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. 40, No. 1, January

Adhere to Guidelines When Prescribing Opioids
EXPERT OPINION FROM THE ANNUAL MEETING OF THE AMERICAN ACADEMY OF PSYCHIATRY AND THE LAW BOSTON - The line between proper prescribing of opioids and pill pushing is thin and easily crossed, forensic psychiatrists said at the meeting. The U.S....
Autoimmune Theory of Autism Is Bolstered: From the Annual Meeting of the American College of Neuropsychopharmacology
Evidence increasingly backs the notion of an autoimmune version of autism, and a new study involving specific autoantibodies that are directed at fetal brain tissue and found in a modest proportion of mothers who have autistic children support this...
Best Practices In: The Treatment of Adults with Schizophrenia: Managing Schizophrenia and Overall Health
Introduction Over the last two decades, the pharmacologic agents available for the treatment of adults with schizophrenia have undergone a dramatic refinement. Whereas first-generation antipsychotic agents generally targeted dopamine, second-generation...
Bipolar Depression: Evidence, Judgment Rule: Expert Analysis from the Annual Congress of the European College of Neuropsychopharmacology
PARIS - Existing evidence on the best ways to treat bipolar depression is limited and must balance against what works in the real world based on empirical experience. When treating bipolar depression "we are in the land of the uncertain, where [psychiatrists]...
Can Mentally Ill Defendants Self-Represent? Trial Court Judges Say Mental Retardation, Dementia, and Psychosis Limit Pro Se Competence
FROM THE ANNUAL MEETING OF THE AMERICAN ACADEMY OF PSYCHIATRY AND THE LAW BOSTON - A person with mental illness who insists on defending himself in court should not be allowed to sink or swim on his own, a forensic psychiatrist said at the meeting....
Changes in the Offing for Assessing Personality
Unless you're an academic psychiatrist with a niche interest within the diagnostic nomenclature of psychiatry, chances are you probably haven't spent much time poking around the website of the DSM-5 Task Force at dsm5.org. In recent months, the publication...
Don't Accept 'Friending' Requests from Patients on Facebook: From the Annual Meeting of the American Academy of Psychiatry and the Law
BOSTON - Before hanging out a shingle on Facebook or other social networking sites, mental health providers should be aware of the pitfalls of TMI - too much information - a psychiatrist warned at the meeting. Roughly half of all medical students...
Factors Affecting Custody Depend on the Parent
FROM THE ANNUAL MEETING OF THE AMERICAN ACADEMY OF PSYCHIATRY AND THE LAW BOSTON - When courts decide which parent gets custody in a divorce or separation, the emotional stability of the mother and the criminal record - or lack thereof - of the...
FDA Decides That SSRIs Can Be Used during Pregnancy
Pregnant women taking selective serotonin reuptake inhibitors for depression may continue to do so, despite a 2006 warning that the drugs may predispose infants to persistent pulmonary hypertension, the Food and Drug Administration has announced. ...
FDA Panel Recommends Loxapine for Approval: From a Meeting of the FDA's Psychopharmacologic Drugs Advisory Committee
ADELPHI, MD. - A Food and Drug Administration advisory panel has narrowly recommended approval of an inhaled, rapidly acting formulation of the antipsychotic loxapine as a treatment for agitation in patients with schizophrenia or bipolar disorder....
MacArthur Fellow's Focus: Suicide Prevention
At the beginning of his career, Matthew K. Nock, Ph.D., a clinical psychologist, wanted to focus on research that could prevent suicide, but not enough was known about what motivated people to harm themselves for him to start testing ways to intervene....
Medical Marijuana Often Used as a Prescription Drug Substitute
FROM THE AMERICAN PSYCHIATRIC ASSOCIATION'S INSTITUTE ON PSYCHIATRIC SERVICES SAN FRANCISCO - People who qualify for medical marijuana prescriptions frequently report substituting the drug for their other prescription medications. In an anonymous...
Migraine with Aura May Mean Higher Cholesterol
FROM THE INTERNATIONAL HEADACHE CONGRESS BERLIN - Do you have older patients who experience migraines with aura? You might want to check their lipid levels. Older patients who experience migraines with aura may be at increased risk for elevated...
More Data Back DBS for Refractory Depression: From the Journal of Neurosurgery
Deep brain stimulation of the subcallosal cingulate area appears to significantly decrease the symptoms of treatment-resistant depression. An open-label trial of 21 patients who had failed multiple medical and electro convulsive treatments found...
New Clues Advance Understanding of Epilepsy
FROM THE ANNUAL MEETING OF THE AMERICAN NEUROLOGICAL ASSOCIATION SAN DIEGO - Like pivotal puzzle pieces, new genetic and molecular clues to the etiology of epilepsy are bringing into focus processes that have long perplexed clinicians and researchers....
No Risk of CVD Events Seen with ADHD Meds
FROM JAMA Medications for attentiondeficit/hyperactivity disorder do not increase the risk of serious cardiovascular events among young and middle-aged adults, according to the results of a retrospective, population-based cohort study. Stimulants...
Oxytocin Appears to Mediate Effect of Maternal Depression: From the Annual Meeting of the American College of Neuropsychopharmacology
Children exposed to maternal depression throughout their first year of life are more likely than nonexposed children to develop mental disorders by age 6 years, particularly if their oxytocin system is disordered, according to findings from a longitudinal...
Playing Violent Video Games Alters Men's Brain Function: From the Annual Meeting of the Radiological Society of North America
CHICAGO - One week of violent video game play produced significant changes in brain function, a small study of men aged 18-28 shows. Violent video games were associated with reduced activity in regions of the brain involved in attention, inhibition,...
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Energy Drinks Lead to ED Visits Emergency department visits related to nonalcoholic energy drinks increased from 1,198 in 2005 to more than 13,000 in 2009, according to a report by the Substance Abuse and Mental Health Services Administration (SAMHSA)....
PTSD Patients Deserve First-Line Treatment
Help me understand something: Why is medication management consistently used first in the treatment of posttraumatic stress disorder in psychiatry today, when solid evidence and the experts report that cognitive-behavioral and exposure therapies are...
Relationship Building from Lab to Island
"In the comfort of the Gottmans' own island home, learn research-based tools for building and maintaining relationship intimacy. Have you ever planned a wonderful romantic vacation ... only to have your dream become a nightmare when tense quarrels...
Serious Mental Illness Prevalent among Inmates: From the Annual Meeting of the American Academy of Psychiatry and the Law
BOSTON - U.S. correctional institutions are estimated to be housing 1 million men and women with serious mental illnesses such as schizophrenia or a major affective disorder, investigators reported. The estimated prevalence of serious mental disorders...
Sleep Debt Takes Toll on Health, Relationships: Insufficient Shut-Eye Linked to ADHD Symptoms, Genetic Risk of Obesity, and Marital Discontent
ANALYSIS FROM THE ANNUAL MEETING OF THE ASSOCIATED PROFESSIONAL SLEEP SOCIETIES MINNEAPOLIS - Sleep is in short supply, thanks to our "24-hour society" in which trading sleep for work or play is common and sleep deprivation is worn as a badge of...
Sleep Deprivation Predicts PTSD in Soldiers
FROM SLEEP Short sleep duration is common among redeployed soldiers - particularly those who experience combat - and is associated with numerous impairments, including posttraumatic stress, findings from a cross-sectional study of more than 2,700...
Teens Drinking Less, but Smoking Marijuana More: From a Press Conference Sponsored by the National Institute on Drug Abuse
Daily cigarette smoking and binge drinking among American teenagers declined over the past year, but the use of marijuana and the abuse of prescription drugs remain a problem, data from the 2011 Monitoring the Future survey have shown. The National...
The Sex Abuse Scandal at Penn State Is Making Pedophilia Part of the National Conversation. How Should Psychiatrists Process This Case as It Unfolds?
The scandal involving Jerry Sandusky and Penn State University has been all over the news for weeks and unrelenting in its complexity. After reading the grand jury report, I was taken aback by the enormity of the crisis, the obfuscations, euphemisms,...
Treating Psychosis: Sometimes Less Is More
I read "Anatomy of an Epidemic" (New York: Crown Publishers, 2010) several months ago, and I have spent much of my time thinking about it. I've also communicated with the author, Robert Whitaker, and read many of the primary references - specifically...
When Can I Go Home?
In the 1996 Academy Award-winning movie "Sling Blade," actor Billy Bob Thornton played the character Karl Childers, a mentally disabled insanity acquittee hospitalized following the murder of his mother and her lover. The story followed Childers as...
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