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Evaluating Capacity to Make a WillPsychological Autopsy and Assessment of Testamentary CapacityIt is an ancient practice to state instructions for distributing one’s property after death. In Genesis 48, Jacob verbally bequeaths his property to Joseph, Joseph’s siblings, and Joseph’s 2 sons. Wills existed in ancient Greece and Rome, with restrictions.
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10 Factors Leading to Pain Complaints in the Absence of a Medical DiagnosisWith most chronic pain conditions, the exact pathology is uncertain. In such cases, psychiatrists may be called to assess for illness beyond medical diagnosis.
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The Former Secret Life of an Elvis ImpersonatorStephen R. Shuchter, M.D., professor of clinical psychiatry and associate director of residency training at University of California, San Diego, spends his "down" time performing as Elvis and other rock 'n' roll legends. In these efforts, he expresses his creativity and brings delight to those he entertains. Lessons from each "career" have helped his success in the other.
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Dopamine Receptors in the Human BrainDopamine plays an important role in controlling movement, emotion and cognition. Dopaminergic dysfunction has been implicated in the pathophysiology of schizophrenia, mood disorders, attention-deficit disorder, Tourette's syndrome, substance dependency, tardive dyskinesia, Parkinson's disease and other disorders.
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Nonverbal Learning Disabilities and Sensory Processing DisordersIn our presentation at the 2006 annual meeting of the American Academy of Child and Adolescent Psychiatry, we suggested that child psychiatrists who come across a child with the profile of the following hypothetical case should consider whether the child may have deficits that are not currently covered by DSM-IV nosology: either a nonverbal learning disability (NVLD) or a sensory processing disorder (SPD).
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Exploring the Link Between Environmental Noise and Psychiatric DisorderNoise, or unwanted sound, is a pollutant and an environmental stressor. The frequency of noise events seems to have increased in recent years while the amount of the day without noise has lessened.
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Novel Drug Delivery Systems in ADHD and Take-Home MessagesDrs Stephen Faraone, Theresa Cerulli, Craig Chepke, and Andrew J. Cutler discuss novel drug delivery systems and provide take-home messages when treating an adult with ADHD.
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Panic Disorder: Keys to Evidence-Based Effective TreatmentKeys to the management of panic disorder include appropriate use of psychotropic medication and psychotherapy predicated on an understanding of the disorder's biopsychosocial underpinnings. Here, Stephen V. Sobel, MD, focuses on treatment options.
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The Limits of AdvocacyMigrant children were being endangered, with potentially devastating effects on their mental health and development, and we requested policy changes.
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A Psychiatrist Investigates Poet Allen Ginsberg’s Journeys into MadnessThe story of the legendary Beat poet’s involvement with madness and mental illness has never really been told—until now.
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Assessing and Enhancing the Effectiveness of AntidepressantsWith over 2 dozen FDA-approved antidepressants on the market, it is reasonable to ask: which antidepressants are most effective?
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What’s New in Depression?The Chair of the Scientific Program Committee of APA 2016 offers an overview of the latest on depression.
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Introduction: The Scope of PsychiatryHere's where psychiatry extends beyond a medical setting into collaborative, innovative, and integrated models of care..
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Child & Adolescent Psychiatry: An Overview of the Complex ChallengesWe need to have a framework to make certain that our interventions are balanced, safe, and a function of the existing evidence.
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Fibromyalgia: What It Is and How to Treat ItThis CME covers the ins and outs of fibromyalgia, and everything a mental health professional needs to know when dealing with it.
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Mixed States in Their Manifold Forms: Part 3In Part 3 of this 3-part series, Dr Dilsaver discusses dichotomization versus a continuum model and concerns that bipolar disorders are over-diagnosed.
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Which Came First: Fatigue or Depression?5 key questions to ask as part of a comprehensive differential assessment of fatigue and depression.
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Recurrent Brief Mixed DepressionThis case study of a 21-year-old woman-referred by a relative because of long-standing severe interpersonal, academic, and occupational impairment-illustrates the importance of screening patients with brief episodes of depression for mixed features.
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Introduction: The Conventional Wisdom About Mood DisordersWhat is the future of psychiatric assessment and treatment of mood disorders? The articles in this Special Report explore some important aspects and issues.
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Ethics and Dual Agency in Forensic PsychiatryDual agency often presents a confusing situation for the clinician who must simultaneously serve two separate roles in a legal case, such as a treatment role and a forensic role (Berger, 1997). The two roles have different purposes, procedures, relationships with the patient or evaluee, and different ethical principles.
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Stigma Continues in HollywoodStereotypical portrayals of people with mental illness are as old as Hollywood itself. What are some of the clinical implications of the continued stigmatization of the mentally ill in television and film?
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Psychiatric Polypharmacy: The Good, the Bad, and the UglyA great deal of data exists about the dangers of polypharmacy. Persons with psychiatric disorders experience increased risk for adverse drug interactions because of the great frequency with which multiple medications are used.
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Predicting Outcome in SchizophreniaCan sociodemographic and clinical variables predict outcome in cases of schizophrenia? Results from studies related to prognostic variables for schizophrenia have yielded interesting yet inconsistent results.
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Undertreatment of Tobacco Use Relative to Other Chronic ConditionsOne might expect that treating nicotine use would be a leading priority for physicians. The reality is that this is not the case. More in this expert commentary, with practical tips for clinicians.
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The μ-Opioid System and Antidepressant ResponseThis article discusses the role of µ-opioid receptors (MORs) in antidepressant treatment and major depressive disorder (MDD). Specifically, it focuses on how the endogenous opioid system affects response to pharmaceuticals.
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Diagnosis and Treatment of Depressive and Memory Problems in Older AdultsWhat treatments are effective for mild chronic depression in older patients? Are there novel antidepressant medications with fewer adverse effects than current treatments? In this podcast, experts report on the latest updates in the evaluation and treatment of depression in older adults.
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The Art of the UnconsciousTheater, film, literature and poetry are forms of expression that allow artists and their audiences to explore the compelling issues of their lives. By understanding which pieces "speak" to patients and physicians, the dialogue and therapy may be enhanced.
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Mini Quiz: Cognitive EnhancersWhich pharmacotherapeutic approach is most effective for cognitive enhancement? Test your knowledge with this quiz.
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Update on Electronic Health Records and Health Care TechnologyHow to manage EHRs is at the top of the list of physician concerns, according to past AMA President Jeremy Lazarus, MD. The first psychiatrist to lead the AMA in over 70 years, Dr Lazarus addressed the Assembly at the American Psychiatric Association Annual Meeting in New York in May.
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Ink Stained for LifeWhat was life like in the 1950s Bronx for a budding preeminent psychiatrist?
