In early September of 2012, a psychiatric colleague and friend passed away. Thomas Stephen Szasz, MD, was Professor Emeritus of Psychiatry at the SUNY Upstate Medical University in Syracuse. Here is a personal reflection of the man I met, learned from, and considered a friend and colleague.
Suicide involves a complex array of psychological, biological, social, and cultural factors, and it is particularly likely to occur during periods of individual, family, and socioeconomic crises associated with loss and shame. What 3 psychiatric disorders are most often associated with suicide?
Do not be surprised if you hear more about hybrid models of psychiatric diagnoses included in DSM-5. The categorical and dimensional model approaches are 2 sides of the same coin as you look at the same patient from 2 different angles.
Dr Thomas Szasz dies at 92.
The new annual suicide rate of 12.0 per 100,000 people translates into 100.8 suicides per day and 1 suicide every 14.3 minutes. Here, you will find tools and tips to help identify patients at risk.
Clinical tools and intervention options are available to the psychiatrist treating the suicidal patient. The severity of the patient’s psychiatric condition and the clinician’s experience and training will determine the interventions.
Patients with borderline personality disorder can present with multiple crises and minor incidents of self-harm or threats, but determining when the actions are true cause for concern can be a challenge.
In this review, we discuss the established medications as well as experimental therapeutic options that may emerge as future medications for alcohol intoxication, withdrawal, and/or long-term abstinence maintenance or harm-reduced drinking.
Four studies sprang from the TORDIA trial on treatment-resistant depression in children and adolescents and showed that several factors influence treatment efficacy following treatment resistance.
Ringing the Bell to Save the Bereavement Exclusion.
A team approach, continually balancing the views of the psychopharmacologist, psychologist, social worker, family practice resident, and patient is the clinical Promised Land.
For psychiatrists, having even a basic idea of the potential-as well as of the perils-of social media is not only important to good practice, but it may be essential for a great practice.
Editor’s note: We are pleased to introduce Being a Therapist with this issue of Psychiatric Times. We hope you will enjoy the close-up views of these therapists.
What follows is an adaptation of Dr Ellis’s response to a volunteer who took part in a live public workshop demonstration of the Rational Emotive Behavior Therapy approach.
And when they see what I hide . . . up my white coat sleeve, . . . they understand that magic
Has any progress been made in our ability to manage negative symptoms of schizophrenia?
Using a question-and-answer format, we present a brief overview of issues that arise when mental health professionals explore how to best serve this population.
Review on the roles of gender in connection with premenstrual dysphoric disorder, OCD, psychosis, and other mental disorders.
Being male, female, or transgender exerts effects not only on anatomy and reproductive behaviors but also on immune mechanisms, pain perception, diet, occupation, social behaviors, and risk exposures.
A parent's heavy drinking can increase a child's risk of substance use disorder.
Abortion is not a pretty subject. An embryo or fetus, while not a fully developed person, has the potential to become one. No one is “pro-abortion.” At the same time, there are circumstances under which a girl or woman feels strongly that her pregnancy is untenable-that she is too young, too poor, too burdened, too ill to properly mother a child. Women have abortions because they take motherhood seriously.
Seventy percent of antidepressants are prescribed by primary care doctors with little training in their proper use, under intense pressure from Big Pharma, drug salespeople, and misled patients, after rushed 7-minute appointments and subject to no systematic auditing. The cash-strapped FDA is beholden to industry for funding. And it gets worse.
In schizophrenia therapy, the question arises whether a patient with hyper-religiosity as a main symptom can be treated with an antipsychotic (like clozapine) that targets that symptom.
Narcissistic personality disorder is largely understudied, in spite of clinicians' warnings that this is the most frequent presentation in patients.
In spite of a chronic mental illness (schizophrenia)and a psyche that increasingly blurred the boundaries between fantasy and reality, this lawyer and professor graduated from Vanderbilt with a perfect academic record.
Dr John C. Whitehorn shaped mental health policy at the national level, and his influence is still alive in his former residents and the young psychiatrists we have trained.
Psychiatry has much in common with dentistry. After all, long ago psychiatry threw its lot in with the rest of medicine-that is, general medicine, specialty medicine, and surgery.
What effect has the new antipsychotic Latuda had in patients with psychosis? Is a mood stabilizer as an adjunctive therapy necessary for schizophrenia or is the use of an antipsychotic alone sufficient?
The primary difference between malingering and factitious disorder is the question of motivation.
Our exchanges be marked by basic respect and civility-and by a willingness to take personal responsibility for what we say and how we say it. Physicians ought to be in the vanguard of such an Internet reformation.