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Complementary and alternative medicine in major depressive disorder

Complementary and Alternative Medicine (CAM) is a term used to represent a number of specific treatments with potentially high public health importance and benefits. That which constitutes conventional or mainstream medicine is subjective and evolves over time. “Complementary” refers to approaches that are not considered mainstream or conventional, but are consistent with Western concepts based on the biomedical model. “Alternative” approaches are usually considered outside of the traditio

Opposition to the Use of Cannabis for PTSD

The use of cannabis for medical indications has received considerable attention as several states have moved to legalize cannabis for various purposes. A growing number of patients cite post-traumatic stress disorder (PTSD) as the reason for seeking cannabis for medical purposes in states where it is legal.1 Furthermore, approximately 15% of Veterans who are treated in Department of Veterans Affairs (VA) outpatient PTSD clinics report recent (past 6 months) cannabis use.2 This position statement

Education and Training for Substance Use Disorders

Current training of physicians in the recognition and treatment of substance use disorders (SUD) is inadequate to meet the needs of such a diverse and growing population of patients. Medical schools, physician training (residency) programs, and continuing education programs for physicians in practice, provide limited training in the treatment of SUDs. The scope of training on SUDs is disproportionate to the population health need to address these problems, and many with SUDs go undiagnosed and u

Non-Emergency Involuntary Medication for Mental Disorders in U.S. Jails

Psychiatrists who work in jail settings will encounter patients for whom the administration of non-emergency involuntary medication is clinically indicated for the stabilization of their serious mental illness. This resource document is intended to guide psychiatrists in decision-making about non-emergency involuntary psychiatric medication administration in U.S. jails by providing background information and highlighting issues for consideration.

Brain imaging and child and adolescent psychiatry with special emphasis on SPECT

Although knowledge is increasing regarding specific pathways and specific brain areas involved in mental disease states, at present the use of brain imaging to study psychiatric disorders is still considered a research tool. Continued study of child and adolescent psychiatric disorders using a variety of brain imaging methods, as well as refinements in imaging techniques, may result in evidence supporting the utility of these tools for clinical work in the future. Imaging research cannot yet be

Alternatives to managed care

Although knowledge is increasing regarding specific pathways and specific brain areas involved in mental disease states, at present the use of brain imaging to study psychiatric disorders is still considered a research tool. Continued study of child and adolescent psychiatric disorders using a variety of brain imaging methods, as well as refinements in imaging techniques, may result in evidence supporting the utility of these tools for clinical work in the future. Imaging research cannot yet be

Integrated care of older adults with mental disorders

Elderly persons often have complex medical and psychiatric needs for which the input of different medical specialties and clinical disciplines is required. The involvement of multiple specialists gives patients access to greater expertise than any single clinician could provide; however, it presents significant challenges of coordination and integration of health care. We endorse the ideal of providing wellcoordinated interdiscipli-nary treatment to older Americans with psychiatric and medical p

The Management of Depression during Pregnancy: A Report from the American Psychiatric Association and the American College of Obstetricians and Gynecologists

Objective—To address the maternal and neonatal risks of both depression and antidepressant exposure and develop algorithms for periconceptional and antenatal management. Method—Representatives from the American Psychiatric Association, the American College of Obstetricians and Gynecologists and a consulting developmental pediatrician collaborated to review English language articles on fetal and neonatal outcomes associated with depression and antidepressant treatment during childbearing. Ar

Mental Health and Climate Change

Climate change is recognized as one of the top threats to global health in the 21st century. Mental Health impacts of climate change are significant sources of stress for individuals and communities. The social and mental health consequences of extreme and slow-moving weather events are well documented, ranging from minimal stress and distress symptoms to clinical disorder, including depression, anxiety, post-traumatic stress, and suicidal thoughts (Arnberg et al., 2013; Fullerton et al., 2013;

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