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All News and Blog Posts (1,102)

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

Challenges in the Treatment of Patients With Bipolar Depression

(PSYCHIATRIC TIMES) - Charles Bowden, MD, clinical professor in the department of psychiatry at the University of Texas Health Science Center, San Antonio.

For full article, please visit:
http://www.psychiatrictimes.com/bipolar-disorder/article/10168/1490931

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

Suicide Risk and Lethality of Attempts Linked to Low Levels of MHPG

(PSYCHIATRIC TIMES) - Low levels of 3-methoxy-4-hydroxyphenylglycol (MHPG) in patients with major depressive disorder (MDD) or bipolar depression were shown to be associated with increased risk of suicide attempts. Hanga Galfalvy, PhD, assistant professor of clinical neurobiology at Columbia University and the New York State Psychiatric Institute, New York, and her colleagues found that patients with the lowest levels of MHPG at baseline were more likely to commit highly lethal suicidal… Continue

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

Differentiating Bipolar Depression from Postpartum Depression

(PSYCHIATRIC TIMES) - All pregnant women should be screened for bipolar disorder, according to a recent article by Verinder Sharma, MB, BS, professor of psychiatry and obstetrics and gynecology at the University of Western Ontario, London, Ontario, and colleagues. This is because bipolar depression may be misdiagnosed as major depressive disorder in the postpartum period, resulting in delays in appropriate treatment.1



Another study by Sharma and colleagues found that 54% of 56… Continue

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

“Psychosurgery”: Promise, Perils, and Patients’ Protection

(PSYCHIATRIC TIMES) - Psychosurgery. For some, the word connotes all the promising therapeutic applications of modern neuroscience; for others, it connotes all the baneful excesses of unregulated pseudoscience. In his recent front page story for the New York Times (Nov. 27), Benedict Carey presented a balanced and nuanced view of what is sometimes termed “psychiatric neurosurgery,” focusing mainly on cingulotomy, capsulotomy, and other neurosurgical approaches to refractory obsessive-compulsive… Continue

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

Offspring of Parents With Bipolar Disorder

(PSYCHIATRIC TIMES) - These authors compared the lifetime prevalence of bipolar and other psychiatric disorders in children whose parents had–or did not have–BD. The study involved 233 parents with BD and their 388 offspring and a control group of 143 parents without BD and their 251 offspring.



Parents with BD were recruited from outpatient clinics and advertisements for participation in the study. On the basis of diagnostic interviews, 158 parents had bipolar I disorder and 75 had… Continue

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

Patient access to preliminary imaging reports decreases anxiety

(PSYCHIATRIC TIMES) - Patients want rapid access to the results of preliminary readings, which helps avoid frustration due to long response times and cryptic reports.



Eleven patients recently made their dissatisfaction with outpatient imaging services known during focus group sessions designed to measure their attitudes. The subjects, all of whom had received at least one MRI, were assigned to one of two groups based on whether their scan had been normal or they'd had at least one… Continue

Added by psychiatryRounds Psychiatry News on November 24, 2009 at 3:00am — No Comments

Sexual Addiction: Diagnosis and Treatment

(PSYCHIATRIC TIMES) -- The diagnostic criteria for sexual addiction are derived from the behaviorally nonspecific criteria for addictive disorder that were presented in Part 1 (Goodman, 1998b), by replacing "behavior" with "sexual behavior" (see Table). A definition of sexual addiction, which facilitates preliminary diagnosis of the disorder, can similarly be derived from the simple definition of addiction.



Accordingly, sexual addiction is defined as a condition in which some form of… Continue

Added by PsychiatryRounds Team on November 22, 2009 at 1:54pm — No Comments

Challenges in the Assessment and Diagnosis of Bipolar Depression

(PSYCHIATRIC TIMES) - Charles Bowden, MD, clinical professor in the department of psychiatry at the University of Texas Health Science Center, San Antonio.

For full article, please visit:
http://www.psychiatrictimes.com/depression/article/10168/1489126

Added by psychiatryRounds Psychiatry News on November 20, 2009 at 4:00am — No Comments

Challenges in the Assessment and Diagnosis of Bipolar Depression

(PSYCHIATRIC TIMES) - Charles Bowden, MD, clinical professor in the department of psychiatry at the University of Texas Health Science Center, San Antonio, describes the challenges physicians face when they assess and diagnose bipolar depression.

For full article, please visit:
http://www.psychiatrictimes.com/bipolar-disorder/article/10168/1489126

Added by psychiatryRounds Psychiatry News on November 20, 2009 at 3:00am — No Comments

Firearms and Mental Illness

(PSYCHIATRIC TIMES) -- Firearms and Mental Illness



Donna M. Norris, MD and Marilyn Price, MD

Dr Norris is assistant clinical professor and Dr Price is clinical instructor in the department of psychiatry at Harvard Medical School in Boston. The authors report no conflicts of interest concerning the subject matter of this article.




The right of American citizens to own, register, and carry firearms has a significant history of federal and/or local… Continue

Added by PsychiatryRounds Team on November 13, 2009 at 2:26pm — No Comments

Placebos: Is It All in Your Spine?

(PSYCHIATRIC TIMES) -- Researchers have found evidence that the placebo effect is not all “in your mind.” This study, recently published in Science, suggests that the spinal column—specifically, the dorsal horn—may be involved in blocking pain after placebo has been administered. Eippert and colleagues1 examined pain reactions in 13 young, healthy men (21 to 30 years old) after applying 2 types of cream on their forearms. The participants were told that one cream was a highly effective… Continue

Added by PsychiatryRounds Team on November 11, 2009 at 11:34am — No Comments

How to “Deliver” a Diagnosis of an Autism Spectrum Disorder to Parents

(PSYCHIATRIC TIMES) - It is usually traumatic when parents learn that their child has an autism spectrum disorder (ASD). Be clear about the diagnosis and let families know that treatment will begin as soon as possible, said Doris Greenberg, MD, associate clinical professor of pediatrics at Mercer University School of Medicine, Savannah, Ga. In her presentation at the US Psychiatric and Mental Health Congress in Las Vegas, Dr Greenberg discussed strategies for talking to the families of children… Continue

Added by psychiatryRounds Psychiatry News on November 11, 2009 at 3:30am — No Comments

Which Screening Tool Is Best When You Suspect Alzheimer Disease?

(PSYCHIATRIC TIMES) - Of the screening tools available to help identify early symptoms of Alzheimer’s disease (AD), which is best? 1



In a presentation at the U.S. Psychiatric and Mental Health Congress in Las Vegas, Kevin Gray, MD, director of the Geriatric Neuropsychiatry Clinic, Veterans Affairs North Texas Health Care System, Dallas, gave a withering critique of the widely used Mini Mental State Examination (MMSE) and instead recommended simple and quickly administered tests that… Continue

Added by psychiatryRounds Psychiatry News on November 10, 2009 at 3:00am — No Comments

New Algorithms for the Management of Treatment-Resistant Bipolar Depression

(PSYCHIATRIC TIMES) - Current guidelines for the management of bipolar depression are outdated because they are based on the definition and treatment of unipolar depression, according to Eduard Vieta, MD, PhD, director of the bipolar disorders program at the University Clinic Hospital of Barcelona,



Spain. Dr Vieta led a study to create new definitions and algorithms for the management of treatment-resistant bipolar I and bipolar II depression.1 He created the algorithms after… Continue

Added by psychiatryRounds Psychiatry News on November 9, 2009 at 4:00am — No Comments

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