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Immigration and Post-Adolescent Psychology of Young TerroristsRadicalization by Norwegian converts to the Prophet’s Ummah produced massive and terrible social consequences. The explanations offered may be pertinent to the current attraction that ISIS offers for too many young persons in many countries of the civilized world.
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Outside the Pill Box: The Systems-Based Practice of PsychiatryMeet "Gary," whose case provides an introduction to the value of systems-based practice.
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Alzheimer Dementia and Sleep Disorders: Issues in Diagnosis and TreatmentSleep disorders represent a significant problem in patients with Alzheimer disease. Here: assessment strategies and a review of drug and non-drug interventions.
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The “10 Knows” Psychiatric Clinicians Need to Prepare for a Job InterviewWhat 10 things do you need to know before entering a job interview?
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Trait Stages of Diagnosis for Borderline Personality DisorderThe authors describe an alternative model for BPD diagnosis that is dimensional in nature and requires fulfillment of 4 of 7 personality traits.
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10-Point Clock Test Screens for Cognitive Impairment in Clinic and Hospital SettingsThe obvious sometimes bears repeating: Sick people have trouble thinking. They may be suffering from a delirium, a dementia or a more subtle disturbance of cognition caused by fever, drugs, infection, inflammation, trauma, hypoxemia, metabolic derangement, hypotension, tumor, intracranial pathology, pain and so forth.
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You Say “Yes,” I Say “No,” You Say “Goodbye,” and I Say “Hello”In theory, psychiatrists possess no special skills for determining capacity of a patient to accept or refuse medical care, yet a large percentage of a psychosomatic physician’s work nonetheless involves capacity evaluations.
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Reframing Approaches to SchizophreniaThe history of new treatments coming to schizophrenia should serve as a warning...
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Intrapsychic Focus Can Have Lasting Benefits for PatientsIn recent years, psychiatry and psychoanalysis have been drifting apart. As has been stated, psychiatry is losing its mind as it concentrates on chemistry and biology. This is a pity, because it is always good to have a mind.
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Geriatric Psychiatry: A Niche in DemandThe ranks of the elderly are swelling, yet fewer and fewer physicians are choosing to practice geriatric psychiatry. What will be the impact on older patients who receive their mental health care from primary care physicians?
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Tough Love of Community: The Citizen Review Committee of the Houston Police DepartmentThe story is decades old, but it reverberates today -- incidents of police brutality and excessive force, sometimes lethal. Here's a psychiatrist's story of serving on a citizen's review committee in Houston back in the day.
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Effects of Stress on Family Caregivers: Recognition and ManagementCaregivers may face years of continuous exposure to physical and psychosocial demands with burdens that can include physical, psychological, social, and financial problems; embarrassment; overload; and resentment.
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Keys to Successfully Working With Primary Care PhysiciansAlthough most major organizations recognize the importance of collaboration, the challenge for psychiatry is how to best integrate different aspects of psychiatric and primary care. Help here.
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The Role of Population and ED Trends in Delirium ManagementIn this issue, Drs Heinrich and Sponagle present a thorough overview of the challenges of detecting and treating delirium in the emergency care setting. They also address the high risks involved when the diagnosis is missed. The difficulties of identifying and appropriately managing delirium are not new. However, the importance of doing so is taking on a greater significance because of certain current and forecasted realities that will affect the nation's emergency departments (EDs).
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What Is Complex Posttraumatic Stress Disorder and How Does It Relate to Borderline Personality Disorder?Whether a patient has a diagnosis of cPTSD, BPD, or some combination of both, treatment should be considered multifaceted and overlapping. Learn more in this Special Report article.
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The Facts About Violence Against Historically Disadvantaged PersonsRacial/ethnic and sexual orientation minorities and women historically have been relegated to social, legal, and economic disadvantage in the United States.
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The Molecular Genetics of ADHD: A View From the IMAGE ProjectNew research into the genetic basis and possible genetic markers for attention-deficit/hyperactivity disorder may open the door for new treatments. There is a clear concordance between twins who have ADHD, as well as siblings. What can genetic mapping tell us about treating ADHD?
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Is Antidepressant Prescribing Associated With Suicide Rates?Since the introduction of the SSRIs in the early 1990s, the rate of antidepressant prescribing has increased dramatically. This look at five national data sets concludes that greater recognition of depression and greater rates of treatment with medication and psychosocial interventions has made a significant contribution to reducing suicide rates.
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The Effects of Age on Cognitive Deficits in SchizophreniaRecent studies have shown that patients with schizophrenia experience a greater decline in cognitive abilities with age. Given the large baby boomer population, how will this influence treatment for aging patients with schizophrenia?
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Update on Bipolar Disorder, Part 2: Bipolar Depression and Cyclothymic DisorderThis article reviews DSM-5 changes to symptom criteria for bipolar disorder with a focus on treatment of bipolar depression and cyclothymic disorder.
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Physician Health and Professional SecrecyHow far can the regulation of medicine extend without becoming Orwellian?
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Boundary Violations and Malpractice LitigationDisregard of professional boundaries is a leading cause of malpractice litigation. Boundary violations take many forms. Sexual involvement is a recurring problem that can cause serious damage. Even without erotic physical contact, material boundary crossings can, at least, destroy or interfere with therapy, and at most, injure the patient and lead to litigation. Generally, boundaries are violated by any act that alters or blurs the contours of the professional relationship.
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Introduction: Understanding Common Sleep Disorders in Psychiatric IllnessAlthough the purpose of sleep continues to be the subject of much debate, few would argue that a well-functioning sleep-wake cycle is essential for good health.
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The 3 Biggest Challenges in Psychiatry TodayPhilip R. Muskin, MD, MA, DLFAPA, LFACLP, discusses contemporary psychiatry and some of the most exciting things about the 2024 Annual Meeting.
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Working Within a Campus Health Service: A Challenge With Many RewardsPsychiatrists can provide significant support and insight to patients who are now coming to campus with a wide array of mental health challenges.
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The Genetic Basis for Suicidal BehaviorSuicidal behavior is a complex and multi-factorial phenomenon for which epidemiological genetics suggests a genetic basis that may be specific and independent from those implicated in the vulnerability to the psychiatric disorders associated with SB. Recently, new molecular biology tools have been designed to identify predisposition factors to complex disorders. One of the main goals of current studies is to specify the suicidal phenotype, as well as the intermediate phenotypes associated with these genes.
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Religion, Spirituality, and PsychiatryHistorically, there has been conflict between psychiatry and religion.
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Tips for Testifying in CourtStrategies to remain calm under pressure; to be clear and concise; and to know what is expected in courtroom battles.
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Mini Quiz: Assessment of MalingeringThe reported severity of the complaints in this patient appears grossly out of proportion given gathered information and clinical observations. What's your diagnosis?
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Integrating Treatment in Eating DisordersWhile anorexia nervosa was the first eating disorder to be recognized through the 19th century reports of Gull (1874) and Lassque (1873), bulimia nervosa and the less well-defined eating disorder not otherwise specified (EDNOS) syndromes are more common.
