PSYREFLECT

Issue #13

February 16, 2026

#1Research

Prolonged Grief Disorder Is Now a Diagnosis. Most Clinicians Cannot Name the Criteria.

Prolonged grief disorder is now recognized in both ICD-11 and DSM-5-TR, affecting roughly 10% of bereaved individuals — yet the majority are never screened, never identified, and receive generic treatment for depression rather than grief-specific intervention. Killikelly and colleagues provide the definitive clinical catch-up.

griefprolonged-grief-disordericd-11dsm-5-tr
4 minRead analysis
#2Research

Combined CBT and Lisdexamfetamine Doubles Binge-Eating Remission: The Trial That Should Change Treatment Guidelines

In the first three-arm RCT for binge-eating disorder, combined CBT and lisdexamfetamine achieved 70.2% binge-eating remission — versus approximately 42% for either treatment alone. The synergy between restructuring cognition and dampening impulse is not theoretical. It is now quantified.

binge-eating-disordereating-disorderscbtlisdexamfetamine
4 minRead analysis
#3Tool

IPGDS: The First Assessment Tool Built for ICD-11 Prolonged Grief Disorder

PGD entered the diagnostic manuals. The IPGDS is the measurement instrument those manuals were waiting for — free, cross-cultural, and designed for the criteria as they actually exist.

prolonged-grief-disorderICD-11assessmentIPGDS
3 minRead analysis
#4Industry

Semaglutide Linked to 42% Lower Risk of Psychiatric Worsening: The Largest GLP-1 Mental Health Study to Date

Semaglutide is generating the strongest psychiatric signal of any metabolic drug in a generation. The 42% risk reduction is real — and so is the obligation to monitor patients whose dopamine systems are being pharmacologically reshaped.

GLP-1semaglutidedepressionanxiety
3 minRead analysis
#5Industry

41 Fellows for 7 Million Patients: The Geriatric Psychiatry Workforce Crisis

Forty-one fellows for seven million patients with Alzheimer's alone. The geriatric psychiatry workforce shortage is not a policy problem for tomorrow — it is a clinical reality today.

geriatric-psychiatryworkforce-crisisfellowship-trainingaging-population
3 minRead analysis
#6Resource

Where to Learn Prolonged Grief Therapy: Columbia's Training Ecosystem and Beyond

PGT was twice as effective as Interpersonal Psychotherapy for grief — and antidepressants had no effect on grief symptoms at all. The treatment exists. The training is accessible. The only missing piece is you.

prolonged-grief-therapyPGTM-Katherine-ShearColumbia
5 minRead analysis