Clear, engaging, and practical updates on clinical psychiatry.

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60 Sec Psych Episodes

Suvorexant prevents delirium [60 Sec Psych]

September 19, 2020 | Podcasts

We often worry about sleep meds in the medically ill, and there’s plenty of cause to: falls, respiratory suppression, and confusion. On the other hand, sleep disruption is a major risk factor for delirium, and there’s growing evidence that some sleep meds – ramelteon, melatonin, but not the benzos or z-hypnotics -  can prevent this sequale of s


Morgellons: A Tiny Bug or a Big Delusion?

September 16, 2020 | Podcasts

If you haven’t seen a patient with Morgellons yet, it’s a good guess that you soon will. Patients with this syndrome experience crawling, biting, and stinging sensations in the skin. Published On: 9/16/2020 Duration: 8 minutes, 4 seconds Transcript: If you haven’t seen a patient with Morgellons yet, it’s a good guess that you soon will.


What Patients Are Saying About Antipsychotic [60 Sec Psych]

September 9, 2020 | Podcasts

In the early 1990’s, half of US patients with bipolar disorder took lithium. Now it’s closer to 15%, and the use of antipsychotics has more than doubled to fill the gap. A new survey reveals what patients think about these newcomers. [Link] Published On: 9/9/2020 Duration: 2 minutes, 49 seconds Transcript: In the early 1990’s, half of US p


Trazodone in Frail Insomniacs [60 Sec Psych]

September 5, 2020 | Podcasts

It’s risky business – giving sleep meds to the elderly and the medically ill – and today we have some reassuring data. [Link] Published On: 9/5/2020 Duration: 2 minutes, 22 seconds Transcript:  It’s risky business – giving sleep meds to the elderly and the medically ill – and today we have some reassuring data. This first


A Landmark Adoption Study [60 Sec Psych]

September 2, 2020 | Podcasts

Dr. Kenneth Kendler's latest compares biological siblings where one was adopted and the other raised by the birth parents. The study found that children adopted into a stable adoptive home had a reduced rate of depression by 23%. [Link] Published On: 9/2/2020 Duration: 2 minutes, 4 seconds Transcript: Over the past 40 years Dr. Ken Kendl


Depressed and Indecisive [60 Sec Psych]

August 15, 2020 | Podcasts

Today’s study looked at psychological factors that predict relapse into depression. They people who were recovered from depression and taking antidepressants along with healthy controls, nearly 200 in total. All the underwent a decision making test that asked them to exert effort─a button pressing task─to get rewards. The antidepressants we


Lithium and Cognition: The Largest Study to Date [60 Second Psych]

August 12, 2020 | Podcasts

This study is the largest longitudinal study of cognition in lithium to date. Katherine Burdick and colleagues started with 262 patients with bipolar I – 64% were taking lithium [Link]. They made two key measurements, with the main limitation that neither were controlled. Here's the findings. Published On: 8/12/2020 Duration: 2 minutes, 49 s


Topiramate and Adderall Reduce Cocaine Use [60 Sec Psych]

August 8, 2020 | Podcasts

We always say that single positive studies need replication, and here comes one. In 2012 a randomized trial found that the combination of topiramate and adderall xr worked better than placebo at helping people with frequent cocaine use stay sober. This new study [Link] sought to replicate that, although it was by the same research group as the origi


Borderline Personality Disorder: Listen with Care [60 Sec Psych]

August 5, 2020 | Podcasts

Dialectical Behavior Therapy ─ DBT ─ has become the gold standard for borderline personality disorder, and other therapies are starting to go head-to-head with DBT in clinical trials. We reviewed one that fared well, Good Psychiatric Management, in our Summer issue and a new one just came out of Australia in a study by Carla J Walton and colle


Which Medications Should You Stop Before ECT? [60 Sec Psych]

August 1, 2020 | Podcasts

Electroconvulsive therapy (ECT) depends on the seizure threshold, so you don’t want to throw that off before starting it. Anticonvulsants and benzodiazepines are concerning, as are antidepressants. Although bupropion has a notorious risk for seizures, a recent meta-analysis of all antidepressants found buproprion’s risk was about average with the