Cannabinoids in Medicine: Limitless Hope or Hype?

What is the role of cannabinoids as an intoxicant and in medical applications today? This was the question addressed by Dieter Braus, MD, psychiatrist and neurologist at Vitos Clinic Rheingau in Eltville, Germany, at the DGIM Congress 2022. Dampening the Dopamine System Regardless of the type of substance-dependent addiction — whether alcohol, opiates, nicotine, or … Read more

What You Need to Know

Eating disorders are among the most prevalent, disabling, and potentially fatal psychiatric illnesses, and the COVID-19 pandemic has exacerbated their burden, with a 15.3% increase in incidence in 2020 compared with previous years.1 This increase was almost difficult among adolescent girls with anorexia nervosa (AN), which is often insidious in onset and more difficult to … Read more

the History and Future of Psychosurgery

In the early 20th century, there were a few psychiatrists ― perhaps intrepid, perhaps deluded ― who, despite no formal surgical training, were impelled to breach their patients’ skulls. Inspired by the surgical innovations of the day, they were curious about the physical nature of the psyche and whether invasive surgical procedures might be a … Read more

Brief Intervention Effective, Durable for Schizophrenia

Metacognitive training (MCT) is effective in reducing positive and negative symptoms of schizophrenia, new research suggests. MCT for psychosis is a brief intervention that “combines psychoeducation, cognitive bias modification, and strategy teaching but does not directly target psychosis symptoms.” Results from a meta-analysis of 40 studies with more than 1,800 total participants with schizophrenia showed … Read more

A Primer on a Common Hair-Pulling Disorder

Jon E. Grant, JD, MD, MPH Trichotillomania is a chronic psychiatric disorder that causes people to repeatedly pull out their own hair. Not only does it result in alopecia with no other underlying causes but it can have significant psychosocial ramifications and rare, but serious, complications. Though reported prevalence rates of up to approximately 2%, … Read more

‘Alarming’ Rate of Suicidal Behavior in Long-term Care Residents

Suicidal behaviors are common in older adults — and especially older women, new research suggests. In a meta-analysis that included 20 studies and more than 3 million total individuals living in long-term care (LTC), the prevalence rate for suicidal behavior was more than 6%. In addition, the most common of these behaviors was suicidal ideation. … Read more

Navigating Patient Requests for an Emotional Support Animal

When Serena-Lian Sakheim-Devine’s best friend from childhood died of cancer, she felt sad and lonely while away at college. Wanting something warm to snuggle, she got a guinea pig and named her Basil. Then she got two more and called them Nutmeg and Paprika. The three became her Spice Girls. “They were of great comfort … Read more