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Final guidance from the federal government is imminent about how much of a patient’s protected health information (PHI)-including psychotherapy notes-a psychiatrist must provide to a health insurer.

Recent attention has focused on identification of early signs that may identify children at risk for development of autism spectrum disorders (ASD).

The doctor’s role is to go beyond the obvious and to detect subtle determinants. Good diagnosticians have been trained to look beneath the loud symptom and consider underlying factors.

Patients’ stories (both content and structure) contain more therapeutically useful information than merely identifying and counting symptoms.

The neuroanatomical linkage that emerges from a normal part of business experience-the reaction to success and also to failure (especially if that failure happens to someone else)-is the focus of this column.

Marco Bellocchio, one of the most psychoanalytically oriented filmmakers of his generation, entered the annals of Italian cinema in the 1960s to almost universal acclaim from critics at home and abroad.

This 3-part manual on sexual disorders is edited by 2 psychiatrists who have been engaged for more than 20 years in clinical treatment of patients with sexual problems.

In a question-and-answer discussion with Dr Phillip Resnick, clinicians gained valuable insights into the legalities of psychiatry and how best to treat patients and protect the public (and themselves).

DEBATE When you get facts wrong, as Dr Halpern does, it is hard to end up with the right conclusions. He suggests incorrectly that my approach to forensic ethics leads to the conclusion that participation in interrogation is permissible, when exactly the opposite is true.

DEBATE In 2005, the Board of Trustees of the American Psychiatric Association (APA) prepared a Position Statement entitled Psychiatric Participation in Interrogation of Detainees

These issues-among others-raise this question: Is the addition of a new diagnosis such as TDD to DSM-5 the best way to manage the issue of classification of youths with chronic, severe irritability and potential misdiagnosis of bipolar disorder?

When did my colleagues grow so old? When did the women and men I’ve known for thirty years start to stoop and tremble? When did all the old Chiefs die?

During residency training, young doctors learn the requisite skills, knowledge, and values essential to the practice of medicine. We will all agree that to learn, the resident must have the desire and drive to master the essential knowledge and skills of his or her specialty.

As I lie in my hospital bed, attempting to breathe through my trach tube at a normal rate, waiting for my morning medication, and hoping to hear good, or at least manageable, results from my doctors when they come to me on rounds, my mind wanders. Despite the precariousness of my situation, I can’t help but smile as I think of my now monthly psychotherapy sessions.

As I was driving to work on February 10, 2010, I listened to the National Public Radio host Melissa Block talking about how children labeled “bipolar” may get a new diagnosis. I was shocked that the chair of one of the DSM5 work groups, David Shaffer, MD, would discuss a controversial diagnostic topic with the media.

New research into cholesterol-lowering statin drugs and serotonin-1A receptors may help explain the relationships between cholesterol levels and symptoms of anxiety and depression.

Creative people tend to see the world in novel and unconventional ways, and they often seek out intense and destabilizing experiences. Creative ideas are frequently generated during chaotic mental states characterized by loosening of associations that resemble the psychosis of mania or schizophrenia.

The ideal field test would study how the diagnostic manual will eventually perform under conditions most closely approximating its future everyday use. The goal is to avoid unpleasant surprises in translation from what has been written on paper to what is practiced in real life. No field test can ever approach the ideal.

In the wake of ongoing investigations by Senator Charles Grassley (Republican, Iowa) into potential conflicts of interest between academic researchers and the pharmaceutical industry, numbers recently posted on the web site Pro Publica, an independent non-profit organization, may come as something of a surprise.

Are there any recent sources talking about the use of buprenorphine (low dose) for people who were never drug addicts or abusers but who were diagnosed with treatment resistant depression?

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LIVE FROM PSYCHIATRIC CONGRESS It is no surprise that pain, depression, and anxiety form a "terrible triad"--but now there’s proof, according to results from research presented1 at the 2010 US Psychiatric and Mental Health Congress (Psych Congress).

Dr Allen Frances pleads for the United States Supreme Court to “step up to the plate” and halt the “disturbing misuse” of the “makeshift” psychiatric diagnosis of Paraphilia NOS (nonconsent).

Speaking in a language a person has never learned; extraordinary shows of strength; sudden aversion to things spiritual; severe sleeplessness; lack of appetite; cutting, scratching, and biting one's own skin. . . these are the "classic signs" of possession by a demon, according to Bishop Thomas Paprocki of Illinois.

Eventually, DSM-5 will be a rushed patch-work. The only hope for a usable DSM-5 is for the Trustees to exert their authority to correct an errant process. But they will act only if there is mounting outside pressure and widespread public concern.

The DSM does and must involve both science and pragmatism. It must use the science that is available, but it must also make countless judgment calls that are not grounded in solid empirical evidence-and surely it makes sense to consider practical consequences in doing the latter.

Every year, more than 1 million children are exposed to sexual or physical abuse or neglect in the US. The research summarized here clearly demonstrates that exposure to stress before adulthood can result in persistent effects on both mental and physical health.