July, 2011. Journals often devote a lot of content to mainstream areas of concern, and the Journal of Psychiatric Practice is no exception. But it would be a mistake to look for important knowledge only where the light is best. I was reminded of this while attending the recent excellent Annual Meeting of the Royal College of Psychiatrists in the United Kingdom. Symposia with familiar themes (e.g., mood disorders, treatment-refractory psychoses, psychopharmacology, mental health services, teaching and training) were well attended, but so were other sessions that took the audience down less traveled roads. For example, symposia on disorders at the interface of neurology and psychiatry included intriguing sessions such as "Not quite ADHD or autism," or "Tourette's masterclass—all you need to know from tics to compulsions." I was invited to give a keynote address entitled "DSM-5: A Work in Progress," which generated a lot of interest—not just in the proposed revisions of familiar categories, but in proposed new diagnostic entities, and in dimensional aspects of illness.
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