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. 30, No. 12, December

Alcohol Consumption Can Cause Hypoglycemia. (Children with Type 1 Diabetes)
KEYSTONE, COLO. -- When a child or adolescent with type 1 diabetes presents with severe hypoglycemia, think about alcohol ingestion as a possible cause, Dr. Georgeanna Klingensmith advised at a juvenile diabetes meeting sponsored by the University...
Alternative Medicine: Ginkgo for Alzheimer's Disease . (Clinical Rounds)
* The herbal supplement ginkgo is popular worldwide as a memory-enhancing agent. * Clinical data, not yet definitive, suggest that standardized extracts can be beneficial in dementia. History and Rationale for Use Extracts of the seeds, leaves,...
Alzheimer's: Delay Seen between Onset, Treatment. (Gender Difference Significant)
STOCKHOLM -- Significant delays are occurring in the diagnosis and treatment of Alzheimer's disease, Dr. Kofi Mensah said at the Eighth International Conference on Alzheimer's Disease and Related Disorders. In an industry-sponsored survey of 103...
Are Physicians Responsible for Minority Health Disparities? (Doctor-Patient Relations)
SAN DIEGO--There is a growing recognition that some of the disparity in health and mortality among racial/ethnic groups in this country is due to physician-patient relations, Dr. Denise V Rodgers said at the annual meeting of the American Academy of...
Asthmatics with Reflux Benefit from Proton-Pump Inhibition. (High-Dose Lansoprazole)
SEATTLE -- Six months of high-dose lansoprazole significantly improves difficult to control asthma in patients with acid reflux symptoms, a major new study has shown. At the annual meeting of the American College of Gastroenterology Dr. Michael...
Behavioral Strategies Help Children Lose Weight. (Relevance to Clinical Settings Unknown)
SAN FRANCISCO -- Comprehensive, family-based behavioral lifestyle interventions are the cornerstone of obesity treatment for children, Marsha Marcus, Ph.D., said at the annual scientific sessions of the American Diabetes Association. But the evidence...
Biology Plays Key Role in Borderline Personality. (A Genetic 'Template')
NEW YORK -- Biology plays a key role in the evolution of borderline personality disorder. Alterations in brain chemistry and physiology, to a great extent genetically determined, apparently create predispositions that lead to characteristic problem...
Body Image Drawing Test Might Help Assess Children with Asthma. (Exploring Emotional State)
SAN FRANCISCO--A simple body image drawing test is a useful tool for assessing the emotional state of children with asthma, Dr. Kim Kelsay suggested in a poster session at the annual meeting of the American Academy of Child and Adolescent Psychiatry....
Borderline Personality Remits in 73.5% of Cases: Prognosis Brighter Than Most Assume. (First 6 Years)
NEW YORK -- The prognosis for patients with borderline personality disorder may be considerably brighter than psychiatrists generally assume, according to two longitudinal studies reported at a conference on borderline personality disorder sponsored...
BP Lowering May Halt Descent into Dementia. (Possible Indications for Antihypertensives)
BERLIN -- Prevention of dementia may emerge as a new indication for antihypertensive therapy in the near future, Dr. Lennart Hansson predicted at the 24th Congress of the European Society of Cardiology. Another related emerging indication is the...
Burnout Rampant among Department Chairs. (Ob.Gyn. Survey Is Generalizable)
DALLAS -- The first survey of job burnout among medical school department chairs indicates the risk is high. The findings address burnout among the nation's chairs of academic ob.gyn. departments, but the results probably are generalizable to medical...
Citalopram May Help Children's Depression. (Minimal Side Effects)
MONTREAL -- Citalopram may improve symptoms of major depressive disorder with minimal side effects in children and adolescents, according to two studies presented at the Congress of the Collegium Internationale Neuro-Psycho-pharmacologicum. The...
Consider Psychotherapy in Resistant Depression. (Sooner Rather Than Later)
CHICAGO -- An integrative approach is called for in working with depressed patients who fail to respond adequately to medication, Dr. Mantosh J. Dewan said at the American Psychiatric Association's Institute on Psychiatric Services. Clinicians should...
Cultural Competence Is an Ethical Obligation. (for Some Patients, Different Rules Apply)
CHICAGO--Cultural competence is an ethical as well as clinical imperative for psychiatrists who treat patients from diverse communities, Harriet F. Lefley, Ph.D., said at the American Psychiatric Association's Institute on Psychiatric Services. ...
Custody: Let's Get Up to Speed. (Guest Editorial)
As psychiatrists, we may be called upon to testify on the best interests of the child in custody cases. I often review such evaluations and have found that many of them are of poor quality. Most custody evaluations are done by evaluators who are inadequately...
Deafness Can Delay Learning Disability Diagnosis. (Negative Impact on Development)
LONDON -- Hearing impairments are far more prevalent among learning-disabled individuals than in the population at large, and the combination may have a negative impact on development and mental health, Dr. Helen Miller said at the Seventh World Congress...
Divalproex May Lower Impulsive Aggression. (Cluster B Diagnoses)
BOCA RATON, FLA. -- Divalproex sodium appears to be effective in controlling impulsive aggression in patients with personality disorders, Dr. Alan Swann said in a poster presentation at a meeting of the New Clinical Drug Evaluation Unit sponsored by...
Families of Borderline Patients Need Support Rather Than Blame. (Mixed Message from Psychiatrists)
NEW YORK -- Families of borderline patients need support from mental health professionals in coping with a most demanding illness. But what they hear often has an accusatory tone, Harriet P. Lefley, Ph.D., said at a conference on borderline personality...
Family 'Overinvolvement' Aids Borderline Patients' Recovery. (Emotional Environment Matters)
NEW YORK -- The emotional "temperature" of the patient's family appears to influence the course of borderline personality disorder, as it does in schizophrenia and mood disorders. But in an opposite direction: High levels of "expressed emotion"...
Fibromyalgia Overtreatment Can Be Toxic. (Accurate Diagnosis Can Take 5-7 Years)
SANTA BARABARA, CALIF. -- Physicians must look out for several pitfalls when diagnosing and treating fibromyalgia, Dr. Daniel G. Malone said at a seminar sponsored red by the American College of Rheumatology. The condition is frequently misdiagnosed...
Fink! Still at Large: Teaching the Teacher. (Opinion)
Continuing education is an integral part of any psychiatrist's professional responsibilities. But ongoing formal training isn't the only route to increased clinical knowledge--or to a deeper understanding of the profession. Sometimes, the most indelible,...
For Public Sector Psychiatrists, Ethical Minefields Are Ubiquitous. (Managed Care Dilemmas)
CHICAGO -- When Dr. H. Steven Moffic was tapped to be responsible for managed care administration at the Medical College of Wisconsin, Milwaukee, he was offered a share of the profits from managed care revenue as part of his compensation package. But...
Ginkgo Studies Find Conflicting Results on Cognition. (Blinding an Issue)
Two recent randomized, controlled trials evaluating ginkgo's effect on memory and cognition in normal subjects came to opposing conclusions, drawing criticism about study design and blinding, as well as drug-company sponsorship. In one study, 203...
Giuliani Credits Psychiatrist with Helping Him Shape Sept. 11 Response. (Preparation Is Key)
ATLANTA -- Former New York City Mayor Rudolph Giuliani enlisted the aid of a psychiatrist to help coach his communications with the public after the terrorist attacks of Sept. 11, he said at a symposium on mental health policy sponsored by the Carter...
Guidelines Target Irritable Bowel Syndrome. (Low-Tech Approach Advocated)
Seattle -- The time is ripe for a major medical campaign targeting irritable bowel syndrome, American College of Gastroenterology officials declared in announcing the first evidence-based management recommendations for this common and disabling disorder....
High-Fiber Diet, Paroxetine Provide a One-Two Punch for Treatment of IBS. (One in Four Patients Improve)
SEATTLE -- One in four patients with irritable bowel syndrome will experience marked improvement after bringing intake of dietary fiber closer to levels recommended for the general population. Moreover, placing dietary nonresponders on paroxetine...
Ideal and Minimal Diagnostic Criteria Offered for PDD. (Tests Provide Best Evaluation)
SAN FRANCISCO -- The Autism Diagnostic Interview--Revised and the Autism Diagnostic Observation Scale are considered the preferred diagnostic tests for pervasive developmental disorder, Lawrence Scahill, Ph.D., said at the annual meeting of the American...
In Community Psychiatry, Make Sure to Put Premium on Ethics. (Boundary, Confidentiality Issues)
CHICAGO--The conditions under which community psychiatry is practiced today complicate some of the profession's basic ethical tenets, particularly in such areas as boundary issues and confidentiality Dr. David A. Pollack said at the American Psychiatric...
Less Intensive Therapy Is Adequate in OCD. (Exposure/Ritual Prevention)
AUSTIN, TIX. - A twice-weekly form of exposure/ritual prevention therapy for obsessive-compulsive disorder seems to work almost as well as the traditional therapy of daily sessions for 3 weeks, reported Dr. Martin B. Franklin at the annual conference...
Letters
Groundbreaking Naivete Dr. Alan A. Stone's review of "We Were Soldiers" sheds light on a perplexing movie scene that has vexed me for quite a while (Reel Life, October 2002, p. 70). Why do the soldiers start singing the theme to the "The Mickey...
Long-Term Risperidone Reduces Disruptiveness in Autistic Children. (Well Tolerated)
SEATTLE -- The second part of a two-phase National Institute of Mental Health study has found that long-term use of risperidone successfully reduces the risk of disruptive behavior in children with autism, according to Dr. Ronald L. Lindsay, who spoke...
MIRANDA Rights Don't Make Confessions OK. (Checklist for Forensic Psychiatrists)
NEWPORT BEACH, CALIF. -- Just because police have read a suspect his Miranda rights doesn't mean that the resulting confession is voluntary. The admissibility of confessions can be challenged for any number of reasons, Dr. Kenneth J. Weiss said at...
More Long-Term Atypical Antipsychotic Studies Are Needed. (Olanzapine, Ziprasidone, Aripiprazole)
CHICAGO -- The only way to measure the long-term efficacy of second-generation atypical antipsychotic medications is through long-term studies, few of which have been conducted at this point, Nina R. Schooler, Ph.D., said at the American Psychiatric...
New Primer Aimed at Helping Public Officials Communicate in Crisis. (Samhsa to Distribute)
ATLANTA -- A primer from the U.S. Department of Health and Human Services coaches public officials on how to talk, walk, and even dress, when dealing with the public and the media in the midst of crisis situations. The agency unveiled the primer,...
New Studies Confirm Efficacy of Atomoxetine for ADHD Children. (Still a Role for Stimulants)
SAN FRANCISCO--Several multicenter research studies presented in poster sessions at the annual meeting of the American Academy of Child and Adolescent Psychiatry provide further evidence of the efficacy and safety of atomoxetine for children and adolescents...
New Web Site Helps Physicians Get in Compliance with HIPAA. (Www.Hipaa.Org/pmsdirectory)
Now that you're HIPAA compliant or have requested an extra year to get into compliance, it's time to take a look at your practice management software, according to Dr. David Kibbe. A new, noncommercial Web site created by Dr. Kibbe and sponsored...
Offer Recovering Alcoholics Help with Smoking. (Ability to Quit Equal to Nonalcoholics)
WASHINGTON -- Smoking cessation should always be addressed at regular checkups in recovering alcoholic patients who continue to smoke, Dr. John R. Hughes said at the annual conference of the Association for Medical Education and Research in Substance...
Physical Therapy May Relieve Chronic Pelvic Pain. (Urinary, Sexual Function Improved)
SAN DIEGO -- When managing a patient with chronic pelvic pain, consider a referral to a physical therapist, Dr. James C. Lukban recommended at a meeting sponsored by the International Pelvic Pain Society. A regimen of physical therapy exercises...
Practical Psychopharmacology: Medical Context Key in Depression. (Psychopharmacology)
Depression and medical illness often coincide, presenting a complex treatment challenge, with little research supporting the effectiveness of pharmacotherapy in this situation. Depression is twice as prevalent among diabetic individuals as in the...
Primary and Secondary Syphilis Rates Rise Slightly. (Increases among Gay, Bisexual Men)
For the first time in more than a decade, primary and secondary syphilis rates increased slightly, Dr. Ronald O. Valdiserri said during a teleconference sponsored by the Centers for Disease Control and Prevention. Cases of primary and secondary...
Reel Life: Shower. (Psychotherapy)
The film "Shower" carries a "made in China" label, but the man behind it is an indefatigable young American producer, Peter Loehr. Loehr speaks near-perfect Beijing Mandarin, and has managed to set up and retain control of his own film company where...
Risk Slim of Infant SSRI Exposure Via Breast Milk. (Several Lines of Evidence)
LOS ANGELES -- New mothers taking a selective serotonin reuptake inhibitor generally pass only small amounts of the substance to their infants through breast milk. And several recent studies demonstrate little risk to children from the amounts of SSRI...
Sex Offender Recidivism Rates below Expectations: More Than 80% of Sex Offenders Who Underwent Treatment Did Not Reoffend. (15-Year Prospective Study)
NEWPORT BEACH, CALIF. -- More than 80% of sex offenders who have undergone treatment do not reoffend within 15 years, according to preliminary results of a 15-year prospective study of 626 individuals reported at the annual meeting of the American...
Stress Management Training May Help Overwhelmed Elderly Caregivers. (Attenuates Immune Impairment)
BARCELONA, SPAIN -- Participation in stress management training appears to attenuate the impact of immune impairment that may result from chronic stress in elderly persons caring for a spouse, Kavita Vedhara, Ph.D., reported at the annual meeting of...
Supreme Court Asked to Uphold Megan's Laws. (Sex Offenders in Connecticut, Alaska)
WASHINGTON -- The U.S. Supreme Court heard oral arguments this fall in cases that challenged the constitutionality of Megan's Laws in Connecticut and Alaska. The states are asking the high court to uphold the laws, named for Megan Kanka, a 7-year-old...
Teamwork Would Cut Misprescribing. (Antidepressant Regimens)
CHICAGO -- 4 Patients who take antidepressants prescribed by a primary care physician are at high risk of receiving inadequate dosages for too short a time period. The results are better, but still far from perfect, when psychiatrists do the prescribing,...
Telepsychiatry Can Comfort Dying Patients. (Case Report)
Los ANGELES -- Video psychotherapy sessions with a dying patient can enhance the effect of face-to-face meetings in providing comfort and closure, according to Dr. Dean Schuyler. The first patient to participate in a planned stud of telepsychiatry...
Testosterone for 6 Weeks Helps Some Women with Sexual Dysfunction. (Monitor Free Testosterone)
WINNIPEG, MAN. -- Women with sexual dysfunction whose free testosterone levels are in the bottom third of the normal range or below normal should be considered for a 6-week trial of androgen replacement therapy, Dr. John Lamont said at the annual meeting...
The Ideal Antidepressant May Be an EEG Away. (Decreases in Prefrontal Cordance)
BALTIMORE -- Electrophysiology research is steadily homing in on ways to take some of the guesswork out of selecting the most effective antidepressants for patients with serious depression. Among other developments, researchers at the University...
Treating Addicts Is Now Easier. (Guest Editorial)
The approval of buprenorphine for treating opiate dependence marks an important milestone in the treatment of substance dependence disorders. The partial opioid agonist, the first therapy approved for in-office prescribing, is expected to become...
Triptan Nasal Spray Has Advantages for Migraine. (More Effective, Faster Acting)
DENVER -- Zolmitriptan nasal spray could be the next big development in migraine therapy. The 5-mg dose of the nasal spray is significantly more effective and faster acting than the standard 2.5-mg zolmitriptan tablet, Dr. Susan Abu-Shakra said...
Try Higher Doses of Atypicals before Giving Up. (Some on 40-60 MG of Olanzapine Doing Well)
Los ANGELES -- Before giving up on an atypical antipsychotic, it might be wise to try patients on dosages above the normal therapeutic range, Dr. Stephen R. Marder said at a psychopharmacology update sponsored by the University of California, Los Angeles....
Two-Step Screen Spots Teens at Risk for Suicide. (Proactive Prevention)
WASHINGTON -- Teen suicide is "a fatal complication of a disease that hasn't been adequately treated," Dr. David Shaffer said at a congressional briefing on children's mental health. Teen suicide may be preventable if teens with mental health problems...
Viagra Appears to Be Effective for Women Diagnosed with Sexual Arousal Disorder. (Root Cause Must Be Physiologic)
MONTREAL - Among women with sexual dysfunction, those with sexual arousal disorder appear to be the most likely candidates for treatment with sildenafil, results of a study of 200 women suggest. Still, not all women with sexual arousal disorder...
Viagra May Help Women on SSRIs. (Know Hormone Status)
LOS ANGELES - Three open-label studies and preliminary data from a double-blind, placebo-controlled study support the use of sildenafil in women who have sexual dysfunction induced by selective serotonin reuptake inhibitors. The studies, funded...
Author Advanced search

Oops!

An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.