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. 39, No. 9, September

Access Uncertain in ACA's Medicaid Expansion: New Enrollees Might Miss out on Mental Health Services Covered under Traditional Medicaid Programs
Mental health providers and advocates are growing concerned that Medicaid recipients won't be able to access psychiatrists or certain specialty mental health services even with the massive expansion of Medicaid mandated under the Affordable Care Act....
Add-On Behavioral Activation Therapy Tested
FROM THE ANNUAL MEETING OF THE NEW CLINICAL DRUG EVALUATION UNIT BOCA RATON, FLA. - Work, relationships, and health status can remain impaired in people even after medication successfully treats their depressive symptoms. But there is hope. Addition...
Agency Updates Safety Data on Varenicline Label
An updated label for the smoking cessation drug varenicline that includes new safety data involving people with cardiovascular disease has been approved by the Food and Drug Administration, the agency has announced. Also added to the label is information...
A Literature Review Seeks to Determine Whether Bullying Is a Risk Factor for Domestic Violence. Do You Think That Bullying and Domestic Violence Are on a Continuum?
Bullying and domestic violence have been considered in practice and in the literature as "unconnected phenomena," according to sociologists Kenneth Corvo, Ph.D., and Ellen deLara, Ph.D. (Aggress. Violent Behav. 2010;15:181-90). However, as a clinician,...
Alzheimer's Prevention Trials Poised for Launch
EXPERT ANALYSIS FROM THE ALZHEIMER'S ASSOCIATION INTERNATIONAL CONFERENCE PARIS - Interim findings from the Dominantly Inherited Alzheimer Network study provide encouraging insights about the potential for preclinical detection of Alzheimer's disease...
Children of Soldiers Fight Battles of Stress
FROM A CONFERENCE ON THE COMPLEXITIES AND CHALLENGES OF PTSD AND TBI BOSTON - In addition to the day-to-day stresses faced by most families, the children of active-duty service members must cope with the uncertainties of multiple deployments and...
Depression Remission Scale IDs More Domains
EXPERT ANALYSIS FROM THE ANNUAL MEETING OF THE NEW CLINICAL DRUG EVALUATION UNIT BOCA RATON, FLA.--"Just what we need - another scale," Dr. Mark Zimmerman said, tongue-in-cheek, as he started to explain why he and his colleagues developed the Remission...
Diffuse Axonal Injury Found in Mild Blast-Related TBI
FROM THE NEW ENGLAND JOURNAL OF MEDICINE Evidence of diffuse axonal injury has been detected using an advanced form of MRI in military personnel who were clinically diagnosed as having only mild blast-related traumatic brain injury, according to...
Families Who Adopt Need Support
There is a great deal to know and do in supporting parents who choose to adopt over time. Issues about adoption vary by the age of the child and any special circumstances, but universal recommendations exist as well. Not every adoption agency adequately...
Fewer AEs with Buprenorphine as Heroin Detox
FROM A MEETING OF THE NEW CLINICAL DRUG EVALUATION UNIT BOCA RATON, FLA.--Not all agents available to detoxify a person with a heroin addiction are created equal In a prospective comparison study, people who tookbuprenorphine experienced significantly...
Fixing Health Care (Not)
Lately, many of questions about the potential impact of the 2010 health care legislation on private practitioners have been fundamental. Examples are: What, exactly, is broken in our current system? And does the Affordable Care Act address any of...
HIEs: Educating Patients
Josh Taylor is an attorney who is now in his 40s with a history of asthma, borderline hypertension, and bipolar disorder, all of which are stable. He sees a psychiatrist three times per year, who prescribes lithium and gets periodic blood tests. He...
High-Dose Citalopram Tied to Abnormal Heart Rhythms
The antidepressant citalopram should not be used at doses greater than 40 mg per day because such doses can lead to prolongation of the QT interval, the Food and Drug Administration announced in a drug safety communication. Further, the drug should...
Hospital-Employed Docs Could Raise Costs
AN ANALYSIS FROM THE CENTER FOR STUDYING HEALTH SYSTEM CHANGE Hospital employment of physicians continues to rise rapidly around the country, but the trend could drive up costs at least in the short term, according to a report from the center. ...
Is Substance Abuse Risk Tied to Social Media?
FROM THE NATIONAL CENTER ON ADDICTION AND SUBSTANCE ABUSE WASHINGTON - Substance abuse is a bigger problem for adolescents who daily spend time on social networking sites such as Facebook and Myspace, as 70% of American adolescents say they do,...
Mix of Factors Can Spark Violence in Soldiers
FROM A CONFERENCE ON THE COMPLEXITIES AND CHALLENGES OF PTSD AND TBI BOSTON-A volatile mixture of individual, environmental, and social factors may cause a soldier to explode with anger and aggression toward himself or his fellows in arms, said...
Nonpsychiatric Use of Antidepressants on Rise
Arise in prescribing of antidepressants by doctors who are not psychiatrists, often for uses other than depression/anxiety, has helped build what is now a massive market, according to an analysis of prescribing patterns during an 11-year period. ...
Pharmacogenomics Help Sharpen Prescribing
Thanks to technologic advances in genetic-testing, psychiatrists can predict which patients might experience adverse effects from commonly prescribed psychotropic medications, and, to a lesser extent, who might respond well to a particular drug. ...
Physicians and Hospitals Can Test CMS Bundled Payments
Physicians and hospitals now have the chance to test out bundled payments on a range of conditions under a new Medicare initiative. In August, officials at the Centers for Medicare and Medicaid Services released a request for applications (RFA)...
Physicians Face More Fee Cuts in Wake of Debt Deal
Legislation aimed at raising the debt ceiling and cutting the deficit, signed by the president Aug. 2, leaves physicians in limbo regarding their Medicare payments next year and in the future. The biggest question is whether the 29.5% cut to Medicare...
Role of Bacteria Overlooked in Mental Disorders
The past few years have seen numerous studies detailing the effect that the brain can have on gut bacteria (top-down control). It is known, for instance, that stress might modulate intestinal microbiota. However, recent research - much of it preclinical...
Root of Adolescents' Suicidality Is Critical to Treatment
FROM THE ANNUAL CONFERENCE OF THE AMERICAN ASSOCIATION OF SUICIDOLOGY PORTLAND, ORE. - Depressed teenagers are more likely to attempt suicide without a triggering event, and teenagers who make an attempt after an event are more likely to have poorer...
Technique Benefits Inpatients by Targeting Suicidal Ideation
FROM THE ANNUAL CONFERENCE OF THE AMERICAN ASSOCIATION OF SUICIDOLOGY PORTLAND, ORE. - Collaborative Assessment and Management of Suicidality significantly helped depressed, hopeless, and suicidal psychiatric inpatients in a small case series at...
Triggers Similar in Familial Hemiplegic Migraine
FROM THE INTERNATIONAL HEADACHE CONGRESS BERLIN - The factors that patients report to be triggers of familial hemiplegic migraine appear to coincide in many instances with the same triggers reported by migraine patients with and without aura, according...