The paradigm for modern psychiatry is evidence-based medicine (EBM)-it represents proven treatments for defined diagnoses. But there are major problems with this position, starting with the fact that while they are superior to placebo, evidence-based treatments too often are ineffective.
In the case of orthorexic thinking, clinicians, patients, and their loved ones are bombarded by the same cultural tropes about our bodies and their relationship with the environment in which we live.
Borderline Personality Disorder: New Reasons for Hope is one in a series being published by Johns Hopkins University Press on major psychiatric disorders.
In a recent interview on 60 Minutes, Harvard psychologist Irving Kirsch, PhD, commented, “the difference between the effect of a placebo and the effect of an antidepressant is minimal for most people.”
Much could be gained if an agreed minimum set of appropriate and important outcomes was measured and reported in all clinical trials in a particular area.
Planning a break from your practice for a while? Here are some tips to help you work with your partners and patients for a meaningful long-term absence.
David Cronenberg’s film "A Dangerous Method" tells the story of the relationship between Freud and Jung and a woman named Sabina who had a considerable influence on both of them.
with enough juice to jump-start a heart . . . back to the Bo Diddley beat . . . We don’t amp ourselves up to sing the body electric . . .
Insight can be assessed in the course of a typical evaluation or follow-up interview with augmentation by questions borrowed from any of the validated insight rating scales.
We know that different people, cultures, and traditions all grieve differently. Yet it is ultimately our capacity for resilience that allows each of us to process the grief-inducing event in his or her own way.
The emergence of accountable care organizations (ACOs) may spur changes in psychiatric care, especially among office-based practitioners.
My experience indicates that the SVP laws are being implemented in a highly arbitrary and idiosyncratic fashion with judges and juries easily confused by misleading expert testimony.
When thinking about recent advances in psychopharmacology, we often point to new molecules with similar mechanisms of action but with better safety and tolerability profiles, or to molecules with novel mechanisms that effect positive change greater than that with existing treatments.
Adequate treatment of the underlying psychiatric illness consistently appears to be the most effective use of medication in suicidal patients.
Several studies have been undertaken to test the efficacy of drugs in the management of aggression and hostility in patients with schizophrenia and other mood disorders.
Autism: The DSM-5 Neurodevelopmental Disorders Work Group questions the validity of a study by James McPartland and colleagues.
Agitation can be displayed in patients as loud, disruptive, hostile, sarcastic, threatening, hyperactive, and/or combative. Here are tips on managing agitated patients.
Here are 9 tips to make the process easier
The diagnostic boundary between Major Depressive Disorder and Bipolar II Disorder is one of the most difficult and also one of the most important in psychiatry.
Agitated patients who display “excessive verbal and/or motor behavior”-can be loud, disruptive, hostile, sarcastic, threatening, hyperactive, and even combative. This article discusses new best practices and guidelines for agitation.
Tuesday's oral arguments on the Affordable Care Act produced at least one truly riveting exchange.
This discussion focuses on approaches to improve medication adherence, particularly in reference to helping adolescents remain on recommended psychopharmacological regimens when transitioning from acute to long-term maintenance.
Here we list important points to keep in mind when assessing and treating patients who self harm.
Being a psychotherapist is a complicated job. Not only must you be knowledgeable about human behavior, psychodynamics, and various techniques of doing therapy, but you have to be prepared for unexpected dilemmas.
Up until now, the leadership of the American Psychiatric Association has stubbornly defended the indefensible DSM-5 proposal that would turn normal grief into clinical depression. APA has blithely ignored the contrary scientific evidence
What are the psychological aspects of “going green”? How should we address what some call climate instability and global heating?
An ABN is a written communication given to a Medicare beneficiary by a physician prior to providing a service that is expected to be denied by Medicare Part B.
What is your diagnosis of this fetal kidney?
Structured around fictional case vignettes, this book presents the different pathways through which one enters the mental health system. Patients can better judge whether they are being offered the optimal treatment modality and can more effectively assess the stylistic match between themselves and their therapist.