiatrists -- why it's happening-- and possible solutions.
Top Papers That Can Change Your Practice
The psychiatric literature is overwhelming. So these authors have culled 25 "top" articles based on their relevance to clinical practice. Here's a quick synopsis of 8 top articles.
It’s Time for Mental Health Policy Sanity in a Crazy World-and PS, Fund It Too!
Now is the time to be vigilant and active in the advocacy efforts to fund all the terrific new opportunities the 21st Century Cures Act offers. Here are 9 aspects of the law that focus on psychiatric practice and treatment of those with serious mental illnesses.
What’s New in Our Understanding of Schizophrenia
During the past 5 years, new insights into the pathophysiological processes that underlie schizophrenia have been revealed. Here's a quick update.
Neurocognitive Symptoms May Identify Psychosis
In high risk patients, cognitive deficits such as impaired working memory and declarative memory may be an early indicator of psychosis.
Can a Probiotic a Day Keep Cognitive Deficits at Bay?
New research shows it’s not “all in your head”-it’s also in your gut.
The Theory of Self-Medication and Addiction
To understand and to feel understood is a powerful antidote to relieve human psychological suffering. Therein lies the heart of the self-medication hypothesis of addiction.
Bereavement, Grief, and Depression: Clinical Update and Implications
An in-depth CME on DSM-5 criteria for persistent complex bereavement disorder and the clinical management of pathological reactions to the death of a loved one.
Outlook for Federal Mental Health Policy in the 115th Congress
Will the new Administration disrupt mental health coverage in this country?
The Legacy of Suicide
A personal account of a psychiatrist whose brother died by suicide.
The Intern’s Spot
We teach every intern how to find the place where they can lay down a silver stethoscope and listen to everything...
Hendrix Revisited: Joe’s Final Psychotherapy Session
After a code gray, it was clear to me that no matter one’s training, only such fundamental moments can enable one to answer affirmatively when asked, "Are you experienced?"
Is Topiramate a Mood Stabilizer?
A brief overview of the many trials that have asked this weighty question.
Not Just a Matter of Semantics
In this Letter to the Editor, practicing psychiatrist Richard Krugley, MD makes the case against the term "assisted suicide" when applied to terminally ill patients. Drs. Pies and Geppert respond.
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