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Antidepressants in Pregnancy: Balancing Needs and Risks in Clinical PracticeThis article summarizes the risks of untreated psychiatric illness during pregnancy as well as the risks and benefits of antidepressant use.
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Vaccine Mandate Exemptions for Anxiety: Ethical and Practical ConsiderationsDoes anxiety justify an exemption from vaccine mandates among health care workers?
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Cannabis 2021: What Clinicians Need to KnowThe sharply decreasing perception of risk and easy accessibility of cannabis has many patients turning towards it, despite the potential negative effects.
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Coaching Families to Address Addiction"He'll just have to hit bottom." That bit of outdated advice can be terrifying. How do clinicians trying to help the person with an addiction who refuses to set foot in our office render assistance?
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Addressing Postdeployment NeedsAlthough we would all like to believe otherwise, war is not over when a service member returns home. For many, returning home may be where the harder battles begin. Intensive training prepares troops for warfare, but what training do they have to readjust when they return home?
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Challenging Diagnoses, New Treatments, and Clinical Conundrums Discussed at Annual MeetingThe 2021 American Psychiatric Association Virtual Annual Meeting brought together leaders in psychiatry to discuss hot topics including diversity, COVID-19, mood disorders, and more.
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Posttraumatic Stress Disorder in VeteransThere have been nearly 1.5 million military deployments to the southwest Asian combat zone since the start of the Afghanistan operation and Iraq war in 2001 and 2003, respectively. There have been many casualties, some of which have been highly profiled, such as service members being killed in action, losing limbs, or suffering blast injuries to their brain.
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Posttraumatic Growth: A New Perspective on PsychotraumatologyLittle attention has been paid in the professional literature to a phenomenon that non-professionals have recognized since ancient times: Trauma can lead to personal growth. This article focuses on how traumatic events set processes in motion that produces new perspectives on the self, relationships and philosophy of life. Implications for clinical work with trauma survivors are discussed.
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Five Key Fantasies Embraced by DSMI envision the day when psychiatry and psychology re-embrace the mind, along with the brain and behavior.
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Mirrors, Masks, Field-Dressings, Guts, Hearts, and Our MindsIs it all these things that tell us who we are?
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Koryagin, Suspicious of Glasnost, Recounts Ongoing Soviet AbusesHere: the ordeal of a Russian psychiatrist who objected to the political abuse of psychiatry in the Soviet Union-and did something about it.
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Autism Spectrum and Neurodevelopmental DisordersThis article aims to provide the general psychiatric community with an update on the major findings on the biology of ASDs as well as the advances in diagnostic and interventional strategies.
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Children and Video Games: How Much Do We Know?There is no shortage of hyperbole when politicians of all stripes describe the nature and effects of video games. Republican presidential candidate Mitt Romney proclaimed, "Pornography and violence poison our music and movies and TV and video games.
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Clinical Dilemmas: What’s Good for the Brain Is Good for the HeartDoes it matter which came first, the depression or the heart disease?
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Mini Quiz: Neurobiology of Borderline Personality DisorderWhat do functional magnetic resonance neuroimaging findings reveal about the neurobiology of borderline personality disorder? Take the quiz and learn more.
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The Interface of Depression and DementiaDepression and dementia or Alzheimer's disease often go together. The presence of dementia may also increase the odds of depression. What can clinicians do to treat these two often comorbid conditions?
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Marketing Off-Label Uses: Shady Practices Within a Gray MarketFor pharmaceutical companies, off-label use of a drug represents a substantial “gray market,” to which the company is unable to sell their product directly, yet may be a significant revenue stream. Some drugs have been used more for off-label purposes than for originally approved indications.1
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Topiramate and Heavy Drinking: Implications for Personalized MedicineVery few heavy drinkers receive treatment and fewer still are prescribed medications with demonstrated efficacy. Here, a summary of current research, key takeaways, and highlights from a study on topiramate treatment for heavy drinkers by the lead author of that study.
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Gender Differences, Gamma Phase Synchrony and SchizophreniaThe authors discuss gender differences found in patients with schizophrenia. Their group is the first to explore the possibility that gender differences in schizophrenia are mediated by differences in integrative network activity, reflected in a synchronous phase of high frequency (40 Hz) gamma activity.
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Violence Risk Assessment in Everyday Psychiatric PracticeHy Bloom provided an expert psychiatric report in a multiple murder case in which the accused, who had schizophrenia and depression, had killed his wife and 2 children. Before the murders, the accused had been seeing a psychiatrist and family physician for treatment of the mental disorders.
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Contraception and MisconceptionsPsychiatrists who treat women and adolescent girls may find it necessary to discuss with their patients reproductive planning and the role of contraception in setting comprehensive treatment goals. Here's why.
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What Is the Role of Vitamin D in Depression?Vitamin D has been hailed as the “sunshine” vitamin with many therapeutic attributes. The authors explore the association between vitamin D deficiency and increased risk of depression.
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CRPS Type I and Mental IllnessDr Steven King provided an interesting summary of complex regional pain syndrome (CRPS) in Psychiatric Times (Complex Regional Pain Syndrome, June 2006, page 9). We felt it would be useful to provide some additional observations on the relationship between CRPS type I and psychological causes of pain.
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Psychiatric Comorbidity in Emergency Department PatientsEmergency medicine provides care to a vast number of patients each year. In 2005, 115.3 million people visited emergency departments (EDs).
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Outlook for Federal Mental Health Policy in the 115th CongressWill the new Administration disrupt mental health coverage in this country?
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Battered Woman SyndromePsychological symptoms develop in some women who are victims of physical, sexual, and psychological abuse, making it difficult for them to regain control.
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Severe Temper Outbursts in a 10-Year-Old GirlThe responsibility for improvement was placed on psychiatrists: diagnostic skills had to be improved and patients and their families and caregivers as well as the general public needed to be better educated about the disorder and treatment options.
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Bipolar Update: Shared Brain Abnormalities and Common ComorbiditiesA summary of some of the latest findings in bipolar disorder research.
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Cortisol and Seasonal Changes in Mood and BehaviorThe degree to which season changes affect mood, energy, sleep, appetite, food preference, or desire to socialize with others has been called "seasonality." Identification of a seasonal pattern can only be made if both the patient and physician actively look for it.
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The Cutting Edge of SadnessThe past decade witnessed major strides in our understanding and treatment of affective disorders in adults, children and adolescents. One of the baffling problems in child and adolescent psychiatry was the question of psychiatric illness spanning a lifetime. The existence of depressive disorders in prepubertal children has been generally recognized and acknowledged since the 1960s; however, only in the last decade did evidence become available that supports the notion that depression in different ages represents the same entity, albeit manifesting different clinical symptoms in each developmental period (Cytryn and others 1986).
