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May 13, 2024

It Stands to Reason: Unlocking Success for Treating Patients

“Thinking about how we think” helps develop a logical progression of treatment options and increases our chances of success, rather than unconsciously submitting to the irrational distortions of probability that our minds are prone to rely on.

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May 4, 2024

The Failed Concept of Treatment Resistance

According to some estimates, about 20% to 60% of psychiatric diagnoses eventually become labeled “treatment resistant,” yet psychiatry seems to lack a consensus on what “treatment resistance” means, including clear criteria, H. Paul Putman III, MD, told Psychiatric Times in an exclusive interview.

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April 19, 2024

Special Report: Rethinking Treatment Resistance as Impasse, Rather Than Endpoint

The conceptual error we make is confusing treatment resistance with treatment failure. Relabeling a diagnosis as treatment resistant represents a failure of clinical problem-solving when second opinions identify remaining treatment options for more than two-thirds of these patients.

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July 28, 2023

Generative Chatbots Are Not Search Engines

Generative chatbots are not ready to accurately assist us in compiling appropriate facts with references.

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May 30, 2023

Participation in Public Discourse over Controversial Topics

Some clinicians wish to find ways to disseminate or support evidence-based information that can affect the health of their patients, but that may be mired in misinformation or heated controversy. Dr. Putman discusses suggestions from some experts.

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March 27, 2023

The Rewards of Thinking Like a Generalist

Subspecialty psychiatry will no doubt continue to provide increasingly effective levels of care to patients, but Dr. Putman suggests the best practice may be approaching the diagnosis of every new patient as a generalist.

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February 27, 2023

Rational Psychopharmacology - Episode 13

Bruce Bassi, MD, interviews Dr. Paul Putman about his recent book Rational Psychopharmacology: A Book of Clinical Skills, his upcoming book Encountering Treatment Resistance: Success Through Reconceptualization, and the use of metacognition to reduce errors and improve treatment outcomes.

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September 27, 2022

Outcome Data Trump Theory in Clinical Practice

Addressing recent discussion in the media regarding the role of serotonin in the treatment of depression, Dr. Putman clarifies that the most effective treatments are based on outcomes studies, not theory.

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May 31, 2022

The Future of Psychiatric Diagnosis Explored

A report on discussion of the possible integration of dimensional and categorical approaches to psychiatric diagnosis.

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January 28, 2022

Rational Prescribing Is Caring Psychopharmacology

Why is being rational associated by some with being cold, aloof, uncaring, and dogmatic? Rationality is an essential tool for providing ethical and compassionate care.

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