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PsychiatryRounds Psychiatry News's Blog – January 2008 Archive (9)

Improved Functioning in Bipolar Depression

(PSYCHIATRIC TIMES) - Intensive psychosocial intervention was found to improve overall functioning in patients with bipolar depression, concluded researchers of the Systemic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) trial. Results were reported in the September 2007 issue of the American Journal of Psychiatry.



The study included 152 patients who met DSM-IV criteria for bipolar disorder. All participants met baseline Longitudinal Interval Follow-Up Evaluation-Range… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2008 at 10:00pm — No Comments

Brain Stimulation Therapies for Treatment-Resistant Depression

(PSYCHIATRIC TIMES) - Treatment-resistant depression (TRD), often defined as insufficient response to an appropriate trial of at least 1 antidepressant in patients with depressive illness, is receiving growing attention by clinicians and researchers alike. As Papakostas1 reported last year in Psychiatric Times, some studies indicate that as many as half of patients do not achieve remission of depressive illness using standard therapies. A recent 2-year prospective study of patients with TRD… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2008 at 10:00pm — No Comments

Medications for Agitation in Dementia: Seeking Efficacy With Safety References

(PSYCHIATRIC TIMES) - Almost 3 years after the FDA warned of increased mortality in elderly patients who received atypical antipsychotics off-label for neuropsychiatric syndromes of dementia, no medication has been approved as safe and effective for this increasingly challenging problem. Recent publications, however, including a white paper from the American College of Neuropsychopharmacology (ACNP), indicate that clinical investigators are wrestling with the dilemma and considering potential… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2008 at 9:00pm — No Comments

New Findings in Youth Anxiety Disorders

(PSYCHIATRIC TIMES) - A total of 3021 individuals aged 14 to 24 years from a community sample in Munich, participated in the baseline evaluations. The patients had 3 follow-up diagnostic assessments over a 10-year period. It was found that the cumulative incidence of social anxiety disorder was 11%, with the greatest incidence in those aged 10 to 19 years. The cumulative incidence of depression was 27%. There was a strong association between social anxiety disorder and depression (odds ratio,… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2008 at 5:00am — No Comments

Integrative Management of Anxiety

(PSYCHIATRIC TIMES) - Dietary changes



Symptoms of generalized anxiety are frequently associated with a common condition known as reactive hypoglycemia, in which blood glucose drops to abnormally low levels following a glucose challenge. Persons who experience anxiety related to this condition benefit from dietary changes such as low carbohydrate and high protein intake, consumption of foods with different glycemic indices, and avoidance of caffeine.1



Caffeine use is… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2008 at 5:00am — No Comments

Why Girls Starve Themselves: New Research in Anorexia Nervosa References

(PSYCHIATRIC TIMES) - The November death of an Israeli fashion model whose weight had dropped below 60 lb was chilling even in a world that prizes rail-thin models as an ideal of feminine chic. Social critics have long blamed the fashion industry's use of such models for inspiring teenagers and young women to engage in extreme dieting. But at the recent Annual Meeting of the California Psychiatric Association, in Huntington Beach, eating disorders expert Walter Kaye, MD, reminded attendees that… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2008 at 5:00am — No Comments

Improved Functioning in Bipolar Depression

(PSYCHIATRIC TIMES) - Intensive psychosocial intervention was found to improve overall functioning in patients with bipolar depression, concluded researchers of the Systemic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) trial. Results were reported in the September 2007 issue of the American Journal of Psychiatry.



The study included 152 patients who met DSM-IV criteria for bipolar disorder. All participants met baseline Longitudinal Interval Follow-Up Evaluation-Range… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2008 at 3:30am — No Comments

Lithium-Drug Interactions

(PSYCHIATRIC TIMES) - Bipolar disorder (also known as manic-depressive illness) affects nearly 6 million adults in the United States.1 This psychiatric disorder was first described at the time of Hippocrates and is currently one of the most prevalent and severe mental illnesses in our society.



The goal of maintenance therapy for bipolar disorder is to prevent relapses, reduce subthreshold symptoms, decrease suicide risk, reduce cycling frequency and mood instability, and improve… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2008 at 3:30am — No Comments

Culture and Substance Abuse Impact of Culture Affects Approach to Treatment

(PSYCHIATRIC TIMES) - There have been numerous definitions of culture. Dwight Heath1 offers a simple definition: "It [culture] is a system of patterns of belief and behavior that shape the worldview of the member of a society. As such, it serves as a guide for action, a cognitive map, and a grammar for behavior."



Substance abuse refers to the abuse of alcohol and other drugs, primarily illicit drugs, but what is considered "illicit" is often culturally determined and can vary between… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2008 at 1:30am — No Comments

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