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...

Jun 1, 1999 Issue
Managing Somatic Preoccupation [Article]

Somatically preoccupied patients are a heterogeneous group of persons who have no genuine physical disorder but manifest psychologic conflicts in a somatic fashion; who have a notable psychologic overlay that accompanies or complicates a genuine physical disorder; or who have psychophysiologic sympt...

Apr 15, 1999 Issue
Recognition and Management of Tourette's Syndrome and Tic Disorders [Article]

Tic disorders and Tourette's syndrome are conditions that primary care physicians are likely to encounter. Up to 20 percent of children have at least a transient tic disorder at some point. Once believed to be rare, Tourette's syndrome is now known to be a more common disorder that represents the mo...

Mar 15, 1999 Issue
Evaluation and Treatment of Patients with Suicidal Ideation [Article]

Suicidal ideation is more common than completed suicide. Most persons who commit suicide have a psychiatric disorder at the time of death. Because many patients with psychiatric disorders are seen by family physicians and other primary care practitioners rather than by psychiatrists, it is important...

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