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. 6, June

Adverse Drug Reactions Seen after Approval in 10% of Drugs. (FDA Standards Questioned)
Serious adverse drug reactions were noted after marketing in more than 10% of 548 drugs approved between 1975 and 1999, according to Dr. Karen E. Lasser of Harvard Medical School, Boston, and her associates. These drugs eventually acquired at least...
Anxiety Symptoms Influence Course of Depression in Elderly. (May Lower Response to Medication)
ORLANDO, FLA. -- Anxiety has a complex impact on the course of depression in the elderly, Dr. Alistair Flint said at the annual meeting of the American Association for Geriatric Psychiatry. While anxious patients tend to respond more poorly to antidepressant...
APA Members Get New Malpractice Insurer: Hold on Claims Payments to Expire July 1. (Old Policy in Force for Many)
American Psychiatric Association members who carry APA-endorsed malpractice liability insurance received some good news after 2 months of uncertainty: A new, highly rated insurer is entering the picture to take over new policies and renewals. Professional...
Attention to Detail Is Crucial for Workers' Compensation Evaluations. (Avoid Preconceived Conclusions)
SAN DIEGO -- Balanced presentations that avoid preconceived conclusions and pay careful attention to detail are key to conducting high-quality independent medical evaluations for workers' compensation, Dr. C. Donald Williams said at the annual conference...
Bipolar Depression: An Unmet Need in Bipolar Disorder. (Advertisement)
Although bipolar disorder covers a spectrum of mood episodes, research and treatments have focused more on mania than on depression. (1) Currently approved mood stabilizers--standard first-line regimens for bipolar disorder-- target mania rather than....
Boundaries Preserve Psychotherapeutic Process. (Atmosphere of Safety)
NEW YORK -- Clear boundaries create structure and preserve the integrity of the therapeutic relationship, a panel of psychiatrists said at a psychiatric meeting sponsored by the New York Academy of Medicine. "Boundaries define who we are--without...
Breast-Feeding of 7-9 Months' Duration Linked to Higher Adult Intelligence. (Analysis of IQ Scores)
Breast-feeding may have long-term positive effects on adult intelligence, reported Erik Lykke Mortensen, Ph.D., of Copenhagen University Hospital and his colleagues. In a prospective, longitudinal, birth-cohort study involving 3,253 participants,...
Choose Challenge Strategy to Fit Threat Sensitivity. (Panic Disorder)
AUSTIN, TEX. -- In conducting cognitive-behavioral therapy for panic disorder, therapists should tailor their challenge strategies to the individual patient's threat sensitivities, Michael J. Telch, Ph.D., said at the annual conference of the Anxiety...
Clinical Strategies Needed to Curb HIV in Mentally Ill: The Risk with Schizophrenia and Affective Disorder Is High and Likely to Go Higher. (Review of 400,000 Medicaid Cases)
WASHINGTON -- The risk of HIV infection is nearly three times higher in patients with schizophrenia and more than four times higher in patients with affective disorder than in the general population, Michael B. Blank, Ph.D., reported at an international...
Cognitive Deficits Affect 85% of Schizophrenics. (Deficits Are Often Profound)
NEW YORK -- Cognitive deficits are more prevalent than positive symptoms in schizophrenia, and their impact on outcome is more profound, Dr. Roberto Gil said at a schizophrenia conference sponsored by Columbia University and the New York State Psychiatric...
Consider Anxiety in Cases of Pediatric Chest Pain. (Two Small Studies)
AUSTIN, TEX. -- Children who present with chest pain rarely have cardiac problems and are more likely to have a diagnosable anxiety disorder, Dr. Joshua D. Lipsitz reported at the annual conference of the Anxiety Disorders Association of America. ...
Cooling the Biologic Fervor. (Guest Editorial)
Psychoanalyssis has gotten trapped in a biologic fervor that is attempting prematurely to reduce psychological activity to brain function. Many of my colleagues have become swept up in the enthusiasm for the effort to bridge the chasm between mind...
Corporate Consulting Offers Variety, Extra Income. (No Doctor-Patient Relationships)
Providing psychiatric consultations to companies can provide a welcome change of pace and added income to office-based psychiatrists who are interested in the business world. Psychiatrists who have made this part of their practice find few downsides...
Dementia Epidemic Forecast in Growing Hemodialysis Population. (6.4% Dementia Incidence in Study)
DENVER -- The incidence of dementia in the first 2 years after initiation of dialysis is markedly greater than in the general population without renal failure, Dr. Anne M. Murray reported at the annual meeting of the American Academy of Neurology....
Dementia May Greatly Reduce Survival in Parkinson's Disease. (Depression Doesn't Raise Mortality)
DENVER -- The development of dementia in patients with Parkinson's disease is associated with a two- to threefold increased risk of mortality, Dr. Karen Marder said at the annual meeting of the American Academy of Neurology This sharply increased...
Despite Arrhythmias, Weight Gain, Newer Antipsycotics More Effective. (Baseline ECG Recommended)
CHICAGO -- Even in the era of second-generation antipsychotic drugs, optimal management of schizophrenia continues to involve a delicate balance between symptom control and adverse effects. While the newer antipsychotic agents are associated with...
Diabetes May Boost Men's Risk of Alzheimer's. (Sixfold Increase in Study)
DENVER -- Diabetes mellitus appears to be associated with a markedly increased risk of Alzheimer's disease, but only in men, Steven D. Edland, Ph.D., said at the annual meeting of the American Academy of Neurology. The association between diabetes...
Disability Evaluations Offer New Source of Income. (High Demand for This Public Service)
SAN DIEGO -- Psychiatrists can easily expand their practices by evaluating applicants for Social Security disability benefits, Dr. C. Donald Williams reported at the annual conference of the Academy of Organizational and Occupational Psychiatry. ...
'Dismissing' Style Predicts Poor Diabetes Control. (Attachment Style Linked to Noncompliance)
WASHINGTON -- Diabetes patients with a "dismissing" attachment style have much poorer glucose control than do those with the other three adult attachment styles, Dr. Paul Ciechanowski reported at an international conference sponsored by the National...
Effects of Once-Daily Methylphenidate Appear to Last throughout School Day. (Rapid Onset Plus Sufficient Duration)
Modified-release methylphenidate taken once in the morning remains effective in children with attention-deficit hyperactivity disorder throughout the school day, said Dr. Laurence L. Greenhill of the New York State Psychiatric Institute, New York,...
Elections, U.S. Debt May Curb Parity's Progress. (Few Advances Expected in 2002)
WASHINGTON -- Don't expect too much in the way of mental health care program advances this year, either legislatively or administratively. Despite their praise for President Bush's creation of the New Freedom Commission on Mental Health (see box...
Evaluating Abusive Skin Injuries in Children. (Not the Usual Wear and Tear of Childhood)
CAMBRIDGE, MASS. -- Recognizing the difference between an injury caused by abuse and one that is the result of normal wear and tear in childhood is important, but not well understood, Dr. Alice W Newton said at a meeting on behavioral pediatrics sponsored...
Familiarity Key to Helping Caregivers Manage Apraxia. (Maintaining Independence Is Key)
SAN ANTONIO -- In managing the apractic patient, caregivers should be careful to maintain a sense of familiarity in tools and setting, said Dr. Josepha A. Cheong at the annual meeting of the Academy of Psychosomatic Medicine. Apraxia is a frequent...
Faulty PubMed Searches Sometimes Spell Trouble. (Misspelling, Alternative Spellings Missed)
SAN FRANCISCO -- PubMed may be the world's largest electronic database of biomedical literature citations, but it's not foolproof, Dr. Scott Kinkade said in a poster session at the annual spring conference of the Society of Teachers of Family Medicine....
Fink! Still at Large. (Opinion)
A new book, "How to Go to Therapy," written by Carl Sherman (Random House, 2001), has been described by one psychiatrist as a warm and insightful step-by-step guide for prospective patients. Mr. Sherman, a long-time writer for CLINICAL PsyCHIATRY NEWS,...
Flexibility Is Crucial to CBT with Adolescents. ( Vary Length, Frequency of Sessions)
PHILADELPHIA -- Achieving effective outcomes with cognitive-behavioral therapy in adolescents requires maintaining a flexible approach and keeping developmental factors in mind, Eva L. Feindler, Ph.D., said at the annual meeting of the Association...
Habitual Snoring Boosts Chronic Headache Risk. (Epidemiology Study of 2,757 People)
DENVER -- Habitual snoring is an independent risk factor for chronic daily headache, conferring a two- to threefold increased risk, Ann I. Scher, Ph.D., said at the annual meeting of the American Academy of Neurology. Other risk factors associated...
High Hostility Levels and Stress May Boost Risk for Type 2 Diabetes. (Higher Fasting Glucose Levels Seen)
WASHINGTON - Patients who have high hostility levels or who face stress from caring for a loved one with a serious illness may be at increased risk for type 2 diabetes, according to two studies presented at the annual meeting of the Society of Behavioral...
Inadequate Sleep Tied to Increased Pain, Discomfort in Children. (More Susceptible to Psychological Effects)
PITTSBURGH -- Sleep deprivation in a child experiencing pain may cause physiologic and psychological problems that increase the severity of the child's suffering, Dr. Daniel S. Lewin said at a meeting on managing pain in pediatric patients sponsored...
Letters
Parity Paradox In theory, parity for mental health is a lovely idea. Practically, it does not make good sense ("Psychiatrists: Too Many, or Too Few?" Fink! Still at Large, February 2002, P. 22). What we do for a living is not the same as what...
Media Error Stuns Prozac Investigator. (Placebo Study)
Dr. Helen S. Mayberg was looking forward to hearing reaction to her study comparing the effects of placebo with those of fluoxetine in depressed men, but she didn't expect what came next. In the double-blind study of 17 previously unmedicated depressed...
New Criteria Target Depression in Alzheimer's. (Best Treatment Approaches Still Unclear)
New criteria for diagnosing depression in Alzheimer's patients should increase recognition of the problem, said Dr. Gary Kennedy, president of the American Association of Geriatric Psychiatry. Developed by a team of researchers led by the National...
Outpatient Brain Surgery Appears Safe in Pilot Study. (Psychological Advantages)
CHICAGO -- Even excisional surgery for brain tumors can be successfully done on an outpatient basis. Between December 1996 and February 2002, 19% of 307 patients who underwent awake craniotomy for tumor resection voluntarily elected to have an outpatient...
Pairing Bipolar Meds, Weight Management Is Vital. (Many Drugs Cause Excessive Gain)
SACRAMENTO -- Treatment for bipolar patients should include not only the right medications, but in many cases counseling for weight loss, Dr. Donald Hilty reported at a meeting on bipolar disorder sponsored by the University of California, Davis. ...
Practical Psychopharmacology. (Medical Illness Can Complicate Anxiety Management)
Evaluating and treating anxiety in patients who present with psychiatric symptoms and undiagnosed medical illness can be particularly challenging. "There is a long list of illnesses that can cause anxiety," said Dr. Larry S. Goldman, director of...
Praise, Pans for ACP-ASIM Universal Coverage Plan. (Goal Set for 2009)
WASHINGTON -- A plan that lays out a prescriptive timeline for Congress to achieve "steps" toward universal health care coverage within 7 years received kudos for its constructiveness but slim odds for its adoption. The plan, developed by the American...
Pro & Con: Should Physicians Be Allowed to Negotiate Collectively with Health Plans?
Should physicians be allowed to negotiate collectively with health plans? YES Antitrust laws aim to protect consumers by encouraging competition. In many communities, however, a small number of powerful health plans exercise monopolistic power over...
Psychosocial Program Helps Reduce Depression in Breast Cancer Patients. (Some Found 'Benefit' in Illness)
BARCELONA, SPAIN -- A cognitive-behavioral stress reduction program for women who have just had surgery for breast cancer appears to improve mood and reduce depression, but also brings an unexpected bonus--the capacity to find a positive benefit in...
Public Health Approach Speeds Psychosis Remission. (Early Treatment Strategies)
PITTSBURGH -- Using earlier case detection to reduce the time between a patient's first psychotic episode and initial treatment and phase-specific intensive treatment resulted in improved short-term outcomes in an ongoing Canadian study, Dr. Ashok...
Reel Life. (Antonia's Line)
"I am a feminist, both by temperament and intellect, and my films are shaped by my outlook on life." The author of this declaration is Marleen Gorris, the Dutch writer-director whose early films were guerrilla warfare; men were the enemy, and women...
Self-Management Program May Cut Manic Episode Recurrence. (Risk Reduced by Half in Study)
WASHINGTON -- A program promoting better self-management of bipolar disorder reduced the risk of recurrent manic episodes by half, Dr. Gregory E. Simon reported at an international conference sponsored by the National Institute of Mental Health. ...
Speak out on Health Policy. (Guest Editorial)
I spent a year as a health policy fellow, working in Sen. Ted Kennedy's office, and it was the single most important year in my professional career. It opened my eyes to the complexities of the health policy and legislative processes and allowed...
Statins May Decrease Alzheimer's Risk by 79%. (Large Multicenter, Case-Control Study)
DENVER -- Statin use has demonstrated a strong protective effect against Alzheimer's disease in the largest study to date examining the association. Taking a statin was associated with an adjusted 79% reduction in risk of developing Alzheimer's...
Stem Cell-Derived Transplants May Briefly Ease Parkinson's. (One Patient Followed for 1 Year)
CHICAGO -- The first transplant of autologous neural "stem" cells into a patient with Parkinson's disease has ameliorated symptoms through a 1-year follow-up, even though initial increases in dopaminergic activity were followed by a return to baseline...
St. John's Wort Not Superior to Sertraline or Placebo. (in 340 Patients with Major Depression)
In the first study of its kind, investigators found that St. John's wort (Hypericum perforatum) is no more effective than either sertraline or placebo in treating patients with moderately severe major depression. A study published last year showed...
Substance Abuse TX Must Weigh Teen Social Needs. (Poor Judgment, Not Dependence, Is Culprit)
TUCSON, ARIZ. -- Youth substance abuse and mental health problems often arise from the growing pains of adolescence, and must be treated with an understanding of a teen's social development, Dr. Charles Huffine said at a meeting on mental illness and...
Tailor Antidepressant Augmentation to Match Patient Characteristics. (Treatment-Resistant Depression)
NEW YORK -- When trying to choose from among the vast number of available augmentation strategies for treatment-resistant depression, let patient characteristics be your guide, Dr. Norman Sussman offered at a conference on psychopharmacology sponsored...
Test Objectively Judges Postconcussion Status. (How Significant Is Loss of Consciousness?)
LAKE BUENA VISTA, FLA. -- Loss of consciousness after head injury is not a significant predictor of outcome in athletes who had a concussion, Mark Lovell, Ph.D., said at the annual meeting of the American Medical Society for Sports Medicine. His...
Updated Bipolar Disorder Guidelines Outline New Drug Therapy Regimens. (First Changes since 1994)
After more than 2 years of work, a detailed examination of the literature, and review by about 800 psychiatrists, the American Psychiatric Association has issued the first new guidelines for the treatment of bipolar disorder since 1994. The most...
Victimization Link to Unexplained Pain Disputed. (Prospective, Controlled Study)
VAIL, COLO. -- The oft-repeated claim that most chronic pelvic pain in women stems from childhood victimization has been called into question by a well-designed study Dr. John C. Slocumb said at a conference on obstetrics and gynecology sponsored by...