Hypervigilance and Helplessness in Facing Death of a Patient

It’s an early Friday morning during the pandemic. I arrive at my clinic to find my 8 o’clock slot booked with a same-day patient. As a clinical psychologist embedded within a primary care team, I meet with patients at varying frequency. I had just met with this patient on Monday — twice in one week … Read more

Sleep Tied to Objective and Subjective Cognition

Amy Costa Poor objective sleep efficiency may contribute to older adults overestimating their cognitive abilities, preliminary findings from a pilot study of objective and subjective cognitive measures have shown. The pilot study underscored the important role of objective sleep measures to better understand discrepancies when patients’ own reports of everyday cognitive function don’t align with … Read more

Advance Directives for Psych Care Reduce Compulsory Admissions

Providing peer or community health workers to help psychiatric patients with complete psychiatric advance directives (PAD) to govern care in advance of a mental health crisis is associated with a significant reduction in compulsory hospital admissions, new research shows. Results of a randomized trial showed the peer worker PAD group had a 42% reduction in … Read more

Asian American Teens at Highest Risk for Suicidal Thoughts

NEW ORLEANS — In an unexpected finding, researchers discovered that Asian American adolescents had the highest rate of suicidal ideation, per a 2019 national survey of high-school students. According to a weighted analysis, 24% of Asian Americans reported thinking about or planning suicide vs. 22% of Whites and Blacks and 20% of Hispanics (P < ... Read more

What Happens When We Turn Up the Volume

If you had to choose one person to let out a scream, the last guy you’d pick would be Harold Gouzoules. The Emory University professor has short white hair, glasses, and the demeanor of someone who’d return your wallet if you dropped it. Gouzoules, who holds a master’s in psychology and a PhD in zoology, … Read more

Psilocybin Effective Up to 12 Weeks in Severe Depression

NEW ORLEANS – A single dose of a synthetic formulation of psilocybin provides rapid improvement in treatment-resistant depression, with benefits sustained for up to 12 weeks, according to results from the largest randomized controlled study of psilocybin to date. Dr Guy Goodwin “This is easily the largest study of a psychedelic drug employing modern randomized … Read more

Faster Response to IV vs Intranasal Ketamine in Depression

NEW ORLEANS – New research reveals that patients with treatment-resistant depression who were treated with repeated intravenous differences ketamine show no significant in achieving response or remission, compared with those receiving the intranasal formulation of the drug, esketamine – although fewer treatments appear necessary with the intravenous formulation. Dr Balwinder Singh “This is one of … 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

What Can We Do About Mass Shootings?

“It must be mental illness. My mind cannot possibly conceive of an alternative. A rational healthy mind cannot be capable of this, Doc.” These were the opening words of one of many discussions that I had with patients in the wake of yet another gut-wrenching tragedy where we saw innocent children and their teachers murdered … 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