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September 2008 News and Blog Posts (9)

Outcome Assessment in Depression

(PSYCHIATRIC TIMES) - Depression is one of the most significant direct and indirect threats to health and wellness. The negative impact of depression on work, productivity, interpersonal relationships, leisure activities, and a sense of well-being and enjoyment of life cannot be emphasized enough.



With the expansion of treatment choices in both psychotherapy and pharmacotherapy, it is becoming increasingly important to monitor patients’ progress using both measurement tools and… Continue

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

The Cognitive Behavioral Analysis System of Psychotherapy A Value-Added Strategy for Chronic Depression

(PSYCHIATRIC TIMES) - I have been invited to write a clinical article on psychotherapeutic interventions for chronic depression. Rather than writing an article that only reviews the traditional cognitive behavioral analysis system of psychotherapy (CBASP) and provides outcome data, I focus primarily on an alternate approach.1-3 I discuss CBASP, but I will also describe a strategy that can be added to CBASP practice that may improve clinical outcomes.



My discussion is informed in… Continue

Added by psychiatryRounds Psychiatry News on September 1, 2008 at 9:30pm — No Comments

Effects of Psychotherapy on Brain Function

(PSYCHIATRIC TIMES) - Unipolar major depressive disorder (MDD) is a debilitating condition with a lifetime prevalence of 17%.1 Recent epidemiological evidence indicates that MDD is the fourth leading cause of disease burden and the leading cause of disability-adjusted life years.2 Fortunately, a wide range of MDD treatments are available, including psychotherapy and psychopharmacology. Available data suggest that psychotherapy for MDD is effective, protects against relapse, and does not carry… Continue

Added by psychiatryRounds Psychiatry News on September 1, 2008 at 9:30pm — No Comments

Electroconvulsive Therapy in the Media: Coming-of-Age

(PSYCHIATRIC TIMES) - It may seem strange to use the phrase “coming-of-age” for a treatment that is more than 70 years old. However, electroconvulsive therapy (ECT) may finally be coming-of-age thanks to recent portrayals in the media.



Here I will discuss several examples of recent, reasonable depictions of ECT in the media, and I will suggest how they could represent a shift in the way that this “controversial” therapy is regarded. I use the word “controversial” advisedly, because… Continue

Added by psychiatryRounds Psychiatry News on September 1, 2008 at 5:30am — No Comments

Women reveal only mild anxiety after double mastectomy

(PSYCHIATRIC TIMES) - Deciding on a bilateral mastectomy is a bold move for any woman. But for a Hollywood actress, whose very livelihood depends in large part on her being attractive, such a drastic step could verge on foolhardy. It was both heartening and surprising when 36-year-old actress Christina Applegate, star of the ABC TV show Samantha Who?, announced that she had undergone a double mastectomy.







Ms. Applegate revealed that as a BRCA1 carrier, and as the daughter… Continue

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

Vaccinations: Immunizations Do Not Cause Autism Spectrum Disorder . . .They Prevent Disease

(PSYCHIATRIC TIMES) - Case 1. An older attending physician listens during morning report to the details of the case of a child with suspected croup and decreased oxygen saturation. The resident mentions that he inspected the child’s mouth and pharynx as part of the routine examination. The attending recalls a case 20 years ago when a 2-year-old girl came to the emergency department with fever and stridor so severe that she was forced to sit erect to breathe. How different the examination was… Continue

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

Blood Tests for Bipolar I Disorder: Quite a Future Indeed

(PSYCHIATRIC TIMES) - I experienced an interesting confluence of events the other day. My 11-year-old son has been finding out about the great power of online information. Although we limit his access to assistance with homework, he is already a digital whiz kid who knows where to find a great deal of information for writing tomes like Norse history reports. In my day, it would have taken an entire afternoon of digging through texts at a university library to obtain items he found in a few… Continue

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

Blood Tests for Bipolar I Disorder: Quite a Future Indeed

(PSYCHIATRIC TIMES) - I experienced an interesting confluence of events the other day. My 11-year-old son has been finding out about the great power of online information. Although we limit his access to assistance with homework, he is already a digital whiz kid who knows where to find a great deal of information for writing tomes like Norse history reports. In my day, it would have taken an entire afternoon of digging through texts at a university library to obtain items he found in a few… Continue

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

Comorbid Depression and ADHD in Children and Adolescents

(PSYCHIATRIC TIMES) – Attention deficit hyperactivity disorder (ADHD), the most common diagnosis in child psychiatry, appears to be more challenging to diagnose and treat when there is a comorbid depressive disorder. In community samples, estimates of the prevalence of depression among patients with ADHD range from 13% to 27%, while clinical sample reports have run as high as 60%.1-3 Conversely, among children and adolescents with depression, various studies have reported widely varying rates… Continue

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

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