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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.

Physician Health Programs in the Treatment of Substance Use Disorders in Physicians

In 1974, the American Medical Association (AMA) acknowledged physician impairment from alcoholism and drug dependence occurs, and recognized alcoholism and addiction as illnesses. Physician illness and impairment exist on a continuum with illness typically predating impairment, often by many years. This is a critically important distinction. Illness is the existence of a disease. Impairment is a functional classification and implies the inability of the person affected by disease to perform spec

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

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