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Incorporating Meditation Training Into an Outpatient Psychiatry PracticeMeditation training is a valuable, thoroughly secular tool for psychiatrists to incorporate into our patient practices-and our own personal self-care routines. Here: the basics.
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Gender Differences in Panic DisorderAccording to National Comorbidity Survey data, panic disorder is 2.5 times more prevalent in women than in men. Do physiological changes for women during the perimenstrual and perimenopausal phase play a role in this disorder?
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A Literature Review of Videophone Use in Mental HealthIn our survey, we found videophones a surprisingly understudied and underutilized tool in spite of the fact that they are easy to use and do not require any technical support.
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Physician Well Being: Who Cares?The demands on physicians keep growing-they are not only responsible for assessment, diagnosis, and treatment, they are subject to all manner of related administrative and practice responsibilities. Not surprisingly, physicians are susceptible to burnout.
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New Federal BRAIN Research Discoveries Are Targeted to Improve Clinical PracticeAlthough the early focus of the NIH component of the BRAIN Initiative is on tool development, the examples listed in this article show that these tools will have relevance to practicing clinicians within the lifetime of the Initiative.
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Treatment of Insomnia in Anxiety DisordersHow often do insomnia and anxiety disorders coexist? And how best to treat patients with comorbid insomnia and anxiety? Answers here..
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Comorbid Movement and Psychiatric DisordersThe goal of this article is to improve recognition of comorbid psychiatric and movement disorders and to help the reader formulate a management strategy using a multidisciplinary approach.
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Implications of Impulse Control Disorder in Parkinson DiseaseThe challenges of recognizing behaviors such as hypersexuality, gambling, and excessive buying in Parkinson disease are discussed, as are ways to address them while still managing the underlying condition.
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Working Within a Campus Health Service: A Challenge With Many RewardsPsychiatrists can provide significant support and insight to patients who are now coming to campus with a wide array of mental health challenges.
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Effects of Adolescent Marijuana Use on CognitionIn this brief video, an expert summarizes the effects of marijuana use on the teenage brain, as well as new strategies to discuss the consequences of drug use with adolescents.
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Infant PsychiatryInfant, or developmental, psychiatry is a subspecialty of child and adolescent psychiatry that focuses on the promotion of mental health in infants, toddlers, preschoolers, and their families through the consultation, assessment, and treatment of clinical problems.
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Does TMS Hold Promise for Generalized Anxiety Disorder?Available data suggest that transcranial magnetic stimulation holds promise as a treatment for GAD. Here: a look at what we know.
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Biological Consequences and Transgenerational Impact of Violence and AbuseEvery year, more than 1 million children are exposed to sexual or physical abuse or neglect in the US. The research summarized here clearly demonstrates that exposure to stress before adulthood can result in persistent effects on both mental and physical health.
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Can Psychiatry Sustain Connections While Hosting Sustainable Conferences?Sustainability is more than just cutting carbon emissions. It means creating a system where all of us can thrive—not just survive.
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Novel Research in the Neuropsychiatry of Anorexia NervosaResearch is now making progress in understanding what happens before and during the illness and how this behavior can be explained.
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Speaking Up: Sexual Harassment in the Medical SettingHere: a review of the definition of sexual harassment, its prevalence among physicians and medical students, its potential impact on physicians and trainees, and guidance about its management.
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Seasonal Variation of ViolenceThe author examines how temperature and length of day can affect mood and behavior, both in a general population and a group of inpatients. In both groups, there were two peaks of violent behavior, one in May-June and one in October-November, which correspond with the equinoxes. Is it possible to track violent behavior in various geographical areas depending upon weather and length of day?
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Introduction: Schizophrenia Spectrum DisordersClinicians have long recognized that many of the psychiatric disorders lack clear boundaries, and that there is a substantial overlap in phenomenology and etiopathophysiology of various disorders.
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A New Class of Antipsychotic DrugsThe development of new, more effective antipsychotics with fewer adverse effects (eg, extrapyramidal symptoms, tardive dyskinesia, metabolic syndrome) is paramount.
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What Is the Role of Vitamin D in Depression?Vitamin D has been hailed as the “sunshine” vitamin with many therapeutic attributes. The authors explore the association between vitamin D deficiency and increased risk of depression.
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Psychiatric Care of Patients With Hepatitis C: A Clinical UpdateThe prevalence of chronic hepatitis C virus infection is among the highest in patients with severe underlying mental illness. Here: clinical information on the interface of HCV infection and psychiatric disorders.
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DSM-5: What It Will Mean to Your PracticeUndoubtedly there will be problems with some of the additions to DSM-5, with some of the combinations, with some of the new nomenclature, and with some of the new criteria sets. But practitioners will find most of DSM-5 to be well considered and well written. It is unfortunate, however, that much of its nomenclature is out of sync with the rest of medicine.
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“Switching” of Mood From Depression to Mania With AntidepressantsMood switching is not uncommon and it is much more prevalent in depressed juveniles than in depressed adults, and there is a large apparent excess of antidepressant-associated switching over reported spontaneous diagnostic changes to bipolar disorder. Details here.
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7 Components of Depression EvaluationThe co-occurrence of depression and cognitive impairment doubles every 5 years after the age of 70. Here we present a list of elements in a comprehensive and extended evaluation of depression in the elderly.
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Hemicraniectomy for Massive Basal Ganglia Hemorrhageintracerebral hemorrhage, hemicraniectomy, stroke, neurosurgery, traumatic brain injury
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Reducing Risk Associated With Seclusion and RestraintThis article briefly reviews the federal standards regarding S/R and methods of reducing the risk associated with their use. CMS standards that went into effect February 6, 2007, will be emphasized; however, some of these standards vary from JCAHO standards.
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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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Options for Management of Serotonin Reuptake Inhibitor-Induced Sexual DysfunctionAmong 25 to 30 million Americans in whom depression is diagnosed annually, 18 to 25 million are treated with antidepressants, of which 90% are SSRI or non-selective serotonin reuptake inhibitor (SRI) antidepressants, the most frequently prescribed medications for all outpatients aged 18 to 65 years.
