May 1, 2010 Issue
Practical Considerations for Determining Patient Capacity and Consent [Curbside Consultation]

The core issue is whether the patient possesses decisional capacity and can provide informed consent.

Mar 1, 2010 Issue
Use of Atypical Antipsychotics in Children: Balancing Safety and Effectiveness [Editorials]

Mar 1, 2010 Issue
Adverse Effects of Antipsychotic Medications [Article]

The use of antipsychotic medications entails a difficult trade-off between the benefit of alleviating psychotic symptoms and the risk of troubling, sometimes life-shortening adverse effects. There is more variability among specific antipsychotic medications than there is between the first- and secon...

Jan 15, 2010 Issue
Recognizing Mental Illness in Culture-bound Syndromes [Curbside Consultation]

Somatic symptoms often replace emotional complaints in foreign-born students from cultures where mental illness is stigmatized.

Oct 15, 2009 Issue
Mental Status Examination in Primary Care: A Review [Article]

The mental status examination is an essential tool that aids physicians in making psychiatric diagnoses. Familiarity with the components of the examination can help physicians evaluate for and differentiate psychiatric disorders. The mental status examination includes historic report from the patien...

Aug 1, 2009 Issue
Obsessive Compulsive Disorder: Diagnosis and Management [Article]

Obsessive-compulsive disorder is an illness that can cause marked distress and disability. It often goes unrecognized and is undertreated. Primary care physicians should be familiar with the various ways obsessive-compulsive disorder can present and should be able to recognize clues to the presence ...

Aug 1, 2008 Issue
Primary Care Issues in Patients with Mental Illness [Article]

Family physicians commonly care for patients with serious mental illness. Patients with psychotic and bipolar disorders have more comorbid medical conditions and higher mortality rates than patients without serious mental illness. Many medications prescribed for serious mental illness have significa...

Jul 15, 2008 Issue
The Mirror Lies: Body Dysmorphic Disorder [Article]

Body dysmorphic disorder is an increasingly recognized somatoform disorder, clinically distinct from obsessive-compulsive disorder, eating disorders, and depression. Patients with body dysmorphic disorder are preoccupied with an imagined deficit in the appearance of one or more body parts, causing c...

Jul 1, 2008 Issue
APA Releases Guidelines on Treating Obsessive-Compulsive Disorder [Practice Guidelines]

In 2007, the American Psychiatric Association (APA) published treatment recommendations for obsessive-compulsive disorder (OCD). Management of OCD can involve many therapeutic actions depending on the needs, capacities, and desires of the patient.

May 1, 2008 Issue
Are SSRIs Effective for Treating OCD? [Cochrane for Clinicians]

SSRIs are effective for the treatment of OCD. If it is assumed that 10 percent of persons with OCD will recover without treatment, then 12 persons with OCD need to be treated for one additional person to have a response within six to 13 weeks. If it is assumed that 20 percent of persons with OCD wil...

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