Clinical Update

Deprescribing Anti-Anxiety Medications in Older Adults

Topics: anticonvulsants | antihistamines | Antipsychotics | Anxiety | Benzodiazepines | Buspirone | Deprescribing | EMPOWER trial | gabapentin | Mirtazapine | SNRIs | SSRIs | taper | Trazodone | Z-drugs

Our inclination may be to “not rock the boat” when a patient is stable and not misusing prescribed medication. However, tapering anti-anxiety medications in older adults is often a good idea when considering the risks of falls, sedation, and accidents. Which meds to taper? The risks of anti-anxiety medications increase with age. Here are some of t

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Expert Q&A

Treating Anxiety Disorders in Children: The New AACAP Clinical Practice Guideline

Topics: anxiety disorders | CBT | Clinical Practice Guidelines | Generalized Anxiety Disorder | Panic Disorder | School Phobia | Separation Anxiety | SNRIs | Social Anxiety | Specific Phobia | SSRIs

CCPR: Welcome, Dr. Abright. Tell us how the American Academy of Child and Adolescent Psychiatry (AACAP) created the Clinical Practice Guideline on the Assessment and Treatment of Anxiety Disorders in Children and Adolescents (Walter HJ et al, J Am Acad Child Adolesc Psychiatry 2020;59(10):1107–1124).Dr. Abright: The AACAP Committee on Quality Issues (

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Research Update

SSRIs vs SNRIs in Pediatric Anxiety Disorders: Which Are More Tolerable?

Topics: Anxiety | efficacy | Obsessive Compulsive Disorder | OCD | Serotonin Norepinephine Reuptake Inhibitors | Serotonin Specific Reuptake Inhibitors | Side Effects | SNRIs | SSRIs

REVIEW OF: Mills JA and Strawn JR, J Am Acad Child Adolesc Psychiatry 2020;59(11):1240–1251 STUDY Type: Meta-analysis For children with anxiety disorders and OCD, SSRIs produce faster and greater improvement than SNRIs (Strawn JR et al, J Am Acad Child Adolesc Psychiatry 2018;57(4):235–244.e2). Unfortunately, adverse effects slow down our dose

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Research Update

Comparison of GI Side Effects of Antidepressants

Topics: Antidepressants | Depression | Depressive Disorder | Free Articles | Mirtazapine | Side Effects | SNRIs | SSRIs

REVIEW OF: Oliva V et al, Prog Neuropsychopharmacol Biol Psychiatry 2021;109:110266 TYPE OF STUDY: Meta-analysis of placebo-controlled trials Antidepressants often cause gastrointestinal (GI) side effects, but it’s not clear which ones are the worst actors. A recent meta-analysis helps to clarify the picture. The investigators searched the li

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