Reviews
Pearls
Treating major depressive disorder after limited response to an initial agent
S elective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are commonly used first-line agents for...
Evidence-Based Reviews
Nontraditional therapies for treatment-resistant depression
FIRST OF 2 PARTS
Some off-label agents show promise, but carry risks.
Evidence-Based Reviews
Confidentiality and privilege: What you don’t know can hurt you
Understand the exception in divorce and child custody cases and inform patients accordingly.
Evidence-Based Reviews
Psychological/neuropsychological testing: When to refer for reexamination
Understanding when retesting is most useful can help clarify diagnosis and treatment.
Pearls
Conspiracy theory or delusion? 3 questions to tell them apart
Many psychiatrists conceptualize mental illnesses, including psychotic disorders, across a continuum where their borders can be ambiguous.
Pearls
Workplace violence: Enhance your safety in outpatient settings
In the health care setting, workplace violence directed by patients against clinicians or other staff (eg, verbal or physical assaults) is common...
Pearls
Writing letters for transgender patients undergoing medical transition
Transgender and nonconforming people are estimated to make up 0.3% to 1.4% of the population, and these estimates are likely undercounts.
Pearls
Building a better work/life balance
Physician burnout is a common and serious problem. In a 2017 survey of >14,000 US physicians across 27 specialties, 42% reported burnout,1...
Evidence-Based Reviews
Becoming vaccine ambassadors: A new role for psychiatrists
What to do to help patients overcome barriers to vaccination.
Evidence-Based Reviews
Managing ‘difficult’ patient encounters
Recognize and address the 3 types of contributing factors: The patient, the physician, and the system.
Evidence-Based Reviews
Minor-attracted persons: A neglected population
Such individuals who develop psychiatric symptoms deserve nonjudgmental treatment.