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Applications of Transcranial Magnetic Stimulation to Therapy in PsychiatryTranscranial magnetic stimulation has been applied in a growing number of psychiatric disorders as a putative treatment. As a focal intervention that may exert lasting effects, TMS offers the hope of targeting underlying circuitry and ameliorating the effects of psychiatric disorders. The ultimate success of such an approach depends upon our knowledge of the neural circuitry involved, on how TMS exerts its effects and on how to control its application to achieve the desired effects. Current challenges in the field include determining how to enhance the efficacy of TMS in these disorders and how to identify patients for whom TMS may be efficacious.
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Update on Psychogenic Nonepileptic SeizuresThe authors take an in-depth look at the evaluation, diagnosis, and fundamental treatment recommendations, protocols, and guides to therapy for psychogenic nonepileptic seizures.
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Novel Therapies for Cognitive Dysfunction Secondary to Substance AbuseAdvances in the fields of neuropsychological assessment and neuroimaging have enormously expanded our knowledge about the profile and severity of cognitive deficits in patients with substance use disorders.
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Psychiatrists Need To Write for the Public: Here Is Why—and HowWriting for big media outlets like CNN is not always easy, but it is a great opportunity to educate the public.
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Childhood-Onset Schizophrenia: Diagnostic and Treatment ChallengesPersons with childhood-onset schizophrenia appear to have the poorest outcome among those in whom schizophrenia is diagnosed.
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Organized Psychiatry Provides Strength and Value to Mental Health Professionals"Organized medicine and specialty organizations are key pillars of support for individual physicians that provide opportunities to advocate for more funding and resources for the medical system and education."
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5 Useful Apps for Adult ADHDA psychiatrist reviews some digital apps you might suggest as an adjunct to established interventions (eg, medications, therapy) for adult ADHD.
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An Early Warning Sign for ViolenceBullying and being bullied put adolescents at risk for developing violent behaviors. Depression and anxiety are two of the underlying issues related to this type of behavior. Recognizing the warning signs may help mental health care professionals prevent violence in the adolescent's life.
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Kurt Cobain: A Modern Tragedy From a Mental Health PerspectiveClinicians will be drawn in by author Charles R. Cross's personal experience documenting, Here We Are Now: The Lasting Impact of Kurt Cobain. Cobain, lead singer of Nirvana, committed suicide 20 years ago this month.
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Developing Technology for People with DementiaAdvances in technology are providing assistive and supportive interventions for people with dementia across all aspects of their lives. These interventions are mainly addressed at meeting the safety, security and social needs of people with dementia. The psychological needs of people with dementia for conversation and other forms of positive social interactions are also being tackled through developments such as the CIRCA project.
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Creativity and Mental IllnessSince the terms “genius” and “creativity” have different definitions, Psychiatric Times asked a neuropsychologist and creativity expert to clarify how the terms are being used in scientific studies.
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The Hoarding of Animals: An UpdateThe authors provide information about the human-animal bond that may provide a starting point for understanding the development of animal-hoarding disorder.
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Newer Perspectives on Domestic ViolenceDomestic violence emerges from a host of causes and motivations, and that each case deserves individual attention and solutions.
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The Role of B Vitamins, Homocysteine in AD and Vascular DementiaAlzheimer's disease (AD) is a devastating and debilitating neurodegenerative condition, and the most common cause of dementia among the elderly. Despite considerable advances in the cellular and molecular biology of AD, however, little progress has been made in identifying the causes of the disease.
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The State of the Mental Health SystemThe federal government must realize that decades of allowing mental health care to go begging leaves a very weak chance of detecting or treating those who need help.
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Violence and Survival: Denial and the Ultimate ThreatAlthough recent news portrays general violence as on the decline, the Centers for Disease Control still rank health care providers only one notch below convenience store clerks and taxi drivers at risk for homicide. Mental health personnel are exposed to these ultimate threats in emergency rooms, on home visits, walking through lonely hospital corridors or hotel corridors during conventions, as well as on the street and at home.
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Diagnosing and Treating ADHD in AdultsIn the past several years, there has been an increasing awareness of the syndromal persistence of ADHD into adulthood. Once considered only a childhood disorder, ADHD has become increasingly recognized as a valid psychiatric disorder in adults.
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Tips for Treating Comorbid Depression and AnxietyComorbid depressive and anxiety disorders are commonly seen in both primary care and the specialty setting. Such comorbidity can present as major depression with subsyndromal anxiety symptoms or unipolar/bipolar depression with an anxiety disorder.
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10 Tips for Embracing a HIPAA-Compliant CloudUsing the cloud in a savvy way can make your work easier and keep your patients happy-as long as you deploy it in a secure way. Here are 10 tips for embracing the cloud in your psychiatric practice.
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Anxiety Disorders: Aortic Aneurysm in the Differential?Worsening anxiety is a common symptom that may result in psychiatric consultation or evaluation in an emergency setting. Aneurysms are rarely considered in the medical differential for anxiety disorders, and the available literature and research regarding this possible connection are very limited. Overlooking this diagnosis, however, can have disastrous consequences. Here we present 2 case reports as well as a review of the literature regarding a possible relationship between aortic and thoracic aneurysms and psychiatric symptoms.
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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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Depression and Diet in Elderly Community-Dwelling Mexican and European AmericansDepression and Diet in Elderly Community-Dwelling Mexican and European Americans
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A First-Episode Psychosis Treatment Program: “The Disease Doesn’t Define Me”The Psychiatric Transition Program at the Naval Medical Center in San Diego is a specialized first-episode psychosis program that provides coordinated specialty care to active-duty service members with serious mental illness.
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Gone to Pot: The Association Between Cannabis and PsychosisCannabis, or marijuana, has been consumed by humans for centuriesand remains one of the most widely and commonly used illicitsubstances. The authors review the evidence supporting and refutingthe association between cannabis exposure and psychotic disorders.
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PTSD in Survivors of Rwanda's 1994 WarIn May 1997, a young Rwandan girl came to a clinic in Kigali reporting nausea and the feeling of insects crawling on her face. She complained of the strong smell of feces and grew increasingly agitated and fearful, describing vivid images of people trying to kill her at that moment. For months she had vomited at the sight of avocados, and for three years she had been unable to tolerate the sight of rice.
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Comorbidity of Dysthymic Disorders in Children and AdolescentsComorbidity of Dysthymic Disorders in Children and Adolescents by Atilla Turgay, M.D. Many patients with dysthymic disorders also have associated comorbid disorders. A detailed history will provide insight into the comorbidity profile, cross-sectionally and developmentally. Dysthymic disorder should be addressed clinically, as it may cause long-term chronic unhappiness and poor quality of life for the patient.
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Alzheimer Dementia and Sleep Disorders: Issues in Diagnosis and TreatmentSleep disorders represent a significant problem in patients with Alzheimer disease. Here: assessment strategies and a review of drug and non-drug interventions.
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The Role of Melatonin in the Circadian Rhythm Sleep-Wake CycleMelatonin has a role in psychiatric illness and the treatment of circadian rhythm sleep disorders, insomnia, and comorbid depressive disorders.
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Despite Hospital/Physician Integration, Readmissions Remain HighIs all the time, effort and money (not to mention the stress) really going to positively influence patient well-being?
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Syncope: Workup, Differentials, and TreatmentSyncope is responsible for 1% to 6% ofhospital admissions and up to 3% of visitsto the emergency department (ED). Thissudden, brief loss of consciousness resultsfrom a decrease in or cessation of cerebralblood flow and is followed by spontaneousrecovery. The causes range from benignto life-threatening.
