The diagnosis and management of unipolar depression remain challenging. The articles in this Special Report remind us of the wide knowledge base that is needed in the management of the depressed patient and of the multiple conceptual levels that must be integrated in the care of our patients.
Approximately what percentage of adults have made a serious suicide attempt?
When the diagnosis of ADHD is clear, treatment can be successful, and education and supportive psychotherapy helpful. However, complications are common.
Nonpharmacological interventions-such as mind-body interventions-can improve a partial response to antidepressants via stress reduction, improved physical functioning, increased socialization, and reduced risks of polypharmacy.
After all the encores at Tanglewood, the only music left is September’s song of crickets scraping their legs for mates...
What if someone with “prescriptive privileges” looked at superficial symptoms only, and ordered antipsychotics without considering the bigger picture?
How prevalent is schizophrenia? Take the quiz and learn more.
This article highlights several features of medical and social importance that are somewhat unique to the Somali refugee community in the US.
If historians have demonstrated anything, it is that psychiatry, clinical psychology, and psychotherapy cannot be neatly associated with any one particular kind of political ideology or movement.
In the opinion of this psychiatrist, it is long past time to use the Internet to inform and empower health care consumers and reduce the monopoly pricing power of suppliers.
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 simply a collection of interesting vignettes, the author of this book frequently pushes readers to confront ingrained biases toward some of our most challenging patients.
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.
At the very heart of psychiatry, people seem totally unconcerned about making claims that, for example, philosophers have never been able to prove.
Both the American Psychiatric Association and the American Academy of Child and Adolescent Psychiatry have identified substance abuse as a top risk factor for suicide in youths.
While the growing evidence base for the positive effects of lithium on brain health is compelling, the evidence remains preliminary.
This article explains the rationale and evidence for 2 novel treatments of Alzheimer disease: a reformulated Mediterranean diet and an antidiabetic agent, liraglutide, marketed as Victoza.
The sharp steel wall of the concert hall encloses the melody and wounds the summer sky, a soft yellow glow gathering before moonrise...
Despite the need for mental health support, undocumented immigrants underutilize mental health services. Many endure traumatic experiences while emigrating that put them at psychological risk and once in the US, undocumented immigrants face multiple psychosocial stressors.
Many patients with serious mental illness become entangled with the justice system. Extending our notions of interdisciplinary teams to include parole and probation officers provides us with options and opportunities not typically available otherwise in support of our patients.
Psychiatric disorders in persons with intellectual disabilities are typically more severe and more difficult to diagnose than in the general population. Clearly, those who diagnose ID and treat patients with this condition face a number of challenges.
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.
Here, tips for therapists to motivate and treat patients effectively with DBT.
This article summarizes efforts to develop neurocognitive enhancement drugs administered individually or as an adjunct to other antipsychotics and cognitive remediation.
Dr Gerard Sanacora discusses novel antidepressant agents with potential clinical relevance for the treatment of major depressive disorder and bipolar disorder.
A brief tribute.
We have the target protein for Alzheimer, the antibody to knock out the protein, and the imaging test locating the protein in the brain, but there still remains one problem . . . who should receive the antibody?
From his time working in the outpatient clinic, this psychiatry resident has learned not to underestimate the positive impact psychiatrists can have in the lives of their patients.
