Clinical Psychiatry News

Clinical Psychiatry News is a monthly medical and psychiatry tabloid published since 1973 by the International Medical News Group. Subjects for Clinical Psychiatry News include psychology and psychiatry. The executive editor is Denise Fulton, and Gina Henderson is a senior editor.

Articles from Vol. 30, No. 2, February

Adrenergic Blockers Shortly after Trauma Can Block PTSD. (Mood Stabilizer, Cbt Also Help)
Los ANGELES -- Prompt treatment of posttraumatic stress disorder, ideally within a few hours of the traumatic event, may save the patient many years of suffering, Dr. Charles R. Marmar said at a psychopharmacology update sponsored by the University...
Brief Questions Separate ADHD from Epilepsy. (Behind Inattentive Stare)
PHILADELPHIA -- A child who often stares inattentively could have epilepsy or attention-deficit hyperactivity disorder. Telling the two apart is a challenge. Assessment of three behaviors made it possible to distinguish epilepsy from attention-deficit...
CBT Works Well for Seasonal Affective Disorder. (Comparable to Light Therapy)
PHILADELPHIA -- A cognitive-behavioral group therapy intervention appears as effective as light therapy for seasonal affective disorder, and the combination may be best of all, Kelly J. Rohan, Ph.D., said in a poster presentation at the annual meeting...
Depressive Symptoms Independently Predict Subsequent Hypertension. (Ambulatory BP Monitored)
ANAHEIM, CALIF. -- Depressive symptoms are an independent predictor of subsequent development of hypertension, Karina W. Davidson, Ph.D., said at the annual scientific sessions of the American Heart Association. She reported on 283 adults, 44% of...
Drug Shortages Challenge Long-Term Patient Care: Number of Products Affected Up Sharply. ('Domino Effect')
In late December, Dr. Clifford Moy, clinical director of the Austin (Tex.) State Hospital, did something he almost never has to do: In consultation with attending physicians, he switched 17 patients from one drug--the antipsychotic quetiapine fumarate...
Duloxetine Dampens Depression, Comorbid Pain. (Results of Three Trials)
SAN ANTONIO -- Duloxetine, a potent new serotonin and norepinephrine reuptake inhibitor, reduces the symptoms of major depressive disorder and decreases chronic, comorbid pain in depressed patients. The results of three trials were presented in...
Early Abuse Sparks Cerebellar Changes. (Pathway to Substance Abuse?)
Early stress and mistreatment are recognized risk factors for later substance abuse, and while neurobiologic alterations are assumed to play a role, the details remain uncertain. One recent study pointed toward an unlikely corner of the brain--the...
Fink! Still at Large: Psychiatrists: Too Many, or Too Few? (Opinion)
There is an ongoing debate as to whether there are too many or too few practicing psychiatrists in the United States. Of more than 45,000 U.S. psychiatrists, only about 23,000 are actually practicing outpatient psychiatry. Yet, many jobs in the public...
First Depression Center, New Treatment Approach. (National Network Needed)
ANN ARBOR, MICH. -- The establishment of the nation's first comprehensive depression center at the University of Michigan will help pave the way for a national network of comprehensive depression centers and perhaps even a new approach to treating...
Genetic Screening: Patients Should Share Decisions. (Form a Family 'Covenant')
SEATTLE -- Evidence-based medicine is overshadowing patient choice in efforts to counsel patients about genetic testing, Dr. Howard Brody said at a conference on patient education sponsored by the Society of Teachers of Family Medicine. "Much of...
Good Rapport, Good Results in Drug Counseling. (Enhance Counselor's Skills)
Patients who achieve better rapport with their counselors are likely to have a better outcome with drug abuse treatment than those who do not, reported George W. Joe, Ed.D., and his colleagues at Texas Christian University in Fort Worth. An analysis...
Interferon Tied to Psychosis in Hepatitis C Patients. (Four of Six Patients Affected)
NEW YORK - The use of alpha interferon has long been associated with depression, but for the first time, patients enrolled in a clinical trial using alpha interferon to treat hepatitis C developed psychosis, Dr. Rosalind G. Hoffman reported at the...
Learning Disorders Sink Some Kids with ADHD. (Test for Processing Problems)
HONOLULU -- Albert Einstein's third cousin was flunking fourth grade with an IQ of 148 when he was brought to Dr. Deborah R. Simkin for an evaluation. "This kid could go upstairs on the computer and come down with 60 pages on gene transfer therapy...
Less Risk to Suicidal Girls Who Pick Support Team. (Simple Intervention)
HONOLULU -- Support teams which are nominated by suicidal adolescents helped to decrease suicidal ideation, internalizing behavior problems, and functional impairment among 179 adolescents who participated in a randomized, controlled trial, Cheryl...
Letters
Handcuffed by Managed Care All of us should applaud Surgeon General David Satcher's efforts to approach suicide as a public health problem ("MDs Can Do More to Cut Suicide Rate," June 2001, p. 1). A national strategy for suicide prevention is...
Long-Term Sertraline Improves Pediatric OCD. (47% Achieved Full Remission)
HONOLULU -- Approximately half of 132 pediatric patients with obsessive-compulsive disorder achieved full remission in a 1-year, open-label trial of long-term treatment with sertraline, Dr. Edwin H. Cook Jr. reported in a poster presentation at the...
Look for Atypical CAD in Women with Chest Pain. (Ascribed to Panic Disorder)
ANAHEIM, CALIF. -- Persistent chest pain in women without angiographic evidence of coronary artery disease appears to be a problem that's physiologic rather than psychological in origin, according to new findings from the Women's Ischemia Syndrome...
Look to Patient's Ego Defense for Diagnostic Clues. (Three-Step Approach)
SAN ANTONIO -- Analysis of a patient's ego defense mechanisms can provide valuable clues to diagnosis, Dr. Thomas P. Beresford said at the annual meeting of the Academy of Psychosomatic Medicine. Different defense mechanisms are characteristic of...
Nefazodone Labeling Warns of Life-Threatening Liver Failure. (Drug Safety)
MIAMI -- The antidepressant nefazodone now carries a black box warning to alert prescribers and patients to the possibility of life-threatening liver failure. The Food and Drug Administration and the drug's manufacturer, Bristol-Myers Squibb Co.,...
Olfactory Deficits Key to Schizophrenia's Pathology. (Noninvasive Observation Possible)
NEW YORK -- Important clues to nerve function in schizophrenic patients can be gleaned from study of the olfactory bulb and olfactory epithelium, Dr. Steven Arnold told the annual scientific symposium of the National Alliance for Research on Schizophrenia...
Oregon's Law Paved Way for Discussion of End-of-Life Issues. (Few Physician - Assisted Suicides)
ASHLAND, ORE. - Fewer than 1 in 1,000 deaths in Oregon has been the result of physician-assisted suicide since 1997, when a controversial law approving the practice was passed in the state legislature, Dr. Susan Tolle said at the annual meeting of...
Panic Disorder Is Highly Chronic. (Relapse Likely)
PHILADELPHIA -- Panic disorder is highly chronic and likely to relapse when it remits, particularly if it is accompanied by agoraphobia, Dr. Steven Bruce said at the annual meeting of the Association for the Advancement of Behavior Therapy. Concurrent...
Paraphilia TX Tied to BMD Loss. (Routine Screening Advised)
MONTREAL -- A reduction in sexually deviant fantasies and urges is the goal in treating paraphilias, but the need to closely monitor patients for the loss of bone density associated with hormone suppressant therapy or surgical castration often is overlooked,...
Post-MI Antidepressants Don't Help the Heart. (Little Impact on Cardiovascular Outcomes)
ANAHEIM, CALIF. -- Antidepressant therapy after myocardial infarction or other serious cardiac events can definitely reduce the burden of depression, but it will likely have little impact on cardiac function or future cardiovascular risk, Dr. Christopher...
Practical Psychopharmacology. (Cognitive Impairment in Schizophrenia)
The cognitive cost of schizophrenia is not a new discovery: Decrements in such parameters as memory, attention, and executive function were noted in clinical descriptions of the disorder a century ago. And yet, clinical interest in this area has increased...
Prolonged Exposure Therapy Works, Debriefing Does Not. (in Trauma's Shadow)
PHILADELPHIA -- Several sessions of prolonged exposure therapy in the weeks after a traumatic event have been shown to accelerate the process of recovery, Edna B. Foa, Ph.D., said at the annual meeting of the Association for Advancement of Behavior...
Reel Life: Reflections on Relationships, as Revealed in the Art of the Filmmaker. (Psychotherapy)
Eric Rohmer is the last practitioner of Nouvelle Vague, a film style developed by French filmmakers who believed in film as an encounter between artist and audience, not as a studio product. Unlike his more famous colleagues, including Francois Truffaut,...
Stimulants May Benefit Nonpsychotic Dementia. (Useful Adjunct Therapy)
BETHESDA, MD. -- Stimulants maybe useful adjunctive medications in some patients with dementia, but not if they have psychotic symptoms, Dr. Thomas Hyde said at a psychopharmacology update sponsored by the National Institutes of Health. There have...
Subjective Criteria Make Bipolar Diagnosis Tricky. (Bipolar Disorder in Children)
HONOLULU -- Diagnosticians could be divided into "lumpers" and "splitters" when it comes to diagnosing bipolar disorder in children, according to findings presented at the annual meeting of the American Academy of Child and Adolescent Psychiatry ...
Surprising Data Find Mood Disorders Prevalent in Juvenile Murderers. (Maternal Psychiatric History)
BOSTON -- Mood disorders were highly prevalent in a group of juvenile murderers, but psychosis and conduct disorder were not, Dr. Richard L. Frierson reported at the annual meeting of the American Academy of Psychiatry and the Law. This profile,...
The Struggle for Meaning. (Guest Editorial)
Maintaining physician commitment is one of the most urgent issues facing hospital administrators and medical educators. Unprecedented numbers of doctors are abandoning practice for administration or taking early retirement. In a recent study by...
Timing of Synaptic Pathology May Be a Factor in Schizophrenia. (Excitatory, Inhibitory Imbalance.)
PITTSBURGH -- Researchers are increasingly finding microscopic clues that schizophrenia involves alterations in neuronal and synaptic circuits that connect the hippocampus, prefrontal cortex, and the mediodorsal thalamus-- the very "wiring" of the...
U.S. Depression Treatment Rates Up Dramatically: Large Number of Educational Campaigns May Have Made the Difference. (10-Year TX, Prescribing Data Compared)
A significant increase during the past 15 years in the outpatient treatment of depression and in the use of prescribed medications has been documented for the first time in a survey of more than 67,000 Americans. Among the factors contributing to...
Violent Video Games May Spur Boys' Aggression. (Behavioral Disorder Cases)
BOSTON -- Boys with behavior disorders show a preference for violent video games, and chronic exposure to these games, and chronic exposure to these games appears to be associated with a decline in empathy, Dr. Jonathan Kaplan said at the annual meeting...
Watch Rhabdomyolysis in Substance Abusers. (Inexpensive Test Available)
AMELIA ISLAND, FLA. -- Greater awareness and an inexpensive screening test are key ways to prevent rhabdomyolysis, a serious and often unrecognized complication of alcohol and drug abuse, Dr. John Wilkaitis said at the annual meeting of the American...