Psychiatry

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Category archives for Psychiatry

Another rTMS Update

Repetitive transcranial magnetic stimulation (rTMS) is  a treatment for major depression.  It was approved (PDF) by the FDA in 2008.  However, it has remained somewhat of a niche treatment.  Some providers remain unimpressed by studies of efficacy.  One problem is that most of the studies have been sponsored by the industry.  Often, the studies have…

The article describes a technique that it said to show a priori which patients are at risk for developing suicidal thoughts after starting an antidepressant.  Of course the usual interpretive caveats apply: it is a small study, needs to be replicated, etc. Brain Waves Predict Suicide Risk A new technique might help doctors foresee suicidal…

WSJ: Incompetent Ranting

At first, I was going to title this post WSJ: Incompetent Ranting. Then I decided that was too strong.  Then I read the article again, and went back to the original title.  Mind you, this is not intended to be an ad hominem attack.  The author, Edward Shorter, has been the Hannah Professor in the…

The January 2010 American Journal of Psychiatry has two articles pertaining to the relationship between dietary practices and mental health.  One article presents the results of a study; the other is an editorial. Association of Western and Traditional Diets With Depression and Anxiety in Women Jacka et al. Am J Psychiatry 2010; 167:305-311 (published online…

Proposed Diagnostic Criteria Revisions

The American Psychiatric Association has gone public with the details of their proposed revisions to their Diagnostic and Statistical Manual.  As expected, most of this is bland and not worthy of attention from the general public.  Unfortunately, as Benedict Carey points out, the book often is used for purposes other than those for which it…

Objective diagnosis is in some ways the holy grail of medicine.  It has been maddeningly elusive in psychiatry.  Now comes a paper in which the authors suggest that they may have found this treasure. The paper details a method of using magnetoencephalography to assess human brain function.  They claim that, in a select population, it…

I’ve been mulling this over for a few days, finally deciding to write about it.  There was an article in the NYT on 13 January 2010 about an NEJM article: Morphine May Help Traumatic Stress By BENEDICT CAREY Published: January 13, 2010

Those of us who watch the drug development pipeline have been pining for a nonaddictive anti-anxiety drug.  Occasionally there are glimmers of hope.  One candidate is emapunil, aka XBD-173 or AC-5216.  In 2004, there was an article in the British Journal of Pharmacology about this.  That article described promising findings, in rats and mice.  Now,…

Let Them Eat Anti-Psychotics

I couldn’t resist that title, but I must admit it isn’t mine; the author’s post is here.  This is about the NYT article about the finding that children on Medicaid are more likely to be prescribed antipsychotic medication, compared to those with private insurance.  The obvious correlation is that children with Medicaid are from poor…

Mortality in Eating Disorders NOS

This post is about a journal article that describes mortality rates in populations of persons with eating disorders.  It is sort of about that.  The article is in the APA green journal, which is not openly accessible.  Only the abstract is free.  Usually I don’t write about closed-access articles.  But this is different, because I…