Treatment resistant depression (TRD) is not untreatable. The challenge is to keep hope alive and the patient engaged in their recovery, writes Editor-in-chief Chris Aiken in the July/August issue of The Carlat Psychiatry Report. In addition to using antidepressants as part of treatment, Dr. Aiken says you should recommend the...
Lila Massoumi, MD
Chairperson, Caucus on Complementary, Alternative, and Integrative Medicine, American Psychiatric Association
Dr. Massoumi has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Dr. Massoumi is one of the most nationally prominent psychiatrists teaching about complementary and alternative medicine (CAM) treatments. In this Expert Q&A she discussses cranial electrotherapy stimulation (CES), with a focus on Alpha-Stim.
Bret A. Moore, PsyD, ABPP
Board-Certified Clinical Psychologist, San Antonio, TX
Dr. Moore has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Is depression a disorder of inflammation? This intriguing hypothesis has been floating around in the literature over the past few years. Thus far, the findings are suggestive but not definitive. For instance, one marker of inflammation, C-reactive protein, was found to be higher in people with psychological distress and depression.
Bret A. Moore, PsyD, ABPP
Board-Certified Clinical Psychologist, San Antonio, TX
Dr. Moore has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
In the summer of 2011, the Food and Drug Administration (FDA) reported that post-marketing surveillance showed that patients taking greater than 40 mg/day of citalopram were at greater risk of QT prolongation. Shortly thereafter, the Department of Veterans Affairs (VA) alerted its providers to this warning. VA researchers recently published a study detailing the results of this warning on patients.
In July 2013, the FDA approved the SNRI Fetzima (levomilnacipran) for major depressive disorder (MDD) in adults (Forest Laboratories, Inc). The efficacy of Fetzima at doses 40 mg to 120 mg once daily was established in three, eight-week, randomized, double-blind, placebo-controlled studies in adults diagnosed MDD.
Jeff Bostic, M.D., E.d.D.
Director of School Psychiatry, Massachusetts General Hospital
Assistant Clinical Professor of Psychiatry, Harvard Medical School
Dr. Bostic, what are your clinical and research responsibilities?