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Focus

  • Volume 19
  • Number 1
  • January 2021

From the Guest Editor

Review

Publication date: 01 January 2021

Pages3–13

The beliefs that antipsychotic drugs (APDs) are 1) effective only to treat delusions and hallucinations (positive symptoms), 2) that typical and atypical APDs differ only in ability to cause extrapyramidal side effects, and 3) that their efficacy as ...

https://doi.org/10.1176/appi.focus.20200051

Clinical Synthesis

Publication date: 01 January 2021

Pages14–23

Tardive dyskinesia (TD) is a debilitating, iatrogenic, and potentially severe movement disorder characterized by involuntary, repetitive, purposeless movements that are present throughout the body. The authors present a review of studies of past, current, ...

https://doi.org/10.1176/appi.focus.20200038

Publication date: 01 January 2021

Pages24–30

The early mortality of individuals with serious mental illness has long been documented yet persists despite calls for change. Individuals with serious mental illness have a higher rate of medical morbidity than those in the general population across all ...

https://doi.org/10.1176/appi.focus.20200036

Publication date: 01 January 2021

Pages31–38

Attention-deficit hyperactivity disorder (ADHD) is the most commonly diagnosed psychiatric disorder in children and adolescents in the United States. In 2016, approximately 3.8 million U.S. children ages 2 to 17 years with ADHD were being treated with ...

https://doi.org/10.1176/appi.focus.20200032

Publication date: 01 January 2021

Pages39–45

Hypoactive sexual desire disorder (HSDD) is a persistent or recurrent absence of sexual fantasies and desire for sexual activity, causing marked personal distress or interpersonal difficulties. HSDD affects 10% of U.S. women and is associated with ...

https://doi.org/10.1176/appi.focus.20200039

Publication date: 01 January 2021

Pages46–49

Medications available to treat psychiatric illnesses continue to increase, in conjunction with a shifting of outpatient psychiatric practice from psychotherapy toward medication management. To be successful in this climate, a psychiatrist needs to select ...

https://doi.org/10.1176/appi.focus.20200037

Ask the Expert

Ethics Commentary

21st-Century Psychiatrist

Publication date: 01 January 2021

Pages59–60

During a pandemic, physicians can become so inundated with combating the disease that they may forget the individual patient’s experience. In this perspective, the authors describe a case of COVID-19 from the point of view of the grief stages (or ...

https://doi.org/10.1176/appi.focus.20200033

Publication date: 01 January 2021

Pages61–65

This article highlights one department’s efforts to bolster diversity, equity, and inclusion as an exemplar for other academic departments. It offers an approach for building an infrastructure and leadership group and details accomplishments associated ...

https://doi.org/10.1176/appi.focus.20200024

Applied Armamentarium

Publication date: 01 January 2021

Pages66–70

Clozapine is a second-generation antipsychotic with a superior efficacy for the management of treatment-resistant schizophrenia but underutilized because of potential side effects. A 59-year-old Caucasian male veteran was transferred from the long-term ...

https://doi.org/10.1176/appi.focus.20200029

Bibliography

Abstracts

Influential Publication

Publication date: 01 January 2021

Pages86–94

Importance: Randomized controlled trials have demonstrated increased all-cause mortality in elderly patients with dementia treated with newer antipsychotics. It is unknown whether this risk generalizes to non-elderly adults using newer antipsychotics as ...

https://doi.org/10.1176/appi.focus.19101

Publication date: 01 January 2021

Pages116–128

We summarized and compared meta-analyses of pharmacological and non-pharmacological interventions targeting physical health outcomes among people with schizophrenia spectrum disorders. Major databases were searched until June 1, 2018. Of 3,709 search ...

https://doi.org/10.1176/appi.focus.19103

Publication date: 01 January 2021

Pages129–137

Background: Although mania and hypomania define bipolar disorder, depressive episodes are more common and impairing, with few proven treatments. Adjunctive therapy with second-generation antidepressants is widely used to treat acute bipolar depression, but ...

https://doi.org/10.1176/appi.focus.19102

Past Issues

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