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Psych Central Professional

Archive for August, 2011

  • Managing Risks When Practicing in Three-Party Care Settings
    Following trends in medicine, psychiatry is faced with limited resources and third-party administration of resource allocation. This has affected psychiatric practice in many ways and altered the doc-tor-patient relationship.
  • Risk Analysis: Tips for Health Care Practitioners
    Any health care practitioner who collects, manages, and stores patient information faces the risk that his or her data may be lost, misused, or accessed by or disclosed to unauthorized individuals.
  • Ethics, Psychiatry, and End-of-Life Issues
    At the end of life, psychiatrists are often asked to assess a patient’s capacity to refuse treatment, but the role of the psychiatrist in this situation is much broader. Even when a person’s mental capacity is not at issue, subtle and not-so-subtle psychological forces can weigh heavily on life-and-death decisions that may be elucidated with a psychiatric assessment.1,2
  • The Patient-Physician Bond
    During my medical training in the early 1980s, I attended a Grand Rounds on health care reform. Sleep-deprived physicians-in-training are easily conditioned to snooze upright in their auditorium seats, and economics is not an interest of choice for me, but when the speaker told us that there would be no solution to rising health care costs except to fracture the bond between patient and doctor, I found myself engaging in nightmarish fantasies that in subsequent decades have come true.
  • Offspring of Parents With Bipolar Disorder
    It is generally held that the offspring of parents with bipolar disorder (BD) are at risk for BD. The degree of risk is an important question for both clinicians and parents. A study of bipolar offspring by Birmaher and colleagues1 sheds light on this issue.
  • Marketing Your Private Practice Successfully
    Many physicians fail to invest time and money in marketing and promoting their practice. However, marketing their practice is a wise investment that helps ensure financial stability and allows them to reach short- and long-term goals.
  • Q&A on Board Recertification: New MOC Requirements
    Q: I'm a psychiatrist in who got board-certified in 1998 and re-certified in 2008. I'm still very unclear about how to fulfill all the new MOC requirements (for re-certification in 2018). None of my colleagues have any idea. The usual response is that the new requirements are too "confusing." Can you offer suggestions or advice.
  • The Link Between Substance Abuse, Violence, and Suicide
    Suicide is the 11th leading cause of death in the United States; it accounts for more than 34,000 deaths per year.1 And an even greater number of people attempt suicide. Based on data from community surveys, approximately 5% of adults have made a serious suicide attempt.2
  • Ethical Aspects of Self-Disclosure in Psychotherapy
    The issue of self-disclosure in psychotherapy is one of complexity and some evolution.1-16 Most discussions about the practice refer to boundary questions because self-disclosure by the therapist to the patient is a boundary issue.