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...

Mar 1, 2000 Issue
Somatizing Patients: Part II. Practical Management [Article]

Somatization is the experiencing of physical symptoms in response to emotional distress. It is a common and costly disorder that is frustrating to patients and physicians. Successful treatment of somatization requires giving an acceptable explanation of the symptoms to the patient, avoiding unwarran...

Feb 15, 2000 Issue
Somatizing Patients: Part I. Practical Diagnosis [Article]

The phenomenon of somatization, which results in unexplained physical complaints, is ubiquitous in primary care settings although it often goes unrecognized. Medical training emphasizes the identification and treatment of organic problems and may leave physicians unprepared to recognize and address ...

Feb 1, 2000 Issue
Pathologic Gambling [Article]

Pathologic gambling and problem gambling affect approximately 5 to 15 million Americans and are common in young people. The community-minded family physician is in a good position to identify and assist patients who have gambling-related problems and thereby prevent or treat the resultant personal, ...

Oct 15, 1999 Issue
In Pursuit of Perfection: A Primary Care Physician's Guide to Body Dysmorphic Disorder [Article]

Body dysmorphic disorder is an under-recognized chronic problem that is defined as an excessive preoccupation with an imagined or a minor defect of a localized facial feature or body part, resulting in decreased social, academic and occupational functioning. Patients who have body dysmorphic disorde...

Aug 01, 1999 Issue
Post-traumatic Stress Reactions Following Motor Vehicle Accidents [Article]

Despite improvements in road conditions, vehicle safety and driver education, over 3 million persons are injured in motor vehicle accidents each year. Many of these persons develop post-traumatic stress symptoms that can become chronic. Patients with post-traumatic stress disorder experience disabli...

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