@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...
@chrisaikenmd.bsky.socialTop signs that a #depression is a #bipolar type:
▪ Early onset, frequent recurrence, postpartum onset
▪ Family history of bipolar
▪ Suicide attempts, psychotic features
▪ Cyclothymic temperament, mixed features
From new meta-analysis:
psych-partners.com/red-flags-fo...
@chrisaikenmd.bsky.socialCutting ultraprocessed junk food had a big effect on #depression in new, small trial.
Find the resources they used in the study here: A dietary rating scale and NOVA processed food guide:
psych-partners.com/cutting-junk...
@chrisaikenmd.bsky.socialLumateperone reduced mania in a large phase-III trial, making it the third antipsychotic to work for both phases of #bipolar disorder:
psych-partners.com/lumateperone...
@chrisaikenmd.bsky.socialZonisamide gets its first meta-analysis in #alcohol use disorder. What's been your experience with this anticonvulsant?
It had a mild benefit across 5 RCTs, but no reduction in heavy drinking days. Learn when and how to use it:
psych-partners.com/zonisamide-l...
@chrisaikenmd.bsky.socialHow do you tell the difference between affective temperaments and personality disorders?
Psychotherapists and mood experts offer tips on borderline vs cyclothymia and narcissism vs hyperthymia:
psych-partners.com/temperament-...
@chrisaikenmd.bsky.socialDo people with #Schizophrenia mistake their inner voice for hallucinations?
Hard to say, but this EEG study raises it to a strong possibility:
psych-partners.com/are-auditory...
@chrisaikenmd.bsky.socialThis study tells us to consider mirtazapine for functional dyspepsia:
psych-partners.com/mirtazapine-...
It's a common disorder, affected 1 in 5 people, causing fullness, stomach pain, bloating, and nausea.
