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Ethical and Practical Implications of Psychedelics in Psychiatry

This resource document focuses on several of the ethical and practical issues surrounding psychedelics in their current investigational stage, and also discusses issues for psychiatrists to consider if psychedelics one day become available for broad clinical use.

Religious/spiritual commitments and psychiatric practice

Psychiatrists should maintain respect for their patients' commitments (values, beliefs and worldviews). a. It is useful for clinicians to obtain information on the religious/spiritual commitments of their patients so that they may properly attend to them in the course of assessment, formulation, and treatment. b. Empathy for the patient's sensibilities and particular commitments is essential. Conflicts, either within the patient or within the clinician-patient relationship should be handled with

Risk-Based Gun Removal Laws

In 2014, the American Psychiatric Association (APA) published a “Resource Document on Access to Firearms by People with Mental Disorders,”1 which addressed the complex relationship between firearms, mental illness, suicide, and violence. The document highlighted the limitations of existing legislative strategies, such as the National Instant Criminal Background Check System (NICS), in combating the problems of gun-related suicide and violence in the United States. It noted that registries like N

Across State Line Psychiatric Consultation Considerations Addendum to Risk

In 2013, an APA Resource Document on “Risk Management and Liability Issues in Integrated Care Models” was developed.1 This document outlined liability issues in a new and emerging area of collaborative /integrated care. In this model psychiatrists’ expertise is leveraged through curbside consultations and caseload reviews to provide more effective care for mild to moderate behavioral health conditions in the primary care setting. With the advent of CPT codes for the Collaborative Care Model, the

Psychiatric Aspects of Infertility

The psychological impact of being unable to conceive despite trying is a profound loss and a significant life crisis (Kohan et al. 2015). Many individuals suffer in isolation, unaware that infertility is highly prevalent afflicting approximately one in eight couples worldwide. The feelings and reactions to infertility are complex, ranging from anger with self for the failure of one’s body to procreate (Kohan et al. 2015), an associated decrease in sexual desire, an impaired orgasmic function and

Advocacy Teaching in Psychiatry Residency Training Programs

Advocacy, generically defined as the active support for a particular cause, policy, or issue, is applicable to medicine and psychiatry as physicians’ responsible use of “their expertise and influence to advance the health and well-being of individual patients, communities, and populations” (Frank, 2005). Advocacy can be undertaken from within an organization or as an outside stakeholder, and it can focus on a single theme (e.g., Barber, 2008) or more generally on issues that relate to patient ne

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