Lower-Dose Antipsychotics Benefit Patients with Schizophrenia

NEW ORLEANS — Patients with treatment-refractory schizophrenia in a long-term forensic facility showed significant stability following reduced doses of long-acting injectable antipsychotics, a study revealed. Dr Mujeeb Shad “There is an argument by some experts in the field that state hospital populations represent a different set of patients who require higher antipsychotic dosages, with no … Read more

Social Activities May Offset Psychosis Risk in Poor Communities

Social engagement such as participation in community or school-based activities may mitigate psychosis risk in susceptible youth living in disadvantaged communities, new research suggests. A study of more than 170 young participants showed reduced hippocampal volume in those living in poor neighborhoods who had low social engagement vs their peers with greater community engagement. Dr. … 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

Don’t Equate Mass Shootings With Mental Illness

Here we go, again, and again, and again. There just aren’t enough tears, and before the bodies of 19 small children are identified, the political noise starts up. Mass shootings are a part of the American landscape, but when they happen at schools, we all feel a distinct sense of violation and gaping grief. Those … 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

Clozapine and Cancer Risk: New Data

Dr. Jari Tiihonen Long-term treatment with clozapine is associated with a small, but significant, risk of hematological malignancies in individuals with schizophrenia, new research shows. Investigators found long-term clozapine use of more than 5 years was linked to a 2.7-fold increased risk of hematological malignancies in a dose-dependent manner compared with other antipsychotics. “Our results … Read more

Cannabinoids in Medicine: Limitless Hope or Hype?

What is the role of cannabinoids as an intoxicant and in medical applications today? This was the question addressed by Dieter Braus, MD, psychiatrist and neurologist at Vitos Clinic Rheingau in Eltville, Germany, at the DGIM Congress 2022. Dampening the Dopamine System Regardless of the type of substance-dependent addiction — whether alcohol, opiates, nicotine, or … Read more

the History and Future of Psychosurgery

In the early 20th century, there were a few psychiatrists ― perhaps intrepid, perhaps deluded ― who, despite no formal surgical training, were impelled to breach their patients’ skulls. Inspired by the surgical innovations of the day, they were curious about the physical nature of the psyche and whether invasive surgical procedures might be a … Read more

Study Provides New Data on Isotretinoin and Psychiatric Effects

The use of isotretinoin to treat acne was not associated with an increase in adverse neuropsychiatric outcomes, compared with the use of oral antibiotics, in a large retrospective cohort study published in the British Journal of Dermatology. Although severe neuropsychiatric effects associated with isotretinoin therapy in patients with acne have been reported, “the evidence base…is … Read more

Virtual Reality Therapy Promising for Agoraphobia

A novel virtual reality (VR) intervention significantly reduces agoraphobia in patients with psychosis, new research suggests. The cognitive-behavioral therapy-based treatment was particularly effective for patients with the highest level of avoidance of everyday situations. “Virtual reality is an inherently therapeutic medium which could be extremely useful in mental health services,” study investigator Daniel Freeman, PhD, … Read more