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

Ukraine and PTSD: How Psychiatry Can Help

The war in Ukraine is resulting in a devastating loss of life, catastrophic injuries, and physical destruction. But the war also will take an enormous mental health toll on millions of people, resulting in what I think will lead to an epidemic of posttraumatic stress disorder. Think about the horrors that Ukrainians are experiencing. Millions … Read more

Methylphenidate Is Overprescribed to Children in France

The prevalence of attention-deficit/hyperactivity disorder (ADHD) is difficult to evaluate, and the diagnosis is based primarily on clinical criteria. In 2008, a French study estimated the prevalence to be between 3.5% and 5.6%, but the study’s design was questionable. Treatment of this disorder consists first and foremost in educational, social, and psychotherapeutic management. Only if … Read more

Has the Anti-Benzodiazepine Backlash Gone Too Far?

When benzodiazepines were first introduced, they were greeted with enthusiasm. Librium came first, in 1960, followed by Valium in 1962, and they were seen as an improvement over barbiturates for the treatment of anxiety, insomnia, and seizures. From 1968 to 1982, Valium (diazepam) was the No. 1-selling US pharmaceutical: 2.3 billion tablets of Valium were … Read more

The Importance of Treating Insomnia in Psychiatric Illness

Insomnia rates continue to rise in the setting of the pandemic,1 Contributing to increasing rates of depression and anxiety, as well as worsening symptoms of other severe mental illnesses. Data suggests this symptom, defined as chronic sleep onset and/or sleep continuity problems associated with impaired daytime functioning, is common in psychiatric illnesses, and can worsen … Read more

Juvenile Fibromyalgia Is Associated With Brain Changes

Juvenile fibromyalgia is associated with reduced volume in one region of the brain, according to a recent study. The findings were similar to those in patients with adult fibromyalgia, which suggest the importance of early diagnosis and treatment. The study was published online January 25 in Arthritis and Rheumatology. Adolescent Brain Development Juvenile fibromyalgia is … Read more

New Data Focus Need for Tailored Schizophrenia Care in Elderly

Older adults with schizophrenia are not a homogenous patient population, with various subgroups that differ significantly in terms of comorbid illness and mortality rates and causes, new research shows. For example, individuals in a group characterized by substance use disorders (SUDs) had a depression prevalence of about 60% and relatively high death rates from unintentional … Read more

Resistance Exercise May Be Best Workout for a Good Night’s Sleep

A randomized trial suggests resistance exercise promotes better sleep than other workouts among inactive adults, particularly those who are poor sleepers. Angelique Brillenthin “We thought resistance exercise would be somewhere in the same neighborhood as aerobic exercise or that maybe combined exercise would be a little bit better but, no, it was consistently resistance exercise, … Read more

CBD May Help People Cut Down on Their Cannabis Use

PARIS — Following the suspension of the decree that banned the sale of cannabidiol (CBD) flowers, raw cannabis is again available in France for over-the-counter sales. The “feel-good” plant is praised for its relaxing properties. The suspension of the ban, which lasted for 3 weeks, is a mixed blessing for businesses that sell CBD-based products … Read more