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The article comments on gender-affirming care for adolescents and the separation of political polarization from medicine. Trends regarding those who seek care include increase in adolescents asserting a nonbinary identity and who did not have gender-diverse expressions in childhood and inversion in assigned sex-ratio. It emphasize the need to consider factors when making treatment decisions and discusses improvements in psychological well-being, psychosocial functioning and quality of life.

The article considers complementary and integrative health (CIH) approaches as complementary treatments for post-traumatic stress disorder (PTSD). Topics discussed include the factors that health providers should consider when recommending CIH protocols as complementary treatments for PTSD, the reasons behind the rising number of patients opting for CIH methods and the various types of CIH approaches, including meditation, acupuncture and yoga.

This article focuses on the ways of integrating psychiatry and medicine. The notion of a psychiatrist with such broad-ranging biopsychosocial knowledge is becoming increasingly plausible, given recent developments in the field of psychosomatic medicine. The term psychosomatic was first used by the German physician Johann Christian Heinroth in 1818, when discussing causes of insomnia, and the term psychosomatic medicine is thought to have been introduced by Felix Deutsch, Maryland, around 1922. The 1920s also saw the emergence of general hospital psychiatric units in the U.S., such as the one at Henry Ford Hospital in Detroit. INSET: Acknowledgement..

This article presents clinical reflections on cosmetic psychiatry. It is the mission of psychiatrists to render assistance to any who seek relief from emotional illness. This noble mission, however, does not currently apply to people who seek only subjective perfection. People seeking subjective perfection are discouraged by physicians wielding the persuasive powers of diagnostic definition, no diagnosis or label, no prescription, no pills. It is the use and not the abuse of psychotropic medication that forms the framework of cosmetic psychiatry.

Focuses on controversies regarding subjective illness. Difficulty in evaluating an illness without evidence; Validity of diagnosis without evidence; Discrepancy between the subjectivity of suffering and the observation basis of modern science.

The author reflects on the future of the profession of medicine particularly psychiatry. He says physicians should be reminded of the definition of a profession to better judge what actions and attitudes threaten and support the concept. He adds that more than any other branch of medicine, the profession of psychiatry is unable to coexist with business because the suffering of mentally ill persons is deeper and darker than any other form of human anguish.

The article examines studies on the validation of clinical algorithms in psychiatry. Among the initial studies that deal with clinical algorithm are the stepped collaborative care intervention, Texas Medication Algorithm Project and the German Algorithm Project phase 2. It is suggested in several studies that patients with a major depressive or bipolar disorder who are treated according to an accepted clinical algorithm have more successful outcomes that those treated as usual.

The article reports that in his work as an academician, clinician, researcher and author, Glen O. Gabbard advocates practicing an integrative approach to psychiatry and treating the patient as a whole person. Currently, Gabbard is Brown Foundation Chair of Psychoanalysis and professor in the department of psychiatry and behavioral sciences at Baylor College of Medicine in Texas and director of the Baylor Psychiatry Clinic. Yet, psychiatry and psychoanalysis have been pursuits since childhood. For Gabbard, psychiatry and drama have been inextricably intertwined. He attended Northwestern University, University of Texas and Eastern Illinois University during his undergraduate years, majoring in theater.

The article is an appreciation of an insightful article by Cynthia M.A. Geppert, about Part II of the American Board of Psychiatry and Neurology (ABPN) certification examination. As the author writes, she says that she is staring at the certificates for which she sweated blood in general psychiatry in 1993 and in child psychiatry in 1994.