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October 2006 News and Blog Posts (33)

Optical technology could lead to screening test for Alzheimer’s

(PSYCHIATRIC TIMES) - Laser-based eye tests now in clinical trials for detection of Alzheimer's disease have proven successful in spotting early molecular signs of the disease. The commercialization of these tests could ignite future demand for imaging studies of patients suspected of Alzheimer's.



The optical technology, which has completed phase I clinical studies and is slated next year to enter phase III, could cost as little as $300, low enough to prompt widespread screening,… Continue

Added by psychiatryRounds Psychiatry News on October 5, 2006 at 11:30pm — No Comments

Anesthetic Trumps Treatment-Resistant Depression

(PSYCHIATRIC TIMES) - A small group of patients with treatment-resistant major depression achieved symptom relief within hours of receiving a single low-dose intravenous infusion of ketamine. The low-dose anesthetic apparently triumphed in these patients where other treatments—including oral antidepressants, which can take 8 weeks or longer to "kick in"—failed. Indeed, significant symptom relief began to emerge within roughly 2 hours (110 minutes) of drug administration. Of the 18 participants… Continue

Added by psychiatryRounds Psychiatry News on October 1, 2006 at 11:30pm — No Comments

Alternative Brief Interventions for Mild Depression Irene Markman Geisner, MS

(PSYCHIATRIC TIMES) - Depression has long been recognized as a primary concern for health care providers.1-3 Many approaches to treating depression have been developed, ranging from medications, to long-term psychotherapy, to shorter, more structured cognitive-behavioral treatments--all of which help some of the patients, some of the time, to some extent. However, there are still many persons who never access treatment for reasons ranging from the stigma that still surrounds mental illness, to… Continue

Added by psychiatryRounds Psychiatry News on October 1, 2006 at 11:30pm — No Comments

Treatment-Resistant Depression: Strategies for Management

(PSYCHIATRIC TIMES) - Despite advances in our understanding of depression therapy, many patients with depression remain unresponsive to treatment. As many as 50% of patients who begin treatment with an antidepressant do not respond.1 In fact, even after 2 antidepressant trials, 30% to 40% of patients do not report significant improvement in their symptoms.2 There is no universally accepted definition of treatment-resistant depression; however, a working definition is depression that fails to… Continue

Added by psychiatryRounds Psychiatry News on October 1, 2006 at 11:30pm — No Comments

Depression Management in Cancer Patients

(PSYCHIATRIC TIMES) - Depressive disorders and symptoms are common in cancer patients (up to 58% have depressive symptoms and up to 38% have major depression),1-3 worsen over the course of cancer treatment, persist long after cancer therapy,4 recur with the recurrence of cancer,5 and significantly impact quality of life.6-9 Depressive symptom prevalence varies by cancer site, stage, and treatment, as well as by the methods and criteria used in assessing depression.



Unfortunately,… Continue

Added by psychiatryRounds Psychiatry News on October 1, 2006 at 11:30pm — No Comments

Treating Adolescents With Major Depression and an Alcohol Use Disorder

(PSYCHIATRIC TIMES) - Alcohol is the drug of choice for adolescents, with cigarettes and marijuana being second and third.1 Contrary to widespread belief, alcohol dependence is most common in 18- to 20-year-olds, with progressively decreasing rates of alcohol dependence in older age groups.2 Similarly, the age at onset of alcohol dependence is typically highest among those in their later teen years and early 20s, with a much lower rate of onset after the age of 25… Continue

Added by psychiatryRounds Psychiatry News on October 1, 2006 at 11:30pm — No Comments

Combining Drug Therapy and Psychotherapy for Depression

(PSYCHIATRIC TIMES) - It was just over a generation ago that the routine combination of psychotherapy and drug therapy seemed impossible. Especially in America, psychiatry was polarized by ideologic and political struggles between psychoanalysis and biologic psychiatry. American psychoanalysts tended to regard psychopharmacology as an inferior treatment that covered over problems rather than addressing them. They assumed that symptoms suppressed by drugs would eventually be replaced by others… Continue

Added by psychiatryRounds Psychiatry News on October 1, 2006 at 10:00pm — No Comments

The Camelford Hysteria: A Lesson for ECT?

(PSYCHIATRIC TIMES) - The inadvertent deposition of 20 tons of aluminum sulfate in a reservoir downstream from the local water purification plant in 1988 gave the villagers in the small town of Camelford, in southeastern England, discolored acid-tasting drinking water for 3 days.1,2 Nausea, vomiting, rashes, and mouth ulcers were quickly reported. Hair, skin, and fingernails were stained brown. Rumors of shoals of dead fish in local rivers, widespread sickness in farm animals, and disruptive… Continue

Added by psychiatryRounds Psychiatry News on October 1, 2006 at 5:30am — No Comments

Bipolar Disorder: Defining Remission and Selecting Treatment

(PSYCHIATRIC TIMES) - Bipolar disorder (BD) is a highly prevalent and complex medical syndrome of multifactorial origin. It is estimated that about 2% to 4% of the general population is affected by a bipolar spectrum condition. Among clinical samples of depressed patients, the estimated percentage of persons who screen positive for BD is about 10% to 35%.1-3 The longitudinal course of BD is characterized by a low rate of recovery, a high rate of recurrence, and poor interepisodic functioning.4… Continue

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

Bipolar Disorder: Defining Remission and Selecting Treatment

(PSYCHIATRIC TIMES) - Bipolar disorder (BD) is a highly prevalent and complex medical syndrome of multifactorial origin. It is estimated that about 2% to 4% of the general population is affected by a bipolar spectrum condition. Among clinical samples of depressed patients, the estimated percentage of persons who screen positive for BD is about 10% to 35%.1-3 The longitudinal course of BD is characterized by a low rate of recovery, a high rate of recurrence, and poor interepisodic functioning.4… Continue

Added by psychiatryRounds Psychiatry News on October 1, 2006 at 4:00am — No Comments

Treatment-Resistant Major Depressive Disorder: New Developments in 2006

(PSYCHIATRIC TIMES) - Despite the progressive increase in the number of available antidepressants, many patients with depression continue to be symptomatic. For example, it was reported recently that as many as half of the patients enrolled in 2 academic-based depression specialty clinics did not achieve remission despite receiving numerous antidepressant treatment trials.1 To complicate matters further, residual symptoms among remitters are common and are associated with poorer psychosocial… Continue

Added by psychiatryRounds Psychiatry News on October 1, 2006 at 4:00am — No Comments

Adolecent Medicine Update:

(PSYCHIATRIC TIMES) - For many practitioners, teenagers with eating disorders elicit a visceral reaction. Many clinicians find it difficult to imagine why an adolescent might choose to starve herself or even make herself vomit. Understandably, they become increasingly frustrated with the emaciated- appearing patient who insists that she is "too fat" and "needs" to lose 10 more pounds. Anorexic teenagers tend to take a great deal of the physician's time and usually demonstrate few (if any)… Continue

Added by psychiatryRounds Psychiatry News on October 1, 2006 at 4:00am — No Comments

Assessment and Management of Sleep Disorders in Children

(PSYCHIATRIC TIMES) - Educational Objectives



After reading this article, you will be familiar with:



* The phenomenology of sleep disorders in children and adolescents

* Diagnostic studies in the evaluation of pediatric sleep disorders

* Treatments for pediatric sleep disorders



Who will benefit from reading this article?



Psychiatrists, pediatricians, primary care physicians, neurologists, nurse practitioners, psychiatric nurses, and other… Continue

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

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