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The New England Journal of Medicine: Search Results in Psychiatry
The New England Journal of Medicine (NEJM) RSS feed -- Search Results in Psychiatry. NEJM ( is a weekly general medical journal that publishes new medical research findings, review articles, and editorial opinion on a wide variety of topics of importance to biomedical science and clinical practice.

SIGECAPS, SSRIs, and Silence ? Life as a Depressed Med Student
01/01/70 - SIGECAPS is the mnemonic we medical students memorize to learn the core symptoms of depression: sleep, interest, guilt, energy, concentration, appetite, psychomotor retardation, and suicidality. The practice questions we spend hours answering in preparation for Step 1 of the U.S. Medical Licensing…

Acute Amnestic Syndrome Associated with Fentanyl Overdose
01/01/70 - To the Editor: Between 2012 and 2016, a total of 14 patients in Massachusetts with a history of substance use had an acute anterograde amnestic syndrome that lasted for months (or longer in some patients); this amnestic syndrome was characterized by a hyperintense signal involving both hippocampi…

Potential Public Health Effects of Reducing Nicotine Levels in Cigarettes in the United States
01/01/70 - Tobacco is addictive, primarily because of the presence of nicotine. Although nicotine itself is not the direct cause of most smoking-related diseases, addiction to nicotine in tobacco is the proximate cause of these diseases because it sustains smoking behavior. Thus, the magnitude of public…

Lithium-Induced Nephropathy
01/01/70 - A 59-year-old man with a history of bipolar disorder was admitted to the hospital after a fall. He received a diagnosis of multiple fractures of the head and spine; the fractures were managed nonoperatively. During the hospitalization, his urine output was noted to range from 4 to 6 liters per day.…

Physician-Assisted Suicide and Psychiatric Illness
01/01/70 - The large majority of suicides result from the psychopathological skewing of thoughts and emotions. Physicians have a duty to do whatever they can to prevent these suicides. However, in exceptional cases, suicide might be considered a rational choice of a competent person. "Rational suicidality," I…

Physician-Assisted Death for Psychiatric Patients ? Misguided Public Policy
01/01/70 - Should physician-assisted death be available to people with psychiatric disorders? Although it was once unthinkable, physicians, primarily in the Netherlands and Belgium, have helped a small but growing number of patients with mental illness but no terminal condition to end their lives. Such…

Out of the Straitjacket
01/01/70 - I see him, maybe not so clearly. He is in isolation, in a straitjacket. He?s just been committed, given a shot of haloperidol after he resisted going to the locked ward. He kicked, screamed, yelled, threatened?and now he cries. In the middle of elective inpatient electroconvulsive therapy for…

Controlling the Swing of the Opioid Pendulum
01/01/70 - Mr. P. is a 34-year-old man who sees his primary care physician regularly for chronic spine pain. Several years ago, he had a motorcycle accident that left him with a ruptured spleen, a shattered pelvis, and multiple thoracic vertebral fractures. After a prolonged hospital and rehab course, he was…

Our Other Prescription Drug Problem
01/01/70 - The epidemic of opioid addiction and overdose has appropriately garnered national attention and led to concerted efforts to reduce overprescribing of opioids, a major cause of today?s drug crisis. By contrast, there has been little effort to address inappropriate prescribing of benzodiazepines ?…

Caring for Ms. L. ? Overcoming My Fear of Treating Opioid Use Disorder
01/01/70 - Ms. L. always showed up 10 minutes early for her appointments, even though I always ran late. Her granddaughter would rest her cheek against Ms. L.?s chest, squishing one eye shut, and scroll through Ms. L.?s phone while they waited. After reviewing her blood sugars, which Ms. L. recorded…

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