Authors
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In Conversation With a Sigourney Award Winner: Gender & SexualityWe sat down with Jack Drescher, MD, to discuss his recent 2022 Sigourney Award win and more.
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Treating Adolescents With Major Depression and an Alcohol Use DisorderAlcohol is the drug of choice for adolescents, with cigarettes and marijuana being second and third. Contrary to widespread belief, alcohol dependence is most common in 18- to 20-year-olds, with progressively decreasing rates of alcohol dependence in older age groups.
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Anxiety and Depression in a Psychiatrically Informed Pain Medicine PracticePatients with chronic pain and head injury frequently have comorbid anxiety and depressive disorders, with depressive disorders appearing to be more predominant. A number of studies show that depressive spectrum illness develops in 40% to 80% of patients with chronic pain; in a majority of these cases, the mood disorder is caused by chronic pain.
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The Intersection of Geriatric and Forensic PsychiatryThis article reviews a wide array of medicolegal, risk management, regulatory, and forensic mental health issues in the older population, which is growing at an accelerated rate.
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Hendrix Revisited: Joe’s Final Psychotherapy SessionAfter a code gray, it was clear to me that no matter one’s training, only such fundamental moments can enable one to answer affirmatively when asked, "Are you experienced?"
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Does Flibanserin Have a Future?Before flibanserin, there were no FDA-approved treatments for hypoactive sexual desire disorder. The authors clarify the intricacies of an HSDD diagnosis and discuss implications for treatment.
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Management of Treatment-Refractory SchizophreniaBecause cognitive and negative symptoms have the greatest impact on overall recovery, interdisciplinary strategies that target these symptoms are necessary. This article offers details.
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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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The Virus Connection: How Viruses Affect Psychiatric PathologiesHere's a deep dive into possible mechanisms by which viruses may contribute to mental illness.
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Epileptic or Nonepileptic Seizure?A right-handed woman aged 19 years is referred for intractable clinical events. The patient's medical history is remarkable for anxiety, depression, and attention-deficit/hyperactivity disorder; migraine headache; and Lyme disease for which she received 6 months of intravenous antibiotic therapy.
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Identifying and Reducing Professional Liability When Treating Older AdultsActions You Can Take to Decrease Risks While Increasing Patient SafetyIdentifying and Reducing Professional Liability When Treating Older Adults, by Jacqueline M. Melonas, RN, MS, JD and Charles D. Cash, JD, LLM, ARM
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Borderline Personality Disorder and Bipolar Disorder-Distinguishing Features of Clinical Diagnosis and TreatmentSince the inclusion of the borderline personality disorder (BPD) diagnosis in DSM, there have been multiple efforts to recast the disorder as part of an Axis I illness category. While the initial focus was on the schizophrenia spectrum, more recent authors have attempted to link BPD to mood disorders.
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The Facts About Violence Against Historically Disadvantaged PersonsRacial/ethnic and sexual orientation minorities and women historically have been relegated to social, legal, and economic disadvantage in the United States.
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Mini Quiz: Neurobiology of Borderline Personality DisorderWhat do functional magnetic resonance neuroimaging findings reveal about the neurobiology of borderline personality disorder? Take the quiz and learn more.
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Smoking Cessation During Substance Abuse TreatmentAn overview of the critical issues involved in overcoming personal and organizational barriers to help substance abusers quit smoking.
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Brain Capital: An Emerging Investment OpportunityBrain Capital: a fresh approach to technologies and investing.
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Evaluating Dispositional Capacity in Patients With Late-Life Hoarding DisorderFor older adults, hoarding disorder can have serious consequences. Examine this case study to learn more.
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A Journey of JugglingA psychiatrist discusses his hobby of juggling and demonstrates a few tricks.
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Health and Psychiatric Issues in Children of Rural Methamphetamine Abusers and ManufacturersMany abusers of methamphetamine in rural areas manufacture the drug for their personal use. These "mom-and-pop cooks" produce methamphetamine in and around homes where children are also living. This article provides an overview of the mental health of children whose parents abuse methamphetamine.
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Treatment-Resistant Bipolar DisorderTreatment resistance in bipolar disorder is clinically familiar but lacks a standard definition. Numerous evidence-based treatments exist for all phases of bipolar disorder, and these should be optimized and fully explored.
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Assessing the Violent Patient: An Additional Case of Legal ImplicationsAssessing the Violent Patient: An Additional Case of Legal Implications
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The Case of Factitious Disorder Versus MalingeringPatients who exaggerate, feign, or induce physical illness are a great challenge to their physicians. Trained to trust their patients’ self-reports, even competent and conscientious physicians can fall victim to these deceptions.
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Demystifying Health Reform LegislationThe health reform legislation is likely to affect all mental health professionals throughout their lives, both as consumers and as practitioners of health care services.
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Family Therapy for Adolescents With Anorexia Nervosa: A Brief Review of Family-Based TreatmentAnorexia nervosa is often complicated by devastating medical problems and may result in death. Although studies suggest a multifactorial cause for the disorder, treatment trials have yet to provide clinical guidance about how best to approach anorexia nervosa.
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Managing Patient Expectations: Better Coordinated CareMaking cost, clinical, and service compatibility matches with referral partners pays off in five key ways.
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ADHD and Sleep Disorders in ChildrenSleep changes associated with psychotropic drugs are common enough to justify routinely obtaining a baseline sleep diary before beginning treatment, even when the initial screening for sleep disorders indicates that no further investigation is needed.
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The Importance of Talking About SuicideLearning to talk openly with patients about their suicidal ruminations poses more of an emotional than intellectual challenge.
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Does the Insanity Defense Have a Legitimate Role?While the public perceives that many criminals escape punishment by pleading insanity, the truth is that very few people are ever found not guilty by reason of insanity. Society has to decide whether they want to lock up everyone who does any bad thing or excuse the behavior of people who are not capable of controlling their own behavior.
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Focusing on Depression in Expectant and New FathersAlthough a large body of research has documented the risk factors for and negative effects of depression in mothers, little is known about depression in expectant or new fathers.
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Treatment-Resistant DepressionThe chances for full recovery from major depressive disorder diminish the longer a patient remains depressed-a fact that lends a sense of urgency for appropriate therapy.
