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Dialectical Behavior Therapy Skills Training Is Effective InterventionThe latest research on DBT for treating psychiatric disorders, such as ADHD, bipolar disorder, eating disorders, and depression.
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Anxiety Disorders in Later LifeOlder adults can present with anxiety or worries about physical health (illness, changes in vision or hearing), cognitive difficulties, finances, and changes in life status (widowhood, care-giving responsibilities, retirement). Clinicians need to be aware that older adults may deny psychological symptoms of anxiety (fear, worry) but endorse similar emotions with different words (worries, concerns).
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Sexual Assault Among Male VeteransLittle attention has been paid to the prevalence of sexual assault and its sequelae among military men. The past-year prevalence of sexual assault among enlisted men ranges from 0.4% to 3.7%, a figure equal to or exceeding the lifetime prevalence among civilian men in some studies. Increased awareness and understanding of male sexual assault as well as routine screening of all patients, regardless of gender, for exposure to sexual victimization will enhance their recovery.
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Prostitution Is Sexual ViolenceDespite the image presented in films, books and television, prostitution places women and children at high risk for PTSD and other comorbid disorders. What experiences lead to this life?
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Effects of Ethnicity on Psychiatric Diagnosis: A Developmental PerspectiveCompared with Caucasians, African Americans receive an excess of schizophrenia-spectrum diagnoses. Potential explanations for the ethnic differences in clinical assignment of psychiatric diagnoses are reviewed.
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Inter-Rater Reliability in Psychiatric DiagnosisDSM-5 presents psychiatry with a potential “reset button” for diagnostic reliability.
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In Private Practice, There's Very Little 'Off' TimeAs an employed physician, when I was off, I was off. In private practice, the same is not true.
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Special Issues for Patients With Bipolar Disorder Coping With COVID-19Patients with bipolar disorder often find it difficult to maintain schedules and routines, all the more challenging with the COVID-19 pandemic. More in this video.
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The Limitations of Our Diagnostic Classification: Beyond DSM’s ChecklistsWe do not need psychiatrists who fit people into categories and slots and treat them as if they are robots, according to the dictates of a recipe book called “The Diagnostic and Statistical Manual.”
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Mini Quiz: The Aggression-Depression ConnectionBesides being sad, patients who are depressed often feel disgruntled, resentful, or irritable. Such emotions can lead to violence in people who are predisposed to such behavior. Consider the questions in this quiz.
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Gaming Addiction in ICD-11: Issues and ImplicationsWith internet and video gaming here to stay, game designers will continue to prioritize habitual gaming over the health of players, and the burden of pathological gaming will fall on users and their families.
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Mood Disorders in Later Life, 2nd edThis text provides an excellent overview of mood disorders during older adulthood. Chapter 1 deals with diagnosis and includes helpful diagnostic tools and pertinent laboratory values. Chapter 2 addresses nonmajor depressive syndromes-a much-needed area of discussion-and provides a literature review in an easy-to-read table. Chapter 3 includes very good information about epidemiology and a most useful table of information. Another strength is a discussion of potential reasons for low rates of depressive disorders.
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Sexual Offenders With Mental Illness: Special Considerations for a Special PopulationWhether or not sexual offending behavior-or the predisposition to such-is a mental illness, there are patients with traditional mental illnesses who also present with sexually inappropriate and even sexual offending behavior.
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Culture and Eating DisordersCulture has been identified as one of the etiological factors leading to the development of eating disorders. Rates of these disorders appear to vary among different cultures and to change across time as cultures evolve. Additionally, eating disorders appear to be more widespread among contemporary cultural groups than was previously believed.
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'Pop' Psychology: Putting Rock and Roll Music on the Psychoanalytic CouchMusic as a creative expression can rouse emotions. Sometimes, music can be used as a means of exploring those emotions and making a connection between musician and listener. Two examples, the Beatles' White Album and the Talking Heads' Remain in Light, show how music can do more than soothe the savage beast--it can also tell us something about ourselves.
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Concerns About Practice GuidelinesSeveral readers have responded with comments and concerns regarding my column, "Do Physicians Use Practice Guidelines?" Since the issues these readers raised are important and concern many psychiatrists, they merit some discussion.
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How Quickly Do Antidepressants Begin to Work?Is there such a thing as a placebo effect? If so, at what point does the drug effect really occur? How do we distinguish between the two?
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Recovery From Disability: Manual of Psychiatric RehabilitationGiven Dr Liberman’s remarkable productivity and his amazing capacity to keep his finger on the pulse of the field, I expect to find practical guidance in such circumstances in the next edition of Recovery From Disability.
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Thinking About Mental Illness: 6 Steps for Medical School FacultyRegardless of the systems in place at medical schools, psychiatrists and psychiatry residents play an important role in molding medical students' attitudes toward mental illness.
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Mental Health and HIV/AIDSAn overview of the interface between HIV/AIDS infection and mental illness.
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Public Comment Period Opens for First Set of New Proposals to Update DSM-5Advances in digital publishing that allow instantaneous dissemination of changes at minimal cost have paved the way towards the adoption of a continuous improvement model for DSM, in which revisions are pegged to specific scientific advances.
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The Art of Rating Mental Health AppsWith now over 165,000 health care apps directly available for download today, how can psychiatrists identify which are the most helpful and which to avoid?
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What Role Does (Should) Lithium Play in Suicide Treatment/Prevention?An interesting pharmacological approach in terms of anti-suicidal strategies is the use of lithium for treatment of patients with affective disorders. Details here.
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Discussion of the Phenomenon of Unknown Family MembersThe discovery of an unknown family member can bring about joy or grief, and raise many clinical questions about the psychodynamics that are at play within families.
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Does MDMA Have a Role in Clinical Psychiatry?Like every drug or technology that has therapeutic value, MDMA (3,4-methylenedioxymethamphetamine) has potential risks and benefits. Unlike most other drugs under clinical investigation, MDMA has a complex and controversial history that has delayed dispassionate scientific investigation into its therapeutic use.
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Developmental Traumatology: Neurobiological Development in Maltreated Children With PTSDDevelopmental traumatology research is the systemic investigation of the psychiatric and psychobiological impact of overwhelming and chronic interpersonal violence on the developing child.
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Clinical Update on CultsHistorically, cult refers to a system of worship and more specifically to an innovative religious system, as opposed to a sect, which is a breakaway group from an established religion. During the past 30 years, however, cult has taken on a pejorative connotation arising from disasters such as Jonestown and Waco, and hundreds of media reports of individuals and families devastated by involvement in cults.
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Single Payer? Yes, But. . .The authors argue that adopting a single payer system would be like jumping out of the fire and into the frying pan. They look at three perspectives-the doctor's, the patient's and the health care policy-maker's.
