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Clinical Psychiatry News

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Depression, drug abuse predict postpartum suicidal ideation.(Adult Psychiatry)
WASHINGTON -- Current major depressive episode and drug abuse appear to be significant predictors of suicidal ideation in postpartum women, according to a study of 400 women with a history . . .

Systematic desensitization in 10 steps.(THE PSYCHIATRIST'S TOOLBOX)
In previous discussions about behavioral strategies that can be used to treat patients in anxiety-provoking situations, I have referred to the procedures of reciprocal inhibition and . . .

A recent study shows that the provision of psychotherapy by psychiatrists has declined sharply. Is psychiatry in danger of losin
The idea of addressing these study results left me ambivalent--at first. Not only had I written about this for several years, but so had several very important leaders in American psychiatry. In . . .

Benzodiazepines for major depression.(EVIDENCE-BASED PSYCHIATRIC MEDICINE)
The Problem You have a patient with major depression. Symptoms include anxiety and insomnia. You prescribe an antidepressant and consider immediate augmentation with a benzodiazepine, but you are . . .

Tricyclic beat SSRI for Parkinson's patients.(Adult Psychiatry)(Clinical report)
PHOENIX -- Nortriptyline was more effective than paroxetine or placebo in treating depression in patients with Parkinson's disease, an 8-week pilot study of 52 patients found. The study, while . . .

Maternal paroxetine unrelated to cardiac malformations.(Adult Psychiatry)
MONTEREY, CALIF. -- There is no statistically significant association between paroxetine usage during the first trimester of pregnancy and an increased risk of cardiac malformations in the . . .

Lithium still has a place in bipolar treatment: mood stabilizer is effective for most patients at low levels, but side effects g
The use of lithium as a mood stabilizer remains popular in Europe, but U.S. psychiatrists increasingly tend to favor other medications to treat bipolar disorder. Some experts say that's because . . .

Terazosin helps ease drug-induced sweating.(Adult Psychiatry)
PHOENIX -- All 16 patients involved in preliminary open-label trials responded to off-label treatment with terazosin for antidepressant-treatment with terazosin for antidepressant induced excessive . . .

Pain relievers.(Cartoon)
"The doctor will see you . . .

Bill is 'too little, too late'.(LETTERS)(Letter to the editor)
I read with amazement about "legislation aimed at addressing the potential crisis in providing care for elderly Americans" ("Senate Bill Seeks to Encourage Care for Elderly," May 2008, p. 78). . . .

More discussion on HSAs.(LETTERS)(Letter to the editor)
Regarding the recent opinion piece on health savings accounts, both Dr. Steffie Woolhandler and Greg Scandlen omitted important facts ("Do high deductible plans coupled with HSAs . . .

Adopt guidelines for e-mail questions.(GUEST EDITORIAL)
I recently received a lengthy e-mail from a very worried woman. She claimed to be an established patient in my office, which I had no way of confirming because she did not sign her message. She . . .

Passage of genetics law is perfect bookend.(GUEST EDITORIAL)
The passage of the Genetic Information Nondiscrimination Act in late May, ushered in what Sen. Edward Kennedy (D-Mass.) called "the first civil rights bill of the new century of the life . . .

Frequently asked questions about Alzheimer's.(GUEST EDITORIAL)(Interview)
Although the symptoms of failing memory may have long provoked suspicion, a confirmed diagnosis of Alzheimer's disease brings those suspicions into stark reality for both patients and . . .

Metabolic syndrome may hasten 'neuroaging'.(News)(Clinical report)
CHICAGO -- Older people with metabolic syndrome are significantly more likely to experience depression and deficits in cognition and function as they age than are their healthier peers. The . . .

Imaging and measurements predict status of ad dementia.(News)
CHICAGO -- A combination of specialized brain imaging and cerebrospinal amyloid [[beta].sub.42] measurements powerfully predicts the presence--and absence--of Alzheimer's-type dementia. For . . .

Antidementia drugs may prolong life in AD.(News)
CHICAGO--Continuous use of antidementia drugs is associated with a decreased risk of death in Alzheimer's patients. Specifically, those who took the medications for more than 70% of the time since . . .

Perinatal depression patients want flexibility in therapy.(News)
PHOENIX -- Flexibility in scheduling would help depressed women access cognitive-behavioral therapy during or just after pregnancy, a survey of 24 women found. A little more respect would be nice . . .

Hormone therapy may benefit cognition, memory.(News)
CHICAGO -- Hormone therapy might preserve cognition and memory in postmenopausal women, and even attenuate some of the cognitive deficits that occur in Alzheimer's disease, new research suggests. . . .

SSRIs, SNRIs raise risk of upper gastrointestinal bleeding.(News)
Antidepressants that block action on the serotonin reuptake mechanism appear to raise the risk of upper gastrointestinal bleeding to the same degree that antiplatelet drugs do, a new report shows. . . .

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