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. 2, February

Americans' Mental Health Needs Unmet, Report Says
Just 45% of the 24 million U.S. citizens who experienced serious psychological distress in the past year received any kind of mental health services for their symptoms, a new national report has found. Young adults bore much of the burden of untreated...
Antipsychotics: Prescribe One at a Time
Too many clinicians prescribe more than one antipsychotic at a time to patients with schizophrenia, a generally unhelpful and expensive practice. Only in rare, exceptional cases should simultaneous antipsychotics be tried when treating schizophrenia,...
Atypicals Often More Costly in Treating Bipolar Disorder
CHICAGO -- The use of atypical antipsychotic agents results in lower total costs than does traditional antipsychotics in patients with bipolar disorder only in the limited setting of a need to switch medications, a large, real-world pharmacoeconomic...
Burn Victims at Risk for PTSD, Comorbidities
CHICAGO -- Young children experience traumatic stress reactions after a burn injury but also appear to be at risk of comorbid disorders, preliminary findings from a study in 135 children show. The study used two criteria to evaluate posttraumatic...
Darwin, Lincoln, and Psychiatry
Is it a cosmic coincidence that we have just simultaneously celebrated the 200th birthdays of Charles Darwin and Abraham Lincoln? Such connections make me wonder about our highest ethical ideals and potential as citizens, as politicians, as patients,...
Depot Olanzapine Moves toward Approval in U.S
CHICAGO -- Look for long-acting injectable olanzapine to soon join the growing ranks of atypical antipsychotic agents available in depot formulations. The Food and Drug Administration issued a complete response letter to Eli Lilly & Co. early...
Escitalopram, Sertraline Lead Class for Depression
Escitalopram and sertraline were the most effective of a dozen second-generation antidepressants for treating major depression in adults, results of a review of randomized controlled trials that included more than 25,000 patients show. Previous...
Evidence-Based Psychiatric Medicine: Sexual Abuse and Self-Injurious Behavior
The Problem You have a patient who heats up the blade of a knife and then burns himself with the heated blade. He says he was sexually abused in childhood and asks whether there is a connection between the abuse and self-injurious behavior. The...
Fink! Still at Large: People Who Suffer Losses as a Result of Affinity Fraud Often Struggle with the Psychological Ripple Effects of Such Betrayal. What Strategies Can We Use to Help Victims Move Forward?
Betrayal ranks high as one of the cruelest and most destructive of human behaviors. It can unleash intense feelings of anger, despair, and hatred in the victim, which could fester and intensify over time if it remains unresolved. Conversely, if the...
Incentives Stem Substance Abuse
BOCA RATON, FLA. -- Rewarding substance abuse patients with a prize, gift voucher, or other incentive to stay clean every time they abstain is a very effective way of weaning them from their addictions. Contingency management works: Numerous studies...
Making Sense of the Future
Since 1975, the National Institute on Drug Abuse has annually assessed the level of drug use among the nation's students--a bellwether population when it comes to drugs--through its "Monitoring the Future" survey. The 2008 results have been out for...
Many Psychiatry Residents Face Stress, Career Change
CHICAGO -- The majority of American and Canadian psychiatric residents feel stressed out--and one-quarter of those residents are contemplating a career change, a new survey suggests. Fully 56% of the 893 psychiatric residents who responded to the...
Milk and Martyrdom
"Milk" is a biopic about Harvey Milk, the first openly gay American to be elected to a major public office, as a city supervisor in San Francisco, in 1977. Before that, Milk (Sean Penn) was nicknamed the "Mayor of Castro Street" (the main boulevard...
Narrative Exposure Improves PTSD Symptoms
CHICAGO -- Short-term narrative exposure therapy can be effective in treating posttraumatic stress disorder in child and adult survivors of war, even when carried out by lay counselors with limited training, new research shows. Narrative exposure...
Privacy Called Top Priority for Personal Health Records
Privacy should be the top priority when developing certification criteria for personal health records, a task force created by the Certification Commission for Healthcare Information Technology has recommended. Adequate security and interoperability...
Quetiapine XR Appears Effective, Safe for GAD
CHICAGO -- Extended-release quetiapine monotherapy at 50 mg or 150 mg once daily is rapidly effective and well tolerated with minimal metabolic side effects in patients with generalized anxiety disorder, as demonstrated in a large phase III clinical...
Rehabilitation Promotes Recovery in Schizophrenia
Psychiatric rehabilitation is an important but often overlooked component of managing--and sometimes preventing--prodromal schizophrenia symptoms. However, symptom control and relapse prevention should not be confused with recovery. Studies have...
The Psychiatrist's Toolbox: My Hopes for the DSM-V
You will be pleased to know that no matter how long you have been neurotic, you will no longer be neurotic by 1980." That's how I opened one of my syndicated daily radio programs one year before the DSM-III was introduced back in the late 1970s,...
Treatment Costs Really Matter Now
It is no secret that the world currently faces a significant economic challenge. In my clinical practice, it is now common for my patients to comment on their personal economic concerns, and these concerns seem to be affecting their overall health--regardless...
Treatment Needed for Soldiers Who Killed during War: Study of 3,141 Returnees Is Instructive
CHICAGO -- Soldiers who killed as part of their deployment are at increased risk for mental health symptoms and related functional impairment, a study of 3,141 recent returnees from Operation Iraqi Freedom shows. Based on available data, 1,184 (40%)...
Uptitrating Escitalopram Beats Switch in MDD
CHICAGO -- Severely depressed patients who fail to respond to 2 weeks of escitalopram at 10 mg/day typically do better with uptitration to 20 mg/day for 8 weeks than with a switch to 8 weeks of duloxetine at 60 mg/day, according to a multicenter double-blind...