Jan 15, 2003 Issue
Chronic Illness and Sexual Functioning [Article]

Chronic illness and its treatments can have a negative impact on sexual functioning. The mechanism of interference may be neurologic, vascular, endocrinologic, musculoskeletal, or psychologic. Patients may mistakenly perceive a medical prohibition to the resumption of sexual activity, or they may ne...

Nov 15, 2002 Issue
When the Side Effect Is Really the Symptom [Curbside Consultation]

To improve compliance with medication regimens, the following recommendations, based on recent developments in the treatment of schizophrenia, may be useful.

Dec 15, 2001 Issue
Neurotic Excoriations [Article]

Neurotic excoriations are self-inflicted skin lesions produced by repetitive scratching. Because there is no known physical problem of the skin, this is a physical manifestation of an emotional problem. The classic lesions are characterized by clean, linear erosions, scabs and scars that can be hypo...

Dec 1, 2001 Issue
Psychodermatology: The Mind and Skin Connection [Article]

A psychodermatologic disorder is a condition that involves an interaction between the mind and the skin. Psychodermatologic disorders fall into three categories: psychophysiologic disorders, primary psychiatric disorders and secondary psychiatric disorders. Psychophysiologic disorders (e.g., psorias...

Sep 1, 2001 Issue
A Potentially Suicidal Patient [Curbside Consultation]

On rare occasions, it falls to the family physician to assess a patient's suicidality.

Dec 15, 2000 Issue
ACOG Addresses Psychosocial Screening in Pregnant Women [Practice Guidelines]

The American College of Obstetricians and Gynecologists (ACOG) has developed an educational bulletin on perinatal screening and intervention for psychosocial risk factors.

Sep 1, 2000 Issue
Primary Care Treatment of Post-traumatic Stress Disorder [Article]

Post-traumatic stress disorder, a psychiatric disorder, arises following exposure to perceived life-threatening trauma. Its symptoms can mimic those of anxiety or depressive disorders, but with appropriate screening, the diagnosis is easily made. Current treatment strategies combine patient educatio...

Jul 1, 2000 Issue
Health Issues in Men: Part II. Common Psychosocial Disorders [Article]

During screening examinations and, when appropriate, other health-related visits, family physicians should be alert for signs and symptoms of common psychosocial disorders in men. Health issues of concern include alcohol and substance abuse, domestic violence, midlife crisis and depression. Alcohol ...

Jun 15, 2000 Issue
Surgeon General Releases Mental Health Report [Practice Guidelines]

A mental health report released by the surgeon general takes a lifespan approach to its consideration of mental health and mental illness by discussing in detail the periods of childhood, adolescence, adulthood and later life.

Mar 15, 2000 Issue
Acute and Post-traumatic Stress Disorder After Spontaneous Abortion [Article]

When a spontaneous abortion is followed by complicated bereavement, the primary care physician may not consider the diagnosis of acute stress disorder or post-traumatic stress disorder. The major difference between these two conditions is that, in acute stress disorder, symptoms such as dissociation...

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