SPOTLIGHT -
A Horse Walks Into a Bar by David Grossman
The noted Israeli author's latest book is set in a 1990s second-string comedy club.
Is Successful Aging Possible in the Face of Dementia?
Persons with dementia can still retain the capacity to experience humor, joy, and mutual interactions. Therein lie the seeds of a new perspective on aging.
I Feel Your Pain, Actually, Really?
Like all things in our technologically advanced society, for all hard-working, empathy-challenged doctors comes a new and easy, although not painless, way to gain empathic ability...an empathy gadget?
Recognizing Tardive Dyskinesia: A 3-Question Quiz
What factors come into play in the diagnosis of tardive dyskinesia? How is TD distinguished from other movement disorders? Find out more in this quiz.
Hoarding Throughout the Life Span
Here: a review of prevalence, impact, etiology and pathophysiology, differential diagnosis, and treatment.
Warning: Antidepressants May Cause Messaging Manslaughter
Neither time nor science has given pause to some attorneys who exploit the misunderstanding that surrounds the putative "criminogenic" effects of antidepressants.
Solving Clinical Challenges in Major Depression
Grief vs depression? MDD vs depressive episodes? SGAs in treatment-resistant depression? Treatment-emergent sexual dysfunction? Insights in this Q&A.
Clinical Conundrum: Approaching Bipolar Diagnosis Four Ways
We are using 4 different approaches to bipolar diagnosis, according to the author of this commentary.
Off-Label Prescribing of Antipsychotics for Youths: Who Should Be Treated?
This article focuses on appropriate versus inappropriate use of antipsychotics, the importance of careful assessment, and the consequences of not treating.
Q&A: Clinical Challenges in Substance Use Disorders
What's the optimal strategy toward recovery from opioid use disorder? Which treatment for nicotine addiction has the most favorable adverse-effect profile?
Clinical Challenges in Bipolar Disorder
Here: a Q&A about diagnostic challenges in the real world; pharmacologic and non-medication options; and management of common adverse events in patients with DSM-5 bipolar and related disorders.
Asperger Disorder: Gone But Not Forgotten
Although Asperger disorder is now included as part of the overall autism spectrum disorder, some say Pandora’s box has been opened.
MAO Inhibitors: Is Concomitant Use Safe or Too Risky?
MAOIs deserve special consideration in the treatment of refractory depression. Here's a case in point.
Bush Doctors
County hospital GYN clinic back in the days of Power to the People, five hours for 50 women stirruped by our clinic nurse...
Being Human: An Interview With Daniel J. Siegel, MD
How might a better understanding of the mind enhance someone’s life and optimize a clinical encounter?
Expert Q&A: Schizophrenia and Weight Gain
Schizophrenia and T2 DM risk; short-term weight gain with specific antipsychotics; interventions to reduce weight and/or metabolic abnormalities. . .answers here.
Self-Disclosure by Psychiatrists
How much should you reveal about yourself to your patients? To colleagues? To the state medical society? H. Steven Moffic, MD, takes a look at this issue in this video.
Erikson Stages of Psychiatry Residency
A lighthearted exploration of Erikson’s stages through residency training.
“The Internet Made Me Do It”-Social Media and Potential for Violence in Adolescents
The Slenderman case revives a long-standing debate: does media exposure influence acts of violence in youth?
Hearing Voices and Psychiatry’s (Real) Medical Model
Six fundamental assumptions underlie the medical model most psychiatrists use in their clinical work.
Crazy Work Hours Do Not Drive Dementia
A look at the impact of shift work and long hours on cognitive function.
Antipsychotics, Hyperprolactinemia, and Risk of Endometrial Cancer
Do prolactin-elevating antipsychotics put women at risk for endometrial cancer?
Reflections on the Cruel and Subtle Costs of Racism and Bigotry
Recent events in Charlottesville are poignant reminders that the wounds caused by bigotry and racism leave a deep imprint on our spirit, bodies, and psyche.
Psychiatry Stress Tests
Like the cardiac stress test, mental health stress tests might help patients recognize their own psychiatric vulnerabilities. Would you take such a stress test if it were available?
Musician Injuries
When the soloist lowers her Strad and takes a bow, she reveals the violin’s mark on her throat, which makes me think of Mozart...
Tardive Dyskinesia Epidemiology Quiz
Which gene is not associated with risk for the development of TD? What is the prevalence of TD in patients with schizophrenia treated with antipsychotics? Those questions and more in this quiz.
Frontotemporal Dementia: A Brain Disease That Challenges Definitions of Mental Illness
Here: what psychiatrists need to know about frontotemporal dementia. Case examples convey the variety of possible psychiatric presentations of behavioral variant FTD.
Psychodynamic Psychiatry: A Case Report
The author presents a fictionalized case based on a real patient to encourage colleagues to pursue psychodynamic psychiatry.
Anti-NMDA Receptor Encephalitis: Diagnostic Issues for Psychiatrists
This articles focuses on the psychiatric and neurological implications of anti-NMDA receptor encephalitis.
What a Long Strange Trip It’s Been
Here's how I've managed to get my own mind off the news. What about you?