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November 2006 News and Blog Posts (31)

RSNA: Hypnosis Reduces Breast Biopsy Pain and Anxiety

(PSYCHIATRIC TIMES) - CHICAGO, Nov. 30 -- Hypnosis during a breast biopsy significantly reduced post-procedure pain and anxiety compared with standard care, investigators reported here.



Women who were randomized to the hypnosis intervention said they experienced less post-operative pain (P=0.0024), reported Elvira Lang, M.D., an associate professor of radiology at Harvard, at the Radiological Society of North America meeting.



Compared with baseline scores, women in the… Continue

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

USPSYCH: Newer Antipsychotics Not Always Better

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Note that these investigators suggest that in schizophrenic patients with a low risk for extrapyramidal side effects, typical antipsychotics may work as well, if the optimal dose for an individual is achieved.



o These presentations were made at an industry-sponsored satellite symposium.



NEW ORLEANS, Nov. 22 -- The newer atypical antipsychotic drugs may not always outperform the old ones in managing… Continue

Added by psychiatryRounds Psychiatry News on November 22, 2006 at 11:00pm — No Comments

USPSYCH: 'Katrina Brain' Pervasive After Hurricane

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Be aware that an effective plan to maintain mental health care in the event of a natural disaster should include alternate strategies for filling prescriptions, communicating with patients, and accessing patient records when the usual health care infrastructure no longer exists.



o This presentation was made at a national meeting.



NEW ORLEANS, Nov. 22 -- In the aftermath of hurricane Katrina, patients here… Continue

Added by psychiatryRounds Psychiatry News on November 22, 2006 at 5:30am — No Comments

USPSYCH: Daily Coaching and Professional Organizers May Help With ADHD

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Suggest to appropriate patients that hiring an ADHD coach or professional organizer may improve their quality of life.



o This presentation was made at a national meeting.



NEW ORLEANS, Nov. 22 -- Although pharmacological treatments are the mainstay of therapy for attention-deficit hyperactivity disorder (ADHD) in adults, psychosocial treatments may be a useful adjunct and improve patients' quality of… Continue

Added by psychiatryRounds Psychiatry News on November 22, 2006 at 3:00am — No Comments

U.S.PSYCH: Postpartum Depression and Psychosis Easily Missed

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Be aware that women with postpartum depression may be reluctant to reveal their symptoms.



o Explain to patients that up to 80% of new mothers will get the "baby blues," and 10% to 15% will experience postpartum depression.



o Be aware that according to this presentation, infanticide can occur with psychotic depression.



NEW ORLEANS, Nov. 21 -- The example of Andrea Yates, who drowned her five children… Continue

Added by psychiatryRounds Psychiatry News on November 21, 2006 at 11:00pm — No Comments

USPSYCH: Diagnosing And Treating Bipolar Disorder

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Be aware that these investigators found that bipolar patients with manic symptoms tend not to report them or to see a physician because the patients enjoy the manic symptoms.



o Recognize that in patients with bipolar disorder, the first depressive symptoms typically appear in a patient's 20s, while the first manic symptoms might not arise until a patient is nearly 30.



o These presentations were made at an… Continue

Added by psychiatryRounds Psychiatry News on November 21, 2006 at 4:30am — No Comments

USPSYCH: Diagnosing And Treating Bipolar Disorder

(PSYCHIATRIC TIMES) - NEW ORLEANS, November 21 -- As many as 30% of patients with bipolar disorder go untreated for 10 years or more, largely because the condition is so tricky to diagnose, said investigators here.



The chief difficulty with diagnosis is that while the first depressive symptoms typically appear in a patient's 20s, the first manic symptoms might not arise until a patient is nearly 30, said Jeffrey H. Nard, M.D., of the Eastern Virginia Medical School in… Continue

Added by psychiatryRounds Psychiatry News on November 21, 2006 at 4:30am — No Comments

USPSYCH: Diagnosing And Treating Bipolar Disorder

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Be aware that these investigators found that bipolar patients with manic symptoms tend not to report them or to see a physician because the patients enjoy the manic symptoms.



o Recognize that in patients with bipolar disorder, the first depressive symptoms typically appear in a patient's 20s, while the first manic symptoms might not arise until a patient is nearly 30.



o These presentations were made at an… Continue

Added by psychiatryRounds Psychiatry News on November 21, 2006 at 4:00am — No Comments

Occupational Therapy Improves Functioning for Dementia Patients and Caregivers

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Explain to interested patients that Alzheimer's disease is the leading cause of dementia.



o Drugs are ineffective in improving dementia symptoms, and non-pharmacological strategies are generally more time consuming and not widely available, the researchers said.



NIJMEGEN, The Netherlands, Nov. 20 -- Community-based occupational therapy for patients with dementia improves their ability to cope with the… Continue

Added by psychiatryRounds Psychiatry News on November 20, 2006 at 11:00pm — No Comments

Occupational Therapy Improves Functioning for Dementia Patients and Caregivers

(PSYCHIATRIC TIMES) - NIJMEGEN, The Netherlands, Nov. 20 -- Community-based occupational therapy for patients with dementia improves their ability to cope with the condition, Dutch researchers found.



Caregivers attending the occupational therapy sessions as well also achieved some benefit, particularly a sense of competence. Maud J. L. Graff, M.D., of the University Medical Center Nijmegen, and colleagues, reported in a study published online in the BMJ.



"The primary focus… Continue

Added by psychiatryRounds Psychiatry News on November 20, 2006 at 11:00pm — No Comments

USPSYCH: Insomnia May Signal More Mental Health Disorders to Come

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o It is suggested that patients with depression, anxiety, and alcohol abuse be routinely screened and treated for insomnia, if necessary.



o Be aware that insomnia may contribute to poorer outcomes in diseases outside the field of mental heath, such as cardiovascular disease.



o The presentations reported here were part of a satellite symposium at a national meeting.



NEW ORLEANS, Nov. 20 -- The pathology… Continue

Added by psychiatryRounds Psychiatry News on November 20, 2006 at 6:00am — No Comments

USPSYCH: Insomnia May Signal More Mental Health Disorders to Come

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o It is suggested that patients with depression, anxiety, and alcohol abuse be routinely screened and treated for insomnia, if necessary.



o Be aware that insomnia may contribute to poorer outcomes in diseases outside the field of mental heath, such as cardiovascular disease.



o The presentations reported here were part of a satellite symposium at a national meeting.



NEW ORLEANS, Nov. 20 -- The pathology… Continue

Added by psychiatryRounds Psychiatry News on November 20, 2006 at 5:30am — No Comments

Negative Personality Traits Add Up to Increased Coronary Risk

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Explain to patients who ask that this and other studies have found a link between certain negative personality traits such as anxiety, hostility, anger, and depression and elevated risk of coronary heart disease.



o Offer patients advice on stress and anger management techniques, and consider referrals to psychological, psychiatric, or social support services as necessary.



DURHAM, N.C., Nov. 17 -- Patients with… Continue

Added by psychiatryRounds Psychiatry News on November 17, 2006 at 11:00pm — No Comments

Negative Personality Traits Add Up to Increased Coronary Risk

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Explain to patients who ask that this and other studies have found a link between certain negative personality traits such as anxiety, hostility, anger, and depression and elevated risk of coronary heart disease.



o Offer patients advice on stress and anger management techniques, and consider referrals to psychological, psychiatric, or social support services as necessary.



DURHAM, N.C., Nov. 17 -- Patients with… Continue

Added by psychiatryRounds Psychiatry News on November 17, 2006 at 5:30am — No Comments

USPSych: ADHD In Teens and Adults: A Different Disease With Sterner Consequences

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Explain to interested parents that ADHD in children may persist into adolescence and adulthood in up to 65% of cases.



o Explain that risk factors for persistence of ADHD include severity of the childhood condition and a family history of the disorder.



o Be aware that ADHD in adults and adolescents is associated with high rates of co-morbidity with other mental disorders, particularly anxiety and mood… Continue

Added by psychiatryRounds Psychiatry News on November 17, 2006 at 3:00am — No Comments

A Fatty Acid Found in Fish Linked to Lower Dementia Risk

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Advise interested patients that the protective cognitive benefits of eating fish three times a week, appear to outweigh the potential harmful effects of mercury contamination, which researchers say have not been borne out in epidemiological studies.



BOSTON, Nov. 15 -- Patients with higher plasma levels of docosahexaenoic acid (DHA), a fatty acid found in fish, had a significant 47% reduction in the risk of all-cause… Continue

Added by psychiatryRounds Psychiatry News on November 15, 2006 at 11:00pm — No Comments

A Fatty Acid Found in Fish Linked to Lower Dementia Risk

(PSYCHIATRIC TIMES) - BOSTON, Nov. 15 -- Patients with higher plasma levels of docosahexaenoic acid (DHA), a fatty acid found in fish, had a significant 47% reduction in the risk of all-cause dementia and a 39% reduced risk of Alzheimer's, researchers here reported.



In a subset analysis, the researchers found a link between fish intake, an important source of DHA, and a reduction in dementia, Ernst Schaefer, M.D., of Tufts here, and colleagues, reported in the November issue of… Continue

Added by psychiatryRounds Psychiatry News on November 15, 2006 at 11:00pm — No Comments

The Role of Antidepressants for the Treatment of Bipolar Depression

(PSYCHIATRIC TIMES) - Although rapid-cycling bipolar disorder has been linked to the use of antidepressants, these treatments may still have a role in the management of patients with bipolar depression, said Stephen V. Sobel, MD, clinical instructor at the University of California, San Diego School of Medicine, in a presentation at the U.S. Psychiatric and Mental Health Congress in Las Vegas. Patients with bipolar disorder spend most of their time in depression, and antidepressants can… Continue

Added by psychiatryRounds Psychiatry News on November 4, 2006 at 3:00am — No Comments

Depression in Parkinson Disease

(PSYCHIATRIC TIMES) - In his classic An Essay on the Shaking Palsy, published in 1817, James Parkinson recognized depression as a common feature of the disease that now bears his name: "A more melancholy object I never beheld. The patient, naturally a handsome, middle-sized, sanguine man, of a cheerful disposition, and an active mind, appeared much emaciated, stooping, and dejected."1 Although depression is common in Parkinson disease (PD), it is often underrecognized.



Psychiatric… Continue

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

Depression in Patients With Alzheimer Dementia

(PSYCHIATRIC TIMES) - Alzheimer dementia (AD) represents a profound global health concern. By the year 2050, the prevalence of AD in the United States is expected to reach 15 million. At present, there are 4.5 million cases in the United States,1 which equals an estimated cost of $100 billion each year in medical and family expenses.2 Clinically, AD is characterized by the progressive deterioration of patients' cognitive and functional abilities over several years from the initial onset of… Continue

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

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