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. 9, September

A Call for Correct Diagnosis
The National Depressive and ManicDepressive Association (National DMDA) is the largest patient directed, illness-specific organization in the United States. We represent millions of people living with mood disorders. To meet our mission, we urge those...
Addressing Pregnancy in Women on ADHD Medication
The increasing number of adults diagnosed with attention-deficit hyperactivity disorder makes it more likely that psychiatrists and other physicians will have women in their childbearing years stabilized on medication for the disorder. Dr. Lee Cohen...
Atomoxetine Appears Effective in Pediatric ADHD
PHOENIX, ARIZ. -- Atomoxetine, a nonstimulant adrenergic agent, appeared effective for pediatric attention-deficit hyperactivity disorder, both in short- and long-term studies, according to posters presented at a meeting of the New Clinical Drug Evaluation...
Benefits of Polypharmacy in Elderly Undear, Costly
PHOENIX, ARIZ. -- Combined antidepressant and antipsychotic therapy is generally considered the acute drug treatment of choice for psychotic depression, but for older patients, the regimen appears to have little to recommend it as continuation treatment...
Brain Studies Predict OCD Treatment Response
BERLIN -- Studies using symptom provocation and functional brain imaging can predict the response of patients with obsessive-compulsive disorder to drug treatment, Dr. Joseph Zohar said at the Seventh World Congress of Biological Psychiatry Patients...
Brief Scale Reliably Assesses Patient Satisfaction
The Charleston Psychiatric Outpatient Satisfaction Scale is a reliable and valid measure of patient satisfaction, according to Karen L. Pellegrin, Ph.D., of Discovery Alliance International in Mobile, Alabama, and her associates. The 15-item scale...
Cannabis Use Does Not Correlate with Psychosis Onset in High-Risk Youth
WHISTLER, B.C. -- Cannabis use was not associated with the onset of psychotic symptoms in a group of high-risk young people assessed and followed at the Personal Assessment and Crisis Evaluation Clinic in Melbourne, Australia, Dr. Lisa J. Phillips...
CBT Effective for Ovarian Restoration
DENVER -- A course of cognitive-behavioral therapy is highly effective for restoration of ovarian function in women with functional hypothalamic amenorrhea, Dr. Sarah L. Berga reported at the annual meeting of the Endocrine Society. This psychological...
Consider Adjunctive E-Mail Therapy for Anorexia Nervosa Patients
NEW ORLEANS -- E-mail may be useful as an adjunctive treatment for some anorexia nervosa patients, Dr. Joel Yager said at the annual meeting of the American Psychiatric Association. Consider adjunctive e-mail therapy for patients and families who...
Cost-Effective Treatment Offers Relief for Severe IBS
ATLANTA -- Psychotherapy and antidepressants are cost-effective treatments for those with severe irritable bowel syndrome. Psychotherapy and antidepressants improved health-related quality of life compared with routine treatment--without additional...
Coverage Varies Widely across Insurance Market
The decisions of who qualifies for health insurance and how much they should pay for it are as individual as the people who review the applications. Despite reforms in several states, the individual insurance market is highly variable and difficult...
Data Reanalysis Suggests Optimal Dose for Atypical Antipsychotics
BERLIN - For atypical antipsychotic drugs, which are still relative newcomers to the psychotropic arsenal, questions of optimal dose remain unsettled, according to a reanalysis of two pivotal trials reported in a poster presentation at the Seventh...
Depression in Late Adolescence a Risk Factor for Obesity in Young Women
SAN DIEGO - Girls with elevated depression scores in late adolescence have a greater risk of developing obesity in young adulthood, Dr. Laura Richardson reported at the annual meeting of the Society for Adolescent Medicine. The finding, which applies...
Depression May Lurk in Stress-Response System
NEW YORK -- Drugs that enhance serotonin or norepinephrine activity can effectively treat depression, but it cannot be deduced from this that the disorder is a result of deficiency or depletion of single neurotransmitters, Dr. Pedro L. Delgado said...
Despite Restrictions, MAOIs Are Best Bet for Anxious Teens
PHILADELPHIA -Diet restrictions and other precautions should not deter use of monoamine oxidase inhibitors in adolescent patients, Dr. Ginny Gerbino-Rosen said at the annual meeting of the American Society of Adolescent Psychiatry. Monoamine oxidase...
[D.Sub.1] Receptors May Hold Key to Schizophrenia Outcome
TORONTO -- Identifying patients with increased dopaminergic [D.sub.1] receptor levels may allow clinicians to better predict prognosis for the approximately 45 million people worldwide with schizophrenia, Dr. Anissa F. Abi-Dargham said at the annual...
Elevated C-Reactive Protein Tied to Depression in Men
The association was not seen in women. SAN DIEGO - C-reactive protein levels are elevated in young men who experience one or more episodes of major depression, according to the findings of a new study. In an analysis of data collected from 3,242...
Expect TX Resistance from Athletes with Eating Disorders
VANCOUVER, B.C. -- Athletes who develop eating disorders represent a treatment challenge for mental health professionals, Dr. Roberta Trattner Sherman said at the international conference on eating disorders sponsored by the University of New Mexico....
Family-Focused Therapy May Help Bipolar Teens
PHOENIX, ARIZ. -- Family-focused therapy, which has been shown to be a valuable adjunct to medication in the treatment of adult bipolar disorder, may have particular applicability to adolescents, David Miklowitz, Ph.D., said at a meeting of the New...
Helping Couples with Unconsummated Marriage
DURBAN, SOUTH AFRICA -- Sexual excess, teen pregnancy and divorce tend to grab the headlines, but at the other end of the sexual behavior spectrum are couples who have never had intercourse, Dr. Domeena C. Renshaw said at WONCA 2001, the conference...
Interpret Psychotropic Research with Caution
NEW YORK -- Research studies of psychotropic drugs, particularly antidepressants, should be evaluated with great caution, given the diversity of study populations, limitations of rating scales (and vargaries of their interpretation), and variations...
MRI, PET Map Source of Schizophrenia Symptoms
NEW YORK -- Using functional MRI and PET, it is possible to map the locations in the brain that are active during hallucinations and delusions--the core symptoms of schizophrenia, Dr. David A. Silbersweig said at a schizophrenia conference sponsored...
New EEOC Charge System Slights Psych Claims
Under the U.S. Equal Employment Opportunity Commission's new three-tiered charge system, people with psychiatric disabilities who are filing complaints against employers under the Americans With Disabilities Act are less likely than those with other...
New Law Targets Rebirthing Therapy
The death of a young girl undergoing "rebirthing" therapy with unlicensed psychotherapists in Colorado has ratcheted up the years-old controversy surrounding unconventional treatments for reactive attachment disorder. Ten-year-old Candace Newmaker...
Parents Must Help Filter out Marketing, Violent Media
Do you consider advertising tactics that target children and adolescents to be psychologically damaging or merely exploitative? To what extent do you think marketing to children impacts their development? To what extent is the familial relationship...
Patients Who Fear Flying Find Relief in Virtual Reality Therapy
VANCOUVER, B.C. -- Exposure therapy conducted using office-based virtual reality technology led to significant improvements in patients treated for fear of flying, Dr. Page Anderson reported at the World Congress of Behavioral and Cognitive Therapies....
Polypharmacy, Atypicals Top Pick for Schizophrenia
Polypharmacy rates ranged from 11% to 29% in the N. Y. Veterans Affairs region. PHOENIX, ARIZ. - Analysis of data from several large public mental health programs suggests that atypical antipsychotics are becoming the agents of choice for schizophrenia...
PRACTICAL PSYCHOPHARMACOLOGY: What Experts Do before Study Results Are in Meds Play Important Role in Borderline Personality
There is no magic bullet to guard against borderline personality disorder-no single class of drug that is most generally appropriate-and gains, at best, tend to be modest. Yet pharmacotherapy does play a significant role in this challenging condition,...
Pregabalin Eases Symptoms of Social, Generalized Anxiety
ATLANTA - Treatment with the novel anxiolytic pregabalin improves symptoms of social anxiety disorder and generalized anxiety disorder, Dr. Douglas E. Feltner said in a poster presentation at the annual conference of the Anxiety Disorders Association...
Psychopathology Often Accompanies Asthma
SAN FRANCISCO - Two-thirds of adult patients at an inner-city asthma clinic were found to have psychiatric diagnoses, complicating their symptom perception and disease management, researchers reported at the 97th International Conference of the American...
REM Disorder May Explain Violent Sleep Behavior
CHICAGO -- Psychiatrists should rule out rapid eye movement sleep behavior disorder when a patient presents with dramatic or violent behavior during sleep, according to a panel of experts who addressed the joint annual meeting of the American Academy...
Researchers Hopeful Antidepressant Augmentation Will Improve Remission
NEW YORK -- As remission increasingly has become the target of effective treatment therapies for depression, augmentation strategies have aroused renewed interest among researchers, Dr. Charles De Battista said at a conference on psychopharmacology...
Schizophrenia, Addiction Demand Integrated TX
NEW ORLEANS -- "Integration" is the key to treating co-occurring schizophrenia and substance abuse, Dr. Douglas M. Ziedonis said in an industry-sponsored symposium at the annual meeting of the American Psychiatric Association. The most effective...
Sertraline Benefits Quality of Life in PTSD
ATLANTA -- Long-term treatment with sertraline improves not only symptoms of posttraumatic stress disorder but also patient quality of life, Dr. Mark H. Rapaport reported in a poster presentation at the annual conference of the Anxiety Disorders Association...
Start Meds Early to Cut Risk of Alcohol Relapse
NEW ORLEANS - Pharmacotherapy is particularly important during the first months following cessation of drinking, when the risk of relapse is high, Dr. Barbara J. Mason said at the annual meeting of the American Psychiatric Association. Following...
Study Links Cognitive Deterioration to Depression
BERLIN - Depressive symptomology may play a greater role than structural changes in the brains of schizophrenia patients who are experiencing cognitive decline, Dr. Christine Moser reported at the Seventh World Congress of Biological Psychiatry. ...
Substance Abuse a Serious Problem in Schizophrenia
NEW ORLEANS -- Substance use disorders, which are considerably more prevalent than in the general population, represent an extremely serious problem in patients with schizophrenia, Dr. Lisa B. Dixon said at an industry-sponsored symposium at the annual...
Tackle Noncompliance with Persistent, Critical Eye
NEW ORLEANS -- When patients fail to take their medications properly, a number of psychodynamic concepts could be at play, Dr. Elizabeth S. Robinson said at the annual meeting of the American Academy of Psychoanalysis. For example, issues of transference...
The War on Drugs Not a Bust, Expert Contends
WHITEFISH, MONT. -- To those who claim the war on drugs has been a failure thus far, Dr. Robert L. DuPont challenges, "Compared to what?" The use of illegal drugs peaked in the United States in 1985, when 25 million Americans confessed to current...
Transdermal MAO Inhibitor Appears Safe without Dietary Restrictions
PHOENIX, ARIZ. -- Selegiline, a selective monoamine oxidase inhibitor, can be used safely in the transdermal form without dietary restrictions, according to controlled data presented at a meeting of the New Clinical Drug Evaluation Unit sponsored by...
Use Patient-Centered Approach with Gulf War Vets
"Gulf War veterans are more likely than nondeployed veterans to report symptoms, illness, and functional impairment, although no study has been able to identify a single accepted condition or group of diagnoses that explains the symptoms experienced,"...
Virtual Reality TX Brings Fear of Heights to Earth
VANCOUVER, B.C. - Exposure therapy for fear of heights is as effective and as lasting as real-life exposure when performed using a computer-controlled virtual reality system, Paul M.G. Emmelkamp, Ph.D., reported at the World Congress of Behavioral...
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