Impaired self-assessment in schizophrenia: Why patients misjudge their cognition and functioning
Observations from caregivers and clinicians seem to have the most validity More
Substance use disorders in adolescents with psychiatric comorbidity: When to screen and how to treat
Consider pharmacotherapy, psychotherapy when treating substance use disorders More
Telepsychiatry: Ready to consider a different kind of practice?
Practitioners, patients, and payers are racing to keep up with a rapidly evolving tool More
Clearing up confusion
Establish the cause, employ a multifactorial approach More
Official journal of the American Academy of Clinical Psychiatrists—an international forum
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Evidence-Based Reviews

Philip D. Harvey, PhD, and Amy Pinkham, PhD
Observations from caregivers and clinicians seem to have the most validity... More »

Evidence-Based Reviews

Amy M. Yule, MD, and Timothy E. Wilens, MD
Consider pharmacotherapy, psychotherapy when treating substance use disorders... More »

Evidence-Based Reviews

Y. Pritham Raj, MD
Establish the cause, employ a multifactorial approach... More »
Amy M. Yule, MD
Amy M. Yule, MD, discusses how to assess and treat psychiatric comorbidity in adolescents.... More »
Mark Gold, MD
Mark S. Gold, MD, explains why patients who detox from one substance might begin abusing another, such as sugar.... More »

Savvy Psychopharmacology

Wende Wood, RPh, BA, BSP, BCPP
Ms. K, age 35, soon will deliver her sec­ond child. She has a 12-year history of bipolar disorder, which was well controlled with lithium, 1,200 mg/d. During her first pregnancy 3 years ago, Ms. K stopped tak­ing lithium because she was concerned a... More »

Cases that Test Your Skills

Alyson Kepple, MD, Priya Gopalan, MD, and Pierre N. Azzam, MD
Mr. M, age 76, has had a complicated hospital stay after a fall. He reports feeling depressed and ‘tired’ and wants all life-sustaining therapies withdrawn. How would you approach his request?... More »

From the Editor

Henry A. Nasrallah, MD
Few things are more aggravating than having to secure preauthorization from an insurance company to hospitalize an acutely ill patient or to prescribe a medication that is not on the insurer’s restrictive formulary.... More »

Residents’ Voices

Vladislav Afanasevich, MD
I cannot recall the last time that I had a good look at the cashier who was scan­ning my grocery purchases. I could not tell you what color eyes he (or she?) had or how he styled his hair. This isn’t for lack of an effort to recall, or a mani­fes... More »


Charles C. Coleman, MD
Treating a family in crisis because of a difficult-to-manage family member with autism spectrum disorder (ASD) can be overwhelming. The family often is desperate and exhausted and, therefore, can be overly needy, demanding, and dis­organized. Psychi... More »


Tanuja Gandhi, MD, and Kimberly Best, MD
Patients often tell clinicians that they used their “left-over” medica­tions from previous refills, or that a family member shared medication with them. Other patients, who are non-adherent or have had a recent medication change, might reveal th... More »


Asaf Cidon, PhD
Physicians hardly need the Health Insurance Portability and Accountability Act (HIPAA) to remind them how important it is to safe­guard their patients’ records. Physicians understand that patient information is sen­sitive and it would be disastro... More »


Bipolar disorder is characterized by the cyclical occurrence of elevated (manic or hypomanic) and depressed mood states. The illness, which includes the bipolar I and bipolar II subtypes, exacts a heavy toll in terms of quality of life... More »