How Serious Is That Suicide Attempt?
Psychiatry
General Medicine
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Most patients presenting for self-harm are not referred to, and do not see, mental health professionals, but some will go on to kill themselves. These . . .
By Nada L. Stotland, MD, MPH
June 8, 2005
Risk Factors for Mental Illnesses After Trauma
Psychiatry
General Medicine
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Traumatic events can precipitate post-traumatic stress disorder (PTSD) and other mental disorders, but do certain factors increase an individual's risk for such disorders after trauma? . . .
By Nada L. Stotland, MD, MPH
June 8, 2005
Treating Tobacco Addiction in Adolescents
Psychiatry
General Medicine
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Although the nicotine patch and nicotine gum are popular tools for treating tobacco addiction in adults, their use in adolescents is not well studied. In . . .
By Howard Bauchner, MD
June 8, 2005
Monthly Injectable Naltrexone Is Efficacious for Alcohol Dependence
Psychiatry
General Medicine
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Medications (including daily oral naltrexone) are moderately effective for treating alcohol dependence, but obtaining patient adherence is a challenge. In this multicenter, randomized trial that . . .
By Richard Saitz, MD, MPH, FACP, FASAM
June 8, 2005
St. John's Wort vs. Paroxetine for Moderate-to-Severe Depression
Psychiatry
General Medicine
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Hypericum perforatum (St. John's wort) extract is effective in the treatment of mild-to-moderate depression, but its efficacy in people with more severe depression is uncertain. . . .
By Keith I. Marton, MD
May 18, 2005
Is Fixed Dystonia Always Psychogenic?
Psychiatry
General Medicine
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Dystonia is characterized by involuntary, sustained, patterned, and often repetitive contractions of opposing muscles, causing twisting movements, abnormal postures, or both. Most patients experience mobile, . . .
By Joseph Jankovic, MD
May 18, 2005
Is DHEA an Effective Antidepressant?
Psychiatry
General Medicine
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Many patients feel more comfortable with over-the-counter than with prescription medications. One popular OTC product, dehydroepiandrosterone (DHEA), reputedly has therapeutic effects in many chronic conditions. . . .
By Nada L. Stotland, MD, MPH
May 4, 2005
ADHD: Beyond Hyperactivity and Inattention
Psychiatry
General Medicine
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Pediatricians who treat children with attention-deficit/hyperactivity disorder (ADHD) recognize that some aspects of the child's functioning are not explained by hyperactivity, impulsivity, and inattentiveness. These . . .
By Martin T. Stein, MD
May 4, 2005
Neonatal Withdrawal After SSRI Use in Pregnancy
Psychiatry
General Medicine
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Withdrawal symptoms from selective serotonin reuptake inhibitors (SSRIs) are well known. Withdrawal symptoms in newborns -- notably, convulsions, irritability, abnormal crying, and tremor -- have . . .
By F. Bruder Stapleton, MD
May 4, 2005
When Does "Postpartum" Depression Begin?
Psychiatry
General Medicine
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Onset criteria for postpartum depression (PPD) vary: The DSM-IV designates the window for PPD as within 4 weeks after delivery, whereas the ICD-10 extends this . . .
By Robert W. Rebar, MD
April 20, 2005