Predicting Lithium Response with Functional Brain Imaging

Predicting Lithium Response with Brain Imaging

Peter Forster Bipolar Treatment, Testing 0 Comments

Predicting lithium response with brain imaging may be an option in the future if the preliminary results of a study published in 2017 are confirmed. Researchers from the University of Cincinnati used three tools to create a program that was remarkably successful at predicting which bipolar patients would respond to lithium. 20 first onset bipolar patients who received adequate trials …

State and Trait Brain Function in Depression

Peter Forster Basic Science, Major Depression, Psychobiology 0 Comments

Understanding the neurobiology of depression involves more than just knowing about serotonin, we need to know how state and trait brain function in depression is different from brain functioning in those who have never had a major depression. State and trait are key concepts in understanding psychiatric conditions: state refers to those alterations in functioning that occur when someone is …

Ketamine Reduces Suicidal Thoughts

Peter Forster Treatments of Depression 0 Comments

A single infusion of ketamine reduces suicidal thoughts in depressed patients in one day, with benefits lasting for up to one week, according to a meta-analysis reported in the American Journal of Psychiatry. Further, ketamine did not seem to be just treating depression, it seemed to have an effect on suicidal thinking that was greater than its effect on depression “This suggests that …

Medication Home Delivery

Peter Forster About GPS, GPS Update 0 Comments

Gateway Psychiatric is happy to make medication home delivery available to its patients in the Bay Area through a partnership with Alto Pharmacy. Alto Pharmacy is dedicated to improving the pharmacy experience for doctors and patients. Alto takes all major insurance and guarantees the lowest price. In addition, Alto will automatically apply any manufacturer coupons available to reduce out of …

Bipolar Depression Light Therapy

Peter Forster Bipolar Treatment, Treatments of Depression 0 Comments

The news that bipolar depression light therapy may be effective is good news and follows a series of studies this past year highlighting the importance of treatments that affect circadian rhythms by manipulating light and dark in treating mood disorders. Bipolar depression is one of the hardest conditions to treat effectively. Antidepressant medications may have significant side effects, including inducing …

Long Term Effects of Ketamine

Peter Forster Major Depression, Treatments of Depression 0 Comments

One of my patients asked me what the long term effects of ketamine are. She was particularly interested in long-term adverse effects. The last time I did a review of the literature I noted that there seem to be very little information available. This is not surprising with the psychiatric literature since ketamine and its use for chronic depression are …

Medication Cost Savings – Update 2017

Peter Forster Costs of Treatment, Website Update

Last year the New York Times reviewed two websites that offered significant medication cost savings, for those without adequate insurance and, even for those with good insurance who are getting expensive medications. Since then we have had a lot more experience working with patients to help reduce medication costs and we can definitely say that these sites can help reduce …

Transmission of Distress Across Generations

Peter Forster Basic Science, Other Psychiatric Disorders, Psychobiology 0 Comments

Transmission of Distress Across Generations Based on Epigenetic Changes Researchers looking at victims of severe trauma, such as concentration camp survivors, have long known that the effects of these events are transmitted in some fashion to the children and even the children’s children. The mechanism of this transmission has usually been assumed to be based on changes in parenting behavior …

Nutrition and Diet Update

Peter Forster Physical Conditions and Health, Self Care 0 Comments

Nutrition and Diet Update We recently updated the overall guidelines in our healthy diet page to incorporate information from the largest study today looking at diet and its effect on overall mortality. It’s worth summarizing both the strengths and weaknesses of this study which was published in two articles in the Lancet. It is the largest study to date. Nearly 140,000 …