Gambling disorder is much more prevalent than many providers realize, and it is a condition that is rarely screened for, let alone treated, by mental health professionals. Here, Dr. Fong reviews the topic, walks us through how to take a good gambling history, make a diagnosis, and how to provide the best treatment.

Dr. Ponce Martinez highlights the need to identify and manage alcohol withdrawal in psychiatric settings, underscoring the use of the CIWA-Ar scale for monitoring symptom progression. While benzodiazepines remain the primary treatment, she reviews alternative treatment strategies and tells us which patients are so high risk that they must be transferred to a medical unit for care.

Substance-induced psychosis (SIP) presents diagnostic challenges in distinguishing it from primary psychotic disorders, with substance timing, symptom type, and duration being key differentiators. Effective treatment combines antipsychotic medications and substance cessation strategies. Dr. Athanasiou reviews key points in the management of SIP.

Vortioxetine has to be reasonably tolerated in children and teens, with manageable side effects, to have any chance of inclusion into treatment for anxiety or depression. This research update gives you the latest on whether vortioxetine might be a viable approach even before we have good efficacy studies. 

You probably studied genetic conditions during your training, however, it is easy to miss some of these kids and teens in your clinical practice. Our interview with Dr. Marilyn Jones will help you learn what the more common conditions are, how spot them, and what to do next. 

What do you look for to diagnose Fetal Alcohol Spectrum Disorder (FASD)? Read this interview with Dr. Ira Chasnoff to understand the broad impact of FASD and what to look for in the patient’s history (hint: you usually won’t see facial stigmata).

From our evidence base to continuing medical education, Dr. David Healy reveals the vast influence of pharmaceutical marketing and offers tips on how to minimize bias.