Finger Stick Lab Tests

Finger Stick Lab Tests

Peter Forster GPS Update, Physical Conditions and Health, Testing Leave a Comment

Finger stick lab tests have the potential to significantly improve the quality of the care at Gateway Psychiatric. Regular monitoring of labs are an important part of good care for many of our patients, but some find it difficult to get labs done on time. A new technology from clinical laboratory provider OpAns may allow us to perform many of …

Deaths of Despair Anthony Bourdain Suicide

Deaths of Despair – Suicide & Self Injury Crisis in US

Peter Forster Major Depression, Policy Leave a Comment

The news of Anthony Bourdain and Kate Spade’s death by suicide as well as the CDC’s report on increasing suicide rates in the US reminds us of a larger public health crisis that was given the name “deaths of despair” by researchers Case and Deaton (see below). We have been collecting information on this topic in preparation for an effort …

Sleepio

Sleepio CBTi for Insomnia

Peter Forster About GPS, Best Practices, Insomnia, Insomnia Treatment Leave a Comment

Sleepio is a six-session sleep improvement program, created by sleep expert Professor Colin Espie and featuring proven Cognitive Behavioral Therapy (CBT) techniques. We are happy to add this treatment option to the list of state of the art therapies available at Gateway Psychiatric. Sleepio joins SHUTi, a longer program that we have found to be extremely useful for patients with insomnia and have …

Chris Restivo New Staff Member

Welcome New Staff Member Chris Restivo

Peter Forster Uncategorized Leave a Comment

I am so excited to welcome new staff member Chris Restivo, who starts full time work next week as a therapist and case manager. Chris joins us from the Felton Institute’s award winning Prevention and Recovery in Early Psychosis program and the Bipolar Early Assessment and Management program, where he quickly established himself as an especially gifted therapist working with young …

Bipolar 101

June 2018 Bipolar 101 Group

Hershe Gesmundo Bipolar Treatment, GPS Update Leave a Comment

We are excited to announce that we will be hosting our fourth Bipolar 101 Group beginning in June.  The group will be held online over Zoom video conferencing and will consist of 6 sessions that are 90 minutes in length for $190 total. Group meetings will be scheduled so that everyone with an interest can attend. They usually take place in the late afternoon …

Gerard Sancora Esketamine is Effective

Intranasal Esketamine is Effective for Depression

Peter Forster Major Depression, Treatments of Depression, Uncategorized Leave a Comment

Intranasal esketamine is effective for treating severe depression and suicidality when added to comprehensive standard of care treatment in patients who were felt to be at imminent risk of suicide. 68 patients seen in an emergency department were randomized to receive esketamine or placebo as well as comprehensive treatment including inpatient care and antidepressant medications. Patients receiving esketamine had a …

Antidepressant Diet

Antidepressant Diet Cookbook

Peter Forster Major Depression, Physical Conditions and Health, Self Care, Treatments of Depression Leave a Comment

Two recent studies suggest that the Mediterranean diet may be an antidepressant diet as well as the diet that reduces heart disease, inflammation, and the risk of dementia. In the SMILES trial 65 patients with depression were randomized to a Mediterranean diet based intervention (a diet support group) or a social support group. The group excluded people who were treatment …

Depression Resilience and Neural Connectivity

Peter Forster Basic Science, Major Depression, Psychobiology Leave a Comment

Much has been written about risk factors for depression but we know less about depression resilience factors. Why do some people at high risk develop depression, while others do not. A study conducted at Stanford by Adina S. Fischer, MD PhD, and colleagues, suggests that increased regulation of limbic areas (the parts of the brain that are most directly involved in …

TMS Predictors of Outcome

TMS Predictors of Outcome in Bipolar Depression and Unipolar Major Depression

Peter Forster Bipolar Treatment, Major Depression, Treatments of Depression Leave a Comment

What TMS predictors of outcome in bipolar depression and unipolar major depression can we use to identify those who are likely to respond to treatment? An article in 2017 in the journal Clinical Neurophysiology reports data from a very large series of patients with both types of depression who were treated with TMS. The study looked at records from 105 …

Shared Gene Expression

Shared Gene Expression in Mental Disorders

Peter Forster Diagnosis, Psychobiology Leave a Comment

Four distinct psychiatric disorders – autism, schizophrenia, bipolar disorder and depression – have shared gene expression, according to research published online Feb. 8 in the journal Science. Researchers arrived at the study’s findings by analyzing RNA in 700 tissue samples from the brains of dead people who had autism, schizophrenia, bipolar disorder, major depression or alcohol abuse disorder, then comparing those samples …