Dec 15, 2003 Issue
Diagnosis and Management of Post-traumatic Stress Disorder [Article]

Although post-traumatic stress disorder (PTSD) is a debilitating anxiety disorder that may cause significant distress and increased use of health resources, the condition often goes undiagnosed. The lifetime prevalence of PTSD in the United States is 8 to 9 percent, and approximately 25 to 30 percen...

Nov 1, 2003 Issue
Approaching the Suicidal Patient [Article]

The suicide of a patient can be devastating to the family and to the family physician. The patient's death may shake the physician's confidence, undermine any willingness to work with patients with a mental illness, and provoke professional and legal review. In an attempt to help the family physicia...

Aug 1, 2003 Issue
Off-Label Applications for SSRIs [Article]

Selective serotonin reuptake inhibitors (SSRIs) are widely used because of their safety, tolerability, and demonstrated efficacy across a broad range of clinical conditions. Medical literature supports the use of SSRIs for the treatment of many conditions outside of the indications approved by the U...

May 1, 2003 Issue
Attention-Deficit/Hyperactivity Disorder [Clinical Evidence Handbook]

What are the effects of treatments?

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.

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