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An Adolescent With Wilson’s Disease and Empty Sella Syndrome Presenting as Psychotic Disorder
Psychiatric symptoms in empty sella are uncommon, but empty sella syndrome has been reported to be present along with psychosis. This report presents a case of Wilson’s disease with psychotic presentation and empty sella syndrome in an adolescent.
HARKing, Cherry-Picking, P-Hacking, Fishing Expeditions, and Data Dredging and Mining as Questionable Research Practices
In this article, Dr Andrade helps readers identify several types of statistical analysis that violate scientific principles and that researchers may knowingly—or unknowingly—engage in.
COVID-19 and Telepsychiatry in Iran
During the first wave of COVID-19 in Iran, several mental health care delivery problems were observed. In this commentary, the authors provide suggestions to address these challenges, especially given that subsequent waves of COVID-19 are expected.
Development of a Child and Adolescent Tele-Partial Hospitalization Program (tele-PHP) in Response to the COVID-19 Pandemic
The COVID-19 pandemic has negatively impacted delivery of mental health services. This article describes the development and implementation of child and adolescent tele-partial hospitalization programs in response to the COVID-19 pandemic.
A Call for Increased Psychiatric Training in Emergency Medicine: Physician Attitudes Toward Substance Use Disorders and Co-Occurring Borderline Personality Disorder
Substance use disorders and borderline personality disorder are highly stigmatized within medicine and society. This study evaluated emergency medicine physician attitudes toward patients with these disorders.
Clinical Trials With Suicidal Individuals Can Be Conducted Safely
This letter, which comments on a recent article by Iltis et al, discusses exclusion of suicidal patients from clinical trials for depression.
Methylphenidate and the Risk of New-Onset Seizures
Concerns have been expressed that stimulant drugs may increase seizure risk, but some studies also suggest otherwise. This column considers the findings in the context of the study methodologies used.
Genes as Unmeasured and Unknown Confounds in Studies of Neurodevelopmental Outcomes After Antidepressant Prescription During Pregnancy
Observational studies have found associations between antidepressant drug prescription during pregnancy and autism and ADHD. But is the link actually related to genetic predisposition rather than to the antidepressant? This article explores that question.
Antidepressant Prescription in Pregnancy: The Importance of Prenatal Maternal Anemia as a Potential Confound in Studies on Neurodevelopmental and Other Outcomes
An association between antidepressants during pregnancy and neurodevelopmental disorders has been found in many observational studies. But is anemia part of the culprit? Dr Andrade takes a closer look at a recent study relevant to this question.
Organic Psychosis Causing Secondary Schizophrenia in One-Fourth of a Cohort of 200 Patients Previously Diagnosed With Primary Schizophrenia
Patients with psychosis are too often diagnosed with primary schizophrenia when the psychotic symptoms may actually be the manifestation of neurologic, endocrine, or immunologic disease. Learn about alternate diagnoses in this CME journal article.
Reducing Stigma Toward Psychiatry Among Medical Students: A Multicenter Controlled Trial
Stigma in physicians' attitudes toward psychiatric patients has been reported as already present in medical school. This study examined implementation of an antistigma intervention curriculum to reduce medical students' stigma toward psychiatry.
Quantifying the Impact of Patient-Practice Relationship Quality on the Levels of the Average Annual Antidepressant Practice Prescribing Rate in Primary Care in England
Does patient experience of a general practice relate to the volume of antidepressant prescribing at that practice? This study from England examined how antidepressant prescribing rates relate to specific National Health Service survey metrics.
