With understandable urgency, Secretary of Defense Leon Panetta has made suicide one of his top priorities, instructing commanders at all levels to feel acutely accountable for it. The numbers are startling. On average 1 active duty soldier is killing himself each day--twice the number of combat deaths and twice the civilian rate.
Earlier this year the American College of Physicians had to spell out that it is ethically appropriate for physicians to talk about cost with patients. This speaks to how far we as physicians have to go to be fully engaged in this conversation.
It would not be overstating matters to say that during his long career, Dr Thomas Szasz has been one of the most controversial figures in the psychiatric profession.
What are the advantages of adjunctive benzodiazepine therapy in comorbid depression and anxiety? Which therapy has the strongest evidence base for treating patients with late-life depression? These and more in this quiz.
Disparate means of accessing marijuana complicates the evaluation of the quality, purity, and potency of cannabis.
R.I.P. Rest Inspiring Psychiatrists. I am grateful for having known you.
Is the expression “mental illness” merely a metaphor? If so, does that tell us something about the persons we identify as having a mental illness? To clinicians who deal with devastating psychiatric disorders every day-and to those afflicted with these conditions-these questions may seem like a lot of semantic nonsense.
There is promising evidence that some complementary and alternative medicine therapies can alleviate ADHD symptoms. These may include herbals such as Bacopa and Pycnogenol, as well as supplements such as zinc.
In early September of 2012, a psychiatric colleague and friend passed away. Thomas Stephen Szasz, MD, was Professor Emeritus of Psychiatry at the SUNY Upstate Medical University in Syracuse. Here is a personal reflection of the man I met, learned from, and considered a friend and colleague.
Suicide involves a complex array of psychological, biological, social, and cultural factors, and it is particularly likely to occur during periods of individual, family, and socioeconomic crises associated with loss and shame. What 3 psychiatric disorders are most often associated with suicide?
Do not be surprised if you hear more about hybrid models of psychiatric diagnoses included in DSM-5. The categorical and dimensional model approaches are 2 sides of the same coin as you look at the same patient from 2 different angles.
Dr Thomas Szasz dies at 92.
The new annual suicide rate of 12.0 per 100,000 people translates into 100.8 suicides per day and 1 suicide every 14.3 minutes. Here, you will find tools and tips to help identify patients at risk.
Clinical tools and intervention options are available to the psychiatrist treating the suicidal patient. The severity of the patient’s psychiatric condition and the clinician’s experience and training will determine the interventions.
Patients with borderline personality disorder can present with multiple crises and minor incidents of self-harm or threats, but determining when the actions are true cause for concern can be a challenge.
In this review, we discuss the established medications as well as experimental therapeutic options that may emerge as future medications for alcohol intoxication, withdrawal, and/or long-term abstinence maintenance or harm-reduced drinking.
Four studies sprang from the TORDIA trial on treatment-resistant depression in children and adolescents and showed that several factors influence treatment efficacy following treatment resistance.
Ringing the Bell to Save the Bereavement Exclusion.
A team approach, continually balancing the views of the psychopharmacologist, psychologist, social worker, family practice resident, and patient is the clinical Promised Land.
For psychiatrists, having even a basic idea of the potential-as well as of the perils-of social media is not only important to good practice, but it may be essential for a great practice.
Editor’s note: We are pleased to introduce Being a Therapist with this issue of Psychiatric Times. We hope you will enjoy the close-up views of these therapists.
What follows is an adaptation of Dr Ellis’s response to a volunteer who took part in a live public workshop demonstration of the Rational Emotive Behavior Therapy approach.
And when they see what I hide . . . up my white coat sleeve, . . . they understand that magic
Has any progress been made in our ability to manage negative symptoms of schizophrenia?
Using a question-and-answer format, we present a brief overview of issues that arise when mental health professionals explore how to best serve this population.
Review on the roles of gender in connection with premenstrual dysphoric disorder, OCD, psychosis, and other mental disorders.
Being male, female, or transgender exerts effects not only on anatomy and reproductive behaviors but also on immune mechanisms, pain perception, diet, occupation, social behaviors, and risk exposures.
A parent's heavy drinking can increase a child's risk of substance use disorder.
Abortion is not a pretty subject. An embryo or fetus, while not a fully developed person, has the potential to become one. No one is “pro-abortion.” At the same time, there are circumstances under which a girl or woman feels strongly that her pregnancy is untenable-that she is too young, too poor, too burdened, too ill to properly mother a child. Women have abortions because they take motherhood seriously.
Seventy percent of antidepressants are prescribed by primary care doctors with little training in their proper use, under intense pressure from Big Pharma, drug salespeople, and misled patients, after rushed 7-minute appointments and subject to no systematic auditing. The cash-strapped FDA is beholden to industry for funding. And it gets worse.
