Authors
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Mobile Apps for Mental HealthHere: a look at Mobilyze and CrossCheck--2 apps currently in development that are embedded within smartphones and designed to capture objective data on patients to provide timely treatment and relapse prevention.
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Macho, Bravado, and Eating Disorders in Men: Special Issues in Diagnosis and TreatmentEating disorders are still thought of as a “female problem.” But 25% of those with anorexia and 36% of those with bulimia are males.
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Metabolic Monitoring for Patients on Antipsychotic MedicationsIn this CME article, the focus is on the significance of metabolic changes that develop during antipsychotic treatment, as well as on strategies to incorporate metabolic monitoring into clinical practice.
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Using Brain Science to Develop Better, Safer, More Effective TreatmentsDeep brain stimulation for substance use disorders when everything else fails, the history of the ACNP, and more.
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PointPrior to training in psychiatry, my practice was in a rural primary care setting where I routinely collaborated closely with physician assistants and nurse practitioners. I see prescriptive privileges of one form or another for psychologists to be an inevitability. I watched a similar struggle for nurse practitioner prescriptive privileges in Oklahoma during my stint in primary care. My recommendations to physicians in California would be to endorse prescriptive privileges for other mental health professionals in the format of the "physician extender" model similar to the traditional physician assistant.
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Understanding the Role of Sigma-1 Receptors in Psychotic DepressionSelective serotonin reuptake inhibitors have been shown effective in the treatment of depression with psychosis. This efficacy appears to correlate with the SSRIs’ level of affinity at the sigma-1 receptors in the brain. What role does the sigma-1 receptor play in psychotic depression? Based on this role, are there implications for other treatments?
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Psychogenic Non-Epileptic Seizures: Clinical Issues for PsychiatristsThe authors shed light on a disorder that is difficult to diagnose and manage, and offer insights on how to develop an appropriate treatment plan.
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Implications for Treatment and Prognosis of Borderline and Substance Use DisordersBorderline personality disorder (BPD) and substance use disorder (SUD) often co-occur. Comorbid BPD and SUD is related to a variety of severe adverse outcomes.
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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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Personalized Medicine and Psychiatry: Dream or Reality?This article explores the current state of knowledge regarding personalized medicine in psychiatry and discusses how the tools might be used to help psychiatrists understand the components of their patients’ unique endophenotypic profiles.
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Racial Encounters in MedicineAs an intern fulfilling my internal medicine outpatient rotation requirement, I worked in an urgent care walk-in clinic. One afternoon, I entered the waiting room to meet my last patient of the day. He was a 65-year-old white man who was receiving a workup for renal carcinoma.
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Role of Acupuncture in the Treatment of DepressionAcupuncture is associated with an increase in the level of neurobiologically active substances, such as endorphins and enkephalins. There are also data indicating that acupuncture induces the release of norepinephrine, serotonin, and dopamine.
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Patient Resistance in Eating DisordersWhy do patients with eating disorders resist treatment? How can the clinician address resistance?
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7 Medical Illnesses That May Present as AnxietyBeyond psychosocial implications of anxiety disorders, an array of physiological effects may ensue.
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Pharmacological Management of the Psychiatric Aspects of Traumatic Brain InjuryTraumatic brain injury (TBI) is a public health epidemic. Psychiatric symptoms after TBI are not just common, but also troublesome.
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Erotic and Psychological IdentitiesWhen people turn to mental health professionals about sexual problems-cyber or otherwise-how comfortable and informed are we?
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Neurological and Psychiatric Effects of Dermatology DrugsA review of systemic medications for dermatologic diseases describes a wide range of adverse events, which range from mild and reversible to permanent and potentially fatal.
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Shelter-Based Collaborative Mental Health Care for the HomelessHomelessness rates in both Canada and the United States have increased dramatically over the past 10 years. Among the homeless, there is a high prevalence of mental illness and substance use disorders.
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Treatment of Traumatic Stress Disorder in Children and AdolescentsThe role of prevention of trauma and prevention of functional impairment after trauma is paramount, because this may disrupt the accumulated physiological and psychological effect of stressors in the individual.
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Stress Reactions to COVID-19This video examines the differences between typical, non-pathological reactions to the stress induced by the COVID-19 pandemic and psychopathology (or mental illness).
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Hormones for Perimenopausal and Postmenopausal DepressionMood and well-being are believed to be regulated by mechanisms of estrogen and progesterone. How effective are they in the treatment of major and minor depression?
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Issues in Treating Patients With Intellectual DisabilitiesPsychiatric disorders in persons with intellectual disabilities are typically more severe and more difficult to diagnose than in the general population. Clearly, those who diagnose ID and treat patients with this condition face a number of challenges.
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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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The Neurochemistry of Pediatric Major Depressive DisorderMajor depressive disorder (MDD) in pediatric populations represents a significant public health concern. Rates of MDD rise dramatically in adolescence, with an estimated lifetime prevalence of 15% in adolescents aged 15 to 18.
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A Partnership of Increasing SignificanceThe role of psychiatry in primary care is an area of rapid expansion and increasing significance. Given the fact that inadequate diagnosis and treatment of psychiatric disorders are major public health problems, it is essential to integrate psychiatrists into multidisciplinary primary care teams. Since primary care physicians are increasingly called upon to act as "gatekeepers" in managed care programs, they will have to meet the important and growing need for broader psychiatric diagnostic and referral skills.
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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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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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Research That Can Change Clinical Practice in Psychotic DisordersThe need to stay up-to-date with the most current evidence-based information is becoming harder than ever. For this reason, the authors identify and evaluate published research that may have a direct bearing on clinical practice.
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Clinically Based Policy Decisions: In-Person Requirements for Telehealth Create Unnecessary BarriersMedicare's in-person requirement threatens access to quality care.
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Managing the Suicidal College Student: Advice for Community ProvidersAlthough college students are in many ways similar to any patient in their age group, their environment and stressors differ in significant ways. The authors identify issues to consider in assessing and managing suicidality in this population.
