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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Current guidelines for the management of bipolar depression are outdated because they are based on the definition and treatment of unipolar depression, according to Eduard Vieta, MD, PhD, director of the bipolar disorders program at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 3:00am — No Comments

More Violence in the field of psychiatry - Did Military Psychiatry Fail to Detect Major Hasan's Emotional Turmoil?

(PSYCHIATRIC TIMES) -- Some would ask whether the psychiatric system at Ft. Hood adequately assessed the mental state of Army Maj Nidal Malik Hasan, the man accused of yesterday's shooting rampage on the base.



Maj Hasan, 39, was reportedly about to be deployed to Iraq or Afghanistan, despite his vehement and public objections to the wars both on the Internet and to colleagues.1 It is not clear to what extent Maj Hasan's clinical supervisors were monitoring his emotional state prior… Continue

Added by PsychiatryRounds Team on November 7, 2009 at 8:41pm — No Comments

rTMS May Be Effective in Patients With Treatment-Resistant Bipolar Depression

Repetitive transcranial magnetic stimulation (rTMS) may be an effective therapy for treatment-resistant bipolar depression, according to the results of a recent pilot study led by Guohua Xia, MD, PhD, assistant clinical professor of psychiatry at the University of California, Davis.1 Xia and colleagues undertook this study because rTMS has been shown to be effective in patients with major depressive disorder.2,3 However, there have been few studies of rTMS for bipolar depression, he… Continue

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

Depression During Pregnancy

(PSYCHIATRIC TIMES) - Major depressive disorder (MDD) is common during childbearing. Depression that interferes with function develops in an estimated 14.5% of pregnant women.1 In a recent population-based study, Munk-Olsen and colleagues2 determined the prevalence of psychiatric disorders relative to childbearing. The overall risk for any psychiatric episode after delivery was elevated for women during the first 3 postpartum months. However, the increased risk specifically for major depression… Continue

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

rTMS May Be Effective in Patients With Treatment-Resistant Bipolar Depression

(PSYCHIATRIC TIMES) - Repetitive transcranial magnetic stimulation (rTMS) may be an effective therapy for treatment-resistant bipolar depression, according to the results of a recent pilot study led by Guohua Xia, MD, PhD, assistant clinical professor of psychiatry at the University of California, Davis.1 Xia and colleagues undertook this study because rTMS has been shown to be effective in patients with major depressive disorder.2,3 However, there have been few studies of rTMS for bipolar… Continue

Added by psychiatryRounds Psychiatry News on November 4, 2009 at 3:00am — No Comments

A Psychiatrist’s Worst Nightmare? Psychiatrist Stabbing Raises Concerns

(PSYCHIATRIC TIMES) - A clinic for patients with bipolar disorder at Massachusetts General Hospital (MGH) was the scene of yet another attack by a patient on a psychiatrist.



According to a report in the October 28, 2009 issue of the Boston Globe,1 the 37-year-old perpetrator, Jay Carciero, who was a patient at the clinic, stabbed his psychiatrist, Astrid Desrosiers, MD, during a treatment session. Screams coming from the treatment room caused other patients to panic and run. An… Continue

Added by PsychiatryRounds Team on November 3, 2009 at 8:11am — No Comments

Current Clinical Practice in Asperger Disorder

(PSYCHIATRIC TIMES) - Psychiatric Times - Category 1 Credit

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

Read the article "Current Clinical Practice in Asperger Disorder" from the November 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 continuing… Continue

Added by psychiatryRounds Psychiatry News on November 2, 2009 at 3:30am — No Comments

A Psychiatrist’s Worst Nightmare? Psychiatrist Stabbing Raises Concerns

(PSYCHIATRIC TIMES) - A clinic for patients with bipolar disorder at Massachusetts General Hospital (MGH) was the scene of yet another attack by a patient on a psychiatrist.





According to a report in the October 28, 2009 issue of the Boston Globe,1 the 37-year-old perpetrator, Jay Carciero, who was a patient at the clinic, stabbed his psychiatrist, Astrid Desrosiers, MD, during a treatment session. Screams coming from the treatment room caused other patients to panic and run. An… Continue

Added by psychiatryRounds Psychiatry News on November 2, 2009 at 3:00am — No Comments

The Cellular and Molecular Substrates of Anorexia Nervosa, Part 1

(PSYCHIATRIC TIMES) - Appetite regulation is made up of complex interlocking, incentive-driven motivational hormonal and neuronal circuitries . . . that can be pulled in many directions, especially where food is cheap and readily available.



The event that created the most indelible memories of my graduate experience recurred each morning as I trundled down to the lab. I always crossed paths with a well-disciplined jogger, heading in the opposite direction, running feverishly up a… Continue

Added by psychiatryRounds Psychiatry News on November 1, 2009 at 5:00am — No Comments

Advice to DSM-V: Integrate with ICD-11

(PSYCHIATRIC TIMES) - I have elsewhere summarized the problems caused by the excessive and misdirected ambitions of the DSM-V effort.1 My purpose here is to suggest a different, more useful and attainable ambition for DSM-V—namely trying to integrate DSM-V and ICD-11 into one system. If successfully achieved, this would be by far the biggest accomplishment possible in this round of revision.



DSM-IV and ICD-10 are very similar, but annoyingly different—and neither is clearly superior… Continue

Added by psychiatryRounds Psychiatry News on November 1, 2009 at 5:00am — No Comments

Insomnia: Recent Advances in Pharmacological Management

(PSYCHIATRIC TIMES) - The pharmacological management of insomnia has a very long history.1 It seems likely that fermented beverages and sedating plant concoctions (such as opium) have been used for millennia for their sleep-promoting effects. With patent medicines came products such as laudanum, which frequently were taken to combat insomnia. This was followed by chloral hydrate in the 1860s and barbiturates in the early 1900s.



Several sedating pharmaceuticals, such as methyprylon,… Continue

Added by psychiatryRounds Psychiatry News on October 30, 2009 at 6:00am — No Comments

The Case of Factitious Disorder Versus Malingering

(PSYCHIATRIC TIMES) - Patients who exaggerate, feign, or induce physical illness are a great challenge to their physicians. Trained to trust their patients’ self-reports, even competent and conscientious physicians can fall victim to these deceptions. In doing so, the treating physician may unwittingly provide support for specious claims of illness or injury by conferring official diagnoses, or by delivering treatments that transform the patient from a pretender into a person with a genuine,… Continue

Added by psychiatryRounds Psychiatry News on October 30, 2009 at 4:00am — No Comments

Q&A: Chronic Pain and Mood Disorders—Identifying and Understanding Shared Neurophysiological Mechanisms

(PSYCHIATRIC TIMES) - Q: You recently gave a presentation, “Understanding the Mind-Body Relationship,” at the U.S. Psychiatric and Mental Health Congress in Las Vegas. What has recent research told us about the relationship between chronic pain and mood disorders?



A: Mood disorders and chronic pain are related on multiple levels. The genes that regulate the synthesis of serotonin transporter, opioid receptors, and inflammatory mediators seem to be compromised in patients with major… Continue

Added by psychiatryRounds Psychiatry News on October 29, 2009 at 8:00pm — No Comments

Doctor: Are You “Drugging” or “Medicating” Your Patients?

(PSYCHIATRIC TIMES) --



By Ronald Pies, MD

Dr Pies is professor of psychiatry at SUNY Upstate Medical University in Syracuse, and clinical professor of psychiatry at Tufts University School of Medicine in Boston. He is also Editor in Chief of Psychiatric Times.



You have read the blogs and seen the placards a dozen times: doctors prescribe too many “drugs” for too many patients. Psychiatrists, in particular, are popular targets of politically motivated language that… Continue

Added by PsychiatryRounds Team on October 29, 2009 at 8:00pm — No Comments

Rape and the Heart of Darkness at Richmond High

(PSYCHIATRIC TIMES) - The press reported it in various ways—either as a “brutal gang rape” or, more forensically, as a “2½-hour assault” on the Richmond High School campus. Anyway you look at it, the horrendous attack on a 15-year old girl raises troubling questions for theologians, criminologists, and, of course, psychiatrists. How do we understand an act as brutal as rape? What factors and forces in the rapist’s development can possibly account for such behavior? And how on earth do we… Continue

Added by psychiatryRounds Psychiatry News on October 29, 2009 at 4:30am — No Comments

On Narcissism, the Internet, and Social Networking Sites

(PSYCHIATRIC TIMES) - I read with interest the posts of Dr John Grohol, PsyD regarding my commentary, "Twitter and YouTube: Unanticipated Consequences of the Self-Esteem Movement.” I had hoped it would bring attention to this topic and am glad that this has opened up an important dialogue. However, the author has missed the point.



It was not my intention to blame the internet for creating more narcissists or for causing irreparable harm to our children. In fact, nowhere in my article… Continue

Added by psychiatryRounds Psychiatry News on October 27, 2009 at 4:30am — No Comments

A Citizen Above Suspicion

(PSYCHIATRIC TIMES) - When I thought of writing this letter, I was put in mind of Jean-Jacques Dessalines (1758 – 1806), the Emperor of the tiny nation of Haiti, writing to the most powerful man of that time, Napoleon Bonaparte. Like Dessalines, I am a grain of sand standing next to the huge mountain of the psychiatric establishment. Fortunately, there is Psychiatric Times (PT), which allows a "half-island nation" like me, and many others, to reach a wide audience. Some publications welcome… Continue

Added by psychiatryRounds Psychiatry News on October 22, 2009 at 4:30am — No Comments

Monitoring Pharmonitor

(PSYCHIATRIC TIMES) - Congratulations to Dr Alan A. Stone for taking the time to nail the bias contained in the Supplement discussed in his piece, “Reality-Checking: Case In Point.” And congratulations to Psychiatric Times for printing Dr Stone’s article. Perhaps PT is ready to take further steps in separating itself from the "educational efforts" sponsored by pharmaceutical companies that have so deeply corrupted the practice of psychiatry, and medicine.



For full article, please… Continue

Added by psychiatryRounds Psychiatry News on October 16, 2009 at 4:30am — No Comments

PET radiotracer enters Alzheimer trial

(PSYCHIATRIC TIMES) - PET radiotracer enters Alzheimer trial

Bayer Schering Pharma of Germany will provide its experimental PET radiotracer florbetaben to the Swiss-based biopharmaceutical company AC Immune to evaluate the effects of a vaccine being tested to treat patients with Alzheimer´s disease.



For full article, please visit:…

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Added by psychiatryRounds Psychiatry News on October 12, 2009 at 3:00am — No Comments

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