Bipolar 101

Bipolar Group – Bipolar 101 Update – Gina

Peter ForsterAbout GPS, Bipolar Treatment, GPS Update Leave a Comment

I recently hosted another Bipolar 101 Group and received overwhelmingly positive feedback from those who attended the group. I regularly hear of the value that support plays in the lives of people I work with who are managing bipolar disorder;they frequently speak about their communities, friends, and families and the impact they have in their lives. Our first Bipolar 101 …

Adult Onset ADHD

Adult Onset ADHD Symptoms – What Do They Mean?

Peter ForsterDiagnosis, Other Psychiatric Disorders Leave a Comment

Adult onset ADHD symptoms – symptoms of inattentiveness or hyperactivity that are present in adulthood but did not exist to a clinically significant degree in childhood – have been the subject of much controversy in the research literature in the last three years. Until recently,  it was understood that ADHD had to have its onset in childhood. In other words …

Predicting Lithium Response with Functional Brain Imaging

Predicting Lithium Response with Brain Imaging

Peter ForsterBipolar Treatment, Testing Leave a Comment

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

State and Trait Brain Function in Depression

Peter ForsterBasic Science, Major Depression, Psychobiology Leave a Comment

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 ForsterTreatments of Depression Leave a Comment

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 ForsterAbout GPS, GPS Update Leave a Comment

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 ForsterBipolar Treatment, Treatments of Depression Leave a Comment

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 mania, …

ketamine long term effects

Long Term Effects of Ketamine

Peter ForsterMajor Depression, Treatments of Depression Leave a Comment

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 …