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General Psychiatry

News, opinions and meeting coverage in psychiatry.

10 Ways to Safely Push Ketamine in the ED

A doctor recently took me on a Special K trip, and I enjoyed it immensely.

Parent's Death Has Long-Term Effect on Kids' Grades

The death of a mother or father in childhood was associated with lower grades and school failure in adolescence, but the effect was less pronounced when such things as mental health were taken into account, researchers found.

Killing Pain: Xanax Tops Charts

Alprazolam, more popularly known by its brand name -- Xanax--is America's favorite tranquilizer and one that is often used in combination with an opioid.

Lyrica Edges Mirapex for Restless Legs

Patients with restless legs syndrome treated with pregabalin (Lyrica) had as much symptom improvement as those receiving pramipexole (Mirapex) in a large year-long trial, with fewer showing "augmentation."

Pay and Practice: Are Neurologists Primary Care Docs?

WASHINGTON -- Neurology isn't often mentioned in the same breath as primary care, but the American Academy of Neurology is again lobbying to gain that sobriquet -- this time to take advantage of a recent policy change that benefits primary care providers.

Antidepressant Dressed Up for Menopause

One drug company can now brag about a nonhormonal option for menopausal hos flashes. But Brisdelle is just an old drug dressed up in a new feminine name and packaging -- it's the antidepressant paroxetine, better known by its brand name, Paxil.

Magnet Therapy Cuts Binge-Purge Eating

SAN DIEGO -- A course of transcranial magnetic stimulation (TMS) helped about half of patients with binge/purge eating disorders to cut the frequency of such episodes significantly, a researcher said here.

Teens More Apt to Fight Than Flee

SAN DIEGO -- Teens were more likely to actively respond to aggressive cues than were children or adults, researchers reported here.

Exercise May Allay Anxiety, Depression

SAN DIEGO -- Exercise may have modest benefits as a treatment for patients suffering from anxiety or depression, researchers reported here.

Antidepressants, Lyrica OK Combo in Fibromyalgia

SAN DIEGO -- Patients with fibromyalgia who were taking antidepressants found that their pain was successfully managed with pregabalin (Lyrica), a researcher said here.

Sleep Problems, Poor Angioplasty Outcomes Linked

Disturbed sleep is common in heart patients following coronary angioplasty and is an independent risk factor for poor cardiac outcomes, researchers reported.

Heart Surgery as Infant Hikes Risk for ADHD Later

Children who underwent surgery for congenital heart disease in the first year of life appeared to carry an increased risk of attention deficit hyperactivity disorder (ADHD) once they reached school age, researchers found.

Neurotransmitter Linked to Post-Traumatic Stress

Post-traumatic stress disorder is associated with lowered levels of norepinephrine transporter, a neurotransmitter in a brain region that plays a role in panic and stress, researchers reported.

FDA Adds Black Box Warning to Malaria Drug

The FDA has added a boxed warning to the labeling of the antimalarial drug mefloquine, advising of the possibility of neurologic and psychiatric adverse events, the agency announced.

New Version of Fibromyalgia Drug OK'd for Depression

The FDA has approved levomilnacipran (Fetzima), a single-enantiomer version of the fibromyalgia drug milnacipran (Savella), for treating major depression, its developers said.

APA Leaders Defend New Diagnostic Guide

SAN FRANCISCO -- The fifth edition of the "psychiatrist's bible" was officially released here in all its 947-page glory, with its developers offering a spirited rebuttal to their critics.

Hangover Risk Prompts Ambien Label Changes

New dosing recommendations for products containing zolpidem (Ambien, Ambien CR, Edluar) are now included in their labels, along with warnings of next-day hangover effects, the FDA said Tuesday.

FDA Allows Opana Generics

The original formulation of extended-release oxymorphone (Opana ER) that lacked abuse-resistant mechanisms was not pulled from the market for safety reasons, and therefore generics based on that recipe are permissible, the FDA said.

ACE Inhibitors Linked to Hallucinations in Elderly

Elderly patients with memory problems who suddenly have visual hallucinations may need to stop taking ACE inhibitors, researchers suggested.

Psychosis Common in Meth Addicts

Methamphetamine use makes hallucinations and other psychotic symptoms substantially more likely among addicts, particularly for those abusing other substances, a longitudinal study affirmed.

Parents at Risk After Child's Suicide

Parents who lose a child to suicide are at high risk for mental health problems and subsequent marital breakup, researchers found.

Pot Smokers Who Quit Find It Harder to Function

The more severe a person's marijuana withdrawal symptoms when they quit using the drug, the bigger the effect on their functional ability and the more likely they were to start using again, results of an Australian study showed.

Jesse Jackson, Jr. Responding to Bipolar Therapy

After months of silence from his office about his absence from Congress, the Mayo Clinic has announced that Rep. Jesse Jackson, Jr., (D-Ill.) is being treated at the facility for bipolar disorder.

AAP: Don't Use Sensory Disorder Diagnosis

Pediatricians should not use sensory processing disorder as a diagnosis, according to a policy statement from the American Academy of Pediatrics.

Fake Adderall Pops Up on Internet

The FDA has issued a warning about counterfeit generic Adderall tablets that are being sold over the Internet.

DSM-5: What's In, What's Out

PHILADELPHIA -- Reports here provided what may be the last public update on DSM-5, the next edition of American psychiatry's diagnostic guide, before it is formally released in May 2013.

Autism Criteria Critics Blasted by DSM-5 Leader

PHILADELPHIA -- The head of the American Psychiatric Association committee that's rewriting the diagnostic criteria for autism spectrum disorders took on the panel's critics here, accusing them of bad science.

DSM-5 Panel Tiptoes on Grief, Depression

PHILADELPHIA -- Psychiatrists writing new diagnostic criteria for major depression hope an explanatory note will mollify critics of a proposal to let patients grieving a dead loved one receive a formal diagnosis.

Most DSM-5 Revisions Pass Field Trials

PHILADELPHIA -- Field trials of proposed new diagnostic criteria for many mental disorders showed that, for the most part, they were at least adequately reliable.

Antidepressants May Help Cut Seizures

NEW ORLEANS -- Patients with epilepsy who experience more than one seizure a month appear to achieve a reduction in seizure activity when treated with antidepressants, researchers reported here.

Tardive Drug Effect Is Often Permanent

NEW ORLEANS -- Only about one patient in eight who develops tardive syndromes as a result of an antipsychotic or other drug therapy ever fully recovers, a researcher said here.

Short-Acting Opioids May Have Less Impact on Testosterone

PALM SPRINGS, Calif. -- Men who take long-acting opioids for chronic pain may have a higher risk of hypogonadism than those on short-acting formulations of the drugs, researchers said here.

OCD in Adulthood Traced to Cues in Childhood

Rituals and sensory hypersensitivities in a child may be early warning signs of adult obsessive-compulsive disorder (OCD), according to the results of two studies from Israel.

ADHD Drug Helpful in Adult Depression

Phase II trial results suggested that a stimulant drug approved to treat attention deficit-hyperactivity disorder may improve cognitive function in adults with major depression, its manufacturer said.

Use of Psych Drugs Up, Women Biggest Users

One American in five takes psychiatric medication for conditions such as depression and anxiety, and use of the drugs is more common among women, researchers found.

Linezolid Toxic With Prozac, Other SSRIs, FDA Warns

The FDA has issued an updated statement on the potential for serious central nervous system toxicity when patients taking serotonergic psychiatric drugs are treated with the antibacterial agent linezolid (Zyvox).

APA: Munchausen by Proxy Victims Not All Kids

HONOLULU -- Although most reported cases of Munchausen-by-proxy syndrome involve children, adults can also be victims, a researcher said here.

APA: Field Testing to Begin in July for DSM-5

NEW ORLEANS -- More than 10 years after the American Psychiatric Association (APA) began developing its fifth edition of the Diagnostic and Statistical Manual of Mental Diseases (DSM), the process is now moving smartly toward its planned 2013 conclusion, leaders of the effort said here.

Handedness Linked to ADHD

Ambidextrous 5-year-olds are more likely to develop attention deficit-hyperactivity disorder symptoms later on as compared with right- and left-handed children, according to a study by a team of Swedish researchers.

The Top 10 Medical Advances of the Decade

From genome to hormones, doctors pick the top medical advances of the decade.

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