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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).
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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.
