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  1. <Medical Topics
    Psychiatry
    Approach to the Patient With Psychiatric Symptoms
    • Initial Psychiatric Assessment
      • Reference
      • History
      • Mental Status Examination
      • More Information
    • Medical Assessment of the Patient With Psychiatric Symptoms
      • Evaluation
        • History
        • Physical examination
        • Interpretation of findings
        • Testing
        • Evaluation references
    • Behavioral Emergencies
      • Etiology
      • General Principles
        • Staff and public safety
        • General principles references
      • Seclusion or Physical Restraints
        • Procedure
        • Complications
        • Complications reference
      • Chemical Restraints
        • Medications
        • Adverse effects of benzodiazepines
        • Adverse effects of antipsychotic medications
        • Chemical restraints reference
      • Consent and Involuntary Treatment
    Anxiety and Stressor-Related Disorders
    • Overview of Anxiety Disorders
      • General references
      • Etiology
        • COVID-19–related anxiety
        • Etiology references
      • Symptoms and Signs
        • Signs and symptoms reference
      • Diagnosis
        • Cultural factors
        • Diagnosis references
      • Treatment
        • Psychoeducation and relaxation techniques
        • Psychotherapies
        • Pharmacotherapy
        • Treatment of comorbidities
        • Treatment references
    • Generalized Anxiety Disorder
      • General references
      • Symptoms and Signs
      • Diagnosis
        • Diagnosis reference
      • Treatment
      • Treatment references
    • Panic Attacks and Panic Disorder
      • General references
      • Symptoms and Signs
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Pharmacotherapy
        • Psychotherapy
        • Treatment references
    • Specific Phobias
      • General reference
      • Symptoms and Signs
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Exposure therapy
        • Pharmacotherapy
        • Treatment references
    • Social Anxiety Disorder
      • General reference
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment reference
    • Agoraphobia
      • General reference
      • Symptoms and Signs
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment references
    • Acute Stress Disorder (ASD)
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Self-care
        • Psychotherapy
        • Pharmacotherapy
        • Treatment references
    • Posttraumatic Stress Disorder (PTSD)
      • General reference
      • Symptoms and Signs
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Self-care
        • Psychotherapy
        • Pharmacotherapy
        • Treatment references
    • Adjustment Disorders
      • General reference
      • Symptoms and Signs
        • Symptoms and signs reference
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Self-care
        • Psychotherapy
        • Pharmacotherapy
        • Treatment reference
    • Overview of Trauma- and Stressor-Related Disorders
    Dissociative Disorders
    • Overview of Dissociative Disorders
      • Distinguishing Dissociative Disorders from Trauma and Stressor-related Disorders
      • References
    • Depersonalization/Derealization Disorder
      • References
      • Etiology
      • Symptoms and Signs
      • Diagnosis
        • Diagnosis references
      • Treatment
        • Treatment reference
      • Prognosis
        • Prognosis reference
    • Dissociative Amnesia
      • References
      • Symptoms and Signs
        • Symptoms and signs reference
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment reference
      • Prognosis
        • Prognosis reference
      • Dissociative Fugue
    • Dissociative Identity Disorder
      • References
      • Etiology
        • Etiology references
      • Symptoms and Signs
        • Multiple identities
        • Amnesia
        • Other symptoms
        • Symptoms and signs reference
      • Diagnosis
      • Treatment
        • Treatment references
      • Prognosis
    • Dissociative Subtype of Posttraumatic Stress Disorder
      • General references
      • Signs and Symptoms
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment references
      • Prognosis
        • Prognosis reference
    Feeding and Eating Disorders
    • Introduction to Feeding and Eating Disorders
      • References
      • Risk Factors
        • Etiology references
    • Anorexia Nervosa
      • References
      • Risk Factors
      • Risk factors references
      • Symptoms and Signs
        • Symptoms and signs reference
      • Complications
      • Diagnosis
        • Differential diagnosis
        • Diagnosis references
      • Treatment
        • Treatment references
      • Prognosis
        • Prognosis references
      • Key Points
    • Bulimia Nervosa
      • General references
      • Symptoms and Signs
        • Complications
        • Complications references
      • Diagnosis
      • Diagnosis references
      • Treatment
        • Treatment references
      • Key Points
    • Binge-Eating Disorder
      • References
      • Symptoms and Signs
        • Symptoms and signs references
      • Diagnosis
      • Diagnosis reference
      • Treatment
        • Treatment references
      • Key Points
    • Avoidant/Restrictive Food Intake Disorder (ARFID)
      • Reference
      • Symptoms and Signs
      • Diagnosis
      • Diagnosis reference
      • Treatment
        • Treatment reference
      • Key Points
    • Pica
      • References
      • Diagnosis
        • Diagnosis reference
      • Treatment
      • Key Points
    • Rumination Disorder
      • References
      • Diagnosis
      • Diagnosis reference
      • Treatment
        • Treatment reference
      • Key Points
    Mood Disorders
    • Overview of Mood Disorders
      • General references
      • Symptoms and Episodic Patterns
        • Depression
        • Mania
        • Hypomania
        • Mixed features
        • Symptoms and signs references
      • Comorbidities and Complications
        • Suicide in mood disorders
        • Other complications or comorbidities of mood disorders
        • Comorbidities and complications references
    • Depressive Disorders
      • Demoralization and grief
      • General references
      • Etiology and Risk Factors
        • Etiology references
      • Symptoms and Signs
        • Major depressive disorder (unipolar depressive disorder)
        • Persistent depressive disorder
        • Premenstrual dysphoric disorder
        • Prolonged grief disorder
        • Symptoms and signs references
      • Diagnosis
        • General diagnostic considerations
        • Major depressive disorder
        • Persistent depressive disorder
        • Premenstrual dysphoric disorder
        • Prolonged grief disorder
        • Other depressive disorders
        • Specifiers
        • Diagnosis reference
      • Screening for Depressive Disorders
      • Treatment
        • Initial support
        • Psychotherapy
        • Pharmacotherapy for depression
        • Electroconvulsive therapy (ECT)
        • Repetitive transcranial magnetic stimulation (rTMS)
        • Phototherapy
        • Other therapies
        • Treatment references
      • Key Points
    • Medications for Treatment of Depression
      • Choice and Initiation of Antidepressants
        • Choice and administration of antidepressants reference
      • Classes of Antidepressant Medications
        • Selective serotonin reuptake inhibitors (SSRIs)
        • Serotonin modulators (5-HT2 blockers)
        • Serotonin-norepinephrine reuptake inhibitors (SNRIs)
        • Norepinephrine-dopamine reuptake inhibitor
        • N-methyl D-aspartate (NMDA) antagonist/sigma-1 agonist
        • Heterocyclic antidepressants (HCAs)
        • Monoamine oxidase inhibitors (MAOIs)
        • Melatonergic antidepressant
        • Ketamine and esketamine
        • Classes of antidepressant medications references
      • Antidepressants and Suicide Risk
        • Antidepressants and suicide risk references
    • Cyclothymic Disorder
      • General reference
      • Diagnosis
      • Diagnosis reference
      • Treatment
        • Treatment reference
    • Bipolar Disorders
      • General references
      • Etiology
        • Etiology references
      • Symptoms and Signs
        • Symptoms and signs references
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Pharmacotherapy for bipolar disorder
        • Support and psychotherapy
        • Other treatments
        • Treatment references
      • Key Points
    • Medications for Treatment of Bipolar Disorders
      • General reference
      • Mood Stabilizers
        • Lithium
        • Antiseizure medications
      • Mood stabilizers references
      • Antipsychotics
        • Antipsychotics reference
      • Antidepressants
        • Antidepressants references
      • Precautions During Pregnancy
        • Precautions during pregnancy references
    Obsessive-Compulsive and Related Disorders
    • Obsessive-Compulsive Disorder (OCD)
      • General references
      • Symptoms and Signs
        • Symptoms and sign references
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment references
      • Key Points
    • Trichotillomania
      • General references
      • Symptoms and Signs
        • Symptoms and signs reference
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment references
      • Key Points
    • Excoriation (Skin-Picking) Disorder
      • General references
      • Symptoms and Signs
        • Symptoms and signs reference
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment references
      • Key Points
    • Body-Focused Repetitive Behavior Disorder
      • Symptoms and Signs
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment reference
      • Key Points
    • Olfactory Reference Disorder
      • General references
      • Symptoms and Signs
        • Symptoms and signs references
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment references
      • Key Points
    • Hoarding Disorder
      • References
      • Symptoms and Signs
        • Symptoms and signs references
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment references
      • Key Points
    • Body Dysmorphic Disorder (BDD)
      • General references
      • Symptoms and Signs
        • Symptoms and signs references
      • Diagnosis
        • Diagnosis references
      • Treatment
        • Treatment references
      • Key Points
    Paraphilias and Paraphilic Disorders
    • Overview of Paraphilias and Paraphilic Disorders
      • References
    • Exhibitionistic Disorder
      • General references
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment references
      • Key Points
    • Fetishistic Disorder
      • General reference
      • Treatment
        • Treatment reference
    • Pedophilic Disorder
      • General references
      • Diagnosis
        • Diagnosis references
      • Treatment
        • Medications
        • Treatment references
    • Sexual Masochism Disorder
      • Autoerotic asphyxiation (asphyxiophilia)
      • General references
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment references
    • Sexual Sadism Disorder
      • General references
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment reference
    • Transvestic Disorder
      • General references
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment references
      • Key Points
    • Voyeuristic Disorder
      • General references
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment references
      • Key Points
    • Frotteuristic Disorder
      • General references
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment references
    Personality Disorders
    • Overview of Personality Disorders
      • Types of Personality Disorders
        • General references
      • Symptoms and Signs
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • General principles for treatment
      • Key Points
    • Paranoid Personality Disorder (PPD)
      • General references
      • Symptoms and Signs
      • Diagnosis
        • Differential diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment reference
    • Schizoid Personality Disorder (ScPD)
      • General references
      • Etiology
      • Symptoms and Signs
      • Diagnosis
      • Differential diagnosis
      • Diagnosis reference
      • Treatment
    • Schizotypal Personality Disorder (STPD)
      • General references
      • Etiology
      • Symptoms and Signs
      • Diagnosis
        • Differential diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment reference
    • Antisocial Personality Disorder (ASPD)
      • General references
      • Etiology
        • Etiology references
      • Symptoms and Signs
      • Diagnosis
        • Differential diagnosis
        • Diagnosis reference
      • Treatment
      • Treatment reference
    • Borderline Personality Disorder (BPD)
      • General references
      • Etiology
        • Etiology references
      • Symptoms and Signs
        • Symptoms and signs reference
      • Diagnosis
        • Differential diagnosis
        • Diagnosis reference
      • Treatment
        • Psychotherapy
        • Medications
        • Treatment references
    • Histrionic Personality Disorder (HPD)
      • General references
      • Symptoms and Signs
      • Diagnosis
        • Differential diagnosis
        • Diagnosis reference
      • Treatment
    • Narcissistic Personality Disorder (NPD)
      • General references
      • Etiology
      • Symptoms and Signs
      • Diagnosis
        • Differential diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment references
    • Avoidant Personality Disorder (AVPD)
      • General references
      • Etiology
        • Etiology references
      • Symptoms and Signs
      • Diagnosis
        • Differential diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment reference
    • Dependent Personality Disorder (DPD)
      • General reference
      • Etiology
        • Etiology references
      • Symptoms and Signs
      • Diagnosis
        • Differential diagnosis
        • Diagnosis reference
      • Treatment
    • Obsessive-Compulsive Personality Disorder (OCPD)
      • General references
      • Symptoms and Signs
      • Diagnosis
        • Differential diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment references
    Schizophrenia and Related Disorders
    • Schizoaffective Disorder
      • Reference
      • Treatment
        • Treatment reference
    • Antipsychotic Medications
      • References
      • First-Generation Antipsychotics (FGAs)
        • References
      • Second-Generation Antipsychotics (SGAs)
        • References
      • Emerging and Investigational Antipsychotic Medications
        • References
      • Long-Acting Formulations
      • Treatment of Adverse Effects of Antipsychotic Medications
        • Treatment references
    • Introduction to Schizophrenia and Related Disorders
    • Brief Psychotic Disorder
      • References
    • Delusional Disorder
      • References
      • Symptoms and Signs
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment reference
      • Prognosis
    • Schizophrenia
      • References
      • Etiology
        • Neurodevelopmental vulnerability
        • Environmental stressors
        • Etiology references
      • Symptoms and Signs
        • Phases of schizophrenia
        • Symptom categories in schizophrenia
        • Subtypes of schizophrenia
        • Risk of suicide
        • Risk of violence
        • Symptoms references
      • Diagnosis
        • Differential diagnosis
        • Diagnosis references
      • Treatment
        • Rehabilitation and community support services
        • Psychotherapy
        • Disease course
        • Treatment references
      • Prognosis
        • Prognosis references
      • Key Points
    • Schizophreniform Disorder
      • References
    • Substance- or Medication-Induced Psychotic Disorder
      • References
      • Treatment
        • Reference
    • Psychotic Disorder Due to Another Medical Condition
      • References
    • Other Schizophrenia Spectrum and Psychotic Disorders
      • Reference
      • Shared Delusions
        • Reference
    Gender Incongruence and Gender Dysphoria
    • Gender Incongruence and Gender Dysphoria
      • General references
      • Epidemiology
        • Epidemiology references
      • Etiology
        • Etiology references
      • Symptoms and Signs
        • Symptoms in adults
        • Symptoms in children
        • Symptoms and signs references
      • Diagnosis
        • Assessment and diagnosis in all age groups
        • Diagnosis of gender dysphoria in adults and adolescents
        • Diagnosis of gender dysphoria in children
        • Diagnosis references
      • Treatment
        • Individuals assigned male at birth (AMAB)
        • Individuals assigned female at birth (AFAB)
        • Nonbinary and other gender-diverse individuals
        • Gender dysphoria in children and adolescents
        • Treatment references
      • Key Points
    Somatic Symptom and Related Disorders
    • Overview of Somatization
      • Reference
    • Functional Neurological Symptom Disorder
      • Symptoms and Signs
      • Diagnosis
        • Diagnosis reference
      • Treatment
    • Illness Anxiety Disorder
      • Reference
      • Symptoms and Signs
      • Diagnosis
        • Diagnosis reference
      • Treatment
        • Treatment reference
    • Factitious Disorder Imposed on Self
      • Symptoms and Signs
      • Diagnosis
        • Reference
      • Treatment
    • Factitious Disorder Imposed on Another
      • Reference
    • Psychological Factors Affecting Other Medical Conditions
      • Reference
    • Somatic Symptom Disorder
      • Symptoms and Signs
      • Diagnosis
        • Diagnosis reference
      • Treatment
    Suicidal Behavior
    • Suicidal Behavior
      • Reference
      • Epidemiology
        • Epidemiology references
      • Methods
        • Methods references
      • Risk Factors
        • Antidepressant Medications and Suicide Risk
        • Risk factors references
      • Prevention
        • Prevention references
      • Treatment
        • Psychotherapy
        • Pharmacologic and Other Treatments
        • Treatment references
      • Support For Those Impacted By Suicide
        • Support references
      • More Information
    Substance-Related Disorders
    • Overview of Substance Use
      • Scheduled drugs (controlled substances)
      • References
    • Substance Use Disorders
      • Physiologic Effects of Substance Use
        • Intoxication
        • Withdrawal
        • References
      • Etiology
        • Drug
        • User
        • Setting
        • Etiology references
      • Diagnosis
        • Specific substance use disorders
        • Specific substance intoxication syndromes
        • Specific substance withdrawal syndromes
        • Diagnosis reference
      • Treatment
        • Treatment references
      • Screening
        • Screening references
      • Prevention
      • Key Points
    • Substance-Related Psychiatric Disorders
      • References
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