As sleep disturbances in patients with depression are associated with increased episode recurrences, persistent illness course, and poor outcomes, assessment of the relationship between both and review of effective treatment modalities is essential for improving quality of life for these patients.
Sarah Hollingsworth Lisanby, MD, director, Translational Research Division at the National Institute of Mental Health, discusses the use of repetitive transcranial magnetic stimulation for maintenance therapy in depression.
Careful clinical and metabolic monitoring should be implemented by clinicians caring for patients with severe mental illness.
Psychiatry Advisor interviews with Allegra I. Broft, MD, to explore the connection between bipolar disorder and binge eating disorder.
Mental health professionals regularly grapple with the best way to support clients navigating an onslaught of sexual violence in their daily lives.
The prevalence of bipolar postpartum depression is greater than previously understood and requires distinct treatment.
Malpractice liability reform would best be analyzed on a specialty-by-specialty basis.
Evidence suggests that several underlying mechanisms of bipolar disorder may be improved with dietary interventions, and good nutrition is associated with improved outcomes in this population.
"Since the current generation of psychiatrists has been raised on second-generation antipsychotics and has relatively little experience with first-generation antipsychotics, keeping tardive dyskinesia in mind is not, on the whole, part of their experience or training," said Christoph U. Correll, MD.
It is not always clear whether treatment resistance in schizophrenia is related to medication underexposure or the result of medication being ineffective.
The Goldwater Rule has proven remarkably resilient and has not been seriously challenged for half a century — until now.
Raloxifene has demonstrated mostly positive results in meta-analyses of men and women with schizophrenia who received the selective estrogen receptor modulator as adjunctive therapy.
In the current treatment landscape where there are few solid strategies to address treatment resistance, augmentation with T3 has been recommended by several clinical practice guidelines.
Awareness of risk factors for bipolar disorder facilitates early intervention, typically beginning with lifestyle changes rather than pharmacotherapy.
As pharmacologic options have largely remained the same during the last decade, there exists a need to consider adjunctive therapies for bipolar disorder treatment.
Even though physician-assisted suicide is legal in 5 states and Washington, DC, no state allows euthanasia.
Neuropathic pain has been linked with negative outcomes including psychological distress.
Various professional guidelines recommend cognitive-behavioral therapy (CBT) for the management of psychosis and schizophrenia; however, the clinical application of CBT is limited by its complexity and the need for intensive training.
Digital technology shows promise in monitoring and collecting patient information to contribute to schizophrenia research.
While results so far may seem to support a link between increased access to cannabis and a reduction in prescription opioid use, findings from a study published in 2018 found otherwise.
The relationship between agoraphobia and panic has gone through some changes and reconceptualization, as evidenced by the diagnostic categories laid out in the Diagnostic and Statistical Manual of Mental Disorders.
Although the theory of the gut-brain axis has existed for more than a century, recent studies are now examining how gut microbiota influence mood.
This article discusses the issue of physician suicide trends, then and now.
As major depressive disorder is a leading causes of disability, and approximately one-third of patients with the condition do not respond to currently approved treatments, there exists an unmet need for more effective and rapidly acting antidepressants.
"Compassion fatigue" is understood to affect workers across the spectrum of helping professions, and to be extremely prevalent among physicians.
Successful management of both the manic and depressive states in bipolar disorder has been difficult to achieve, despite a broad range of pharmacologic treatments available.
Michael Thase, MD, comments on the potential for lithium in drinking water as a psychiatric prophylactic agent.
More than 60% of healthcare institutions in the US are using electronic communication to exchange patient medical information.
Sexual harassment perpetuated by celebrities, prominent government officials, and others in positions of power is broadly affecting US culture.
As failure to recognize depression symptoms contributes to the association between mortality and depression in cancer patients, early recognition and treatment with pharmacologic and/or psychologic support is essential for improving outcomes.
Obesity and associated comorbidities are seen to be potential contributers to Alzheimer disease pathophysiology.
The frequent comorbidity of bipolar disorder and alcohol use disorder presents a significant challenge for clinicians managing patients with these conditions.
Variability in definitions of "anxious depression" in research impedes the ability to make clear comparisons.
The principal driver of practicing defensive medicine is the desire to avoid litigation.
It is unknown whether training in emotional, social, and practical skills generalize to the "real world" setting once offenders are released.
The Oregon Foundation for Reproductive Health recommends that all medical providers ask all female patients of reproductive age if they plan to become pregnant in the next year.
Although PTSD is a significant component of the ongoing trauma from torture, it is far from representative of the whole spectrum of physical, mental, and psychological distress that survivors experience.
Suicide in prisons is multifactorial, with contributing factors that include medical and mental health issues as well as those involving family, lack of purposeful activity, and conditions of the specific prison environment, as well as the stress of adjusting to incarceration.
Lifestyle factors including exercise may be a strategic target to decrease symptoms of depression.
40% of people with dementia are still driving.
Bipolar disorder and borderline personality disorder reflect alternate expressions of the same underlying disorder.
The connection between PSD and mortality appears to result from increased cardiovascular mortality.
A growing body of research consistently shows that patients with schizophrenia often suffer from sleep disturbances.
Using mindfulness instead of exposure therapy may reach more veterans averse to discussing trauma.
The growing field of nutritional psychiatry explores the role of diet in mental health.
Although existing management strategies for delirium are limited in effectiveness, researchers are hopeful that improvements in prevention strategies for delirium may be achieved by gaining a better understanding of the role of cognitive and brain reserve.
Depersonalizing may help a lot of struggling parents understand the severity of an eating disorder.
Children and adolescents with hearing loss may be more prone to developing depression, aggression, oppositional defiant disorder, conduct disorder, and psychopathy than their normally hearing peers.
Over the past 10 years, a strong research base has been mounting supporting the concept of a diagnosis of borderline personality disorder in teens.
The opioid crisis needs to be addressed in order to reduce overdose deaths.
Dermatologic diseases such as acne, psoriasis and atopic dermatitis frequently have psychiatric comorbidities such as depression or suicidal ideation.
Results from animal studies have been showing that anesthetics may be neurotoxic and could lead to cognitive dysfunction.
There are indications that for some patients, drug treatment is less effective when reinstated after relapse.
HIV-associated neurocognitive disorder is a term used to describe a range of neurocognitive dysfunction issues linked to HIV infection.
This review explored studies that investigated the efficacy and safety of maintenance rTMS following successful acute treatment with rTMS or ECT in treatment-resistant patients with unipolar or bipolar depression.
In the past, clinicians believed anorexia arose from control battles with parents and that the individual had to develop insight and motivation to recover.
Up to 30% of patients with HIV are resistant to standard interventions for depression.
"Anxiety disorders are persistent and incapacitating, and despite the availability of effective treatments, not all individuals with anxiety receive adequate treatment."
Should the statistical significance of the P-value be lowered?
Work continues on refining our understanding on the identification of alcohol-related neurodevelopmental disorder (ARBD).
Understanding more about the original protocols of RCTs for various drugs may offer helpful insights into the clinical implications of those trials' findings.
For people with chronic pain, psychological interventions have been helpful.
Making mental health predictions based on clinical presentation has major limitations.
The concept that lying is more cognitively draining than telling the truth has found considerable support in clinical studies.
Clinicians prescribing antidepressants may need to consider augmenting their therapy with another agent.
Mental health patients with urgent symptoms may be assisted by emPATH units.
Among older people with visual impairment, 57.2% are at risk for mild or moderate depression.
Contrary to common belief, the prevalence of depression in older adults does not decrease with age.
The malware race is a battle between hackers and security experts.
Smartphone addiction appears to be linked to sleep disorders, anxiety and stress disorders, and greater consumption of alcohol and tobacco.
Healthcare systems are expanding in the numbers of people covered and in the care across lifespan.
Well-intentioned parents may not realize that it is terrifying for a youngster to be left without any parental direction, even if the child does not act scared.
Men, including male physicians, are less likely than female physicians to seek medical treatment for their own health conditions.
Clinicians should be better trained about the importance and roles of depression screening to improve patient care.
Non-monogamy can have rules and meanings as varied as the clients who practice it.
Siblings of children with disabilities may experience a "wide range of emotions.
Catastrophizing undermines pain treatment effectiveness and facilitates structural brain changes that serve to maintain pain and distress.
Rape has been linked with the strongest risk for PTSD in both women and men, followed by combat exposure and child molestation.
Impulse control disorders are thought to be related to impaired function of decisional impulsivity associated with rapid, disinhibited decision-making, rather than motor impulsivity.
Alcoholism can have a deleterious effect on interpersonal relationships, including romantic partners, friends, and coworkers.
Both postpartum and prenatal depression are among the most significant contributors to maternal morbidity and mortality.
The FY2017 appropriations bill raised serious concerns about significant reductions in funding for many proposed programs by the NIH and the CDC.
Little progress has been made in identifying effective agents for patients who don't respond to existing ADHD medications.
Postpartum PTSD is an area with limited physician knowledge.
Increased rates of depression in the United States could be at least partially due to the dietary shift away from omega-3 consumption.
A new bill aimed specifically at limiting medical liability was passed by Congress on March 1, 2017.
Elderly LGBTQ individuals are more likely to be depressed and have poor general health than non-LGBTQ seniors.
New classes of antibiotics are vital to ensure that effective treatment of patients with multidrug-resistant infections is available.
Michelle Mello, JD, PhD, discusses key issues surrounding medical liability, and why now is the right time to address malpractice reform in a meaningful fashion.
Shekhar Saxena, MD, director of the Department of Mental Health and Substance Abuse at the World Health Organization, speaks about depression.
Post-surgery pain is a continuum with no clear delineation.
"Diabulimia" may or may not be associated with bulimia or any of its symptoms.
Seasonal Affective Disorder is frequently believed to be a mild condition and is often overlooked by clinicians.
Nearly 15% of all gay men report dealing with anorexia or bulimia during their lifetime.
Medicaid patients experienced increased wait times for appointments to see healthcare providers.
A new agent would be the first oral treatment for suicidal behavior in patients with bipolar depression.
Planning for transitioning from pediatric care to adult care beings when the patients is a child or adolescent.
Technological advances have permitted us to improve the process by which informed consent is obtained.
Corrective action plans ares intended to prevent HIPAA violation fines from recurring.
Non-reporting of negative results contributes to a body of knowledge that is at best, incomplete, and at worst, wrong.
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Psychiatry Advisor Articles
- #MeToo: Helping Victims Cope With Sexual Harassment
- Clinician Insight: Exploring the Link Between Bipolar Disorder and Binge Eating Disorder
- Association Between Psychosis and Development of Dementia in Older Men
- Psychosis Could Be a Potential Side Effect of Steroid Treatment in Kids
- Effects of Antipsychotic Drugs on the Cardiovascular System
- Triiodothyronine in the Treatment of Bipolar Depression
- Nutritional Influences on Bipolar Disorder in Children
- Old Challenges and New Directions in Managing Tardive Dyskinesia
- Similar Rates of Childhood Trauma in Schizophrenia and Substance Use Disorders
- Potential for SERMs as Adjunctive Therapy for Schizophrenia
- Psychiatric Comorbidities Increase Neurologic Disability in Multiple Sclerosis
- Self-Regulation Interventions Beneficial for Children
- Traumatic Brain Injury Associated With Increased Risk for Dementia
- Adverse Neurodevelopmental and Mental Health Outcomes in PCOS
- Depression and Sleep Disturbances: Common Bedfellows