Vol 30 No 6

Repetitive Transcranial Magnetic Stimulation in Depression: A Changing Landscape

June 19, 2013

Clinicians can feel confident in the evidence base when referring patients with a moderate level of treatment resistance for rTMS. Preliminary results suggest that deep rTMS may be an effective option in patients who have failed to respond to more than one antidepressant treatment.

No Mortality Increase With Antipsychotics in Prospective Study

June 17, 2013

Results of a 10-week prospective study, recently reported at the Annual Meeting of the American Association for Geriatric Psychiatry, offered no conclusive evidence about the mortality risk of elderly patients with Alzheimer disease who were treated with antipsychotics.

Bias Against Schizophrenic Patients Seeking Medical Care

June 13, 2013

Surprisingly, psychiatrists and psychiatric nurses “were just as likely” as their primary care counterparts to display negative biases toward individuals with schizophrenia seeking general medical care.

Pain and Suicide

June 13, 2013

The rise in suicides and lethal overdoses of opioid analgesics is probably not coincidental. In most overdose deaths, we have no way of knowing with any degree of certainty whether they were accidental deaths or intentional suicides.

Genetic Testing for Psychiatric Disorders: Its Current Role in Clinical Psychiatric Practice

June 12, 2013

Genetics seems to be a subject of particular interest for everyone. This article explores how the current state of knowledge regarding genetics might be used to help psychiatrists diagnose psychiatric disorders or predict their onset.

SuperAgers: Insights Into the Brains of 80+-Year-Old Memory Superstars

June 06, 2013

Despite the prevalent perception that cognitive decline in the aged population is inevitable, researchers with Northwestern University's SuperAging Project are finding that "excellent memory capacity in late life is a biological possibility."

The Paradox of Choice: When More Medications Mean Less Treatment

May 16, 2013

Two problems persist in the treatment of severe mental illness that constitute a barrier to effective patient-centered care: excessive reliance on a limited number of antipsychotic medications at the expense of other effective treatments, and the underutilization of other evidence-based treatment options.

Grief and Depression: The Sages Knew the Difference

April 29, 2013

While it is true that the intense grief of bereavement and major depressive disorder often share some features-for example, tearfulness, insomnia, low mood, and decreased appetite-there are many substantive differences.

Inpatient Suicide: Identifying Vulnerability in the Hospital Setting

May 23, 2012

It is important for the inpatient psychiatrist to understand the perspective of the newly admitted patient. Many patients will find the experience depersonalizing, threatening, and socially alienating and may perceive it as a personal failure.