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PsychiatryRounds Psychiatry News's Blog – February 2009 Archive (12)

Examining the Link Between Obesity and Mental Illness

(PSYCHIATRIC TIMES) - When medical professionals think of the health consequences of obesity, we usually think of increased prevalence of coronary artery disease, stroke, some cancers, diabetes, and hypertension. If we think a bit more, osteoarthritis, gallstones, asthma, and sleep disorders come to mind.1 How many of us are aware of the connection between obesity and the increased risk of various mental illnesses and conditions?



General Associations

Overall, obesity is… Continue

Added by psychiatryRounds Psychiatry News on February 6, 2009 at 10:30pm — No Comments

New Research Examines Genetics Behind ADHD

(PSYCHIATRIC TIMES)- Attention-deficit-hyperactivity disorder (ADHD) is one of the most widely diagnosed disorders: an estimated 8% to 12% of children are affected worldwide. Although many studies about treatment options have been published, we are still discovering the genetic components that underlie the disorder. A special issue of the American Journal of Medical Genetics, Part B: Neuropsychiatric Genetics, highlights recent research and includes results from the first genome-wide study of… Continue

Added by psychiatryRounds Psychiatry News on February 5, 2009 at 8:00am — No Comments

Expedite Depression Monitoring

(PSYCHIATRIC TIMES) - Using the Patient Health Questionnaire– 9 (PHQ-9) makes office visits for depression (both initial and follow- up) go faster and more smoothly. The questionnaire provides objective corroboration of the diagnosis and evidence of whether treatment is working. It also gives patients a way to gauge their symptoms. When I walk into the examination room for a follow-up visit with someone whose depression I have been monitoring for some time, I am often greeted by the patient… Continue

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

SSRIs as Antihypertensives in Patients With Autonomic Panic Disorder

(PSYCHIATRIC TIMES) - The cardiovascular properties of serotonin (5-HT) have been known for some time—its name reflects its presence in serum and its action in increasing vascular tone. Serotonergic medications are routinely used to treat depressive and anxiety disorders, and the association of depression with cardiovascular disease has become well established.2 Recent studies have confirmed the colloquial wisdom that anxiety (especially panic) and hypertension are linked.



In this… Continue

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

Ultrabrief Pulse Right Unilateral ECT: A New Standard of Care?

(PSYCHIATRIC TIMES) - Several studies conclude that right unilateral (RUL) electroconvulsive therapy (ECT) given with ultrabrief pulse-width stimulus packages causes less cognitive impairment than other techniques.1-4 I review this evidence and discuss how these findings can be interpreted to direct optimal clinical practice.



While ECT remains a remarkably safe and effective treatment for severe depression, its broad application has been hampered by concerns—both perceived and… Continue

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

Impulsivity, Brain Abnormalities Connected With Bulimia Nervosa

(PSYCHIATRIC TIMES) - Women with bulimia nervosa (BN) respond more impulsively during psychological testing than do women without eating disorders, according to a recent article in Archives of General Psychiatry.1 Functional MRI showed differences in brain areas responsible for regulating behavior in women with and without BN.



Rachel Marsh, PhD, and colleagues at Columbia University and the New York State Psychiatric Institute compared the results of the Simon Spatial Incompatibility… Continue

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

Can Anticonvulsants Help Patients With Anxiety Disorders?

(PSYCHIATRIC TIMES) - Anxiety disorders are chronic conditions that follow a relapsing/remitting course.1 The evidence to support this view comes primarily from cross-sectional and retrospective assessments of duration of illness and, in part, from prospective studies. The waxing and waning nature of panic disorder and generalized anxiety disorder (GAD), for example, has been clearly demonstrated. Much less information is available about the course of illness of social phobia. However, both… Continue

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

Strategies for Assessing and Treating Comorbid Panic and Generalized Anxiety Disorder

(PSYCHIATRIC TIMES) - The 2 most common anxiety disorders are generalized anxiety disorder (GAD) and panic disorder. Approximately 5.7% of people in community samples will meet diagnostic criteria for GAD in their lifetime; the rate is about 4.7% for panic disorder (with or without agoraphobia).1 GAD—which is characterized by excessive and uncontrollable worry about a variety of topics (along with associated features such as trouble sleeping and impaired concentration)—is often chronic and is… Continue

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

The Intricacies of Diagnosis and Treatment

(PSYCHIATRIC TIMES) - It has been a relatively short time between clinical use of the term anxiety neurosis—which included worry, panic, and obsessions—and the advent of recent DSM-defined categorical diagnoses of panic disorder, generalized anxiety disorder, social anxiety disorder, posttraumatic stress disorder, and obsessive-compulsive disorder. It seems that we have moved from a symptom-oriented approach in treating anxiety to a syndromal approach in which the patient has to accumulate… Continue

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

Achieving Remission in Generalized Anxiety Disorder

(PSYCHIATRIC TIMES) - Generalized anxiety disorder (GAD) is a prevalent, chronic, debilitating mental illness associated with marked impairment in daily functioning.1 An ongoing evolution of the definition of GAD has resulted in a bifurcation of the historical anxiety neurosis designation.2 A diagnosis of GAD currently implies chronic, excessive worry lasting at least 6 months and 3 of the possible 6 somatic or psychological symptoms (restlessness, fatigue, muscle tension, irritability,… Continue

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

FDA Dictates Suicide Ideation Warning for Antiepileptics Used for Bipolar Disorder

(PSYCHIATRIC TIMES) - The FDA is forcing manufacturers of all antiepileptic drugs to include new warnings of possible suicide ideation in the prescribing information and also to prepare a new Medication Guide to be distributed by pharmacies to consumers. In addition, the companies will have to produce a Risk Evaluation and Mitigation Strategy for each drug, which the FDA only requires for drugs with possible adverse effects it considers especially dangerous.



Some of the 11… Continue

Added by psychiatryRounds Psychiatry News on February 1, 2009 at 3:00am — No Comments

FDA Dictates Suicide Ideation Warning for Antiepileptics Used for Bipolar Disorder

(PSYCHIATRIC TIMES) - The FDA is forcing manufacturers of all antiepileptic drugs to include new warnings of possible suicide ideation in the prescribing information and also to prepare a new Medication Guide to be distributed by pharmacies to consumers. In addition, the companies will have to produce a Risk Evaluation and Mitigation Strategy for each drug, which the FDA only requires for drugs with possible adverse effects it considers especially dangerous.



Some of the 11… Continue

Added by psychiatryRounds Psychiatry News on February 1, 2009 at 3:00am — No Comments

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