Advance Directives for Psych Care Reduce Compulsory Admissions

Providing peer or community health workers to help psychiatric patients with complete psychiatric advance directives (PAD) to govern care in advance of a mental health crisis is associated with a significant reduction in compulsory hospital admissions, new research shows. Results of a randomized trial showed the peer worker PAD group had a 42% reduction in … Read more

Youth With Bipolar Disorder at High Risk of Eating Disorders

Youth with bipolar disorder (BD) have a high risk of eating disorders (EDs), new research shows. Investigators studied close to 200 youth with BD and found that more than 25% had a lifetime ED, which included anorexia nervosa (AN), bulimia nervosa (BN), and an ED not otherwise specified (NOS). Those with comorbid EDs were more … Read more

Antipsychotic Tied to Weight Gain, Higher Cholesterol

Increases in use of the antipsychotic risperidone (Risperdal) are associated with small dose-related increases in both weight and blood cholesterol levels, new research suggests. Investigators analyzed 1-year data for more than 400 patients who were taking risperidone and/or its metabolite paliperidone (Invega). Results showed increments of 1 mg of risperidone-equivalent doses were associated with an … Read more

Early Metformin Minimizes Antipsychotic-Induced Weight Gain

MAR DEL PLATA, Argentina ― Psychiatrists should prescribe metformin early to patients who experience rapid weight gain after they begin taking antipsychotic drugs, according to a new evidence-based Irish guideline for the management of this common complication in adults with psychoses who are taking medications. The document was discussed during one of the sessions of … Read more

When Does an Elite Athlete Need Mental Health Treatment?

MAR DEL PLATA, Argentina — Many athletes get the “jitters” — a feeling of anxiety — just prior to competing. For elite athletes, whether they’re participating in an individual event or as part of a team, whether on a track, court, rink, or field, this feeling can affect performance. It is a well-known, and not … Read more

Faster Response to IV vs Intranasal Ketamine in Depression

NEW ORLEANS – New research reveals that patients with treatment-resistant depression who were treated with repeated intravenous differences ketamine show no significant in achieving response or remission, compared with those receiving the intranasal formulation of the drug, esketamine – although fewer treatments appear necessary with the intravenous formulation. Dr Balwinder Singh “This is one of … Read more

Antipsychotic Safe, Effective for Resistant Depression

Cariprazine (Vraylar) is a safe and effective adjunctive treatment for adults with major depressive disorder (MDD) who have an inadequate response to antidepressant monotherapy, new results from a phase 3 study show. Already approved by the US Food and Drug Administration (FDA) to treat adults with schizophrenia and manic, mixed, or depressive episodes of bipolar … Read more

Lithium May Lower Osteoporosis Risk in Bipolar Disorder

NEW ORLEANS — People with bipolar disorder – particularly men – show a significantly increased risk of osteoporosis, compared with the general population, but treatment with lithium appears to offer a significant protective effect against the bone disease, according to results from the largest study of its kind. Dr Soren Ostergaard “Our findings emphasize that … Read more

The Stigma Associated With Mental Illness and Antidepressants

The good, the bad, and the ugly. It’s easy to talk about the good, but when it comes to having real conversations about mental health, it’s sometimes an uphill battle. We see so much about mental well-being, services, and hotlines available for those in need. In fact, it’s almost expected for schools and workplaces to … Read more

Medical Home Model Improves Mental Health Treatment

A medical home that provides conventional primary care with a focus on mental health appears to be an effective model for managing patients with serious psychiatric illnesses, new research has found. Patients with serious mental illnesses such as schizophrenia and bipolar disorder die at rates 2.2 times higher than the general population. But people with … Read more