AJP Editors Highlight Favorite Articles of 2018

Improving outcomes in patients with depression and posttraumatic stress disorder, drug development, and psychotherapy were among the topics of the seven articlesselected as favorites of 2018 by the editors of theAmerican Journal of Psychiatry. The articles are listed below in the order they appeared in the print issue of the Journal:Adjunctive Bright Light Therapy for Bipolar Depression: A Randomized Double-blind Placebo-controlled Trial: Dorothy Sit, M.D., and colleagues randomly assigned adults with bipolar I or II disorder with symptoms of major depression who were on stable concomitant medications to either a 7,000-lux bright white light or 50-lux dim red light (placebo) for six weeks. Compared with the dim light group, the group treated with bright white light experienced a significantly higher remission rate (68.2% compared with 22.2%) after four weeks and significantly lower depression scores by the end of the study. No mood polarity switches were observed.Role of Complex Epigenetic Switching in Tumor Necrosis Factor- α Upregulation in the Prefrontal Cortex of Suicide Subjects: Qingzhong Wang, Ph.D., and colleagues examined the expression of the pro-inflammatory cytokine gene tumor necrosis factor –alpha (TNF-α) in the postmortem brains of people with and without major depressive disorder who died by suicide and of people with major depressive disorder who died of causes other than suicide. They found TNF-α expression was significantly higher in...
Source: Psychiatr News - Category: Psychiatry Tags: aging American Journal of Psychiatry bipolar disorder bright light therapy depression methylation propranolol psychotherapy PTSD suicide TNF- α Source Type: research

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ConclusionsRumination is known to be associated with poor prognosis in mental health. This study suggests that rumination is a maladaptive coping style associated not only with worry, distress and illness severity, but also with socioeconomic status. Also, rumination demonstrated a specific association with panic disorder.
Source: Journal of Psychiatric Research - Category: Psychiatry Source Type: research
Police officers are often the first responders when someone is having a mental illness crisis.  But are members of law enforcement properly equipped for this job?  There are plenty of horrifying stories that would indicate that the answer is “no.”  How do we change this?  Join us as Gabe speaks with Officer Rebecca Skillern from the Huston, Texas, Police Department about how Houston is training its officers to respond to these difficult calls. SUBSCRIBE &REVIEW   Guest information for ‘Policing and Crisis Intervention Training’ Podcast Episode   Officer Rebecca S...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Policy and Advocacy Relationships The Psych Central Show Source Type: blogs
Marijuana legalization is in motion: step by step, state by state. Counting Washington, where I live, twelve states have already passed recreational marijuana legislation. At least seven more states, including New York and Minnesota, both traditionally liberal states, are slated for similar legalization in 2019.  While stopping the weed train is unlikely (there are profits to be made in this new frontier), ensuring that its brakes and safety protocols are in working order is imperative. Protections for our most vulnerable populations — adolescents, young adults, and people with mental illness issues — ough...
Source: Psych Central - Category: Psychiatry Authors: Tags: Addictions Medications Professional Stigma Substance Abuse Effects Of Cannabis Legalizing Marijuana Psychosis Stigmatization Substance Use THC Source Type: news
   One of the most dangerous misconceptions about suicide is that asking a loved one if they are suicidal will increase the odds that they will attempt suicide.  Today Dr. Nate Ivers of Wake Forest University discusses the importance of making “the covert overt” by asking blunt, straightforward questions of those you suspect may be thinking about suicide.  What words should you use, and if the answer is yes, what should you do next?  And why are we so uncomfortable about asking these potentially lifesaving questions? Find out on this episode. SUBSCRIBE &REVIEW   Guest inform...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Depression Grief and Loss Suicide The Psych Central Show Source Type: blogs
Could the advancement of machine and deep learning algorithms be harnessed meaningfully in the area of mental health? Could depression, bipolar disorder, schizophrenia, or any other mental disorder be quantified so that technology could somehow add positively to their diagnostics or treatment? We tried to explore the uses of artificial intelligence in mental health care, and stumbled upon smart algorithms that support clinicians with early detection and diagnostics of mental health issues, with the flagging of suicide risks, and other ones that help patients manage their condition through counselling and constantly being t...
Source: The Medical Futurist - Category: Information Technology Authors: Tags: Future of Medicine AI artificial intelligence bipolar disorder chatbots future of psychiatry mental disorder mental health mental health disorders mental health issues moodkit pacifica schizophrenia suicide thriveport woebot Source Type: blogs
In conclusion, this review highlights the importance for clinicians to investigate for the presence of chronic nightmares along with other sleep difficulties (most commonly, insomnia and sleep apnea), to consider the potential influence of nightmares on the course of the primary mental disorder, and to be prepared to grant access to treatments targeting nightmares. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
Source: Dreaming - Category: Psychiatry & Psychology Source Type: research
What Are 5 Underlying Reasons for Addiction? Addiction always stems from a root cause, also known as one of the reasons for addiction. It is extremely important to treat both the root cause of the addiction in addition to the physical addiction itself. Staying sober involves much more than just detoxing from drugs or alcohol and abstaining from them in the future. It also involves finding the underlying reasons for the addiction and treating that as well, so that it does not exacerbate the addiction in the future. This is why so many people fail when they attempt to quit using drugs or alcohol cold turkey. While there can ...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Abuse Addiction Addiction Recovery Addiction to Pharmaceuticals Addiction Treatment and Program Resources Alcohol Alcoholism Anxiety Children Depression Depression Treatment Drug Treatment LGBT LGBTQ Mental Health Painkiller Source Type: blogs
 Most of us are familiar with post-traumatic stress disorder. PTSD (deservedly) gets a lot of attention, largely focused on soldiers returning from service. But trauma comes in many forms, and most people have experienced it in one form or another. In this episode, learn about the differences between PTSD and other forms of trauma, how to identify it, and what can be done about it.   Subscribe to Our Show! And Remember to Review Us! About Our Guest Robert T. Muller, Ph.D., is the author of the psychotherapy book, “Trauma &the Struggle to Open Up:  From Avoidance to Recovery &a...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: General PTSD The Psych Central Show Trauma Gabe Howard Vincent M. Wales Source Type: blogs
Conclusion It is clear that clinically, there is still much to be learnt about alexithymia and its relationship with a range of related phenomena. Firstly, is alexithymia a continuous and stable trait independent of psychological or somatic symptomology that is developed during childhood? Or is it instead a reactive state induced by trauma and distress at any age, which serves to defend against intense and upsetting emotions? This impacts on treatment options. For example, should we be focussing on early childhood interventions which target the child's emotional environment and parenting to encourage emotional exp...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Are Suicide and Addiction Linked? When someone is suffering from an issue with addiction, there are many complications that can come along with that. These can include legal issues, family problems, declining health and even suicide. Suicide and addiction are absolutely linked. Addiction not only exponentially increases the likelihood that someone will commit suicide, but substances are often used as a means to commit suicide via overdose. According to the CDC, one in three people who die from suicide are under the influence of drugs. They are typically opiates such as oxycodone or heroin, or alcohol. When someone is suffe...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Addiction Recovery Addiction Stories Addiction to Pharmaceuticals Addiction Treatment and Program Resources Depression Depression Treatment Mental Health anxiety Post Traumatic Stress Disorder PTSD suicide suicide and add Source Type: blogs
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