DSM-5 Proposals Should Undergo An Independent Cochrane Review Of Scientific Evidence
September 15th 2011A newly appointed DSM-5 scientific review group is meant to “review the reviews”-but it is working in secret and so far appears to be a remarkably porous filter . . .DSM-5 has shown no capacity to self-monitor and self-correct. An outside review is sorely needed-and fortunately a ready mechanism is in place.
9/11 10th Anniversary: A Mortality Salience Reminder
September 10th 2011Attempting to write an article about 9/11 is fraught with peril from the outset. What can be said that is not repetitious? Then there is the ever present risk of offending those whose lives were forever changed in an overawing, tragic manner.
The Significance of Clinical Significance Establishing the Boundary with Normal
September 10th 2011Psychiatric symptoms are fairly ubiquitous in the general population- most normal people have at least one, many have a few. When present in isolation, a single symptom (or even a few) does not a psychiatric disorder make. Two additional conditions must also be met before a symptom can be considered to be part of a mental disorder.
Medicare-Proposed Standards for CMHCs Spotlight Psychiatrists’ Role on Treatment Team
September 10th 2011The proposed Conditions of Participation (CoPs) from Medicare for community mental health centers (CMHCs) could expand the role and responsibilities of psychiatrists both in and beyond Medicare facilities.
Debate: What’s the Evidence for the Evidence-Based Treatments of Depression?
September 9th 2011Cognitive-behavioral therapy, interpersonal psychotherapy, or antidepressants can be effective treatments for major depression-despite their minimal separation from placebo/control therapies in clinical trials. This article argues that their specific efficacy has not been established.
Misunderstanding Psychiatry (and Philosophy) at the Highest Level
September 9th 2011In my view, Dr Angell’s assertions reflect both a serious misunderstanding of psychiatric diagnosis, and-equally important-a failure to address the core philosophical issues involved in her use of the terms “subjective,” “objective,” “behaviors,” and “signs.”
Issues in Treating Anxiety Disorders in Pregnancy
September 7th 2011Anxiety disorders are a frequent occurrence in pregnancy. While some worries and anxiety are experienced by more than 50% of pregnant women, a full-blown anxiety disorder involves risk to both mother and fetus and increases the risk of postpartum depression.
Exposure Therapy for Anxiety Disorders
September 6th 2011Exposure-based therapies are highly effective for patients with anxiety disorders, to the extent that exposure should be considered a first-line, evidence-based treatment for such patients. In clinical practice, however, these treatments are underutilized, which highlights the need for additional dissemination and training.