Special Reports

Strong evidence supports sound arguments on each side of 3 debates covered here-so get in there and fight nice.

This special report on controversies in psychiatry examines the pros and cons of assisted outpatient treatment and also antidepressant use in pregnancy.

Here: common misconceptions about assisted outpatient treatment--and how this tool can help selected mentally ill patients who are most difficult to treat.

The authors examine legal and ethical challenges for the psychiatrist when a defendant who is incompetent to stand trial declines to take prescribed psychotropic medication.

This article summarizes the risks of untreated psychiatric illness during pregnancy as well as the risks and benefits of antidepressant use.

When clinicians work without ready access to a security team or environmental safety protocols, early recognition is crucial to preventing or avoiding those rare occasions when behavior problems escalate.

An update on emerging trends in psychosomatic medicine to help clinicians address mental health stressors in psychiatric and medical settings.

The authors shed light on a disorder that is difficult to diagnose and manage, and offer insights on how to develop an appropriate treatment plan.

Renewed interest and emerging systematic data have highlighted the frequency and pattern of catatonic presentations in psychiatric and medical settings, including in critical illness.

Strategies to reduce aggression in psychiatric treatment settings.

Here's an overview of motivation for assaults by chronically aggressive inpatients and steps to de-escalate.

The authors review the association between depression and violence, and the role that anger and emotional dysregulation play.

There is no predictive tool that is likely to have validity for rare outcomes such as terrorist attacks. More here.

Here's compelling reason for judicious use of restraint and seclusion, and a review of various alternative approaches.

How could this have happened? What could you do to keep yourself and your team safe from another code white?

What effects do illness and treatment have on cognition? Here's a deep dive.

Functional mood stability can be attained with lithium therapy, but guidelines on how to get there have become increasingly sophisticated.

Personal enhancements (eg, cosmetic surgery) have gained societal acceptance, but cognitive enhancement poses significant ethical, philosophical, and sociopolitical issues.

Targeted mineral supplementation has the potential to augment treatment response and yield improvement in clinical symptoms.

Integrative psychiatry helps us push deeper into the testing of metabolic, gut, and brain features, which seems more fitting, given our role as physicians.

These methods facilitate deep rest, help reset circadian rhythm, and release endogenous opioids and cannabinoids that help reduce anxiety and enhance a sense of well-being for people with PTSD.

Potential benefits and benign safety profile of omega-3s indicate a promising intervention.

This year, we presented new and distinct reports that covered a range of clinical challenges in the treatment of psychiatric disorders.

The articles in part 1 of this Special Report provide concise reviews of important research findings and clinical applications of mindfulness meditation, breath practices, and uses of CAM therapies for perinatal depression.

This review provides information to assist clinicians who are considering mindfulness meditation for their patients.

Slow voluntarily regulated breathing practices are noninvasive, easy to learn, and generally safe for treating patients with symptoms of anxiety, insomnia, depression, stress- and trauma-related disorders, ADHD, schizophrenia, and substance abuse.

Many women choose to avoid standard treatment for perinatal depression, and instead prefer integrative treatments that incorporate complementary and alternative therapies. This article reviews the evidence base for these treatments.

What an exciting time to be involved in understanding and providing care for people with schizophrenia spectrum disorders!