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Why Psychiatry May Sometimes Need “Fuzzy” Diagnoses

(PSYCHIATRIC TIMES) - “Well, while I’m here, I’ll do the work—and what’s the work? To ease the pain of living . . .”

—Allen Ginsberg







"Many words . . . don't have a strict meaning. But this is not a defect. To think it is would be like saying that the light of my reading lamp is no real light at all, because it has no sharp boundary."

—Ludwig Wittgenstein, The Blue and Brown Books







As a general proposition, most scientists and physicians… Continue

Added by psychiatryRounds Psychiatry News on December 1, 2009 at 4:30am — No Comments

The State of the Evidence on Pediatric Bipolar Disorder

(PSYCHIATRIC TIMES) - Psychiatric Times - Category 1 Credit

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

Read the article "The State of the Evidence on Pediatric Bipolar Disorder" from the December 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… Continue

Added by psychiatryRounds Psychiatry News on December 1, 2009 at 3:30am — No Comments

Challenges in the Treatment of Patients With Bipolar Depression

(PSYCHIATRIC TIMES) - Charles Bowden, MD, clinical professor in the department of psychiatry at the University of Texas Health Science Center, San Antonio.

For full article, please visit:
http://www.psychiatrictimes.com/bipolar-disorder/article/10168/1490931

Added by psychiatryRounds Psychiatry News on December 1, 2009 at 3:30am — No Comments

Suicide Risk and Lethality of Attempts Linked to Low Levels of MHPG

(PSYCHIATRIC TIMES) - Low levels of 3-methoxy-4-hydroxyphenylglycol (MHPG) in patients with major depressive disorder (MDD) or bipolar depression were shown to be associated with increased risk of suicide attempts. Hanga Galfalvy, PhD, assistant professor of clinical neurobiology at Columbia University and the New York State Psychiatric Institute, New York, and her colleagues found that patients with the lowest levels of MHPG at baseline were more likely to commit highly lethal suicidal… Continue

Added by psychiatryRounds Psychiatry News on December 1, 2009 at 3:30am — No Comments

Differentiating Bipolar Depression from Postpartum Depression

(PSYCHIATRIC TIMES) - All pregnant women should be screened for bipolar disorder, according to a recent article by Verinder Sharma, MB, BS, professor of psychiatry and obstetrics and gynecology at the University of Western Ontario, London, Ontario, and colleagues. This is because bipolar depression may be misdiagnosed as major depressive disorder in the postpartum period, resulting in delays in appropriate treatment.1



Another study by Sharma and colleagues found that 54% of 56… Continue

Added by psychiatryRounds Psychiatry News on December 1, 2009 at 3:30am — No Comments

“Psychosurgery”: Promise, Perils, and Patients’ Protection

(PSYCHIATRIC TIMES) - Psychosurgery. For some, the word connotes all the promising therapeutic applications of modern neuroscience; for others, it connotes all the baneful excesses of unregulated pseudoscience. In his recent front page story for the New York Times (Nov. 27), Benedict Carey presented a balanced and nuanced view of what is sometimes termed “psychiatric neurosurgery,” focusing mainly on cingulotomy, capsulotomy, and other neurosurgical approaches to refractory obsessive-compulsive… Continue

Added by psychiatryRounds Psychiatry News on November 30, 2009 at 4:30am — No Comments

Offspring of Parents With Bipolar Disorder

(PSYCHIATRIC TIMES) - These authors compared the lifetime prevalence of bipolar and other psychiatric disorders in children whose parents had–or did not have–BD. The study involved 233 parents with BD and their 388 offspring and a control group of 143 parents without BD and their 251 offspring.



Parents with BD were recruited from outpatient clinics and advertisements for participation in the study. On the basis of diagnostic interviews, 158 parents had bipolar I disorder and 75 had… Continue

Added by psychiatryRounds Psychiatry News on November 30, 2009 at 3:30am — No Comments

Patient access to preliminary imaging reports decreases anxiety

(PSYCHIATRIC TIMES) - Patients want rapid access to the results of preliminary readings, which helps avoid frustration due to long response times and cryptic reports.



Eleven patients recently made their dissatisfaction with outpatient imaging services known during focus group sessions designed to measure their attitudes. The subjects, all of whom had received at least one MRI, were assigned to one of two groups based on whether their scan had been normal or they'd had at least one… Continue

Added by psychiatryRounds Psychiatry News on November 24, 2009 at 3:00am — No Comments

Challenges in the Assessment and Diagnosis of Bipolar Depression

(PSYCHIATRIC TIMES) - Charles Bowden, MD, clinical professor in the department of psychiatry at the University of Texas Health Science Center, San Antonio.

For full article, please visit:
http://www.psychiatrictimes.com/depression/article/10168/1489126

Added by psychiatryRounds Psychiatry News on November 20, 2009 at 4:00am — No Comments

Challenges in the Assessment and Diagnosis of Bipolar Depression

(PSYCHIATRIC TIMES) - Charles Bowden, MD, clinical professor in the department of psychiatry at the University of Texas Health Science Center, San Antonio, describes the challenges physicians face when they assess and diagnose bipolar depression.

For full article, please visit:
http://www.psychiatrictimes.com/bipolar-disorder/article/10168/1489126

Added by psychiatryRounds Psychiatry News on November 20, 2009 at 3:00am — No Comments

How to “Deliver” a Diagnosis of an Autism Spectrum Disorder to Parents

(PSYCHIATRIC TIMES) - It is usually traumatic when parents learn that their child has an autism spectrum disorder (ASD). Be clear about the diagnosis and let families know that treatment will begin as soon as possible, said Doris Greenberg, MD, associate clinical professor of pediatrics at Mercer University School of Medicine, Savannah, Ga. In her presentation at the US Psychiatric and Mental Health Congress in Las Vegas, Dr Greenberg discussed strategies for talking to the families of children… Continue

Added by psychiatryRounds Psychiatry News on November 11, 2009 at 3:30am — No Comments

Which Screening Tool Is Best When You Suspect Alzheimer Disease?

(PSYCHIATRIC TIMES) - Of the screening tools available to help identify early symptoms of Alzheimer’s disease (AD), which is best? 1



In a presentation at the U.S. Psychiatric and Mental Health Congress in Las Vegas, Kevin Gray, MD, director of the Geriatric Neuropsychiatry Clinic, Veterans Affairs North Texas Health Care System, Dallas, gave a withering critique of the widely used Mini Mental State Examination (MMSE) and instead recommended simple and quickly administered tests that… Continue

Added by psychiatryRounds Psychiatry News on November 10, 2009 at 3:00am — No Comments

New Algorithms for the Management of Treatment-Resistant Bipolar Depression

(PSYCHIATRIC TIMES) - Current guidelines for the management of bipolar depression are outdated because they are based on the definition and treatment of unipolar depression, according to Eduard Vieta, MD, PhD, director of the bipolar disorders program at the University Clinic Hospital of Barcelona,



Spain. Dr Vieta led a study to create new definitions and algorithms for the management of treatment-resistant bipolar I and bipolar II depression.1 He created the algorithms after… Continue

Added by psychiatryRounds Psychiatry News on November 9, 2009 at 4:00am — No Comments

New Algorithms for the Management of Treatment-Resistant Bipolar Depression

(PSYCHIATRIC TIMES) -

Current guidelines for the management of bipolar depression are outdated because they are based on the definition and treatment of unipolar depression, according to Eduard Vieta, MD, PhD, director of the bipolar disorders program at the University Clinic Hospital of Barcelona,

Spain. Dr Vieta led a study to create new definitions and algorithms for the management of treatment-resistant bipolar I and bipolar II depression.1 He created the algorithms after… Continue

Added by psychiatryRounds Psychiatry News on November 9, 2009 at 3:00am — No Comments

rTMS May Be Effective in Patients With Treatment-Resistant Bipolar Depression

Repetitive transcranial magnetic stimulation (rTMS) may be an effective therapy for treatment-resistant bipolar depression, according to the results of a recent pilot study led by Guohua Xia, MD, PhD, assistant clinical professor of psychiatry at the University of California, Davis.1 Xia and colleagues undertook this study because rTMS has been shown to be effective in patients with major depressive disorder.2,3 However, there have been few studies of rTMS for bipolar depression, he… Continue

Added by psychiatryRounds Psychiatry News on November 4, 2009 at 4:00am — No Comments

The Role of Antidepressants for the Treatment of Bipolar Depression

(PSYCHIATRIC TIMES) - Although rapid-cycling bipolar disorder has been linked to the use of antidepressants, these treatments may still have a role in the management of patients with bipolar depression, said Stephen V. Sobel, MD, clinical instructor at the University of California, San Diego School of Medicine, in a presentation at the U.S. Psychiatric and Mental Health Congress in Las Vegas. Patients with bipolar disorder spend most of their time in depression, and antidepressants can… Continue

Added by psychiatryRounds Psychiatry News on November 4, 2009 at 4:00am — No Comments

Depression During Pregnancy

(PSYCHIATRIC TIMES) - Major depressive disorder (MDD) is common during childbearing. Depression that interferes with function develops in an estimated 14.5% of pregnant women.1 In a recent population-based study, Munk-Olsen and colleagues2 determined the prevalence of psychiatric disorders relative to childbearing. The overall risk for any psychiatric episode after delivery was elevated for women during the first 3 postpartum months. However, the increased risk specifically for major depression… Continue

Added by psychiatryRounds Psychiatry News on November 4, 2009 at 4:00am — No Comments

rTMS May Be Effective in Patients With Treatment-Resistant Bipolar Depression

(PSYCHIATRIC TIMES) - Repetitive transcranial magnetic stimulation (rTMS) may be an effective therapy for treatment-resistant bipolar depression, according to the results of a recent pilot study led by Guohua Xia, MD, PhD, assistant clinical professor of psychiatry at the University of California, Davis.1 Xia and colleagues undertook this study because rTMS has been shown to be effective in patients with major depressive disorder.2,3 However, there have been few studies of rTMS for bipolar… Continue

Added by psychiatryRounds Psychiatry News on November 4, 2009 at 3:00am — No Comments

Current Clinical Practice in Asperger Disorder

(PSYCHIATRIC TIMES) - Psychiatric Times - Category 1 Credit

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

Read the article "Current Clinical Practice in Asperger Disorder" from the November 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 November 2, 2009 at 3:30am — No Comments

A Psychiatrist’s Worst Nightmare? Psychiatrist Stabbing Raises Concerns

(PSYCHIATRIC TIMES) - A clinic for patients with bipolar disorder at Massachusetts General Hospital (MGH) was the scene of yet another attack by a patient on a psychiatrist.





According to a report in the October 28, 2009 issue of the Boston Globe,1 the 37-year-old perpetrator, Jay Carciero, who was a patient at the clinic, stabbed his psychiatrist, Astrid Desrosiers, MD, during a treatment session. Screams coming from the treatment room caused other patients to panic and run. An… Continue

Added by psychiatryRounds Psychiatry News on November 2, 2009 at 3:00am — No Comments

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