General Psychiatry
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Zoloft not helpful for subsyndromal symptoms in cancer patients

July 1, 2007
Jesse H. Wright, MD
Jesse H. Wright, MD. Professor and Chief of Adult Psychiatry, University of Louisville School of Medicine, Co-author, Learning Cognitive Behavior Therapy: An Illustrated Guide.


Dr. Wright has disclosed that he receives royalities from books he has written about cognitive behavioral therapy.

About 20% of patients with cancer develop major depression, and at least 60% present with significant symptoms of sadness and anxiety not severe enough to meet criteria for a DSM-4 disorder.
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More evidence that antipsychotics are dangerous in dementia

July 1, 2007
Jesse H. Wright, MD
Jesse H. Wright, MD. Professor and Chief of Adult Psychiatry, University of Louisville School of Medicine, Co-author, Learning Cognitive Behavior Therapy: An Illustrated Guide.

Dr. Wright has disclosed that he receives royalities from books he has written about cognitive behavioral therapy.
In 2005, the FDA issued a health advisory saying that antipsychotics appear to increase the risk of death in elderly patients with dementia. That advisory was based on data from placebo-controlled trials of antipsychotics conducted by industry. Now, a new study based on a completely different, and much larger, dataset, appears to confirm these dangers.
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Is divorce a risk factor for getting a stimulant prescription?

July 1, 2007
Jesse H. Wright, MD
Jesse H. Wright, MD. Professor and Chief of Adult Psychiatry, University of Louisville School of Medicine, Co-author, Learning Cognitive Behavior Therapy: An Illustrated Guide.

Dr. Wright has disclosed that he receives royalities from books he has written about cognitive behavioral therapy.
In a provocative study, rates of Ritalin prescriptions in Canada from 1994-2000 were compared with rates of divorce. The study focused on children ages 2-7, and found that in families that stayed intact during the study period, 3.3% of children were prescribed Ritalin.
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Latest CATIE results: Atypicals no better than Trilafon for improving cognition

July 1, 2007
Jesse H. Wright, MD
Jesse H. Wright, MD. Professor and Chief of Adult Psychiatry, University of Louisville School of Medicine, Co-author, Learning Cognitive Behavior Therapy: An Illustrated Guide.

Dr. Wright has disclosed that he receives royalities from books he has written about cognitive behavioral therapy.
One of the final major questions that the NIMH-funded CATIE trials promised to answer was whether atypical antipsychotics are better at improving cognition in schizophrenia than conventional agents, as some smaller studies implied.
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Topics in the Diagnosis and Treatment of PTSD

June 1, 2007
David Osser, MD

David N. Osser, MD. Associate Professor of Psychiatry, Harvard Medical School, Brockton Veteran’s Administration Medical Center, Brockton, Massachusetts.

Dr. Osser has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.

Dr. Osser, as an attending psychiatrist at a VA unit in which you evaluate many patients with PTSD, how do you typically approach establishing a valid and reliable diagnosis of PTSD in your patients?
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