May 1, 2005 Issue
Is Pharmacotherapy Useful in Social Phobia? [Cochrane for Clinicians]

In adults, medications may improve the symptoms of social phobia in the short term, but their usefulness may be overstated because of publication bias. Selective serotonin reuptake inhibitors (SSRIs) have the strongest evidence of efficacy and the most favorable side-effect profile.

Dec 1, 2004 Issue
Screening for Suicide Risk [Putting Prevention into Practice]

Case study: SJ is a 17-year-old boy brought in by his mother for a pre-college physical. His mother pulls you aside and shares a story from the local newspaper about a college freshman who committed suicide after the first week of school. She is anxious because of SJ’s history of “cutting himself” after her divorce years ago.

Dec 1, 2004 Issue
Screening for Suicide Risk: Recommendation and Rationale [U.S. Preventive Services Task Force]

This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendations on screening for suicide risk and the supporting scientific evidence, and it updates the 1996 recommendations contained in the Guide to Clinical Preventive Services, 2d ed.

Dec 1, 2004 Issue
Obsessive-Compulsive Disorder [Clinical Evidence Handbook]

What are the effects of initial treatments in adults? What are the best forms of maintenance treatment in adults? What are the effects of treatments in adults who have not responded to initial treatment with serotonin reuptake inhibitors?

Oct 15, 2004 Issue
Assessment and Management of Personality Disorders [Article]

Patients with personality disorders are common in primary care settings; caring for them can be difficult and frustrating. The characteristics of these patients' personalities tend to elicit strong feelings in physicians, lead to the development of problematic physician-patient relationships, and co...

Oct 15, 2004 Issue
School-Based Mental Health Services [Practice Guidelines]

Oct 1, 2004 Issue
Drug Treatments for Patients with Dysthymia [Cochrane for Clinicians]

All antidepressants studied have similar efficacy in the treatment of patients with dysthymia. Side effect profiles vary. The largest comparisons support the use of tricyclic antidepressants and selective serotonin reuptake inhibitors (SSRIs).

May 15, 2004 Issue
Routine Screening for Depression, Alcohol Problems, and Domestic Violence [Point-of-Care Guides]

During routine office visits, primary care physicians are expected to efficiently and effectively screen their patients for common, important conditions. Routine screening for depression is recommended by the U.S. Preventive Services Task Force (USPSTF) as long as systems are in place to ensure accu...

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...

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