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July 2008 News and Blog Posts (13)

Differentiating osteopoikilosis from osteoblastic metastases

(PSYCHIATRIC TIMES) - ABSTRACT: Osteopoikilosis is a rare, benign osteosclerotic dysplasia that predominantly involves the appendicular skeleton. Radiographic findings are diagnostic, and the disease often is discovered incidentally on x-ray films. The importance of recognizing osteopoikilosis lies in differentiating it from osteoblastic metastases. The cause is unclear. Patients typically are asymptomatic. Diagnostic findings include the appearance of numerous small, well-defined, spheroid… Continue

Added by psychiatryRounds Psychiatry News on July 27, 2008 at 4:30am — No Comments

Bereavement-Related Depression

(PSYCHIATRIC TIMES) - The loss of a loved one is one of the most traumatic events in a person’s life. In spite of this, most people cope with the loss with minimal morbidity. Approximately 2.5 million people die in the United States every year, and each leaves behind about 5 bereaved people.1,2 By age 65, more than half of American women and 10% of American men have been widowed at least once.3 To better understand the usual course of coping with such losses, it helps to define some basic terms… Continue

Added by psychiatryRounds Psychiatry News on July 1, 2008 at 10:00pm — No Comments

Geriatric Mood Disorders

(PSYCHIATRIC TIMES) - The aging of the US population and the high prevalence of depression among the elderly attest to its public health significance.1 The prevalence of depression is 8% to 16% in community-dwelling older persons, and the prevalence of mixed anxiety-depression is 1.8%.2 Depression complicates medical illnesses and their management, and it increases health care use, disability, and mortality.3 This article focuses on the recent research data on diagnosis, etiopathogenesis,… Continue

Added by psychiatryRounds Psychiatry News on July 1, 2008 at 8:00pm — No Comments

Anxiety Disorders in Later Life

(PSYCHIATRIC TIMES) - Anxiety disorders occur in about 4% to 10% of community samples of older adults, and anxiety symptoms that do not meet criteria for a disorder affect 15% to 20%.1-5 Generalized anxiety disorder (GAD), characterized by persistent worry and associated physical symptoms lasting 6 months or longer, is the most common of the pervasive anxiety disorders in later life. Its community prevalence (in all age groups) is estimated to be 4% to 7% and 3% to 11% in older patients in the… Continue

Added by psychiatryRounds Psychiatry News on July 1, 2008 at 4:30am — No Comments

Two Girls With Short Stature

(PSYCHIATRIC TIMES) - CASE 1



A 14-year-old white girl whose menstrual periods have not begun presents with concerns that many of her peers are already menstruating.



The patient weighs 50 kg (110 lb, 50th percentile) and is 58.5 in tall (third percentile). She was 49 in at age 10 and 54 in at age 12. Her father is 5 ft 7.5 in tall (25th percentile) and her mother is 5 ft 2.5 in tall (25th percentile).



The patient's blood pressure is 100/60 mm Hg. She is in Tanner… Continue

Added by psychiatryRounds Psychiatry News on July 1, 2008 at 3:30am — No Comments

The Bipolar Disorder Answer Book: Answers to More than 275 of Your Most Pressing Questions

(PSYCHIATRIC TIMES) - Education is a cornerstone for the effective treatment of bipolar disorder. The Bipolar Disorder Answer Book is a recent addition to the resources available for patients and their families. Each of the newly emerging self-help books offers different perspectives and emphasis. This book sets out to cover a broad range of relevant topics. Although it begins with the usual discussion of diagnosis and treatment, it quickly moves on to specific issues, such as securing care… Continue

Added by psychiatryRounds Psychiatry News on July 1, 2008 at 3:30am — No Comments

Personality Disorder: “Untreatable” Myth Is Challenged

(PSYCHIATRIC TIMES) - Success with new approaches to the psychotherapeutic treatment of borderline personality disorder (BPD) and other DSM-IV personality disorders has been reported in several studies recently, raising hopes that an intractable set of illnesses may not be as hopeless as once thought.



“Too many therapists still feel that borderline personality disorder is untreatable and is a lifelong drain on the energy of the therapist, the psychopharmacologist, and the entire… Continue

Added by psychiatryRounds Psychiatry News on July 1, 2008 at 3:30am — No Comments

Substance Use With Comorbid Obesity in Patients With Bipolar Disorder

(PSYCHIATRIC TIMES) - The rising prevalence and dispersion of obesity in North America in the past decade is analogous to a communicable disease epidemic.1 Longitudinal and cross-sectional associations between major depressive disorder, schizophrenia, and obesity have been established.2,3 Existing evidence also indicates that there is an association between bipolar disorder and obesity.3-8 For example, of the first 500 participants in the Systematic Treatment Enhancement Program for Bipolar… Continue

Added by psychiatryRounds Psychiatry News on July 1, 2008 at 3:30am — No Comments

The Bipolar Disorder Answer Book: Answers to More than 275 of Your Most Pressing Questions

(PSYCHIATRIC TIMES) - Education is a cornerstone for the effective treatment of bipolar disorder. The Bipolar Disorder Answer Book is a recent addition to the resources available for patients and their families. Each of the newly emerging self-help books offers different perspectives and emphasis. This book sets out to cover a broad range of relevant topics. Although it begins with the usual discussion of diagnosis and treatment, it quickly moves on to specific issues, such as securing care… Continue

Added by psychiatryRounds Psychiatry News on July 1, 2008 at 3:30am — No Comments

Geriatric Mood Disorders

(PSYCHIATRIC TIMES) - The aging of the US population and the high prevalence of depression among the elderly attest to its public health significance.1 The prevalence of depression is 8% to 16% in community-dwelling older persons, and the prevalence of mixed anxiety-depression is 1.8%.2 Depression complicates medical illnesses and their management, and it increases health care use, disability, and mortality.3 This article focuses on the recent research data on diagnosis, etiopathogenesis,… Continue

Added by psychiatryRounds Psychiatry News on July 1, 2008 at 3:30am — No Comments

Substance Use With Comorbid Obesity in Patients With Bipolar Disorder

(PSYCHIATRIC TIMES) - The rising prevalence and dispersion of obesity in North America in the past decade is analogous to a communicable disease epidemic.1 Longitudinal and cross-sectional associations between major depressive disorder, schizophrenia, and obesity have been established.2,3 Existing evidence also indicates that there is an association between bipolar disorder and obesity.3-8 For example, of the first 500 participants in the Systematic Treatment Enhancement Program for Bipolar… Continue

Added by psychiatryRounds Psychiatry News on July 1, 2008 at 3:30am — No Comments

Risk of Substance Abuse Not Increased by ADHD Drugs

(PSYCHIATRIC TIMES) – Two recent studies present clinical evidence that the use of stimulants to treat boys with attention deficit hyperactivity disorder (ADHD) does not increase their risk of later substance use disorders. This evidence provides clinicians and families with much needed reassurance.



“It is very important for families to know that treatment does not increase the risk of substance abuse in late adolescence and early adulthood; this information should be a key source of… Continue

Added by psychiatryRounds Psychiatry News on July 1, 2008 at 2:30am — No Comments

Baby Boomers and Substance Abuse

(PSYCHIATRIC TIMES) - Addiction specialists and organizations for the elderly anticipate a tidal wave of baby boomers who will need help fighting addictions, often for different substances and with different attitudes toward treatment than the generation that came before them.1 The leading edge of the baby boom generation is rapidly moving into the treatment realm of geriatric psychiatry.2 As a cohort, baby boomers experimented more with alcohol and illicit drugs than did previous generations.… Continue

Added by psychiatryRounds Psychiatry News on July 1, 2008 at 1:30am — No Comments

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