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. 29, No. 6, June

Adolescent Girls Who Diet Frequently Are at Greater Risk of Becoming Smokers
Frequent dieting is a red flag for imminent initiation of smoking among adolescent girls, but not boys, reported S. Bryn Austin, Sc.D., of Children's Hospital, Boston, and Steven L. Gortmaker, Ph.D., of Harvard School of Public Health Boston. This...
Adolescents with Eating Disorders Often Turn to Herbal Remedies
SAN DIEGO -- Adolescents with eating disorders use herbal remedies for both weight control and general health maintenance purposes, Dr. Debra Katzman reported at the annual meeting of the Society for Adolescent Psychiatry. "Heath care providers...
Antidepressant Efficacy in Smoking Cessation Depends on Genes
DANA POINT, CALIF. -- Smokers who possess one allele of a dopamine receptor gene have a harder time quitting with the aid of venlafaxine than those who possess the other allele. The demonstration that a person's specific genotype affects his or...
Basic Psychotherapy Helps Violent Adolescent
PHILADELPHIA -- Providing praise, advice, and help in seeking alternatives to violence are some of the basic principles of psychotherapy that can be applied to the case of a violent adolescent or young adult, Dr. William Bernet said at the annual meeting...
Body Dysmorphic Disorder Underdiagnosed
NEW ORLEANS -- Body dysmorphic disorder appears to be frequently comorbid with other psychiatric disorders but is regularly undiagnosed, Dr. Jon E. Grant said at the annual meeting of the American Psychiatric Association. In one series of patients...
Bullying May Increase Risk of Suicide in Bystanders, Victims
ATLANTA -- Chronic peer abuse is a risk factor for adolescent suicidal behavior--not only for the victim of the abuse but also for bystanders, JoLynn Carney, Ph.D., said at the annual meeting of the American Association of Suicidology. A group of...
Bullying Task Force Targets Bullies, Victims, and Bystanders
ROCKVILLE, MD. -- Bullying is not simply a problem between the bully and the victim; it is a problem within the school culture that must be addressed. This realization led social worker Jack Gilbert to create the bully task force 3 years ago at...
Clinicians Need Therapy Following Patient Suicide
ATLANTA -- Clinicians whose patients have committed suicide need to address their own emotions, said members of the American Association of Suicidology's Clinician Survivor Task Force who addressed the association's annual meeting. "Do not be too...
Clozapine Found Effective in Refractory Disorders
PHILADELPHIA -- Clozapine can make a big difference in the life of an adolescent patient, but managing its side effects can make life even better, Dr. Ginny GerbinoRosen said at the annual meeting of the American Society for Adolescent Psychiatry....
Cognitive-Behavioral Therapy Can Cut Compulsive Hoarding
ATLANTA -- A well-defined program of cognitive-behavioral therapy helps reduce acquisition behavior and improves confidence, problem recognition, decisiveness, and organization among compulsive hoarders, Gail Steketee, Ph.D., reported at the annual...
Complete Exam Critical in Treating Chronic Fatigue
WASHINGTON - A proper work-up is the most important thing to consider when treating patients with chronic fatigue syndrome, according to the chair of a consensus panel convened by the Centers for Disease Control and Prevention and the Chronic Fatigue...
Consider Acute Viral Encephalitis with Unexplained Psychosis
Familiarity with the clinical signs and epidemiology of encephalitis is critical in avoiding misdiagnosis of this elusive condition which often presents as a psychiatric disorder, said Dr. Stanley N. Caroff and his associates at the University of Pennsylvania...
Consider Arbitration over Jury Trial for Lawsuits
SAN DIEGO -- When facing a malpractice lawsuit, consider binding arbitration instead of a traditional jury trial, Kenneth Zuetel advised at the annual meeting of the American Academy of Cosmetic Surgery. But don't expect your defense lawyer to bring...
Creative Strategies Aid Busy Teaching Physicians
NEW ORLEANS -- Effective teaching can occur in small doses. "Change the notion of teaching as a didactic mini-lecture," said Dr. Elisa Zenni of the University of Florida, Jacksonville. She was one of three leaders of "Teaching in Busy Clinical...
'Distress Thermometer' IDs Emotional, Physical Ills
FORT LAUDERDALE -- The "distress thermometer" is the benchmark for measuring the distress level of patients with cancer, Dr. Jimmie C. Holland said at the annual meeting of the National Comprehensive Cancer Network. The thermometer, also known as...
Don't Overlook Psychotherapy for Schizophrenia
NEW YORK -- Psychotherapy still has a role in the treatment of schizophrenia, Dr. Martin S. Willick reported at a schizophrenia conference sponsored by Columbia University and the New York State Psychiatric Institute. Although it's true that medications...
Don't Overlook Religion and Spirituality in Suicide Assessment, Treatment Plan
ATLANTA -- Religion and spirituality are likely to have a strong influence on a patient's attitude toward suicide and should be considered as part of the suicidal assessment and treatment plan, Dr. David Larson said at the annual meeting of the American...
Early Trauma Linked to Right-Brain Impairment
SAN DIEGO -- The most profound effect of early, ongoing childhood trauma is the limited development of the right brain, which could foster a predisposition to violence, Dr. Allan N. Schore reported at a conference on treating emotional trauma sponsored...
Education Crucial for Violent Children, Families
PHILADELPHIA -- Forming a partnership with the patient and family members is key to the pharmacologic management of violent children and adolescents, Dr. Ginny Gerbino-Rosen said at the annual meeting of the American Society for Adolescent Psychiatry....
Elderly Suicide Risk Often Missed in Primary Care
More than half of the elderly men who commit suicide or who kill themselves after murdering their wives have clear evidence of psychopathology, but their primary physicians apparently fail to detect or properly treat it. In what they described as...
Estrogen, NSAID Use for Alzheimer's Is Premature
SAN DIEGO -- Until data from large primary prevention trials underway prove otherwise, there is no place for the use of anti-inflammatory drugs or estrogen in the prevention or treatment of Alzheimer's disease, Dr. Leon Thai said at a meeting on Alzheimer's...
Evidence of Pharmacotherapy's Effectiveness for PTSD Grows
PRACTICAL PSYCHOPHARMACOLOGY: What Experts Do Before Study Results Are In Pharmacotherapy isn't always indicated in posttraumatic stress disorder; in fact, it may not be the most effective approach. "The most dramatic results, so far, have been...
Experience Is Education
Not unlike other medical specialties, the practice of psychiatry has changed dramatically in the last 10 years. Advances in neuroscience have given us new and innovative methods of caring for our patients. Responding partly to these advances and to...
Growing Shortage of Nurses Imperils Hospital Care
Waning numbers of competent registered nurses have doctors worried that the level of medical expertise in hospitals will eventually drop--leaving room for more medical errors. Health organizations and witnesses at congressional hearings have projected...
HCFA Reform Shifts from Legislation to Regulation
WASHINGTON -- The time is ripe for regulatory relief and reform, according to policy analysts and lobbyists. Currently, there are three mental health issues that can be addressed by the Bush administration--without the need for legislation, explained...
HIPAA Boosts Protections for Psychotherapy Notes
Two sets of records will be required. NEW ORLEANS -- New rules prepared under the Health Insurance Portability and Accountability Act are going to change forever the way psychiatrists keep their medical records, Daniel H. Willick, J.D., said at...
Intergenerational Trauma May Disrupt Attachment
SAN DIEGO -- People who have been traumatized may unintentionally traumatize their own children--sometimes in subtle and unexpected ways, Dr. Mary Main reported at a conference on treating emotional trauma sponsored by the University of California,...
Internet Offers Wealth of Clinical, Educational, Professional Resources
MIAMI BEACH -- The Internet, now "an essential tool for health professionals," offers an abundance of sometimes bewildering resources for psychiatrists, Dr. Raymond Ownby said in a psychopharmacology update sponsored by the University of Miami. ...
Listen to Parents for Early Warning Signs of ODD
CAMBRIDGE, MASS. -- Pediatricians play an extremely important role in early recognition of oppositional defiant disorder, Ross W. Greene, Ph.D., said at a pediatric meeting sponsored by Harvard Medical School. "It's a lot harder for me to deal with...
Long-Acting Risperdal Improves Schizophrenia Symptoms
NEW ORLEANS -- The first sustained-release atypical antipsychotic drug represents the next substantial advance in the treatment of schizophrenia, Dr. Sally A. Berry reported at the annual meeting of the American Psychiatric Association. Long-acting...
MDs Can Do More to Cut Suicide Rate
WASHINGTON -- Clinical recognition of the common warning signs of suicide is a key component of a national suicide prevention effort that Surgeon General David Satcher unveiled last month. The report--the first installment of the National Strategy...
Mental Disorders among Incarcerated Youth Often Overlooked
NEW ORLEANS -- A majority of adolescents at the Harris County Juvenile Detention Center in Houston, Tex., suffer from mental disorders--especially depression and drug abuse, Dr. Dina Domalanta said at the Southern regional meeting of the American Federation...
Neuroimaging Plays Key Role in Alzheimer's Dx
SAN DIEGO -- Neuroimaging is playing a greater role than ever before in assisting clinicians with the diagnosis of Alzheimer's disease and related disorders, Dr. Charles DeCarli said at a meeting on Alzheimer's disease sponsored by the University of...
New 40-Minute Screen Outperforms MMSE
TORONTO -- The Baycrest Neurocognitive Assessment may be better than the Mini-Mental State Examination as a quick screen for unspecified dementia in a busy office, Dr. Morris Freedman said at a conference on dementia sponsored by the University of...
Offering Public Access to Malpractice Data Is Risky
Do you favor or oppose the establishment of a public access database of malpractice suits? Have you ever encountered a colleague who was questionably dangerous who might have been revealed with the existence of such a database? Patients have the...
Online Sexual Addiction Often Missed by Therapists
LOS ANGELES -- Addiction to cybersex is a new but growing disorder that therapists and counselors often misdiagnose, Dr. Jennifer P. Schneider reported at the annual meeting of the American Society of Addiction Medicine. The explosive growth of...
Opioids Still Worthwhile despite Street-Drug Taint
ATLANTA -- Long-acting opioids, such as oxycodone, have received a bad rap in recent months from several mainstream press reports of their misuse as street drugs. But for patients with pain from peripheral neuropathy, or other chronic pain, they're...
Pathologic Gambling Often Coexists with Substance Abuse
Los ANGELES -- Gambling problems and illicit drug use frequently appear to be coexisting disorders, Dr. Renee M. Cunningham-Williams said at the annual meeting of the American Society of Addiction Medicine. Dr. Cunningham-Williams and her associates...
Patient Suicides Take Their Toll on Psychiatrists
ATLANTA -- Patient suicide precipitates a personal and professional nightmare that often is inadequately addressed by clinicians in general, and psychiatrists in particular, Dr. Frank Jones said in an interview. "We tend to be good at helping others...
Poor Medical Care May Explain Increased Mortality
NEW ORLEANS -- The association between mental illness--particularly mood disorder and schizophrenia--and excess mortality from cardiovascular disease is well known, but the cause has never been established, Dr. Benjamin G. Druss said at the annual...
Presenile Dementia Is Frontotemporal 25% of Time
SAN DIEGO -- Frontotemporal dementia--once considered a rare condition that could not be differentiated from Alzheimer's disease prior to death--may account for up to 25% of all presenile dementia cases, Dr. Bruce Miller said at a meeting on Alzheimer's...
Promising New Antipsychotics for Pediatric Patients
MARINA DEL REY, CALIF. -- Psychosis and aggression are two of the most common indications for the newer antipsychotics in children, said Dr. Robert L. Findling of Case Western Reserve University, Cleveland. Differences in efficacy, adverse effects,...
Psychiatry Report Card Gives Drug Funding an A
TUCSON, ARIZ. -- The idea was simple. Survey the country's academic leaders in psychiatry and have them grade the specialty--A to F--in 35 categories, from education and patient care to research, community service, and professional organizations. ...
Public Disapproval Discourages Ecstasy Drug Study
LOS ANGELES -- Like those who take it, the drug popularly known as "Ecstasy" may be getting a bum rap. Ecstasy, or methylenedioxymethamphetamine (MDMA), may in fact have some therapeutic value, Dr. Charles S. Grob said at the annual meeting of the...
Relapse Mechanisms Key to Deciphering Addiction
LOS ANGELES -- What makes a recovering addict slip? That is the central question in addiction research, according to Dr. John Litrieton. Through his studies on acamprosate, he is hoping to shed new light on the murky interface between alcohol dependence,...
Several Factors May Cause Appearance of Treatment Resistance
PHILADELPHIA -- Many questions need to be asked when an adolescent patient doesn't appear to improve with treatment, Dr. Ginny Gerbino-Rosen said at the annual meeting of the American Society for Adolescent Psychiatry. If the diagnosis is dear and...
Soaring Medicaid Drug Costs Highlight Prescribing Trends
DENVER -- Whopping increases in Medicaid prescription drug expenditures in North Carolina provide insight into physician prescribing trends that may be broadly applicable elsewhere, Dr. Kenneth Fink said at the annual meeting of the Society of Teachers...
Specialized Clinician Training Can Impact Jail Suicide Rate
ATLANTA -- Clinicians working with incarcerated patients should receive specialized training, be required to participate in annual refresher courses, and use an assessment tool to determine the level of patient suicide risk, David Carlson, Psy.D.,...
Student Survey: 30% Are Bullies, Targets, or Both
Thirty percent of U.S. students in grades 6-10 are involved in bullying--as the bully, victim, or both. This recent finding from the first national survey on the prevalence of bullying validates findings of other smaller studies. It also documents...
Suicide in Teens Linked to Community Violence
ATLANTA -- Community violence should be seen as a marker and a risk factor for suicidal behavior in adolescents, James Mazza, Ph.D., told those attending the annual meeting of the American Association of Suicidology. Contrary to popular wisdom,...
Tailor Alzheimer's Treatment to Patient-Caregiver Needs
SAN FRANCISCO -- Treatment goals for patients with Alzheimer's disease should be highly individualized and based on the priorities of the patient and caregiver, Dr. William B. Reichman said at the annual meeting of the American Association for Geriatric...
Therapists Fight to Reverse PORT Recommendations
Task force challenges claims that psychodynamic psychotherapy is harmful. NEW ORLEANS -- Controversial recommendations against the use of psychodynamic psychotherapy in patients with schizophrenia are up for revision, and at least one group of therapists...
Tool Accurately Identifies 85% of Social Phobics
ATLANTA -- The Social Thoughts and Beliefs Scale, a new tool for assessing cognitions in social phobia, correctly classifies 85% of social phobics, Nancy Heiser reported at the annual conference of the Anxiety Disorders Association of America. "The...
Toxoplasma Zondii Linked to Schizophrenia Onset
WHISTLER, B.C. - Could the cause of schizophrenia be sleeping curled up on the hearth? Possibly, Dr. E. Fuller Torrey said at a meeting of the International Congress on Schizophrenia Research. An association has been identified between exposure...
Transcranial Magnetic Stimulation Appears Effective for Depression in the Elderly
SAN FRANCISCO -- Transcranial magnetic stimulation may be effective in treating geriatric depression, according to preliminary data. In previous studies, depressed elderly patients had limited or no response to transcranial magnetic stimulation...
Unhinge Defenses of Childhood Trauma First
SAN DIEGO -- You must let go of your need to suffer, or your therapy will be a failure. That is the message therapists must send to patients who have experienced "little-t trauma" in order to engage their feelings and cement the therapeutic alliance,...
Vagus Nerve Stimulation Promising for Depression
TUCSON, ARIZ. -- It's approved for the treatment of refractory epilepsy, and now vagus nerve stimulation is showing promise for the treatment of depression, according to a study presented by Dr. John Rush at the annual meeting of the American College...
Weigh Key Factors before Admitting Suicidal Patient
BOSTON -- Whether to hospitalize an adolescent who has attempted suicide is a complex decision that must take clinical, historical, environmental, and cognitive variables into account. A key aspect in the decision-making process is having a full understanding...