Inhaled, Systemic Steroids Linked to Changes in Brain Structure

New research links the use of glucocorticoids with changes in white matter microstructure — which may explain the development of anxiety, depression, and other neuropsychiatric side effects related to these drugs, investigators say. Results from a cross-sectional study showed that use of both systemic and inhaled glucocorticoids was associated with widespread reductions in fractional anisotropy … Read more

Treating the Growing Population of Centenarians

For about the past year, Priya Goel, MD, can be seen cruising around the island of Manhattan as she makes her way between visits to some of New York City’s most treasured residents: a small but essential group of patients born before the Empire State Building scraped the sky and the old Yankee Stadium had … Read more

COVID-Induced Anxiety in Physicians: How Did I Cope?

When the pandemic hit the world, I was working as a psychiatry consultant at a hospital. With the lockdown, much of the hospital seemed deserted. In the doctor’s parking lot, where it was normally hard to find a spot, only a few cars were parked. Once busy corridors were nearly empty. So was the doctors’ … Read more

New Data Support Electroconvulsive Therapy for Depression

Advocates and users of electroconvulsive therapy (ECT) have received further scientific backing: a retrospective cohort study has provided further evidence that ECT can prevent suicide among severely depressed patients. The patient cohort comprised 27,231 men and 40,096 women who had been treated as inpatients. The average age was 45.1 years (range: 18-103 years), and 4982 … Read more

‘Alarming’ Rate of Suicidal Behavior in Long-term Care Residents

Suicidal behaviors are common in older adults — and especially older women, new research suggests. In a meta-analysis that included 20 studies and more than 3 million total individuals living in long-term care (LTC), the prevalence rate for suicidal behavior was more than 6%. In addition, the most common of these behaviors was suicidal ideation. … Read more