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Changes will mean patients will only be covered for psychiatrists’ services that include medical evaluation and management; CPT coding will not allow for coverage of psychotherapy as a separate and equal category for payment.

Adjustment disorder is one of the few psychiatric diagnoses for which the etiology, symptoms, and course, rather than symptoms alone, are central to making the diagnosis. Both emotional and behavioral disturbances are present and include low mood, tearfulness, anxiety, self-harm, withdrawal, anger, and irritability.

Frame analysis can not only help us to discern the roots of such standoffs but also to conceptualize specific ways of addressing the conflicts in therapeutic language with the patient, with the goal of forging an integrated approach to treatment.

Psychological symptoms of depression in patients with diabetes are more specific to depression than their somatic counterparts.

Historically, there has been conflict between psychiatry and religion.

The humanities are a variety of academic disciplines that focus on the human condition with analytic and sometimes speculative methods. This is in contrast to the empirical methods of the natural sciences.

Preliminary evidence shows that dialectical behavior therapy may be beneficial in treating patients with bipolar disorder.

This article summarizes the reasons for switching an antipsychotic and explains when it becomes necessary to switch, as well as how the switch is best accomplished.

But old colleagues said . . . the holocaust made him an atheist with a poet’s heart, . . . a Jew who loved to stand and chant David’s psalms

Overdiagnosis of bipolar disorder is an increasing concern, particularly since a widely cited study that indicates a problem with overdiagnosis as well as with the much less publicized parallel finding of 30% underdiagnosis.

A recently published NIH study of 112 children suggested that some children might possibly outgrow autism.

Schizophrenia has long been considered a neurodevelopmental disorder in which onset of diagnostic symptoms in late adolescence or adulthood is the end result of a decades-long interaction between genes and environment that begins in the womb.

The 3% to 5% of kids who are particularly gifted are also at special risk for being tagged with an inappropriate diagnosis of mental disorder. Caution is necessary when diagnosing.

The 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.

Less common but still important syndromes connected with Alzheimer disease include traumatic brain injury, infectious and inflammatory disorders, alcohol-induced dementia.

Cognitive decline feels as though a little man is inside the elderly patient's head, with darkness all around him. To the front, some light seeps in through the eyes. Sounds come from a distance, muted, like in a heavy fog.

In addition to having an excellent safety profile, ECT is widely acknowledged to be the most effective acute antidepressant treatment.

Bringing the arts and humanities to psychiatry requires bringing these areas of study into our education, our research and our practice models.

Shakespeare's understanding of the human condition miraculously transcends his culture, time, and place.

Freud famously quipped: "The creative writer cannot evade the psychiatrist nor the psychiatrist the creative writer."

After each violent tragedy, the politicians hypocritically mourn and harrumph, but wind up buckling under pressure from the NRA, fiscal constraints, and the prison and gun lobbies. Repeated dramatic events can shake the complacency and cowardice of a stalemated Congress and state legislatures.

Digital technology provides many benefits to clinical practice but only if you know how to avoid the associated pitfalls. This slideshow provides easily accessible information for best practices for using e-mail, text messaging, search engines, blogs, etc.

Research efforts for LGBT patients include creating innovative medical and mental health services that lead to the training of students and practitioners and promote the development of outreach strategies specific to today’s critical needs.

It is yet unclear whether the overwhelming shock of Newtown will galvanize action not only to prevent future mass murderers, but also to finally reduce the public health and mental health risks of more chronic, common, and routine gun violence in America.

The discovery of an unknown family member can bring about joy or grief, and raise many clinical questions about the psychodynamics that are at play within families.

Brian Miller, MD, MPH, Schizophrenia Section Editor for Psychiatric Times, is an Assistant Professor on a research tenure track in the Department of Psychiatry and Health Behavior at Georgia Regents University.  He earned a BS in mathematics from Vanderbilt University, a combined MD/MPH degree from The Ohio State University, and a PhD in psychiatric epidemiology from the University of Oulu (Finland). He completed his general psychiatry residency and fellowship in psychotic disorders at GRU, where he served as Chief Resident, and joined the faculty in 2010. Dr Miller’s  current research focuses on inflammation/ cytokines as a potential clinical state and relapse predictive marker in schizophrenia, and is funded by an NIMH K23 Mentored Patient-Oriented Research Career Development Award and the NIH Clinical Loan Repayment Program Award. He has been recognized with several young investigator awards, the 2010 Laughlin Fellowship from the American College of Psychiatrists, and a 2011 Exemplary Psychiatrist Award from the National Alliance on Mental Illness.

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