This past week the FDA approved the first drug for Binge-Eating Disorder. “Binge eating can cause serious health problems and difficulties with work, home, and social life,” said FDA Division of Psychiatry Products Director Mitchell Mathis, M.D. “The approval of Vyvanse provides physicians and patients with an effective option to help curb episodes of binge eating.” The drug was reviewed under the FDA’s …
Chronic Pain and Depression
Chronic pain and depression often co-occur in the relationship between the two experiences can be hard to separate. An important article just published in Biological Psychiatry (Barthas, et al) identifies 2 sets of circuits in the brain for processing pain: One is located in the anterior cingulate cortex and seems to be involved in the emotional experience of pain, the …
Integrated Medical and Mental Health Care Works
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 — …
Exercise and Stress – How Exercise Prevents Depression
Exercise seems to reduce stress. But how does this work? And what about exercise effects on depression? An article in the New York Times summarizes a recent publication in the journal Cell which may explain how exercise prevents depression. A wealth of research shows that regular exercise reduces the risk of depression. A very large study in Britain, for example, suggested that …
Weight Gain with Atypical Antipsychotics – A Review of Strategies
Many antipsychotics, especially some atypical or second generation antipsychotics, like olanzapine (Zyprexa) or quetiapine (Seroquel), cause significant weight gain, as well as insulin resistance (diabetes) and elevated lipids. What to do if the medication is helping (much more than alternatives) but the patient is developing these serious adverse effects? Two recent articles review the literature on strategies for managing these …
Treatment of Fatigue in Patients with Depression or Bipolar
Treatment of depression in patients with depression or bipolar is often complicated. If medications are prescribed, will they make mood symptoms worse, or have other significant adverse effects? And yet fatigue is common in people with a history of depression (it occurs in up to 10% of the general population and is much more common in women, who have a …