Antipsychotics for depression? | Psychiatry | 03-2010
More and more studies are being done on the use of antipsychotics in major depression. The vast majority of these are on the use of atypicals as an augmentation strategy ...
Stimulants for the overstimulated? | Psychiatry | 09-2009
ADHD is associated with an elevated risk for substance abuse disorders as well as an earlier onset. There s a higher incidence of substance use disorders SUDs in samples of ...
How antidepressants can ‘flip’ unipolar patients | Psychiatry | 06-2009
It s long been assumed that antidepressants can flip patients into mania hypomania. I don t think this is disputed. There isn t uniform agreement, however, about whether this is ...
Bipolar disorder easier to treat | Psychiatry | 01-2009
A recent collaborative study with over 600 subjects on the relationship between bipolar disorder and borderline personality disorder BPD has established that although there appears to be a link between ...
Avoid the temptation to over-prescribe ADHD meds | Psychiatry | 11-2008
If the teacher is pushing you to prescribe more stimulants for a child, he or she obviously feels that the treatment isn t working. The best thing to do in ...
Is bipolar disorder overdiagnosed? | Psychiatry | 04-2008
In the 10-year period from 1994 to 2003, there's been a 2-fold increase in the diagnosis of BD in adults, and a 40-fold increase in youth. Does this represent overdiagnosis ...
Premature ejaculation in teenagers | Psychiatry | 04-2007
An excellent review of the assessment and management of premature ejaculation appears in amp lt i amp gt J Sex Marital Ther amp lt i amp gt 2000 26 293-320. ...
Is bipolar disorder overdiagnosed? | Psychiatry | 12-2006
Experts in bipolar disorder overwhelmingly believe that, if anything, BD is underdiagnosed. They feel that this is particularly true in children and adolescents -- that many with attention deficit hyperactivity ...
Gambling on dopamine | Psychiatry | 11-2006
There are numerous biologic hypotheses regarding pathologic gambling PG . They're driven by classification quandaries -- i.e., as a problem of impulse control, of the obsessive-compulsive disorder spectrum, as disinhibition ...
The lowdown on Asperger's syndrome | Psychiatry | 05-2006
Asperger's syndrome was first described in the 1940s, but it was only introduced as a separate diagnostic entity in the early 1990s. It's considered part of the pervasive developmental disorders. ...
Are ADHD and bipolar disease related? | Psychiatry | 09-2005
A high rate of comorbidity does tend to exist between prepubertal bipolar I disorder BD I and ADHD. It's not known whether this is because there's overlap in the symptoms ...
Which anticonvulsants best stabilize mood? | Psychiatry | 05-2005
A number of second- and third-generation anticonvulsants are currently used in psychiatry. Carbamazepine and valproate appear to be effective in the treatment of acute mania while carbamazepine and lamotrigine are ...
Legal conundrum: off-label drugs vs health | Psychiatry | 06-2004
Even though the parents are lawyers, they shouldn't be treated any differently from others. They need to be educated about what we know and don't know about medication and, specifically, ...
Antipsychotic safety and use in kids | Psychiatry | 11-2003
Antipsychotics are frequently used in treating a variety of conditions in children, including schizophrenia, bipolar disorder, autism and Tourette's syndrome, and controlling behaviours such as tantrums, aggression and self-injury. Studies ...
WHEN ANTIDEPRESSANTS DON'T WORK | Psychiatry | 11-2000
Mood stabilizers are used in two ways to treat or prevent depression in patients with bipolar disorders, and to boost the effect of antidepressants. If your patient has a treatment-resistant ...
IS BIPOLAR DISORDER IN THE GENES? | Psychiatry | 10-2000
Although epidemiologic and twin studies strongly suggest a genetic predisposition to bipolar disorder, we still don't know the actual mode of inheritance. Linkage studies have found some promising regions on ...
BIPOLAR DISORDER AND INSIGHT-ORIENTED PSYCHOTHERAPY | Psychiatry | 09-2000
Patients who suffer from bipolar disorder have to deal with a number of psychologic issues including the emotional consequences of being diagnosed with a chronic mental illness concerns about stigmatization ...
CARBAMAZEPINE, LITHIUM AND KIDNEY DAMAGE | Psychiatry | 04-2000
Roughly 10-20 of patients on long-term lithium have kidney changes, which may include interstitial nephrosis, tubular atrophy or glomerular atrophy. Carbamazepine can cause acute renal failure in rare instances, but ...
WHY ANTICONVULSANTS WORK AS MOOD STABILIZERS | Psychiatry | 02-2000
It's still unclear what the exact mechanism of these anticonvulsants is in bipolar disorder. Some research has focused on their interaction with several neurotransmitters including catecholaminergic, indolaminergic, cholinergic and gamma-aminobutyric ...
