ITEMS IN AFP WITH KEYWORD:
Learn about the latest diagnostic criteria from the DSM 5, and how to choose between antipsychotic medications.
Oct 1, 2014 Issue
Psychological Therapies for Chronic Posttraumatic Stress Disorder [Cochrane for Clinicians]
Trauma-focused cognitive behavior therapy (CBT) and eye movement desensitization and reprocessing (EMDR) are more effective than other therapies in reducing PTSD symptom severity up to four months after treatment, but more robust studies are needed to evaluate the long-term effectiveness.
Posttraumatic stress disorder (PTSD) occurs in an estimated 8% of men and 20% of women who are exposed to traumatic events. PTSD is a trauma- and stress-related disorder associated with significant psychosocial morbidity, substance abuse, and other negative physical health outcomes. The hallmarks of...
Oct 15, 2013 Issue
Two Views on the DSM-5: The Need for Caution in Diagnosing and Treating Mental Disorders [Editorials: Controversies in Family Medicine]
Primary care physicians should not blindly follow DSM-5's lead toward looser psychiatric diagnoses and should exercise much greater caution in the prescription of psychotropic drugs.
Oct 15, 2013 Issue
Two Views on the New DSM-5: DSM-5: A Diagnostic Guide Relevant to Both Primary Care and Psychiatric Practice [Editorials: Controversies in Family Medicine]
We are optimistic that by having welcomed an extensive review process and taken active steps to make DSM-5 more applicable to all of medicine, we have generated an approach that signifies a much improved future for the diagnosis and classification of mental disorders.
Jul 15, 2013 Issue
Treating Patients with Borderline Personality Disorder in the Medical Office [Curbside Consultation]
The prevalence of borderline personality disorder in the general population is thought to be between 1% and 2%. As family physicians, we often treat these patients for chronic medical conditions. There are multiple obstacles to caring for these patients because of their difficult behaviors (e.g., an...
This patient’s behavior is concerning because of ongoing compulsive behavior despite significant repercussions in his home and work life. Sexual addiction has been described as a behavioral addiction (similar to gambling), a compulsive disorder (similar to obsessive-compulsive disorder), and an impulse control disorder.
Obsessive-compulsive disorder (OCD) is common in children, with a prevalence of approximately 1 to 2 percent in the United States, and causes significant disability. The American Academy of Child and Adolescent Psychiatry (AACAP) recently published updated recommendations on the assessment and treat...
The number of children and adolescents using social media Web sites (e.g., Facebook) has significantly increased in the past five years. Research has shown that social media improves communication, social interaction, and technical abilities. Physicians are in a position to talk to families about th...
Evaluation and treatment of a suicidal patient are challenging tasks for the physician. Because no validated predictive tools exist, clinical judgment guides the decision-making process. Although there is insufficient evidence to support routine screening, evidence shows that asking high-risk patien...