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...

Jul 1, 2012 Issue
Evaluating and Treating Sexual Addiction [Curbside Consultation]

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.

Jun 1, 2012 Issue
AACAP Updates Recommendations on Diagnosis and Treatment of Obsessive-Compulsive Disorder in Children [Practice Guidelines]

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...

Apr 1, 2012 Issue
AAP Releases Clinical Report on the Impact of Social Media on Children, Adolescents, and Families [Practice Guidelines]

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...

Mar 15, 2012 Issue
Evaluation and Treatment of the Suicidal Patient [Article]

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...

Dec 1, 2011 Issue
Personality Disorders: Review and Clinical Application in Daily Practice [Article]

Personality disorders have been documented in approximately 9 percent of the general U.S. population. Psychotherapy, pharmacotherapy, and brief interventions designed for use by family physicians can improve the health of patients with these disorders. Personality disorders are classified into clust...

Feb 1, 2011 Issue
Clozapine vs. Other Atypical Antipsychotics for Schizophrenia [Cochrane for Clinicians]

Although further trials are needed, there is some evidence that clozapine is slightly more effective than risperidone (Risperdal). Fewer participants taking clozapine dropped out of studies because of lack of effectiveness compared with those taking risperidone (number needed to treat = 11; 95% conf...

Sep 1, 2010 Issue
Neuropsychological Evaluation in Primary Care [Article]

Referring a patient to a neuropsychologist for evaluation provides a level of rigorous assessment of brain function that often cannot be obtained in other ways. The neuropsychologist integrates information from the patient’s medical history, laboratory tests, and imaging studies; an in-depth intervi...

Aug 15, 2010 Issue
Schizophrenia (Maintenance Treatment) [Clinical Evidence Handbook]

What are the effects of treatments to reduce relapse rates in persons with schizophrenia? What are the effects of interventions in persons with schizophrenia who are resistant to standard antipsychotics? What are the effects of interventions to improve adherence to medication?

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