by Andrew B. Correll, MD; Terry L. Correll, DO; and Matthew C. Correll, BS Candidate Mr. A. Correll is with Wright State University Boonshoft School of Medicine in Dayton, Ohio.
by Edmund Howe, MD, JD Dr. Howe is Professor of Psychiatry and Professor of Medicine, Uniformed Services University of the Health Sciences in Bethesda, Maryland. Department Editor: Julie P. Gentile,
by Ben Onnink, MD; Matthew C. Correll, BS Candidate; Andrew Correll, BS, MD Candidate; and Terry Correll, DO Dr. Onnink is a resident, Department of Psychiatry, Wright State University Boonshoft
by Brent Schnipke, MD, and Michael MacKay, DO Both authors are with Wright State University Boonshoft School of Medicine in Dayton, Ohio. Funding: No funding was provided for this study.
by Adrian R. Johnson, LCSW; Taryn R. Hagerman, LCSW; and Samuel L. Preston, DO Mr. Johnson is Deputy, Installation Director of Psychological Health, Department of Behavioral Health, Desmond T. Doss
by Jessica Porcelan, MD, and Katherine Scribner Dr. Porcelan is an Assistant Professor with Wright State University Boonshoft School of Medicine in Fairborn, Ohio. Ms. Scribner is a fourth-year medical
by Michael Jackson O. de Andrade Professor de Andrade is with the Laboratory of Neuroscience, Chronobiology and Sleep Psychology, Department of Psychology, State University of Minas Gerais in Minas Gerais,
by Maria Grazia Maggio, PsyD; Alfredo Manuli, MSc; Adriana Andaloro, BS; Antonio Chirieleison, MSc; Gianluca La Rosa, MSc; Francesca Sciarrone, Msc; Antonia Trinchera, MD; and Rocco Salvatore Calabrò, MD, PhD
by Anjuli S. Maharaj, DO, PGY-3 in Psychiatry; Nita V. Bhatt, MD, MPH; and Julie P. Gentile, MD Dr Maharaj is with Wright State University Boonshoft School of Medicine in
by Zainab Saherwala, DO; Sabina Bashir, BA; and Danielle Gainer, MD Drs. Saherwala and Gainer and Student Doctor Bashir are with Wright State University in Fairborn, Ohio. FUNDING: No funding
Dear Editor: COVID-19 is having a tremendous impact on the healthcare and economic systems worldwide, as well as on human behavior, negatively affecting both personal and social relationships. COVID-19 is
by Tarneem Darwish, MD; Samuel Korouri, BA; Mia Pasini, RN, MSN; Maria Veronica Cortez, RN; and Waguih William IsHak, MD, FAPA Drs. Darwish and IsHak and Mr. Korouri, Ms. Pasini,
by Ann L. McNary, JD Ms. McNary is a Senior Risk Manager at PRMS, Inc. FUNDING: No funding was provided for the preparation of this article. DISCLOSURES: The author is
by Edmund G. Howe, III, MD, JD, and Falicia Elenberg, BS Dr. Howe is a Professor of Psychiatry and Medicine, Director of Medical School Programs in Ethics, and Senior Scientist
by Donna Vanderpool, MBA, JD Ms. Vanderpool is Director of Risk Management at Professional Risk Management Services (PRMS) FUNDING: No funding was provided for the preparation of this article. DISCLOSURES:
by Danielle Gainer, MD; Sarah Alam, BS; Harris Alam; and Hannah Redding, BA Dr. Gainer, Sarah Alam, and Ms. Redding are with Wright State University Boonshoft School of Medicine in
by Allison Cowan, MD; Racheal Johnson, DO; and Henrik Close, MD Dr. Cowan is with the Department of Psychiatry at the Boonshoft School of Medicine at Wright State University in
by Allison Cowan, MD and Ali Ashai, MD Drs. Cowan and Ashai are with the Department of Psychiatry at the Boonshoft School of Medicine at Wright State University in Dayton,
by Samuel R. Weber, MD Dr. Weber is with Intermountain Healthcare in Logan, Utah. FUNDING: No funding was provided for this study. DISCLOSURES: The author has no conflicts of interest
by Nolan Carlile, DO; Jared S. Link, PsyD; Allison Cowan, MD; and Elizabeth G. Sarnoski, MD Drs. Carlile, Cowan, and Sarnoski are with Wright State University in Dayton, Ohio. Drs.
by Kimberly Stubbs, MD, and Brian M. Merrill, MD, MBA Dr. Stubbs is Clinical Chief Resident, and Dr. Merrill is Assistant Professor and Director of Community Psychiatry at Wright State
The latest in neuroscience—sorted and summarized for you Welcome to The Neuroscience Report where each week we will highlight a specific topic in neuroscience and provide you with links to
by Ann McNary, JD Ms. McNary is Senior Risk Manager at PRMS, Inc. in Arlington, Virginia. Innov Clin Neurosci. 2016;13(9–10)53–55. This ongoing column is dedicated to providing information to our
Dear Editor: Polydipsia can lead to episodic life-threatening water intoxication and is a serious problem in many patients with chronic schizophrenia.[1] Although multiple factors have been implicated,[2] the reason why
The latest in neuroscience—sorted and summarized for you Welcome to The Neuroscience Report where each week we will highlight a specific topic in neuroscience and provide you with links to
The latest in neuroscience—sorted and summarized for you Welcome to The Neuroscience Report where each week we will highlight a specific topic in neuroscience and provide you with links to
The latest in neuroscience—sorted and summarized for you Welcome to The Neuroscience Report where each week we will highlight a specific topic in neuroscience and provide you with links to
by Irismar Reis de Oliveira, MD, PhD; Camila Seixas, PhD; Flávia L. Osório, PhD; José Alexandre S. Crippa, MD, PhD; José Neander de Abreu, PhD; Igor Gomes Menezes, PhD; Aileen
Welcome to the Neuroscience Report where each week we will highlight a specific topic in neuroscience and provide you with links to 5 journal articles, 5 news articles, and 5
Welcome to the Neuroscience Report where each week we will highlight a specific topic in neuroscience and provide you with links to 5 journal articles, 5 news articles, and 5
The latest in neuroscience—sorted and summarized for you
by Shahid Ali, MD; Shagufta Jabeen, MD; Rebecca J. Pate, MD; Marwah Shahid, MS; Sandhya Chinala, MD; Milankumar Nathani, MD; and Rida Shah, MD Drs. Ali, Chinala, Nathani, and Shah
by Randy A. Sansone, MD, and Lori A. Sansone, MD R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of Medicine
by Shahid Ali, MD; Shagufta Jabeen, MD; and Farzana Alam, MD Dr. Ali is Associate Professor of Clinical Psychiatry, Meharry Medical College, Nashville, Tennessee; Dr. Jabeen is Adjunct Associate Clinical
by Randy A. Sansone, MD, and Lori A. Sansone, MD R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of Medicine
by Julie P. Gentile, MD; Paulette Marie Gillig, MD, PhD; Kelly Stinson, MD; and Jeremy Jensen, MD Dr. Gentile is Professor, Department of Psychiatry, Wright State University, Dayton, Ohio; Dr.
by Donna Vanderpool, MBA, JD Donna Vanderpool, MBA, JD, is Vice President, Professional Risk Management Services, Arlington, Virginia. Innov Clin Neurosci. 2014;11(11–12):41–44
by Ivan Sascha Sheehan, PhD Dr. Sheehan is Graduate Program Director and Assistant Professor, Negotiation and Conflict Management Program & Global Affairs and Human Security Program, School of Public and
by David V. Sheehan, MD, MBA; Jennifer M. Giddens; and Ivan Sascha Sheehan, PhD Dr. D. Sheehan is Distinguished University Health Professor Emeritus at the University of South Florida College
by Eric Peselow, MD; Sarah Pi, BS; Enrique Lopez, PsyD; André Besada, BS; and Waguih William IsHak, MD, FAPA Dr. Peselow is from the Richmond University Medical Center and Freedom
by Jennifer Landucci, MD, and Gretchen N. Foley, MD Dr. Landucci is a Fourth-year Psychiatry Resident with Wright State University Boonshoft School of Medicine, Department of Psychiatry and Dr. Foley
by Edmund Howe, MD, JD Dr. Howe is Professor, Department of Psychiatry, Director, Programs in Medical Ethics, and Senior Scientist, Center for the Study of Traumatic Stress, Uniformed Services University
by Randy A. Sansone, MD, and Lori A. Sansone, MD R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of Medicine
by Randy A. Sansone, MD, and Lori A. Sansone, MD R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of Medicine
by Jennice S. Vilhauer, PhD; Julissa Cortes; Nazanin Moali; Sally Chung; James Mirocha, MS; Waguih William IsHak, MD All authors are from Cedars-Sinai Medical Center, Los Angeles, California. Innov Clin
by Sajjad R. Sarwar, MD; Vikas Mangewala, MD; and Richard Baron, LISW-S Drs. Sarwar and Mangewala are Fellows of Child and Adolescent Psychiatry and Mr. Baron is Professor of Psychiatry
by Randy A. Sansone, MD, and Lori A. Sansone, MD R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of Medicine
by Julie P. Gentile, MD; Kristy S. Dillon, MS, PCC-S; and Paulette Marie Gillig, MD, PhD Dr. Gentile is Associate Professor in the Department of Psychiatry at Wright State University
by Edmund Howe, MD, JD Dr. Howe is Professor, Department of Psychiatry, Director, Programs in Medical Ethics, and Senior Scientist, Center for the Study of Traumatic Stress, Uniformed Services University
by Randy A. Sansone, MD, and Lori A. Sansone, MD Dr. R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of
by Randy A. Sansone, MD, and Lori A. Sansone, MD Dr. R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School
by Steven D. Targum, MD, and Ronald Ebert, PhD, ABPP Dr. Targum is Scientific Director, Clintara LLC; Consultant, Massachusetts General Hospital, Psychiatry, Boston, Masschussetts; Chief Medical Advisor, Prana Biotechnology Ltd.,
by Edmund Howe, MD, JD Dr. Howe is Professor, Department of Psychiatry, Director, Programs in Medical Ethics, and Senior Scientist, Center for the Study of Traumatic Stress, Uniformed Services University
by Randy A. Sansone, MD, and Lori A. Sansone, MD Dr. R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School
by Trenton James, MD, and Jacqueline Countryman, MD Drs. James and Countryman are from Wright State University, Boonshoft School of Medicine, Dayton, Ohio. Innov Clin Neurosci. 2012;9(2):16–20
by Randy A. Sansone, MD, and Lori A. Sansone, MD Dr. R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School
by Randy A. Sansone, MD, and Lori A. Sansone, MD Dr. R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of
by Edmund Howe, MD, JD Dr. Howe is Professor, Department of Psychiatry, Director, Programs in Medical Ethics, and Senior Scientist, Center for the Study of Traumatic Stress, Uniformed Services University
by Sneha Jadhav, MD; Prakash Chandra, MD; and Vinay Saranga, MD Dr. Jadhav is a Second Year Child and Adolescent Psychiatry Fellow; Dr. Chandra is a First Year Child
by Imran S. Khawaja, MD; Ken Pollock, PhD; and Joseph J. Westermeyer, MD, PhD Dr. Khawaja is Assistant Professor of Psychiatry, Department of Psychiatry, University of Minnesota School of
by Anna Bokarius, BA, MD Candidate; Khanh Ha, MD; Russell Poland, PhD; Vladimir Bokarius, MD, PhD; Mark H. Rapaport, MD; and Waguih William IsHak, MD, FAPA All from Cedars-Sinai Medical
by Edmund Howe, MD, JD Dr. Howe is Professor, Department of Psychiatry, Director, Programs in Medical Ethics, and Senior Scientist, Center for the Study of Traumatic Stress, Uniformed Services
by Christopher T. Manetta, DO; Julie P. Gentile, MD; and Paulette Marie Gillig, MD, PhD Dr. Manetta is a Fourth Year Resident and Psychodynamic Psychotherapy Clinical Chief; Dr. Gentile is
by Richard C. Christensen, MD, MA, and Erwin Ramos, MD Dr. Christensen is Professor and Chief, Division of Public Psychiatry, University of Florida College of Medicine, Gainesville, Florida; and Dr.
by Edmund Howe, MD, JD Dr. Howe is Professor, Department of Psychiatry, Director, Programs in Medical Ethics, and Senior Scientist, Center for the Study of Traumatic Stress, Uniformed Services University
by Jason Yanofski, MD Dr. Yanofski is a forensic and clinical psychiatrist at the Minor Traumatic Brain Injury (MTBI) Clinic at US Army Garrison, Bamberg, Germany. Dr. Yanofski trained at
by Jason R. Collison, MD, and Terry L. Correll, DO Dr. Collison is a Fourth Year Resident and Dr. Correll is Assistant Professor—Both from the Department of Psychiatry, Boonshoft School
by Randy A. Sansone, MD, and Lori A. Sansone, MD Dr. R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of
by Randy A. Sansone, MD, and Lori A. Sansone, MD Dr. R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of
by Ritesh Kool, MD, and Timothy Lawver, DO Dr. Kool is from Wright State University, Psychiatry Department, Dayton, Ohio, and Dr. Lawver is from David Grant Medical Center, Travis, Air
by Edmund Howe, MD, JD Dr. Howe is Professor, Department of Psychiatry, Director, Programs in Medical Ethics, and Senior Scientist, Center for the Study of Traumatic Stress, Uniformed Services University
by Lisa C. Kaley-Isley, PhD, RYT-500; John Peterson, MD; Colleen Fischer, PhD; and Emily Peterson, CYT Dr. Kaley-Isley is from the University of Colorado School of Medicine, Division of Psychiatry,
by Kelly Blankenship, DO, and Noha F. Minshawi, PhD Dr. Blankenship is a developmental disabilities fellow, Department of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana; and Dr. Minshawi is
by Randy A. Sansone, MD, and Lori A. Sansone, MD Dr. R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of
by Manu N. Lakshmanan, BA; Stacey L. Colton Meier, MA; Robert S. Meier, PhD; and Ramaswamy Lakshmanan, MD Mr. Lakshmanan is from Cornell University, Ithaca, New York; Mr. Meier is
by Gretchen N. Foley, MD, and Julie P. Gentile, MD Dr. Foley is a Fourth Year Resident at Wright State University Boonshoft School of Medicine, Department of Psychiatry, Dayton, OH
by Peter Dussias; Amir H. Kalali, MD; and Roland M. Staud, MD Mr. Dussias is Executive Director, Strategic Analytics Commercial Solutions, Quintiles, Parsippany, New Jersey; Dr. Kalali is Vice President,
by Edmund Howe, MD, JD Dr. Howe is Professor, Department of Psychiatry, Director, Programs in Medical Ethics, and Senior Scientist, Center for the Study of Traumatic Stress, Uniformed Services University
Dear Editor: I read with interest the Risk Management column “Terminating the treatment relationship,” in the January issue of Psychiatry 2010 [Psychiatry (Edgemont) 2010;7(1):40–42]. When it comes to terminating a
by Ashley B. Johnson, DO; Julie P. Gentile, MD; and Terry L. Correll, DO Dr. Johnson is a Fourth Year Resident, Department of Psychiatry, Boonshoft School of Medicine, Wright State
by Nuno Borja-Santos, MD, MSc; Bruno Trancas, MD; Pilar Santos Pinto, MD; Bárbara Lopes, MD; António Gamito, MD; Sandra Almeida, MD; Berta Ferreira, MD; Antonio Luengo, MD; Carlos Vieira, MD;
Dear Editor: Psychophysiological disorders are physical disorders with psychological overlays. Because the proportion of psychological overlay is always variable, these types of disorders can be challenging to treat in primary
by Randy A. Sansone, MD, and Lori A. Sansone, MD Dr. R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of
by Ann K. Morrison, MD Associate Professor, Department of Psychiatry, Wright State University Boonshoft School of Medicine, Dayton, Ohio
by Valdo Ricca, MD; Giovanni Castellini, MD; Carolina Lo Sauro, MD; Carlo M. Rotella, MD; and Carlo Faravelli, MD Drs. Ricca, Castellini, and Lo Sauro are from the Department of
by Edmund Howe, MD, JD Dr. Howe is Professor, Department of Psychiatry, Director, Programs in Medical Ethics, and Senior Scientist, Center for the Study of Traumatic Stress, Uniformed Services University
by Linda J. Griffith, MD Dr. Griffith is Chief Medical Officer, Consolidated Care, Inc. for Champaign and Logan Counties, Ohio, and Clinical Assistant Professor, Boonshoft School of Medicine, Wright State
by Charlene Lam and Brenda Roman, MD Ms. Lam is a fifth-year MD/MPH student and Dr. Roman is Professor and Director of Medical Student Education of Psychiatry at Boonshoft School
by Edmund Howe, MD, JD Dr. Howe is Professor, Department of Psychiatry, Director, Programs in Medical Ethics, and Senior Scientist, Center for the Study of Traumatic Stress, Uniformed Services University
by Randy A. Sansone, MD, and Lori A. Sansone, MD Dr. R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of
by Julie P. Gentile, MD; and Brenda Roman, MD Dr. Gentile is Board Certified, American Board of Psychiatry and Neurology, Director of Medical Student Mental Health Services, Boonshoft School of
by Robert A. Lasser, MD, MBA; Nina R. Schooler, PhD; Mary Kujawa, MD, PhD; Kathleen Jarboe, PHMCNS-BC; John Docherty, MD; and Peter Weiden, MD Dr. Lasser is with Shire Pharmaceuticals
by Paulette Marie Gillig, MD, PhD Professor of Psychiatry, Department of Psychiatry, Boonshoft School of Medicine, Wright State University, Dayton, Ohio
by Edmund Howe, MD, JD Dr. Howe is Professor, Department of Psychiatry, Director, Programs in Medical Ethics, and Senior Scientist, Center for the Study of Traumatic Stress, Uniformed Services University
by Randy A. Sansone, MD, and Lori A. Sansone, MD Dr. R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of
by Pamela Broderick, MD, and Christina Weston, MD Department of Psychiatry, Wright State University, Boonshoft School of Medicine, Dayton, Ohio
by Randy A. Sansone, MD, and Lori A. Sansone, MD Dr. R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of
by Linda J. Griffith, MD Dr. Griffith is Board Certified, American Board of Psychiatry and Neurology, American Board of Family Medicine, American Board of Hospice and Palliative Medicine, Certificate of
by Randy A. Sansone, MD, and Lori A. Sansone, MD Dr. R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of
by Gustavo Alva, MD, and Jeffrey L. Cummings, MD Dr. Alva is from ATP Clinical Research, Costa Mesa, California, and Dr. Cummings is from the University of California, Los Angeles,
by Raushanah Hud-Aleem, DO, and Jacqueline Countryman, MD From the Department of Psychiatry, Boonshoft School of Medicine, Wright State University, Dayton, Ohio
by Timothy Lawver, DO, and Kelly Blankenship, DO From the Department of Psychiatry, Boonshoft School of Medicine, Wright State University, Dayton, Ohio.
by Elisa Cascade; Amir H. Kalali, MD; and Todd A. Smitherman, PhD Ms. Cascade is Vice President, Quintiles Inc./iGuard, Falls Church, Virginia; and Dr. Kalali is Vice President, Global Therapeutic
by Sara G. West, MD, and Susan Hatters Friedman, MD Dr. West is from the Department of Psychiatry, University Hospitals/ Case Western Reserve University School of Medicine in Cleveland, Ohio;
by Edmund Howe, MD, JD Dr. Howe is Professor, Department of Psychiatry, Director, Programs in Medical Ethics, and Senior Scientist, Center for the Study of Traumatic Stress, Uniformed Services University
by Elisa Cascade; Amir H. Kalali, MD; and Jeffrey L. Cummings, MD Ms. Cascade is Vice President, Quintiles Inc./iGuard, Falls Church, Virginia; Dr. Kalali is Vice President, Global Therapeutic Group
by Charles A. Morgan III, MD, MA; Gary Hazlett, PsyD; Mike Dial-Ward, PhD; Steven M. Southwick, MD Drs. Morgan and Southwick are from the Department of Psychiatry, Yale University School
by Keith A. Montgomery, MD Dr. Montgomery is a fourth year resident at Wright State University School of Medicine, Department of Psychiatry, Dayton, Ohio.
by Timothy Lawver, DO Dr. Lawver is with the Wright State University Department of Psychiatry, Dayton, Ohio.
by Randy A. Sansone, MD, and Lori A. Sansone, MD This ongoing column is dedicated to the challenging clinical interface between psychiatry and primary care—two fields that are inexorably linked.
by Sergio V. Delgado, MD Dr. Delgado is Associate Professor, Child and Adolescent Psychiatry, Psychoanalysis, and Medical Director, Outpatient Services with Cincinnati Children’s Hospital Medical Center, Department of Pediatrics and
by Linda J. Griffith, MD Dr. Griffith is Medical Director, Consolidated Care, Inc., Champaign, Logan, Union Counties, Ohio, and Clinical Assistant Professor, Boonshoft School of Medicine, Wright State University, Dayton,
by Shruti Baijal and Rashmi Gupta Drs. Baijal and Gupta are from the Centre for Behavioural and Cognitive Sciences, University of Allahabad, Allahabad, India.
by Edmund Howe, MD, JD Dr. Howe is Professor, Department of Psychiatry, and Director, Programs in Medical Ethics, Senior Scientist, Center for the Study of Traumatic Stress, Uniformed Services University
by Julie P. Gentile, MD; and Carroll S. Jackson, MSW, LISW Dr. Gentile is Board Certified, American Board of Psychiatry and Neurology, Director of the Dual Diagnosis Program (Mental Illness/Intellectual
by Julie P. Gentile, MD Dr. Gentile is Board Certified, American Board of Psychiatry and Neurology, Director of the Dual Diagnosis Program (Mental Illness/Intellectual Disabilities), Director of Medical Student Mental
by Edmund Howe, MD, JD Dr. Howe is Professor, Department of Psychiatry, and Director, Programs in Medical Ethics, Senior Scientist, Center for the Study of Traumatic Stress, Uniformed Services University
by Michael McGee, MD Dr. McGee is Clinical Instructor in Psychiatry, McLean Hospital, Harvard Medical School, Nashua, New Hampshire
by Jacqueline Countryman, MD Dr. Countryman is from the Department of Psychiatry, Boonshoft School of Medicine, Wright State University, Dayton, Ohio; Dr. Gillig is Professor of Psychiatry, Department of Psychiatry,
by Linda J. Griffith, MD Dr. Griffith is Board Certified, American Board of Psychiatry and Neurology, American Board of Family Medicine, American Board of Hospice and Palliative Medicine, Certificate of
by Randy A. Sansone, MD, and Lori A. Sansone, MD This ongoing column is dedicated to the challenging clinical interface between psychiatry and primary care—two fields that are inexorably linked.
by Jamie McLean, MD Series Editor: Paulette M. Gillig, MD, PhD Drs. McLean and Gillig are from the Department of Psychiatry, Boonshoft School of Medicine, Wright State University, Dayton, Ohio.
by Linda J. Griffith, MD Dr. Griffith is Board Certified, American Board of Psychiatry and Neurology, American Board of Family Medicine, American Board of Hospice and Palliative Medicine, Certificate of
White Noise and Questions Regarding Death Anxiety, Forgiveness, and Patient Self-disclosure
by Edmund Howe III, MD, JD Dr. Howe is Professor of Psychiatry, Uniformed Services University of the Health Sciences in Bethesda, Maryland. Funding: No funding was provided for this article.
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