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Exploring the Antisuicidal Effects of LithiumA systematic review and meta-analysis showed moderate-quality evidence supporting lithium’s ability to lower mortality rates.
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From Theory to Real-World Practice: Clinical Integration of Digital TherapeuticsDigital therapeutics may be the biggest paradigm-shifting change medicine has seen yet...
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Strategies for Building Patient RapportHere are 3 ways you can help prevent and overcome difficult situations with patients.
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Telling Humanity’s Brain Story: Insights From Brain CapitalWhich innovations can improve measurement, technology, investment, and public policy surrounding brain health?
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Let’s Ask the Right Questions About Medical Aid in DyingSome patients are intractably and maybe even irredeemably ill. What should be done for them?
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The Importance of Sports for Patients with ADHDSelf discipline, respect, and concentration... sports can help build many skills in patients with ADHD.
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New Biomarker Study of Rapid-Acting Treatment for Acute DepressionApimostinel is in development for the treatment of acute depressive disorders and depression with suicidality.
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Nicotine Dependence in Schizophrenia: Prevalence, Mechanisms, and Implications for TreatmentEach year more than 440,000 people in the United States die of smoking-related illness, and nearly half a billion dollars in health-related economic losses are directly attributable to smoking.
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The Case for Cosmetic Psychiatry: Treatment Without DiagnosisMany psychiatrists limit the application of their skills to individuals whose discomfort matches the phenomenological criteria of DSM-IV-TR. Can psychiatry transcend the concept of "objective cure" and include "subjective perfection" as a goal? Is there a logical reason why the concept of "treatment pills" cannot coexist with that of "lifestyle pills" on the psychiatric prescription pad? Dr. Giannini reflects on whether there can be both "cosmetic" as well as "reconstructive" psychiatry and if a disease is needed in order to be treated.
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Rejecting the Accusation of a Violated STAR*D ProtocolThe original STAR*D authors refute claims of a violated protocol.
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Psychotherapy with Opioid-Dependent PatientsPsychotherapy as a sole treatment for noncoerced opioid addicts in outpatient settings has been shown to have little patient interest and low chances for success. However, when integrated into a treatment plan that includes methadone maintenance and drug counseling, it can be associated with additional benefits for patients who have moderate to severe levels of psychiatric symptoms.
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The State of Psychiatry in RussiaIt may be difficult for our American and European colleagues to imagine the constraints under which Russian psychiatrists practice. In Russia, treatment of the psychiatric population is at the mercy of government and society.
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Diagnosis and Treatment of Late-Life DepressionClinicians will likely encounter increasing numbers of older adults with late-life depression. Advances in our understanding of the neurobiology can help inform diagnosis and prognosis.
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Neuroscience of Morality for the Mental Health Practitioner: A ReviewThe study of moral cognition now carries age-old questions and observations into the era of neuroimaging and cognitive neuroscience by the shift toward a capacity for asking, “What are the structures necessary and sufficient for moral reasoning?”
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The CircleOn the value of drawing from past experiences to establish a relationship with an elderly patient.
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Cross-National Research: Caregiver ConsequencesComparing the consequences of caregiving across countries for a person with a serious mental illness needs to take into account not only different languages, but also different cultures, quality of mental health services and standards of living. So far, one questionnaire has shown the most validity and become the exemplar in cross-national research; yet it is still not free from possible cultural bias or criticism from its creators who acknowledge that much more research needs to be done.
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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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An Elderly Woman Who Refuses TreatmentMrs E, who is 80 years old, lives in the community with the help of a 24-hour-a-day home health aide. She is forgetful and requires assistance with many activities of daily living.
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The Forensic Psychiatrist and the Code of Medical EthicsDEBATE In 2005, the Board of Trustees of the American Psychiatric Association (APA) prepared a Position Statement entitled Psychiatric Participation in Interrogation of Detainees
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Key Stressors in Transplant PsychiatryHere: A summary of indicators for stress and anxiety in patients undergoing transplantation, and why it is important for psychiatrists to be aware of these factors.
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Opioid Use Disorder: Update on Diagnosis and TreatmentWhile opioid dependence is among the most severe and lethal of addictions, it also has the most effective medication treatments. The authors provide 2 case vignettes and a step-by-step process for clinical decision making.
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Using Creativity to Explore in PsychotherapyBecoming more creative and improvising have certain dynamics that can be used by therapists in fostering a more healing process. Playfulness, imagination, dialogue, skill-building, narrative, inspiration and integration can all be employed in clinical settings. These tools create an environment where spontaneity can arise, anxiety is reduced, and patients are more receptive to their own intuition.
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Management of Mild Traumatic Brain InjuryA considerable overlap exists between TBI and disorders in cognition, behavior, and personality, which can provide even greater clinical challenges. More than 70% of the cases of TBI are mild, which makes this subgroup of particular clinical interest.
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Mindfulness of the Moment as an Antidote to Emotional Death SpiralingRemaining in the current moment is a good way to avoid toxic negative thoughts.
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Confabulation: A Bridge Between Neurology and Psychiatry?Mr A is a 73-year-old resident of a nursing home, where the irate aides describe him as “a liar and a troublemaker.” Mr A’s “stories” were regarded by the staff as deliberate mischief on his part.
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Treating Psychiatric Patients With Psoriasis: Clinical ConsiderationsPsoriasis, a chronic inflammatory, autoimmune skin disorder, is associated with both genetic and environmental factors. It has important treatment implications for patients who have psychiatric disorders.
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New Biologic Tools in PsychiatryThe psychiatric community has a need for diagnostic and predictive tests. Some recent techniques have just become available for clinical care.
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Diabetic Polyneuropathy: Definitive DiagnosisDiabetic polyneuropathy (DPN) has a major impact on quality of life and can contribute to significant morbidity and mortality. In the United Kingdom, the prevalence of distal symmetrical polyneuropathy, as seen in specialty care, is about 28.5%, and prevalence increases with age.
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Coming Along With the DSM-5: Hybrid Models of Psychiatric DiagnosisDo not be surprised if you hear more about hybrid models of psychiatric diagnoses included in DSM-5. The categorical and dimensional model approaches are 2 sides of the same coin as you look at the same patient from 2 different angles.
