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December 2009 News and Blog Posts (23)

Cognitive-Behavioral Therapy for Childhood Anxiety and Depression

(PSYCHIATRIC TIMES) - For both depression and anxiety disorders in youths, there is increasing evidence of clinical benefit from cognitive-behavioral therapy (CBT).



Anxiety disorders



Both SSRIs and CBT individually have been shown to be effective in the treatment of children with anxiety disorders. A recent large randomized controlled trial examined the combined efficacy of these treatments in 488 children and adolescents (aged 7 to 17 years) who had anxiety disorder… Continue

Added by psychiatryRounds Psychiatry News on December 28, 2009 at 3:30am — No Comments

Cognitive-Behavioral Therapy for Childhood Anxiety and Depression

(PSYCHIATRIC TIMES) - For both depression and anxiety disorders in youths, there is increasing evidence of clinical benefit from cognitive-behavioral therapy (CBT).



Anxiety disorders



Both SSRIs and CBT individually have been shown to be effective in the treatment of children with anxiety disorders. A recent large randomized controlled trial examined the combined efficacy of these treatments in 488 children and adolescents (aged 7 to 17 years) who had anxiety disorder… Continue

Added by psychiatryRounds Psychiatry News on December 28, 2009 at 3:00am — No Comments

Antipsychotic Prescribing in Children: What We Know—What We Need to Know

(PSYCHIATRIC TIMES) -- A pair of recent research articles has cast the public spotlight on treating children and adolescents with antipsychotic medications.1,2 In the first report, a large and broadly representative group of child and adolescent patients, all naive to antipsychotic medications, was followed for approximately 10 weeks after initiating treatment with olanzapine, risperidone, quetiapine, or aripiprazole. The average weight increase ranged from 18.7 pounds (olanzapine) to 9.7… Continue

Added by PsychiatryRounds Team on December 25, 2009 at 2:25pm — No Comments

DSM-V: Suggestions for Change

(PSYCHIATRIC TIMES) - With the recent announcement (PDF) by the American Psychiatric Association of a one year delay for the latest revision of the Diagnostic and Statistical Manual of Mental Disorders (the DSM, as it’s known), a new round of commentary and articles have appeared questioning the usefulness of the DSM.



The DSM is used by clinicians in the mental health field to diagnose mental disorders according to the symptom lists contained in the book. The DSM is also used by… Continue

Added by psychiatryRounds Psychiatry News on December 17, 2009 at 5:00am — No Comments

Is Psychiatry Now a “House Divided”?

(PSYCHIATRIC TIMES) - Hired guns.” “Whores.” “Greedy, insensitive bastards. “ These are some of the more printable epithets used to describe psychiatric physicians who (allegedly) have “sold out to Big Pharma” ”—for example, by failing to disclose conflicts of interest, or to report large sums of money earned through their work with pharmaceutical companies. It may surprise some—but perhaps not many—that these terms of abuse were hurled not by members of some anti-psychiatry group, but by… Continue

Added by psychiatryRounds Psychiatry News on December 15, 2009 at 4:30am — No Comments

The Management of Patients With Bipolar Depression Who Are Pregnant

(PSYCHIATRIC TIMES) - Charles Bowden, MD, clinical professor in the department of psychiatry at the University of Texas Health Science Center, San Antonio, describes the management of patients with bipolar depression who are pregnant.

For full article, please visit:
http://www.psychiatrictimes.com/bipolar-disorder/article/10168/1498930

Added by psychiatryRounds Psychiatry News on December 14, 2009 at 3:30am — No Comments

Patients With Bipolar and Unipolar Depression Show Similar Response to Electroconvulsive Therapy

Results of a large study funded by the National Institute of Mental Health showed that electroconvulsive therapy (ECT) might be equally effective in both patients with unipolar depression and those with bipolar depression. The study, led by Samuel H. Bailine, MD, assistant professor in the department of psychiatry and behavioral sciences at Zucker Hillside Hospital, Glen Oaks, NY, showed that the remission rate in both patient groups was higher than 60%.1



The authors sought to… Continue

Added by psychiatryRounds Psychiatry News on December 14, 2009 at 3:30am — No Comments

Medical Decision-Making Capacity of Patients With Dementia Four Criteria Must Be Met

(PSYCHIATRIC TIMES) - The United States Census Bureau projects that by 2010 nearly 13% of the US population will be over the age of 65. The elderly are one of the most rapidly growing segments of the US population and are expected to account for more than 20% of the total population by 2050.1 In 2001, the prevalence of dementia in North America was 6.4%. A 49% increase in the number of people with dementia is expected by 2020, and a 172% increase by 2040.2 Patients with dementia may lack the… Continue

Added by psychiatryRounds Psychiatry News on December 14, 2009 at 3:00am — No Comments

American Psychiatry Is Facing "Civil War" over Its Diagnostic Manual

(PSYCHIATRIC TIMES) - Yesterday, the American Psychiatric Association announced that it is pushing back the publication of DSM-V until 2013. The APA tried to put a good face on this rather embarrassing admission—embarrassing, because several spokespeople for the organization had insisted, quite recently, that they were on-track for publication in 2012 and that nothing would deter them. They maintained that position even as an increasingly acrimonious quarrel between current and former editors… Continue

Added by psychiatryRounds Psychiatry News on December 12, 2009 at 5:00am — No Comments

A Call to DSM-V to Focus on the Designation of Borderline Intellectual Functioning

(PSYCHIATRIC TIMES) - Based on the “normal curve,” the distribution of various psychological characteristics in the general population, nearly 23 out of 100 individuals can be classified as having below average intellectual functioning—IQ’s that range from 70 to 89 but fall above what is generally considered mild mental retardation.

Borderline Intellectual Functioning is a significant correlate and risk factor for the development of a broad spectrum of neuropsychiatric disorders treated by… Continue

Added by psychiatryRounds Psychiatry News on December 8, 2009 at 4:30am — No Comments

DSM-V and Pain

(PSYCHIATRIC TIMES) - Unless you have been living on a desert island for the past 2 years, you are well aware that the development of DSM-V is well under way. Unfortunately, to a great degree, because of certain decisions by the American Psychiatric Association, you probably don’t have much more knowledge about how DSM-V will differ from its predecessors than if you were still marooned on that island. I don’t have any more information about what is under consideration for inclusion than anyone… Continue

Added by psychiatryRounds Psychiatry News on December 8, 2009 at 4:00am — No Comments

The Cellular and Molecular Substrates of Anorexia Nervosa, Part 2

(PSYCHIATRIC TIMES) - I think I am going to talk about the neurobiology of happiness in my next column. The reason has to do with the nature of our 2-month journey into the biology of eating disorders—a subject that, considering the dearth of explanatory data, is tough to write about. It’s also a bit depressing, considering how difficult it can be to treat. This is the second installment in a 2-part series that focuses on the neurobiology of restricting-type anorexia nervosa… Continue

Added by psychiatryRounds Psychiatry News on December 7, 2009 at 5:00am — No Comments

Cognitive Impairment in Patients With Bipolar Disorder An Overview of Some Assessment Tools

(PSYCHIATRIC TIMES) - It is widely accepted that patients with schizophrenia have some degree of cognitive deficiency and that cognitive deficits are an inherent part of the disorder. Historically, there has been less focus on cognitive deficits in patients with bipolar disorder; however, numerous studies of cognition in patients with bipolar disorder, including several comprehensive meta-analyses of bipolar patients who were euthymic at the time of testing, have recently been undertaken.1-4… Continue

Added by psychiatryRounds Psychiatry News on December 7, 2009 at 3:30am — No Comments

Weight Gain and Metabolic Changes in Children and Adolescents Treated With Atypical Antipsychotics

(PSYCHIATRIC TIMES) - The results of a recent study showed that children and adolescents with serious mental illness treated with second-generation antipsychotic medications are likely to experience rapid weight gain.1 The majority of these treatments are also associated with metabolic changes, said lead study author, Christoph Correll, MD, medical director of the Recognition and Prevention Program at the Zucker Hillside Hospital, Glen Oaks, NY. “The weight gain we observed was much more rapid… Continue

Added by psychiatryRounds Psychiatry News on December 6, 2009 at 10:00pm — No Comments

Why Physicians Do Not Follow Some Guidelines and Algorithms

(PSYCHIATRIC TIMES) - Evidence-supported guidelines and algorithms play an important role in promoting more standardized approaches to patient care. In a series of articles in Psychiatric Times, Michael Fauman, MD, examined the extent to which psychiatric practice guidelines and algorithms are used, how they are used, and the findings of studies that have validated their usefulness compared with usual practices.1-4



This article focuses on some psychopharmacology guidelines and… Continue

Added by psychiatryRounds Psychiatry News on December 6, 2009 at 10:00pm — No Comments

Alert to the Research Community—Be Prepared to Weigh in on DSM-V

(PSYCHIATRIC TIMES) - This commentary will suggest how the research community can be instrumental in improving DSM-V and helping it avoid unintended consequences. According to several converging, anonymous (but I think quite reliable) sources to which I have had access, the draft options for DSM-V will finally be posted between mid-January and mid-February 2010. There will then be just one additional month until mid-March for collecting comments. The good news is that the products of a… Continue

Added by psychiatryRounds Psychiatry News on December 3, 2009 at 4:30am — No Comments

In Support of Early Psychotherapy Training

(PSYCHIATRIC TIMES) - Recent reports have noted an alarming decrease in the practice of psychotherapy among psychiatrists. This trend may be largely the result of reduced reimbursement for psychotherapy treatments, a reductionist view of biological research, or less emphasis on “talking therapy” in residency training.1,2



In 2001, the Residency Review Committee (RRC) mandated psychotherapy training for psychiatry residents.3 Before the RRC’s mandated curriculum, psychotherapy training… Continue

Added by psychiatryRounds Psychiatry News on December 1, 2009 at 9:30pm — No Comments

Practical Implications of a Study on Treating Chronic Insomnia

(PSYCHIATRIC TIMES) - More than a thousand articles on mental disorders are published in medical journals each month! Also, clinicians have limited training, time, and inclination to keep up with reading research articles critically on a regular basis. Thus, a disturbing disconnect (for which there are no easy solutions) exists between clinical research and usual clinical practice.



Only a very small fraction of research articles report findings with immediate clinical utility. In… Continue

Added by psychiatryRounds Psychiatry News on December 1, 2009 at 5:30am — No Comments

Why Psychiatry May Sometimes Need “Fuzzy” Diagnoses

(PSYCHIATRIC TIMES) - “Well, while I’m here, I’ll do the work—and what’s the work? To ease the pain of living . . .”

—Allen Ginsberg







"Many words . . . don't have a strict meaning. But this is not a defect. To think it is would be like saying that the light of my reading lamp is no real light at all, because it has no sharp boundary."

—Ludwig Wittgenstein, The Blue and Brown Books







As a general proposition, most scientists and physicians… Continue

Added by psychiatryRounds Psychiatry News on December 1, 2009 at 4:30am — No Comments

The State of the Evidence on Pediatric Bipolar Disorder

(PSYCHIATRIC TIMES) - Psychiatric Times - Category 1 Credit

To earn AMA PRA Category 1 Credit(s)™:

Read the article "The State of the Evidence on Pediatric Bipolar Disorder" from the December 2009 issue of Psychiatric Times, complete the posttest and the evaluation. (Note: A score of at least 70% must be achieved in order to be awarded credit.)



The posttest will be scored instantly and results will be shown onscreen. Please make a copy of your test results for your… Continue

Added by psychiatryRounds Psychiatry News on December 1, 2009 at 3:30am — No Comments

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