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Current Issue
CURRENT ISSUE
July 2014
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The American Journal of Psychiatry

Official Journal of the American Psychiatric Association Editor: Robert Freedman, M.D.
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Articles  |  July 1, 2014
Lithium in Pregnancy

Lithium taken during the first trimester of pregnancy appears to increase the risk of cardiovascular anomalies in infants, although some of these anomalies resolve spontaneously. Lithium also raises the likelihood of miscarriage. On the other hand, the risk of illness recurrence is high for women who discontinue taking medication during pregnancy, and so the decision should be made on an individual basis. It is recommended that women treated with lithium during organogenesis receive fetal echocardiography and level-2 ultrasound.

Articles  |  July 1, 2014
Gauging Violence Risk in Veterans

A 5-item screening tool can reveal the need for in-depth assessment of violence risk in military veterans. Several items in the Violence Screening and Assessment of Needs (VIO-SCAN) assess dynamic conditions–financial instability, alcohol misuse, and probable PTSD plus anger–that can be targeted to modify risk. The VIO-SCAN does not evaluate imminent risk of violence but does provide a structured assessment of chronic risk and a springboard for reducing contributing factors.

Reviews and Overviews  |  July 1, 2014
Treating Anxiety Disorders in Youths

Both CBT and SSRIs are effective treatments for separation, generalized, and social anxiety disorders in children and adolescents. The combination of CBT and an SSRI is superior to either alone. Comorbidity of childhood anxiety disorders is the rule rather than the exception. Early intervention for childhood anxiety disorders is recommended to prevent impaired development and accumulated functional disability. Family education and training can reduce reinforcement of anxiety and avoidance, but parents with their own anxiety disorders or other psychopathology may need separate treatment.

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The American Journal of Psychiatry was named one of the 100 most influential journals in biology and medicine over the last 100 years by the Special Libraries Association