
We climbed concrete ramps from the subway’s underground world, up to the grandstand and my first vision of heaven...

We climbed concrete ramps from the subway’s underground world, up to the grandstand and my first vision of heaven...

Jane Orient, MD, comments: Many physicians are outraged, not only by the cost -- an expense which must be incurred to maintain certification, but also by the fear that MOC is being advanced as a requirement for hospital privileges, and perhaps even maintenance of licensure. More here. . .

As most mental health professionals know by now, psychiatry's D-Day is rapidly approaching. DSM-5 addresses diagnostic categories, but there has never been an official treatment manual to complement the diagnostic one.

The art of living is the ability to use life’s inevitable traumas in some constructive fashion. This occurs on an odyssey that the resilient take that could be termed “the Journey of the Traumatized Hero.”

Sometimes viewed as “legal cocaine,” the over-the-counter status of synthetic cathinones (aka bath salts) gives the illusion that they are safe. In fact, they are highly toxic.

While it is true that the intense grief of bereavement and major depressive disorder often share some features-for example, tearfulness, insomnia, low mood, and decreased appetite-there are many substantive differences.

A new clinical society has been founded to coordinate TMS practices and to connects physician and non-physician members from across the world.






If you are a psychiatrist who tends to look on the bright side, you may find the results of a new physician survey to be relatively good. Psychiatrists report the lowest level of professional burnout and the lowest level of burnout severity across various specialties. But just how good is relatively good?


In a new study, researchers found an absolute risk of 4.42% of valproate use during pregnancy with autism spectrum disorder and an absolute risk of 2.50% for childhood autism.

Traumatic brain injury, criminal responsibility, traumatic stress, and autism spectrum/neurodevelopmental disorders slideshow

The intense level of international interest in DSM-5 is a great surprise. Although DSM has become a research standard around the world, it is rarely used by clinicians outside the US and therefore poses a much lesser threat to their patients. So why all the prominent media coverage in countries outside of the US?

With ECT‚ the response rate for treatment-refractory patients is sobering‚ and the treatment is not without risks and adverse effects.

The ethical aim of psychiatry is the relief of suffering and incapacity.

The Sandy Hook Promise . . “To do everything in our power to be remembered--not as the town filled with grief and victims; but as the place where real change began.”



Discussing the Neuropsychiatric Outcomes After Heart Surgery study, testing the vascular hypothesis of post-coronary artery bypass graft depression.

Psychiatrists vary in their eagerness to share therapeutic decisions with patients: some believe that adherence is paramount and paternalism is often necessary to prevent loss of insight with consequent impaired judgment and functional decline. These authors argue in favor of a radically more collaborative style.

Money should not be wasted on futile preventive programs to detect mental health problems that don't yet exist. Instead, resources should be invested where there is desperate need-to properly treat and decently house psychiatric patients who are now shamefully neglected.

Plaintiffs in this lawsuit claim that CPT coding policy has resulted in decreased reimbursement for psychiatrists, who will now receive 20% less for evaluation and management services than what Anthem pays other physicians.

All types of antidepressants have been found to be effective for major depression with comorbid substance dependence.

I envision the day when psychiatry and psychology re-embrace the mind, along with the brain and behavior.

Lamotrigine is an important option in bipolar disorders. However, many clinicians also use it in patients with a (unipolar) depressive disorder who have not responded adequately to conventional antidepressants.

How frequently do you find yourself prescribing antibiotics for inpatients with schizophrenia and related psychotic disorders during hospitalization?