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PsychiatryRounds Psychiatry News's Blog – April 2006 Archive (7)

Gender Differences, Gamma Phase Synchrony and Schizophrenia

(PSYCHIATRIC TIMES) - When considering the question "Gender: Does It Make a Difference?" the simple answer is yes-men and women do appear to experience schizophrenia differently. Over the past few decades, gender differences in the epidemiology and brain morphology of patients with schizophrenia have become increasingly more clear (for a concise analysis, see Castle et al., 2000). While these investigations have allowed researchers to learn more about the disorder of schizophrenia, studies… Continue

Added by psychiatryRounds Psychiatry News on April 24, 2006 at 11:00pm — No Comments

Gone to Pot: The Association Between Cannabis and Psychosis

(PSYCHIATRIC TIMES) - Cannabis, or marijuana, has been consumed by humans for centuries and remains one of the most widely and commonly used illicit substances. Recently, there has been renewed interest in the association between cannabis use and psychosis. The purpose of this article is to review the evidence supporting and refuting the association between cannabis exposure and psychotic disorders, including schizophrenia.

As far back as 1845, Dr. Jacques- Joseph Moreau de Tours described… Continue

Added by psychiatryRounds Psychiatry News on April 1, 2006 at 11:00pm — No Comments

Electroconvulsive Therapy and Medical Illness

(PSYCHIATRIC TIMES) - Physicians who use electroconvulsive therapy (ECT) need to be vigilant for unstable medical conditions before and during the course of treatment. This brief review is intended to highlight some basic principles and specific concerns that may be encountered in the use of ECT in patients who have comorbid medical illness. For more extensive discussions, I refer the reader to recent reviews of ECT in the medically ill by Abrams1 and Rasmussen and colleagues,2 as well as the… Continue

Added by psychiatryRounds Psychiatry News on April 1, 2006 at 5:30am — No Comments

Can Posttraumatic Stress Disorder Be Prevented?

(PSYCHIATRIC TIMES) - Posttraumatic stress disorder (PTSD) is an anxiety disorder that may develop following severe psychological trauma. The person’s immediate response to the event must involve intense fear, helplessness, or horror (or in children, disorganized or agitated behavior).1 Three symptom clusters that characterize the emergence of PTSD are reexperiencing, avoidance and numbing, and hyperarousal. Specific symptoms include flashbacks, nightmares, and feeling detached or estranged… Continue

Added by psychiatryRounds Psychiatry News on April 1, 2006 at 5:00am — No Comments

Treating Cognition and Function in Patients With Alzheimer Disease

(PSYCHIATRIC TIMES) - Special Report: Neuropsychiatry

Alzheimer disease (AD) is an acquired neurodegenerative disease that causes persistent and progressively worse dementia. The cognitive deficits of AD include disturbances of language (aphasia); calculation (dyscalculia); visuospatial integrity; motor programming (apraxia); recognition (agnosia); and planning, organization, and problem solving (executive dysfunction). The clinical presentation of AD progresses through 3 stages of… Continue

Added by psychiatryRounds Psychiatry News on April 1, 2006 at 2:00am — No Comments

The Role of Estrogen in the Development of Age-Related Cognitive Impairment and Dementia

(PSYCHIATRIC TIMES) - Special Report: Neuropsychiatry

During and after menopause, many women report impairments in cognitive functioning. One of the most controversial issues in medicine today is the decision to prescribe hormone therapy for women as a way to mitigate the physical and cognitive symptoms of menopause. There is some evidence that estrogen therapy (ET) results in the maintenance of a premenopausal level of cognitive functioning1-4 and may reduce the risk of Alzheimer… Continue

Added by psychiatryRounds Psychiatry News on April 1, 2006 at 2:00am — No Comments

Early Intervention in a Case of Migraine With Depression

(PSYCHIATRIC TIMES) - THE CASE: The patient—a 25-year-old white woman employed as a fourth-grade teacher—presented with left-sided, throbbing headaches that had gradually increased in severity and frequency.

Her headaches began at age 13 with menarche. These headaches, which occurred once or twice a month, were associated with photophobia, phonophobia, and nausea, and usually lasted 8 to 12 hours. They gradually progressed in severity (from mild/moderate to moderate/severe) and… Continue

Added by psychiatryRounds Psychiatry News on April 1, 2006 at 1:30am — No Comments

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