TMS Media – The Doctors

Peter Forster Treatments of Depression

TMS Media – “The Doctors” December 3 I am excited to share with you that on December 3rd “The Doctors” featured a segment on TMS. Todd Hutton, MD,  Medical Director, Southern California TMS Center, was invited to appear with a patient who is doing great 18 months post TMS treatment. I hope you can watch and that this contributes to further awareness …

Beta Catenin and Depression

Peter Forster Basic Science, Major Depression, Psychobiology

Beta catenin is a molecule that may play a key role in preventing depression in those exposed to stress, at least if mice and humans share the same biology. Beta catenin is involved in a number of quite different functions in the cell. To give you an idea, it may be involved in the development of cancer (it is a …

New Staff

Peter Forster GPS Update, Website Update

I am pleased to welcome a young woman, Hershe Gesmundo to this site. She is going to be working with me on a number of administrative projects related to this site, and to the companion site – MoodSurfing.com. Hershe had this to say about herself – Hershe Gesmundo is a development practitioner who specializes in the areas of project management, …

Anhedonia Treatment with Ketamine

Peter Forster Bipolar Treatment, Treatments of Depression

The treatment of anhedonia and bipolar depression can be very difficult. An article published in Translational Psychiatry in October of 2014 highlights the role of glutametergic transmission in anhedonia and points to the potentially unique efficacy of ketamine in treating this stubborn problem. Anhedonia, the lack (an-) of pleasure (-hedonia), is one of the 2 main symptoms of a major …

Telehealth at Gateway Psychiatric?

Peter Forster GPS Update

We have begun to implement a new platform for telehealth at Gateway Psychiatric. We have signed a Business Associates agreement with Google, which provides a secure, HIPAA compliant, platform for online meetings of all kinds, including for counseling and telepsychiatry. Telehealth allows us to provide care for patients throughout California. For many people we will need to have only one …

Psychiatric Nurse Practitioner Jobs

Peter Forster About GPS

Psychiatric nurse practitioner jobs are fairly numerous in California, but we think we may have a unique opportunity for the right applicant. This has been a very busy fall at Gateway, we are in the midst of significant expansion in the practice with the result that we are looking to hire another psychiatric and mental health nurse practioner for our …

Integrated Medical and Mental Health Care Works

Peter Forster Physical Conditions and Health, Policy

 Integrated medical and mental health care works. And this may be psychiatry’s moment to shine. That’s the suggestion made by an expert in the field of health management in a lecture that he gave at last week’s institute for Psychiatric Services Meeting in San Francisco. He cites increasing focus on managing people with chronic medical conditions and high cost — …

Brain Morphometry Separates Bipolar vs Unipolar

Peter Forster Diagnosis, Psychobiology, Testing

Brain Morphometry refers to a technique for comparing the sizes of different structures in the brain. A new study suggests that using MRI scans of brains it is possible to distinguish between bipolar and unipolar depression with some degree of accuracy (70 – 80% accuracy). The study looked at two separate groups of patients, one from Munster, Germany and one …

Chronotherapy for Depression Treats Suicidality

Peter Forster Insomnia Treatment, Major Depression, Treatments of Depression

Chronotherapy for depression may be a very fast and effective treatment for suicidality, according to a preliminary study just published in the Journal of Psychiatric Research. 10 inpatients received what was called “triple chronotherapy” and showed dramatic and rapid reductions in suicidal ideation and depression. Of course this is a very small sample and only one study. But it points …

Bipolar Education Program

Peter Forster Bipolar Treatment, Website Update

Doctors often do a poor job of educating their patients about their health problems. That is particularly troubling when you are talking about a condition as complicated as bipolar. We have been working on an educational program for this site based on the Barcelona psycho-education program for bipolar, to be called Bipolar 101. The Barcelona program has clearly been shown, …