General Psychiatry
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Treating Sexual Side Effects

May 8, 2019
Adam Strassberg, MD.
Adam Strassberg, MD. Psychiatrist in private practice in Palo Alto, CA. Dr. Strassberg has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Sexual side effects on SSRIs are so common that psychiatrist David Healy once argued these drugs more reliably lower libido than treat depression. Yet the problem isn’t limited to SSRIs, and it’s not unmanageable.
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An Antidepressant Diet

May 8, 2019
Felice Jacka, MD
Felice Jacka, MD Professor at Deakin University, Geelong, Victoria, Australia. Director, Food and Mood Centre. Founder and President, International Society for Nutritional Psychiatry Research. Dr. Jacka has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
We have a decade of observational evidence linking the quality of people’s diets to their risk for depression. Those findings were pretty consistent across countries, cultures, and age groups: A healthy diet is associated with an approximately 30% reduction in the risk for depression and a 40% improvement in cognition.
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Ask the Editor: Can Antipsychotics Enhance Cognition?

May 8, 2019
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.

Unlike the typical antipsychotics, atypicals improve both cognitive and psychotic symptoms of schizophrenia, so they must have procognitive effects of their own that can be harnessed in mood disorders, ADHD, and even dementia. The problem is that the data show the opposite.
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Antidepressants Don’t Raise Dementia Risk, With One Exception

May 8, 2019
Rehan Aziz, MD.
Rehan Aziz, MD. Dr. Aziz has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Depression is a risk factor for dementia, but can antidepressants change that risk? Some, like paroxetine (Paxil), have anticholinergic properties that can impair cognition. This study looked at what that means for the risk of dementia.
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The Aging Brain: Preventing Cognitive Decline

April 10, 2019
We’ve all been there. A 63-year-old patient comes to you with a chief complaint of memory loss. She tells you that she has a hard time remembering people’s names and forgets where she puts her keys. She lives and drives on her own without a problem, but asks, “Isn’t there some memory pill I can take?” What advice can we give her?
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Screening Tests for Cognitive Decline

April 10, 2019
Screening tests can also help distinguish normal aging from a Neurocognitive Disorder. The popular Mini Mental Status Exam is being replaced by more sensitive tests like the Montreal Cognitive Assessment (MOCA) and the Saint Louis University Mental Status Examination (SLUMS). Both of these can be completed in 10 minutes and are normed for Mild and Major Neurocognitive Disorders. An abbreviated form of the SLUMS, the Rapid Cognitive Screen, can be administered in 5 minutes.
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Sleep and PTSD

April 10, 2019
Michael McCarthy, MD
Michael McCarthy, MD Michael McCarthy, MD

Associate Adjunct Professor, Department of Psychiatry, University of California at San Diego. Dr. McCarthy has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Insomnia is different in PTSD. Some of that is explained by the symptoms of PTSD, such as nightmares, hyperarousal, anxiety, and physical restlessness. But there’s another thing we’re seeing that isn’t as obvious: sleep apnea.
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