What Can We Do About Mass Shootings?

“It must be mental illness. My mind cannot possibly conceive of an alternative. A rational healthy mind cannot be capable of this, Doc.” These were the opening words of one of many discussions that I had with patients in the wake of yet another gut-wrenching tragedy where we saw innocent children and their teachers murdered … Read more

APA Targets Structural Racism, Offers Solutions

The negative consequences of structural racism on mental health, and opportunities for change, are the focus of a special theme issue of the American Journal of Psychiatry (AJP), released to coincide with the American Psychiatric Association (APA) Annual Meeting. The hope is this special issue will “motivate clinicians, educators, and researchers to take actions that … Read more

COVID ‘Takes a Backseat’ to Global Events

With two years of COVID-19 in the rearview mirror, anxiety among US adults has turned instead toward global events, results from the annual Healthy Minds Poll from the American Psychiatric Association (APA) show. “It’s not surprising that recent events, such as the war in Ukraine, racially motivated mass shootings, or the impacts of climate change, … Read more

The Mental Effects of Growing Up With a Hoarder

Many of us are reluctant to throw things out. We buy. We accumulate. We collect. Eventually our attics are packed with dusty heirlooms that we rarely, if ever, look at. Eventually we’re forced to pare down and head to the Goodwill. But not all of us. Andrew Guzick, PhD Hoarding — or the prolonged difficulty … Read more

Youth Mental Health Hospitalization Rates Rose in 2020

Mental health hospitalization rates rose for Canadian children and youth between ages 5 and 24 years in 2020, despite a slight decrease in the overall number of hospital visits, according to new data. Hospitalizations for eating disorders increased significantly, rising nearly 60% for girls between ages 10 and 17 years. “One of the key questions … Read more

Missed Appointments: Treating Executive Dysfunction

Maybe you know some of these patients: they may come late or not show up at all. They may have little to say and minimize their difficulties, often because they are ashamed of how much effort it takes to meet ordinary obligations. They may struggle to complete assignments, fail classes, or lose jobs. And being … Read more

Small Steps to Improving LGBTQ+ Patient Care

Legislation around LGBTQ+ education in schools made headlines recently after Florida Governor Ron DeSantis passed the “Don’t Say Gay” bill, as it’s come to be called by many. The legislation bars teachers and school systems from mentioning or instructing students in kindergarten through third grade on issues around sexual orientation and gender identity. And with … Read more

Few Children Who Socially Transition Soon Change Their Minds

Approximately 7% of youth who chose gender identity social transition in early childhood had retransitioned 5 years later, based on data from 317 individuals. “Increasing numbers of children are socially transitioning to live in line with their gender identity, rather than the gender assumed by their sex at birth—a process that typically changing involves a … Read more

Novel Long-Acting Injection Cuts Schizophrenia Relapse

A long-acting subcutaneous antipsychotic (LASCA) suspension that combines risperidone with a novel copolymer substantially reduces both risk for relapse and time to impending relapse for patients with schizophrenia, new research suggests. In the phase 3 Risperidone Subcutaneous Extended-release (RISE) trial, which included more than 500 patients with schizophrenia, those who received the novel combination treatment, … Read more

Juvenile Fibromyalgia Is Associated With Brain Changes

Juvenile fibromyalgia is associated with reduced volume in one region of the brain, according to a recent study. The findings were similar to those in patients with adult fibromyalgia, which suggest the importance of early diagnosis and treatment. The study was published online January 25 in Arthritis and Rheumatology. Adolescent Brain Development Juvenile fibromyalgia is … Read more