It’s possible that BZD use causes cognitive decline, but it’s equally possible that patients with preexisting dementia are prescribed BZDs to alleviate psychiatric symptoms related to dementia. A new, very large study adds to our fund of knowledge on this issue.

What basic questions should we be asking our patients who complain of sleep problems? We talk to Robert S. Rosenberg, DO, FCCP, to get his insight on sleep disorders, sleep apnea, restless leg syndrome, sleep studies, and benzodiazepines.

If you’re like most psychiatrists, you get your fair share of older folks who come into the office complaining of difficulties with sleep or with significant symptoms of anxiety.

David A. Frenz, MD discusses inpatient detox for alcohol, and the approaches used for determining the right therapies.

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Anxiety disorders are common in young people, affecting 4%–7% of children. It appears that the majority of “adult” anxiety disorders begin in childhood and are stable and often chronic conditions, so an effective intervention can have lifelong benefits.

While there are many different anxiety disorders, the mainstay of treatment for nearly all of them is the same: cognitive behavioral therapy (CBT).

Anxiety disorders, in general, for children and adolescents, can be a very big problem. A big issue is that anxiety disorders are often not the first diagnoses considered and they are often overlooked.

Insomnia is one of the most common comorbidities you’ll see in your depressed and anxious patients. But it is often misunderstood. While the common view is that insomnia is caused by a primary psychiatric or medical condition, it is more accurate to simply say that patients have insomnia and depression at the same time. Insomnia is almost never an isolated problem.

This handy table lists the medications most often used to treat insomnia.