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Understanding Anxiety Disorders in Children and Adolescents: Brief Overview and UpdateAnxiety disorders are the most common mental conditions in the general population, including in children and adolescents. Young people can present with a pattern of anxiety symptoms somewhat different from that typically seen in adults. One of the most common aspects of this difference is that children (especially younger ones) may not report overt worries or fears, but instead manifest pronounced physical symptoms.
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Mini Quiz: Glutamate and SchizophreniaThe glutamate model of schizophrenia proposes that dysfunction will involve which brain regions?
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New Drug Developments for Bipolar ManiaWhile challenges in treating mania persist, the future discovery of novel therapeutic agents will likely expand our understanding of this devastating illness and provide key insights into future drug development.
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A Response by Daniel CarlatFrom my standpoint as the author of Unhinged, Dr Haldipur’s review is both good news and bad news.
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“Designer Drug” Use and Abuse: Implications for PsychiatristsPsychiatrists are urged to familiarize themselves with these new drugs and the typical presentations of patients who use them since implications of misdiagnosis can be far-reaching.
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Bipolar Disorder: Diagnostic Challenges and Treatment StrategiesThe past few years have seen substantial progress in recognizing and treating several of the subtypes of bipolar disorder. This Special Report addresses the diagnostic challenges and the different strategies for managing these subtypes.
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Confusion about EHRs - It's Only NaturalThere are a couple of facets of human nature that have a big impact on how people perceive EHRs and what they do, or don't do, with them.
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Problems of Overdiagnosis and Overprescribing in ADHDDoubt and confusion as to where ADHD fits into the general spectrum of illness further feeds the general perception that ADHD is a socially constructed disorder rather than a valid neurobiological disorder
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Cognitive-Behavioral Therapy for Psychotic DisordersThe first generation of cognitive-behavioral therapy for psychosis, when added to standard care, has demonstrated efficacy in treating patients with delusions and hallucinations. Details in this article.
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Confounding Factors in Treatment-Resistant Depression (Part 2): Comorbidities and Treatment ResistanceThe role of subtyping and bipolarity in TRD was discussed in Part 1 of this 2-part article. Here we review a number of the most common confounding factors of TRD but limit our scope to comorbidities that can be directly addressed and treated by psychiatrists.
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Structural and Functional Neuroimaging: Focusing on Mild Cognitive ImpairmentAlzheimer disease, cognitive impairment, neurologic imaging
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The Treatment of Adolescent Eating DisordersNotwithstanding sparse treatment data, recent efforts are beginning to provide clinicians with some clear treatment guidelines for medically unstable adolescents with anorexia nervosa.
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The Current Status of Transcranial Direct Current Stimulation as a Treatment for DepressionEvidence has accumulated on the efficacy of transcranial direct current stimulation in major depression. The authors review its potential mechanism of action, findings from recent clinical trials, and potential role in the treatment of depressive disorders.
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Transcranial Magnetic Stimulation in Neuropsychiatry: An UpdateThe potential of TMS as a treatment for cognitive disorders, fatigue, pain, and other manifestations of brain disease is discussed, as is the encouraging prospect for neuropsychiatric management of many patients.
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Transcultural Psychiatry for Clinical PracticeWhat are some of the pitfalls of treating patients from varying cultural backgrounds, what cultural issues should psychiatrists be aware of and how can they fit varying culturally based psychiatric disorders into a proper diagnostic framework? Using case studies, Dr. Moldavsky explores the clinical implications of culture in psychiatric practice.
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Are the Media and the Public Still Missing the Clues?It is our responsibility as psychiatrists to educate the media and the public in general.
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Consequences of Social Mitigation StrategiesResearchers found a significant drop in life expectancy from depression, alcohol dependence, suicidality, increased divorce rates, and childhood trauma that are a direct result of social distancing.
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Psychiatric Diagnosis and Treatment of Somatizing Neuropsychiatric DisordersAlthough the somatizing disorders cover a vast array of symptomatic domains across many medical specialties, this article addresses the broad topic conceptually.
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Telepsychiatry Is a Team SportTo run an effective telepsychiatry practice, a solid partnership between skilled personal on-site with patients and the psychiatrist on the other end of the call is a must.
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Tarasoff ReduxNotwithstanding the personal implications and its centrality to mental health professionals, in my 30 years of teaching and writing about the intersection of psychiatry and law, I had managed to avoid that rite of passage. I was not comfortable and found it difficult to say something original on a topic that has been so extensively explored.
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There’s No Place Like GnomeBeing an outpatient psychiatrist is a lot like being married. Things go along, the same-old, for long periods. But then there's a moment. Today, with Leslie, I remember why I love my work.
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Obesity and Psychiatric DisordersObesity has emerged as a significant threat to public health throughout the developed world. The World Health Organization defines overweight as a body mass index of 25.0 to 29.9 kg/m2 and obesity as a BMI of 30.0 kg/m2 or greater.1 Nearly two-thirds of Americans are overweight or obese according to these criteria.2 Numerous health problems, including diabetes, cardiovascular disease, arthritis, and cancer, are associated with obesity. In addition, overweight and obese persons are more likely than their normal-weight peers to have a variety of psychiatric disorders.
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Making Psychotherapy Work: Collaborating Effectively With Your PatientMaking Psychotherapy Work: Collaborating Effectively with Your Patient is an engaging book that will interest most practicing psychotherapists.
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Emotional Maltreatment of Children: Relationship to PsychopathologyEmotional maltreatment is of two major types: emotional abuse and emotional neglect. While emotional abuse is easier to identify, emotional neglect is subtler, possibly more damaging, and poses even more challenging barriers to definition and study.
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Informed Consent and Civil Commitment in Emergency PsychiatryMedical school graduation usually involves taking the Hippocratic oath, in which physicians vow not to intentionally harm their patients. Keeping patients safe is another basic principle of patient care. Physicians are charged with ensuring that their patients are in a safe environment and minimizing risks to their patients by carefully selecting treatment options.
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Advances in Neuroimaging: Impact on Psychiatric PracticeNeuroimaging is often used in clinical psychiatry to rule out medical and neurological conditions that can mimic psychiatric disease rather than for the diagnosis of specific psychiatric disorders.
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Setting the Record Straight: A Response to Frances Commentary on DSM-VThe commentary “A Warning Sign on the Road to DSM-5: Beware of its Unintended Consequences” by Allen Frances, M.D., submitted to Psychiatric Times contains factual errors and assumptions about the development of DSM-V that cannot go unchallenged. Frances now joins a group of individuals, many involved in development of previous editions of DSM, including Dr. Robert Spitzer, who repeat the same accusations about DSM-V with disregard for the facts.
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Tomorrow’s Psychiatrists, Tomorrow’s LeadersThe president and CEO of the Association of American Medical Colleges outlines the reasons psychiatrists are well positioned to lead in this emerging culture of medicine.
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Neuropsychiatry of Psychosis Secondary to Traumatic Brain InjuryPsychotic episodes following brain injuries can often be mistaken for schizophrenia. How can the presentation of psychotic episodes reframe our understanding of this complex phenomenon?
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Online Communities for Drug Withdrawal: What Can We Learn?In this age of chat rooms and social media, an ever-growing number of psychiatric patients use the internet to find their treatment community online.
