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HeartbeatOn December 27, I learned that my pregnancy would not come to fruition with a baby for me. The healing process begins for me as it has for countless women before me. More in Portrait of a Psychiatrist.
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Bullying and SuicideChildhood and adolescent bullying-and, recently, cyberbullying-is a major public health problem with potentially devastating consequences. In any prevention effort, students need hope and to learn the skills to end the abuse, as described here.
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Are Animal Models Relevant in Modern Psychiatry?Studies of mammalian species suggest that they possess awareness of self and even more subtle “human” qualities associated with empathy and social joy.
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Bullying and SuicideChildhood and adolescent bullying-and, recently, cyberbullying-is a major public health problem with potentially devastating consequences. In any prevention effort, students need hope and to learn the skills to end the abuse, as described here.
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Rehabilitation of Sexual Boundary TransgressorsIn my work in sexual boundary violations, now spanning almost 25 years, there are 2 things that have not changed. One is the prevalence or the frequency of at least one type of sexual boundary transgression.
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Antidepressants for Bipolar DisorderWhat is the effectiveness (if any) of antidepressants in bipolar depression? What is the risk of manic switching? How effective are antidepressants in preventing relapse of bipolar depression? Insights here.
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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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Psychosocial Interventions to Reduce Premature Mortality in Patients With Serious Mental IllnessThe mortality rate is unacceptably high in patient with serious mental illnesses. Several psychosocial interventions have been developed that may benefit these patients.
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Comorbid Tobacco Dependence and Psychiatric DisordersSmokers with co-morbid psychiatric and substance use disorders smoke at a much higher rate and seem to have more difficulty quitting than those in the general population. Tobacco treatment that is integrated into mental health settings may lead to greater success than non-integrated treatment. As a result, mental health care providers can play a critical role by careful assessments of smoking, employment of motivational techniques and increasing access to pharmacological and behavioral treatments.
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Developing Clinical Evidence for Locomotor TrainingLocomotor training is an emerging rehabilitation intervention to help patients who have spinal cord injuries or who are recovering from stroke walk again. The basis for the intervention lies in understanding the neurobiology of walking and the nervous system's capacity for activity-dependent plasticity.
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Developing an Effective Treatment ProtocolAnxiety disorders are the most prevalent disorders among children and adolescents in both community and clinical settings. The high prevalence of anxiety disorders in children and adolescents leads to increased interest in the development and implementation of effective treatments.
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A Bureaucratic RebellionEvery residency class needs its symbolic rebel, an outsider who will risk it all in the fight against inane and superfluous paperwork. When your program is demanding redundant treatment plans, insisting on triplicate no-show notes, or reminding you to complete some tedious log, this resident is the kind of leader who will confront the administration with tough phrases, like “This form is ridiculous.”
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Hypnosis and Medical Ethics in GermanyWhen Leo Alexander, the psychiatrist who served as advisor at the Nuremberg doctors’ trial, helped draft the articles of the Nuremberg code, his attention was drawn to two earlier episodes in German medical history.
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Autism Spectrum Disorders, Down Syndrome, and 22q Deletion SyndromeWith aging, a multitude of medical conditions can occur and/or existing conditions can be exacerbated, contributing causally to or amplifying neuropsychiatric comorbidities.
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Global and Social ConsiderationsIn this introduction to our Trauma Special Report, Dr. Novac places the articles in historical perspective and reminds the reader of the importance of understanding trauma within today's global constructs and impending war.
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Serving the Underserved: Who Needs Mental Health Care?Experts address specific concerns when treating the immigrant sector and describe supervised mental health services for uninsured, largely undocumented patients.
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Cultural Aspects of the Pharmacological Treatment of Depression: Factors Affecting Minority and YouthThe cultural and demographic profile of the United States is undergoing a rapid transformation. In many areas of the country, there is no longer an ethnic majority but a multiplicity of racial and cultural groups.
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Unrecognized and Untreated: Preventing and Treating Depression in Patients With EpilepsyThe relationship between depression and epilepsy is bidirectional as not only are patients with epilepsy at higher risk of developing depression but patients with depression have a three- to sevenfold higher risk of developing epilepsy. Several studies have found that the presence of depression in patients with intractable epilepsy was a stronger predictor of poor quality of life than the frequency and severity of seizures. The principles of managing depression in epilepsy are reviewed in this article.
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Deep Brain Stimulation for Memory DeficitsHere: a review of the neurobiology and circuitry behind memory as well as current studies involving neuromodulation for memory disorders.
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Reconceptualizing Hispanics in America: From Reading Stark Statistics to Confronting Racial and Ethnic TraumaUnderstanding a patient's sociocultural background will have an important effect on treatment, especially for Hispanic patients.
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Rebels Without a Cause? Adolescents and Their AntiheroesAdolescents reject their parents’ icons and seek out and empower their own. Antiheroes seem deliberately provocative, assailing almost every social convention of the adult generation, and parents often fear they are leading youth astray.
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Using the Internet to Increase Access to Evidence-Based Treatment for Obsessive-Compulsive DisorderInternet-based CBT has shown promise to improve access to therapy for patients with OCD, which is associated with a profoundly diminished quality of life and social isolation.
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Developing Your Skills at the Intersection of Work and PsychiatryHere’s how the Academy of Organizational and Occupational Psychiatry can help you connect with your fellow psychiatrists about complex mental health issues in the workplace.
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Handbook of Clinical Issues in Couple TherapyUnlike other handbooks, such as the Clinical Handbook of Couple Therapy (Guilford, 2002) and the Handbook of Couples Therapy (Wiley, 2005), which give considerable attention to specific theoretical approaches for treating couples, this handbook addresses clinical issues only. There are no chapters on cognitive-behavioral couple therapy, emotion-focused couple therapy, or the like. Instead, this handbook’s 18 chapters cover biological and physiological issues, traumatic issues, divorce and remarital issues, sociological issues, primary prevention issues, and training issues.
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Adolescent PsychosisAdolescents who present with symptoms that suggest a psychotic disorder pose a number of diagnostic and treatment challenges. This article attempts to provide a practical guide to the assessment and management of adolescents with severe psychotic illness, including schizophrenia, schizophrenia-like disorders, and bipolar disorder.
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Delirium With Catatonic Features: A New Subtype?Delirium has been recognized and described since antiquity. It is a brain disturbance manifested by a syndrome of diverse neuropsychiatric symptoms. Various terms have been used for delirium, such as acute brain disorder, metabolic encephalopathy, organic brain syndrome, and ICU psychosis.
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Neuropsychiatry of Catatonia: Clinical ImplicationsAs a neuropsychiatric and general medical syndrome, catatonia represents an important diagnostic and treatment challenge for all clinicians given its morbidity and mortality.
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Mini Quiz: Inflammation and Psychiatric DisordersBecause immunologic processes connected to psychiatric disorders have received considerable attention, we invite you to test your knowledge on the pathophysiologic process of depression and inflammation.
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Key Takeaways for Treatment of Bipolar 1 DisorderAndrew Cutler, MD, shares his key takeaway advice to psychiatrists for the diagnosis and treatment of patients with bipolar 1 disorder.
