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class="col-span-1 md:col-span-2 relative pt-4"><div><div><div class="text-[8px] text-center text-gray-500 hidden"> </div><div id="div-gpt-ad-infeed-top"></div></div></div></div><div class="grid grid-cols-4 gap-3 mt-3 md:col-span-2"><a href="/view/major-depressive-disorder-research-roundup-february-6-2025"><div class="w-full aspect-square overflow-hidden rounded-bl-[10%] md:rounded-bl-none md:rounded-tl-[10%]"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img style="display:block;max-width:100%;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0" alt="" aria-hidden="true" src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%27250%27%20height=%27250%27/%3e"/></span><img alt="Major Depressive Disorder Research Roundup: February 6, 2025" title="Major Depressive Disorder Research Roundup: February 6, 2025" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" class="object-cover w-full h-full" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:cover"/><noscript><img alt="Major Depressive Disorder Research Roundup: February 6, 2025" title="Major Depressive Disorder Research Roundup: February 6, 2025" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6b5740aaa86f94b7de9b5ebcfbe498b67de80d14-1600x900.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=256&q=75 1x, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6b5740aaa86f94b7de9b5ebcfbe498b67de80d14-1600x900.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6b5740aaa86f94b7de9b5ebcfbe498b67de80d14-1600x900.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:cover" class="object-cover w-full h-full" loading="lazy"/></noscript></span></div></a><div class="col-span-3 space-y-1"><a class="font-bold text-md md:text-lg" href="/view/major-depressive-disorder-research-roundup-february-6-2025">Major Depressive Disorder Research Roundup: February 6, 2025</a><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/megan-mcsweeney">Megan McSweeney</a></span></div><p class="text-sm text-gray-500">February 6th 2025</p><p class="text-md block">Learn more about the latest research on the impact the endocrine system has on major depressive disorder.</p></div></div><div class="grid grid-cols-4 gap-3 mt-3 "><a href="/view/targeting-the-brain-a-new-path-forward-for-ibs-treatment"><div class="w-full aspect-square overflow-hidden rounded-bl-[10%]"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img style="display:block;max-width:100%;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0" alt="" aria-hidden="true" src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%27250%27%20height=%27250%27/%3e"/></span><img alt="IBS gut health" title="IBS gut health" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" class="object-cover w-full h-full" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:"/><noscript><img alt="IBS gut health" title="IBS gut health" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fbc8feb0e14a83298564649d2864126a155a0bee1-7250x3625.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=256&q=75 1x, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fbc8feb0e14a83298564649d2864126a155a0bee1-7250x3625.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fbc8feb0e14a83298564649d2864126a155a0bee1-7250x3625.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:" class="object-cover w-full h-full" loading="lazy"/></noscript></span></div></a><div class="col-span-3 space-y-1"><a class="font-bold text-md md:text-lg" href="/view/targeting-the-brain-a-new-path-forward-for-ibs-treatment">Targeting the Brain: A New Path Forward for IBS Treatment</a><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/leah-kuntz">Leah Kuntz</a></span></div><p class="text-sm text-gray-500">February 5th 2025</p><p class="text-md hidden">In mice models, opioid delta-receptor agonists showed promise in helping to relieve abdominal pain and regulate bowel movements. Is targeting the brain the best path forward for IBS treatment? </p></div></div><div class="grid grid-cols-4 gap-3 mt-3 "><a href="/view/virtual-reality-meditation-for-major-depressive-disorder-and-generalized-anxiety-disorder"><div class="w-full aspect-square overflow-hidden rounded-bl-[10%]"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img style="display:block;max-width:100%;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0" alt="" aria-hidden="true" src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%27250%27%20height=%27250%27/%3e"/></span><img alt="virtual reality" title="virtual reality" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" class="object-cover w-full h-full" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:"/><noscript><img alt="virtual reality" title="virtual reality" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fa0c2dd6ad7b8933544539b403d43d373fb46ee4e-8064x5376.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=256&q=75 1x, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fa0c2dd6ad7b8933544539b403d43d373fb46ee4e-8064x5376.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fa0c2dd6ad7b8933544539b403d43d373fb46ee4e-8064x5376.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:" class="object-cover w-full h-full" loading="lazy"/></noscript></span></div></a><div class="col-span-3 space-y-1"><a class="font-bold text-md md:text-lg" href="/view/virtual-reality-meditation-for-major-depressive-disorder-and-generalized-anxiety-disorder">Virtual Reality Meditation for Major Depressive Disorder and Generalized Anxiety Disorder</a><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/leah-kuntz">Leah Kuntz</a></span></div><p class="text-sm text-gray-500">January 31st 2025</p><p class="text-md hidden">Meditation using immersive virtual reality devices can help alleviate symptoms of major depressive disorder and generalized anxiety disorder. </p></div></div><div class="grid grid-cols-4 gap-3 mt-3 "><a href="/view/mental-illness-is-an-equal-opportunity-employer"><div class="w-full aspect-square overflow-hidden rounded-bl-[10%]"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img style="display:block;max-width:100%;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0" alt="" aria-hidden="true" src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%27250%27%20height=%27250%27/%3e"/></span><img alt="money meds" title="money meds" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" class="object-cover w-full h-full" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:"/><noscript><img alt="money meds" title="money meds" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F34d933bbf3651ea0a23fa29e739697028b492e25-5568x3712.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=256&q=75 1x, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F34d933bbf3651ea0a23fa29e739697028b492e25-5568x3712.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F34d933bbf3651ea0a23fa29e739697028b492e25-5568x3712.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:" class="object-cover w-full h-full" loading="lazy"/></noscript></span></div></a><div class="col-span-3 space-y-1"><a class="font-bold text-md md:text-lg" href="/view/mental-illness-is-an-equal-opportunity-employer">Mental Illness Is an Equal Opportunity Employer </a><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/danielle-egbe-do">Danielle Egbe, DO</a></span><span class="text-md "><span class="mr-1 italic"><br/></span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/christina-b-smith-md">Christina B. Smith, MD</a></span></div><p class="text-sm text-gray-500">January 28th 2025</p><p class="text-md hidden">How does affluence impact mental health outcomes? </p></div></div><div class="grid grid-cols-4 gap-3 mt-3 "><a href="/view/evaluating-the-efficacy-of-tms-for-the-treatment-of-ocd"><div class="w-full aspect-square overflow-hidden rounded-bl-[10%]"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img style="display:block;max-width:100%;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0" alt="" aria-hidden="true" src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%27250%27%20height=%27250%27/%3e"/></span><img alt="OCD" title="OCD" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" class="object-cover w-full h-full" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:"/><noscript><img alt="OCD" title="OCD" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F14bc0e8df24ed4ca65fc87caf02f82510c8ab565-4216x2372.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=256&q=75 1x, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F14bc0e8df24ed4ca65fc87caf02f82510c8ab565-4216x2372.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F14bc0e8df24ed4ca65fc87caf02f82510c8ab565-4216x2372.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:" class="object-cover w-full h-full" loading="lazy"/></noscript></span></div></a><div class="col-span-3 space-y-1"><a class="font-bold text-md md:text-lg" href="/view/evaluating-the-efficacy-of-tms-for-the-treatment-of-ocd">Evaluating the Efficacy of TMS for the Treatment of OCD</a><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/tommy-sung-md">Tommy Sung, MD</a></span><span class="text-md "><span class="mr-1 italic"><br/></span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/coralie-eilers-md">Coralie Eilers, MD</a></span><div class="relative group w-3"><button><svg stroke="currentColor" fill="none" stroke-width="2" viewBox="0 0 24 24" aria-hidden="true" height="1em" width="1em" xmlns="http://www.w3.org/2000/svg"><path stroke-linecap="round" stroke-linejoin="round" d="M5 12h.01M12 12h.01M19 12h.01M6 12a1 1 0 11-2 0 1 1 0 012 0zm7 0a1 1 0 11-2 0 1 1 0 012 0zm7 0a1 1 0 11-2 0 1 1 0 012 0z"></path></svg></button><div class="absolute hidden w-[280px] top-0 flex flex-col mt-6 group-hover:flex"><div class="w-3 h-3 -mb-2 rotate-45 bg-[#eee] ml-[2px]"></div><span class="relative z-10 p-2 text-xs leading-none whitespace-no-wrap bg-[#eee] shadow-lg"><ul><li class="pb-2"><a class="mr-1 text-sm text-sky-800 hover:text-primary" href="/authors/haley-schuster-md">Haley Schuster, MD</a></li><li class="pb-2"><a class="mr-1 text-sm text-sky-800 hover:text-primary" href="/authors/mark-mullen-md">Mark Mullen, MD</a></li><li class="pb-2"><a class="mr-1 text-sm text-sky-800 hover:text-primary" href="/authors/rajesh-r-tampi-md-ms-dfapa-dfaagp">Rajesh R. Tampi, MD, MS, DFAPA, DFAAGP</a></li></ul></span></div></div></div><p class="text-sm text-gray-500">January 17th 2025</p><p class="text-md hidden">Clinicians should consider rTMS as an intervention to alleviate OCD symptoms, especially in those who have failed other treatments or those with comorbid depression.</p></div></div></div></div><div class="jsx-19ede9f0a5a45918 py-4 relative px-0"><div class="jsx-19ede9f0a5a45918 "><div class="flex justify-between items-center py-1 space-x-4 border-0 select-none sm:border-b border-secondary"><div class="text-3xl text-primary ">Video Interviews</div></div></div><div style="scroll-snap-type:none" class="jsx-19ede9f0a5a45918 flex items-start overflow-x-auto space-x-4 py-4 relative mx-auto w-[calc(100%-64px)]"><a id="" class="w-[200px] h-fit space-y-3 flex-none select-none no-underline" style="scroll-snap-align:center;text-decoration:none" href="/view/dealing-with-uncertainty"><div class="w-full shadow-md shadow-gray-800 overflow-hidden relative 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Tampi, MD, MS, DFAPA, DFAAGP</a></div><a href="/view/tms-for-the-treatment-of-ocd"><span class="text-sm text-gray-500 pl-4">October 25th 2024</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">A new study shows that rTMS has moderate therapeutic effects on OCD severity. </p><div class="pl-4"></div></a><a class="flex items-center justify-center w-24 h-8 mt-4 ml-4 bg-primary border border-primary text-white hover:text-primary hover:bg-white hover:border-primary" href="/view/tms-for-the-treatment-of-ocd"><p class="font-bold text-[.75rem]">Read More</p></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/mental-health-in-the-sun-the-role-of-vitamin-d-deficiency-in-mental-illness"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.66666666666666%"></span><img alt="vitamin d" title="vitamin d" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="vitamin d" title="vitamin d" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F821658ab61751cdc3aebd0932bdb2c2e61453d00-5184x3456.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F821658ab61751cdc3aebd0932bdb2c2e61453d00-5184x3456.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F821658ab61751cdc3aebd0932bdb2c2e61453d00-5184x3456.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F821658ab61751cdc3aebd0932bdb2c2e61453d00-5184x3456.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F821658ab61751cdc3aebd0932bdb2c2e61453d00-5184x3456.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1200&q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F821658ab61751cdc3aebd0932bdb2c2e61453d00-5184x3456.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1920&q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F821658ab61751cdc3aebd0932bdb2c2e61453d00-5184x3456.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=2048&q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F821658ab61751cdc3aebd0932bdb2c2e61453d00-5184x3456.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F821658ab61751cdc3aebd0932bdb2c2e61453d00-5184x3456.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/mental-health-in-the-sun-the-role-of-vitamin-d-deficiency-in-mental-illness">Mental Health in the Sun: The Role of Vitamin D Deficiency in Mental Illness</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-m-greenblatt-md">James M. Greenblatt, MD</a></div><a href="/view/mental-health-in-the-sun-the-role-of-vitamin-d-deficiency-in-mental-illness"><span class="text-sm text-gray-500 pl-4">October 16th 2024</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">Recent research has highlighted important functional aspects of vitamin D. Learn more here. </p><div class="pl-4"></div></a><a class="flex items-center justify-center w-24 h-8 mt-4 ml-4 bg-primary border border-primary text-white hover:text-primary hover:bg-white hover:border-primary" href="/view/mental-health-in-the-sun-the-role-of-vitamin-d-deficiency-in-mental-illness"><p class="font-bold text-[.75rem]">Read More</p></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/complex-ptsd-a-necessary-dsm-addition"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.66666666666666%"></span><img alt="PTSD" title="PTSD" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="PTSD" title="PTSD" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Ff3ea873dddb55db8bb52f6930353d73a53ff345a-4743x3162.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Ff3ea873dddb55db8bb52f6930353d73a53ff345a-4743x3162.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Ff3ea873dddb55db8bb52f6930353d73a53ff345a-4743x3162.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Ff3ea873dddb55db8bb52f6930353d73a53ff345a-4743x3162.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Ff3ea873dddb55db8bb52f6930353d73a53ff345a-4743x3162.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1200&q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Ff3ea873dddb55db8bb52f6930353d73a53ff345a-4743x3162.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1920&q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Ff3ea873dddb55db8bb52f6930353d73a53ff345a-4743x3162.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=2048&q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Ff3ea873dddb55db8bb52f6930353d73a53ff345a-4743x3162.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Ff3ea873dddb55db8bb52f6930353d73a53ff345a-4743x3162.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/complex-ptsd-a-necessary-dsm-addition">Complex PTSD: A Necessary DSM Addition</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/john-j-miller-md">John J. Miller, MD</a></div><a href="/view/complex-ptsd-a-necessary-dsm-addition"><span class="text-sm text-gray-500 pl-4">October 11th 2024</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">There is still no formal or professional recognition of complex PTSD as a very different disorder than what DSM-5-TR describes for PTSD. </p><div class="pl-4"></div></a><a class="flex items-center justify-center w-24 h-8 mt-4 ml-4 bg-primary border border-primary text-white hover:text-primary hover:bg-white hover:border-primary" href="/view/complex-ptsd-a-necessary-dsm-addition"><p class="font-bold text-[.75rem]">Read More</p></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/borderline-personality-disorder-and-complex-posttraumatic-stress-disorder-myths-in-diagnosis"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:82.08053691275168%"></span><img alt="overlapping diagnosis" title="overlapping diagnosis" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="overlapping diagnosis" title="overlapping diagnosis" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F3e9cebefa2e8a249727e20e2bbe07c10d212fdc8-2980x2446.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F3e9cebefa2e8a249727e20e2bbe07c10d212fdc8-2980x2446.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F3e9cebefa2e8a249727e20e2bbe07c10d212fdc8-2980x2446.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F3e9cebefa2e8a249727e20e2bbe07c10d212fdc8-2980x2446.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F3e9cebefa2e8a249727e20e2bbe07c10d212fdc8-2980x2446.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1200&q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F3e9cebefa2e8a249727e20e2bbe07c10d212fdc8-2980x2446.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1920&q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F3e9cebefa2e8a249727e20e2bbe07c10d212fdc8-2980x2446.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=2048&q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F3e9cebefa2e8a249727e20e2bbe07c10d212fdc8-2980x2446.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F3e9cebefa2e8a249727e20e2bbe07c10d212fdc8-2980x2446.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/borderline-personality-disorder-and-complex-posttraumatic-stress-disorder-myths-in-diagnosis">Borderline Personality Disorder and Complex Posttraumatic Stress Disorder: Myths in Diagnosis</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/mark-l-ruffalo-msw-dpsa">Mark L. Ruffalo, MSW, DPsa</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/joel-paris-md">Joel Paris, MD</a></div><a href="/view/borderline-personality-disorder-and-complex-posttraumatic-stress-disorder-myths-in-diagnosis"><span class="text-sm text-gray-500 pl-4">September 19th 2024</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">Is the complex posttraumatic stress disorder diagnosis being used to avoid the diagnosis of borderline personality disorder?</p><div class="pl-4"></div></a><a class="flex items-center justify-center w-24 h-8 mt-4 ml-4 bg-primary border border-primary text-white hover:text-primary hover:bg-white hover:border-primary" href="/view/borderline-personality-disorder-and-complex-posttraumatic-stress-disorder-myths-in-diagnosis"><p class="font-bold text-[.75rem]">Read More</p></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/first-digital-treatment-for-generalized-anxiety-disorder-cleared-by-the-fda"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:56.25%"></span><img alt="anxiety" title="anxiety" 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/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F480b7b29f69d9743ec4d45ba543c1fc8e7aa932f-6000x3375.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F480b7b29f69d9743ec4d45ba543c1fc8e7aa932f-6000x3375.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/first-digital-treatment-for-generalized-anxiety-disorder-cleared-by-the-fda">First Digital Treatment for Generalized Anxiety Disorder Cleared by the FDA</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/leah-kuntz">Leah Kuntz</a></div><a href="/view/first-digital-treatment-for-generalized-anxiety-disorder-cleared-by-the-fda"><span class="text-sm text-gray-500 pl-4">September 5th 2024</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">DaylightRx becomes the very first FDA-cleared digital treatment for generalized anxiety disorder. </p><div class="pl-4"></div></a><a class="flex items-center justify-center w-24 h-8 mt-4 ml-4 bg-primary border border-primary text-white hover:text-primary hover:bg-white hover:border-primary" href="/view/first-digital-treatment-for-generalized-anxiety-disorder-cleared-by-the-fda"><p class="font-bold text-[.75rem]">Read More</p></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/mdmas-fda-pause-an-opportunity-to-amplify-approved-ptsd-treatments"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.66666666666666%"></span><img alt="PTSD" title="PTSD" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="PTSD" title="PTSD" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F9a11e924cb5c90a711be737b2a62da2fa442e6bd-4704x3136.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, 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w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/mdmas-fda-pause-an-opportunity-to-amplify-approved-ptsd-treatments">MDMA's FDA Pause: An Opportunity to Amplify Approved PTSD Treatments</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/malika-closson-md">Malika Closson, MD</a></div><a href="/view/mdmas-fda-pause-an-opportunity-to-amplify-approved-ptsd-treatments"><span class="text-sm text-gray-500 pl-4">August 29th 2024</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">While new treatment options in the PTSD space can be exciting, we cannot lose sight of the treatments that are already readily available. </p><div class="pl-4"></div></a><a class="flex items-center justify-center w-24 h-8 mt-4 ml-4 bg-primary border border-primary text-white hover:text-primary hover:bg-white hover:border-primary" href="/view/mdmas-fda-pause-an-opportunity-to-amplify-approved-ptsd-treatments"><p class="font-bold text-[.75rem]">Read More</p></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/evaluating-dispositional-capacity-in-patients-with-late-life-hoarding-disorder"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.7%"></span><img alt="hoarding" title="hoarding" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="hoarding" title="hoarding" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F0660fab14d821e140aff39b1c0117d1d42c160f5-6000x4002.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F0660fab14d821e140aff39b1c0117d1d42c160f5-6000x4002.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F0660fab14d821e140aff39b1c0117d1d42c160f5-6000x4002.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F0660fab14d821e140aff39b1c0117d1d42c160f5-6000x4002.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F0660fab14d821e140aff39b1c0117d1d42c160f5-6000x4002.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1200&q=75 1200w, 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style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/evaluating-dispositional-capacity-in-patients-with-late-life-hoarding-disorder">Evaluating Dispositional Capacity in Patients With Late-Life Hoarding Disorder</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/hosanna-kim-md">Hosanna Kim, MD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/rebecca-dutta-md">Rebecca Dutta, MD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/geetha-reddy-md-mph">Geetha Reddy, MD, MPH</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/james-bourgeois-od-md">James A. Bourgeois, OD, MD</a></div><a href="/view/evaluating-dispositional-capacity-in-patients-with-late-life-hoarding-disorder"><span class="text-sm text-gray-500 pl-4">August 23rd 2024</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">For older adults, hoarding disorder can have serious consequences. Examine this case study to learn more. </p><div class="pl-4"></div></a><a class="flex items-center justify-center w-24 h-8 mt-4 ml-4 bg-primary border border-primary text-white hover:text-primary hover:bg-white hover:border-primary" href="/view/evaluating-dispositional-capacity-in-patients-with-late-life-hoarding-disorder"><p class="font-bold text-[.75rem]">Read More</p></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/addressing-alcohol-or-cannabis-use-in-patients-with-anxiety-disorders"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.66666666666666%"></span><img alt="alcohol cannabis" title="alcohol cannabis" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="alcohol cannabis" title="alcohol cannabis" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F2f927043504631bb585f9949b0abc4b6979cb12f-3000x2000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F2f927043504631bb585f9949b0abc4b6979cb12f-3000x2000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F2f927043504631bb585f9949b0abc4b6979cb12f-3000x2000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F2f927043504631bb585f9949b0abc4b6979cb12f-3000x2000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F2f927043504631bb585f9949b0abc4b6979cb12f-3000x2000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1200&q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F2f927043504631bb585f9949b0abc4b6979cb12f-3000x2000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1920&q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F2f927043504631bb585f9949b0abc4b6979cb12f-3000x2000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=2048&q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F2f927043504631bb585f9949b0abc4b6979cb12f-3000x2000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F2f927043504631bb585f9949b0abc4b6979cb12f-3000x2000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/addressing-alcohol-or-cannabis-use-in-patients-with-anxiety-disorders">Addressing Alcohol or Cannabis Use in Patients With Anxiety Disorders</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/derek-d-satre-phd">Derek D. Satre, PhD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/maha-n-mian-phd">Maha N. Mian, PhD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/natalia-van-doren-phd">Natalia Van Doren, PhD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/esti-iturralde-phd">Esti Iturralde, PhD</a></div><a href="/view/addressing-alcohol-or-cannabis-use-in-patients-with-anxiety-disorders"><span class="text-sm text-gray-500 pl-4">August 22nd 2024</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">In this CME article, learn more about how to assess the impact of alcohol and cannabis use on anxiety treatment outcomes, recognizing potential adverse effects and interactions.</p><div class="pl-4"></div></a><a class="flex items-center justify-center w-24 h-8 mt-4 ml-4 bg-primary border border-primary text-white hover:text-primary hover:bg-white hover:border-primary" href="/view/addressing-alcohol-or-cannabis-use-in-patients-with-anxiety-disorders"><p 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/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F27a609741cd3c29a7bdb84ac758b48e2c7b1acec-4500x3000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F27a609741cd3c29a7bdb84ac758b48e2c7b1acec-4500x3000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1200&q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F27a609741cd3c29a7bdb84ac758b48e2c7b1acec-4500x3000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1920&q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F27a609741cd3c29a7bdb84ac758b48e2c7b1acec-4500x3000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=2048&q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F27a609741cd3c29a7bdb84ac758b48e2c7b1acec-4500x3000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F27a609741cd3c29a7bdb84ac758b48e2c7b1acec-4500x3000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/the-perinatal-mental-health-crisis">The Perinatal Mental Health Crisis</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/martha-zimmermann-phd">Martha Zimmermann, PhD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/jamie-zahlaway-belsito-bs">Jamie Zahlaway Belsito, BS</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/jessica-gaulton-md-mph">Jessica Gaulton, MD, MPH</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/nancy-byatt-do-ms-mba-dfapa-faclp">Nancy Byatt, DO, MS, MBA, DFAPA, FACLP</a></div><a href="/view/the-perinatal-mental-health-crisis"><span class="text-sm text-gray-500 pl-4">August 5th 2024</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">Perinatal mood and anxiety disorders affect 1 in 5 of perinatal individuals who are pregnant or up to 1 year postpartum. Over the past 2 decades, the US has seen an alarming rise in these disorders.</p><div class="pl-4"></div></a><a class="flex items-center justify-center w-24 h-8 mt-4 ml-4 bg-primary border border-primary text-white hover:text-primary hover:bg-white hover:border-primary" href="/view/the-perinatal-mental-health-crisis"><p class="font-bold text-[.75rem]">Read More</p></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/gender-culture-and-social-constructs-in-body-focused-repetitive-behaviors"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:123.07692307692308%"></span><img alt="beauty standards" title="beauty standards" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="beauty standards" title="beauty standards" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F01536347d5c1844b9a10a5a8c118c16fc4d1462f-6500x8000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F01536347d5c1844b9a10a5a8c118c16fc4d1462f-6500x8000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F01536347d5c1844b9a10a5a8c118c16fc4d1462f-6500x8000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F01536347d5c1844b9a10a5a8c118c16fc4d1462f-6500x8000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F01536347d5c1844b9a10a5a8c118c16fc4d1462f-6500x8000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1200&q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F01536347d5c1844b9a10a5a8c118c16fc4d1462f-6500x8000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1920&q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F01536347d5c1844b9a10a5a8c118c16fc4d1462f-6500x8000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=2048&q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F01536347d5c1844b9a10a5a8c118c16fc4d1462f-6500x8000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F01536347d5c1844b9a10a5a8c118c16fc4d1462f-6500x8000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/gender-culture-and-social-constructs-in-body-focused-repetitive-behaviors">Gender, Culture, and Social Constructs in Body-Focused Repetitive Behaviors</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/marla-w-deibler-psyd-abpp">Marla W. Deibler, PsyD, ABPP</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/renae-reinardy-psyd">Renae Reinardy, PsyD</a></div><a href="/view/gender-culture-and-social-constructs-in-body-focused-repetitive-behaviors"><span class="text-sm text-gray-500 pl-4">August 5th 2024</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">Careful consideration of the complex interplay between cultural identities, associations with beauty, and body-focused repetitive behaviors, may improve case conceptualization and treatment outcomes. </p><div class="pl-4"></div></a><a class="flex items-center justify-center w-24 h-8 mt-4 ml-4 bg-primary border border-primary text-white hover:text-primary hover:bg-white hover:border-primary" href="/view/gender-culture-and-social-constructs-in-body-focused-repetitive-behaviors"><p class="font-bold text-[.75rem]">Read More</p></a><div class="flex flex-col sm:flex-row pl-2 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Bender, PharmD, MA</a></div><a href="/view/who-addresses-gaps-in-mental-health-care-delivery-and-quality"><span class="text-sm text-gray-500 pl-4">July 24th 2024</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">Guidelines from the World Health Organization's Mental Health Gap Action Program support nonspecialist health workers providing evidence-based treatments in underresourced regions. </p><div class="pl-4"></div></a><a class="flex items-center justify-center w-24 h-8 mt-4 ml-4 bg-primary border border-primary text-white hover:text-primary hover:bg-white hover:border-primary" href="/view/who-addresses-gaps-in-mental-health-care-delivery-and-quality"><p class="font-bold text-[.75rem]">Read More</p></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div 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src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fef9010c66b1ef9f5f5f3655742ea2de969f60306-5376x3072.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/what-is-complex-posttraumatic-stress-disorder-and-how-does-it-relate-to-borderline-personality-disorder">What Is Complex Posttraumatic Stress Disorder and How Does It Relate to Borderline Personality Disorder?</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/jana-gutierrez-md">Jana Gutierrez, MD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/phebe-tucker-md">Phebe Tucker, MD, DLFAPA</a></div><a href="/view/what-is-complex-posttraumatic-stress-disorder-and-how-does-it-relate-to-borderline-personality-disorder"><span class="text-sm text-gray-500 pl-4">July 17th 2024</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">Whether a patient has a diagnosis of cPTSD, BPD, or some combination of both, treatment should be considered multifaceted and overlapping. Learn more in this Special Report article. </p><div class="pl-4"></div></a><a class="flex items-center justify-center w-24 h-8 mt-4 ml-4 bg-primary border border-primary text-white hover:text-primary hover:bg-white hover:border-primary" href="/view/what-is-complex-posttraumatic-stress-disorder-and-how-does-it-relate-to-borderline-personality-disorder"><p class="font-bold text-[.75rem]">Read More</p></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/unraveling-the-threads-of-trepidation-the-prevalence-and-evolving-contours-of-anxiety-and-traumatic-stress"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:68.9376734796871%"></span><img alt="traumatic stress" title="traumatic stress" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="traumatic stress" title="traumatic stress" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fa39ddc657aa854a62db8d87fef6406c8f370728f-3963x2732.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fa39ddc657aa854a62db8d87fef6406c8f370728f-3963x2732.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fa39ddc657aa854a62db8d87fef6406c8f370728f-3963x2732.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fa39ddc657aa854a62db8d87fef6406c8f370728f-3963x2732.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fa39ddc657aa854a62db8d87fef6406c8f370728f-3963x2732.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1200&q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fa39ddc657aa854a62db8d87fef6406c8f370728f-3963x2732.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1920&q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fa39ddc657aa854a62db8d87fef6406c8f370728f-3963x2732.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=2048&q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fa39ddc657aa854a62db8d87fef6406c8f370728f-3963x2732.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fa39ddc657aa854a62db8d87fef6406c8f370728f-3963x2732.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/unraveling-the-threads-of-trepidation-the-prevalence-and-evolving-contours-of-anxiety-and-traumatic-stress">Unraveling the Threads of Trepidation: The Prevalence and Evolving Contours of Anxiety and Traumatic Stress</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/itamar-shapira-md">Itamar Shapira, MD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/charles-b-nemeroff-md-phd">Charles B. Nemeroff, MD, PhD</a></div><a href="/view/unraveling-the-threads-of-trepidation-the-prevalence-and-evolving-contours-of-anxiety-and-traumatic-stress"><span class="text-sm text-gray-500 pl-4">July 16th 2024</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">An understanding of evolving risk factors and pathophysiology is vital to optimal clinical management of anxiety disorders and PTSD. </p><div class="pl-4"></div></a><a class="flex items-center justify-center w-24 h-8 mt-4 ml-4 bg-primary border border-primary text-white hover:text-primary hover:bg-white hover:border-primary" href="/view/unraveling-the-threads-of-trepidation-the-prevalence-and-evolving-contours-of-anxiety-and-traumatic-stress"><p class="font-bold text-[.75rem]">Read More</p></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/what-have-we-learned-about-trauma-and-stress-over-the-years"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.66666666666666%"></span><img alt="anxiety" title="anxiety" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="anxiety" title="anxiety" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Ffe19ecbe4b84c173db84ac08a409cfa565a7fe30-4032x2688.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Ffe19ecbe4b84c173db84ac08a409cfa565a7fe30-4032x2688.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, 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href="/view/what-have-we-learned-about-trauma-and-stress-over-the-years">What Have We Learned About Trauma and Stress Over the Years?</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/phebe-tucker-md">Phebe Tucker, MD, DLFAPA</a></div><a href="/view/what-have-we-learned-about-trauma-and-stress-over-the-years"><span class="text-sm text-gray-500 pl-4">July 15th 2024</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">For those who have experienced trauma and suffer a subsequent mental health disorder, ongoing research is identifying psychotherapies, medications, and lifestyle changes that can help.</p><div class="pl-4"></div></a><a class="flex items-center justify-center w-24 h-8 mt-4 ml-4 bg-primary border border-primary text-white hover:text-primary hover:bg-white hover:border-primary" href="/view/what-have-we-learned-about-trauma-and-stress-over-the-years"><p class="font-bold text-[.75rem]">Read More</p></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="flex md:hidden justify-center items-center"></div><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/medication-assisted-psychotherapy-moving-forward"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span 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w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/medication-assisted-psychotherapy-moving-forward">Medication-Assisted Psychotherapy: Moving Forward</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/john-j-miller-md">John J. Miller, MD</a></div><a href="/view/medication-assisted-psychotherapy-moving-forward"><span class="text-sm text-gray-500 pl-4">July 5th 2024</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">The FDA did not vote to deny approval of MDMA-assisted psychotherapy on June 4, 2024, contrary to all the buzz in the media saying they did. 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When patients describe psychiatric symptoms (eg, anxiety, insomnia, irritability), psychiatrists should ask about workplace issues.","_id":"6b35e56e-7a93-4555-899e-6324cfb7bf0a","is_visible":true,"documentGroup":null,"body":[{"children":[{"text":"PSYCHPEARLS","_key":"07b327f9e23f0","_type":"span","marks":["strong"]}],"_type":"block","style":"normal","_key":"07b327f9e23f","markDefs":[]},{"markDefs":[],"children":[{"_key":"fd65ffdc89290","_type":"span","marks":["strong"],"text":"Group for the Advancement of Psychiatry, Work and Organizations Committee"}],"_type":"block","style":"normal","_key":"fd65ffdc8929"},{"style":"normal","_key":"2566bb61110d","markDefs":[{"_type":"link","href":"http://www.psychiatrictimes.com/coronavirus","_key":"4ff58d1ca67b"}],"children":[{"_type":"span","marks":[],"text":"Unprecedented numbers of Americans are losing their jobs due to ","_key":"2566bb61110d0"},{"_type":"span","marks":["4ff58d1ca67b"],"text":"COVID-19","_key":"2566bb61110d1"},{"marks":[],"text":". For people still working, and those returning to work after telecommuting for a while, it is natural to have some level of worry and concern.","_key":"2566bb61110d2","_type":"span"}],"_type":"block"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Given that, when patients describe psychiatric symptoms (eg, anxiety, insomnia, irritability) – psychiatrists should ask about workplace issues. If during that discussion a patient describes a concern about their safety and mentions thoughts about quitting their job, we strongly encourage the psychiatrist to help the patient uncover and process the underlying issues.","_key":"ef6ad06d2f270"}],"_type":"block","style":"normal","_key":"ef6ad06d2f27"},{"style":"normal","_key":"ecd199348961","markDefs":[],"children":[{"_type":"span","marks":[],"text":"In this podcast, Dr Sean Sassano describes a way of evaluating and supporting such a patient. Specifically: (1) evaluating the underlying workplace issues (eg, concerns regarding an inability to engage in social distancing); (2) treating target symptoms (eg, claustrophobia associated with wearing a mask); (3) assessing workplace issues realistically, without catastrophizing them; (4) predicting, and discussing, the real-life ramifications of quitting a job.","_key":"ecd1993489610"}],"_type":"block"},{"_key":"663ead39d5b0","uploadAudio":{"_type":"file","asset":{"_ref":"file-666bf55a8b44d34526aa65ae35a9b88296a05db2-mp3","_type":"reference"}},"_type":"audio"},{"_type":"block","style":"normal","_key":"4b93609383b2","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Transcript:","_key":"4b93609383b20"}]},{"markDefs":[{"_type":"link","href":"http://ourgap.org/","_key":"c48262ea1bbc"}],"children":[{"_type":"span","marks":["strong"],"text":"Ashley VanDercar:","_key":"98ecdedc8da60"},{"_type":"span","marks":[],"text":" This is Ashley VanDercar. I am a psychiatry resident and a fellow with the ","_key":"98ecdedc8da61"},{"text":"Group for the Advancement of Psychiatry","_key":"98ecdedc8da62","_type":"span","marks":["c48262ea1bbc"]},{"_type":"span","marks":[],"text":". Today, I'll be interviewing Dr Sean Sassano. Dr Sassano is a private practice psychiatrist in Los Angeles, California. He specializes in anxiety disorders and obsessive-compulsive disorders.","_key":"98ecdedc8da63"}],"_type":"block","style":"normal","_key":"98ecdedc8da6"},{"markDefs":[],"children":[{"marks":["strong"],"text":"Sean Sassano:","_key":"78527dd353160","_type":"span"},{"_key":"78527dd353161","_type":"span","marks":[],"text":" This is Sean Sassano. I am a psychiatrist in private practice in Los Angeles, California."}],"_type":"block","style":"normal","_key":"78527dd35316"},{"markDefs":[{"_type":"link","href":"http://www.psychiatrictimes.com/depression/how-and-why-clinicians-should-take-thorough-work-history-during-covid-19-and-beyond","_key":"7ed9db7c2cdd"},{"_type":"link","href":"http://www.psychiatrictimes.com/how-help-support-patients-essential-workers","_key":"54ccc3b1c1fa"}],"children":[{"_type":"span","marks":["strong"],"text":"Ashley VanDercar:","_key":"67f477aab4c60"},{"_type":"span","marks":[],"text":" So, we talked about this in ","_key":"67f477aab4c61"},{"_key":"67f477aab4c62","_type":"span","marks":["7ed9db7c2cdd"],"text":"Episode 2"},{"text":" and ","_key":"67f477aab4c63","_type":"span","marks":[]},{"text":"Episode 3","_key":"67f477aab4c64","_type":"span","marks":["54ccc3b1c1fa"]},{"_type":"span","marks":[],"text":", but briefly: why is it so important right now, during COVID-19, to ask about workplace issues, even if it doesn’t directly implicate the presenting problem?","_key":"67f477aab4c65"}],"_type":"block","style":"normal","_key":"67f477aab4c6"},{"_key":"9778bc449e0f","markDefs":[],"children":[{"marks":["strong"],"text":"Sean Sassano:","_key":"9778bc449e0f0","_type":"span"},{"_key":"9778bc449e0f1","_type":"span","marks":[],"text":" Our patients’ symptoms occur in the context of where they are working. The reason that symptoms may be manifesting is oftentimes because there is something going on in the workplace. That can be either real or perceived by the patient; but there oftentimes is a workplace situation. Having a discussion with the patient about what exactly that workplace situation or stressor is – be it an overly demanding supervisor or the fact that a coworker had COVID-19 this past week – that can really go a long way toward helping us understand the patient. It can also go a long way towards helping us figure out exactly how to treat the patient."}],"_type":"block","style":"normal"},{"_type":"block","style":"normal","_key":"725916cde859","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Sometimes, the workplace situation actually is contributing to someone’s anxiety. There are difficult scenarios that could exist. If someone is working in a factory line, they may not be following the social distancing requirements. They may not be wearing the personal protective gear. It really could be based in reality, the anxiety that the person is experiencing.","_key":"725916cde8590"}]},{"children":[{"_type":"span","marks":["strong"],"text":"Ashley VanDercar:","_key":"b4a6768f5e540"},{"_type":"span","marks":[],"text":" Let’s say the presenting problem was anxiety … you asked more questions and learned that there was a legitimate underlying workplace issue – like the factory worker example you just gave. You talk about it more, and you hear them starting to weigh out whether it is in fact worth going back to work. What do you, as a psychiatrist, do to support the patient in processing this?","_key":"b4a6768f5e541"}],"_type":"block","style":"normal","_key":"b4a6768f5e54","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Sean Sassano:","_key":"ec9f5c9e96880"},{"marks":[],"text":" One of the first steps that I would recommend someone do when they’re concerned about a situation, is see if they can come up with some realistic estimate of the probability of that feared outcome happening. If we're talking about COVID-19, what we're talking about is potentially the patient getting sick or them getting other people sick. It's certainly difficult when you don't have a ton of information to go on, when estimates might be uncertain. One thing that you could do is to ask yourself: “Do I have a realistic estimate here? Or, am I vastly and greatly overestimating the probability of this disastrous outcome occurring?”","_key":"ec9f5c9e96881","_type":"span"}],"_type":"block","style":"normal","_key":"ec9f5c9e9688"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Oftentimes, we tend as humans to catastrophize things. There's a protective element to that. Looking for the worst-case scenario can help you plan for that and then try to prevent that from happening. But, oftentimes, it runs away from us.","_key":"2667b398c2f40"}],"_type":"block","style":"normal","_key":"2667b398c2f4"},{"style":"normal","_key":"ab94281588a1","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Ashley VanDercar:","_key":"ab94281588a10"},{"_type":"span","marks":[],"text":" What if it’s not worry about getting sick … but rather, that the patient’s job requires that they wear a mask. The patient tells you they just can’t do it – it makes them too anxious. What do you, as the psychiatrist, do now?","_key":"ab94281588a11"}],"_type":"block"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Sean Sassano:","_key":"5d1cc45102350"},{"_type":"span","marks":[],"text":" The first question I would ask is: “What are you going to do if you don't go to work? How are you going to be able to support yourself?”","_key":"5d1cc45102351"}],"_type":"block","style":"normal","_key":"5d1cc4510235"},{"style":"normal","_key":"4c22a0437334","markDefs":[],"children":[{"text":"Ashley VanDercar:","_key":"4c22a04373340","_type":"span","marks":["strong"]},{"_type":"span","marks":[],"text":" So how do you help them move through it?","_key":"4c22a04373341"}],"_type":"block"},{"_type":"block","style":"normal","_key":"da2db421d914","markDefs":[],"children":[{"_key":"da2db421d9140","_type":"span","marks":["strong"],"text":"Sean Sassano:"},{"_type":"span","marks":[],"text":" So, first it always bears going beyond just the initial discussion with the patient. When they say: “I'm scared of wearing a mask,” what we really want to do is try to figure out what exactly the feared catastrophic event is that they're worried about. It could be something like the claustrophobia, or that they’ll have a panic attack because they feel claustrophobic. It could be that these masks aren't sufficient in terms of preventing them from contracting COVID. It could be a number of things. Figuring out exactly what it is that the patient is scared of is a very good first step.","_key":"da2db421d9141"}]},{"style":"normal","_key":"f68a71b0f354","markDefs":[],"children":[{"text":"The next step, as I mentioned earlier, is trying to realistically determine the probability that these feared events may happen. We don't want to spend too much time on that. But, if someone has decided, or is acting, like there is a 100% chance that they're going to have a panic attack every time they put a mask on … there's a little bit of discussion, and a little bit of retrospective analysis, to see just how likely that really is, and how often that has happened in the past for them.","_key":"f68a71b0f3540","_type":"span","marks":[]}],"_type":"block"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"It really does become a matter of becoming less afraid of being afraid. So, as a therapist, we don't try to get rid of fear. We try to manage our reactions to fear. Fear of fear is something that we try to work on. One of the ways we work on that is with exposure therapy. In this sort of scenario, what I might recommend, is that we're going to wear masks all day long. We're going to wear a mask for the hour that we’re together in my office. We may even do things like mimic the feeling that you can't breathe. Holding your breath is a great example, or hyperventilating.","_key":"5167dabcf4c00"}],"_type":"block","style":"normal","_key":"5167dabcf4c0"},{"_type":"block","style":"normal","_key":"35045e28618e","markDefs":[],"children":[{"_type":"span","marks":[],"text":"The exposure-based therapy is really helpful in preparing someone for these scenarios. Another way that you could do that is with something called imaginal exposure, which is where we imagine being in that situation at work and having a panic attack. Or wearing a mask and thinking you're going to have a panic attack. The more we get used to these ideas, by habituating to the ideas, or by learning that these are not things you're going to voluntarily avoid … this simple act of us approaching these scary things tells our brain to stop being scared of them and gets us much better at managing how we respond.","_key":"35045e28618e0"}]},{"style":"normal","_key":"94870e8bf445","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Changing the perception of the situation harkens back to psychotherapy techniques and asking yourself: “Is there something that I am misperceiving about the situation? Perhaps if I had a more accurate perception, it might not cause the same emotional or physical reaction.”","_key":"94870e8bf4450"}],"_type":"block"},{"children":[{"_type":"span","marks":[],"text":"The other option is to do some problem solving. If the patient is telling you that there are certain workplace situations that aren’t conducive to health, then see if there's anything that they can do in the workplace. Either talking to their manager, or talking to human resources, and seeing if something can be changed about the actual situation.","_key":"56eed16c22310"}],"_type":"block","style":"normal","_key":"56eed16c2231","markDefs":[]},{"_key":"b210a377f0d0","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Beyond that it starts to become: are you in the market for a different employment opportunity?","_key":"b210a377f0d00"}],"_type":"block","style":"normal"},{"_key":"856abb5256c5","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Ashley VanDercar:","_key":"856abb5256c50"},{"_type":"span","marks":[],"text":" What if they … think they need to leave their job. How do you help them think through, and process, that?","_key":"856abb5256c51"}],"_type":"block","style":"normal"},{"style":"normal","_key":"360549117631","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Sean Sassano:","_key":"3605491176310"},{"_type":"span","marks":[],"text":" I think the first question that I would ask is: what has been the function of work for them? And: what are they going to be doing if they're not working?","_key":"3605491176311"}],"_type":"block"},{"_type":"block","style":"normal","_key":"dbe2ffced547","markDefs":[],"children":[{"_type":"span","marks":[],"text":"How do they see this impacting their day-to-day activities? Then, we may have a discussion about what it is going to be like if they don't have the structure of work.","_key":"dbe2ffced5470"}]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Beyond that, I would ask if there's anything that they'll miss about work. If there's anything that getting back to work would serve to assist them with. Then, I would ask them about their long-term plans, both financially and in terms of their own identity. How do they see this playing into that?","_key":"82e2597981ac0"}],"_type":"block","style":"normal","_key":"82e2597981ac"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Ashley VanDercar:","_key":"67a518c9499e0"},{"_type":"span","marks":[],"text":" What if, despite these discussions, the patient feels that their mental health condition is such that they are going to quit, and they are going to file for disability benefits. What is your role then?","_key":"67a518c9499e1"}],"_type":"block","style":"normal","_key":"67a518c9499e"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Sean Sassano:","_key":"7e3a45b29b4d0"},{"marks":[],"text":" One thing that you can certainly try in those sorts of situations, is to imagine two paths for your future. Then ask: “If you stay on the path of disability, where do you see yourself in three or five years? Do you like where you end up? And if we take a different path, where we really try to get you back to work, where do you see yourself in three to five years?”","_key":"7e3a45b29b4d1","_type":"span"}],"_type":"block","style":"normal","_key":"7e3a45b29b4d"},{"markDefs":[],"children":[{"text":"Once we have that sort of idea, we can start building up a little bit of momentum and motivation in one direction or the other.","_key":"8abc9407af1d0","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"8abc9407af1d"},{"_type":"block","style":"normal","_key":"40841a67e7c6","markDefs":[],"children":[{"marks":["strong"],"text":"Ashley VanDercar:","_key":"40841a67e7c60","_type":"span"},{"_type":"span","marks":[],"text":" When we’ve talked in the past, you’ve mentioned the importance of someone returning to work as quickly as possible. Why is this important?","_key":"40841a67e7c61"}]},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Sean Sassano:","_key":"1084e166326c0"},{"text":" The longer somebody stays out of work – and this goes for so many things – the more we start to develop a habit, the more ingrained it becomes, and the more anticipatory anxiety we have about changing that habit.","_key":"1084e166326c1","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"1084e166326c"},{"_type":"block","style":"normal","_key":"e9aed0c4e9fe","markDefs":[],"children":[{"_type":"span","marks":[],"text":"So, I always try to get people to return to work as soon as they can. We don't want to overdo it and have them fail. But, this is one of the reasons why we oftentimes try a graduated return to work – where someone starts working a few hours a day, or a few days a week, and then slowly builds up from there.","_key":"e9aed0c4e9fe0"}]},{"style":"normal","_key":"3080c94eb8d1","markDefs":[],"children":[{"_type":"span","marks":[],"text":"The longer you are out of work, the more it becomes a habit for you, you start losing skills and you start losing motivation and you get fairly ingrained into the “I am disabled” role. We all play out certain roles in our lives. Other people start to believe those roles too and reinforce those as well. The longer that you're in that role, the more you start to identify with it.","_key":"3080c94eb8d10"}],"_type":"block"},{"children":[{"_type":"span","marks":["strong"],"text":"Ashley VanDercar:","_key":"f534a2ff2d040"},{"text":" Today, Dr Sassano talked about the importance of asking our patients about their workplace concerns when they come to us with a psychiatric symptom. If workplace concerns do exist, he discussed how to help them realistically process the concern rather than catastrophizing them. He also talked about how to target specific symptoms with therapies, exposure therapy, imaginal exposure … and how, if a patient voices a desire to leave their job, you as a psychiatrist can help them process that thought – thinking through the long-term ramifications. And, then, if they do choose to leave work, how to emphasize the importance of returning to the workforce as quickly as possible, to avoid having being out of work and viewing yourself in a disabled role, become a habit.","_key":"f534a2ff2d041","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"f534a2ff2d04","markDefs":[]},{"children":[{"marks":["em"],"text":"Transcript edited for clarity. -Ed","_key":"9cf7527c59c60","_type":"span"}],"_type":"block","style":"normal","_key":"9cf7527c59c6","markDefs":[]},{"_type":"block","style":"normal","_key":"f78c33a1a82e","markDefs":[],"children":[{"_key":"f78c33a1a82e0","_type":"span","marks":["strong"],"text":"More in this series by the"},{"text":" ","_key":"f78c33a1a82e1","_type":"span","marks":[]},{"_key":"f78c33a1a82e2","_type":"span","marks":["strong"],"text":"Group for the Advancement of Psychiatry, Work and Organizations Committee"}]},{"children":[{"_type":"span","marks":[],"text":"Episode 1 of 4: 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this podcast, psychiatrists from the Group for Advancement of Psychiatry, Work and Organizations walk us through assessing how a patient's work ties to their sense of identity. They describe ways to validate a patient's feelings, provide reassurance, and help manage their emotions.","_key":"kFCAAqIC"}],"_type":"block"},{"style":"normal","_key":"gPjSYiBB","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Group for Advancement of Psychiatry, Work and Organizations Committee","_key":"ooxI7ncH"}],"_type":"block"},{"_type":"block","style":"normal","_key":"Tr7XaWwd","markDefs":[],"children":[{"_type":"span","marks":[],"text":"COVID-19 has produced job loss that is, at least in our lifetime, unprecedented. Many of our patients have either lost their jobs or are insecure about that prospect. As psychiatrists, we are uniquely situated to help support these patients through these difficult times.","_key":"vmZoJ9MC"}]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"First, however, we must assess how a patient’s work fits into – and makes up – their identity. With that knowledge, we can validate their feelings, provide reassurance, and support them. Support takes many forms. It includes urging patients to stay (electronically) connected, helping them manage their feelings of uncertainty, and encouraging them to prepare for the future.","_key":"ZWcSkmqZ"}],"_type":"block","style":"normal","_key":"aFHVbV6A"},{"children":[{"_type":"span","marks":[],"text":"In this audio recording, Dr Fara White, a member of the ","_key":"cJoyrCqX"},{"_type":"span","marks":["href_1591897705534303673"],"text":"Group for the Advancement of Psychiatry","_key":"8I81Te27"},{"_key":"yPBKUsQM","_type":"span","marks":[],"text":", Work and Organizations committee, provides her views on how to evaluate and support patients facing job loss, or insecurity. "}],"_type":"block","style":"normal","_key":"2EF21rCm","markDefs":[{"blank":true,"_type":"link","href":"https://ourgap.org/","_key":"href_1591897705534303673"}]},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Transcript: ","_key":"zcSQx9Y5"}],"_type":"block","style":"normal","_key":"mq75Wukf"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Ashley VanDercar:","_key":"r5uFVK3Y"},{"marks":[],"text":" My name is Ashley VanDercar, and I’m a psychiatry resident, and a fellow with the Group for Advancement of Psychiatry.","_key":"qYAaCYRW","_type":"span"}],"_type":"block","style":"normal","_key":"Ixr7Y4s2"},{"_key":"PapJeFRo","markDefs":[{"href":"coronavirus","_key":"href_1591897705786922058","blank":true,"_type":"link"}],"children":[{"text":"COVID-19","_key":"3wtNgW4j","_type":"span","marks":["href_1591897705786922058"]},{"_type":"span","marks":[],"text":" is a global pandemic. As a result of this pandemic, there are record numbers of people who are losing their jobs. As a psychiatrist, these are our patients; patients who either have job loss, or fear losing their jobs. Dr Farah White has a private practice in psychiatry, which is located in Manhattan - that is her patient base.","_key":"nBycdqbR"}],"_type":"block","style":"normal"},{"_key":"9polordo","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Fara White:","_key":"vynDohfD"},{"_type":"span","marks":[],"text":" I’m a private practice psychiatrist in Manhattan. It (COVID-19) has changed life in the city as we’ve come to know it.","_key":"6SLs3tWu"}],"_type":"block","style":"normal"},{"style":"normal","_key":"hUwiSs72","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Ashley VanDercar:","_key":"oEpFcBrB"},{"_type":"span","marks":[],"text":" When you have a patient who has lost their job, or is in the process of losing their job, what do you do? How do you evaluate them, and treat them psychiatrically, to support them?","_key":"NcE4oYGD"}],"_type":"block"},{"markDefs":[],"children":[{"marks":["strong"],"text":"Fara White:","_key":"sGmpcg2n","_type":"span"},{"_key":"8pNtOHy9","_type":"span","marks":[],"text":" So, I usually try to assess how big of a part of someone’s identity their job is. There are some people that, it’s so indistinguishable from who they are as a person, that job loss, or job change - really shatters their sense of self."}],"_type":"block","style":"normal","_key":"VmerpFUZ"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"If someone has been successful for a big part of their lives, I always try to have them keep in mind that this is not a reflection of anything that they’ve done. Rather it’s a reflection of the world that we’re living in now. As we start to rebuild, the odds of that person becoming successful again in their chosen field, however it may change, are pretty good. We will be able to reconstitute, in some way; certainly, from a financial point of view.","_key":"Fj9uH7oS"}],"_type":"block","style":"normal","_key":"Dtoqt5Q6"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Ashley VanDercar:","_key":"LVHaZ0nm"},{"_type":"span","marks":[],"text":" You mentioned trying to assess how big of someone’s identity their work or job is. But what do you do next? Can you walk us through the steps, when a patient is in front of you with this issue?","_key":"cwRUs9t1"}],"_type":"block","style":"normal","_key":"7SZ42YTt"},{"style":"normal","_key":"KB2TswjQ","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Fara White:","_key":"ZNvmfoB2"},{"_type":"span","marks":[],"text":" Well, I think the first thing is to really validate their feelings, and what they’re going through. Especially now, with all the “bad news” in the world, it is hard to have compassion for something like a job loss (if you look at the bigger picture). But our job, as a therapist, is to really support that person’s experience – whatever they’re going through. Whether it’s a loss in their portfolio, a job loss, or dealing with a loved one who is sick with this horrible virus.","_key":"hcBotpPV"}],"_type":"block"},{"_key":"sQxnTROO","markDefs":[],"children":[{"marks":[],"text":"That’s sort of the role; and, to be aware of our own feelings … our own counter transference about the patient, or concerns that we have. Like: what is it bringing up in the therapist?","_key":"klIlrmbm","_type":"span"}],"_type":"block","style":"normal"},{"style":"normal","_key":"gYLEXLEF","markDefs":[],"children":[{"_type":"span","marks":[],"text":"The number one priority is our emotional health and physical well-being. So, I’m telling people to work with what they have, which may be as limited as some space in a yoga mat, or a podcast that they enjoy. 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With quantity?","_key":"RCJmrpJn"}]},{"markDefs":[],"children":[{"marks":[],"text":"•What effect, if any, did job strain have on the men in your study?","_key":"DrIToDap","_type":"span"}],"_type":"block","style":"normal","_key":"L40ABTio"},{"children":[{"_type":"span","marks":[],"text":"•What effect, if any, did life strain have on the men in your study?","_key":"ukeaGAXi"}],"_type":"block","style":"normal","_key":"fejPKDE2","markDefs":[]},{"children":[{"_type":"span","marks":[],"text":"•By what mechanism is stress believed to influence semen production?","_key":"XS0TFPnf"}],"_type":"block","style":"normal","_key":"DDe2BDsQ","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"•What are the take-away points for psychiatrists?","_key":"eR1L3XEs"}],"_type":"block","style":"normal","_key":"gK4XYHKb"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Dr Factor-Litvak is Associate Professor of Epidemiology at Columbia University Medical Center and Associate Dean for Research Resources at the Mailman School of Public Health Columbia University in New York City.","_key":"JSc3fn1W"}],"_type":"block","style":"normal","_key":"HzzISjw6"},{"markDefs":[],"children":[{"_key":"ENx6KesD","_type":"span","marks":[],"text":" "}],"_type":"block","style":"normal","_key":"c5P8nqwm"},{"markDefs":[],"children":[{"marks":[],"text":"References:","_key":"BuCGf3xk","_type":"span"}],"_type":"block","style":"h3","_key":"8DQfOWsj"},{"children":[{"_type":"span","marks":[],"text":"1. 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Accessed September 3, 2014.","_key":"WUhq8e9y","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"jr4Gl0Nw","markDefs":[{"_key":"href_1582641720131809053","blank":true,"_type":"link","href":"http://www.fertstert.org/article/S0015-0282(14)00381-1/abstract"}]}],"nodeId":"401484","authorMapping":[{"_key":"e3c64d9a66619567fb3dc2ce854d7a63","_ref":"pst_author_329513","_type":"reference"}],"_rev":"BLUti8jXECgAEg46jwBdbU","thumbnail":null,"updatedOn":null,"taxonomyMapping":[{"_ref":"pst_taxonomy_238_majordepressivedisorder","_type":"reference","_key":"44a271c44378c190663447e258581104"},{"_type":"reference","_key":"d31d74f536d1ea9d11b7dfde789d68df","_ref":"pst_taxonomy_119_anxietystressdisorders"}],"published":"2014-09-04T00:53:51Z","documentGroup":null,"is_visible":true,"url":{"current":"impact-life-stresses-semen-quality","_type":"slug"},"contentCategory":{"name":"Podcasts","_id":"93d57b69-2d72-45fe-8b8a-d18e7e7e5f20","_updatedAt":"2020-02-25T09:31:48Z","_createdAt":"2020-02-25T09:31:48Z","_rev":"snQqhhB4O8T5bi1viURsgs","_type":"contentCategory"},"internalTag":["Major Depressive Disorder","Anxiety"],"_createdAt":"2020-02-25T15:47:57Z","link":"/view/impact-life-stresses-semen-quality","title":"The Impact of Life Stresses on Semen Quality","seoTag":["Major Depressive Disorder","Anxiety"],"_type":"article","summary":"A recently published study found that certain types of stress affect the quality and quantity of men's sperm. 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","body":[{"disableAutoPlayVideo":false,"source":"brightcove","_key":"a8845c9e62bc","videoObject":{"videoTitle":"12 minutes","thumbnail":{"_type":"image","asset":{"_ref":"image-83df0fec9a9a561a4023987d5297528616470e51-1280x706-png","_type":"reference"}},"videoDuration":"12 minutes","videoDescription":"uncertainty","_type":"videoDetails"},"_type":"video","videoID":"6346811163112"},{"style":"normal","_key":"7185fd9b6ebc","markDefs":[],"children":[{"_key":"4d7ebe0cb0730","_type":"span","marks":[],"text":"The toll of the incredible levels of uncertainty in the world plagues our patients, our colleagues, and ourselves, explained Susan J. Noonan, MD, MPH."}],"_type":"block"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Although some uncertainty is a natural and unavoidable part of life, recent years has seen an escalated level of uncertainty, she said. Events like the COVID-19 pandemic, global economic and political disruptions, natural disasters and extreme weather patterns, increased violence, and other issues have had resulted in a negative impact on emotional and physical well-being. So, how can we better support our patients, our colleagues, and ourselves?","_key":"e49abbed3c7a0"}],"_type":"block","style":"normal","_key":"076128271f81"},{"style":"normal","_key":"bcd647a81496","markDefs":[],"children":[{"_type":"span","marks":[],"text":"As human beings, Noonan said we are programed to scan for potential threats, but without sufficient information, there can be cognitive distortions, especially if we are being overwhelmed with various forms of uncertainty over a long period of time. As a result, the “what ifs” and worst-case scenarios can paralyze individuals. Similarly, it may cause individuals to underestimate their ability to successfully cope and deal with adverse scenarios or to overestimate the danger and threats of the uncertainty.","_key":"9218ccf85b1c0"}],"_type":"block"},{"children":[{"_type":"span","marks":[],"text":"The unprecedented level of chaos and uncertainty has led to excess worry and anxiety and a loss of emotional and physical energy, impacting the way we conduct work, carry on social interactions, etc, Noonan added.","_key":"b10709645bff0"}],"_type":"block","style":"normal","_key":"105b5b3883dd","markDefs":[]},{"_key":"f0b1bfb9b515","markDefs":[],"children":[{"_key":"ea94b62ccf430","_type":"span","marks":[],"text":"The good news, she said, is that there is an opportunity in facing the unexpected: overcoming challenges helps increase resiliency. All past experiences can help build resiliency."}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Noonan recommended several strategies to support patients, colleagues, and even oneself in facing uncertainty. For instance, she emphasized the importance of remaining calm, focusing on what really matters, as well as what individuals can realistically do to address uncertainty. Similarly, it is important to avoid seeking perfection, as perfection is not possible, and the goal will add undue stress.","_key":"9ee1a05b5eb90"}],"_type":"block","style":"normal","_key":"9488a83fba65"},{"children":[{"_type":"span","marks":[],"text":"Acknowledge what is uncertain and what it means, she said. As part of that exploration, do not assume bad things will happen; have your patients challenge the likelihood that bad things are inevitable, Noonan said. She elaborated on a few strategies.","_key":"341424526f190"}],"_type":"block","style":"normal","_key":"31596135c615","markDefs":[]},{"_type":"block","style":"normal","_key":"19e82a5fe42e","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Acceptance","_key":"5ec3389eca060"},{"_type":"span","marks":[],"text":": It is important for individuals to accept those things that are out of their control. Instead, focus on solvable worries/concerns, or the issues you have control over. As part of this, Noonan suggested people seek good quality information (and to always assess the quality of information received). It is also important to limit the amount of time spent looking for information to avoid being overwhelmed. Start with small smart goals and focus on them. She suggested recognizing when filters (like a person’s opinions) may impact your assumptions. Make a contingency plan for those things you can anticipate.","_key":"5ec3389eca061"}]},{"_key":"e812929fed0a","markDefs":[],"children":[{"text":"Prioritize well-being. ","_key":"9b7eda43683f0","_type":"span","marks":["strong"]},{"_key":"9b7eda43683f1","_type":"span","marks":[],"text":"Noonan reminds patients of the importance of basic self-care as part of daily routine: maintaining normal activity, structure, daily rituals and routines, exercise, and healthy eating. She also suggests that individuals increase their social connections, particularly with supportive and positive individuals."}],"_type":"block","style":"normal"},{"style":"normal","_key":"52331d14decd","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Leverage coping skills. 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