Authors
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Complex Partial Seizures Present Diagnostic ChallengeTemporal lobe epilepsy (TLE), now more commonly called complexpartial seizure disorder so as to include seizures that originatein the frontal foci, straddles the borderland between psychiatryand neurology.
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The Rise of Consciousness and the Development of Emotional LifeThis volume is written from an emerging edge of basic science and will reward a clinical readership.
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Cognitive Impairment in Patients With Bipolar DisorderIt is widely accepted that patients with schizophrenia have some degree of cognitive deficiency and that cognitive deficits are an inherent part of the disorder. Historically, there has been less focus on cognitive deficits in patients with bipolar disorder; however, numerous studies of cognition in patients with bipolar disorder, including several comprehensive meta-analyses of bipolar patients who were euthymic at the time of testing, have recently been undertaken.1-4 Each of these analyses found that cognitive impairment persists during periods of remission, mainly in domains that include attention and processing speed, memory, and executive functioning.4
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Private Practice Changes: A Personal PerspectiveIt is amazing how a psychiatric practice changes over the years including the switch to managed care from fee-for-service, larger caseloads, new medications and new treatment options. Despite all the changes, both for better and for worse, one psychiatrist is enjoying his practice as much today as ever before.
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Study Faults Selective Publication of Antidepressant TrialsMedical journals have a unique image in the US health care system. Because most of them adhere to a strict system of critical peer review, they are often seen as unimpeachable sources of accurate information about the safety and efficacy of new medications.
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How to Protect Patient InformationProtecting patient information is an essential part of maintaining patient trust.
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POINT: The Case for Gun ControlUnfortunately, brilliant psychiatrists continue to put on display their ignorance of the Second Amendment and its history.
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Cell Phones vs Brain Tumors: Can You Hear Me Now?brain tumor, neuroma, tumorigenesis, cell phone use
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Headache in Children and Psychiatric ProblemsHeadache is a frequent somatic complaint in childhood and adolescence, and its prevalence has increased over the last few decades. The presence of a comorbid psychiatric disorder tends to worsen the course of headache by increasing attack frequency and severity, making the headaches less responsive to treatment, and increasing the risk of chronification. Identification and treatment of comorbid psychiatric conditions is, therefore, important for the proper management of headache, especially in children and adolescents.
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Depression and Anxiety in Cardiac DiseaseHere: a look at the associations between negative psychological states and CV health, physiologic and health behavior mechanisms, and ways to diagnose and treat depression and anxiety disorders.
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Southeast Asian Refugees: Gender Difference in Levels and Predictors of Psychological DistressAmong the specialized refugee population in the United States, there is little research on the gender differences in psychological distress, which is considerable. Southeast Asian refugee women have been identified as an at-risk group for developing serious psychiatric disorders primarily due to their premigration experiences.
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Case Study: Cultural Aspects of CaregivingThis case stresses the importance of identifying cultural issues that arise in mental health clinical encounters.
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The Role of Acrolein in Spinal Cord InjurySpinal cord injury, Oxidative stress, Acrolein, Hydralazine
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Religious Understanding as Cultural Competence: Issues for CliniciansImproving religious competence among clinicians is vital if everyday psychiatric care is to become truly person-centered.
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Taking a New Look at Psychosis in Alzheimer's DiseasePatients with Alzheimer's disease and psychosis often have a more severe course of illness, with higher incidence of caregiver burden and hospitalization. Differentiating this disorder from Alzheimer's disease uncomplicated by psychosis is key to maximizing more positive outcomes.
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Reflections on the New NormalMany physicians thought we could not overestimate the value of having a patient’s full, in-person attention, nonverbal cues and all. In the current crisis, all of that seems quaint.
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Medical Comorbidities in Late-Life DepressionLate-life depression is both underrecognized and undertreated, and the impact of medical comorbidity may mask depressive symptoms. Depression further complicates the prognosis of medical illness by increasing physical disability and decreasing motivation and adherence to prescribed medications and/or exercise or rehabilitation programs
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Lyme Disease, Comorbid Tick-Borne Diseases, and Neuropsychiatric DisordersMany recall the phrase "To know syphilis is to know medicine." Now Lyme disease (Lyme borreliosis), the new "great imitator," is the ultimate challenge to the breadth and depth of our knowledge. In psychiatry, we generally treat mental symptoms or syndromes rather than the underlying cause of a disorder.
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Depression as Co-Pilot: Clinical Implications of Hepatitis C and Interferon/Ribavirin TreatmentComorbid substance use disorders may complicate treatment for both the hepatologist and psychiatrist. Comprehensive assessment of psychiatric illness and psychopharmacological management may be critical.
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The Relationship Between Antidepressant Initiation and Suicide RiskTen years ago, the FDA placed a black box warning on all antidepressants because of concerns that the medications increase risk of suicidal thoughts and behavior in youths. It's time for the FDA reevaluate that decision.
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Psychopathy and Antisocial Personality Disorder: A Case of Diagnostic ConfusionPsychopathy (renamed antisocial personality disorder) is marked by persistent violations of social norms, including lying, stealing, truancy, inconsistent work behavior and traffic arrests.
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Should Psychiatry and Neurology Merge as a Single Discipline?The issues being debated here have important long-term implications for psychiatry, and we are pleased to present these revised versions of 2 principal presentations.
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Neuropsychiatry: A RenaissanceThe 5 papers in this Special Report on neuropsychiatry provide compelling evidence for the renaissance of neuropsychiatry as a clinical discipline. Wehave every reason to hope that this will lead to a better understanding of the complex interactions between brain and behavior and will reduce the artificial distinction between neurology and psychiatry.
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Some Concerns Regarding DiagnosisThe mental health professions are currently awaiting the American Psychiatric Association’s newest version of the Diagnostic and Statistical Manual. The need for a fifth revision underscores the lack of satisfaction within the professions with our diagnostic schema
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Road Rage: Are Our Patients Driving Angry?Road rage is well known in popular culture and to many people it is a common and dangerous experience. Alcohol problems, illicit drug use and general psychiatric distress are associated with road rage perpetration. Road rage incidents may also result in psychiatric distress. Although treatment for road rage has received little research attention, encouraging results have been reported from specialized programs.
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Psychiatric Disorders and Symptoms Associated With Sexual Risk BehaviorDespite the fact that awareness of HIV and AIDS transmission is pervasive, risky sexual behavior has been increasing in many parts of the world in recent years, with a concomitant rise in new cases of HIV and other sexually transmitted diseases.
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Can Dialogue Cure? A Couple's Therapeutic JourneyIndividuals with a past history of chronic psychiatric illness are often given poor prognoses that can limit their therapeutic horizons for further treatment. This pessimism may be misplaced as is demonstrated by the case of Jay, age 71, and Kay, age 65. The couple presented at the Loyola Sexual Dysfunction Clinic in a program consisting of 7 weekly sessions of 5 hours each with 2 trainee therapists.
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Riches Abound, So Where Are the Trials for Schizophrenia and Bipolar Disorder?Schizophrenia and bipolar disorder are among the most serious psychiatric disorders and play a disproportionate role among individuals who end up homeless, incarcerated, and who die by suicide. Why the lack of research?
