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. 32, No. 11, November

Act Promptly to Address Patient Dissatisfaction
AMELIA ISLAND, FLA. -- Do not move forward with treatment before resolving issues of anger and trust in your relationship with a patient, Thomas L. Campbell, M.D., advised at a meeting sponsored by the Society of Teachers of Family Medicine. Patient...
ADHD Comparison Favors Methylphenidate
PARIS -- A combined immediate- and extended-release formulation of methylphenidate was more effective than atomoxetine for controlling symptoms in children with attention-deficit hyperactivity disorder in a study of more than 1,300 patients. "The...
Adults with OCD Share Several Childhood Medical Factors
WASHINGTON -- Adult patients with obsessive-compulsive disorder shared a number of medical and developmental factors as children, according to data presented as a poster at a meeting of the Centers for Disease Control and Prevention's National Center...
Asthma Drug's Label Gets Hepatotoxicity Warning
Reports of life-threatening hepatic failure in people taking zafirlukast for asthma have been reported in patients on the asthma drug and the label has been revised to reflect these reports, according to a Food and Drug Administration Med-Watch report....
Brain Changes Detectable before MCI Diagnosis: Structural and Functional MRI Are Revealing Early Changes in Patients Complaining of Cognitive Decline
PHILADELPHIA -- Magnetic resonance imaging has the potential for detecting very early brain changes related to memory impairment, Andrew J. Saykin, Psy.D., reported at the Ninth International Conference on Alzheimer's Disease and Related Disorders,...
Brain Response to Food Stimuli Could Predict, Mediate Recovery from Anorexia
BERLIN -- The regions of the brain implicated in motivation and emotional guidance are more active in response to food stimuli in current and recovered anorexia nervosa patients than in healthy control patients, Rudolf Uher, Ph.D., said at the 16th...
Depression May Predict Late Mastectomy Pain
VANCOUVER, B. C. -- Persistent, disabling pain following a mastectomy is not related to the type of procedure a woman has, but it may be related to depression, Ian Kudel, Ph.D., said in a poster presentation at the annual meeting of the American Pain...
Dream Weavers
Murray Bowen, the pioneer family therapist, often defied convention by purposely preventing couples in conflict from talking to one another during sessions. He would engage one partner in a long dialogue while the other silently observed. Bowen thought...
Early IQ Indicates Adult Outcome in Autism
BERLIN -- Early IQ is a good prognostic indicator for adult outcome in autism. Patricia Howlin, Ph.D., said at the 16th World Congress of the International Association for Child and Adolescent Psychiatry and Allied Professions. Autistic adults with...
Early Sexual Abuse Tied to Later Suicidal Ideation
Women aged 50 and older with major depression were nearly seven times more likely to have considered suicide in the past week if they had a history of childhood sexual abuse, a study of 127 patients found. The 18 women in the study who reported...
Empowering the Patient to Lose Weight Seen as Essential
WASHINGTON -- Obese patients must take personal responsibility for their condition and its treatment, Gerard Musante, Ph.D., said at a meeting on obesity sponsored by Global Business Research Ltd. "It's commendable that society is taking note of...
Expert Offers 10 Ways to Avoid Federal Fraud Prosecution
BALTIMORE -- There are 10 things doctors can do--or avoid doing--to help prevent themselves from being prosecuted by the federal government for fraud, D. McCarty Thornton said at a forum sponsored by the American Health Lawyers Association. Mr....
FDA Approves Aripiprazole for Acute Bipolar Mania
The Food and Drug Administration has approved aripiprazole, an atypical antipsychotic, for the treatment of acute bipolar mania. Manufactured in the United States by Bristol-Myers Squibb under the brand name Abilify, aripiprazole's only previously...
FDA Approves Duloxetine in Speedy Review: Drug Is First to Receive Indication for Pain Associated with Diabetic Peripheral Neuropathy
After a 6-month priority review, the Food and Drug Administration last month approved duloxetine for managing pain associated with diabetic peripheral neuropathy, a symptom of nerve damage that affects up to 5 million Americans with diabetes. The...
Federal Antiobesity Effort Gaining Momentum
WASHINGTON -- As recognition of the national problem of obesity increases, the federal government has begun to fight back on several fronts. Agency for Healthcare Research and Quality As part of the Department of Health and Human Services' efforts...
General Anesthesia Tied to Lower Dementia Risk
PHILADELPHIA -- Can general anesthesia prevent Alzheimer's disease? That was the intriguing suggestion from a retrospective epidemiologic study done with patients in the Veterans Affairs health system who had prostate or hernia surgery and were...
High-Dose Ziprasidone Effective for Treatment-Resistant Schizophrenia
PHOENIX, ARIZ. -- Doses of ziprasidone well above 160 mg/day appear to be effective and well tolerated in patients with the most complex disorders, Daniel A. Deutschman, M.D., reported in a poster session at a meeting of the New Clinical Drug Evaluation...
Home-Based Palliative Care Program Supported by Patients and Physicians
SAN FRANCISCO -- Most patients facing death say they want to die at home. A palliative care program helped patients do that and also lowered health care costs, preliminary results of a Kaiser Permanente study showed. Home-based palliative care--a...
Hypopituitarism Seen after Severe Head Trauma
LISBON -- Hypopituitarism is a common but underrecognized complication of severe traumatic brain injury, Burkhard L. Herrmann, M.D., and Randall J. Urban, M.D., reported in separate presentations at the 12th International Congress of Endocrinology....
Interventions Needed for Depressed Elderly
The numbers are sobering. Americans older than age 65 make up about 13% of the population yet account for 18% of all suicides, according to data from the Centers for Disease Control and Prevention's National Center for Health Statistics. The suicide...
Labeling Rules for Antidepressants: Mixed Reviews; Psychiatrists Worry That FDA Order Will Have Chilling Effect on Needed Prescribing
The Food and Drug Administration's new requirements for warning labels on antidepressants given to children and adolescents are drawing mixed reviews from physicians. On the positive side, "this announcement will raise the level of attention to...
Most Fibromyalgia Patients Turn to Alternative Medicine
TUCSON, ARIZ. -- As the specific causes of fibromyalgia remain a mystery and conventional treatments prove only marginally helpful, more patients are turning to alternative treatments, which can offer surprising benefits by simply improving the sense...
New Book Focuses on Cultural Issues, Health Disparities
SAN DIEGO -- The first comprehensive textbook on health disparities in the United States should hit the bookshelves this month, Rubens J. Pamies, M.D., said at the annual meeting of the National Medical Association. Coedited by Dr. Pamies and David...
NIH Moratorium Would Halt Industry Consulting
The National Institutes of Health plans to impose a 1-year moratorium on all consulting arrangements between its employees and pharmaceutical or biotechnology companies. The action comes after months of congressional hearings that identified a number...
Obesity: We Must Take the Lead
A few years ago, a 35-year-old patient I'll call Betty came to me because her weight had spiraled out of control. At 235 pounds, Betty found that even the simplest tasks--such as taking a 15-minute walk--were challenging because she got very tired...
'On Death and Dying'
The death of Elisabeth Kubler-Ross, M.D., in August prompted me to open my old copy of her seminal work. I first read "On Death and Dying" when it was published in 1969. Even the preface was absorbing: "I have worked with dying patients for the...
Online Schizophrenia Algorithm Almost Ready: International Effort Took 3 Years to Finish
STOCKHOLM -- An interactive, online schizophrenia treatment algorithm will provide a decision tree complete with graded supporting evidence and special clinical considerations for patients with comorbid or pre-existing conditions, Herbert Meltzer,...
Pain Relief from Vaginal Apex Repair Temporary, but Patients Are Satisfied
CHICAGO -- Vaginal apex repair may improve general levels of pelvic pain in patients with vaginal apex pain, but for many, medical therapy is still necessary, results from a small study suggest. "Although initially it seemed vaginal apex revision...
Panel Releases Updated HIV Treatment Guidelines
Prompted by substantial new data on the effective treatment of HIV disease in adults, the International AIDS Society-USA antiretroviral panel has released new guidelines for antiretroviral therapy. The panel, convened in 1995 by the International...
Pilot Program Launched on Malpractice
Afederal experiment to encourage early settlement of malpractice cases through a confidential mediation process won't solve the medical liability crisis, but it's a step in the right direction, physicians and other health experts claim. To avoid...
Preparing for Maternity and Paternity Leave
Justin Woodhouse, M.D., was just a few weeks into his first-year dermatology residency at the Cleveland Clinic when his second child was born, But the thought of not taking 2 weeks of paternity leave never occurred to him. "Paternity leave is an...
Psychiatric Disorders Key in Childhood Insomnia: Ask about Depression, Anxiety, and Somatization. Family History of Mental Illness Could Also Play Role
BALTIMORE -- Why anyone would want to "sleep like a baby" is beyond any parent who has ever faced a sleepless child night after night. "Insomnia is actually a very common problem in children," Ann C. Halbower, M.D., co-director of the sleep and...
Reducing Clozapine's Metabolic Side Effects
The Problem You have a patient diagnosed with schizophrenia. Positive psychotic symptoms have remained resistant to adequate trials of typical and atypical antipsychotics. You consider clozapine, but the patient has an elevated body mass index with...
Rivastigmine Benefits Dementia in Parkinson's
PHILADELPHIA -- Rivastigmine was safe and effective for improving symptoms of dementia in patients with Parkinson's disease in a randomized, controlled study with 541 patients. Results from prior case series and small, open-label studies had suggested...
Should We Disregard Psychotherapeutic Approaches That Are Not Backed by Solid Scientific Evidence?
YES We shouldn't disregard any treatment before it has been thoroughly studied, and we should always keep an open mind to all novel and untested treatments. But we have to be extremely careful not to tolerate treatments that have been found to be...
Studies Weigh Prognostic Value of Inactivity, BMI
Physical inactivity and high body mass index are not necessarily equivalent in terms of predicting disease risk in women, according to findings from two studies. Inactivity predicted increased heart disease risk in women with suspected ischemia...
Survey Shows Few Patients Send E-Mail to Physicians
SAN FRANCISCO -- Not many patients are e-mailing their physicians, and of those who do, the majority click "send" less than once a month, an online survey of 1,881 people suggests. Fewer than 17% of respondents reported recently e-mailing their...
Teamwork Closes Mental Health Gap
Psychiatrists are in short supply, but patients in need of psychiatric care are not. As a result, some patients must wait as long as 6 months to see a psychiatrist, and primary care physicians, forced to pick up the slack, are seeing patients they...
Telephone Outreach Aids Depression Screening: Intervention Encourages Medically Ill Patients to Use Mental Health Services in Primary Care Practices
CHICAGO -- Telephone-based outreach is an effective screening tool for identifying comorbid depression in medically ill patients, said Michael Ong, M.D., of Stanford (Calif.) University. Such an intervention can be incorporated into primary care...
The Art of Linda Sibio
Linda Carmella Sibio's life may strike the casual observer as emotionally chaotic, but a closer inspection reveals a rich and vibrant tapestry, with an awe-inspiring resiliency. An extremely driven and productive artist, Ms. Sibio uses multimedia...
Third-Party Payers
Because of inequitable limits applied to mental health benefits, many patients fail to get the mental health care they need. What is the impact of third-party payments in doctor-patient relationships? Psychiatry Is to Blame The current inequitable...
Transference-Based Therapy Effective in BPD
ASPEN, COLO. -- Transference-focused psychotherapy, a structured outpatient psychodynamic treatment for borderline personality disorder, has shown solid evidence of efficacy in three studies, John F. Clarkin, Ph.D., said at a psychiatry conference...
Transformed Migraine Responds to Levetiracetam
SAN FRANCISCO -- Levetiracetam is a promising drug for the prevention of attacks of transformed migraine, a notoriously tough-to-treat and common form of chronic daily headache, Alan M. Rapoport, M.D., said at the annual meeting of the American Academy...
Treating Depression in the Medically Ill: These Patients Are Sensitive to Side Effects, May Be Taking Drugs That Can Interact with Antidepressants
Depression and medical illness are frequent fellow travelers. Not only is the mood disorder more prevalent among people with chronic medical conditions than it is in the general population, but comorbidity complicates treatment, worsens response to...
Treating the Depressed and Pregnant
Physicians and patients may be alarmed by recent changes to the product labels of the selective serotonin reuptake inhibitors and the selective norepinephrine reuptake inhibitor venlafaxine with respect to their use during pregnancy. The labels...
Vigilance Essential in Primary Care
Widowhood, medical illness, and lack of a meaningful role in society are key factors that contribute to suicide risk among the elderly. The elderly are more biologically fragile and thus might be more likely to attempt suicide than younger people....
Web Strategy and Adolescents
We've all seen the headlines warning of the "dark alleys of cyberspace" and telling cautionary tales of sordid characters who lure teens from online chats into real-life danger. Many adults want to pull the plug on the Internet in America's homes,...
We Must Get the Word out about Psychiatry
We have not done an adequate job of marketing our profession or skills. The general public knows the difference between an obstetrician and a pediatrician but not the difference between a psychologist and a psychiatrist. If I ever had a psychiatric...
When Prescribing Narcotics, Use Patient Contract
SAN FRANCISCO -- Modern concepts of pain management call for the use of narcotics when appropriate, and having a patient sign a pain management contract can help clarify issues between physician and patient, Edward Teitelman, M.D., said at the annual...
Yoga Doesn't Boost Cognition in Healthy Seniors
SAN FRANCISCO -- The practice of yoga produced no significant effects on cognitive function in a randomized controlled trial involving healthy seniors, Barry Oken, M.D., said at the annual meeting of the American Academy of Neurology. On the plus...