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PsychiatryRounds Psychiatry News's Blog – April 2004 Archive (10)

Transcultural Aspects of Dissociative and Somatoform Disorders

(PSYCHIATRIC TIMES) - A major goal in this article is to convey that the repertoire of traditions, belief systems, expectations and attitudes we call culture profoundly influences the formation, presentation and management of dissociative and somatoform symptoms. As Kleinman (1987) has articulated with eloquence, "Culture not only shapes illness, but also determines the ways one conceives of illness." Even in similar countries such as those of the western hemisphere (Europe and North America),… Continue

Added by psychiatryRounds Psychiatry News on April 15, 2004 at 5:30am — No Comments

Overview of Mixed Depression in Italy

(PSYCHIATRIC TIMES) - According to DSM-IV-TR, a mixed episode can occur only in bipolar I disorder (BD-I). A mixed episode requires a concurrent full-criteria major depressive episode (MDE) and a manic episode. Mixed mania has also been defined in the research as a manic episode plus three or more depressive symptoms (McElroy et al., 1992).



Until recently, mixed depression (i.e., MDE plus manic-hypomanic symptoms during the episode) was understudied. Most of the research comes from… Continue

Added by psychiatryRounds Psychiatry News on April 15, 2004 at 5:30am — No Comments

Australian Survey Finds Misconceptions About Depression

(PSYCHIATRIC TIMES) - A survey conducted by the Mental Health Council of Australia (MHCA) found that one in four men thought that the best way to help out a friend with depression was to take them to the local pub for a few beers. Furthermore, the same survey found that 23% of respondents thought that telling a depressed person about their own troubles might help them put things in perspective, and one-third of respondents thought that it would be helpful to tell the depressed person to "put on… Continue

Added by psychiatryRounds Psychiatry News on April 15, 2004 at 2:30am — No Comments

Overview of Mixed Depression in Italy

(PSYCHIATRIC TIMES) - According to DSM-IV-TR, a mixed episode can occur only in bipolar I disorder (BD-I). A mixed episode requires a concurrent full-criteria major depressive episode (MDE) and a manic episode. Mixed mania has also been defined in the research as a manic episode plus three or more depressive symptoms (McElroy et al., 1992).



Until recently, mixed depression (i.e., MDE plus manic-hypomanic symptoms during the episode) was understudied. Most of the research comes from… Continue

Added by psychiatryRounds Psychiatry News on April 15, 2004 at 2:30am — No Comments

Less Anxiety But More Violence?

(PSYCHIATRIC TIMES) - How is it that anti-anxiety drugs can cause anxiety and insomnia, sometimes within the first day or two of treatment? This effect is repeatedly noted in the Physicians' Desk Reference for most selective serotonin reuptake inhibitors such as fluoxetine (Prozac) and sertraline (Zoloft). Anxiety reactions occurred in 14% of patients given fluoxetine for obsessive-compulsive disorder versus 7% on placebo (PDR, 2003a). Similarly, insomnia occurred in 33% of patients with… Continue

Added by psychiatryRounds Psychiatry News on April 1, 2004 at 9:00pm — No Comments

Psychological Debriefing Does Not Prevent Posttraumatic Stress Disorder

(PSYCHIATRIC TIMES) - Individuals exposed to horrifying, life-threatening events are at heightened risk for posttraumatic stress disorder. Given the substantial personal and societal costs of chronic PTSD, mental health care professionals have developed early intervention methods designed to mitigate acute emotional distress and prevent the emergence of posttraumatic psychopathology. The method most widely used throughout the world is psychological debriefing.



Psychological… Continue

Added by psychiatryRounds Psychiatry News on April 1, 2004 at 5:30am — No Comments

Psychological Debriefing Does Not Prevent Posttraumatic Stress Disorder

(PSYCHIATRIC TIMES) - Individuals exposed to horrifying, life-threatening events are at heightened risk for posttraumatic stress disorder. Given the substantial personal and societal costs of chronic PTSD, mental health care professionals have developed early intervention methods designed to mitigate acute emotional distress and prevent the emergence of posttraumatic psychopathology. The method most widely used throughout the world is psychological debriefing.



Psychological… Continue

Added by psychiatryRounds Psychiatry News on April 1, 2004 at 5:30am — No Comments

Lamotrigine May Prevent Depressive Relapse in Bipolar Disorder

(PSYCHIATRIC TIMES) - Data presented at the International Congress of Biological Psychiatry, held in Sydney, Australia, Feb. 9-13, suggested that lamotrigine (Lamictal) may be effective in helping prevent depression in patients with bipolar disorder (BD) who are currently or have recently been manic. Over a period of 18 months, Lakshmi N. Yatham, MBBS, and colleagues at the University of British Columbia in Vancouver studied 175 patients with current or recent mania to study the effectiveness… Continue

Added by psychiatryRounds Psychiatry News on April 1, 2004 at 5:30am — No Comments

Lamotrigine May Prevent Depressive Relapse in Bipolar Disorder

(PSYCHIATRIC TIMES) - Data presented at the International Congress of Biological Psychiatry, held in Sydney, Australia, Feb. 9-13, suggested that lamotrigine (Lamictal) may be effective in helping prevent depression in patients with bipolar disorder (BD) who are currently or have recently been manic. Over a period of 18 months, Lakshmi N. Yatham, MBBS, and colleagues at the University of British Columbia in Vancouver studied 175 patients with current or recent mania to study the effectiveness… Continue

Added by psychiatryRounds Psychiatry News on April 1, 2004 at 5:30am — No Comments

A New Appreciation of ECT

(PSYCHIATRIC TIMES) - For decades, personal essays on electroconvulsive therapy have highlighted pain and discomfort, a dismaying loss of memory, and an indifference of practitioners who forced the treatment on unwilling patients. It took much persuasion to assure patient cooperation. In the 1960s, the raucous testimony of ECT "survivors" focused the debate on the horrors of the treatment and away from the illness and benefits. Sadly, legislators and psychiatric leaders hearkened to the… Continue

Added by psychiatryRounds Psychiatry News on April 1, 2004 at 4:00am — No Comments

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