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Please answer the following questions about ADHD in African Americans.

1. One barrier to appropriate diagnosis of ADHD in African American adults is:

Underestimating the effect of environmental factors on behavior

Assuming ADHD symptoms are due to individual shortcomings

The high number of available, culturally competent specialists

2. Your African American patient, Ms M, recently had her son diagnosed with ADHD, and she recognizes a lot of his symptoms in herself, especially concentration and organizational problems. She admits she doesn’t want to be labeled, and she thinks it will upset her parents if she is diagnosed with ADHD too. What would be the best strategy to understand her problems and provide help?

Tell her that ADHD is common in adults so she should not worry about her parents’ reaction

Describe the therapy and medication options available that can help with her symptoms

Explain that many adults have her symptoms, and they may not be related to ADHD

Emphasize the importance of family support and education and discuss her feelings about her symptoms, her son’s diagnosis, and why her parents would be upset

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Journal Archive

Measure of Anxiety in MDD
Mark Zimmerman, MD

Anxiety is high in patients with MDD. Learn about a reliable self-administered scale that measures both anxiety and depression.

» Read this post

» Read the entire blog

Update on Best Practices for Managing Bipolar Depression
Drs Sachs and Ketter

New! This Commentary summarizes outcomes from 2 CME activities on managing bipolar depression and then presents future educational needs.

>>See the entire activity

Submit original research, review articles, case reports, brief reports, commentaries, rounds, and letters. Typical topics include depression, anxiety, dementia, MS, ADHD, and sleep disorders.

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Published Online 07-24-14

Increased Childhood Abuse in Patients With Premenstrual Dysphoric Disorder in a Turkish Sample: A Cross-Sectional Study

[Abstract] [Full Text]

Published Online 07-03-14

Sociocultural Issues in African American and Hispanic Minorities Seeking Care for Attention-Deficit/Hyperactivity Disorder

[Abstract] [Full Text]

Features & Letters

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Published Online 07-17-14

Brief Report: The Assertive Community Treatment Team: An Appropriate Treatment for Medical Disorders That Present With Prominent Psychiatric Symptoms [FREE PDF]

[Abstract] [Full Text]

Letter to the Editor: Capgras’ and Cotard’s Delusions Associated With a Particular Pattern of Cerebral Activity in a Severely Depressed Patient

[Full Text]

Published Online 07-10-14

Psychotherapy Casebook: Hospice

[Full Text]

Published Online 07-03-14

Brief Report: Combined Deficiencies of Vitamins B1and C in Well-Nourished Patients

[Abstract] [Full Text]

Current Issue

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Volume 162014Number 3

Articles

Use of Bright Light Therapy Among Psychiatrists in Massachusetts: An E-Mail Survey

[Abstract] [Full Text] [Listen]

The Diagnosis and Treatment of Bipolar Disorder: Decision-Making in Primary Care

[Abstract] [Full Text] [Listen]

Underdiagnosis of Attention-Deficit/Hyperactivity Disorder in Adult Patients: A Review of the Literature [Free PDF]

[Abstract] [Full Text] [Listen]

Demographics, Clinical Characteristics, and Treatment of Aggressive Patients Admitted to the Acute Behavioral Unit of a Community General Hospital: A Prospective Observational Study

[Abstract] [Full Text] [Listen]

Pharmacologic Treatment of Dimensional Anxious Depression: A Review [CME]

[Abstract] [Full Text] [CME Posttest] [Listen]

A Review of Attention-Deficit/Hyperactivity Disorder in Women and Girls: Uncovering This Hidden Diagnosis

[Abstract] [Full Text] [Listen]

Suicidal Thoughts and Reasons for Living in Hospitalized Patients With Severe Depression: Post-Hoc Analyses of a Double-Blind Randomized Trial of Duloxetine

[Abstract] [Full Text] [Listen]

Rounds in the General Hospital

Involuntary Hospitalization of Primary Care Patients

[Full Text] [Listen]

Psychotherapy Casebook

The Integration of Palliative Care Into Medical Care

[Full Text]

Letters to the Editor

Agomelatine-Induced Akathisia in a 38-Year-Old Woman With Depression

[Full Text]

Transcranial Direct-Current Stimulation as an Adjunct to Electroconvulsive Therapy and Clozapine for Refractory Psychosis

[Full Text]

Mania Induced by Clarithromycin in a Geriatric Patient Taking Low-Dose Prednisone

[Full Text]

Depression After Encephalitis: A Case Report

[Full Text]

Lithium Treatment of Chronic Nail Biting

[Full Text]

Ranitidine, Metformin, and Topiramate: Managing Weight Gain in a Clozapine-Treated Patient With Schizoaffective Disorder

[Full Text]

Online Journal Offerings | NEW! Browse all articles in our Topic Collections.

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Special Sections

Out of Sight, Out of Mind: The Case of a 62-Year-Old Man With Visual Complaints and Cognitive Decline

Saurav Das, MBBS; Adam S. Fleisher, MD, MAS; Roy Yaari, MD, MAS; James D. Seward, PhD, ABPP; Anna D. Burke, MD; Helle Brand, PA; and Pierre N. Tariot, MD

This issue highlights the case of a 62-year-old man with 3 years of gradually progressive difficulties with cognition and vision problems. He is misplacing items and having trouble completing sentences, reading and writing, and staying on task. Does this patient have visual agnosia, mild cognitive impairment, or Alzheimer’s disease?

>>See the entire activity

>>See all available Rounds

Involuntary Hospitalization of Primary Care Patients

Justin M. Johnson and Theodore A. Stern

Involuntary commitment of an outpatient represents an important and challenging issue at the interface of ethics, law, and clinical practice. This Rounds in the General Hospital article presents the case of an outpatient for whom involuntary commitment was considered and provides an overview of the approach to the psychiatrically unstable outpatient.

>>See the entire article

>>See all available Rounds

Residual Symptoms in Major Depressive Disorder: Prevalence, Effects, and Management

John Zajecka, Susan G. Kornstein, and Pierre Blier

Even after achieving response or remission, patients with MDD often have residual symptoms that negatively affect their functioning and quality of life. Here, find out about the neurochemical mechanisms involved in MDD, how to identify residual depressive symptoms, and formulate a long-term treatment plan so that you can target interventions to promote optimal outcomes for each patient.

>>See the entire activity

>>See all available PCC Academic Highlights

The Integration of Palliative Care Into Medical Care

Dean Schuyler and John Franklin

Nonhospice palliative care functions as an additional layer of support for patients and families dealing with serious, severe, or life-threatening illness. It can be provided anywhere along the disease continuum regardless of whether curative or comfort-directed therapies are sought. The case presented in this issue’s Psychotherapy Casebook highlights the value of a palliative care approach to a man with end-stage illness.

>>See the entire article

>>See all available Psychotherapy Casebook articles

CME activity

CME

Treatment of Anxious Depression

Dawn F. Ionescu, MD (Chair), et al

To note the effects of anxiety within depression, the DSM-5 added an “anxious distress” specifier to the diagnosis of major depressive disorder. Here, read about the outcomes and side effect burden associated with anxious depression.

>>See the entire activity

>>See all Journal CME activities

Potential Barriers to Oral MS Medications

Harold Moses, Jr, MD

New! Learn about the positive and negative aspects of the 3 FDA-approved oral medications for MS including their associated risks and benefits to choose the most appropriate treatment for your patients.

>>See the entire activity

>>See all Multimedia activities

Clinical and Cost Implications of Treating Schizophrenia

John M. Kane, MD (Chair), et al

Read this PEARL 3 InfoPack to explore strategies to enhance cognition in your patients with schizophrenia. Plus, learn about effects of short- and long-term antipsychotics and costs associated with treatment.

>>See the entire activity

>>See all Special Features

Learn. Practice. Treat.

Measuring Outcomes in Schizophrenia and Examining Their Clinical Application

Stefan Leucht, MD

Read this activity to update your understanding of criteria for response, remission, and recovery. Plus, discover how to apply study results to your own patients' treatment plans and goals.

>>See the entire activity

>>See related activities

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The peer review process is conducted using the electronic submission system used for manuscripts. Potential reviewers are queried in advance about their availability. While reviewers are asked to complete their reviews within 3 weeks of receiving the manuscript, more expeditious turnaround is highly valued. If you would like to be a peer reviewer, please send your CV to primarycare@psychiatrist.com.

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