Addressing Weight Stigma in Clinical Practice

Topics: body mass index BMI | body positivity | fat shaming | mindful eating | Stigma

CCPR: You’ve done extensive research in the areas of weight stigma, body image, and eating disorders. Can you start by defining the terms weight stigma and fat shaming for us? Dr. Nutter: Weight stigma includes the stereotypes, negative attitudes/beliefs, and discrimination that all occur based on someone’s weight, typically when someone is perce

Electroconvulsive Therapy: A Primer

Topics: brief pulse | Depression | ECT | Innovations | Ketamine | maintenance ECT | memory loss | retrograde amnesia | Stigma | Suicidality | TMS | unilateral vs bilateral

CHPR: Welcome, Dr. Seiner. Can you tell us what led to your interest in electroconvulsive therapy (ECT) and neurotherapeutics? Dr. Seiner: I went to the University of Michigan and got a degree in chemical engineering, but I decided I didn’t want to fractionate oil for a living, so I went to medical school thinking I would be an internist. While in me

Communicating With Patients About Gender

Topics: Depression | Diversity | Gender | Gender Diverse | Gender Identity | LGBT | LGBTQ+ | Minority | Pronouns | Stigma | Suicide | TGD | Transgender

CCPR: Welcome, Dr. Keuroghlian. Please tell us what you do. Dr. Keuroghlian: At The Fenway Institute, I see transgender and gender-diverse (TGD)* patients in the behavioral health department. We also conduct education, training, technical assistance, and implementation with health systems and programs nationwide. I also direct the Gender Identity Progr

Reducing the Stigma of Addiction Through Language and Terminology

Topics: Disparities | Engagement | Free Articles | Opioid Use Disorder | Stigma

The words we use in discussing addiction shape the way our patients, fellow clinicians, and communities think about substance use disorders. Addiction has long been viewed as a moral failing, and the terminology of addiction has reinforced this belief. Here, we review the evidence that documents how terminology can perpetuate—or reduce—the stigma as

Stigmatizing Smoking: An Effective Deterrent?

Topics: Prevention | Public health | Stigma | Tobacco use disorder

Review of: Cortland CI et al, Addiction 2019;114:1842–1848 Tobacco use is the single most preventable cause of death, disease, and disability in the United States. Among the $50 million the American government spends each year on tobacco cessation efforts, part of that money is spent on public service campaigns that work to shame or stigmatize smok

Overdiagnosis in Psychiatry

Topics: Adult ADHD | Bipolar II | Borderline Personality Disorder | BPD | Diagnosis | DSM | PTSD | Stigma

TCPR: Which disorders are the most overdiagnosed in psychiatry? Dr. Paris: At the top of the list are major depression, PTSD, bipolar II, adult ADHD, and—this one is a recent addition because it used to be underdiagnosed—borderline personality disorder. Each of these conditions may be underdiagnosed in some settings as well, but they have also been