What do physicians intend by the term “disease”? The recent IOM report on “systemic exertion intolerance disease” (formerly known as chronic fatigue syndrome) casts this question in a new light and has many practical implications for patients, physicians, and third-party payers.
A commentary that is both professional and personal in nature, written by a psychiatrist who has helped hundreds of transitioning patients adapt to their external gender appearance and societal expectations.
Neuropsychiatry is thriving, and the articles in this Special Report demonstrate its breadth and depth while providing the opportunity to characterize and delimit its scope.
A considerable overlap exists between TBI and disorders in cognition, behavior, and personality, which can provide even greater clinical challenges. More than 70% of the cases of TBI are mild, which makes this subgroup of particular clinical interest.
The authors take an in-depth look at the evaluation, diagnosis, and fundamental treatment recommendations, protocols, and guides to therapy for psychogenic nonepileptic seizures.
The potential of TMS as a treatment for cognitive disorders, fatigue, pain, and other manifestations of brain disease is discussed, as is the encouraging prospect for neuropsychiatric management of many patients.
Selected for clinical implications, here are some highlights from the recent acceleration in understanding of the mechanisms of bipolar disorder.
The authors of this book leave readers feeling empowered, knowing that they can be an important driver of change. It also reminds psychiatrists about some core components of the patient experience.
Good documentation can be used by psychiatrists to enhance the physician-patient relationship. Of course, transparency could come at a price to practitioners, so following reasonable guidelines outlined in this article is key.
We present the case of a patient for whom different attending providers had markedly different interpretations. As the case unfolds, we invite you to reflect on your diagnostic understanding of each presentation.
Violent intolerance seems to be on the rise, and psychiatrists must contribute more of our understanding about the origins of these problems, and to development of solutions to reverse these trends.
Delusional parasitosis can be difficult to recognize, but timely diagnosis and psychiatric treatment can improve quality of life and reduce medical costs.
Contemporary experiences in the therapist’s life that mirror what is going on in the patient’s life may also trigger intense countertransference feelings. Read the case and weigh in on the image.
Which neuroimaging test for which psychiatric patient-and when? What to ask the neuroradiologist?
On the cracked macadam court in the shadow of The Castle on the Hill, below fake gun turrets built with bricks...
What is known-and what is not known-about the clinical use of the DSM?
Treatments that work well for most don’t work well for all. And even effective treatments have side effects and complications. This is true of medication and surgery-and it is also true of psychotherapy.
The glass of well-being among physicians may be half empty, but there is room and hope to fill it again. Perhaps psychiatrists are the missing ingredient?
Precision medicine seems to be the new hot topic in the research world. What precisely is it?
Is it okay for the media to show terrorist-sponsored torture videos? Are there no psychological effects of this kind of “show”?
Many years ago, the model approach to mental health treatment was the therapeutic community: "As Aristotle noted long ago, man is a social animal and only in a social unit can he experience a whole life." More in this blog.
A case report of an acute, transient, reversible depression prompts us to think in a different way about depression.
The author concludes that people inappropriately placed in psychiatric hospitals can lead to grave violation of human rights.
Treatment approaches to GAD, a highly prevalent, chronic, debilitating, relapsing, and often underdiagnosed anxiety disorder.
Identifying comorbid anxiety disorders as potential treatment targets may contribute to more positive outcomes for patients with schizophrenia. Details here.
Available data suggest that transcranial magnetic stimulation holds promise as a treatment for GAD. Here: a look at what we know.
The authors examine anxiety in the medically ill: its presence secondary to or as an impersonator of physical illness and its diagnostic and management challenges.
Dr Moffic takes us around the world to celebrate the lives of psychiatrists who made important contributions to the field.
The target for physical activity in adolescents is 60 or more minutes of daily aerobic activity. But it is unlikely that the majority of youths achieve this goal.
Today, we embrace the collective experiences of our fellow members of the human race, this Holocaust Remembrance Day and 70th Anniversary of Auschwitz liberation.