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Jury Still Out on CES for Depression, Anxiety, Pain, Insomnia Jury Still Out on CES for Depression, Anxiety, Pain, Insomnia

There is sparse evidence supporting the efficacy of cranial electric stimulation (CES) for the treatment of chronic pain, depression, anxiety, and insomnia, new research shows.Medscape Medical News
Source: Medscape Medical News Headlines - Category: Consumer Health News Tags: Psychiatry News Source Type: news

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This study constitutes the first randomized controlled trial evaluating exposure therapy for FM. Methods: A total of 140 participants with diagnosed FM were randomized to a 10-week Internet-delivered exposure treatment (iExp; n=70) or a waitlist control condition (WLC; n=70). Primary outcome measure were FM symptoms and impact, and secondary outcome measures were fatigue, disability, quality of life, pain-related distress and avoidance behaviors, insomnia, depression, and anxiety. Results: Data retention was high (100% data completion at posttreatment for primary outcome, 96% at 6-month follow-up and 94% at 12-month ...
Source: The Clinical Journal of Pain - Category: Anesthesiology Tags: Original Articles Source Type: research
Gabe Howard’s biggest fear is that his bipolar disorder will get worse. “I’m more worried about the symptoms of bipolar disorder coming back than I am about anything else. Literally anything else. I’ll walk through the streets after midnight in New York City and not be a bit concerned about being attacked — but I’ll be terrified of losing everything to bipolar disorder.” Elaina J. Martin also fears getting sicker. “I worry I will get in a depression so dark I will become suicidal because it has happened before.” She, too, worries about the mania returning. &ld...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Bipolar Creativity Grief and Loss Peer Support Self-Help Bipolar Disorder bipolar mania Depressive Episode Manic Episode Source Type: blogs
Forgive me if I am posting in an inappropriate forum for this topic; I presume my question would be most relevant here. I receive psychiatric care myself and I've observed others receive the same treament. Not once have I ever heard of a mental health care professional prescribing a device such as Fisher Wallace Cranial Simulator/similar devices nor discussed this with his/her patients. It is used to treat anxiety, depression, insomnia, and chronic pain such as arthritis by promoting the... Why isn't Fisher Wallace Cranial Simulator and similar devices prescribed/discussed more?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums
Conclusion. Modafinil is a central nervous system stimulant with well-established effectiveness in the treatment of narcolepsy and shift-work sleep disorder. There is conflicting evidence about the benefits of modafinil in the treatment of fatigue and EDS secondary to TBI. One randomized, controlled study states that modafinil does not significantly improve patient wakefulness, while another concludes that modafinil corrects EDS but not fatigue. An observational study provides evidence that modafinil increases alertness in fatigued patients with past medical history of brainstem diencephalic stroke or multiple scleros...
Source: Innovations in Clinical Neuroscience - Category: Neuroscience Authors: Tags: Current Issue Review excessive daytime sleep fatigue head injury modafinil stroke TBI traumatic brain injury Source Type: research
This article reviews this relationship and provides recommendations for management. Keywords: Insomnia, sleep disorder, psychiatric disorder, depression, psychosis, schizophrenia, anxiety disorder Insomnia affects 25 million people in the United States annually and leads to an estimated $100 billion health care burden. Insomnia has also been shown to be a causal factor in other medical and psychiatric disorders, cognitive impairments, accidents, absenteeism, and reduced quality of life.1 The cost of not treating insomnia is more than the cost of treating insomnia.2 Insomnia as a symptom is seen in up to one third of the Un...
Source: Innovations in Clinical Neuroscience - Category: Neuroscience Authors: Tags: Current Issue Review anxiety disorder depression insomnia psychiatric disorder psychosis schizophrenia sleep disorder Source Type: research
There is insufficient evidence that cranial electronic stimulation has clinically important effects on fibromyalgia, headache, neuromusculoskeletal pain, joint pain, depression, or insomnia; low-strength evidence suggests a modest benefit for anxiety and depression.
Source: RAND Research Health and Health Care - Category: Health Management Authors: Source Type: research
Abstract BackgroundAmitriptyline has well‐established efficacy in several chronic pain conditions. While optimal treatment for chronic neck pain (CNP) remains controversial, amitriptyline was not tested for CNP. We evaluated the effect of bedtime amitriptyline in the management of CNP. MethodsA total of 220 patients suffering from idiopathic CNP were randomized to receive either placebo pill (n = 108) or 5 mg of amitriptyline (n = 112) at bedtime for 2 months. Primary outcome measure was visual analog scale (VAS) for pain. Secondary outcome measures were neck pain disability index (NPDI), Be...
Source: European Journal of Pain - Category: Anesthesiology Authors: Tags: Original Article Source Type: research
​Part 3 in a Four-Part Series​A 26-year-old man presented with fatigue. He complained of body aches, diarrhea, and nausea. His history was significant for chronic back pain, for which he had been prescribed oxycodone that he has taken daily for three years. He reported that he had stopped taking it two days before his visit.He denied other medication or drug use. He was alert but restless and diaphoretic. His ECG showed sinus tachycardia. His labs included a WBC of 12, Hgb of 12, glucose of 89 mg/dL, creatinine of 1.0 mg/dL, sodium of 140 mEq/L, potassium of 3.8 mEq/L, and CK of 140 U/L. He was experiencing opioid with...
Source: The Tox Cave - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
CONCLUSIONS: The update did not change the major findings of the previous review. Based on low- to very low-quality evidence, the SNRIs duloxetine and milnacipran provided no clinically relevant benefit over placebo in the frequency of pain relief of 50% or greater, but for patient's global impression to be much or very much improved and in the frequency of pain relief of 30% or greater there was a clinically relevant benefit. The SNRIs duloxetine and milnacipran provided no clinically relevant benefit over placebo in improving health-related quality of life and in reducing fatigue. Duloxetine and milnacipran did not signi...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
If you regularly turn to music intuitively to relieve stress, you certainly aren’t alone. You can definitely tap into the power of music to bring healing to yourself. Read along to discover the hidden psychological benefits of music that will make you feel better in times of stress. If you are not a music lover, the treasure trove of hidden benefits below just might convert you to begin singing a new tune as your go-to stress reliever. Music can help relieve stress. In one 2013 study, participants took part in one of three conditions before being exposed to a stressor, and subsequently took a psychosocial stress t...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Creativity Memory and Perception Research Self-Help Stress Music Self Care stress management stress reduction Source Type: blogs
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