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stroke="currentColor" fill="none" stroke-width="2" viewBox="0 0 24 24" stroke-linecap="round" stroke-linejoin="round" style="color:#818285;margin-bottom:6px;background:white;cursor:pointer" height="1.25rem" width="1.25rem" xmlns="http://www.w3.org/2000/svg"><polyline points="6 9 6 2 18 2 18 9"></polyline><path d="M6 18H4a2 2 0 0 1-2-2v-5a2 2 0 0 1 2-2h16a2 2 0 0 1 2 2v5a2 2 0 0 1-2 2h-2"></path><rect x="6" y="14" width="12" height="8"></rect></svg></a></button></div></div><div><div class="flex flex-wrap"><p class=" text-primary font-semibold">News</p><div class="h-[16px] border-l-2 border-gray-400 mt-1 mx-1"></div><p class=" text-primary font-semibold">Article</p><div class="h-[16px] border-l-2 border-gray-400 mt-1 mx-1 "></div><time class="text-gray-500 " dateTime="2023-09-30T17:00:00.000">September 30, 2023</time></div><h1 class="text-[26px] font-medium leading-8">From the Pages of Psychiatric Times: September 2023</h1><div class="py-3 text-gray-600 md:flex flex-col md:justify-between"><div class="flex flex-col xs:flex-row"><p class="mr-1 self-start">Author(s):</p><div class="flex flex-col xs:flex-row mb-3 md:mb-0"><div class="flex flex-wrap"><span class="text-md mr-2"><a class="text-author text-gray-500 hover:text-primary underline hover:no-underline decoration-gray-400" href="/authors/erin-o-brien">Erin O'Brien</a></span></div></div></div><div class="max-w-full"><div class="flex flex-wrap sm:flex-nowrap items-center w-fit my-2"></div><div class="w-full flex flex-col sm:flex-row justify-between mt-2"><div class="block md:hidden "><div class="mt-2 flex items-center max-w-fit"><button title="From the Pages of Psychiatric Times: September 2023" aria-label="facebook" class="react-share__ShareButton" style="background-color:transparent;border:none;padding:0;font:inherit;color:inherit;cursor:pointer"><svg viewBox="0 0 64 64" width="32" height="32"><circle cx="32" cy="32" r="31" fill="#3b5998"></circle><path 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style="background-color:transparent;border:none;padding:0;font:inherit;color:inherit;cursor:pointer"><svg viewBox="0 0 64 64" width="32" height="32"><circle cx="32" cy="32" r="31" fill="#7f7f7f"></circle><path d="M17,22v20h30V22H17z M41.1,25L32,32.1L22.9,25H41.1z M20,39V26.6l12,9.3l12-9.3V39H20z" fill="white"></path></svg></button><a class="print-wrap flex justify-center items-center cursor-pointer"><svg id="print" xmlns="http://www.w3.org/2000/svg" width="24" height="24" fill="currentColor" class="print bi bi-printer" viewBox="0 0 16 16"> <path d="M2.5 8a.5.5 0 1 0 0-1 .5.5 0 0 0 0 1z"></path> <path d="M5 1a2 2 0 0 0-2 2v2H2a2 2 0 0 0-2 2v3a2 2 0 0 0 2 2h1v1a2 2 0 0 0 2 2h6a2 2 0 0 0 2-2v-1h1a2 2 0 0 0 2-2V7a2 2 0 0 0-2-2h-1V3a2 2 0 0 0-2-2H5zM4 3a1 1 0 0 1 1-1h6a1 1 0 0 1 1 1v2H4V3zm1 5a2 2 0 0 0-2 2v1H2a1 1 0 0 1-1-1V7a1 1 0 0 1 1-1h12a1 1 0 0 1 1 1v3a1 1 0 0 1-1 1h-1v-1a2 2 0 0 0-2-2H5zm7 2v3a1 1 0 0 1-1 1H5a1 1 0 0 1-1-1v-3a1 1 0 0 1 1-1h6a1 1 0 0 1 1 1z"></path></svg></a></div><style> .print-wrap { width: 32px; height: 32px; background: #7F7F7F; border-radius: 100%; } .print { background: #7F7F7F; color: white; padding: 2px; border-radius: 100%; } </style></div></div></div></div><div class=" lg:w-full flex flex-col lg:flex-row lg:items-center lg:justify-end"></div><p class="py-2 mb-2 text-sm italic text-gray-600">The experts weighed in on a wide variety of psychiatric issues for the September 2023 issue of Psychiatric Times.</p><div class="py-2"><div class="blockText_blockContent__TbCXh"><div class=""><div style="width:15%;float:left;max-width:525px;margin:0 1.5rem 1.5rem 0;clear:both;cursor:pointer" class=" figure"><div class="flex-none relative text-center"><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=%27998%27%20height=%271286%27/%3e"/></span><img alt="" title="" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" 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:contain"/><noscript><img alt="" title="" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fbd59a2411e98a98108c0e1a8f05e70c1d0784852-998x1286.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1x, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fbd59a2411e98a98108c0e1a8f05e70c1d0784852-998x1286.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=2048&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fbd59a2411e98a98108c0e1a8f05e70c1d0784852-998x1286.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=2048&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:contain" loading="lazy"/></noscript></span></div><div class="top-[-100%] block w-[1px] transition-opacity duration-500 ease-in-out opacity-0 overflow-hidden"><img class="m-auto absolute inset-0 max-w-[0%] max-h-[0%] border-[3px] border-solid border-white shadow-[0px_0px_8px_rgba(0,0,0,0.3)] box-border transition ease-in-out duration-500" src="https://cdn.sanity.io/images/0vv8moc6/psychtimes/bd59a2411e98a98108c0e1a8f05e70c1d0784852-998x1286.jpg?fit=crop&auto=format"/></div></div><style> #image-caption p{ font-size: 12px; max-width: 525px; margin: 0 auto; text-align: center; } </style></div><p class="pb-2">In the September issue of <em>Psychiatric Times</em>®, we worked with experts from multiple psychiatric areas to bring you thoughtful articles about a wide variety of psychiatric topics, from violence risk assessment in emergency departments to the development of effective treatment strategies for women with schizophrenia. Here are some highlights from the issue.</p><p class="pb-2"></p><p class="pb-2"><strong>The Making of Adult ADHD: The Rapid Rise of a Novel Psychiatric Diagnosis</strong></p><div class=""><div style="width:40%;float:right;max-width:525px;margin:0 0 1.5rem 1.5rem;clear:both;cursor:pointer" class=" figure"><div class="flex-none relative text-center"><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=%273840%27%20height=%272160%27/%3e"/></span><img alt="Joel bubble ben_AdobeStock" title="Joel bubble ben_AdobeStock" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" 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:contain"/><noscript><img alt="Joel bubble ben_AdobeStock" title="Joel bubble ben_AdobeStock" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F5a33ee90e37f0653371152f8bacc35450cf1254e-3840x2160.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 1x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F5a33ee90e37f0653371152f8bacc35450cf1254e-3840x2160.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&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:contain" loading="lazy"/></noscript></span></div><div id="image-caption" class="text-gray-500 italic"><div class="blockText_blockContent__TbCXh"><p class="pb-2">Joel bubble ben_AdobeStock</p></div></div><div class="top-[-100%] block w-[1px] transition-opacity duration-500 ease-in-out opacity-0 overflow-hidden"><img class="m-auto absolute inset-0 max-w-[0%] max-h-[0%] border-[3px] border-solid border-white shadow-[0px_0px_8px_rgba(0,0,0,0.3)] box-border transition ease-in-out duration-500" src="https://cdn.sanity.io/images/0vv8moc6/psychtimes/5a33ee90e37f0653371152f8bacc35450cf1254e-3840x2160.jpg?fit=crop&auto=format"/></div></div><style> #image-caption p{ font-size: 12px; max-width: 525px; margin: 0 auto; text-align: center; } </style></div><p class="pb-2">As recently as 2 decades ago, the consensus view in American academic psychiatry was that attention-deficit/hyperactivity disorder (ADHD) rarely, if ever, persists into adulthood. For decades, ADHD was considered a disorder of childhood; adult cases were seen uncommonly and the diagnosis was rarely made. DSM-IV-TR, published in 2000, describes a condition existing in children and makes only scant reference to adults.</p><p class="pb-2">Fast-forward to 2023, and adult ADHD is the <em>diagnosis du jour</em>; rates of diagnosis are skyrocketing at an alarming rate as are prescriptions for psychostimulants, the drugs that purportedly treat the condition. The history of psychiatry is a history of fads in theory, diagnosis, and treatment. Such rapid shifts in conceptualization—such as the emergence of the concept of adult ADHD—almost always warrant informed critical examination. <a target="_blank" href="https://www.psychiatrictimes.com/view/the-making-of-adult-adhd-the-rapid-rise-of-a-novel-psychiatric-diagnosis"><strong>Continue Reading</strong></a></p><p class="pb-2"></p><p class="pb-2"><strong>Developing Effective Treatment Strategies for Women With Schizophrenia</strong></p><div class=""><div style="width:40%;float:right;max-width:525px;margin:0 0 1.5rem 1.5rem;clear:both;cursor:pointer" class=" figure"><div class="flex-none relative text-center"><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=%273840%27%20height=%272819%27/%3e"/></span><img alt="Clement Coetzee/peopleimages.com_ AdobeStock" title="Clement Coetzee/peopleimages.com_ AdobeStock" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" 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:contain"/><noscript><img alt="Clement Coetzee/peopleimages.com_ AdobeStock" title="Clement Coetzee/peopleimages.com_ AdobeStock" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fc530ad65e52cc9aa8e58ccb23cfb7467a2bde227-3840x2819.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 1x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fc530ad65e52cc9aa8e58ccb23cfb7467a2bde227-3840x2819.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&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:contain" loading="lazy"/></noscript></span></div><div id="image-caption" class="text-gray-500 italic"><div class="blockText_blockContent__TbCXh"><p class="pb-2">Clement Coetzee/peopleimages.com_ AdobeStock</p></div></div><div class="top-[-100%] block w-[1px] transition-opacity duration-500 ease-in-out opacity-0 overflow-hidden"><img class="m-auto absolute inset-0 max-w-[0%] max-h-[0%] border-[3px] border-solid border-white shadow-[0px_0px_8px_rgba(0,0,0,0.3)] box-border transition ease-in-out duration-500" src="https://cdn.sanity.io/images/0vv8moc6/psychtimes/c530ad65e52cc9aa8e58ccb23cfb7467a2bde227-3840x2819.jpg?fit=crop&auto=format"/></div></div><style> #image-caption p{ font-size: 12px; max-width: 525px; margin: 0 auto; text-align: center; } </style></div><p class="pb-2">The presentation of schizophrenia differs significantly between men and women, and this influences treatment strategies. The major differentiating factors include age of onset, symptom differences, parenting responsibilities, response to antipsychotic medications, and care during the transition to menopause.</p><p class="pb-2"><strong><em>Age of Onset and Differences in Symptoms</em></strong></p><p class="pb-2">The first occurrence of the symptoms and behaviors that conform with the currently accepted definition of schizophrenia occur, on average, several years earlier in men than they do in women. The older age of onset found in women is partially explained by the fact that many large studies include a wide range of ages, sometimes extending into older age. <a target="_blank" href="https://www.psychiatrictimes.com/view/developing-effective-treatment-strategies-for-women-with-schizophrenia"><strong>Continue Reading</strong></a></p><p class="pb-2"></p><p class="pb-2"><strong>Violence Risk Assessment in the Emergency Department</strong></p><div class=""><div style="width:40%;float:right;max-width:525px;margin:0 0 1.5rem 1.5rem;clear:both;cursor:pointer" class=" figure"><div class="flex-none relative text-center"><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=%273840%27%20height=%272560%27/%3e"/></span><img alt="chrisdorney_AdobeStock" title="chrisdorney_AdobeStock" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" 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:contain"/><noscript><img alt="chrisdorney_AdobeStock" title="chrisdorney_AdobeStock" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F16c93f8be40e0ccbd3daee0aba2be13761b05a10-3840x2560.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 1x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F16c93f8be40e0ccbd3daee0aba2be13761b05a10-3840x2560.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&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:contain" loading="lazy"/></noscript></span></div><div id="image-caption" class="text-gray-500 italic"><div class="blockText_blockContent__TbCXh"><p class="pb-2">chrisdorney_AdobeStock</p></div></div><div class="top-[-100%] block w-[1px] transition-opacity duration-500 ease-in-out opacity-0 overflow-hidden"><img class="m-auto absolute inset-0 max-w-[0%] max-h-[0%] border-[3px] border-solid border-white shadow-[0px_0px_8px_rgba(0,0,0,0.3)] box-border transition ease-in-out duration-500" src="https://cdn.sanity.io/images/0vv8moc6/psychtimes/16c93f8be40e0ccbd3daee0aba2be13761b05a10-3840x2560.jpg?fit=crop&auto=format"/></div></div><style> #image-caption p{ font-size: 12px; max-width: 525px; margin: 0 auto; text-align: center; } </style></div><p class="pb-2">Although substantial progress has been made over the past several decades by mental health professionals to undertake suicide risk assessment with more structured approaches, violence risk assessment has lagged despite emerging evidence that highlights violence as a significant issue.</p><p class="pb-2">Violence has become an increasingly recognized problem in health care. Rates of violent behavior toward health care workers, especially frontline workers such as nursing staff, are high. Emergency departments (EDs) are notable for their high rates of violent incidents. A recent meta-analysis found that 77% of ED workers were subject to some form of workplace violence. <a target="_blank" href="https://www.psychiatrictimes.com/view/violence-risk-assessment-in-the-emergency-department"><strong>Continue Reading</strong></a></p><p class="pb-2"></p><p class="pb-2"><strong>Unique Collaborative Care System: Solution to the Youth Mental Health Crisis</strong></p><div class=""><div style="width:40%;float:right;max-width:525px;margin:0 0 1.5rem 1.5rem;clear:both;cursor:pointer" class=" figure"><div class="flex-none relative text-center"><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=%273840%27%20height=%272560%27/%3e"/></span><img alt="premyuda/AdobeStock" title="premyuda/AdobeStock" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" 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:contain"/><noscript><img alt="premyuda/AdobeStock" title="premyuda/AdobeStock" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F12f845dc4f94ca828d31a0c2ee77e7cf3cdf2bce-3840x2560.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 1x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F12f845dc4f94ca828d31a0c2ee77e7cf3cdf2bce-3840x2560.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&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:contain" loading="lazy"/></noscript></span></div><div id="image-caption" class="text-gray-500 italic"><div class="blockText_blockContent__TbCXh"><p class="pb-2">premyuda/AdobeStock</p></div></div><div class="top-[-100%] block w-[1px] transition-opacity duration-500 ease-in-out opacity-0 overflow-hidden"><img class="m-auto absolute inset-0 max-w-[0%] max-h-[0%] border-[3px] border-solid border-white shadow-[0px_0px_8px_rgba(0,0,0,0.3)] box-border transition ease-in-out duration-500" src="https://cdn.sanity.io/images/0vv8moc6/psychtimes/12f845dc4f94ca828d31a0c2ee77e7cf3cdf2bce-3840x2560.jpg?fit=crop&auto=format"/></div></div><style> #image-caption p{ font-size: 12px; max-width: 525px; margin: 0 auto; text-align: center; } </style></div><p class="pb-2">The beginning of our story is not unique. Two of us—Ben Hillyard, MEd, LCMHC, and Jessica Lyons, MS, LMFT—spent decades working in the broken mental health system, alarmed by access-to-care challenges, emergency department (ED) boarding of patients, and the rapidly growing youth mental health crisis. Together, we shared a vision that if providers could collaborate and share clinical information, mental health needs would resolve more quickly. How could we make this happen?</p><p class="pb-2">In 2019, we did the unthinkable: We partnered to establish a unique delivery system with a mission to disrupt the status quo and deliver a more progressive, data-driven model of mental health care, particularly for children and adolescents. We called it Aloft Integrated Wellness. <a target="_blank" href="https://www.psychiatrictimes.com/view/unique-collaborative-care-system-solution-to-the-youth-mental-health-crisis"><strong>Continue Reading</strong></a></p><p class="pb-2"></p><p class="pb-2">See the full September issue of <em>Psychiatric Times </em><a target="_blank" href="https://www.psychiatrictimes.com/journals/psychiatric-times/vol-40-issue-9">here</a>. And be sure to stay up-to-date by subscribing to the <em>Psychiatric Times </em><a target="_blank" href="https://www.psychiatrictimes.com/view/enews?tfa_2=navbar">E-newsletter</a>.</p><p class="pb-2"></p><p class="pb-2"><em>Do you have a comment on any of these or other articles? Have a good idea for an article and want to write? Interested in sharing your perspectives? Write to us at PTeditor@mmhgroup.com.</em></p><p class="pb-2"></p></div></div><div class="flex items-center lg:w-3/4 mb-4 pb-12"></div><div class="jsx-19ede9f0a5a45918 py-4 relative bg-primary md:px-8 -ml-6 xs:ml-0 w-screen xs:w-auto"><div class="jsx-19ede9f0a5a45918 px-4 sm:px-0"><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-white text-lg sm:text-3xl">Related Videos</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-full pl-4"><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/celebrating-ethical-administrative-love-in-psychiatry"><div class="w-full shadow-md shadow-gray-800 overflow-hidden relative bg-white aspect-video"><span 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Steven Moffic, MD</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/the-positive-social-psychiatry-aspects-of-the-super-bowl?utm_source=www.psychiatrictimes.com&utm_medium=relatedContent"></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div></div></div></div><div class="pb-24"></div></div><script type="application/ld+json">{"@context":"https://schema.org","@type":"NewsArticle","headline":"From the Pages of Psychiatric Times: September 2023","datePublished":"2023-09-30T17:00:00.000Z","dateModified":"2023-09-29T20:52:30Z","inLanguage":"en-US","image":"https://cdn.sanity.io/images/0vv8moc6/psychtimes/bd59a2411e98a98108c0e1a8f05e70c1d0784852-998x1286.jpg?fit=crop&auto=format","mainEntityOfPage":{"@type":"WebPage","@id":"https://www.psychiatrictimes.com/view/from-the-pages-of-psychiatric-times-september-2023"},"publisher":{"@type":"Organization","name":"Psychiatric Times","logo":{"@type":"ImageObject","url":"https://www.psychiatrictimes.com/PsychiatricTimes_40yrs_ko 1.png"}},"articleBody":"\n\nIn the September issue of Psychiatric Times®, we worked with experts from multiple psychiatric areas to bring you thoughtful articles about a wide variety of psychiatric topics, from violence risk assessment in emergency departments to the development of effective treatment strategies for women with schizophrenia. Here are some highlights from the issue.\n\n\n\nThe Making of Adult ADHD: The Rapid Rise of a Novel Psychiatric Diagnosis\n\n\n\nAs recently as 2 decades ago, the consensus view in American academic psychiatry was that attention-deficit/hyperactivity disorder (ADHD) rarely, if ever, persists into adulthood. For decades, ADHD was considered a disorder of childhood; adult cases were seen uncommonly and the diagnosis was rarely made. DSM-IV-TR, published in 2000, describes a condition existing in children and makes only scant reference to adults.\n\nFast-forward to 2023, and adult ADHD is the diagnosis du jour; rates of diagnosis are skyrocketing at an alarming rate as are prescriptions for psychostimulants, the drugs that purportedly treat the condition. The history of psychiatry is a history of fads in theory, diagnosis, and treatment. Such rapid shifts in conceptualization—such as the emergence of the concept of adult ADHD—almost always warrant informed critical examination. Continue Reading\n\n\n\nDeveloping Effective Treatment Strategies for Women With Schizophrenia\n\n\n\nThe presentation of schizophrenia differs significantly between men and women, and this influences treatment strategies. The major differentiating factors include age of onset, symptom differences, parenting responsibilities, response to antipsychotic medications, and care during the transition to menopause.\n\nAge of Onset and Differences in Symptoms\n\nThe first occurrence of the symptoms and behaviors that conform with the currently accepted definition of schizophrenia occur, on average, several years earlier in men than they do in women. The older age of onset found in women is partially explained by the fact that many large studies include a wide range of ages, sometimes extending into older age. Continue Reading\n\n\n\nViolence Risk Assessment in the Emergency Department\n\n\n\nAlthough substantial progress has been made over the past several decades by mental health professionals to undertake suicide risk assessment with more structured approaches, violence risk assessment has lagged despite emerging evidence that highlights violence as a significant issue.\n\nViolence has become an increasingly recognized problem in health care. Rates of violent behavior toward health care workers, especially frontline workers such as nursing staff, are high. Emergency departments (EDs) are notable for their high rates of violent incidents. A recent meta-analysis found that 77% of ED workers were subject to some form of workplace violence. Continue Reading\n\n\n\nUnique Collaborative Care System: Solution to the Youth Mental Health Crisis\n\n\n\nThe beginning of our story is not unique. Two of us—Ben Hillyard, MEd, LCMHC, and Jessica Lyons, MS, LMFT—spent decades working in the broken mental health system, alarmed by access-to-care challenges, emergency department (ED) boarding of patients, and the rapidly growing youth mental health crisis. Together, we shared a vision that if providers could collaborate and share clinical information, mental health needs would resolve more quickly. How could we make this happen?\n\nIn 2019, we did the unthinkable: We partnered to establish a unique delivery system with a mission to disrupt the status quo and deliver a more progressive, data-driven model of mental health care, particularly for children and adolescents. We called it Aloft Integrated Wellness. Continue Reading\n\n\n\nSee the full September issue of Psychiatric Times here. And be sure to stay up-to-date by subscribing to the Psychiatric Times E-newsletter.\n\n\n\nDo you have a comment on any of these or other articles? Have a good idea for an article and want to write? Interested in sharing your perspectives? Write to us at PTeditor@mmhgroup.com.\n\n","description":"The experts weighed in on a wide variety of psychiatric issues for the September 2023 issue of Psychiatric Times.","author":[{"@type":"Person","name":"Erin O'Brien"}]}</script></div></div><div class="flex-none w-[300px] z-[9999] relative hidden md:block"><div style="top:5rem" class="sticky custom-spacing"><div class="collapse-container " style="overflow:hidden;max-height:900px;transition:max-height .4s ease-in-out"></div></div></div></div><div id="div-gpt-ad-pixel" style="width:1px;height:1px" class=""></div><noscript><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-5V9L5PL" height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript><div id="footerOuterWrap" class="w-full bg-primary flex flex-col items-center justify-center"><div class="container w-[1340px]"><div id="footerInnerWrap" class="bg-primary w-full py-12"><div class="py-4 pl-4 flex flex-row items-center"><div class="flex flex-row 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The Climate Psychiatry Alliance, for which I was a founding leadership member, has become an umbrella organization for such loving endeavors.","_key":"1a8ceba3ed06","_type":"span"}],"_type":"block","style":"normal","_key":"6cefad9fecfa"},{"_key":"19afa0137f7e","markDefs":[],"children":[{"text":"","_key":"83c6ef53f8ac","_type":"span","marks":[]}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Caring love is also essential to developing caring positive therapeutic alliances with patients at a time when there are major obstacles, such as excessive online charting requirements and more limited time with patients.","_key":"97dbd088fe52"}],"_type":"block","style":"normal","_key":"df8d34a8725d"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"55eec6c571f2"}],"_type":"block","style":"normal","_key":"9c2c522e4b20"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"The basis of love is caring partnerships of gratitude for one another. As I have discussed in prior columns on expanding our medical model to a bio-psycho-social-eco one, we also need an ongoing long-term partnership of gratitude for the environment.","_key":"7eddc053f43c"}],"_type":"block","style":"normal","_key":"f306e9d3576a"},{"markDefs":[],"children":[{"marks":[],"text":"","_key":"dc60b868724c","_type":"span"}],"_type":"block","style":"normal","_key":"a0baec0357b4"},{"style":"normal","_key":"cd1e0b0ddeb6","markDefs":[],"children":[{"_type":"span","marks":[],"text":"We in psychiatry know only too well that loving care can easily go away when 1 side or the other feels neglected, misunderstood, and castigated. In stressful and divisive times like now, there is a tendency to blame those we know because it seems safer. 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We all have a limited amount of time, energy, and effort. There is a tendency to focus on what we wish we can control but can’t instead of what is within our power. 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After gathering his thoughts during the National Anthem, tears fall down his face, usually as a recognition and recollection of how far he has come in life. In the macho game of football, he is a rarity."}],"_type":"block"},{"markDefs":[],"children":[{"text":"","_key":"4b4945d5c714","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"830c98101885"},{"style":"normal","_key":"4d3fce55e537","markDefs":[],"children":[{"marks":[],"text":"Similarly, clinicians are often discouraged from crying, certainly publicly with patients, and even privately. We clinicians, both men and women, are usually supposed to be strong, stoic, and in control of our emotions. Social support or discouragement for crying makes a difference for whether this evolutionary processing of emotional pain or pleasure is used. Often, women are socially reinforced for crying and men not as much. Babies of any gender cry the most at a developmental time when they are so reliant on help. However, perhaps the discouragement in physicians is overdone and there should be valued and therapeutic times when doctors do cry, both from sadness and joy, alone or publicly.","_key":"7192d3035e26","_type":"span"}],"_type":"block"},{"style":"normal","_key":"fe9622d1ec81","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"4e5714b3841c"}],"_type":"block"},{"_key":"6bcbb07f45de","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Finally, a book, just published in India in its second edition, presents some of those times.","_key":"7f5eebd75d8a"},{"text":"2","_key":"adc7391a50c7","_type":"span","marks":["sup"]},{"_type":"span","marks":[],"text":" I serendipitously happened to receive my author copy right before the Super Bowl. 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One of them is working in countries where the burnout of clinicians is high because we are blocked by the system from the kind of healing we know we can provide.","_key":"3e96710cc81c"}]},{"style":"normal","_key":"8fdd0d12f48f","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"bfbaf7368736"}],"_type":"block"},{"markDefs":[],"children":[{"text":"If you read the vignettes as well as the 13 related poems, get ready to cry. Genuine crying releases oxytocin and endorphins that enhance calmness and connection. Like other nonverbal behaviors, it can be faked for other manipulative goals, often called crocodile tears. Those crocodile tears often are not accompanied by any other displays of suffering.","_key":"ce90bbb8c07b","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"1d36f8706e10"},{"style":"normal","_key":"325893bbe35b","markDefs":[],"children":[{"text":"","_key":"881a3779d799","_type":"span","marks":[]}],"_type":"block"},{"markDefs":[],"children":[{"text":"Hopefully, this book will also soon be published in the United States and other countries because the crying challenge is universal. A summary like this cannot do justice to the book. The stories are so poignant that 1 a day, not too close to bedtime, might be the best way to read this book, processing it, savoring it, and reaffirming why we are privileged to be healers. It is guaranteed that some will break your heart and some will expand your heart. 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The narrative draws parallels between sports and life, emphasizing perseverance, leadership, and the ongoing battle against mental illness.","body":[{"alt":"football","disableLightBox":true,"imgcaption":[{"children":[{"_type":"span","marks":[],"text":"Rawf8/AdobeStock","_key":"33cb67b08257"}],"_type":"block","style":"normal","_key":"1ae6f6b0a83f","markDefs":[]}],"_type":"figure","alignment":"left","asset":{"_ref":"image-eb8a880ab30460809fcb028cc1e1122c37b8d92e-4915x2914-jpg","_type":"reference"},"_key":"9f484071e9a1","widthP":50,"disableTextWrap":false},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"PSYCHIATRIC VIEWS ON THE DAILY NEWS","_key":"f989f0431352"}],"_type":"block","style":"normal","_key":"b92d0dc94de4"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Yesterday was the Super Bowl game for the best American football team. It can be viewed as super not only for the battle for the best team, but because of its psychosocial and cultural manifestations. Here are a dozen of them.","_key":"114b00f7eb07"}],"_type":"block","style":"normal","_key":"33c578e7b83f"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"baa577dc6233"}],"_type":"block","style":"normal","_key":"d98202bffb0b"},{"style":"normal","_key":"2b2dde1add20","markDefs":[],"children":[{"_type":"span","marks":["strong","em"],"text":"Conflict Resolution.","_key":"2f3e05636dc9"},{"_type":"span","marks":[],"text":" After any typical physically brutal game, both teams meet to shake hands and often praise one another, rather than to continue and escalate the conflicts as seems now common in our 2 warring party governments. 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Psychologists and psychiatrists are now welcome for our contribution to athletic well-being. Personally, I had the opportunity to be part of the formal establishment of sport psychiatry in academic psychiatry and then an ensuing international association.","_key":"6049bc0c31b5"},{"_type":"span","marks":["sup"],"text":"1","_key":"67f303ae9e17"}],"_type":"block"},{"_type":"block","style":"normal","_key":"b3840662351d","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"dce3876c9ddb"}]},{"markDefs":[],"children":[{"_type":"span","marks":["strong","em"],"text":"Forgiveness.","_key":"87f690337683"},{"_type":"span","marks":[],"text":" Bad plays are usually forgiven as inevitable and opportunities to address mistakes are common.","_key":"b69aa9d917a0"}],"_type":"block","style":"normal","_key":"7d398528a542"},{"_type":"block","style":"normal","_key":"e5ac58da4890","markDefs":[],"children":[{"text":"","_key":"d6cdef9161b1","_type":"span","marks":[]}]},{"markDefs":[],"children":[{"_type":"span","marks":["strong","em"],"text":"Compassion.","_key":"a95fd11dbf8b"},{"_type":"span","marks":[],"text":" Compassion is part of being able to move on from mistakes. Even more striking is how both teams will rally around in concern around a major injury of any player.","_key":"fe3c78fc0167"}],"_type":"block","style":"normal","_key":"4c37f98715bc"},{"children":[{"marks":[],"text":"","_key":"c48556fa0e1d","_type":"span"}],"_type":"block","style":"normal","_key":"c70464239935","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":["strong","em"],"text":"Choose Love.","_key":"54051e5dc71e"},{"_key":"af9b689616b5","_type":"span","marks":[],"text":" Especially with Valentine’s Day coming up and our nation’s divisiveness increasing, stenciling in the end zone message of “Choose Love” was so relevant."}],"_type":"block","style":"normal","_key":"2f6f2339f2d9"},{"_key":"faf25e7726b6","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"7488e642c766"}],"_type":"block","style":"normal"},{"children":[{"_type":"span","marks":["strong","em"],"text":"Reducing Physical Injures.","_key":"afe113ffded7"},{"marks":[],"text":" Particularly in American football, head injuries, which adversely influence ongoing brain function, is getting more attention. I personally have suffered from remnants of the multiple concussions I received as a youth in football and hockey.","_key":"cbae4dedcc65","_type":"span"}],"_type":"block","style":"normal","_key":"148258c30856","markDefs":[]},{"_type":"block","style":"normal","_key":"f3098c22a933","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"00e99351f8ee"}]},{"markDefs":[],"children":[{"_type":"span","marks":["strong","em"],"text":"Helping Animals and Autism.","_key":"ca27e7dcafcc"},{"text":" There is an annual Puppy Bowl a few hours before the football game. The goal is to raise money for pet adoption. This game is more one of organized chaos. One of the teams in the Super Bowl, the Philadelphia Eagles, are already champions for raising money for autism research and social opportunities. Given that spectrum’s presence in our extended family, I was a fan of the Eagles in this game. They won! However, a little was lost in the looting, vandalism, and small fires in the celebration downtown afterwards.","_key":"eb2728e22bea","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"f669bcb80f6b"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"2132e9db997d"}],"_type":"block","style":"normal","_key":"fdbec68389a2"},{"_type":"block","style":"normal","_key":"843c579871a3","markDefs":[],"children":[{"text":"President Trump Attended.","_key":"1113fd2f0864","_type":"span","marks":["strong","em"]},{"_type":"span","marks":[],"text":" He was the first sitting President to attend a Super Bowl. He predicted a Kansas City Chiefs win. They lost.","_key":"1747d0b7668f"}]},{"_type":"block","style":"normal","_key":"9763df00a809","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"633cfa061267"}]},{"markDefs":[],"children":[{"_type":"span","marks":["strong","em"],"text":"A Game of Life.","_key":"64bb79f9f6bd"},{"_type":"span","marks":[],"text":" I live in Green Bay Packer land. They started on their modern success, including Super Bowl wins, under Coach Lombardi. In the late 1960s, he gave versions of a speech where he emphasized that football is also a game of life, in a way like war, teaching hard work, sacrifice, perseverance, and respect for the right kind of leadership. To him, that justified his coaching mantra: “Winning isn’t everything, it’s the only thing.”","_key":"9f9d8fb585be"},{"_type":"span","marks":["sup"],"text":"2","_key":"af43a5d5c4a8"},{"_type":"span","marks":[],"text":" He was antiracist, helping to make the lily-white town of Green Bay a comfortable enough place for Black players to live.","_key":"2ddd874136ec"}],"_type":"block","style":"normal","_key":"6217e217c565"},{"style":"normal","_key":"315b9b04e440","markDefs":[],"children":[{"text":"","_key":"e7a0b1505c4c","_type":"span","marks":[]}],"_type":"block"},{"children":[{"_type":"span","marks":["strong","em"],"text":"And All That Jazz.","_key":"2899d2dadadd"},{"_key":"c9984b5b49be","_type":"span","marks":[],"text":" One of the new innovators in jazz, out of New Orleans where the game was held, is Jon Batiste, who sang and played our national anthem. No “take the knee” protests against racism as in some years past."}],"_type":"block","style":"normal","_key":"a9a196de9cb2","markDefs":[]},{"_key":"e7a3c64977e4","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"7de74b5189cd"}],"_type":"block","style":"normal"},{"_key":"41b1055e28fc","markDefs":[],"children":[{"_type":"span","marks":["strong","em"],"text":"Psychiatric Treatment.","_key":"3ff940bb1db4"},{"marks":[],"text":" We perhaps can adapt Lombardi’s mantra to psychiatry. Mental illness is important to defeat because of the mental suffering and perceived change of the essence of who we are. Unfortunately, there are associated mental disorders that are directly connected to sports in the vulnerability to gambling disorders as legalized gambling has escalated over the country. Our team is us, the patient and loved ones, and a win is whatever improvement is possible. The physical bruises and injuries in football are our treatment adverse effects and societal stigma. Slowly, but surely, we are getting better at winning.","_key":"4656b4d88726","_type":"span"}],"_type":"block","style":"normal"},{"style":"normal","_key":"b5907cc7d512","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"b02a7393555f"}],"_type":"block"},{"_key":"08bec3e7ca7b","markDefs":[],"children":[{"marks":["strong"],"text":"Dr Moffic","_key":"0aa4d3b7db62","_type":"span"},{"_type":"span","marks":[],"text":" ","_key":"5e1d3b78fd74"},{"_type":"span","marks":["em"],"text":"is an award-winning psychiatrist who specialized in the cultural and ethical aspects of psychiatry and is now in retirement and retirement as a private pro bono community psychiatrist. A prolific writer and speaker, he has done a weekday column titled “Psychiatric Views on the Daily News” and a weekly video, “Psychiatry \u0026 Society,” since the COVID-19 pandemic emerged. He was chosen to receive the 2024 Abraham Halpern Humanitarian Award from the American Association for Social Psychiatry. Previously, he received the Administrative Award in 2016 from the American Psychiatric Association, the one-time designation of being a Hero of Public Psychiatry from the Speaker of the Assembly of the APA in 2002, and the Exemplary Psychiatrist Award from the National Alliance for the Mentally Ill in 1991. He presented the third Rabbi Jeffrey B. Stiffman lecture at Congregation Shaare Emeth in St. Louis on Sunday, May 19, 2024. He is an advocate and activist for mental health issues related to climate instability, physician burnout, and xenophobia. He is now editing the final book in a 4-volume series on religions and psychiatry for Springer: Islamophobia, anti-Semitism, Christianity, and now","_key":"10bdab435b06"},{"_type":"span","marks":[],"text":" The Eastern Religions, and Spirituality","_key":"fc1517de3e51"},{"_type":"span","marks":["em"],"text":". He serves on the Editorial Board of","_key":"b33e88569054"},{"_type":"span","marks":[],"text":" Psychiatric Times","_key":"dbe48bc648a9"},{"_type":"span","marks":["em"],"text":".","_key":"5c078c00a9dc"}],"_type":"block","style":"normal"},{"style":"normal","_key":"3d96dd4133b8","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"13c1c2f1910d"}],"_type":"block"},{"markDefs":[],"children":[{"marks":["strong"],"text":"References","_key":"3bb2092c9729","_type":"span"}],"_type":"block","style":"normal","_key":"3d9ee3f2cb98"},{"markDefs":[],"children":[{"_key":"ccad4b920ca5","_type":"span","marks":[],"text":"1. Glick I, Kamis D, Stull T, eds. "},{"text":"The ISSP Manual of Sports Psychiatry.","_key":"4d3e331eef65","_type":"span","marks":["em"]},{"marks":[],"text":" Routledge; 2018.","_key":"c56b253c7615","_type":"span"}],"_type":"block","style":"normal","_key":"0363fa79885d"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"2. Lombardi V Jr. ","_key":"a126c330f7c0"},{"marks":["em"],"text":"What It Takes to Be #1: Vince Lombardi on Leadership.","_key":"bfcf6adab39e","_type":"span"},{"_key":"8909285dc19f","_type":"span","marks":[],"text":" McGraw-Hill; 2003."}],"_type":"block","style":"normal","_key":"f465344a872f"},{"markDefs":[],"children":[{"_key":"eec857508772","_type":"span","marks":[],"text":""}],"_type":"block","style":"normal","_key":"992f120ceb59"}],"audioUrl":"https://s3.us-east-1.amazonaws.com/ai-generated-audios/www.psychiatrictimes.com/7abc4b20-9e68-446d-b102-b6d045852151_1739196987517.726da550-2db8-463b-b251-ffb225db2cf5.mp3","factCheckAuthors":null,"gptTakeaways":"• The Super Bowl exemplifies conflict resolution, community connection, and peak performance, reflecting broader societal values and challenges.\n\n• Forgiveness, compassion, and love are emphasized, with attention to physical injuries and social causes like autism awareness.\n\n• Psychiatric treatment in sports is highlighted, 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