Current Pharmacological Treatments for Childhood-Onset Eating Disorders

AbstractPurpose of reviewEating disorders are common in childhood and adolescence and have the highest mortality rate of the mental illnesses, largely due to the medical complications of malnutrition. Psychiatric co-morbidities can lead to death by suicide. Despite a dearth of evidence on the topic, psychiatrists are often asked to comment on the potential utility of adding psychotropic medications to the treatment plan.Recent findingsIt is challenging to recruit patients with eating disorders to medication studies. There are no psychotropic medications approved for the treatment of eating disorders in children and adolescents, although fluoxetine and lisdexamfetamine are approved for use in adult patients. A number of studies have examined the potential utility of appetite-promoting agents, such as mirtazapine and atypical antipsychotics, with mixed results.SummarySafe, monitored renourishment and regulation of eating patterns are currently the most important intervention in the treatment of eating disorders. Current medication use in children and adolescents with eating disorders is limited to the treatment of co-morbid conditions, such as mood and anxiety disorders. More studies are needed to investigate whether the safety and efficacy of medications approved in eating disorders in the adult population can be generalized to child and adolescent populations. In addition, more work needs to be done to establish the underlying root causes of psychopathology and potential medi...
Source: Current Treatment Options in Psychiatry - Category: Psychiatry Source Type: research

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Opioids are a group of very strong pain relievers used to relieve pain after a surgery or traumatic injury. They are much more effective than over-the-counter pain relievers, however, they are also highly addictive. People who suffer from mental health conditions are much more likely to become addicted to opioids, making it important to understand the link between opioids and mental health. The Connection Between Addiction to Opioids and Mental Health People with mood and anxiety disorders are twice as likely to use opioids as people without mental health disorders They are also more than three times as likely to misuse ...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Addiction to Pharmaceuticals Mental Health mental health costs mental health coverage mental illness opiate addiction opiates opioid opioid crisis opioids Source Type: blogs
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
This study evaluated suicidality and its risk factors in patients with tension-type headache (TTH). We recruited new patients with TTH who visited general hospitals. We recorded their clinical characteristics and conducted the Headache Impact Test-6 (HIT-6) and the Insomnia Severity Index (ISI) for assessment. We also interviewed the patients to identify major depressive disorder (MDD), generalized anxiety disorder (GAD), and suicidality with the Mini International Neuropsychiatric Interview—Plus Version 5.0.0 (MINI). The frequency of suicidality was compared between TTH patients and healthy controls. Major risk fact...
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research
CONCLUSIONS Our findings showed that about 20% of the youths had at least one mental disorder. However, this prevalence is underestimated since other relevant mental disorders were not assessed. Mental disorders were associated with higher suicide risk, especially the comorbidity between them.
Source: Revista de Saude Publica - Category: International Medicine & Public Health Source Type: research
CONCLUSIONS: Significant interprovincial differences were found in the past-year prevalence of mental disorders and suicidality in Canada. More research is necessary to explore these differences and how they impact the need for mental health services. PMID: 31619055 [PubMed - as supplied by publisher]
Source: Canadian Journal of Psychiatry - Category: Psychiatry Authors: Tags: Can J Psychiatry Source Type: research
AbstractTo assess U.S. veterans ’ awareness and participation in suicide prevention programs offered by the Department of Veterans Affairs (VA). A nationally representative sample of 1002 veterans was surveyed online in 2018. The majority of veterans reported knowing about Vet Centers (72%), the Veterans Crisis Line (65%), and t he VA Center for Suicide Prevention (54%). However, only 5% had attended a community event related to veteran suicide and 2% had used VA’s Virtual Hope Box. Veterans aware of the Veterans Crisis Line had more medical conditions and were more likely to report VA as their primary healthca...
Source: Administration and Policy in Mental Health and Mental Health Services Research - Category: Psychiatry Source Type: research
This article was originally published on Undark. Read the original article.
Source: TIME: Science - Category: Science Authors: Tags: Uncategorized onetime psychology syndication Source Type: news
CASE: Alex is a 14-year-old Portuguese-American boy with a psychiatric history starting at age 5 who presents to your primary care practice after an insurance change. He was delivered prematurely at 32 weeks and diagnosed with congenital hypothyroidism at the age of 6 weeks and growth hormone deficiency at the age of 2 years; he is in active treatment for both. He otherwise met developmental milestones on time yet continues to have significant fatigue despite adequate sleep and vitamin D supplementation. His family history is remarkable for maternal anxiety, depression, suicidal thoughts, and previous attempted suicide...
Source: Journal of Developmental and Behavioral Pediatrics - Category: Child Development Tags: Challenging Case Source Type: research
A combination therapy of fluoxetine and cognitive-behavioral therapy (CBT) is not superior to CBT alone for treating teens and young adults with major depression, according to astudy published inLancet Psychiatry.“[W]e did not find evidence that adding fluoxetine to CBT was beneficial for reducing depressive symptoms,” wrote Christopher Davey, M.B.B.S., Ph.D., of Orygen, the National Centre of Excellence in Youth Mental Health in Australia, and colleagues. “Our results show that adding fluoxetine to CB T might be more effective for treating anxiety symptoms than for depressive symptoms.”Davey and co...
Source: Psychiatr News - Category: Psychiatry Tags: anxiety Benedetto Vitiello Christopher Davey depression fluoxetine GAD-7 Lancet Psychiatry MADRS MDD nonsuicidal self-injury suicide teens young adults Source Type: research
BACKGROUND: Generalized anxiety disorder (GAD) and chronic pain conditions commonly co-occur, and are both independently associated with suicidality; however, little is known about the impact of chronic pain on suicidality among individuals with GAD. The a...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Suicide and Self-Harm Source Type: news
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