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The Journal of Lifelong Learning in Psychiatry

Edited by Mark Hyman Rapaport, M.D.

  • Item #FOC
Earn up to 44 AMA PRA Category 1 CME Credits!
Earn up to 24 AMA PRA Category 1 Self-Assessment CME credits

Note: If you would like to subscribe to previous years, please contact Customer Service at 1-800-368-5777 or 202-459-9722.


Focus, APA’s quarterly clinical review journal, is designed for practicing psychiatrists to keep abreast of significant clinical knowledge and advances in the field through self-directed lifelong learning. Focus is the best resource for clinical synthesis, expert guidance, lifelong learning, and maintenance of certification. Four issues each year provide comprehensive reviews of major clinical areas of psychiatry. Focus also provides an organized learning and self-assessment program with 44 hours of CME each year.

An annual subscription to Focus addresses core areas in psychiatry, with each issue overseen by a Guest Editor clinical expert in that area. This thought leader works with fellow experts and advisors to deliver an issue that keeps you abreast of the field. Each issue includes:

  • Articles on best practices, new developments and the current state of practice
  • Features designed to improve your ability to evaluate, diagnose, and manage clinical problems; communicate with your patients; and handle ethical dilemmas
  • Curation of the important publications that have shaped clinical thinking in the field

Each issue also includes a quiz that allows you to earn up to 5 AMA PRA Category 1 Credits™—for a total of up to 20 per year—and all this can be done quickly online, with your CME certificate available immediately. An annual subscription also includes unlimited online access to all past volumes at no extra charge (CME for previous years’ issue quizzes not available). Each issue emphasizes a clinical topic. Recent topics include:

  • Anxiety Across the Lifespan
  • Biomarkes in Psychiatry
  • Complementary and Integrative Medicine
  • Depression
  • Psychotherapy
  • Schizophrenia
  • Treating the Invisible Wounds of War

Because the practice of psychiatry extends far beyond the core areas covered in Focus each volume year, we’ve introduced new features intended to capture additional and emerging areas of clinical interest:

  • 21st-Century Psychiatrist—With advances in treatment and medical knowledge as well as changes in regulatory requirements, systems of care, and models of care, this feature provides brief updates that help the busy practitioner know where to go and what to do to stay current and compliant.
  • The Applied Armamentarium—This feature presents evidence to fill the gap between results from regulatory trials and treatment management in the clinic.
  • Safety Commentary—Patient safety is an area in which physicians are being held accountable. This column provides expert commentary in the area of safety standards, with a focus on those most relevant to psychiatry.
  • Annual review of the Clinical Landscape—The Editors and Editorial Board summarize the most important clinical discoveries which directly impact clinical care of patients.

Your subscription also includes the annual Focus Self-Assessment Examination, written by practicing psychiatrists and clinical experts. Completing this 120-question exam allows you to earn an additional 24 AMA PRA Category 1 Credits™ and 24 ABPN approved self-assessment credits. It includes the opportunity to anonymously compare your knowledge against that of your peers. It is also approved for Section 3 of the Maintenance of Certification program of the Royal College of Physicians and Surgeons of Canada.

With a subscription to Focus, you’ll know that you are keeping up with the clinical information you need to know and the MOC requirements you need to fulfill. Simply put, there’s no easier, more reliable approach to keeping your clinical skills sharp while continuing your psychiatric education and meeting CME and Maintenance of Certification requirements.

The American Board of Psychiatry and Neurology (ABPN) has reviewed Focus: The Journal of Lifelong Learning in Psychiatry and the Focus Self-Assessment Examination and has approved this program as part of a comprehensive lifelong learning and self-assessment program, which is mandated by the ABMS as a necessary component of maintenance of certification.

The Focus Self Assessment Examination is an Accredited Self-Assessment Program (Section 3) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by the Canadian Psychiatric Association. You may claim a maximum of 24 hours (credits are automatically calculated).

The American Psychiatric Association (APA) has received accreditation with commendation by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The American Psychiatric Association designates this journal-based CME activity for a maximum of 44 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

To visit FOCUS online, please visit


  • The new issue of FOCUS, Psychotherapy: New Evidence and New Approaches, explores the field of psychotherapy in the 21st century—where we are now and where we are headed.

  • Highlights include:

  • Psychotherapy and Neuroimaging

  • Technological advances in neuroimaging have enabled researchers to examine, in vivo, the relationship between psychotherapeutic interventions and markers of brain activity. This review focuses on two kinds of neuroimaging studies in psychotherapy: those that examine the patterns of brain activity associated with response to treatments and those that examine the changes that occur in brain activity during treatment.

  • Internet-Delivered Psychotherapy for Anxiety Disorders and Depression

  • Anxiety and depressive disorders are highly prevalent, but fewer than half of those who meet diagnostic criteria seek treatment each year. Internet-delivered cognitive behavioral therapy may improve access to evidence-based psychological treatment for people with these conditions.
  • Psychotherapy for Bipolar Disorder in Adults
  • Although pharmacotherapy is the mainstay of treatment for bipolar disorder, medication offers only partial relief for patients. This review summarizes the available data on psychotherapy for adults with bipolar disorder.

  • Cognitive-Behavioral Therapy: Next Generation of Treatments

  • CBT has been established as an empirically supported treatment for virtually any mental disorder and has usually been conducted in face-to-face individual or group format. In recent years, newer CBT treatments have been developed, including meta-cognitive therapy, mindfulness-based therapy, mindfulness-based cognitive therapy, dialectical behavior therapy, acceptance and commitment therapy, and other transdiagnostic treatments.

  • Interpersonal Psychotherapy: Healing with a Relational Focus

  • Interpersonal psychotherapy (IPT) is a time-limited psychotherapy that focuses on relationship stressors and ways to adaptively engage with social supports. With its clear clinical guidelines, therapist- and patient-friendly approach, and data supporting its effectiveness, IPT is easily integrated into mental health care to help patients with mood or eating disorders and interpersonal problems.


    Mark Hyman Rapaport, M.D.

    Patient Management Exercise
    Ian A. Cook, M.D., Associate Editor

    Ethics Commentary
    Laura W. Roberts, M.D., Associate Editor

    Communication Commentary
    Dorothy Stubbe, M.D., Associate Editor

    Senior Advisory Board
    Carol A. Bernstein, M.D.
    Kathleen T. Brady, M.D., Ph.D.
    Peter F. Buckley, M.D.
    Pedro L. Delgado, M.D.
    Glen O. Gabbard, M.D.
    Ira M. Lesser, M.D.
    Charles F. Reynolds III, M.D.
    Pedro Ruiz, M.D.
    Stephen C. Scheiber, M.D.
    Daniel K. Winstead, M.D.
    Joel Yager, M.D.

    Editorial Board
    Josepha A. Cheong, M.D.
    Richard Balon, M.D.
    Donald M. Hilty, M.D.
    Geetha Jayaram, M.D., M.B.A.
    Avram H. Mack, M.D.
    Vishal Madaan, M.D.
    Daryl Matthews, M.D.
    Cheryl F. McCartney, M.D.
    Philip R. Muskin, M.D.
    T. Pato, M.D.
    Victor I. Reus, M.D.
    Cynthia W. Santos, M.D.
    Deborah Spitz, M.D.
    James W. Thompson, M.D., M.P.H.
    Joyce A. Tinsley, M.D.
    Sidney Zisook, M.D.

    FOCUS Self-Assessment Editorial Board
    Robert J. Boland, M.D.
    Arden D. Dingle, M.D.
    Laura Fochtmann, M.D.
    Suzanne Garfinkle, M.D.
    James W. Jefferson, M.D.
    Vishal Madaan, M.D.
    Annette M. Matthews, M.D.
    Deepak Prabhakar, M.D.
    Brenda Roman, M.D.
    Marcia Verduin, M.D.
    Eric R. Williams, M.D.

About the Authors

Mark Hyman Rapaport, M.D., is Chairman and Professor of the Department of Psychiatry and Behavioral Neurosciences and the Polier Endowed Chair in Schizophrenia and Related Disorders at Cedars-Sinai Medical Center in Los Angeles, California; Vice-Chairman and Professor in Residence in the Department of Psychiatry and Biobehavioral Sciences at the David Geffen School of Medicine at UCLA.

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