Dear Dr. Aiken: The January 2019 issue mentioned cognitive behavioral therapy for insomnia (CBT-i) as a good alternative to sleep meds. It’s hard to find a therapist trained in CBT-i in my area. Are there any evidence-based self-help options that I can recommend to my patients?

Dialectical behavior therapy (DBT) is well-known for treating borderline personality disorder (BPD) and individuals at high risk for suicide. Two studies have shown that DBT has really good outcomes in terms of reducing substance use. In this interview, Dr. Linehan shares her knowledge of DBT as a treatment method for addiction.

At its most basic, motivational interviewing is a conversation in which you are trying to help someone deal with ambivalence that prevents them from acting on a problematic behavior. At a more complex level, it has to do with things like paying attention to how the patient talks and what kind of language they’re using. In this interview, Dr. Rosengren discusses the language and process of motivational interviewing.

The diagnosis of conduct disorder started with patients who were generally labeled as “bad kids”—juvenile delinquents, so to speak—and then professionals came to the realization that these kids are not necessarily “bad” but that there may be some kind of psychiatric pathology underlying their actions. In this interview, Akeem Marsh, MD, presents his perspective as a psychiatrist providing diagnostic evaluations, medication management, individual therapy, and treatment planning in a juvenile detention setting in New York City.

Previous studies have shown that children who are bullied or who bully others are at higher-than-normal risk to have psychiatric disorders as adults. It’s tempting to blame the bullying—but it’s possible that the development of adult problems was driven not by bullying, but rather by preexisting psychiatric disorders in childhood.

You may or may not consider smoking cessation to be part of your job description. But tobacco use disorder is a psychiatric syndrome, per DSM-5.

Dr. Eissenberg discusses e-cigarettes, including an overview of the product, ways they are used and misused, and how they fit into the landscape of smoking cessation methods.