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Small physician practices are less likely than big groups to have electronic medical records-and there’s a reason that goes beyond cost. They lack the resources and the technical knowledge to implement these complex systems. The support and training that vendors offer is frequently inadequate, especially for physicians who aren’t especially computer-savvy. And the vendors freely admit that they don’t have sufficient staff to cope with the expected influx of new EHR buyers who want to show meaningful use by 2011, when the government incentives start flowing.

 The Virtual Career Expo is a great way to advance your career without leaving the comfort of your home or office.

Quick-which screening test or instrument has greater specificity for the target condition: the PSA (prostate specific antigen) test for prostate cancer, or the BSDS (Bipolar Spectrum Diagnostic Scale), for bipolar disorders?

Treating Child and Adolescent Mental Illness: A Practical, All-in-One Guide is just what its title promises: a clinically relevant, encompassing yet concise guide to child and adolescent mental health care. Dr Shatkin’s book serves as a useful primer for medical and mental health clinicians who do not specialize in the treatment of children and adolescents but who find themselves faced with the growing demand to provide mental health services to this sector. It is also a handy refresher for child and adolescent clinicians called on to treat disorders seen less often in their practices, as well as a reference for nonphysicians less familiar with psychopharmacological interventions.

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The selection of Archbishop Emeritus Desmond Tutu, 1984 Nobel Peace Prize recipient, to present the convocation lecture at the American Psychiatric Association’s upcoming annual meeting has so outraged some APA members that they have arranged meeting boycotts and protests. by Arline Kaplan

Allen Frances, MD, identifies a number of concerns about the draft DSM5 revisions.1 Not mentioned in his commentary, but of significant concern, is a proposal that might subsume tic disorders under a new category called “Anxiety and Obsessive-Compulsive Disorders.”

This 3-part manual on sexual disorders is edited by 2 psychiatrists who have been engaged for more than 20 years in the clinical treatment of patients with sexual problems. Drs Balon and Segraves bring their rich experience to this field. Patients who have sexual disorders need extra time to present their questions of doubt, confusion, misunderstanding, and perhaps guilt and shame. They also need clarification and understanding-and possible answers and reassurance.

Mr V had appeared at our appointment in a panic, after an episode of premature ventricular contractions and a terrifying nightmare. In the dream, he was threatened by a blue, masklike face with white circles for eyes and 2 slits for a nose.

In his recent David Letterman-like Top-19 list of DSM5 issues, Dr Allen Frances targeted a proposed revision of the DSM-IV diagnosis of Pedophilia, and 2 proposed new diagnoses: Hypersexual Disorder and Paraphilic Coercive Disorder.

It‘s not often that a writer gets such unexpected, and-I‘m quite sure-unintended credibility for an article. Whether by serendipity, synchronicity, or the collective unconscious, that seemed to occur with my January 6 Psychiatric Times blog on “Why Psychiatrists Should Go Green.”

Another lifetime ago-just after leaving residency-I took a job as a psychiatric consultant at a large, university mental health center. Had I known the poisoned politics of the place, I would have headed for someplace safe-like, say, Afghanistan.

In his recent blog posting, Dr Steven Moffic proposed that only psychiatrists be allowed to certify DSM diagnoses. While I disagree, I commend Dr Moffic for raising this controversial topic, which inevitably brings up a number of basic issues challenging our profession.

“The exclusion of symptoms judged better accounted for by Bereavement is removed because evidence does not support separation [or] loss of loved one from other stressors.”1

While Sen. Charles Grassley (R-Iowa) broadens his conflict of interest (COI) investigations to include mental health leaders and associations, the National Institutes of Health (NIH), teaching hospitals, universities, and mental health organizations are intensifying their vigilance and taking corrective actions.

Resources, books, and practice guidelines

This article reviews the differences between dementia types and future directions.

It was great to learn that within the past month, the Obama Administration issued new rules that promise to improve insurance coverage of mental healthcare for more than 140 million people insured through their jobs.

Imagine, as a psychiatrist, hearing this story from a beloved friend or relative:

It is generally held that the offspring of parents with bipolar disorder (BD) are at risk for BD. The degree of risk is an important question for both clinicians and parents. A recent study of bipolar offspring by Birmaher and colleagues1 sheds light on this issue.