How Not To Be A Difficult Patient
A poster at the APA meeting, "The Difficult Patient in Psychiatric Practice," surveyed psychiatrists about which patients they considered "difficult" and why.
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Biomarker Envy I: Cortical Thickness
Have we really found "an exciting new way to identify more objective markers of psychiatric illness in children?"
Community Psychiatry and its Unintended Consequences
What impact can psychiatry have on the health of a community?
Psychopharmacology and the Educated Guess
The use of anecdotal evidence in psychopharmacology is common place, but why, and is this acceptable?
Mental Illness and Social Realities
Sometimes a person's environment can elicit reactions and behaviors that might appear, even to a trained observer, as mental illness.
What Can Cymbalta Teach Us About Pain?
Cymbalta was approved in August 2010 to treat chronic musculoskeletal pain, but does it work?
The Painful Truth of Antidepressants
Scientists at Rockefeller University proclaim that SSRIs may lose their efficacy when given with NSAIDs.
Curbing Prescription Addiction
Ten years ago, physicians were told they weren't treating pain often enough. Has the pendulum swung too far in the other direction?
Nuedexta: "Pipeline in a Pill" or Pipe Dream?
Why do we need a new drug for pseudobulbar affect, and why has there been such a large advertising push for such a niche market?
Obesity-Related Anxiety: A Me-Too Disease?
Does obesity-related anxiety deserve the DSM seal of approval, and should that even matter?
Antidepressants and "Stress" Revisited
A recent article in Molecular Psychiatry adds a wrinkle to the stress hormone--depression story.
Silenor II: The Human Laboratory
Research models, and the research that is done to support those models, often have very little predictive value to the real world.
Horizant: The Second Coming of Gabapentin
Apparently, some drugs are destined to be reborn as newly designed and re-packaged drugs for brand new indications.
EMRs and Zombie Psychiatry
Are EMRs yet another example of an external influence that is changing psychiatry for the worse?
The Power of No
Why exactly does inaccessibility lead to craving?
The FDA Should Really Look into this Drug
What's the one drug used by many psychiatric patients that may actually be worsening their symptoms?
Here's A Disease. Do You Have It?
When does raising awareness become disease mongering?
Stress, Illness, and Biological Determinism
Reflections on two articles that cover stress and its relationship to human disease, both psychological and physical.
The Dangerous Duality of "Dual Diagnosis"
No two conditions in medicine ever exist truly independently of each other, particularly in psychiatry.
Thank You, Somaxon Pharmaceuticals!
Somaxon's R&D and marketing departments have successfully re-introduced doctors to a cheap, old medication for a very common clinical complaint.
The Perils of Checklist Psychiatry
It's no secret that doctors in all specialties spend less and less time with patients these days.
Off-label Meds: Caveat Prescriptor
Drug companies are businesses, and as with everything else in our consumerist society, the buyer (in this case the doctor) must beware.
Are Your Thoughts Still Racing, Jiefang?
Clinical trials that use patients that don't resemble our target patients are not just unreal, but deceptive and potentially dangerous.
Dr. Quickfix, Redux
Patients should not settle for 10 minutes with a psychiatrist and a hastily written script.
Getting Inside the Patient's Mind
What does it actually mean to treat people as opposed to diseases or symptoms?
GHB and Alcoholism: I'll (Not) Drink To That
A new contender has emerged in the pharmaceutical-based battle against alcoholism.
The Mythology of "Treatment-resistant" Depression
What makes treatment-resistant depression such an unsettling clinical term?
To Treat Depression, Just Give 'Em what They Want
How do you determine what's the best course of action for a psychiatric patient?
What Psychiatrists Treat and Why
Do we treat diseases or symptoms in psychiatry?
How Lithium Works (Maybe)
Lithium is a widely used drug because it works. Period. But how?