Clear, engaging, and practical updates on clinical psychiatry.

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Sleep Episodes

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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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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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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A New Treatment for Sleep-Eating [60 Sec Psych]

June 10, 2020 | Podcasts

Topiramate may have failed as an antimanic treatment, but it has small positive trials in impulse control disorders like bulimia, gambling, cocaine/amphetamine abuse, OCD, irritability. This study tested it out in Sleep-related eating disorder. Winkelman JW, Wipper B, Purks J, Mei L, Schoerning L. Topiramate reduces nocturnal eating in sleep-related e

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How to Stabilize Circadian Rhythms in Bipolar: A Patient Guide

June 8, 2020 | Podcasts

The first in our patient guides, this episode was made to share with patients. Follow the key behavioral steps from morning to night as you develop a routine to stabilize the biological clock that drives bipolar moods. Learn how to use dawn simulators and blue light blockers to improve sleep and wakefulness. Published On: 5/8/20 Duration: 20 m

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