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Pharmacologic Treatment of Youth with Bipolar Disorder: Where to Next?

Topics: Bipolar Disorder | Child Psychiatry | Free Articles

Bipolar disorder presents unique pharmacologic challenges. Depending on the phase of illness a patient is in, the focus may be on acute manic or mixed episodes, acute depressive episodes, maintenance treatment (ie, prevention of recurrent episodes), and/or treatment of comorbidities, such as anxiety, ADHD, and substance abuse. Those treating children or

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How You Can Use Positive Psychology in Your Practice [Free Article]

Topics: Free Articles | Psychotherapy

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Eating Disorders as Addictions

Topics: Eating Disorders | Free Articles

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FDA-Approved Medications to Treat Addiction

Topics: Free Articles | Substance Abuse

For decades, the principal treatment for substance use disorders has been psychological therapies. Twelve-step facilitation therapy, modeled after Alcoholics Anonymous, and motivational enhancement therapy are currently the two most widely used. Although disulfiram (Antabuse) hit the U.S. market in 1951, addiction pharmacotherapy was underwhelming fo

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Alcoholics Anonymous: A Helpful Adjunct for Some Clients

Topics: Free Articles | Substance Abuse

Alcoholics Anonymous (AA), the biggest self-help group for alcoholics not only in the United States but in the world, was founded in 1935 by Bill Wilson. Wilson—known as Bill W in keeping with the AA tradition of Anonymity—was a successful stockbroker who was also an alcoholic. He sought treatment in a New York City hospital twice. The secon

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Video Game Addiction

Topics: Child Psychiatry | Cultural Competence | Free Articles

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Managing the Risk of Prescription Drug Abuse

Topics: Free Articles | Psychopharmacology Tips

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How Effective Are the Newest Antipsychotics?

Topics: Child Psychiatry | Free Articles | Personality Disorders

Four new antipsychotics are beginning to gain some traction in the adult market. To be absolutely clear, among these only paliperidone (Invega) has been approved for use in children and adolescents (those age 12 and older). None of the other medications have been tested in this age group. But for those of us who see transitional age youth to whom we pre

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EMDR in Children and Adolescents [Free Article]

Topics: Child Psychiatry | Free Articles | Psychotherapy

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The Psychotherapy of Bipolar Disorder and the Moment of Truth [Free Article]

Topics: Free Articles | Psychotherapy

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Post-Concussive Syndrome, Traumatic Brain Injury, and Disruptive Behavior Disorders [Free Article]

Topics: ADHD | Child Psychiatry | Free Articles

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Which Electronic Health Record Should You Buy? A Review of Three Products

Topics: Computers in Psychiatric Practice | Free Articles | Practice Tools and Tips

There are a lot of electronic health record (EHR—also called electronic medical record, or EMR) companies vying for your hard earned cash. How do you decide among them? For this article, we chose to review three EHRs: ICANotes, Valant, and Practice Fusion. Why these three? ICANotes and Valant are currently the only EHRs that fulfill the following t

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Psychotherapy for Pediatric PTSD

Topics: Antidepressants | Anxiety Disorder | Free Articles | Psychotherapy | PTSD

Karina’s foster mom brought her to my office last year for irritability and “mood swings.” A soft-spoken fourteen year old, Karina (and her nine year old brother) had been with the family for three months, and her foster family reported that “little things” set her off into explosive anger. Sometimes she seemed tense or didn’t want to go out

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Treating Anxiety in Alcoholics

Topics: Free Articles | Substance Abuse

Alcoholism and anxiety go hand in hand. The extent of this comorbidity is clear from the numbers: as many as 45% of patients with alcohol disorders meet diagnostic criteria for a co-occurring anxiety disorder. And alcoholic patients with a comorbid anxiety disorder—particularly panic disorder or social phobia—are three to seven times more likely to

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Update on Medications for PTSD

Topics: Anxiety Disorder | Benzodiazepines | Free Articles | PTSD

While psychotherapy remains the gold standard for treatment of post traumatic stress disorder (see for example, Foa EB et al, Effective Treatments for PTSD: Practice Guidelines from the International Society for Traumatic Stress Studies. New York: Guilford Press; 2008), medications are often used to alleviate the symptoms of the illness. Since we last v

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Latuda: “Procognitive” or Pro-Profit?

Topics: Antipsychotics | Free Articles

Lurasidone (Latuda) was approved by the FDA for schizophrenia in October 2010 and is the 10th atypical antipsychotic in our toolbox, believe it or not! Just to refresh your memory, the order of introduction of atypicals was: clozapine (Clozaril), risperidone (Risperdal), olanzapine (Zyprexa), quietiapine (Seroquel), ziprasidone (Geodon), aripiprazole (A

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Side Effect Management

Topics: Antidepressants | Free Articles

Let’s face it, dealing with side effects is not high on the list of “things we like most about psychiatry.” In this issue’s interview, Mark Zimmerman describes a study showing just how unenthusiastic we tend to be in ferreting out our patients’ side effects. The bottom line of his study was that patients on antidepressants reported 20 times mo

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Four “New” Antidepressants. Or Are They?

Topics: Antidepressants | Free Articles

What’s new in antidepressant treatment? Not much. Some existing antidepressants have received new FDA indications. For example, duloxetine (Cymbalta) was approved for generalized anxiety disorder in 2009 and for chronic musculoskeletal pain in 2010. Also in 2009, quetiapine extended release (Seroquel XR) was approved as an adjunctive treatment for maj

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The DSM-5: A Guide to Coming Changes

Topics: DSM | Free Articles

Sometime in 2013, we’ll presumably be forced to shell out a hundred bucks or so for the fifth edition of DSM. While we do not have the space to review every potential change here, we will cover those of most clinical importance. If you want to see all of the proposed changes, visit www.dsm5.org, which was our source for much of the information in this

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Stimulants in the Treatment of ADHD

Topics: ADHD | Child Psychiatry | Free Articles

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