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Challenges in the Assessment and Diagnosis of Bipolar DepressionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Charles Bowden, MD, clinical professor in the department of psychiatry at the University of Texas Health Science Center, San Antonio, describes the challenges physicians face when they assess and diagnose bipolar depression. (Source: Psychiatric Times)
Source: Psychiatric Times - November 21, 2009 Category: Psychiatry Source Type: info

Therapeutic Strategies for Older PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Marc E. Agronin, MD, medical director for mental health and clinical research in the Miami Jewish Health Systems, and associate professor of psychiatry at the University of Miami Miller School of Medicine in Florida, discusses therapeutic strategies for older patients. (Source: Psychiatric Times)
Source: Psychiatric Times - November 19, 2009 Category: Psychiatry Source Type: info

Four Steps to Reduce Missed Patient AppointmentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Four simple steps can help you reduce missed patient appointments and boost profitability. So said Mark Rosenberg, MD, PhD, president of Behavioral Health Management, PC, in St Louis, who spoke at the US Psychiatric and Mental Health Congress in Las Vegas. Not only do missed appointments result in lost revenue, said Rosenberg, but also they “interrupt the flow of patient care and impede clinic productivity.” (Source: Psychiatric Times)
Source: Psychiatric Times - November 18, 2009 Category: Psychiatry Source Type: info

Strategies to Market Your Practice and Avoid Common PitfallsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Because an increasing number of patients pay for care out-of-pocket, marketing has become an essential part of any practice, said David Sprague, chief operating officer at Physicians’ Ally, Inc, Denver. In a presentation at the US Psychiatric and Mental Health Congress in Las Vegas, he provided tips to help physicians market their practice and avoid common pitfalls. (Source: Psychiatric Times)
Source: Psychiatric Times - November 18, 2009 Category: Psychiatry Source Type: info

Avoiding Drug-Drug InteractionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Laurence J. Kinsella, MD, FAAN, professor of neurology at St. Louis University and chief in the division of neurology and neurophysiology at Forest Park Hospital, St. Louis, discusses serotonin syndrome and P450 drug interactions. (Source: Psychiatric Times)
Source: Psychiatric Times - November 18, 2009 Category: Psychiatry Source Type: info

The Ultimate Violation of “Do No Harm” at Fort HoodEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The following medical and behavioral health providers were killed or wounded during the November 5 Fort Hood shooting rampage that left 13 dead and 29 wounded. While the Army’s Public Affairs Office released the names of those killed, it has not released the names of all wounded because of privacy laws. The wounded list and additional descriptions of the providers were compiled from multiple news reports around the country and may be incomplete. (Source: Psychiatric Times)
Source: Psychiatric Times - November 17, 2009 Category: Psychiatry Source Type: info

Which Screening Tool Is Best When You Suspect Alzheimer Disease?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Of the screening tools available to help identify early symptoms of Alzheimer disease (AD), which is best? In a presentation at the U.S. Psychiatric and Mental Health Congress in Las Vegas, Kevin Gray, MD, director of the geriatric neuropsychiatry clinic, Veterans Affairs North Texas Health Care System, Dallas, gave a withering critique of the widely used Mini Mental State Examination (MMSE) and instead recommended 3 simple and quickly administered tests that he says are more sensitive and specific. (Source: Psychiatric Times)
Source: Psychiatric Times - November 12, 2009 Category: Psychiatry Source Type: info

Counseling Patients With HIV/AIDSEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Many patients with HIV/AIDS experience numerous challenges beyond those posed by the physical effects of their disease—including poverty, mental illness, drug addiction, social alienation, racism, and homophobia. Counseling patients who face these issues can be difficult, but a careful risk assessment along with patient education can improve a patient’s ability to cope and lead to better outcomes, said Marshall Forstein, MD, associate professor of psychiatry, Harvard Medical School, Cambridge, Mass, in a presentation at the US Psychiatric Congress in Las Vegas. (Source: Psychiatric Times)
Source: Psychiatric Times - November 12, 2009 Category: Psychiatry Source Type: info

The Psychiatrist's Role in Identifying and Treating FibromyalgiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Bill H. McCarberg, MD, founding director of the chronic pain management program at Kaiser Permanente, Escondido, California, discusses the need for collaboration between psychiatrists and primary care providers to identify and treat patients with fibromyalgia. (Source: Psychiatric Times)
Source: Psychiatric Times - November 12, 2009 Category: Psychiatry Source Type: info

How to “Deliver” a Diagnosis of an Autism Spectrum Disorder to ParentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
It is usually traumatic when parents learn that their child has an autism spectrum disorder (ASD). Be clear about the diagnosis and let families know that treatment will begin as soon as possible, said Doris Greenberg, MD, associate clinical professor of pediatrics at Mercer University School of Medicine, Savannah, Ga. In her presentation at the US Psychiatric and Mental Health Congress in Las Vegas, Dr Greenberg discussed strategies for talking to the families of children with ASDs. “Don’t talk around the diagnosis—identify the elephant in the room and get on with it,” she said. (Source: Psychiatric Times)
Source: Psychiatric Times - November 11, 2009 Category: Psychiatry Source Type: info

Placebos: Is It All in Your Spine?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study, recently published in Science, suggests that the spinal column—specifically, the dorsal horn—may be involved in blocking pain after placebo has been administered. (Source: Psychiatric Times)
Source: Psychiatric Times - November 10, 2009 Category: Psychiatry Source Type: info

New Algorithms for the Management of Treatment-Resistant Bipolar DepressionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Current guidelines for the management of bipolar depression are outdated because they are based on the definition and treatment of unipolar depression, according to Eduard Vieta, MD, PhD, director of the bipolar disorders program at the University Clinic Hospital of Barcelona, Spain. Dr Vieta led a study to create new definitions and algorithms for the management of treatment-resistant bipolar I and bipolar II depression. (Source: Psychiatric Times)
Source: Psychiatric Times - November 9, 2009 Category: Psychiatry Source Type: info

Advocates Call for Treating Tobacco Dependence in Psychiatric PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Smoking cessation services should be integrated into substance use disorder treatment programs, according to David Kalman, MD, Department of Psychiatry, University of Massachusetts, and colleagues, in their recent review of tobacco dependency among patients who sought treatment for alcoholism.1 (Source: Psychiatric Times)
Source: Psychiatric Times - November 7, 2009 Category: Psychiatry Source Type: info

rTMS May Be Effective in Patients With Treatment-Resistant Bipolar DepressionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Repetitive transcranial magnetic stimulation (rTMS) may be an effective therapy for treatment-resistant bipolar depression, according to the results of a recent pilot study led by Guohua Xia, MD, PhD, assistant clinical professor of psychiatry at the University of California, Davis. (Source: Psychiatric Times)
Source: Psychiatric Times - November 5, 2009 Category: Psychiatry Source Type: info

Strategies to Avoid a Malpractice Suit When a Patient Commits SuicideEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A few simple steps can enhance your assessment of a patient’s suicide risk—and thereby reduce your own risk for liability if the patient does commit suicide. Phillip J. Resnick, MD, professor of psychiatry and director of forensic psychiatry at Case Western Reserve University in Cleveland, described those measures in a lecture today at the US Psychiatric Congress. (Source: Psychiatric Times)
Source: Psychiatric Times - November 4, 2009 Category: Psychiatry Source Type: info

The Role of Antidepressants for the Treatment of Bipolar DepressionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although rapid-cycling bipolar disorder has been linked to the use of antidepressants, these treatments may still have a role in the management of patients with bipolar depression, said Stephen V. Sobel, MD, clinical instructor at the University of California, San Diego School of Medicine, in a presentation at the U.S. Psychiatric and Mental Health Congress is Las Vegas. (Source: Psychiatric Times)
Source: Psychiatric Times - November 4, 2009 Category: Psychiatry Source Type: info

A Psychiatrist’s Worst Nightmare? Psychiatrist Stabbing Raises ConcernsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A clinic for patients with bipolar disorder at Massachusetts General Hospital (MGH) was the scene of yet another attack by a patient on a psychiatrist. (Source: Psychiatric Times)
Source: Psychiatric Times - November 3, 2009 Category: Psychiatry Source Type: info

Living the Questions: Cases in Psychiatric EthicsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The past several years have been a time of radical change in the economic, technological, social, and political landscape of our country. These developments, of necessity, affect education in all its forms—including continuing medical education. Increasingly, the print medium is becoming an endangered species and previously unimagined modes of information transmission, such as blogs, RSS feeds, and podcasts, have emerged as common forms of communication. The exponential growth of medical knowledge and the increasingly rapid pace of scientific discovery have made it nearly impossible for the print medium to keep abreast o...
Source: Psychiatric Times - November 3, 2009 Category: Psychiatry Source Type: info

Depression During PregnancyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Major depressive disorder (MDD) is common during childbearing. Depression that interferes with function develops in an estimated 14.5% of pregnant women.1 In a recent population-based study, Munk-Olsen and colleagues2 determined the prevalence of psychiatric disorders relative to childbearing. The overall risk for any psychiatric episode after delivery was elevated for women during the first 3 postpartum months. However, the increased risk specifically for major depression remained elevated for 5 months after birth. These statistics are troubling in that only 13.8% of pregnant women who screen positive for depression actua...
Source: Psychiatric Times - November 2, 2009 Category: Psychiatry Source Type: info

What “Meaningful Use” of Electronic Health Records May Mean to PsychiatristsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
With billions of dollars for electronic health record (EHR) technology purchases hanging in the balance, psychiatrists need to be paying attention to the Department of Health and Human Services (HHS) deliberations on the definition of “meaningful use.” HHS Secretary Kathleen Sebelius is supposed to set an interim definition in a few months. This is important to all office-based physicians because it will set the requirements they will have to meet for proving they are making meaningful use of EHR software and hardware they previously purchased. If they can make the case, starting in 2011, they would qualify for federal...
Source: Psychiatric Times - November 2, 2009 Category: Psychiatry Source Type: info

The Cellular and Molecular Substrates of Anorexia Nervosa, Part 1Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Appetite regulation is made up of complex interlocking, incentive-driven motivational hormonal and neuronal circuitries . . . that can be pulled in many directions, especially where food is cheap and readily available. (Source: Psychiatric Times)
Source: Psychiatric Times - November 1, 2009 Category: Psychiatry Source Type: info

The Ethical Policies and Involvement in Enhanced Interrogations of US Psychologists After 9/11Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The article “Mental Health Professionals in the ‘Enhanced’ Interrogation Room” on the cover of this issue provides an invaluable service. It documents psychologists’ and physicians’ involvement in enhanced interrogation programs. (Source: Psychiatric Times)
Source: Psychiatric Times - October 31, 2009 Category: Psychiatry Source Type: info

The Case of Factitious Disorder Versus MalingeringEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Patients 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. In doing so, the treating physician may unwittingly provide support for specious claims of illness or injury by conferring official diagnoses, or by delivering treatments that transform the patient from a pretender into a person with a genuine, although iatrogenic, medical problem (eg, via adrenalectomy, pancreatectomy, serial amputation).1-3 (Source: Psychiatric Times)
Source: Psychiatric Times - October 30, 2009 Category: Psychiatry Source Type: info

Firearms and Mental IllnessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The right of American citizens to own, register, and carry firearms has a significant history of federal and/or local regulation dating to the early 18th century.1 With the passage of the federal Gun Control Act of 1968, persons who have been treated for mental illness and/or substance abuse are among a defined group restricted from owning and carrying firearms.2-4 While violence is often portrayed in the media as related to persons with mental illnesses, there are limited research data to support this idea.5 (Source: Psychiatric Times)
Source: Psychiatric Times - October 30, 2009 Category: Psychiatry Source Type: info

Doctor: Are You “Drugging” or “Medicating” Your Patients?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
You have read the blogs and seen the placards a dozen times: doctors prescribe too many “drugs” for too many patients. Psychiatrists, in particular, are popular targets of politically motivated language that seeks to conflate the words “medication” and “drug”—thereby tapping into the public’s understandable fears concerning “drug abuse” and its need to carry out a “War on Drugs.” Misleading radio ads promise “drug-free” treatment of panic disorder (certainly possible, but not always achievable) and the Internet bristles with the phrase, “psychiatric drugging.” (My Google search pulled up 931...
Source: Psychiatric Times - October 29, 2009 Category: Psychiatry Source Type: info

Q&A: Chronic Pain and Mood Disorders—Identifying and Understanding Shared Neurophysiological MechanismsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
An interview with Vladimir Maletic, MD, PA (Source: Psychiatric Times)
Source: Psychiatric Times - October 29, 2009 Category: Psychiatry Source Type: info

Mental Health Professionals in the “Enhanced” Interrogation RoomEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
On Monday, August 24, 2009, in response to a Freedom of Information Act lawsuit, the Central Intelligence Agency (CIA) released a “Top Secret,” highly redacted May 7, 2004, report, Counterterrorism Detention and Interrogation Activities (September 2001 – October 2003).1 The report’s opening pages concede that the activity it divulges “diverges sharply from previous Agency policy and rules that govern interrogation.” (Source: Psychiatric Times)
Source: Psychiatric Times - October 28, 2009 Category: Psychiatry Source Type: info

Michael McGrath, MD Responds: "More on Battered Women Syndrome: News to the Psychiatric Community?"Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I read “Battered Woman Syndrome: Key Elements of a Diagnosis and Treatment Plan” by Lenore Walker, EdD1 and a response to it by Arnold Robbins, MD2 who pointed out some inaccuracies and distortions. (Source: Psychiatric Times)
Source: Psychiatric Times - October 27, 2009 Category: Psychiatry Source Type: info

Update: Where We Stand on Health Care ReformEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A stand-alone bill to permanently repeal Medicare’s “flawed” Sustainable Growth Rate (SGR) formula failed to garner enough support in the Senate yesterday to surmount procedural barriers. (Source: Psychiatric Times)
Source: Psychiatric Times - October 23, 2009 Category: Psychiatry Source Type: info

The Impact of Appearance on Coping With LifeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In planning a media workshop to present Glenn Gers’ independent film disFigured for the May 2009 American Psychiatric Association meeting in San Francisco, my co-presenters and I devoted special attention to the diagnosis and treatment of anorexia nervosa. (The content was originally prepared by Katherine Halmi, MD, and was presented at the workshop by James Mitchell, MD, when Dr Halmi was unable to attend.) The film deals with the problems of body image represented by opposite ends of the spectrum of eating disorders—obesity and anorexia. (Source: Psychiatric Times)
Source: Psychiatric Times - October 14, 2009 Category: Psychiatry Source Type: info

Continuation Treatment and Relapse Prevention in Pediatric DepressionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The prevalence of depression in children and adolescents ranges from 2% to 8% in the general population, which indicates that depression in this population is a major public health concern.1-3 This is especially apparent when rates of depression are compared with other serious medical conditions in childhood, such as diabetes, which has a prevalence of 0.18%.4 The burden of depressive illness—including significant functional impairment in interpersonal relationships, school, and work—on the developing child has been well documented. Affected youths are frequently involved in the juvenile justice system.5-8 Furthermore,...
Source: Psychiatric Times - October 11, 2009 Category: Psychiatry Source Type: info

Sexual Minority Identity DevelopmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sexual identity development is a complex, multidimensional, and often fluid process. One must consider cognitive, social, emotional, cultural, and familial complexities among other aspects of the individual’s experience to contextualize a narrative concerning sexual identity development. (Source: Psychiatric Times)
Source: Psychiatric Times - October 11, 2009 Category: Psychiatry Source Type: info

The Crisis in College and University Mental HealthEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the past few years, college mental health issues have received increasing attention by the mental health community, the public, administrators, and legislators. Events such as the death of MIT student Elizabeth Shin and the subsequent legal battle, and the series of suicides at NYU a few years ago received prominent media coverage.1,2 In the aftermath of the tragic murders/suicides at Virginia Tech and Northern Illinois University, college student mental health issues and campus safety have become pressing public health and policy concerns.3,4 (Source: Psychiatric Times)
Source: Psychiatric Times - October 10, 2009 Category: Psychiatry Source Type: info

Antidepressant Use in Children With CancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In 2007, cancer was diagnosed in 10,400 children and adolescents under the age of 15 years.1 While cancer remains the second leading cause of death in children, increasing numbers of children with cancer are surviving into adulthood.2 Over the past 30 years, 5-year survival rates for children with cancer have significantly improved, from 59% in 1975 to 1977 to 80% in 1996 to 2004.3 Pediatric cancer, increasingly considered a chronic rather than an acute condition, is an intense emotional and physical experience for patients and their families.4 (Source: Psychiatric Times)
Source: Psychiatric Times - October 10, 2009 Category: Psychiatry Source Type: info

BrünoEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Those who know Sacha Baron Cohen will tell you he is nothing like Brüno or the other characters he impersonates. The third son of an orthodox Jewish family, he grew up in a suburb of London, went to fancy British schools, and spent a year living in Israel. He read history at Christ’s College, Cambridge, where an interest in the role of American Jews in the Civil Rights Movement led to his thesis on the 1964 murders of James Chaney, Andrew Goodman, and Michael Schwerner in Mississippi. Not the biography of a man you would imagine inventing Ali G, an American ghetto rapper; or Borat, an anti-Semitic TV reporter from Kazak...
Source: Psychiatric Times - October 9, 2009 Category: Psychiatry Source Type: info

FDA Eases Rules on Access to Investigational Psychotropic DrugsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The FDA’s new rule on “expanded access programs” would allow pharmaceutical companies to give seriously ill patients broader access to investigational drugs outside of clinical trials. A limited number of expanded access programs were created in the past under sketchy FDA rules; the 2 new allied rules—one on the conditions drug companies must meet to create a program, the other on how they can charge for the drugs—ostensibly give pharma a wider berth. Moreover, psychotropic drugs can be provided under the clarified policy. (Source: Psychiatric Times)
Source: Psychiatric Times - October 9, 2009 Category: Psychiatry Source Type: info

Eating Disorders in Children and AdolescentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Eating problems are common in children and adolescents, and eating disorders typically have their onset during these developmental periods.1 Anorexia nervosa is a serious and potentially life-threatening disorder associated with severe food restriction, overexercise, malnutrition, and distorted thinking about body shape and weight. The typical age of onset is early adolescence (ages 12 to 15 years). Bulimia nervosa is characterized by periods of restriction followed by binge eating and purging behaviors (eg, vomiting, laxative use, overexercise) and often begins during middle adolescence (ages 15 to 17 years). A variety of...
Source: Psychiatric Times - October 8, 2009 Category: Psychiatry Source Type: info

Anxiety Disorders in Children and AdolescentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Anxiety disorders are one of the most common psychiatric disorders in children and adolescents, but they often go undetected or untreated. Identification and effective treatment of childhood anxiety disorders can decrease the negative impact of these disorders on academic and social functioning in youth and their persistence into adulthood. (Source: Psychiatric Times)
Source: Psychiatric Times - October 8, 2009 Category: Psychiatry Source Type: info

APA and Health Care Reform: How Far the Thinking Has Come on Mental Health IssuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As the nation’s uninsured population climbs to 46.3 million and Congress grapples with health care reform, the American Psychiatric Association (APA) has intensified its efforts to advocate for a public health insurance option, insurance market reforms, changes in Medicare’s physician payment system, and preservation of parity for mental health. (Source: Psychiatric Times)
Source: Psychiatric Times - October 7, 2009 Category: Psychiatry Source Type: info

Advice to DSM-V . . . Change Deadlines and Text, Keep Criteria StableEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There is no magic moment when it becomes clear the world needs a new DSM. The publication dates of previous DSMs were determined by revision dates of the International Classification of Diseases (ICD). Thus, DSM-I appeared with ICD-6 in 1952; DSM-II with ICD-8 in 1968; DSM-III with ICD-9 in 1980; and DSM-IV with ICD-10 in 1994. (Source: Psychiatric Times)
Source: Psychiatric Times - October 7, 2009 Category: Psychiatry Source Type: info

Twitter and YouTube: Unexpected Consequences of the Self-Esteem Movement?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To Americans over 30, YouTube, Facebook, MySpace and Twitter are buzzwords that lack much meaning. But to those born between 1982 and 2001—often referred to as “millennials” or “Generation Y”—they are a part of everyday life. For the uninitiated, these Web sites are used for social networking and communication. They are also places where individuals can post pictures and news about themselves and express their opinions on everything from music to movies to politics. Some sites, such as YouTube, allow individuals to post videos of themselves, often creating enough “buzz” to drive hundreds and even thousands ...
Source: Psychiatric Times - October 3, 2009 Category: Psychiatry Source Type: info

From War to Home: Psychiatric Emergencies of Returning VeteransEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Since the time of Homer, warriors have returned from battle with wounds both physical and psychological, and healers from priests to physicians have tried to relieve the pain of injured bodies and tormented minds.1 The soldier’s heartache of the American Civil War and the shell shock of World War I both describe the human toll of combat that since Vietnam has been clinically recognized as posttraumatic stress disorder (PTSD).2 The veterans of Operation Iraqi Freedom (OIF) and of Operation Enduring Freedom (OEF) share with their brothers and sisters in arms the high cost of war. As of August 2009, there have been 4333 con...
Source: Psychiatric Times - October 2, 2009 Category: Psychiatry Source Type: info

Functional MRI, Round 3: Six Items to Keep in MindEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This is the third and final installment in a series on biophysical mechanisms of functional magnetic resonance imaging (fMRI) technologies. My overarching goal has been to explain why great care must be exercised when interpreting data derived from these magnets. The inspiration for the series came as I was reading a magazine article while waiting for a plane to take off—my reaction to what I read may have resulted in a bit of trauma to the seat pocket in front of me. (Source: Psychiatric Times)
Source: Psychiatric Times - October 1, 2009 Category: Psychiatry Source Type: info

Pharmonitor FeedbackEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dr Stone’s Pharmonitor essay justly skewers drug promotion hubris disguised as a CME article. (Source: Psychiatric Times)
Source: Psychiatric Times - September 15, 2009 Category: Psychiatry Source Type: info

Understanding Addiction as Self Medication: Finding Hope Behind the PainEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Why do people get addicted? Of the countless books that have been published on this topic, this is the first that focuses on the self-medication hypothesis (SMH). Understanding Addiction as Self Medication is largely based on the experiences of the authors and other clinicians with individuals who struggle with addiction. (Source: Psychiatric Times)
Source: Psychiatric Times - September 10, 2009 Category: Psychiatry Source Type: info

Lamotrigine in Acute Bipolar Depression: Two Thumbs Up—or One?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I just read and enjoyed “Treatment-Resistant Bipolar Disorder”1 at www.PsychiatricTimes.com, and wanted to thank the author for pulling together a great deal of useful information in a succinct and lucid format. (Source: Psychiatric Times)
Source: Psychiatric Times - September 9, 2009 Category: Psychiatry Source Type: info

Primary Care Bonus Could Give Psychiatrists BoostEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The congressional drive to reform health care could result in a 5% Medicare bonus for psychiatrists because of a provision in a prospective bill that would also have an impact on private insurance payment. As the House and Senate struggle to turn concepts into legislative language, one thing Democrats and Republicans agree on is that primary care physicians should be better compensated, probably with money taken out of the pockets of some specialties. (Source: Psychiatric Times)
Source: Psychiatric Times - September 7, 2009 Category: Psychiatry Source Type: info

Why You Cannot Believe Your EyesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The validity of any study involves the sequential assessment of confounding bias, followed by chance, followed by causation.2 A study needs to pass these 3 hurdles before you can consider accepting its results. Once we accept that no fact or study result is accepted at face value (because no facts can be observed purely, but rather all are interpreted), we can then turn to statistics to see what kinds of methods need to be used to analyze the facts. These 3 steps are widely accepted and form the core of statistics and epidemiology. When clinicians understand these 3 concepts, they will know whether what they observe is val...
Source: Psychiatric Times - September 5, 2009 Category: Psychiatry Source Type: info

Electroconvulsive Therapy: A Guide for Professionals and Their PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This book is well-written and concise. It provides an overview of ECT that is evidence-based yet understandable by the average person. The author effectively uses clinical anecdotes to provide a “face” for the science. The book is organized in a user-friendly way. (Source: Psychiatric Times)
Source: Psychiatric Times - September 4, 2009 Category: Psychiatry Source Type: info

Risk Management for the Supervising PsychiatristEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The need for expert supervision of residents and other health professionals by psychiatrists is growing as a result of the increased demand for accountability by third parties and the expanded number of clinical specialists seeking supervision in psychiatry. The Accreditation Council for Graduate Medical Education has placed professional competency of graduating residents in the national spotlight, and insurers are increasingly scrutinizing patient care provided by trainees and oversight provided by their supervisors. (Source: Psychiatric Times)
Source: Psychiatric Times - September 3, 2009 Category: Psychiatry Source Type: info