@chrisaikenmd.bsky.social#Therapy is first-line for compulsive sexuality, with SSRIs and naltrexone as possible medications. This randomized trial compares them head-to-head, with similar outcomes, but personal factors decide between them:
psych-partners.com/ssri-vs-nalt...
@chrisaikenmd.bsky.socialA handful of nuts a day is a simple way to improve #mentalhealth.
Walnuts worked in a new randomized trial, joining about a dozen similar trials testing everything from almonds to pistachios:
psych-partners.com/walnuts-impr...
Limitation: Unblinded
@chrisaikenmd.bsky.social1. The self-medication hypothesis comes up short:
psych-partners.com/self-medicat...
2. Hitting rock bottom is not a reliable route to recovery:
psych-partners.com/dont-wait-fo...
@chrisaikenmd.bsky.socialLonger delay in starting lithium = lower response in this 25 yr uncontrolled study of bipolar:
▪ Under 3 yr delay: 69%
▪ 3-8 yr: 50%
▪ 8-17 yr: 44%
▪ Over 17 yr: 40%
Learn how to recognize #bipolar and use #lithium early
psych-partners.com/start-lithiu...
@chrisaikenmd.bsky.socialEven in psychotic mania, mood stabilizers have better long-term outcomes than antipsychotics, concludes new study designed to mimic a randomized trial.
Learn the caveats, and which antipsychotics may differ:
psych-partners.com/you-dont-nee...
@chrisaikenmd.bsky.socialThe AMA journal changed course in new paper recommending e-cigs for nicotine cessation.
They have toxins, but they help quit and are much safer than smoking.
Learn how to use them and find FDA-cleared products:
psych-partners.com/jama-changes...
@chrisaikenmd.bsky.socialHere's a first... benzodiazepine prescriptions declined in the past decade.
Lower rates among all clinicians except one group - that I suspect is due to workforce shifts:
psych-partners.com/benzodiazepi...
@chrisaikenmd.bsky.socialThese don't clarify whether cognitive symptoms are due to adult #ADHD:
▪ Stimulant response
▪ Rating scales
▪ Adult onset without childhood precedent
Learn how to make the diagnosis in this new review:
psych-partners.com/what-else-co...
@chrisaikenmd.bsky.socialKey points from new analyses:
▪ Methylphenidate is not addictive when used for ADHD
▪ XR versions are less rewarding
▪ Tolerance develops to rewarding, energizing qualities, not to #ADHD benefits
@chrisaikenmd.bsky.social#Bipolar disorder usually starts in the teens, but it can also start during menopause, concludes new analysis.
Learn how menopause changes mood:
psych-partners.com/perimenopaus...
@chrisaikenmd.bsky.socialSAINT (SNT) #TMS once promised outsized recovery rates for refractory #depression, but two new trials from independent centers bring it back to earth:
psych-partners.com/a-setback-fo...
@excalipsych.bsky.socialDo you have an overactive brain that doesn't seem to stop? At EPS, we can help quiet the never-ending chatter and help you feel more energized, focused, and ready to take on your day. Our PMHNP is standing by and ready to support you! Call today. #iowa #mentalhealth #pmhnp #ocd #anxiety #cedarrapids
@chrisaikenmd.bsky.socialMixed features are common in unipolar and #bipolar #depression, and this analysis ranks antipsychotics there:
psych-partners.com/top-meds-for...
Lurasidone and lumateperone are standards, but the underutilized asenapine also ranks high.
@chrisaikenmd.bsky.socialLight therapy improved #bipolar #depression in new, small, sham-controlled trial, joining 7 earlier trials regardless of season. This one in night owls:
psych-partners.com/light-therap...
Join me for light/dark #therapy webinar this Tue:
healthlinksed.ca?product=ldt-1
@chrisaikenmd.bsky.socialJoin me for a webinar on light and dark #therapy
▪ Tue 10/6 12 PM
Learn how to use it for #depression, #bipolar, insomnia, and 12 other disorders.
Register:
healthlinksed.ca?product=ldt-1
@chrisaikenmd.bsky.socialSubstance use is linked to worse cognitive outcomes, and cognitive problems get in the way of self-awareness and recovery.
They improve after around 6 months of sobriety. Learn how they differ by substance, from new review:
psych-partners.com/cognitive-im...
@chrisaikenmd.bsky.socialWhich antipsychotic is most effective for aggression in #schizophrenia?
Clozapine, concludes new network meta-analysis, followed by paliperidone and olanzapine. See full ranking:
psych-partners.com/antipsychoti...
@chrisaikenmd.bsky.socialWhich form of ketamine is best for #depression?
New review lands on IV ketamine and IN esketamine, with subcutaneous a distant third, and oral problematic for both efficacy and diversion. Offers tips on responsible prescribing:
psych-partners.com/ketamines-fo...
@chrisaikenmd.bsky.socialJanusz Rybakowski summarizes lithium's anti-aging effects:
psych-partners.com/lithiums-ant...
#Lithium lowered dementia risk 18% compared to valproate in large, 10-year study:
psych-partners.com/lithium-vs-v...
@chrisaikenmd.bsky.socialBob Post finds 5 new reasons to use #lithium:
psych-partners.com/lithium-as-a...
Lithium appears to lower suicide by reducing aggression in new study:
psych-partners.com/lithium-aggr...
