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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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Psychiatrists Should Strongly Support Assisted Outpatient Treatment ProgramsAssisted outpatient treatment is not intended to replace comprehensive, easy-to-access, voluntary treatment. Here's why we need it, according to one expert.
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Drug Therapies for the Neurobehavioral Sequelae of Traumatic Brain InjuryTraumatic brain injury (TBI) is one of the most common causes of morbidity and mortality, especially in young adults. Recognition and early accurate diagnosis of neurobehavioral TBI sequelae are important in reducing the severity of postinjury symptoms. Sequelae of TBI include cognitive impairments, personality changes, aggression, impulsivity, apathy, anxiety, depression, mania, and psychosis.
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Diagnosing Adults With ADHD Based on Patient PresentationDrs Stephen Faraone, Theresa Cerulli, Craig Chepke, and Andrew J. Cutler discuss how to diagnose adults with ADHD based on patient presentation.
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Looming Technological Imperatives and the Physician-Patient RelationshipThe past decade has seen an explosion of new drugs, procedures, and technology. This upward trajectory of health care breakthroughs shows no sign of slowing; such innovations as molecular imaging and pharmacogenetics are within years of going prime time.
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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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Criteria for Social Security Psychiatric DisabilityWhat is necessary in order to make a psychiatric disability determination? For one thing, treating clinicians should be aware of how the domains that are important for the consideration of impairment differ from the domains that are important to consider diagnostically.
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Telepsychiatry: Watching Your Back While Staying in the BlackTelehealth is at a tipping point and is gaining momentum. Although there are some technological and logistical hurdles, most clinicians would likely find these to be minor and outweighed by the benefits of expanding access to mental health care to those in need.
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Seeing the Forest Through the Fees: Earning Your Green Using the New, Confusing CPT CodesE&M codes are more complicated to learn, but psychiatrists can now deservedly get paid more for treating their more complicated patients or for engaging in time-consuming activities. Here: a focus on codes 99212 to 99215.
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Testosterone Deficiency, Depression and Sexual Function in Aging MenThere is growing epidemiologic and clinical data that confirm progressive hypothalamic-pituitary-gonadal hypofunctioning in aging men. What role does the HPG axis play in the complex psychobiology of male sexual and affective disorders? The treatment rationale, clinical indications and risks in using exogenous testosterone for late-life depression are explored.
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Preventing Violence in SchoolsIn the wake of the Columbine school shootings, it is of utmost importance for psychiatrists to be aware of the role they can play in preventing violence and bullying in our schools. What programs have been tried and how have they fared? What are the elements for a successful program?
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Art Therapy in a Patient With Bipolar Disorder: Pictures Speak More Than a Thousand WordsHere: the case of a woman with bipolar disorder who was admitted for aggressive behavior and nonadherence to medications. Art therapy and pharmacotherapy played a pivotal role in her recovery.
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Managing Psychosis in Patients With Alzheimer DiseaseAlzheimer disease psychosis appears to be a distinct clinical entity. This article focuses on management strategies.
