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There is a subtle reluctance to admit that, at least in the field of medicine, the doctor knows more than the patient and is the expert in the area in which the patient is having trouble.

More than half of all patients with psychiatric disorders report disturbances of sleep and wakefulness. "Sleep disorders are associated with impaired daytime function and predict a heightened future vulnerability to psychiatric disease. They also diminish life span.” Details from an expert here.

Despite its many challenges, rural psychiatry can be particularly rewarding because it allows an opportunity to provide much-needed care and the ability to be at the forefront of helping to close gaps in health care disparities.The privilege of being a true community resource and the ability to improve overall community mental health give meaningful purpose to the work of a rural psychiatrist.

Even as psychiatry advances and develops new clinical techniques and as behavioral health systems seek the means to be able to serve all people needing care, disparities in service persist. The articles in this Special Report examine the demographically hard-to-reach populations-the socially marginalized who require special outreach techniques.

For patients with hepatic disease, benzodiazepines that are conjugated and renally cleared (eg, lorazepam) should be used instead of those metabolized by the liver. Take the quiz and learn more.

Are you looking for a really good read before the summer ends? We asked our editorial board and contributors to tell us what they are reading, and came with a list of books that may appeal to you. You can see them here in this slide show . . .