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PsychiatryRounds Psychiatry News's Blog – November 2007 Archive (5)

Depression and Cognitive Impairment in Older Adults

(PSYCHIATRIC TIMES) - Depression is primarily a mood disorder, but it can also be viewed as a cognitive disorder for many older adults. In community samples, the co-occurrence of depression and cognitive impairment doubles every 5 years after the age of 70 years, and they are estimated to co-occur among at least 25% of persons older than 85 years.1 One of the clinical implications of the co-occurrence of depression and cognitive impairment is that there is a higher risk of adverse outcomes for… Continue

Added by psychiatryRounds Psychiatry News on November 1, 2007 at 10:00pm — No Comments

SPECT digs deep to parse heterogeneity of depression Certain states of regional cerebral blood flow may predict which patients will respond to drug therapy

(PSYCHIATRIC TIMES) - For the most part, deciding which medication to give someone suffering from depression is a blind choice. If the first one doesn't work, a second is tried, and so on. SPECT imaging shows promise, however, of being able to highlight cerebral biomarkers that may help clinicians not only choose the right medication but also monitor its effectiveness.



It is well documented that depression sufferers have decreased regional cerebral blood flow (rCBF). What is not… Continue

Added by psychiatryRounds Psychiatry News on November 1, 2007 at 10:00pm — No Comments

Managing Late-Life Depression With Combined Medication and Psychotherapy

(PSYCHIATRIC TIMES) - There are hundreds of studies that show that pharmacotherapy is used to treat depression in adult and geriatric populations. There are far fewer studies that test the efficacy of psychotherapies and even fewer studies that focus on combined treatment for older patients. This discrepancy is largely a consequence of industry support of research in the former and the dependence on NIMH funding in the latter two. The sober lesson we have learned from STAR*D is that there are… Continue

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

Integrative Management of Anxiety

(PSYCHIATRIC TIMES) - Phobias, obsessions and compulsions, and symptoms of posttraumatic stress are often poorly responsive to conventional drugs.2 In the context of efficacy and safety issues associated with conventional treatments for anxiety, psychiatrists should know about the evidence for nonconventional therapy. In Part 1 of this article, I review research findings on the most substantiated nonpharmacological and integrative treatments for anxiety. In Part 2, I will discuss less… Continue

Added by psychiatryRounds Psychiatry News on November 1, 2007 at 5:00am — No Comments

Psychiatric Emergencies in Bipolar and Related Disorders

(PSYCHIATRIC TIMES) - Part 1 of this article (Psychiatric Times, July 2007, page 14), discussed a general approach to treating psychiatric emergencies in patients with bipolar and related disorders, as well as the assessment and management of agitation and impulsive aggression. Part 2 focuses on psychosis, suicidality, and specific treatments relevant to patients in emergency settings who are agitated or have bipolar disorder.

Psychosis Clinical presentation



Psychosis is… Continue

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

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