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. 37, No. 8, August

Amino Acid Promising for Trichotillomania
The glutamate modulator N-acetyl-cysteine significantly reduced trichotillomania symptoms in a study of 50 patients reported in the July issue of the Archives of General Psychiatry. In what the investigators described as the first clinical trial...
Atypical Antipsychotics and Metabolic Testing
Psychiatrists have long been besieged with warnings about possible connections between second-generation antipsychotics and the ripple effects of the weight gain they sometimes induce: diabetes and cardiovascular disease. In 2003, the Food and Drug...
Calming Anxiety, Depression over Economic Crisis
The grim economic picture that has dominated the news over the last year--the stock market plunges, bank failures, mortgage foreclosures, and job losses--has had a dramatic impact on our nation's psyche. Earlier this year, the results of a Gallup-Healthways...
Certain Psychiatric Disorders Drive Alcohol Dependence
SAN DIECO -- Mood or anxiety disorders, drug dependence, and nicotine dependence that co-occur with alcohol dependence can have negative effects on the long-term persistence of alcohol dependence. Those are key conclusions from a 3-year follow-up...
CMS Reminds Physicians of HIPAA 5010 Deadline
Physicians have a little more than 2 years to complete their transition to new HIPAA X12 standards for submitting administrative transactions electronically, according to Medicare officials. As of Jan. 1, 2012, physicians and all other entities...
Data on ADHD Stimulants Deemed Not 'Threatening'
Stimulant use was significantly associated with sudden, unexplained deaths in children and adolescents in a study of more than 500 children, but the data are not sufficient to change clinical prescribing practices, Food and Drug Administration officials...
Depression Treatment Down in Wake of FDA Advisory
Diagnosis and treatment of depression in children and adults dropped significantly in the wake of a 2003 Food and Drug Administration public health advisory on the risk of suicidality among children taking antidepressants, according to a review of...
Diet, Exercise May Decrease Risk of Dementia
VIENNA -- Diet and exercise appear to exert positive influences, even as people age, in terms of significant reductions in the risk of developing cognitive decline or dementia. Researchers at the International Conference on Alzheimer's Disease presented...
Early Puberty Is Linked to Early Substance Use
LOS ANGELES -- Sixth graders who showed an aggressive temperament and/or symptoms of depression were more likely than their peers to begin using alcohol and other drugs by eighth grade, according to study findings presented as a poster at the annual...
Evidence-Based Psychiatric Medicine: Lithium for Suicide Prevention
The Problem You are working in one of America's contemporary long-term psychiatric care facilities, also known as the state prison. One of your patients suffers from some type of affective instability because of a primary mood disorder, an Axis...
Fink! Still at Large: A Canadian Study of Preteens Suggests Recurrent Dreams Might Reflect Underlying Emotional Difficulties in Boys. How Have You Used Patients' Dreams to Advance Their Psychotherapy?
Dreams have been the enigma of philosophers, physicians, and psychiatrists for centuries, and they continue to present a great many problems for those interested in how the mind works. Freud's crowning achievement occurred in 1900 with the publication...
Internet-Based CBT Lowers Insomnia Severity
A cognitive-behavioral therapy intervention delivered via the Internet significantly reduced insomnia severity and contributed to overall sleep improvement in a study of 44 adults, according to a report in the Archives of General Psychiatry. The...
IOM Identifies 100 Areas for Effectiveness Research
A special panel convened by the Institute of Medicine has identified 100 areas ripe for study as part of a federal comparative effectiveness research program. The panel called on the federal government to use new research funding to compare treatments...
Major Anxiety, Functional Dyspepsia Linked
In Sweden's general population, the subcategory of functional dyspepsia known as postprandial distress syndrome is associated with anxiety, Dr. Pertti Aro and his colleagues reported in an article appearing in the July issue of Gastroenterology. ...
Mental Illness Raises Risk of Hospitalization
NATIONAL HARBOR, MD. -- Nursing home residents with dementia or severe mental illness face excess risk of being hospitalized for conditions that could otherwise be prevented or treated within their nursing homes. Despite growing interest in reducing...
Moderate Drinking Confers Benefit in Cognitively Normal
VIENNA -- A drink or two a day seems to protect against the development of dementia in cognitively normal elderly adults, a study suggests. But moderate alcohol consumption doesn't improve thinking processes in those who already have mild cognitive...
Perspective
Everyone can do four basic things to minimize the possibility of depression and anxiety when anything bad happens. First is to prepare for the possibility for being in a crisis. Second, take a break from the stress--not a permanent one, as denial is...
Primary Care Doctors in Highest Demand
Demand for many medical specialists remains strong, and group practices and hospitals are focused on recruiting psychiatrists, family physicians, general internists, hospitalists, and pediatricians. However, primary care physicians are in greater demand...
Proposed Pay Plan Gives 3% Increase to Psychiatrists Proposal Getting Mixed Reviews: CMS Estimates Don't Include 21.5% Cut
Psychiatrists could see a 3% increase in their Medicare payments next year--if Congress steps in to stop a projected 21.5% across-the-board payment cut. The estimates on reimbursement were part of the 2010 Medicare Physician Fee Schedule proposed...
Psychiatry and Ethics: Vigilance Is Critical
When we launched this column back in January 2007, I focused on "My New Year's Resolutions" for that year. Using the American Medical Association's Principles of Medical Ethics, I presented my own personal psychiatric annotations. In the last column...
PTSD Nearly Doubles Risk of Later Dementia
VIENNA -- Posttraumatic stress disorder nearly doubled the risk of later dementia in a large cohort of male veterans, a retrospective study has determined. The finding points to the importance of close follow-up for veterans--or any patient--with...
Serious Suicide Attempt, Family History Linked to Bipolar
Patients who make a serious suicide attempt and have a family history of suicide are more likely to have bipolar disorder, compared with suicide attempters without those two characteristics, according to a small retrospective study. Because bipolar...
Should Fetal Alcohol Spectrum Disorder Be Included in DSM-V?
SAN DIEGO -- Work on the fifth edition of American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders is well underway, and at least one psychiatrist thinks that alcohol-related neurobehavioral syndrome should be included....
Sleep Disturbances May Provide Entry into PTSD Care
SEATTLE -- Returning military veterans who have posttraumatic stress disorder often also have sleep disturbances that may provide an alternative, stigma-free entry into medical care, Anne Germain, Ph.D., said at the annual meeting of the Associated...
Smoking Cessation Drugs Get Boxed Warning
Accumulating reports of serious neuropsychiatric symptoms associated with the smoking cessation medications varenicline and bupropion have prompted the Food and Drug Administration to require new boxed warnings for the drugs. The warnings, which...
Social, Physical Clues Signal Eating Disorders: Psychopathology Often Consists of Preoccupations and Rituals, Such as Excessive Mirror Checking
NEW YORK -- When diagnosing adolescents with eating disorders, be aware that they may try to trick you to avoid admitting their behavior, one expert says. "These kids go on the Internet and they know the diagnostic criteria--often better than the...
Stimulant Use in ADHD, Bipolar Discouraged: Expert in Mood Disorders Cites Evidence Showing That Amphetamines Might Worsen Both Illnesses
CHICAGO -- Dr. Nassir Ghaemi is a bit of a maverick. The well-published author and director of the mood disorders and psychopharmacology programs at Tufts Medical Center in Boston likes to step off the well-worn CME lecture track and challenge his...
Sublingual Antipsychotic Gets Nod from FDA Panel: Asenapine Safe, Effective
SILVER SPRING, MD. -- The Food and Drug Administration's Psychopharmacologic Drugs Advisory Committee has agreed that asenapine maleate, an atypical antipsychotic formulated in an immediate-release sublingual tablet, is effective and has an acceptable...
Suicide Screening Model Fast, Easy
MONTREAL -- Suicide screening can be done quickly and easily for veterans attending routine primary care visits, according to Hani Shabana, Ph.D., from the Veterans Affairs Medical Center, Salem, Va. "Primary care is a largely untapped resource"...
Teen Native American Girls Are More Likely to Finish Dependency Treatment
SEATTLE -- Female Native American adolescents undergoing mandated chemical dependency treatment were significantly more likely than their male counterparts to complete such programs, a retrospective study found. Results of the study were presented...
Treatment Courts Reach out to Vets Mentors Play a Key Role
When Robert T. Russell Jr., the presiding judge in the Buffalo, N.Y., Veterans Treatment Court, greets a new defendant in his courtroom he always starts by thanking them for their service to the nation. It may seem like an unusual way for a judge...
U.S. Insurance Trends Show Increase in Public Coverage
The current decline in private insurance coverage has been offset by an "enormous increase" in public coverage over the past 2 decades--an expansion that might be at an end, according to a report. "Serious problems could lie ahead if employer-based...
We Must Take Back Talk Therapies
The number of psychiatrists who provide psychotherapy is on the decline. Numerous studies have pointed out that psychiatrists are more focused on medication management, and that we typically hand over our psychotherapy patients to nonmedical therapists....