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

A Physician’s Personal Experience—The Gift of Depression

(PSYCHIATRIC TIMES) - Depression is an insidious, ugly beast, creeping into the mind over time until one is engulfed and powerless, feeling only a sense of futility and heaviness. In my case it came some months after I had had to retire from a fruitful and enjoyable academic neurodevelopmental pediatrics practice, because of onset of a degenerative neuromuscular disease. My depression was manifested mainly by weight loss, poor affect, anger and irritability, fitful sleep, and thoughts of… Continue

Added by psychiatryRounds Psychiatry News on May 26, 2009 at 9:30pm — No Comments

Confabulation: A Bridge Between Neurology and Psychiatry?

(PSYCHIATRIC TIMES) - Mr A is a 73-year-old resident of a nursing home, where the irate aides describe him as “a liar and a troublemaker.” Mr A had been a successful and well-liked businessman until 2 years ago, when he sustained a stroke secondary to a ruptured aneurysm of the anterior communicating artery. Prominent memory deficits ensued. Mr A also became irritable, verbally abusive, and “hard to manage.” Staff also complained that Mr A “made up stories about the staff, just to get us in… Continue

Added by psychiatryRounds Psychiatry News on May 26, 2009 at 8:30pm — No Comments

Schizophrenia Risk May Be Higher in Male Offspring of Young Fathers

(PSYCHIATRIC TIMES) - For almost 10 years, studies have shown that advanced paternal age may be a risk factor for schizophrenia in offspring. However, the risk of schizophrenia may also be higher in male offspring of fathers who are younger than 25 years, according to the results of a study presented at the 2009 American Psychiatric Association annual meeting.



“An increased risk associated with younger fathers raises the possibility of different causal mechanisms for schizophrenia… Continue

Added by psychiatryRounds Psychiatry News on May 18, 2009 at 10:30pm — No Comments

Cognitive Symptoms in Schizophrenia Recognizing and Treating Cognitive Deficits in Schizophrenia

(PSYCHIATRIC TIMES) - "Cognition” has more than one meaning. Cognitive–behavioral therapy refers to therapies that work on changing automatic thoughts and resulting schemas. When effective, cognitive therapy helps patients:



• Become aware of automatic thoughts



• Appreciate how these lead to schemas that distort global perception and limit one’s repertoire ofresponses



• Question and alter thoughts and schemas and thus achieve cognitive restructuring



A… Continue

Added by psychiatryRounds Psychiatry News on May 16, 2009 at 10:30pm — No Comments

Depression or Major Loss, or Both?

(PSYCHIATRIC TIMES) - Why do Drs Pies, Wakefield, and Horwitz feel that “blue” feelings after a major loss (such as death of a spouse) or, for that matter, any loss have to be either “grief” or “major depression”?



Frankly, if someone has come to me after a “significant” loss (but then, who can define significant?) and is suffering from the symptoms of major depression (even Freud said that the symptoms of grief/bereavement were the same as depression—he did not use the term “major… Continue

Added by psychiatryRounds Psychiatry News on May 12, 2009 at 9:30pm — No Comments

An Epidemic of Depression

(PSYCHIATRIC TIMES) - “An Epidemic of Depression” by Wakefield and Horwitz (Psychiatric Times, November 2008, page 44) raised the issue that DSM does not take into account the context in which symptoms arise for the diagnosis of MDD. The authors opine that the diagnosis should require that symptoms be “excessive” or “unreasonable” relative to the context in which they arise, and that “the efficacy of these medications for the treatment of normal sadness is often overstated.”



This is… Continue

Added by psychiatryRounds Psychiatry News on May 12, 2009 at 9:30pm — No Comments

Role of Acupuncture in the Treatment of Depression

(PSYCHIATRIC TIMES) - Acupuncture is being integrated into Western medicine, particularly for treatment of pain, nausea, asthma, and neurological conditions.1 Although the exact mechanism of action for acupuncture is unknown, it is associated with an increase in the level of neurobiologically active substances, such as endorphins and enkephalins.2 There are also data indicating that acupuncture induces the release of norepinephrine, serotonin, and dopamine.3-5



ADVERSE… Continue

Added by psychiatryRounds Psychiatry News on May 12, 2009 at 9:30pm — No Comments

Antidepressants: Brand Name or Generic?

(PSYCHIATRIC TIMES) -

For many antidepressants, the issue of brand-name versus generic has no practical significance. Elavil was first marketed almost a half century ago, and its patent has long expired. It lives on, however, but as generic amitriptyline. Today, only a few antidepressants are still fully protected by patents, namely, Cymbalta (2010), Lexapro (2012), and Pristiq (2022) for major depressive disorder (MDD); and Seroquel (2011) and Symbyax (2017) for bipolar… Continue

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

Social Anxiety Disorder: An Update on Evidence-Based Treatment Options

(PSYCHIATRIC TIMES) - Psychiatric Times - Category 1 Credit

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

Read the article "Fibromyalgia Syndrome: A Guide for the Perplexed" from the February 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 May 12, 2009 at 3:00am — No Comments

Social Anxiety Disorder: An Update on Evidence-Based Treatment Options

(PSYCHIATRIC TIMES) - Psychiatric Times - Category 1 CreditTo earn AMA PRA Category 1 Credit(s)™:

Read the article "Fibromyalgia Syndrome: A Guide for the Perplexed" from the February 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 education… Continue

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

Maintaining Treatment of Depression in Adolescents Increases Remissions

(PSYCHIATRIC TIMES) - Anew study shows that the rate of remission in adolescents treated for depression for 36 weeks was more than double that of adolescents treated for 12 weeks, whether treatment was with an antidepressant, cognitive-behavioral therapy, or a com­bination of both.1



Although the remission rate from the 12-week acute treatment phase was previously reported to be a relatively low 23%, the current study of treatment maintained for an additional 36 weeks found a… Continue

Added by psychiatryRounds Psychiatry News on May 6, 2009 at 9:30pm — No Comments

Orthostatic Hypotension Increases the Risk of Alzheimer Disease

(PSYCHIATRIC TIMES) - Alzheimer disease (AD) is more than twice as likely to develop in elderly persons with orthostatic hypotension (OH) as in those without OH, according to a new study presented at the Annual Meeting of the American Academy of Neurology.1 “Orthostatic hypotension is often associated with dementia,” according to Helen Petrovitch, MD, a researcher at the Pacific Health Research Institute in Honolulu, Hawaii. “This led us to ask if it actually precedes dementia and indicates it… Continue

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

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