Bipolar 101 An Online Course

Peter Forster About GPS, Bipolar Treatment, GPS Update

Bipolar 101, an online course hosted by Gateway Psychiatric begins March 17, 2017: Bipolar 101 – The Basics and Beyond. The class is based on the acclaimed Barcelona Bipolar Disorders Program. Bipolar 101 – An online course will cover topics such as: “What is Bipolar?” – What do we know about the causes and what are the implications of this information. …

Online Recovery Resources

Peter Forster Self Care

Accessing Online Recovery Resources from Afar Recently I had a patient relocate to Spain who had been in recovery from alcohol for one year. She was very concerned about leaving her recovery community and was surprised to learn that she could continue to access support online from afar. Initially she was skeptical about accessing support online. However, after trying out …

TMS Effectiveness Updated

Peter Forster Best Practices, Major Depression, Treatments of Depression

TMS effectiveness updated TMS effectiveness for depression is clear. But now there are more machines for providing TMS and more protocols. Is deep TMS better than regular TMS?  Or is deep TMS just a marketing phrase? A major review article in JAMA Psychiatry updated our understanding of alternatives to the initial protocol for TMS. JAMA Psychiatry is the most prestigious …

Depression Biology and Treatment

Peter Forster Anxiety, Basic Science, Major Depression, Psychobiology, Treatments of Depression

New research on depression biology and treatment highlights the rapid increase in knowledge in this area in the last decade. In this post we will summarize some of these research findings briefly. This brief tour will take us to a newly discovered protein that may be a vital link between stress and depression. A genome wide search for changes associated …

Long Acting Injectable Aripiprazole for Bipolar

Peter Forster Bipolar Treatment

Long acting injectable aripiprazole for bipolar one patients has been shown to significantly reduce the risk of a recurrence of a mood episode in a 52 week placebo controlled clinical trial. Poor adherence to treatment is a significant problem in patients with bipolar disorder, putting patients at increased risk of recurrence of mood episodes, hospitalization, and suicide. One other study …

Fee Increase 2017

Hershe Gesmundo About GPS, Costs of Treatment, GPS Update

We hope 2017 is off to a good start! We look forward to working with and supporting you in your goals toward mental health and wellness. We wanted to get in touch as we enter a new year, as we regularly examine our fee scales during this time. In preparation for this task we reviewed data on health care costs …

TMS for Anxiety

Peter Forster Anxiety

“How effective is TMS for anxiety?” The young woman with a remarkable history of serious adverse effects from multiple trials of psychiatric medications for anxiety recently asked me this question. This post summarizes the results of a thoughtful literature search using the UCSF medical library, data from the Medical Affairs departments for two of the TMS manufacturers, and clinical experience at …

Effective Psychotherapy for Chronic Depression

Peter Forster Best Practices, Major Depression

Effective psychotherapy for chronic depression is needed because chronic depression (lasting two years or longer) develops in up to a third of people with an episode of major depression. Chronic depression is associated with more suicidality, more impairment in functioning, and more hospitalizations. Traditional psychotherapies are also less effective in chronic depression. The Cognitive Behavioral Analysis System of Psychotherapy (CBASP) was …

Marijuana Potency and Psychiatric Adverse Effects

Peter Forster Physical Conditions and Health

The steady increase in THC content raises a question about the relationship between marijuana potency and psychiatric adverse effects which is summarized in an article in Current Psychiatry by Joseph M. Pierre, MD, Health Sciences Clinical Professor in the Department of Psychiatry and Biobehavioral Sciences at the David Geffen School of Medicine at UCLA in the February 2017 issue. The table below summarizes data about …