Authors
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Dealing With American Psychiatry’s Gag RulePOINT: After 41 years of membership, a psychiatrist resigns from the APA after it holds its ground on the Goldwater Rule.
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Female Sexual DysfunctionWhat We Know, What We Suspect, and Enduring EnigmasFrom time to time, health conditions emerge that are relative “orphans” when it comes to having the resources of a health care discipline or subspecialty to take ownership or accept responsibility for developing the body of knowledge that underlies their systematic evaluation and treatment. Female sexual dysfunction (FSD) is such a class of conditions.
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Detainee Interrogations: Important to Remember Our PastDrs Pope and Gutheil correctly admonish psychologists who partake in detainee interrogations (Psychiatric Times, “The American Psychological Association and Detainee Interrogations: Unanswered Questions,” July 2008, page 16).
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“Switching” of Mood From Depression to Mania With AntidepressantsMood switching is not uncommon and it is much more prevalent in depressed juveniles than in depressed adults, and there is a large apparent excess of antidepressant-associated switching over reported spontaneous diagnostic changes to bipolar disorder. Details here.
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Unmasking Comorbid Pyromania and Psychosis in a Patient With AnorexiaAlthough psychosis is rare in adolescent patients with anorexia nervosa restricting type, the possibility should be explored because it may be the underlying cause of the eating disorder.
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Demystifying Love: Plain Talk for the Mental Health ProfessionalAlthough Demystifying Love: Plain Talk for the Mental Health Professional is economy-sized at 200 pages, the book is a useful attempt by the well-known psychiatrist and sex therapist Stephen Levine to condense a lifetime of knowledge from clinical practice, personal growth, and extensive reading about a complex subject. Not surprisingly, his case vignettes remain uppermost in the memory while the whirlwind tour of the many meanings of love, processes of getting into and out of love, erotic transference, psychological intimacy, and sexual desire gets a bit blurry
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Parkinson Disease: Phenomenology and Treatment of the Most Common Psychiatric SymptomsParkinson disease (PD) is a progressive neurodegenerative disorder that is characterized by its motor signs, including resting tremor, rigidity, bradykinesia, and postural instability. PD is more common in the elderly, and there is usually no family history of the disease.
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Living Stories: Spiritual Awakenings in RecoveryDeAndra's story: I came into the rooms and realized after a while that I had the attitudes and behaviors of an addict way before I ever picked up a drug. I remember growing up and being at my family's parties, [where] my aunts and uncles would give me and my brothers beer. There are pictures in our photo albums of us, all under 6 or 7, with cans of beer in our hands. At an early age I learned to manipulate to get what I wanted.
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DSM5 Proposal Triggers Anxiety, Not TicsAllen Frances, MD, identifies a number of concerns about the draft DSM5 revisions.1 Not mentioned in his commentary, but of significant concern, is a proposal that might subsume tic disorders under a new category called “Anxiety and Obsessive-Compulsive Disorders.”
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Anxiety Disorders With Comorbid Substance AbuseAnxiety disorders occur in 18% to 28% of the US general population during any 12-month period. In anxiety disorder, there is a 33% to 45% 12-month prevalence rate for a comorbid substance use disorder (SUD).
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Nature Versus Nurture: How Is Child Psychopathology Developed?In an attempt to reframe the either-or debate over the impact of genetics versus environment on emotional makeup, a panel convened at the American Psychoanalytic Association’s Winter 2005 Meeting in New York City. This article highlights studies presented at the meeting.
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An Integrative Paradigm for Mental Health Care: Ideas and Methods Shaping the FutureThis book is a rich roadmap on how to bring discipline and direction to integrative medicine.
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An Update on Muscarinic Agonism as a Treatment for SchizophreniaWhat makes this treatment option unique?
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Addressing Behavioral Health Emergencies With COVID-19Dr Leslie Zun discusses factors associated with accessing services for patients undergoing psychiatric challenges during the pandemic.
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Psychotherapy with Opioid-Dependent PatientsPsychotherapy as a sole treatment for noncoerced opioid addicts in outpatient settings has been shown to have little patient interest and low chances for success. However, when integrated into a treatment plan that includes methadone maintenance and drug counseling, it can be associated with additional benefits for patients who have moderate to severe levels of psychiatric symptoms.
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Cognitive Symptoms in Schizophrenia Recognizing and Treating Cognitive Deficits in SchizophreniaCognition” has more than one meaning. Cognitive-behavioral therapy refers to therapies that work on changing automatic thoughts and resulting schemas.
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From Our ReadersThe totalitarian system as we know it today may also be called 'managerial capitalism' since the decisions dictated by technical and economic considerations are no longer hampered by the rights of ownership and title holders. Yet it should be emphasized, speaking of 'managers,' that the true technical directors have nowhere acquired the disposing power of technocrats; the real power rests mainly with economic and business managers. This was written by H. Bruggers in 1941 in his "Stages of Totalitarian Economy," in the publication Living Marxism.
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Let’s Ask the Right Questions About Medical Aid in DyingSome patients are intractably and maybe even irredeemably ill. What should be done for them?
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Update on Medical Catatonia: Highlight on DeliriumRenewed interest and emerging systematic data have highlighted the frequency and pattern of catatonic presentations in psychiatric and medical settings, including in critical illness.
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Making the Connection: A Parent's Guide to Medication in ADHDMaking the Connection: A Parent's Guide to Medication in AD/HD is a concise, user-friendly book intended for parents of children with attention-deficit/hyperactivity disorder (ADHD).
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13 Contributing Factors to Treatment-Resistant Bipolar DisorderSeveral non-biological factors often contribute significantly to treatment resistance.
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I’m a Psychiatrist-and I Live With DepressionA personal account by a psychiatrist who has battled depression.
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Critical Issues in Perinatal Psychiatric Emergency CareThe perinatal period is a high-risk time for some women to experience a new onset or exacerbation of a mood disorder that may require emergency psychiatric care.
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A Look at the Ethical, Legal, and Clinical Issues Associated With Information TechnologyNew technologies pose challenges in the need to maintain boundaries and confidentiality. The same boundaries and ethical standards that existed in the 20th century must be thoughtfully applied with all new and developing technologies of the 21st century.
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Update on Pediatric Pneumonia: Causes-Treatment OptionsHere we summarize the evaluation of pediatric pneumonia and offer our management recommendations-based on a literature review and on clinical experience-in the outpatient setting.
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Invitation to Disaster: Mutual Attraction Between Therapist and PatientEven though there was no name attached to the message, I knew instantly who had sent the vague text that left my heart racing. This was the last communication I had with Mr R, a 36-year-old neuroscience researcher with no past psychiatric history.
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QT Prolongation and AntidepressantsIn the past decade, the effects of antidepressants on the QT interval and the subsequent risk of cardiac arrhythmias have become a notable concern. When the FDA released a drug safety communication about the risk of abnormal changes in the electrical activity of the heart with citalopram, providers learned to consider this risk as not only an adverse effect of a specific medication, but also the consequence of drug-drug interactions.
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Undue Pharmaceutical Influence on Psychiatric PracticeQuestions have also been raised about the extent of industry influence on the American Psychiatric Association’s diagnostic and treatment guidelines-namely, its DSM and Clinical Practice Guidelines.
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Psychosocial Interventions for Depressed Older Adults With Cognitive Impairment and DisabilityDepression, cognitive impairment, and disability often coexist in older adults. Therefore, to effectively treat late-life depression, clinicians need to evaluate the presence and degree of the patient’s cognitive deficits and level of disability.
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Podcast: Current Trends in Patient EducationSpecial Report chairs discuss patient education and provide a brief overview of materials that provide an opportunity for patients to help themselves.
