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Opioid Dependence and XR Naltrexone

Psychiatric Times bids a very fond farewell to our long-time board member Jeffrey L. Cummings, MD, who was the originator of the Psychiatric Times “Brain and Behavior” column, which he penned for several years.

The moon comes up like a melody . . .

Consider the predicament of Mrs M, a 38-year-old premenopausal mother of two. Mrs M tells her primary care physician, “I just don’t have a strong desire for sex. It’s been about 10 years now, and I hardly ever have sexual thoughts or fantasies.

In an earlier posting, I considered the merits and flaws of the DSM-5 online website. For this posting, I consider the significance and implications of a cyber-DSM.

A brief report recently published in Science confirms the key role of dopamine (DA) in impulsive behavior. The researchers found that impulse control directly correlated with the amount of DA released in the striatum.

Houston, we have a problem. There is a critical shortage of psychiatrists. And the problem is not in Houston alone-it includes the entire state of Texas, and every other state in the union (Mid-town Manhattan, Boston’s Beacon Hill, and Sacramento Street in San Francisco might be exceptions).

The authors are affiliated with the section of General Internal Medicine at Yale University School of Medicine, in New Haven, CT. Dr. Tetrault is an assistant professor of medicine, Dr. Fiellin is an associate professor of medicine, and Dr. Sullivan is an assistant professor of medicine.

Recent findings indicate that social interaction is a key to living longer. Theoretical models have suggested that social relationships influence health through stress reduction and by more direct protective effects that promote healthy behavior.

It is easy to claim the presumed high ethical ground when one is not involved in the real life situation at hand. It is also easy to project and proclaim strong positions in order to cover our own inadequacies and anxiety.

Adolescents with ADHD, conduct disorder, or who smoke cigarettes are less likely to finish high school on time and more likely to drop out altogether, researchers at the University of California, Davis, School of Medicine have found.

Is the mortality from smoking-related diseases higher in patients with schizophrenia? What decade did the concept of the quality of life with antipsychotics come into being? These questions and more in this week's quiz.

The varied proponents of models for the regulation of CME programs for physicians would all agree that the primary charge of these programs is to provide physicians with scientifically unbiased information on issues or knowledge that affects medical practice.

Previously, I have been quite critical of the DSM-5 suggestion to introduce a new diagnosis-- Minor Neurocognitive Disorder--on the grounds that it would create a large false positive problem and would lead to unnecessary worry and cost with no useful intervention.

Treating the Whole Patient dialogue explores the relationship between mental health and physical conditions. The discussion is moderated by Drs Jon W. Draud, Rakesh Jain, Vladimir Maletic and Charles Raison.

ADHD may be more prevalent than we know, and it may be taking a toll on marriage. Findings suggest that many adults with the disorder never received a diagnosis as children.

A recent story in the Atlantic magazine, The End of Men, explores gender issues in the 21st century. Women now make up the majority of the workforce, and women outnumber men 3 to 2 in getting a college degree. Is postindustrial society more suited to women?

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Efficacy and safety of bupropion and SSRIs in comorbid depression and restless legs syndrome? Which psychiatric scale has proven useful for tracking depression when Electroconvulsive Therapy is involved? These questions and more in this week's Mine Your Mind quiz.

A joint study by researchers at two universities reported that the majority of people with alcohol problems who seek out clergy for help have or will also use professional mental health services at some point in their recovery process.

Researchers who have spent their careers studying schizophrenia and mood disorders might be forgiven a bit of “biomarker envy.” At long last, it seems that the neurologists and neuropsychiatrists have developed some fairly sensitive and specific “lab tests” for Alzheimer’s Disease (AD).

Register now!Psychiatric Times Career ExpoBack by popular demand with new contentPsychiatric Times is pleased to announce our virtual career expo. As an attendee, you will have access to organizations looking for qualified psychiatrists and allied mental health professionals to fill positions across the US.

There have been multiple criticisms of both the proposed content of DSM-5 and the process by which it is being developed. I have expressed my concerns about its proposals for diagnoses dealing with pain, especially the creation of the new diagnosis of Complex Somatic Symptom Disorder, to readers of Psychiatric Times in my Pain Management columns.