Psychopharmacology Which antidepressants cause no sexual dysfunction? Bupropion, mirtazapine, and nefazodone. Duloxetine, a newer antidepressant, may have minimal sexual side effects as well. What medication could psychiatrists use to treat…
ECT, VNS, and DBS What are the indications for electroconvulsive therapy (ECT)? Well-established indications: Catatonia, major depressive disorder (MDD) (particularly psychotic depression), mania, acute psychosis. Medical intolerability to alternative treatment,…
Psychosocial Therapies What is “interpreting upward”? A technique used to strengthen a patient’s defenses and alleviate anxiety in supportive psychotherapy. During psychotherapy, how does one tell the accuracy of a…
Child Psychiatry What are the clinical characteristic features of the Rett disorder? Normal prenatal, perinatal, and psychomotor development through the first 5 months after birth. Normal head circumference at birth….
Consultation-Liaison Psychiatry What is the mechanism of menopause? It is the progressive insensitivity of the ovary to the effect of follicle-stimulating hormone (FSH). What type of somatoform disorder has the…
Psychiatry and Law How does one evaluate a patient’s competency to give adequate informed consent? Competency is declared by a court, not a physician. Clinical assessment of capacity to make…
Personality Disorders and Other Clinical Conditions What diagnoses are categorized as somatoform disorders? The following seven diagnoses are offered in DSM-IV under the category of somatoform disorders: Somatization disorder (also…
Psychotic Disorders, Mood Disorders, and Anxiety Disorders How common are the anxiety disorders? The most prevalent psychiatric disorders. Lifetime prevalence of any anxiety: 25%. Lifetime prevalence of social phobia and…
Substance-Related Disorders What does the motivational enhancement therapy (MET) model for addiction treatment emphasize? The role of ambivalence in the process of change. Which substance causes long-term inhibition of new…
Human Development According to whose theory is good-enough mothering important in providing a supportive environment to infants? Good-enough mothering is an essential concept in Donald W. Winnicott’s objectrelation theory. Another…
