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. 7, July

Anger Attacks More Common in Bipolar Than Unipolar Depression. (Associated with Earlier Onset)
PHILADELPHIA -- Anger attacks, which have been described in patients with major depressive disorder, are apparently even more prevalent in bipolar depression, Dr. Roy H. Perlis said at the annual meeting of the American Psychiatric Association. ...
Anticonvulsants for Bipolar Disorder. (Practical Psychopharmacology)
Bipolar disorder treatment has evolved rapidly in recent years, and the newer anticonvulsants have been at the center of the action. In part, this reflects a trend toward combination therapy "We've been forced to surrender our somewhat naive notions...
Bashful Bladder Not So Shy after Brief CBT. (Afflicts about 7% of Population)
PHILADELPHIA -- Bashful bladder is no laughing matter. Some 7% of the population is afflicted with avoidant paruresis, a form of social phobia that involves difficulty urinating in public places, Steven Soifer, Ph.D., said in a poster presentation...
Bipolar Disorder in Pregnancy. (Guest Editorial)
Bipolar disorder is a chronic relapsing illness with a deteriorating course over time, particularly if there have been multiple episodes. This creates a bind for women in their reproductive years because stopping the medication increases their relapse...
Cognitive-Interpersonal TX Helps Resolve Anger. (CBT Inspective for Anger Resolution)
BALTIMORE -- Cognitive-interpersonal therapy is an effective treatment for angry people who are mired in interpersonal conflicts for which they hold others responsible. The "price they must pay to get better" is to let go of their need to blame...
Council Places Limits on Resident Work Hours. (80-Hour-Week Maximum)
Responding to concerns that resident sleep deprivation poses a risk to patient safety, the Accreditation Council for Graduate Medical Education has imposed limits on resident duty hours. Institutions must place a higher value on resident education...
Cut the Hours, Not the Match. (Guest Editorial)
On May 7, 2002, three residents filed suit on behalf of all residents against the National Residency Match Program, the American Medical Association, the associations representing and regulating residency programs, and a handful of residency programs....
Depravity Scale Sets Guidelines for Definition of Evil: 'The Depravity Scale Appraises the Evil of an Event, Not the "Who" or the "Why".' (Backdrop of Terrorism)
PHILADELPHIA -- Against a backdrop of international terrorism and increasing concerns about arbitrariness in the application of the death penalty, forensic psychiatrists are taking steps to objectify the criteria on how society defines depravity. ...
Don't Forget Therapeutic Skills Even during a 'Med Check'. (Interpretation Not out of Place)
PHILADELPHIA -- Even a 15-minute "med check" demands an effort to connect with and understand the patient. "There are a lot of specific [therapeutic] skills involved in what everyone seems to think is a no-brainer," Dr. Jerald Kay said at the annual...
Educate Inner-City Teachers on Child Development. (Forget One-on-One Psychiatry)
PHILADELPHIA -- Psychiatrists should abandon the notion that troubled inner-city children will be helped by one-on-one psychiatry and focus instead on the difficult task of helping child educators, Dr. James P. Corner said in his Benjamin Rush Award...
Extension Offered on HIPAA Electronic Claims. (Requests for Delay Due by Oct. 15)
Physicians can file for a 1-year extension on the deadline for complying with the new rule that standardizes electronic health care transactions. An extension until Oct. 16, 2003, can be obtained by completing a four-page form available at the Centers...
Facial Processing Defect in Autism Tied to Poor Relationships. (Two Lines of Study)
LA JOLLA, CALIF. -- Deficits in neural processing of human facial expression have been observed in the right lateral fusiform gyrus of patients with autism, Dr. Robert T. Schultz reported at the annual meeting of the American Neuropsychiatric Association....
FDA Panel Mulls European Data on Alcohol Drug. (Conflicts with U.S. Data)
BETHESDA, MD. -- Approval of acamprosate by the Food and Drug Administration could be based on European data showing that the centrally acting drug was an effective treatment for alcohol dependence, despite the negative results of a U.S. trial. ...
Fink! Still at Large. (Opinion)
"Emotional Infidelity," a new book by Miami Beach psychologist M. Gary Neuman (New York: Crown, 2001), has generated hate mail from women who accuse him of rekindling a Victorian attitude toward women in the workplace. Dr. Neuman says that going out...
Intermittent Dosing Okayed for PMDD Regimens. (Limited to Luteal Phase)
The Food and Drug Administration has approved intermittent dosing regimens for both sertraline and fluoxetine for treating women with premenstrual dysphoric disorder. Last month, the FDA approved sertraline (Zoloft) for PMDD using an intermittent...
Involuntary Medication of Criminals Problematic for U.S. Courts. (Psychiatric Testimony Plays Crucial Role)
SAN FRANCISCO -- Should a criminal defendant be involuntarily medicated simply to restore competency? Forensic psychiatrists increasingly are called on to testify about this troubling legal and medical issue, Dr. Alan Abrams said at the annual meeting...
Letters
Psychologists All Around On reading in the April 2002 issue (p. 1) that psychologists are not only being allowed to prescribe in New Mexico but are being appointed to head the Yale Child Study Center, I got so upset that I suffered anergia, anhedonia,...
Mental Health Care: 'Incipient Disaster'. (Public Policy Fails)
PHILADELPHIA -- The nation's mental health system rests on the brink of "an incipient disaster" in which patients of nearly every economic station are denied care because of disastrous public policy decisions, American Psychiatric Association President...
Metoclopramide May Suppress Tourette's Tics. (Negligible Adverse Effects)
DENVER -- The dopamine receptor antagonist metoclopramide shows potential as a tic suppressant in patients with Tourette's syndrome according to a small preliminary study, Dr. Maria T. Acosta reported at the annual meeting of the American Academy of...
Mifepristone Shows Promise for Psychotic Depression. (Approved for Abortion Induction)
BOCA RATON, FLA. -- Mifepristone, a highly selective glucocorticoid receptor antagonist, achieved rapid and "clinically meaningful" improvements in psychotic depression in an open trial, Dr. Charles DeBattista said at the annual meeting of the New...
Modafinil May Reduce Residual Fatigue, Sleepiness. (Adjunctive Depression Therapy)
PHILADELPHIA -- Modafinil may be a useful adjunctive treatment for depressed patients who have residual symptoms such as fatigue and daytime sleepiness after partial response to antidepressant therapy, Dr. Karl J. Doghramji said at the annual meeting...
Nearly 2-Year Delay in Diagnosing Autism in Blacks. (Not Due to Poor Accessy to Care)
WASHINGTON -- African Americans with autism are diagnosed nearly 2 years later than white children with the disorder, David S. Mandell, Sc.D., reported at an international conference sponsored by the National Institute of Mental Health. Using data...
Nefazodone May Prevent Depression Relapse. (50% Discontinuation Rate)
PHILADELPHIA -- Nefazodone appears to help prevent relapse in patients with chronic depression, according to the results of a trial reported by Dr. Alan J. Gelenberg at the annual meeting of the American Psychiatric Association. These findings build...
Parental Food Rules Can Cause Lifelong Mischief. (Control Rules Lead to Higher Adult BMI)
BOSTON -- Parents who use food to control their children's behavior may be setting them up for dysfunctional eating attitudes that will linger into midlife, Rebecca M. Puhl said at a meeting of the Academy for Eating Disorders. "Food is a powerful...
Patch May Cut Depression during Perimenopause. (Ineffective after Menopause)
PHILADELPHIA -- Short-term transdermal estradiol rapidly and substantially ameliorated depressive symptoms in perimenopausal but not postmenopausal women in a small open trial. The antidepressant activity was independent of effects on vasomotor...
Postpartum Depression? Try Breast-Feeding. (Incidence Halved)
BARCELONA, SPAIN -- Breast feeding may reduce the risk of postpartum depression in the year after delivery by nearly half, compared with bottle-feeding, Dr. Elizabeth S. Mezzacappa reported at the annual meeting of the American Psychosomatic Society....
Psychiatrists Celebrate Their Coping Skills. (Finessing Managed Care)
PHILADELPHIA -- Amid packed sessions on pharmacotherapy and speeches warning of the challenges facing the specialty, attendees at one workshop at the annual meeting of the American Psychiatric Association heard what an audience member called "a celebration...
Psychosocial Tests May Predict Transplant Results. (Predict Rejection, Rehospitalization)
BARCELONA, SPAIN -- Preoperative psychosocial evaluation can effectively predict the risk of rejection, infection, and other complications after heart transplantation, Dr. Christine E. Skotzko said at the annual meeting of the American Psychosomatic...
Public Mental Health Headaches Drive Docs Away. (More Paperwork Than Visit Time)
PHILADELPHIA -- Practicing psychiatry in the public sector is a frustrating string of 30-minute office visits, endless forms, and limited authority that hurts patient care and drives good doctors away from public facilities, Dr. Roger Peele told a...
Pulp Fiction. (Reel Life)
If you take no pleasure in popular culture, with all its manic excesses, then you are likely to be offended by "Pulp Fiction," an unapologetic celebration of the pop culture that it also satirizes. Using an uncanny combination of violence and nostalgia,...
Screen Schizophrenia Patients for Social Anxiety. (Treat as Separate Diagnosis)
PHILADELPHIA -- Social anxiety is frequently comorbid with schizophrenia and should be treated as a separate diagnosis or symptom dimension with serious clinical consequences, according to speakers at the annual meeting of the American Psychiatric...
Sex Offender Treatment Program Legal, Court Rules. (Fifth Amendment Rights)
In a case with potentially far-reaching impact on sexual abuse treatment programs in prisons across the country, the U.S. Supreme Court ruled that such programs do not necessarily violate a prisoner's rights by requiring that the prisoner admit to...
Tell Dr. Fink What You Think. (Opinion)
Join Dr. Paul J. Fink on a rambling tour of the contemporary scene. Coming Next Month: Child prodigies who master an entire lifetime of intellectual achievement in the short span of a childhood have long mesmerized lesser mortals. But the intellectual...
Telltale Clues Aid Dementia with Lewy Bodies Dx. (Hallucinations Predict Responsiveness)
ORLANDO, FLA. -- Dementia with Lewy bodies maybe difficult to distinguish from other dementias, particularly Alzheimer's disease, but accurate diagnosis is crucial for appropriate treatment, Dr. Ian McKeith said at an industry-sponsored symposium at...
Use of Restraint, Seclusion Drops 74% since 1997 in Pa.: Initiative Recognized with Award. (Psychiatric Hospitals)
PHILADELPHIA -- Dramatic decreases in the use of seclusion and restraints have been seen in the Pennsylvania psychiatric hospital system in the 5 years since the inception of an award-winning initiative entitled Leading the Way Toward a Seclusion and...
VNS Gains Maintained Up to 2 Years. (Treatment-Resistant Depression)
PHILADELPHIA -- Depressed patients who respond to treatment with vagus nerve stimulation are likely to maintain their gains up to 2 years later, Dr. James M. Martinez said in a poster session at the annual meeting of the American Psychiatric Association....