Psychiatric News
@PsychiatricNews
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The news service of @APAPsychiatric, providing information about developments in the field of psychiatry that impact clinical care and professional practice.
Joined September 2013
While clozapine is one of the most effective interventions that psychiatrists have—especially when it comes to treatment-resistant-schizophrenia—it continues to remain underutilized. And recent updates may further change how its use is managed.
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Significant changes—including the addition of prolonged #grief disorder and more—will appear in the DSM-5-TR, to be released by @APA_Publishing in March. #PsychTwitter #MentalHealth
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LOOK & LISTEN | Sitting down to watch “The Iron Claw” I fully expected to leave the theater in tears; what I did not expect was to have viscerally experienced such a damning indictment of toxic masculinity. @sulmoney @APAPsychiatric
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.@BTdocs: Media and popular culture are important in shaping people’s perceptions about #mentalhealth.
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Psychiatry’s numbers have been increasing yearly since 2011. This year psychiatry was one of just 10 specialties with increases of more than 10% over the last five years. #PsychTwitter #MedTwitter @APApsychiatric
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The notion that mental illness may not be fully medical is a pernicious and misleading idea that has directly and indirectly destroyed the lives of countless people in this country and throughout the world. #MentalHealth #PsychTwitter
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Monotherapy with antidepressants or antipsychotics in individuals with bipolar disorder was associated with increased risk of hospitalization for depression.
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Significant changes—including the addition of prolonged #grief disorder and more—appeared in the DSM-5-TR, released by @APA_Publishing this past March. #PsychTwitter #MentalHealth #BestOf2022
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The guideline recommends starting metformin along with a new antipsychotic or when switching from one antipsychotic to another.
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Many experts agree that the #mentalhealth effects of #COVID19 will continue to be felt long after the pandemic ends.
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Many brain imaging studies have looked at key differences between the brains of people with or without depression. An AJP study examined how the brain changes when patients with depression get better. #PsychTwitter #MedTwitter #MentalHealth
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The notion that mental illness may not be fully medical is a pernicious and misleading idea that has directly and indirectly destroyed the lives of countless people in this country and throughout the world. #MentalHealth #PsychTwitter #BestOf2022
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The guideline recommends starting metformin along with a new antipsychotic or when switching from one antipsychotic to another.
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Previous research has shown that adolescents with #depression have reduced white matter density. This new study shows that these structural changes predate the onset of depression, suggesting they may represent a biomarker of depression vulnerability.
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Mirtazapine, biperiden, and vitamin B6 are the three most effective treatment options for antipsychotic-induced #akathisia.
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Psychoanalysis has steadily evolved since Sigmund Freud formulated his model of the human mind and led to other psychotherapies that have greatly benefited patients. #MentalHealth #APA175 #TBT
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Telepsychiatry is now an integral part of the practice of psychiatry, and psychiatrists need to know certain procedures and regulations of its use to protect patients’ confidentiality and limit liability risks. #psychtwitter.
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Children who were exposed to antidepressants in the womb do not appear to have an increased risk of neurodevelopmental disorders. #MentalHealth #PsychTwitter #Pregnancy.
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Frequently playing violent video games does not appear to promote aggression, reduce empathy, or alter mood and cognition in healthy adults. #GunViolence
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Combining clinical data from 68 separate studies, a research team has estimated the most effective dose for 19 different antipsychotic medications, including both oral and long-acting injectable (LAI) formulations. #MentalHealth
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Significant changes—including the addition of prolonged #grief disorder and more—will appear in the DSM-5-TR, to be released by @APA_Publishing in March. #PsychTwitter #MentalHealth
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Fear, stigma, #depression, #anxiety, and posttraumatic stress disorder followed major infectious disease outbreaks earlier in this century, and psychiatrists should be prepared for similar reactions as the novel coronavirus (COVID-19) outbreak expands.
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Study suggests that the concentration of the neurotransmitter glutamate and several other metabolites in the hippocampus may offer clues about patients who are most likely to transition to psychosis.
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APA on Wednesday announced the release of My Mental Health Crisis Plan, a mobile app that allows people with serious mental illness to create a plan to inform their treatment should they experience a #mentalhealth crisis. @APAPsychiatric.
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Wearing glasses embedded with facial recognition technology can help children with #autism spectrum disorder identify emotions and facial expressions. #MentalHealth.
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The numbers of U.S. medical school seniors choosing #psychiatry has grown somewhat steadily since the mid-1990s. This is good news, especially in light of the many areas of the country that are experiencing a severe shortage of psychiatrists. #MentalHealth
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The guideline recommends starting metformin along with a new antipsychotic or when switching from one antipsychotic to another.
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A phone/tablet-based app that tracks eye movements and visual attention can accurately distinguish toddlers with autism spectrum disorder from typically developing toddlers. #MentalHealth.
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DSM-5-TR has recently come under attack for contributors’ alleged undisclosed financial conflicts of interest that may have impacted their recommended text changes. Here are the facts. #DSM #Psychiatry #MentalHealth
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A peer program in Michigan high schools enables students to raise awareness about #MentalHealth issues and where to get help.
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A comparative analysis of the genes of patients with 10 psychiatric and 15 neurological disorders shows that, among other findings, #schizophrenia is related to numerous other psychiatric conditions. #MentalHealth
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Bipolar disorder and borderline personality disorder share many clinical features that can lead to misdiagnosing one for the other. #PsychTwitter #MedTwitter #APAAM23 #MentalHealth
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Study found patients with and without anxious #depression experienced similar symptom improvements within 24 hours of receiving a #ketamine infusion. #MentalHealth #Anxiety
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Lower levels of certain #thyroid hormones may predict a poor treatment response in people hospitalized with #depression. #PsychTwitter #MentalHealth.
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APA member Patrice Harris, M.D., M.A., a former APA board member and AMA board member, was elected today as president-elect of the AMA during the AMA’s House of Delegates meeting in Chicago. @PatriceHarrisMD @AmerMedicalAssn #Psychiatry #MentalHealth
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Tracing the history of how the #MentalHealth of African Americans was characterized during slavery sheds light on why disparities in psychiatric care still exist. #Psychiatry
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Psychiatrists Should Ask Male Patients About Sexual Trauma? A major challenge in treating sexual trauma in this population is how reluctant men can be to discuss their experiences, even with their clinicians, due to stigma and shame. #PsychTwitter
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Adolescents who have been hospitalized for suicidal behaviors may benefit from recurrent follow-up calls following hospital discharge. #MentalHealth #Suicide
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SPECIAL REPORT | Bipolar II disorder is poorly understood, underdiagnosed, and insufficiently treated. This has often resulted in an over 10-year delay in diagnosis. #PsychTwitter #MedTwitter #MentalHealth
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The November issue of Psychiatric News is available online. Check out what psychiatrists have to say about managing major #depression, dealing with patient cyberstalking, how visual tests may identify #autism, and more. @APAPsychiatric
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After a nationwide search, APA’s Board of Trustees appointed Marketa Wills, M.D., M.B.A., as APA’s next CEO and medical director, effective June 1. She will be @APAPsychiatric’s 8th medical director and the first woman and Black American to fill the role
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The May issue of Psychiatric News is available online. Check out what psychiatrists say about the #MentalHealth of firefighters, #buprenorphine for chronic pain, #naloxone nasal spray for over-the-counter sale, and more. #PsychTwitter @APApsychiatric
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There is a #MentalHealth crisis in the black community, which calls for improved cultural competency training for all psychiatrists as well as more openness among blacks to talk about these issues. @DrAlthaStewart
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In the largest trial of its kind, magnetic seizure therapy (MST) proved as effective as electroconvulsive therapy (ECT) at treating patients experiencing major #depression. #Psychiatry #PsychX #MedX #MentalHealth @APAPsychiatric
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Girls whose dads experienced #depression shortly after their birth are more likely to develop depression by age 18. #MentalHealth
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Monotherapy with antidepressants or antipsychotics in individuals with bipolar disorder was associated with increased risk of hospitalization for depression.
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A study in @TheLancetPsych reports that the risk of psychosis associated with cannabis is tied to daily use and the use of high-potency cannabis, namely cannabis with concentrations of THC greater than 10%.
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The results of a clinical study conducted among veterans refutes the idea that patients with both #PTSD and #alcohol use disorder will drink more if asked to re-experience their trauma as required by exposure therapy. #MentalHealth
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A Department of Labor investigation found that United Behavioral Health reduced rates for #mentalhealth professionals, overcharged beneficiaries for services, and subjected them to utilization review and denials of care. @APAPsychiatric
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A survey of nurses and physicians working in hospitals in the Wuhan region and across mainland China revealed that more than 50% reported symptoms of #depression, and more than 70% reported symptoms of psychological distress. #Covid19 #MentalHealth
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Psychiatrists and #mentalhealth professionals must be ready to care for those affected by the virus as well as patients with pre-existing psychiatric illness. #COVID19
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People with #depression may be more likely to seek treatment if they know of others with emotional problems or others who have sought treatment for emotional problems. #MentalHealth
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Children who develop depressive symptoms by the age of 13 often have problems with language and social communication as well. #Depression #ADHD #MentalHealth
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An international survey of over 2,000 graduate students found that negative perceptions about work-life balance and the advisor-mentee relationship are highly prevalent among students with elevated depressive and/or #anxiety symptoms. #MentalHealth
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A multinational expert group has developed a comprehensive clinical guideline for the management of patients with #catatonia—a severe neuropsychiatric condition marked by abnormal speech and movement. #PsychTwitter #MedTwitter #MentalHealth
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APA and BPA need each other to work out issues like attracting minority students to #psychiatry and addressing health disparities, institutional racism in medical schools and training programs, and #gunviolence. @DrAlthaStewart
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VIEWPOINTS | Research has documented a marked decline in psychotherapy practiced by psychiatrists, from 44.4% in 1996-1997 to 21.6% in 2015-2016. Why are psychiatrists no longer doing psychotherapy? #PsychTwitter #MedTwitter #MentalHealth
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A total of 1,746 U.S. medical school graduates—1,343 from allopathic schools and 403 from osteopathic schools—matched into psychiatry residency programs this year as part of the 2023 National Resident Matching Program (NRMP). #PsychTwitter #MedTwitter
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A new population study sheds light on the link between two parental discipline styles and later child aggression and less prosocial behaviors. #MentalHealth
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IN MEMORIAM | Aaron Temkin Beck, M.D., the father of cognitive-behavior therapy (CBT), died last month at his home in Philadelphia. He was 100 years old. #PsychTwitter @APAPsychiatric
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The April issue of Psychiatric News is available online. Check out what psychiatrists say about #Autism and inflexible thinking, antiepileptic drugs and #Parkinson's disease, disparities in AUD treatment, and more. #PsychTwitter #MedTwitter @APApsychiatric
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Clinical trials found that patients who took the twice-daily tablet containing extended-release dextromethorphan/bupropion showed greater mood improvements, with signs of improvement as early as week one. #PsychTwitter #MentalHealth
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Over the decades, the American Journal of Psychiatry has published basic, clinical, and public health research on mental illness that has made it the premier peer-reviewed journal in psychiatry. #APA175 #MentalHealth #TBT @AmJPsychiatry
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With researchers continuing to find that cannabis in all its forms is helping fuel the youth depression and suicide epidemic, psychiatrists have a role to play in assessing and treating cannabis use—and countering disinformation.
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Psychiatrists and #mentalhealth professionals joined to provide peer support to frontline workers dealing with the #COVID19 crisis in Wuhan, China, through an app. Their innovative intervention could be adapted for use in the U.S.
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A form of cognitive-behavioral therapy designed to target the personality types of adolescents who are either victims or perpetrators of #bullying may be effective in preventing bullying. #CBT #MentalHealth
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A new study of predictors and moderators of remission for treatment-resistant major depressive disorder (MDD) found two subgroups of patients who may benefit from specific next-step treatments with aripiprazole or bupropion.
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Almost half (48%) of children and adolescents with a psychotic disorder said they recently had suicidal thoughts or had in the past considered death by suicide when interviewed in the emergency department using a brief screening questionnaire #MentalHealth
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Is It Cheating to Use Chat GPT-4 in the Clinical Practice of Psychiatry?. Read more:
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Children whose mothers experienced #depression during and after #pregnancy may be slower to hit developmental milestones.
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HAPPY NEW YEAR! 🎇 The January issue of Psychiatric News is available online. Check out what psychiatrists say about measurement-based care, virtual exposure therapy for #PTSD, #psylocibin for #depression, and more. #PsychTwitter #MentalHealth #MedTwitter
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SPECIAL REPORT | Assessment of #ADHD requires collection of information about how the patient functions in a wide variety of complex daily tasks at different times of day in different settings relative to other individuals of similar age. #MentalHealth
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A meta-analysis in Schizophrenia Bulletin found that rates of victimization were between 4 and 6 times higher among individuals with #psychosis than in the general community. @OUPAcademic
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While the long-term use of most antidepressants does not appear to increase the risk of #dementia, long-term use of the selective serotonin reuptake inhibitor (SSRI) paroxetine may. #MentalHealth
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Proposals for changes to DSM-5 can now be submitted at a publicly available portal on the APA website. #Psychiatry
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Patients who participated in weekly group therapy sessions that combined motivational interviewing and cognitive-behavioral therapy for 3 months experienced greater improvements in motivation and pleasure than those who did not. #PsychTwitter #MentalHealth.
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Children who were exposed to antidepressants in the womb do not appear to have an increased risk of neurodevelopmental disorders, according to a comprehensive analysis of health insurance data. #PsychTwitter #MedTwitter #MentalHealth
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FROM THE PRESIDENT | As my year as APA president draws to a close, writing this final message to you gives me the opportunity to reflect on what we have accomplished together. #PsychTwitter #MedTwitter #MentalHealth @Pres_APA @APApsychiatric
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Treating patients who have #depression following a recent heart attack or unstable angina with escitalopram may reduce their risk of future cardiac events.
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Improving outcomes in patients with #depression and #PTSD, drug development, and psychotherapy were among the topics of the 7 articles selected as favorites of 2018 by the editors of the American Journal of Psychiatry. #MentalHealth @AmJPsychiatry
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VIEWPOINTS | Research has documented a marked decline in psychotherapy practiced by psychiatrists, from 44.4% in 1996-1997 to 21.6% in 2015-2016. Why are psychiatrists no longer doing psychotherapy? #PsychTwitter #MedTwitter #MentalHealth
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Children aged 2 and 3 years who spend a greater amount of time watching TV or playing on a smartphone or computer than their peers may be less likely to meet developmental milestones by age 5.
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Researchers at Yale have secured $12.6 million for a study to compare the effectiveness of IV ketamine and esketamine for treatment-resistant depression.
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This month’s special AJP issue presents research into psychedelics to treat a variety of mental illnesses, including treatment-resistant depression, anxiety, PTSD, alcohol use disorder, and more. @APAPubJournals
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Gene risk scores may predict antipsychotic response in patients with first-episode psychosis. #MentalHealth #Psychiatry
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APA’s Council on Communication has endorsed “Far From the Tree,” a documentary based on the award-winning book by @Andrew_Solomon, that delves into challenging #parenting situations in which parents have to be more self-sacrificing than usual.
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Since 1 in 40 children now has a diagnosis of #autism spectrum disorder, psychiatrists and other clinicians need to improve their assessment and treatment strategies for this population. #MentalHealth
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Two psychiatric innovation experts say there is a real opportunity for @APAPsychiatric to emerge as a leader in shaping how technological innovation and new business models for health care delivery evolve. #MentalHealth @AEverettMD
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Individuals with cardiovascular disease have high rates of psychiatric illness, which is associated with worse health outcomes. Here’s an example of how consultation-liaison psychiatrists can help. #MentalHealth
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Interventions that used a model of integrated care reduced the disparity between racial/ethnic minorities and whites obtaining #MentalHealth care for the first time. #IntegratedCare
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Several states have proposed barring the death penalty for people with serious mental illness. #MentalHealth
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For the first time in over 40 years, the FDA is proposing updates and revisions to its guidance on how industries should develop and clinically test drugs intended to treat major depressive disorder. #Depression #MentalHealth.
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Youth with a history of sexual and/or physical abuse and symptoms of #PTSD benefitted considerably from developmentally adapted cognitive processing therapy (D-CPT) compared with those in a wait-list group with treatment advice. #MentalHealth
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Embedding psychiatric services within a primary care setting has been found to benefit adolescents by reducing symptoms of #depression.
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This month’s special AJP issue presents research into psychedelics to treat a variety of mental illnesses, including treatment-resistant depression, anxiety, PTSD, alcohol use disorder, and more.
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