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PsychiatryRounds Psychiatry News's Blog – November 2008 Archive (11)

Depression Treatment Turns a Neuromodulatory Corner: FDA Clears TMS Device

(PSYCHIATRIC TIMES) - The FDA has cleared the first transcranial magnetic stimulation (TMS) device (Neuro- Star) for the treatment of major depressive disorder in adults who show no improvement after an adequate trial of a single antidepressant. The TMS device is not implanted and is deemed to have only “moderate” risks (it is nonsystemic and noninvasive).



In January 2007, an FDA panel deemed the TMS device “clinically ineffective” with “marginal” results when compared with… Continue

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

Late-Life Depression

(PSYCHIATRIC TIMES) - Dr Yohannes is reader in physiotherapy in the department of physiotherapy at Manchester Metropolitan University, United Kingdom. He is a member of the International Psychogeriatric Association and British Geriatric Society. Prof Baldwin is psychiatric consultant on old age at the Manchester Mental Health and Social Care Trust, Manchester Royal Infirmary, and honorary professor of psychiatry at the University of Manchester.



For full article, please visit:…

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

An Epidemic of Depression

(PSYCHIATRIC TIMES) - Major depressive disorder (MDD) has become psychiatry’s signature diagnosis. Depression is diagnosed in about 40% of patients who see a psychiatrist. This percentage is double that of just 20 years ago, and it is far higher than that of any other diagnosis. The World Health Organization (WHO) estimates that worldwide depression is the leading cause of disability for people in midlife and for women of all ages.



Consumption of antidepressants has soared since… Continue

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

The Decline of Psychotherapy

(PSYCHIATRIC TIMES) - Although several studies indicate that psychotherapy (alone or in combination with medications) can help psychiatric patients reach recovery faster and stay well longer, a declining number of office-based psychiatrists are providing psychotherapy to their patients.



Analyzing data from the National Ambulatory Medical Care Survey from 1996 through 2005, researchers Ramin Mojtabai, MD, PhD, MPH, of the Johns Hopkins Bloomberg School of Public Health in Baltimore,… Continue

Added by psychiatryRounds Psychiatry News on November 1, 2008 at 9:30pm — No Comments

ADHD in Adults: How to Recognize—and Treat

(PSYCHIATRIC TIMES)- Inattention and hyperactivity/ impulsivity are the defining features of attention-deficit/hyperactivity disorder (ADHD) in both children and adults; however, several core symptoms (eg, hyperactivity) mollify over time in adults. This has led to some diagnostic confusion and possibly underdiagnosis. Significant functional impairment in educational, marital, interpersonal, and occupational realms and in motor vehicle operation is common among adults with ADHD. Moreover, the… Continue

Added by psychiatryRounds Psychiatry News on November 1, 2008 at 8:00am — No Comments

Changes in Psychiatric Diagnosis

(PSYCHIATRIC TIMES) - DSM-IV-TR, our current diagnostic classification system of psychiatric disorders, follows the diagnostic paradigm first established by DSM-III in 1980. Acknowledging the field’s ignorance about the underlying etiology and pathophysiology of mental disorders, DSM-III eschewed basing the structure of the classification and definition of disorders on unproven hypotheses about the causes of psychiatric disorders in favor of an “atheoretical” approach in which disorders were… Continue

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

An Epidemic of Depression

(PSYCHIATRIC TIMES) - Major depressive disorder (MDD) has become psychiatry’s signature diagnosis. Depression is diagnosed in about 40% of patients who see a psychiatrist. This percentage is double that of just 20 years ago, and it is far higher than that of any other diagnosis. The World Health Organization (WHO) estimates that worldwide depression is the leading cause of disability for people in midlife and for women of all ages.



Consumption of antidepressants has soared since… Continue

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

The Many Faces of Posttraumatic Stress Disorder

(PSYCHIATRIC TIMES) - Chronic posttraumatic stress disorder (PTSD) may occur secondary to combat, terrorism, civilian assaults including physical and sexual abuse, or other traumatic experiences. This month’s special report includes a series of articles that address contemporaneous topics of interest to practicing clinicians. The focus in this series is the link between PTSD and sleep disturbances, traumatic brain injury, dissociation, and the prevalence of violence among minority populations.… Continue

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

Traumatic Brain Injury and Posttraumatic Stress Disorder

(PSYCHIATRIC TIMES) - Our returning military veterans remind us dramatically of the importance to consider traumatic brain injury (TBI) as a potential comorbid illness in cases of posttraumatic stress disorder (PTSD). The common causes of comorbid TBI and PTSD are assault and battery to the head, head trauma (personal or work-related injuries), civilian or military explosions, inflicted head trauma in children, motor vehicle accidents, and suicide attempts by jumping. Prevalence figures for… Continue

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

Sleep Disturbances Associated With Posttraumatic Stress Disorder

(PSYCHIATRIC TIMES) - The National Comorbidity Survey estimates that approximately 50% of the population in the United States is exposed to traumatic events and that the lifetime prevalence of posttraumatic stress disorder (PTSD) is approximately 7.8%.1 Multiple studies have demonstrated that patients with PTSD complain of recurrent nightmares and sleep continuity disturbances, which are listed separately in the re-experiencing and hyperarousal clusters in DSM-IV.



Insomnia and… Continue

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

Nations Convene to Create Bipolar Consensus Statement

(PSYCHIATRIC TIMES) - Participants from around the globe recently came together to create an international consensus statement on bipolar disorder that was presented at the 21st Congress of the European College of Neuropsychopharmacology (ECNP).1 The statement describes disparate but “defensible” perspectives from more than 60 experts on the diagnosis of bipolar disorder in children and limited, mixed evidence for specific treatments in affected children and adults.



Experts agreed… Continue

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

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