Depression

Your patient is excited to be pregnant. She is currently on sertraline, and has been stable on this for many years. She is very insistent that she would like to stop her medication. What should you do?

The looming specter of emotional and physical exhaustion in residency often takes hold well into a physician's career. So what are we doing about it?

Strong evidence supports sound arguments on each side of 3 debates covered here-so get in there and fight nice.

This article summarizes the risks of untreated psychiatric illness during pregnancy as well as the risks and benefits of antidepressant use.

Most depressed people acknowledge impaired concentration and other related symptoms-but skilled clinicians can distinguish between non-melancholic depression and melancholia. How? They ask the right questions.

What is the possibility that the very illness we’re trying to improve is getting worse-with treatment?

Psychiatrists need to understand the patient’s cancer diagnosis, staging, treatments and their adverse effects, and prognosis to appreciate the challenges the patient is coping with throughout treatment as well as survivorship or end-of-life.

From a psychodynamic and neurobiological perspective, the recommendation to screen all pregnant and postpartum women for depression and anxiety falls short of what is actually needed to improve the lives of many mothers and their infants and children.

The authors review the association between depression and violence, and the role that anger and emotional dysregulation play.

These studies shed light on the relationship between exercise and depression in children and adolescents.

The co-occurrence of depression and cognitive impairment doubles every 5 years after the age of 70. Here we present a list of elements in a comprehensive and extended evaluation of depression in the elderly.

Targeted mineral supplementation has the potential to augment treatment response and yield improvement in clinical symptoms.

Potential benefits and benign safety profile of omega-3s indicate a promising intervention.

Can't keep up with the literature? Here's some help.

Here: a look at the associations between negative psychological states and CV health, physiologic and health behavior mechanisms, and ways to diagnose and treat depression and anxiety disorders.

Is it time to think outside the light box for treatment of seasonal depression?

A new protocol makes light therapy an option for patients with bipolar depression.

Two recent clinical trials of opioid medication for depression and suicidality highlight the role of brain opioid systems in depression.

The articles in part 1 of this Special Report provide concise reviews of important research findings and clinical applications of mindfulness meditation, breath practices, and uses of CAM therapies for perinatal depression.

Many women choose to avoid standard treatment for perinatal depression, and instead prefer integrative treatments that incorporate complementary and alternative therapies. This article reviews the evidence base for these treatments.

Recent studies demonstrate the far-reaching effects of childhood trauma related to depression and suicidality in adulthood. The evidence to support these associations is presented here.

Are you aware of 2 newly identified predictors of a pernicious depression course in middle-aged women?

A review of the distinction between depressive and psychotic symptom domains, current knowledge about the etiology and neurobiology of depression and psychosis, and how this knowledge can inform the treatment of patients with features of both.

Recent studies examine placebo responses to antidepressants, the effect of SSRIs on sleep in the elderly, and the best time of day for psychotherapy sessions.

Is St. John’s wort (SJW; Hypericum perforatum) an appropriate treatment option for patients with MDD? What advice should be given to patients who inquire about it?