March 8th 2023
Lithium: what’s its history and where do we still need more information?
March 28th 2022
Co-Occurring Mania and ADHD in YouthsJune 3rd 2014
Evidence suggests that co-occurrence with ADHD is a marker of preadolescent-onset mania. This slideshow provides some evidence for you to decide whether this form of very early-onset mania represents a developmental subtype of the disorder.
Natural Products Used to Treat Depressed Mood as Monotherapies and Adjuvants to AntidepressantsSeptember 23rd 2013
Most persons who use CAM modalities to self-treat a mental health problem take prescription antidepressants concurrently. Combined use can result in serious supplement-drug interactions.
The Role of Biological Tests in Psychiatric DiagnosisMay 23rd 2013
"Psychiatric diagnosis is certainly imperfect -- but so is much of diagnosis throughout medicine. And whatever the current limitations, psychiatric diagnosis is useful and essential. There are no 'paradigm shifts possible til we learn a lot more. To imply otherwise is misleading and confusing to patients."
Lamotrigine for Major Depressive Disorder Is InappropriateApril 12th 2013
Lamotrigine is an important option in bipolar disorders. However, many clinicians also use it in patients with a (unipolar) depressive disorder who have not responded adequately to conventional antidepressants.
Coming Along With the DSM-5: Hybrid Models of Psychiatric DiagnosisSeptember 12th 2012
Do not be surprised if you hear more about hybrid models of psychiatric diagnoses included in DSM-5. The categorical and dimensional model approaches are 2 sides of the same coin as you look at the same patient from 2 different angles.
Effective Personalized Strategies for Treating Bipolar DisorderAugust 2nd 2012
Effective personalized treatment recognizes bipolar disorder as a biopsychosocial disorder, but mood-stabilizing medications are the backbone of treatment. These medications fall into 3 categories: lithium, antikindling/antiepileptic agents, and second-generation antipsychotics.
Confounding Factors in TRD (Part 1): The Role of Subtyping and BipolarityJuly 19th 2012
The current system of payment for mental health care in the US can lead, or even incentivize, clinicians to focus on and code for Axis I disorders and their more readily reimbursed psychopharmacological treatment approaches.
Determination and Documentation of Insight in Psychiatric InpatientsApril 3rd 2012
Insight can be assessed in the course of a typical evaluation or follow-up interview with augmentation by questions borrowed from any of the validated insight rating scales.
Severe Temper Outbursts in a 10-Year-Old GirlMarch 6th 2012
The responsibility for improvement was placed on psychiatrists: diagnostic skills had to be improved and patients and their families and caregivers as well as the general public needed to be better educated about the disorder and treatment options.
Educating Patients About Bipolar DisordersJanuary 10th 2012
Patients with bipolar disorder need a great deal of information about the illness. Without this education, adherence to your recommendations is uncertain; with it, outcomes will likely be better (and your job easier).
How We Age: A Doctor’s Journey Into the Heart of Growing OldDecember 7th 2011
In his book, How We Age: A Doctor’s Journey Into the Heart of Growing Old, Dr Marc Agronin helps reduce the stigma of ageism and provides clinical guidance for seasoned geriatric psychiatrists, primary care clinicians, and medical students alike.
Methylene Blue Studied for Bipolar as FDA Issues WarningOctober 6th 2011
A study presented by Canadian investigators at the 24th Congress of the European College of Neuropsychopharmacology (ECNP) in Paris, September 5 evaluated whether methylene blue can reduce residual symptoms of depression and mania in bipolar disorder.
Poor Practice, Managed Care, and Magic Pills: Have We Created a Mental Health Monster?April 30th 2011
Anyone working in the mental health field will recognize that in patients with extreme irritability, explosive behavior, or quick mood changes, bipolar disorder (BD) is often unquestionably diagnosed.