The national roll-outs of evidence-based psychotherapies in the Department of Veterans Affairs (VA) afford an unusual opportunity to study both implementation and sustainability. Although unique in some aspects of management and resources, the VA also serves as an excellent laboratory to understand the implementation of best practices as it is a more organized and controlled environment, free o...

BACKGROUND Psychotherapy is regarded as the first-line treatment for people with borderline personality disorder. In recent years, several disorder-specific interventions have been developed. This is an update of a review published in the Cochrane Database of Systematic Reviews in 2006. OBJECTIVES To assess the effects of psychological interventions for borderline personality disorder (BPD). ...

Although considerable progress has been made in the understanding and treatment of anorexia and bulimia nervosa, a substantial proportion of people with these disorders have a limited response to treatment. Treatment strategies used in eating disorders have tended to be adopted from therapies that were devised to treat other psychiatric illnesses. Recent studies suggest that eating disorders ar...

17 meta-analyses have been examined of comparisons of active treatments with each other, in contrast to the more usual comparisons of active treatments with controls. These meta-analyses yield a mean uncorrected absolute effect size for Cohen’s d of .20, which is small and non-significant (an equivalent Pearson’s r would be .10). Its smallness confirms Rosenzweig’s supposition in 1936 about the...

After decades of mind/brain-focused subspecialization, psychiatry is now reconsidering the whole person. “Integrative medicine” is being used to denote the strategic combining of standard treatments (eg, medication, psychotherapies) with evidence-based complementary and alternative approaches (eg, herbs, nutrients, acupuncture, neuro-therapy). “Integrated medicine” refers to the practice of usi...

FM treatment requires a multidisciplinary team, made up of rheumatologists, physiatrists and psychiatrists. From pharmacological therapies to physiotherapies and psychotherapies, there are plenty of strategies to try. Generally, exercise is prescribed together with other remedies to optimize individual results. In this context, exercise treatment seems to be effective on all the different aspec...