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Untreated Psychotic Illness: Stemming the Tide

This article originally featured on the Psychiatry Advisor. In a recent study1 involving 404 patients with first-episode psychosis recruited at 34 community clinics in 21 different US states, we found that the median duration of untreated psychosis was 1.5 years.2Data regarding patients with other conditions suggest even longer intervals between onset of

Self-Soothing During Difficult Times

This post originally featured on PsychCentral. The ups and downs of bipolar disorder provide ripe ingredients for a crisis. During mania we may feel phenomenal and deny that a serious situation is occurring, but our behavior speaks differently. In depression or anxiety, we may feel a crisis acutely. It may come in

What to Tell Your Boss About Your Mental Health Diagnosis

Ideally, speaking up shouldn't be a problem. But sometimes you have to tread carefully. A diagnosis of a mental illness—either yours or a family member’s—can upend your career. Your condition may get in the way of your ability to do your job well, or, even if it doesn’t, you may need

Depression Medication Linked to Increased Risk of ICH

December 19, 2016 This article originally appeared on Neurology Advisor. Share this content: Caution should be taken when prescribing high-strength SSRIs, particularly in combination with anticoagulant therapies. Risk of intracranial hemorrhage (ICH) associated with selective serotonin reuptake inhibitors (SSRIs) increases with the strength of the agent used (ICH), according to results from a large-scale

Psychoeducation No More Effective Than Peer Support at Reducing Time to Next Bipolar Episode

December 08, 2016 Share this content: Group psychoeducation is a low-cost psychological intervention with a few specific clinical benefits in early bipolar disorder. In patients with bipolar disorder, structured group psychoeducation was found to be no more clinically effective than unstructured peer support at reducing the time to the next bipolar episode. However,

Smartphone Questionnaire Effective for Long-Term Monitoring of Mood Instability

December 07, 2016 This article originally appeared on Clinical Advisor. Share this content: The Mood Zoom questionnaire asks users to rate anxiety, elation, sadness, anger, irritability, and energy on a 7-point Likert scale. A new, compact smartphone questionnaire could be effective for long-term daily monitoring of mood instability in clinical psychiatric practice, according to

Short-Term Suicide Risk For Discharged Psychiatric Hospital Patients

December 02, 2016 Share this content: Little is known about risk of suicide across multiple disorders or in general medical conditions with psychiatric comorbidities. Researchers have found that after being discharged from an inpatient psychiatric hospital, patients with depression were at a particularly high risk of short-term suicide. Those with schizophrenia or bipolar

Cognitive Reserve May Predict Neurocognitive Performance in Bipolar Disorder

November 10, 2016 Programs conducted in early stages of bipolar disorder to improve cognition and functioning may boost cognitive reserve and thus, help prevent cognitive decline. Patients with bipolar disorder who had high cognitive reserve performed better in tests of attention, verbal fluency, and verbal memory than those with low cognitive reserve,

Altered Connectivity in 2 Brain Networks Differentiate Bipolar Mood States

November 09, 2016 Share this content: One line of future research in this area will be examining whether dorsal attention network connectivity predicts behavioral performance and emotional reactivity. The connectivity of 2 large-scale brain networks is significantly altered in the different mood states of bipolar disorder, according to research published in the Journal

Gene Sets Altered Across Brain Regions in Schizophrenia, Bipolar Disorder & MDD

  Until now, the majority of postmortem research that has examined functionally related gene sets has been limited to a single disorder or region of the brain. A large RNA sequencing study by scientists at Johns Hopkins University School of Medicine has identified gene sets that are consistently dysregulated across brain regions

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