Special Reports

Reporting of symptoms that are beyond available medical evidence is a central feature of malingering and related conditions, making the clinical differentiation of these disorders a challenge.

This article focuses primarily on the issues facing a psychiatrist who has been retained as an expert witness in a will or trust contest involving claims of a lack of capacity.

DSM-5 sleep-wake disorders are now more in sync with other medical disorders and sleep disorders classificatory systems. Here's what's changed.

Here's a brief history of sleepwalking, associated factors, and pathology; sleep-related violence and forensic considerations; and management strategies.

Here's an update on parasomnias-the undesirable physical, experiential, or behavioral phenomena that occur exclusively during sleep onset, during sleep, or during arousals from sleep.

All psychiatrists know the risk factors for suicide. Among the newest modifiable risk factors to join the list are insomnia and nightmares.

Sleep disorders represent a significant problem in patients with Alzheimer disease. Here: assessment strategies and a review of drug and non-drug interventions.

Sleep-related problems are among the most disabling consequences of TBI, with multiple influences: impairment of neuronal plasticity, metabolomic alterations, loss of vascular homeostasis, and disruption of the blood-brain barrier. The authors take a close look.

Impulsivity has long been thought to be an important risk factor for depression and suicide. But recent research suggests that the reality might actually be counterintuitive.

The authors explore ways to address aggression in clinical practice and examine the potentially dangerous impulsivity-violence link across a broad range of conditions.

Suicide and self-harm are often linked to impulsivity, but what do empirical evaluations of this link actually show? This association is discussed and challenged in this article.

The challenges of recognizing behaviors such as hypersexuality, gambling, and excessive buying in Parkinson disease are discussed, as are ways to address them while still managing the underlying condition.

Now placed “substance-related and addictive disorders” in DSM-5, gambling disorder has similiarities to other behavioral addictions, such as “food addiction” and “Internet gaming disorder.”

Anxiety is a fundamental aspect of the human experience, but if it impacts social, psychological, or physiological functioning, it can lead to symptoms that cause distress and impairment. Here: the latest on anxiety disorders by experts in the field.

The cultural aspects of treating patients are similar for all age-groups, but certain themes have greater relevance with the elderly.

The authors discuss the assessment and treatment of pediatric ADHD within the framework of the cultural psychotherapeutic model.

Because there is a higher prevalence of mental health disorders in LGBTs than in heterosexuals, psychiatrists should be broadly familiar with the process of sexual/gender exploration, psychological self-recognition, disclosure to others, and community identification.

Patients with psychiatric disorders, particularly schizophrenia, anorexia nervosa, and substance use disorders, have reduced life expectancies compared with the general population. This and other facts emphasize the need for the latest clinical information, highlighted in this countdown.

This slideshow features information on a recent Special Report covering opioid use, gambling, street and club drugs, marijuana, video games, and more.

Special Reports have long been a mainstay feature of the monthly Psychiatric Times issues, but this two-part report on cultural competence and diversity is unique in both style and content.

This evidence-based tool is composed of a series of questionnaires that assist clinicians in making person-centered cultural assessments to inform diagnosis and treatment planning.

The authors share a model for psychiatrists interested in collaborating with traditional healing and medicine.

Improving religious competence among clinicians is vital if everyday psychiatric care is to become truly person-centered.

This Special Report focuses on the psychiatric and medical interface of some common medical problems.

Depression and diabetes can prey on the shortcomings of our health care system, such as fragmented, episodic care and poor continuity. Coordinating care can be fraught with difficulties, but it is the goal of many current efforts in health care reform.

The prevalence of chronic hepatitis C virus infection is among the highest in patients with severe underlying mental illness. Here: clinical information on the interface of HCV infection and psychiatric disorders.

Psoriasis, a chronic inflammatory, autoimmune skin disorder, is associated with both genetic and environmental factors. It has important treatment implications for patients who have psychiatric disorders.

The articles in this Special Report provide a broad, cross-cutting perspective on the current state of addiction psychiatry, insofar as it may pertain to your own clinical practice.