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The woman who couldn’t stop eating
Ms. C, age 33, eats uncontrollably up to 10 times a day. She’s gained >50 lb and has poor self-esteem and low energy and motivation. She wants...
Article
Effects of psychotropic medications on thyroid function
Ms. L, age 53, presents to an inpatient psychiatric unit with depression, difficulty concentrating, fatigue, cognitive blunting, loss of appetite...
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Prescribing medications in an emergency situation? Document your rationale
Emergent medication use is indicated in numerous clinical scenarios, including psychotic agitation, physical aggression, or withdrawal from...
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Dealing with deception: How to manage patients who are ‘faking it’
Caring for patients who fabricate or exaggerate psychiatric symptoms for primary or secondary gain is a challenging proposition.
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Anathemas of psychiatric practice
The quarterly report of the State Medical Board can be a sobering read.
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Should psychiatrists prescribe nonpsychotropic medications?
In certain scenarios, prescribing a nonpsychotropic medication is the logical choice.
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A reflection on Ghana’s mental health system
In recent years, the delivery of mental health services in Ghana has expanded substantially, especially since the passing of the Mental Health Act...
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Recognizing and treating ketamine abuse
Many patients use illicit ketamine, either for recreational purposes or as self-treatment to control depressive symptoms.
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Neuropsychological testing: A useful but underutilized resource
How to work with a neuropsychologist to fine-tune your diagnosis and treatment.
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Bipolar disorder or borderline personality disorder?
Understanding the clinical, psychopathological, and sociodemographic correlates is critical.