Clear, engaging, and practical updates on clinical psychiatry.

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60 Sec Psych Episodes

I Feel Better Naked [60 Sec Psych]

July 11, 2020 | Podcasts

Whether gardening outdoors or hiking in the woods, getting back to nature is generally good for mental health. But what about just getting naked? Today we report on the first randomized controlled trial of naked activity on body-image anxiety. [Link] Published On: 7/11/20 Duration: 1 minute, 31 seconds Transcript: Whether gardening outdo

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Melatonin Makes its Debut in Bipolar Disorder [60 Sec Psych]

July 8, 2020 | Podcasts

It’s tempting to think that melatonin will help in bipolar disorder. As we covered last month, disrupted circadian rhythms are one of the leading causes of bipolar, and blue-light blocking glasses ─ which increase the brain’s own melatonin ─ are effective in mania, and melatonin works in circadian rhythm disorders like jet lag. But in its

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The Stats on a Dayvigo: A New Hypnotic [60 Sec Psych]

June 27, 2020 | Podcasts

Lemborexant/Dayvigo is the second in sleep med to join the orexin receptor antagonist family. It’s now on the pharmacy shelves, where it sits beside Suvorexant/Bellsomra, released in 2015. Landry I, Nakai K, Ferry J, et al. Pharmacokinetics, pharmacodynamics, and safety of the dual orexin receptor antagonist lemborexant: Findings from single-dose a

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Do Grief Support Groups Help or Harm? [60 Sec Psych]

June 26, 2020 | Podcasts

Your patient is experiencing profound grief after the death of his wife. He can’t afford individual therapy and wonders if a support group can help. Will talking about grief to a room of strangers just trigger him more, or will it help? This metanalysis of 14 randomized controlled trials has an answer. Maass U, Hofmann L, Perlinger J, Wagner B. Ef

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A New Cause of Depression: Light at Night [60 Sec Psych]

June 24, 2020 | Podcasts

Evening light is associated with so many health risks ─ cancer, diabetes, heart disease ─ that the AMA has a position statement on it. Psychiatrists may need to pay attention as well. It’s been linked to depression, mania, and poor cognition in epidemiologic studies, and this animal study confirms that. An K, Zhao H, Miao Y, et al. A circadian

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The Strongest Meds for Treatment Resistant Depression [60 Sec Psych]

June 24, 2020 | Podcasts

Lithium, atypical antipsychotics, ketamine, thyroid… these consistently rank among the most effective medications for treatment resistant depression, but which is the strongest? Strawbridge R, Carter B, Marwood L, et al. Augmentation therapies for treatment-resistant depression: systematic review and meta-analysis. Br J Psychiatry. 2019;214(1):42

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Who Will Get Cognitive Decline? [60 Sec Psych]

June 23, 2020 | Podcasts

The brain changes that lead to dementia can be seen as early as 25 years before the illness starts. We can’t test for those changes, but who might be at risk? This meta-analysis led by Carol Hudon looked at studies that followed healthy middle aged adults with no cognitive problems to see which behavioral and psychological factors predicted dement

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3 Signs of Deviant Benzo Prescribing [60 Sec Psych]

June 20, 2020 | Podcasts

A group of French psychiatrists released two papers this month that looked into how often physicians prescribe benzodiazepines and hypnotics in ways that deviate from the guidelines. The result: 20-30% of these prescriptions deviated, and the rate was even higher in chronic medical and psychiatric disorders: 45-68%. But what I found most useful in the

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Which to Treat First: Depression or Anxiety? [60 Sec Psych]

June 19, 2020 | Podcasts

This month Dr. Jan Spiker and colleagues from Amserdam published an editorial on how to approach comorbid depression and anxiety. They base their suggestions on two recent meta-analyses that found comorbid symptoms decreased when the more clinically significant disorder was treated. Spijker J, Muntingh A, Batelaan N. Advice for Clinicians on How to T

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Can You Stop the Thyroid Med after Stopping Lithium? [60 Sec Psych]

June 17, 2020 | Podcasts

Hypothyrodism is fairly common on lithium, affecting about 14-17% of patients. Subclinical hypothyroidism is twice as common, and the risk is greater in the elderly. We know what to do about it ─ start thyroid supplement ─ but what hasn’t been clear is whether we should continue that supplement if lithium is stopped. Lieber I, Ott M, Öhlund L, et

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