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Opinion | A Physician Guide to Supporting Sexual Assault Survivors

Lee is a psychiatry resident. A decade ago, I believed it utterly unthinkable that anyone could advocate for rape or incest survivors carrying an unwanted pregnancy to term. I was wrong. I’ve witnessed this extremism firsthand while walking by my local Planned Parenthood, the site of a mural that I wanted to see in person. […]

Opinion | Emotional Intelligence Must Guide Artificial Intelligence

Lazarus is an adjunct professor of psychiatry and a regular commentator on the practice of medicine. I don’t understand the brouhaha about artificial intelligence (AI). It’s artificial — or augmented — but in either case, it’s not real. AI cannot replace clinicians. AI cannot practice clinical medicine or serve as a substitute for clinical decision-making, […]

Opinion | To Report or Not to Report Suspicions of Medical Child Abuse?

Hatters Friedman and Landess are forensic psychiatry experts. The so-called “Take Care of Maya” trial ended last month with a $261 million verdict for compensatory and punitive damages for the Kowalski family. The jury found Johns Hopkins All Children’s Hospital of Florida liable for multiple claims, including the wrongful death of Beata Kowalski by suicide, […]

Opinion | Avoiding Male Doctors Is Not Discrimination. It May Be Risk Aversion.

Lee is a psychiatry resident. “Whenever a woman speaks up, someone will tell her to be quiet,” a therapist working at our local domestic violence center said to me last week. “I’ve had people tell me that my job is based on man-hating.” Somehow, I am wholly unsurprised by this comment. Dismayed, yes; surprised, absolutely […]

Opinion | Emergency Doctors Are Ill Prepared to Handle Psychiatric Emergencies

More than four decades ago, an article appeared in the American Journal of Psychiatry defining the subspecialty of emergency psychiatry (EP). Since those early days, despite some research and consolidation into a new association complementing emergency medicine (EM), the impact on meaningful access to, integration with, and quality of care for psychiatric emergencies has been […]

Micronutrients (vitamins + minerals) show benefit for children with ADHD and emotional dysregulation: Evidence from a randomized clinical trial shows broad-spectrum micronutrient supplementation with all known vitamins and essential minerals resulted in global improvement of attention and mood based on blinded clinician ratings

A study in the Journal of the American Academy of Child and Adolescent Psychiatry (JAACAP), published by Elsevier, reports that children with ADHD and emotional regulation randomized to take a micronutrient formula were three times more likely to show symptomatic improvement on blinded clinician ratings, compared to those in the placebo group (54% versus 18%). […]

Munchausen Syndrome & by Proxy: Definition, Causes & Facts

Medically reviewed by Ashraf Ali, MD; Board Certification in Psychiatry and Adolescent & Child Psychiatry REFERENCES: American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Arlington, Virginia: American Psychiatric Association, 2013. Bhargava D, Al Okbi MH, Al-Abri R, et al. Phenomenology and outcome of factitious disorders in otolaryngology clinic in Oman. The […]

Marijuana (Cannabis) Effects on Brain and Body, Treatment & Symptoms

Medically reviewed by Marina Katz, MD; American Board of Psychiatry & Neurology REFERENCES: American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-Treatment Revision. 2001. American Psychiatric Association. Practice guideline for the treatment of patients with substance use disorders, second edition. In, American Psychiatric Association Practice Guidelines: Treatment […]

Wraparound care coordination associated with many positive outcomes amongst youth with serious and complex behavioral health needs

A study in the Journal of the American Academy of Child and Adolescent Psychiatry (JAACAP), published by Elsevier, finds that Wraparound Care Coordination (Wraparound), which has been adopted in states and jurisdictions across the country to help meet the needs of children and adolescents with serious emotional and behavioral disorders, produces more positive outcomes for […]

Bulimia Nervosa Definition, Long-Term Effects & Recovery

Medically reviewed by Ashraf Ali, MD; Board Certification in Psychiatry and Adolescent & Child Psychiatry REFERENCES: American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Washington, D.C.: American Psychiatric Association, 2013. Bailey, A.P., A.G. Parker, L.A. Colautti, L.M. Hart, P. Liu, and S.E. Hetrick. “Mapping the evidence for the prevention and […]

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