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  Dr. Carroll is clinical assistant professor of Psychiatry at Ohio University College of Osteopathic Medicine in Athens, and chief of Psychiatry Service at the Chillicothe Veteran’s Affairs (VA) Medical Center in Ohio. Dr. Lee is clinical associate professor at the University of Western Australia in Perth. Dr. Appiani is assistant professor of Pharmacology at …
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  To the Editor:              Antipsychotics all share the property of blocking dopamine receptors in the brain.1 Almost all, including the “atypical antipsychotics, ” have been associated with extrapyramidal side effects.1,2 These drugs have been almost exclusively prescribed by psychiatrists who are aware of the risks involved. They have been trained in…
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  Needs Assessment: Suicide remains an important public health problem, and suicide prevention is a major challenge. Primary care physicians treat numerous patients with known risk factors for suicide. Early detection, along with vigorous treatment of affective and substance use disorders—the two most common disorders found in people who commit suicide—is considered the most effective…
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  This interview took place on August 26, 2008, and was conducted by Norman Sussman, MD.   This interview is also available as an audio PsychCastTM at http://psychcast.mblcommunications.com Disclosure: Dr. Turk is a consultant to EMpi Recovery Sciences, Janssen, Ortho-McNeil, and Pricara; is on the advisory boards of Abbott, Eli Lilly, Ferring Pharmaceuticals, and Pfizer;…
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Column Print Friendly  Psychotherapies and Other Psychosocial Interventions for Depression in Late Life: Innovation Through Hybridization Gary J. Kennedy, MD Return Introduction Controversy continues as to which form of psychotherapy should be used with each type of depression1, 2 and under what circumstances psychotherapy may be recommended without antidepressant medication.3 The evidence base supporting empirically…
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Column Print Friendly  Remission of Depression: How Effective are Antidepressants? Donald S. Robinson, MD Return Introduction There exist longstanding concerns that antidepressant drugs produce modest clinical improvement, with only a minority of patients achieving full remission of their depressive episodes. Uncertainties about the therapeutic benefits of antidepressant treatment have been heightened by awareness of how…
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  Dr. Kennedy is professor in the Department of Psychiatry and Behavioral Sciences at Albert Einstein College of Medicine, and director of the Division of Geriatric Psychiatry at Montefiore Medical Center in the Bronx, New York. Dr. Leon is a fellow in the Division of Geriatric Psychiatry at Montefiore Medical Center. Disclosure: Dr. Kennedy is…
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  Dr. Yusim is a third-year psychiatry resident at the New York University (NYU) Medical Center in New York City. Disclosure: Dr. Yusim reports no affiliation with or financial interest in any organization that may pose a conflict of interest. Acknowledgments: Dr. Yusim thanks Dr. Stephen J. Ferrando, MD, in the Department of Psychiatry at…
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  Needs Assessment: Despite available treatment strategies, numerous patients with depression remain symptomatic. There is an urgent need to expand available augmentation strategies for depression. The use of atypical antipsychotics represents one such strategy, but clinicians must be updated on the status of clinical evidence supporting this treatment strategy. Learning Objectives: • Describe the urgent…
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  Needs Assessment: Despite numerous published efficacy studies, use of lithium augmentation for the treatment of refractory depression has declined markedly among clinicians. This paper critically reviews the literature in order to clarify the current role of this strategy in light of emerging trends and findings in managing treatment-resistant depressed patients. Learning Objectives: • Be…
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