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It’s time to implement measurement-based care in psychiatric practice
In an editorial published in Current Psychiatry 10 years ago, I cited a stunning fact based on a readers’ survey: 98% of psychiatrists did not use...
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Your patient’s brain is different at every visit
Unlike other organs in the human body, the brain is constantly changing. The main driver for this ongoing re-engineering across various neural...
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Pimavanserin: A potentially safer alternative to clozapine for refractory hallucinations and delusions
Our clinical team made a serendipitous discovery about the efficacy of pimavanserin in patients with schizophrenia who failed...
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Psychiatry and neurology: Sister neuroscience specialties with different approaches to the brain
Every patient with a brain or mind disorder should receive both neurologic and psychiatric evaluation and treatment.
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Psychiatry’s social impact: Pervasive and multifaceted
Psychiatry has an enormous swath of effects on the social structure of society, perhaps more than any other medical specialty. Its ramifications...
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Seasonality of birth and psychiatric illness
Some seasonal environmental factors might increase the risk for disorders of the brain, body, and mind.
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The daunting challenge of schizophrenia: Hundreds of biotypes and dozens of theories
The heterogeneity of this complex brain syndrome represents a formidable challenge.
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Psychopharmacology 3.0
I remain excited about the prospects of astounding psychopharmacologic advances to treat the disorders of the mind.
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Neuropolitics in the age of extremism: Brain regions involved in hatred
While we can manage the microcosm of a patient’s mental state, we are unable to intervene in the macrocosm of an entire society ravaged by extreme...
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It takes guts to be mentally ill: Microbiota and psychopathology
What is the largest endocrine organ in the human body?
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FAST and RAPID: Acronyms to prevent brain damage in stroke and psychosis
Psychosis and stroke are arguably the most serious acute threats to the integrity of the brain, and consequently the mind. Both are unquestionably...
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Xenomelia: Profile of a man with intense desire to amputate a healthy limb
This case report helps shed more light on this debilitating, often secretive condition.
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Complementary treatments for anxiety: Beyond pharmacotherapy and psychotherapy
Evidence from select RCTs suggests some benefits when used as adjunctive therapies.
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Psychiatry’s ‘C’ words
Recently, contemporary “culture” has capriciously confounded and...
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Is anatomy destiny? Not according to GxE!
The long-held dogma that “anatomy is destiny” is fraying at the edges. The traditional nature vs nurture debate has also undergone a major...