Clean House, Healthy Mind? Chores May Lower Dementia Risk

Participating in certain physical and mentally stimulating activities may be protective against dementia, new research suggests. In a large prospective cohort study, individuals who regularly engaged in stenuous exercise had a 35% less risk of dementia, those who consistently did household chores had a 21% lower risk, and those who reported seeing friends and family … Read more

Mixed Results for Intensive Home Care for Psychiatric Crises

Intensive home treatment may offer an alternative to inpatient care for patients in acute psychiatric crisis — but the intervention is no outright alternative, new research suggests. In a randomized controlled trial of more than 200 participants, intensive home treatment was associated with a 34% decrease in the number of inpatient hospital days in the … Read more

Best Meds for Insomnia Identified?

Two drugs have emerged as the optimal medications for treating insomnia based on the “best-available evidence,” but there are caveats. In a comprehensive comparative-effectiveness analysis, lemborexant and eszopiclone showed the best efficacy, acceptability, and tolerability for acute and long-term insomnia treatment. However, eszopiclone may cause substantial side effects — and safety data on lemborexant were … Read more

CBT May Improve Comorbid Posttraumatic Headache, PTSD

Cognitive-behavioral therapies (CBTs) can provide relief from comorbid, persistent posttraumatic headache and posttraumatic stress disorder (PTSD), new research suggests. Results from a randomized clinical trial of almost 200 military veterans showed that, compared with usual care, CBT for headache led to significant improvement in both headache disability and PTSD symptoms. Cognitive processing therapy (CPT) also … Read more

New Light on Why Some Psych Patients Don’t Respond to Therapy

Although most psychiatrists have encountered patients who don’t improve with treatment, novel research sheds some light on one possible explanation for this phenomenon. Investigators found that among patients who were “stuck” many believed that they didn’t deserve to get better and were significantly less likely to adhere to, or complete, a treatment program. “To the … Read more

COVID-Induced Anxiety in Physicians: How Did I Cope?

When the pandemic hit the world, I was working as a psychiatry consultant at a hospital. With the lockdown, much of the hospital seemed deserted. In the doctor’s parking lot, where it was normally hard to find a spot, only a few cars were parked. Once busy corridors were nearly empty. So was the doctors’ … Read more

No Added Benefit of Adjunctive Psychotherapy in Severe Depression?

Adding psychotherapy to pharmacologic treatment does not appear to improve treatment outcomes for patients with major depression, new research suggests. Results of a cross-sectional, naturalistic, multicenter European study showed there were no significant differences in response rates between patients with major depressive disorder (MDD) who received combination treatment with psychotherapy and antidepressant medication in comparison … Read more

Definitions, Best Treatments Remain Elusive

NEW ORLEANS – Research into video game addiction is turning up new insights, and some treatments seem to make a difference, according to addiction psychiatry experts speaking at the annual meeting of the American Psychiatric Association. Still, understanding remains limited amid a general lack of clarity about definitions, measurements, and the most effective treatment strategies. … Read more

Treatment for Alcohol Abuse Reduces Hepatitis Readmission

SAN DIEGO — Treating people with alcoholic hepatitis for alcohol abuse may reduce their risk of hospital readmission, researchers reported. In a retrospective analysis of nationwide data, 7.83% of those patients who received psychotherapy, counseling, or drug treatment for alcohol abuse were readmitted within 30 days, versus 11.67% of those who did not receive these … Read more

The Mental Effects of Growing Up With a Hoarder

Many of us are reluctant to throw things out. We buy. We accumulate. We collect. Eventually our attics are packed with dusty heirlooms that we rarely, if ever, look at. Eventually we’re forced to pare down and head to the Goodwill. But not all of us. Andrew Guzick, PhD Hoarding — or the prolonged difficulty … Read more