In This Issue of Psychiatric Times: Vol 37, No 1

Mental Health Crisis in Hong Kong. Although there is ongoing political crisis in Hong Kong, many people are confident that the crisis will resolve. However, the mental health crisis may last for decades. Roger M. K. Ng, MBChB, FRCPsych(UK), IDFAPA, DPhil writes.

Repairing Our Broken Mental Health Care System: Advice for Policymakers. Patients with severe mental illness routinely have no access to adequate medication, psychological counseling, social support, and/or housing. By Allen Frances, MD.

Beginning the Decade With 2020 Vision. Here we are-beginning a new day and a new decade-and, once again, we are filled with excitement, hope, anxiety, and fear. By John J. Miller, MD.

Management of Treatment Resistant Depression in the Elderly. This CME activity provides an understanding of treatment-resistant depression in elderly patients. By Fred Liu, MD, and Awais Aftab, MD.

Autoimmune Encephalitis: What Psychiatrists Need to Know. This article broadly reviews the pathophysiology of the most common forms of autoimmune encephalitis and provides guidelines tailored toward mental health professionals to best identify and manage these rare but important causes of neuropsychiatric illness. By Pojen Deng, MD, and Anusha Yeshokumar, MD.

Family History of Diabetes: Is There an Association With Nonaffective Psychosis? New insights on the association between family history of type 2 diabetes and comorbid diabetes in patients with schizophrenia and other nonaffective psychoses. A research update by the study author, Brian Miller, MD, PhD, MPH.

Disaster Response, Mental Health, and Community Resilience. The increase in repeated disasters and associated social stressors linked to global warming is likely to affect the mental wellbeing of billions of persons in the 21st century. By Josef I. Ruzek, PhD.

A Case of the Chicken or the Egg: Social Media, GAD, & Substance Use. A Case of the Chicken or the Egg: Social Media, GAD, & Substance Use. Like it or not, social media has become a constant in our lives, and it is getting harder to unplug. But, is social media actually causing harm? To examine its impact, Texas State University researchers conducted a study of 1314 adults who reported actively using social media.1 Their goal was to identify specific social media behaviors related to generalized anxiety disorder (GAD). Psychiatric Times’ Heidi Anne Duerr, MPH, invited two of the authors, Krista Howard, PhD, and Natalie Ceballos, PhD, to reflect on their work.

The Opening of the Maudsley Hospital: January 31, 1923. In the early years, treatment was largely restricted to restraint and sedation with great emphasis placed on fresh air for prevention of mental illness. Later, the aim of treatment was to prevent transfer of patients to country asylums. Robert M. Kaplan, MBChB, FRANZCP, MA, MPhil, writes.

Psychiatrists Are Not the Retiring Kind. The past is prologue riding close behind. Give up your practice? And do what instead? Psychiatrists are not the retiring kind! By Richard M. Berlin, MD.

Celebrating Progress, but Challenges Remain. With their early age of onset, high prevalence, chronicity, and pervasive impact on multiple domains of functioning, the burden of mood disorders exceeds that of virtually all medical conditions in the US and globally in terms of disability, cost, and suffering. Special Report Chair Jonathan E. Alpert, MD, PhD, introduces this collection.

Diagnostic and Treatment Challenges in Bipolar Disorder in Children and Adolescents. Just as the progress over recent decades has improved the clinical evaluation and management of BD among children and adolescents, the remaining gaps serve to inform future progress. By Benjamin I. Goldstein, MD, PhD, Boris Birmaher, MD, and Eric A. Youngstrom, PhD.

Integrating Psychotherapy and Psychopharmacology in the Treatment of Major Depressive Disorder. Although multiple interventions exist for major depressive disorder (MDD), only partial response is achieved in many patients and recurrence is common. Combining medication and psychotherapy may enable more effective treatment of MDD. By Fredric N. Busch, MD.