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. 43, No. 1, January

ADHD, Conduct Disorder Boost Youth Alcohol Use, Smoking
FROM DRUG AND ALCOHOL DEPENDENCE Adolescents diagnosed with both attention-deficit/hyperactivity disorder and conduct disorder are three to five times more likely to smoke tobacco and drink alcohol, and to have begun doing so at an earlier age,...
Advisers' Viewpoints: Specialty's Future Tied to Collaboration
Editors' Note: The National Center for Health Workforce Analysis predicts that between 2010 and 2025, the field of psychiatry will see a decrease of 1-2 full-time equivalents (FTEs) per 100,000 psychiatrists. Yet, the need for providers with expertise...
Alcohol, Depression Potent Risk Factors for Suicide
EXPERT ANALYSIS FROM THE ECNP CONGRESS BERLIN -- Alcohol dependence and major depressive disorder are similarly potent yet independent risk factors for suicidal behavior, according to Dr. Philip Gorwood. Although alcohol use disorder and major...
Atomoxetine Tied to Modest Improvements in ADHD
AT THE AACAP ANNUAL MEETING SAN DIEGO -- Atomoxetine was linked to "gradual, modest" improvements in 8 of 10 children with attention-deficit/hyperactivity disorder, according to a pooled analysis of seven clinical trials. A smaller group of children...
Attorney: Be Prepared for Next Round of HIPAA
With the next round of HIPAA compliance audits on the horizon, physicians should ensure they are prepared for both on-site and off-site privacy investigations. The Office for Civil Rights (OCR) concluded its first pilot of HIPAA audits in 2012 after...
Brain Changes Identified in Chronic Fatigue Syndrome
FROM RADIOLOGY Imaging to assess brain microstructure identified increased fractional anisotropy in the anterior right arcuate fasciculus of patients with chronic fatigue syndrome, which was not present in age- and sex-matched control subjects....
Commentary: Protecting Adolescents from Radicalization
Why do young people go to war zones--especially if their parents brought them to the United States for a new start? To stop adolescents from being lured to places such as Syria, Iraq, or Somalia, we need answers to that question. One answer we hear...
Commentary: State of American Medicine More Precarious
It's 2015. Where am I? I have no idea anymore. The state of American medicine is less predictable and arguably more adversarial than ever before. Quality of care and (when possible) good outcomes aren't the benchmarks they used to be. In the modern...
Commentary: Tackling the Involuntary Treatment Controversy
There are many controversies in psychiatry, but the most controversial issue continues to be that of involuntary treatment. Over the past year, I have been working on a book on forced care, along with Dr. Annette Hanson, the forensic psychiatrist who...
Curbside Consult: Considering Patients' Family, Culture
Welcome to Curbside Consult, an occasional column that is aimed at helping psychiatrists think through family and cultural considerations when treating patients. Curbside Consult will examine case vignettes sent in by readers and will be written...
Dihydroergotamine Underused in Migraine, Daily Headache
AT A SYMPOSIUM SPONSORED BY THE AMERICAN HEADACHE SOCIETY SCOTTSDALE, ARIZ. -- Dihydroergotamine remains underused in the treatment of migraine and daily severe headaches, especially in inpatient settings, according to Dr. Priyanka Chaudhry. ...
E-Cigs Surpass Smoked Tobacco among U.S. Teens
FROM NIDA Nearly a fifth of American high school seniors have used e-cigarettes recently, although tobacco smoking in this population is at an all-time low, according to the 2014 Monitoring the Future survey released in mid-December. 'About 4%...
Feds Call for More Transparency in Reporting on Trials
A proposal is being floated to make clinical trial results posted to ClinicalTrials.gov more transparent, comprehensive, and timely, regardless of whether the trial is related to an approved product. The Department of Health & Human Services...
Genitourinary Injuries Can Cause Long-Term Trauma
FROM THE BOB WOODRUFF FOUNDATION: INTIMACY AFTER INJURY WASHINGTON -- Despite improved surgical procedures aimed at repairing severe genitourinary injuries sustained in the line of duty, such injuries still can have profound long-term psychological...
Genotvoe Effect Not Found with Naltrexone in Drinkers
AT THE AAP ANNUAL MEETING AVENTURA, FLA. -- Treatment with naltrexone was associated with reductions in drinking over 3 months in a study of alcohol-dependent adults, but whether these individuals had a polymorphism that has been associated with...
Genotyping May Identify Responders to Topiramate: Heavy Drinkers See Significant Reduction in Drinking Days after Treatment
AT THE ANNUAL MEETING OF THE AMERICAN ACADEMY OF ADDICTION PSYCHIATRY AVENTURA, FLA. -- A single nucleotide polymorphism might help identify heavy drinkers who are most likely to respond to treatment with topiramate, but more studies are needed...
Hookah, Snus Users More Likely to Start Smoking
FROM JAMA PEDIATRICS Smoking water pipe tobacco, or hookahs, more than doubles the odds that a non-cigarette smoker will begin smoking within 2 years, according to a recent study. Using snus increases the risk of starting smoking by more than sixfold....
Lose the Weight or Lose the Money: Contracts Gain Favor
AT NAPCRG 2014 NEW YORK -- The more you stand to lose, the deeper your commitment to losing, particularly when it's your wallet and not your word that's at stake. People who contractually committed online to lose a certain amount of weight or...
Obesity Can Cut 19 Years of Health, 8 Years of Life
FROM LANCET DIABETES & ENDOCRINOLOGY Excess body weight could lower "healthy life-years" by as much as 19 years, in addition to reducing life expectancy in certain demographics by as much as 8 years, new research published in Lancet Diabetes...
Proposal Backs Decision Making by Same-Sex Spouses
Under a new federal proposal, physicians could more easily provide sensitive medical information about patients to same-sex spouses and follow the treatment wishes of same-sex partners when a patient is incapacitated. The proposal from the Centers...
Schizoaffective Disorder in DSM-5 Debated
EXPERT ANALYSIS FROM THE ECNP CONGRESS BERLIN -- The redefinition of schizoaffective disorder unveiled in the DSM-5 leaves much to be desired, experts opined at the annual congress of the European College of Neuropsychopharmacology. "We all thought...
Sexsomnia Diagnosis May Gain Legitimacy
The inclusion of a new sleep disorder in the DSM-5 might raise awareness of the underreported diagnosis and help physicians better identify the condition. Sexsomnia can present in different forms but is generally described as engaging in sexual...
Shrink Rap News: How Ill Is Too Ill to Be Put to Death?
According to the last Gallup poll, most Americans still favor the death penalty. Nevertheless, over the years, the number of capital-eligible defendants has been gradually whittled down because of challenges over the execution of juveniles, the intellectually...
Start Low, Go Slow with Topiramate for Alcohol Use
EXPERT ANALYSIS AT INSTITUTE ON PSYCHIATRIC SERVICES SAN FRANCISCO -- When naltrexone is not an option for alcohol use disorder, topiramate is a good choice for many patients, according to Dr. Steven L. Batki, psychiatry professor and addiction...
Switch to Long-Acting Antipsychotics Beneficial
AT THE ECNP CONGRESS BERLIN -- A switch to long-acting second-generation injectable antipsychotics brought improved attitudes and beliefs regarding antipsychotic therapy among patients with schizo-affective disorder who already were stabilized on...
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