March 29th 2022
Is prolonged grief disorder an important addition to the DSM-5-TR?
Clinical Consultations™: Integrating Modern Antipsychotic Medications into the Management of Patients with Schizophrenia
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Patient, Provider, and Caregiver Connection™: Challenges in Diagnosis and Management for Patients with ADHD During the COVID-19 Pandemic
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Visualizing the Role of Antipsychotics in the Management of Schizophrenia: What is the Role of TAAR1?
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The Expanding Role of Fluid Biomarkers in the Diagnosis and Management of Patients With Alzheimer Disease
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Clinical Consultations™: Considerations for Customizing Care Plans for Patients with Parkinson Disease Psychosis
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Advances In™ Schizophrenia: Expanding the Therapeutic Landscape
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Expert Illustrations & Commentaries™: Visualizing New Therapeutic Targets in Schizophrenia
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Updates on New and Emerging Therapies to Improve Outcomes for Patients With Major Depressive Disorder
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2023 Annual Psychiatric Times™ World CME Conference
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5th Annual International Congress on the Future of Neurology®
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Does Research Support “Craving” as a Core Symptom of Substance Use Disorders in DSM-5?
January 11th 2011Recently, the Substance Use Disorder Work group of the DSM-5 announced the inclusion of “craving” in the diagnostic criteria for all substance use disorders despite its lack of empirical support from the very analyses conducted by that Workgroup. In addition, no detailed literature review supports the decision to make “craving” a core symptom of Substance Use Disorder syndromes.
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A Letter to the Board of Trustees of the APA
December 18th 2010We are delighted that you have appointed a DSM-5 Scientific Review Work Group and charged it with assessing the quality of evidence supporting the DSM 5 proposals.This is great news, probably the last hope to weed out proposals that could do great harm to the Association, our field, and to our patients.
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Adding the Diagnosis of Temper Dysregulation Disorder to DSM-5
December 1st 2010These 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?
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DSM5 Task Force: Do Not Go to the Mass Media-Do Your Homework
December 1st 2010As 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.
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The DSM-5 Field Trials (Part 2): Wrong Goals and Wrong Methods Make Them Irrelevant
November 25th 2010The 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.
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DSM-5 Field Trials (Part 1)-Missed Deadlines Have Troubling Consequences
November 19th 2010Eventually, 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.
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Science Versus Pragmatism in the DSM: Finding A Middle Ground
November 18th 2010The 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.
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AAPP Bulletin: Recent Issues Devoted to Conceptual Questions in DSM-5
November 4th 2010The project culminating in the 2 issues of the Bulletin of the Association for the Advancement of Philosophy and Psychiatry (the Bulletin) included in PDF format with this introduction has its own history.
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DSM is a Many-Dimensioned Thing
October 19th 2010In a recent issue of Psychiatric News, members of the DSM-5 Task Force reported on the dimensional measures being considered for DSM-5. These take 2 forms: severity scales for individual disorders, and “cross-cutting” measures that cut across disorders. For this brief piece, I will focus on the latter, the more interesting and controversial of the proposed dimensions.
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Grief and Depression: When Science and Terminology Get Confused
September 15th 2010In his ongoing critique of the DSM-5 process, Dr Allen Frances started a brushfire recently in challenging the DSM-5 Mood Disorders Work Group proposal to remove the bereavement exclusion from the diagnostic criteria for a major depressive episode. Here’s a summary of the debate.
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The Meaning of Addiction: DSM-5 Gives the Lie to Addiction as a Chronic Brain Disease
August 25th 2010Although Charles O’Brien, MD, who heads the substance-related disorders work group, is a vigorous proponent of the notion of addiction as a disease, nothing about the proposed DSM-5 substance-related disorders section supports the idea that the syndrome is best understood as a chronic brain disease.
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The Cultural Dimension in DSM-5: PTSD
August 15th 2010Any effort to develop a diagnostic manual for world-wide use must grapple with the question of cross-cultural applicability. The description and diagnostic criteria for schizophrenia must work as well in East Timor as in the US or France. In this piece I choose PTSD to show the complexity of the cultural issue for DSM-5.
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Early Alzheimer's Diagnosis and Treatment: Future Hopes, Current Dangers
August 7th 2010The furor surrounding the recently proposed Alzheimer's Guidelines was provoked by their premature attempt to introduce early diagnosis, well before accurate tools are available. The same laudable, but currently clearly unrealistic ambition has propelled two of the worst suggestions for new diagnoses in DSM-5: Psychosis Risk and Mild Neurocognitive.
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Response to: “Psychiatric Symptoms Can be Understood Even When These Symptoms Cannot Be Explained”
July 16th 2010Dr Muller, in his piece “Psychiatric Symptoms Can be Understood Even When These Symptoms Cannot Be Explained,” makes a number of assertions about DSM-III and its successors that reflect a mischaracterization of its “descriptive approach.”
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DSM-5: Continuing the Confusion about Aging, Alzheimer’s and Dementia
July 15th 2010Since the early twentieth century, when Alois Alzheimer and Emil Kraepelin constructed it as a unified clinical-pathological entity, Alzheimer’s disease has been both one of the most stable and one of the most problematic neuropsychiatric entities.
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