Psychiatry

The Corpus Callosum

Category archives for Psychiatry

Telephone Psychotherapy Effective

The title of this article is a little bit misleading, although not deliberately so.  The study examined the question of whether telephonic CBT – added to pharmacotherapy – was beneficial, in a primary care population.  Note that the primary care population is NOT the population that psychiatrists typically see.  Consequently, it is not possible to…

The article I am discussing in this post is the 2008 Heinz Lehmann Award paper, published in the open-access Canadian journal, Journal of Psychiatry & Neuroscience.  It really covers two topics: translational research, and antipsychotic polypharmacy in which one of the antipsychotic medications is clozapine.  Translational research is research that is intended to advance the…

This Is Depressing

The standard wisdom in management of Major Depression, is that medication plus psychotherapy is better that either treatment alone.  Many studies have shown this.  But this one does not. Cognitive Behavioral Analysis System of Psychotherapy and Brief Supportive Psychotherapy for Augmentation of Antidepressant Nonresponse in Chronic Depression The REVAMP Trial James H. Kocsis, MD; Alan…

In 2007, the American Psychological Association commissioned their Task Force on Appropriate Therapeutic Responses to Sexual Orientation.  The background is this: early in the history of mental health treatment efforts, homosexuality was considered to be an illness.  Therefore, it was thought to be appropriate for therapists to try to change the sexual orientation of persons…

This is from an open-access article in the Canadian Journal of Psychiatry: an article featuring a debate about the relevance of randomized, controlled trials to clinical practice.  It is mostly about research on psychotherapy, but with some treatment of psychopharmacology. Are Randomized Controlled Trials Relevant to Clinical Practice? Can J Psychiatry. 2009;54(9):637-643. Steven D Hollon,…

The new drug is called iloperidone; the brand name in the USA will be Fanapt.  It is yet another antipsychotic that blocks D2 and 5HT2 receptors.  Although there is no universally accepted way of classifying drugs into families, it will be referred to as an atypical or second-generation antipsychotic.  This designation will indicate a loose…

Poets On Prozac

Poets on Prozac is the short title of a book by psychiatrist-poet Richard M. Berlin, MD.  The full title is: Poets on Prozac: Mental Illness, Treatment, and the Creative Process.  Berlin was an associate professor of psychiatry at the University of Massachusetts Medical School; now he’s in private practice, and a Senior Affiliate at U…

It is refreshing to see something like this.  Both drugs are available as generics, so the financial motivation for a study like this is not great.  But the clinical benefit could e substantial, albeit for a small subset of patients. Clozapine is considered to be the most efficacious antipsychotic medication, in that it is the…

Fatigue

I haven’t been a good blog-citizen lately.  And no, it is not because of fatigue.  Anyway, I’ve going to try to get back to looking at other people’s blogs more, and not just here at ScienceBlogs.  Dr. Serani kindly pointed out an article on common causes of fatigue.  Sleep disorders, thyroid problems, diabetes, depression, and…

What Is Behavior?

Natalie Angier has another interesting article in the NYT.  In the article, she discusses the meaning of the word behavior.  Apparently, this all came from the realization that even standard works on the subject did not contain a “point-by-point definition.”  The realization came to Dan Levitis, a grad student in zoology at Berkeley.  Levitis happens…