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PsychiatryRounds Psychiatry News's Blog – October 2008 Archive (10)

Reexperiencing/Hyperaroused and Dissociative States in Posttraumatic Stress Disorder

(PSYCHIATRIC TIMES) - Dissociation—a common feature of posttraumatic stress disorder (PTSD)1,2—involves disruptions in the usually integrated functions of consciousness, memory, identity, and perception of the self and the environment.3 Acute dissociative responses to psychological trauma have been found to predict the development of chronic PTSD.4-9 Moreover, a chronic pattern of dissociation in response to reminders of the original trauma and minor stressors has been found to develop in… Continue

Added by psychiatryRounds Psychiatry News on October 31, 2008 at 3:30am — No Comments

Untreated Vets: A “Gathering Storm” of PTSD/Depression

(PSYCHIATRIC TIMES) - Reports of 1 in 5 military service members returning from Iraq or Afghanistan with posttraumatic stress disorder (PTSD) and/or depression and rising suicide rates have led researchers and military leaders to warn civilian psychiatric care providers of a “gathering storm”1 headed their way.



A RAND Corporation study released in April found that 300,000 individuals—18.5% of US service members who have returned from Afghanistan and Iraq—report current symptoms of… Continue

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

Antipsychotics in Dementia: Evidence of Risk Mounts

(PSYCHIATRIC TIMES) - The use of antipsychotics to quiet agitated older adults with dementia has come under increasing fire. After a Canadian study demonstrated an increased risk of adverse events or death with these agents,1 the FDA expanded its earlier warning to physicians.



“This adds to the mounting evidence about potential safety issues surrounding all antipsychotics,” said Kevin Foley, MD, FACP, medical director of the Hauenstein Alzheimer’s Disease and Memory Disorders Program… Continue

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

Psychiatric Comorbidity Associated With Pathological Gambling

(PSYCHIATRIC TIMES) - Gambling has become a major recreational activity in the United States. Formerly confined to a few states such as Nevada and New Jersey, legal gambling opportunities have exploded across the nation in the past 2 decades. Some form of legalized gambling now exists in all but 2 states: 37 have lotteries, and 27 have casino gambling. Recent estimates indicate that 70% to 90% of North Americans have engaged in some form of gambling.1 Between 1974 and 1997, gambling… Continue

Added by psychiatryRounds Psychiatry News on October 1, 2008 at 5:30am — No Comments

Substance Abuse in Women With Bulimia Nervosa

(PSYCHIATRIC TIMES) - The high rate of comorbid substance abuse in women with bulimia nervosa (BN) has remained consistent in the literature. This article reviews the prevalence of substance abuse in BN and summarizes treatment approaches for persons with BN and comorbid substance abuse.



Prevalence



Studies conducted in community and clinical settings continue to demonstrate that the prevalence of substance use disorders is higher among women with BN than in women with… Continue

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

Underdiagnosing and Overdiagnosing Psychiatric Comorbidities

(PSYCHIATRIC TIMES) - Diagnostic assessment of psychiatric disorders and their comorbidities is a challenge for many clinicians. In emergency settings, there is no time to conduct lengthy interviews, and collateral information is often unavailable. In acute treatment settings, patients may be too symptomatic to provide accurate information or to recall important details that would aid clinicians in deriving a valid diagnosis. In busy clinical practices, clinicians must see a high volume of… Continue

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

SPECT zooms in on causes of social anxiety disorder

(PSYCHIATRIC TIMES) - Using brain SPECT, Dutch researchers found abnormalities in the brains of individuals with symptoms of social anxiety disorder, a condition that affects an estimated 15 million adults in the U.S.



Dr. Nic J.A. van der Wee and colleagues at Leiden University in the Netherlands used a binding radioactive compound as a tracer to visualize dopamine and serotonin transporters in the brain.



Twelve patients diagnosed with social anxiety disorder and 12… Continue

Added by psychiatryRounds Psychiatry News on October 1, 2008 at 4:30am — No Comments

SPECT zooms in on causes of social anxiety disorder

(PSYCHIATRIC TIMES) - Using brain SPECT, Dutch researchers found abnormalities in the brains of individuals with symptoms of social anxiety disorder, a condition that affects an estimated 15 million adults in the U.S.



Dr. Nic J.A. van der Wee and colleagues at Leiden University in the Netherlands used a binding radioactive compound as a tracer to visualize dopamine and serotonin transporters in the brain.



Twelve patients diagnosed with social anxiety disorder and 12… Continue

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

Adolescent Psychosis

(PSYCHIATRIC TIMES) - Adolescents who present with symptoms that suggest a psychotic disorder pose a number of diagnostic and treatment challenges. This article attempts to provide a practical guide to the assessment and management of adolescents with severe psychotic illness, including schizophrenia, schizophrenia-like disorders, and bipolar disorder. Epidemiology, differential diagnosis, causes, and predisposing factors will also be covered in the context of a comprehensive framework for… Continue

Added by psychiatryRounds Psychiatry News on October 1, 2008 at 3:00am — No Comments

OB-GYNs Update Recommendations for Psychiatric Meds in Pregnancy

(PSYCHIATRIC TIMES) - In a recently updated practice bulletin from the American College of Obstetricians and Gynecologists (ACOG),1 lamotrigine (Lamictal) has been deemed a relatively safe choice when a mood stabilizer is required for a pregnant patient with bipolar affective disorder. Paroxetine (Paxil) is considered to pose greater risk than other SSRIs in this setting.



The bulletin also weighs the possible adverse effects of psychiatric medications against the potential benefits… Continue

Added by psychiatryRounds Psychiatry News on October 1, 2008 at 3:00am — No Comments

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