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PsychiatryRounds Psychiatry News's Blog – June 2007 Archive (29)

Why Kids Need Psychotherapy--and Why It Should Be Provided by Psychiatrists

(PSYCHIATRIC TIMES) - Black box warnings, suicidal thoughts, sudden cardiac death, and the placebo effect—these are but a few of the concerns that keep me committed to a busy psychotherapy-based career. Before stating my case for more active utilization of psychotherapy in child psychiatry, I want it to be clear that I believe medication is an essential tool and that I use it judiciously in my practice. However, the proverb, "if all you have is a hammer, then everything becomes a nail," could… Continue

Added by psychiatryRounds Psychiatry News on June 1, 2007 at 9:30pm — No Comments

News from the 59th Annual Meeting of the American Academy of Neurology, Boston, April 28 - May 5, 2007

(PSYCHIATRIC TIMES) - AC-1202 Improves Cognition in APOE*E4-Negative Patients with AD. A medium chain triglyceride that converts to ketone bodies and counteracts reduced glucose metabolism improves cognitive scores in patients with mild to moderate Alzheimer disease (AD) who do not have the e4 allele of the apolipoprotein E (APOE*E4) gene.



The association between treatment response and the APOE*E4 genotype was initially observed in the first installment of a phase 2 clinical trial,… Continue

Added by psychiatryRounds Psychiatry News on June 1, 2007 at 8:30pm — No Comments

Long-Term Treatment of Posttraumatic Stress Disorder

(PSYCHIATRIC TIMES) - Posttraumatic stress disorder (PTSD) is an anxiety disorder that occurs after severe psychological stress, eg, assault, combat, natural disasters, terrorism, or other stressors. The stressor induces intense fear or helplessness in the patient. Three symptom clusters are included in DSM-IV criteria for PTSD: re-experiencing the traumatic event, avoidance of reminders of the event and psychological numbing, and hyperarousal symptoms.



Re-experiencing symptoms may… Continue

Added by psychiatryRounds Psychiatry News on June 1, 2007 at 4:00am — No Comments

Posttraumatic Stress Disorder in All Its Manifestations

(PSYCHIATRIC TIMES) - In 1980 DSM-III created a new diagnostic entity—posttraumatic stress disorder (PTSD). Although this condition had been described for centuries, it was always within the context of a particular stressor, most often war. The term shell shock was applied to World War I soldiers who seemed to have been struck senseless in the heat of battle. The horrors of World War II produced not only robust psychiatric morbidity in its combatants but also devastating emotional symptoms in… Continue

Added by psychiatryRounds Psychiatry News on June 1, 2007 at 4:00am — No Comments

Bipolar Disorder: No Improvement With Addition of an Antidepressant

(PSYCHIATRIC TIMES) - The addition of an antidepressant to a mood stabilizer did not add any benefit for patients with bipolar depression, according to an NIMH-sponsored research project reported in April in the New England Journal of Medicine.1 In the multicenter study, adding an antidepressant to the regimen also did not increase affective switching to mania.



The study, from the STEP-BD (Systematic Treatment Enhancement Program for Bipolar Disorder) research collaborative, examined… Continue

Added by psychiatryRounds Psychiatry News on June 1, 2007 at 4:00am — No Comments

Bipolar Disorder: No Improvement With Addition of an Antidepressant

(PSYCHIATRIC TIMES) - The addition of an antidepressant to a mood stabilizer did not add any benefit for patients with bipolar depression, according to an NIMH-sponsored research project reported in April in the New England Journal of Medicine.1 In the multicenter study, adding an antidepressant to the regimen also did not increase affective switching to mania.



The study, from the STEP-BD (Systematic Treatment Enhancement Program for Bipolar Disorder) research collaborative, examined… Continue

Added by psychiatryRounds Psychiatry News on June 1, 2007 at 3:30am — No Comments

Integrating Psychosocial Treatment for PTSD and Severe Mental Illness

(PSYCHIATRIC TIMES) - Patients with severe mental illness (SMI), such as schizophrenia, bipolar disorder, and major depression, are more likely to have experienced trauma in childhood, adolescence, and throughout their adult lives than the general population.1,2 This high exposure to traumatic events such as physical and sexual abuse and assault takes a heavy toll. In addition to the immediate effects of victimization on an individual's quality of life, a history of trauma exposure in persons… Continue

Added by psychiatryRounds Psychiatry News on June 1, 2007 at 3:30am — No Comments

Substance Abuse Research and Gender

(PSYCHIATRIC TIMES) - There are important distortions in the article "Substance Abuse in Women: Does Gender Matter?" (Psychiatric Times, January 2007, page 48). My concerns regard the political assumptions made (rather than those based on science) that put a spin on data rather than letting the data stand alone.



The article stated, "While much past research in addiction focused on men, there is now recognition that biological and psychosocial differences between men and women… Continue

Added by psychiatryRounds Psychiatry News on June 1, 2007 at 1:30am — No Comments

Treatment of Comorbid Sleep Disorders Improves Seizure Control

(PSYCHIATRIC TIMES) - It is a widely known fact that Fyodor Dostoevsky, the famous 19th-century Russian novelist, suffered from epilepsy for most of his life. However, not too many persons are aware that Dostoevsky also had a sleep disorder called delayed sleep phase syndrome, which may have contributed to his seizures.1 Although no one knows for certain, it is quite conceivable that Dostoevsky's sleep disorder worsened his epilepsy, according to Carl Bazil, MD, PhD, director of Clinical… Continue

Added by psychiatryRounds Psychiatry News on June 1, 2007 at 1:00am — No Comments

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