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Caffeine: Neurobiological and Psychiatric ImplicationsThis CME article discusses the pharmacokinetics of caffeine and its implications on anxiety.
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The History and Value of Guidelines for Best Practices of Telemental HealthTelepsychiatry has its origins in the 1950s and has moved from an esoteric curiosity to mainstream practice. However, it has been challenged along the way at many turns.
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Recognizing and Treating Comorbid Psychiatric Disorders in People With AutismWhile the core features of autism impair functioning, a significant source of further impairment is comorbid psychiatric disorders.
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Recognizing and Treating Comorbid Psychiatric Disorders in People With AutismWhile the core features of autism impair functioning, a significant source of further impairment is comorbid psychiatric disorders.
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4 Stages of Chronic Traumatic EncephalopathyA 59-year-old man with a history of multiple concussions has been having a series of neurocognitive symptoms for the past several years. Discover more in this case.
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5 Psychopharmacologic Approaches to Treating TinnitusTinnitus affects 50 million people in the US and can require urgent medical assistance. It can also cause considerable anxiety and even hallucinations. Reducing symptom intensity is key.
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5 Psychopharmacologic Approaches to Treating TinnitusTinnitus affects 50 million people in the US and can require urgent medical assistance. It can also cause considerable anxiety and even hallucinations. Reducing symptom intensity is key.
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Integrating Deep Transcranial Magnetic Stimulation Into the OCD Treatment AlgorithmAs our understanding of the neurobiology of OCD grows, additional treatment options become available and should be thoughtfully integrated into the treatment algorithm. One such option is dTMS.
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Green SpacesNature provides both physical and psychological benefits. How does this healing through exposure to nature occur?
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HIV-Associated Neurocognitive Disorder After the Start of Combination Antiretroviral TherapyThis CME article provides an understanding of the effects on the CNS that lead to HIV-associated neurocognitive disorders (HAND).
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HIV-Associated Neurocognitive Disorder After the Start of Combination Antiretroviral TherapyThis CME article provides an understanding of the effects on the CNS that lead to HIV-associated neurocognitive disorders (HAND).
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Undecidable Choices and the Polarization of Shared Ambivalence: What Can Psychiatry Add to Dispute Resolution?Reframing is being tested as a potentially viable way to address intractable conflict where sacred values are at issue. In memory of Johan Verhulst, MD.
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Cyclothymia, the Quintessential Mood Temperament: Ignored or Forgotten? Part III: Differentiating Cyclothymia and BPD and Treatment ConsiderationsIn Part III of this series, an expert discusses the key differences between cyclothymia and borderline personality disorder, along with treatment considerations for cyclothymia.
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Transgenerational Transmission of Resilience After Catastrophic TraumaIn this CME, learn how to design interventions to promote resilience, study their relative effectiveness, and implement them accordingly.
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Transgenerational Transmission of Resilience After Catastrophic TraumaIn this CME, learn how to design interventions to promote resilience, study their relative effectiveness, and implement them accordingly.
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How We EatTreating eating disorders can feel challenging because patients are typically ambivalent about changing their behavior; however, it is also rewarding, as full recovery is possible even in the most chronically and severely ill patients.
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How Anxiety and Habits Contribute to Anorexia NervosaAnorexia nervosa (AN) is a severe and debilitating illness with one of the highest mortality rates of any psychiatric disorder. The illness course is often long, recovery is slow, and the rates of full recovery are low.
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Interoception in Eating Disorders: A Clinical PrimerMore than two-thirds of patients with eating disorders also have comorbid mood and anxiety disorders. This article considers how a transdiagnostic process called interoception may help to advance our understanding and treatment of eating disorders.
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Closing the Research-Practice Gap in Eating DisordersEating disorders (EDs) are associated with high medical and psychiatric comorbidity, poor quality of life, and high mortality, and mortality from anorexia nervosa (AN) is the highest of all mental disorders. Fortunately, there are a number of evidence-based psychological treatment approaches for EDs.
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Physician-Assisted Suicide: There Are No Best PracticesJust because something is legal does not make it ethical, in the opinion of this psychiatrist, who turned down an invitation to be a presenter on the topic of PAS.
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The Augmented Psychiatrist: How Technology Will Transform Mental Health Clinical PracticeExcitement in digital health is growing due to rapid advances in artificial intelligence, data science, and smart devices. How will the growing number of mental health technologies impact clinical practice? Arshya Vahabzadeh, MD provides insights.
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My Three Lessons as a Psychiatrist in RomaniaThose last years of the Communist regime were met with literal darkness, collective trauma, and lack of food and free speech. Yet the peoples’ wicked, clandestine sense of humor cut through the despair and resilience rose from the ashes.
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Making Dollars and Sense: Support for Patients With Mental Health ChallengesRecommendations for patients with serious mental illness to manage their finances safely and conveniently, with as much dignity, privacy, and autonomy as possible.
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Get That Piece of PaperDad excelled at his craft and was the natural choice for promotion to supervisor of the machine shop when the incumbent retired. But the company told him it just wouldn’t "look right" to have a person with only an 8th-grade education.
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Complementary and Alternative Treatments for ADHD: What the Evidence SuggestsRecent surveys suggest that 7% to 8% of children and 4% to 5% of adults meet ADHD criteria. This CME article provide an understanding of the evidence for the use of complementary and alternative (CAM) treatments for ADHD.
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Guidance Along the Path: 20 Meditations for Psychiatry ResidentsIn the spirit of honoring and guiding trainees, the authors provide advice to today’s psychiatric residents-the psychiatric leaders of tomorrow.
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Will the Photobiomodulation Trial Be the One to Turn the Tide Against Alzheimer Disease?In light of recent failed trials, why would another trial by a small Canadian company be expected to succeed against the odds?
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Higher Levels of Care for Eating Disorders: A Practical GuideEating disorders (ED) are associated with significant comorbid psychopathology and the most extensive medical complications of any psychiatric disorder.
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Pharmacological Management of Treatment-Resistant Anorexia NervosaOnly 13% to 50% of AN patients are considered recovered 1 to 2 years posttreatment, and 20% to 30% go on to develop a chronic and unremitting course of AN. How can we improve these outcomes?
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Understanding and Treating Avoidant Restrictive Food Intake Disorder in Children and AdolescentsAvoidant restrictive food intake disorder, or ARFID, is a newly introduced eating disorder in DSM-5. Given that the disorder was introduced in 2013, it remains unclear how prevalent ARFID is in the general population.
