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Insomnia and Substance Use Disorders

April 10, 2019
Nicholas Rosenlicht, MD
Nicholas Rosenlicht, MD Nicholas Rosenlicht, MD

Clinical Professor of Psychiatry, University of California, San Francisco, School of Medicine. Founder and served for 15 years as the director of the UCSF-VAMC Mood Disorders Clinic. Dr. Rosenlicht has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Sleep problems are common in recovery, and they have many causes such as withdrawal states, circadian rhythm disruptions, and a host of psychiatric and medical comorbidities. It’s a two-way street: Insomnia raises the risk of substance misuse, and addiction can cause or worsen sleep problems.
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Moderate Alcohol Use Associated With Reduced Risk of Dementia

April 10, 2019
Michael Posternak, MD

Michael Posternak, MD. Dr. Posternak has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Excessive alcohol use is neurotoxic, but some studies have found that moderate alcohol intake might actually reduce the risk of dementia. Most of these studies, however, have focused on geriatric patients.
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A Second Look at Genetic Testing

March 29, 2019
Chris Aiken, MD.
Chris Aiken, MDChris Aiken, MD.
Editor-in-Chief of The Carlat Psychiatry Report. Practicing psychiatrist, Winston-Salem, NC. Dr. Aiken has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Genetic tests are marketed with a bold claim: that a handful of genes can predict medication response. AssureRx’s GeneSight is the most popular of these tests, and in 2015 we reviewed the evidence behind its panel. In short, it was lacking, but the company has just released new data that may move it a little closer to the mainstream.
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Parenting Strategies for Patients With Mental Illness

March 29, 2019
Marie Yap, PhD

Marie Yap, PhD Marie Yap, PhD

Associate Professor of Psychology at Monash University in Australia.

Dr. Yap has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

“To love and work” was how Freud saw the goal of psychiatric treatment. Mental illness robs people of many meaningful roles, from work to parenting. We spoke with Marie Yap, director of the award-winning Parenting Strategies program, to learn how to help our patients function better as parents and prevent psychiatric disorders in their children.
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What Can Our Pregnant Patients Do to Prevent Mental Illness in Their Children?

March 29, 2019
Robert Freedman, MD

Robert Freedman, MD Robert Freedman, MD

Professor and Former Chairman, Department of Psychiatry, University of Colorado-Denver. Editor Emeritus, American Journal of Psychiatry.

Dr. Freedman has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

During pregnancy, untreated depression significantly increases the risk that the infant will fail to develop adequate levels of cerebral inhibition. That’s a measure of the infant’s ability to filter out irrelevant stimuli, and it’s the first sign that development is not on an optimal track.
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Amphetamines Stand Out in ADHD

March 29, 2019
Michael Posternak, MD.

Michael Posternak, MD.

Dr. Posternak has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

With so many medications available to treat ADHD, wouldn’t it be nice to know if some are better than others? In this comprehensive meta-analysis, researchers sought to compare the relative efficacy and tolerability of both stimulant and non-stimulant medications for ADHD in children and adults.
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Ask the Editor: Should You Prescribe Lithium to Suicidal Patients?

March 29, 2019
Chris Aiken, MD.

Chris Aiken, MD.

Editor-in-Chief of The Carlat Psychiatry Report. Practicing psychiatrist, Winston-Salem, NC.

Dr. Aiken has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

It would seem intuitive, then, that withholding lithium, which is toxic in overdose, from a suicidal patient is a safe move. However, intuition doesn’t match up with the evidence here.
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