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August 2006 News and Blog Posts (40)

Fruit and Vegetable Juice Called Alzheimer's Preventive

(PSYCHIATRIC TIMES) - NASHVILLE, Tenn., Aug. 31 -- A glass of fruit or vegetable juice every other day may help fend off Alzheimer's disease, a prospective study of older Japanese-Americans suggested.



Compared with those who averaged less than one glass of juice per week, those who drank three or more were 76% less likely to develop Alzheimer's disease, reported Qi Dai, M.D., Ph.D., of the Vanderbilt School of Medicine here.



For full article, please visit:…

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Added by psychiatryRounds Psychiatry News on August 31, 2006 at 11:30pm — No Comments

Fruit and Vegetable Juice Called Alzheimer's Preventive

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Advise patients who ask that these preliminary results must be confirmed by larger studies before fruit and vegetable juice can be recommended for preventing Alzheimer's disease.



o Remind patients that other substances that appeared initially promising in preventing Alzheimer's, such as antioxidant vitamins and NSAIDs, did not prove to be so in larger studies.



NASHVILLE, Tenn., Aug. 31 -- A glass of fruit or… Continue

Added by psychiatryRounds Psychiatry News on August 31, 2006 at 1:00am — No Comments

Therapy for Sexual Impulsivity: The Paraphilias and Paraphilia-Related Disorders

(PSYCHIATRIC TIMES) - Paraphilias as defined by DSM-IV, are sexual impulse disorders characterized by intensely arousing, recurrent sexual fantasies, urges and behaviors (of at least six months' duration) that are considered deviant with respect to cultural norms and that produce clinically significant distress or impairment in social, occupational or other important areas of psychosocial functioning. The common paraphilias described include exhibitionism (exposure of genitals to a stranger),… Continue

Added by psychiatryRounds Psychiatry News on August 25, 2006 at 11:30pm — No Comments

Antecedents of Personality Disorders in Young Adults

(PSYCHIATRIC TIMES) - Personality disorders are characterized by the presence of inflexible and maladaptive patterns of perceiving oneself and relating to the environment that result in psychosocial impairment or subjective distress. The enduring nature of the behaviors, their impact on social functioning, the lack of clear boundaries between normality and illness, and the patient's perception of the symptoms as not being foreign make this group of conditions more difficult to conceptualize… Continue

Added by psychiatryRounds Psychiatry News on August 25, 2006 at 9:00pm — No Comments

Borderline Personality Disorder: Splitting Countertransference

(PSYCHIATRIC TIMES) - A popular slang definition of the verb to split is “to depart,” or “to leave.” In this context, to split describes the occasional wish of a psychiatrist who may be mired in the chaos created by the behavior of a patient diagnosed with borderline personality disorder. The primary definition of to split is “to divide sharply or cleanly.” The ego mechanism of “splitting” is derived from the latter definition.



In this context, splitting refers to a primitive… Continue

Added by psychiatryRounds Psychiatry News on August 25, 2006 at 4:30am — No Comments

Borderline Personality Disorder: An Overview

(PSYCHIATRIC TIMES) - Although the term borderline has been in clinical use since the late 1930s, it only became an official Axis II diagnosis in 1980 with the publication of DSM-III. Currently, DSM-IV-TR emphasizes that patients with borderline personality disorder (BPD) show a "instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts," and any five out of nine listed criteria must be present… Continue

Added by psychiatryRounds Psychiatry News on August 25, 2006 at 4:30am — No Comments

A Patient with Dissociative Identity Disorder 'Switches' in the Emergency Room

(PSYCHIATRIC TIMES) - Dissociative identity disorder (DID), known as multiple personality disorder until renamed in the DSM-IV (American Psychiatric Association, 1994), is a controversial diagnosis. Many highly regarded clinicians (Putnam, 1989; Ross, 1989) have built careers working with patients they believe to have DID. Other distinguished practitioners consider DID to be a bogus diagnostic tag.



McHugh (1992) argues vigorously that hysteria--what he sees as the DID patient's “more… Continue

Added by psychiatryRounds Psychiatry News on August 25, 2006 at 4:30am — No Comments

Psychoanalytic Treatment of Borderline Personality Disorder

(PSYCHIATRIC TIMES) - After the recent decade of the brain and in the present era of evidence-based practice, psychoanalytic treatment of personality disorder is being challenged. Not only are managed care companies questioning coverage for psychoanalytically oriented treatments, but other therapies are being promoted as having a better empirical foundation. Certainly, psychoanalytically oriented practitioners have been slow to research their treatment rigorously. This has begun to change,… Continue

Added by psychiatryRounds Psychiatry News on August 25, 2006 at 4:30am — No Comments

Vietnam Post-Traumatic Stress Syndrome Rate Re-Evaluated

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Advise patients who ask that this study proposes a lower prevalence of post-traumatic stress disorder among Vietnam veterans than did earlier studies.



o Advise that the proportion who suffered war-related PTSD was still substantial and about 10% of veterans continued to have symptoms as long as 11 or 12 years after the war's end.



NEW YORK, Aug. 21 -- The widely cited estimate that one in three Vietnam veterans… Continue

Added by psychiatryRounds Psychiatry News on August 21, 2006 at 9:30pm — No Comments

Some Childhood Cancer Survivors Face Suicide Risk As Adults

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Explain to interested patients that the majority of childhood cancer survivors have no significant mental or physical problems, but that this study suggests a few may be at increased risk for suicidal symptoms decades after diagnosis.



o Be aware that this study suggests simply screening survivors for depression is not sufficient to identify those at increased suicide risk, and screening should assess pain and physical… Continue

Added by psychiatryRounds Psychiatry News on August 18, 2006 at 1:00am — No Comments

Faulty Brain-Wide Circuitry May Underlie Autism

(PSYCHIATRIC TIMES) - PITTSBURGH, Aug. 16 -- Autism may be a brain-wide phenomenon caused by poor connections among the brain's parts rather than by defects in one or two areas, according to investigators here.



The finding from an NIH-funded study of autistic children has implications for how those who teach and care for autistic children can help them to learn and function better, reported Nancy J. Minshew, M.D., of the University of Pittsburgh in the August issue of Child… Continue

Added by psychiatryRounds Psychiatry News on August 16, 2006 at 3:30am — No Comments

On-Line Program May Avert Eating Disorders in High-Risk Women

(PSYCHIATRIC TIMES) - STANFORD, Calif., Aug. 7 -- Abnormal body-image concerns and the risk of a full-blown eating disorder in high-risk college-age women can be significantly reduced by an Internet-based behavioral intervention, researchers here reported.



In a randomized, controlled trial of 480 women (ages 16 to 20) at risk for an eating disorder, an eight-week psycho-social intervention, called "Student Bodies," was most successful among overweight women with a BMI of 25 or more,… Continue

Added by psychiatryRounds Psychiatry News on August 7, 2006 at 4:00am — No Comments

Ketamine May Give 'Almost Instantaneous' Relief for Severe Depression

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Be aware that this study reports results of a small off-label trial of a drug that is not approved for treatment of depression.



o Discuss approved pharmacologic and behavioral treatments for clinical depression with patients who express interest in ketamine injections.



BETHESDA, Md., Aug. 7 -- Symptoms of depression can be made to disappear in less than two hours with a common anesthetic, not the weeks or… Continue

Added by psychiatryRounds Psychiatry News on August 7, 2006 at 1:00am — No Comments

Ketamine May Give 'Almost Instantaneous' Relief for Severe Depression

(PSYCHIATRIC TIMES) - BETHESDA, Md., Aug. 7 -- Symptoms of depression can be made to disappear in less than two hours with a common anesthetic, not the weeks or months required for onset of relief with traditional antidepressants, according to results of a pilot study.



"We have broken the sound barrier in depression treatment," said Carlos A. Zarate, Jr., M.D., chief of the mood disorders section the National Institute of Mental Health, who reported on the effects of ketamine, a… Continue

Added by psychiatryRounds Psychiatry News on August 7, 2006 at 1:00am — No Comments

Interventions to Improve Adherence to Antipsychotic Medications

(PSYCHIATRIC TIMES) - Nonadherence to antipsychotic medication regimens is a common problem with serious consequences. As many as 60% of patients with schizophrenia do not take medications as prescribed.1-6 The consequences of poor adherence are particularly severe in schizophrenia; they can lead to hospitalization, derail the process of recovery, and contribute to the high cost of treating the illness.5,7,8



Compliance problems complicate the treatment picture for prescribers.… Continue

Added by psychiatryRounds Psychiatry News on August 1, 2006 at 11:00pm — No Comments

Predicting Outcome in Schizophrenia

(PSYCHIATRIC TIMES) - August 2006, Vol. XXIII, No. 9



Can sociodemographic and clinical variables predict outcome in cases of schizophrenia? Attempts to answer this question have been geared toward helping clinicians, patients, and family members have more informed expectations for the long-term prognosis. Results from studies related to prognostic variables for schizophrenia have yielded interesting yet inconsistent results.



In this article, we review the plethora of… Continue

Added by psychiatryRounds Psychiatry News on August 1, 2006 at 11:00pm — No Comments

Cognitive Behavioral Treatment for Obsessive-Compulsive Disorder

(PSYCHIATRIC TIMES) - Obsessive-compulsive disorder (OCD) is a common and debilitating condition. In many cases, it can come to dominate a person’s behavior and cognitive processes, creating great anxiety. It typically affects all aspects of an individual’s life, including school performance, occupational responsibilities, and family and social interactions.



In addition, our experience confirms that about 85% of persons with OCD report having some level of depression; Demal and… Continue

Added by psychiatryRounds Psychiatry News on August 1, 2006 at 9:00pm — No Comments

Book Review Why Am I Still Depressed? Recognizing and Managing the Ups and Downs of Bipolar II and Soft Bipolar Disorder

(PSYCHIATRIC TIMES) - There are dozens of books on the market aimed at helping the general public recognize depression; there are far fewer that focus specifically on the more subtle forms of bipolar disorder. This disparity has its clinical parallel in the over-diagnosis of unipolar depression among patients who ultimately prove to have a bipolar disorder. Indeed, survey data suggest that there is typically a 7-year delay in the correct diagnosis of bipolar spectrum disorder.1



This… Continue

Added by psychiatryRounds Psychiatry News on August 1, 2006 at 4:30am — No Comments

Developmental Neurobiology of Bipolar Disorder and Substance Use Disorder

(PSYCHIATRIC TIMES) - The apparent strong association between bipolar disorder and substance use disorders (SUDs) could be explained in several ways. Bipolar disorder may be causing SUD, SUD may be causing bipolar disorder, or both disorders may share common origins. As discussed by Brown,1 however, it is not likely that any of these explanations is correct.



Since both of these disorders often have their onset in adolescence, it might be important to look at the effects that bipolar… Continue

Added by psychiatryRounds Psychiatry News on August 1, 2006 at 4:30am — No Comments

Book Review Why Am I Still Depressed? Recognizing and Managing the Ups and Downs of Bipolar II and Soft Bipolar Disorder

(PSYCHIATRIC TIMES) - There are dozens of books on the market aimed at helping the general public recognize depression; there are far fewer that focus specifically on the more subtle forms of bipolar disorder. This disparity has its clinical parallel in the over-diagnosis of unipolar depression among patients who ultimately prove to have a bipolar disorder. Indeed, survey data suggest that there is typically a 7-year delay in the correct diagnosis of bipolar spectrum disorder.1



This… Continue

Added by psychiatryRounds Psychiatry News on August 1, 2006 at 4:30am — No Comments

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