Gateway Welcomes New Therapist: Alana Kivowitz, LCSW

Hershe Gesmundo Uncategorized Leave a Comment

We are highly enthusiastic about our new therapist and case manager, Alana Kivowitz, LCSW joining Gateway’s team just before the new year. Alana is a San Francisco native who is returning after completing her master’s degree in social work at the University of Michigan, Ann Arbor, where she remained for a number of years working with adults and adolescents in …

Chris Restivo New Staff Member

Welcome New Staff Member Chris Restivo

Peter Forster Uncategorized Leave a Comment

I am so excited to welcome new staff member Chris Restivo, who starts full time work next week as a therapist and case manager. Chris joins us from the Felton Institute’s award winning Prevention and Recovery in Early Psychosis program and the Bipolar Early Assessment and Management program, where he quickly established himself as an especially gifted therapist working with young …

Gerard Sancora Esketamine is Effective

Intranasal Esketamine is Effective for Depression

Peter Forster Major Depression, Treatments of Depression, Uncategorized Leave a Comment

Intranasal esketamine is effective for treating severe depression and suicidality when added to comprehensive standard of care treatment in patients who were felt to be at imminent risk of suicide. 68 patients seen in an emergency department were randomized to receive esketamine or placebo as well as comprehensive treatment including inpatient care and antidepressant medications. Patients receiving esketamine had a …

Rising Estrogen Levels Trigger Premenstrual Dysphoria

Peter Forster Uncategorized

New research suggests that rising estrogen and progesterone levels trigger premenstrual dysphoria symptoms. “Although the mechanisms underlying the mood-destabilizing effects of ovarian steroids in PMDD remain to be better characterized, as does the source of susceptibility to this trigger, our findings provide a new target for interventions,” Peter Schmidt, M.D., chief of the Section on Behavioral Endocrinology at the National …

Low Dose Atypical Antipsychotics Are Better for Bipolar Depression

Peter Forster Uncategorized

An analysis of several studies comparing low and high doses of atypical antipsychotics finds that low dose atypical antipsychotics are better for bipolar depression. In general, the therapeutic effects are the same, but side effects are significantly less with lower doses. The study reviewed the data from seven clinical trials of high and low doses of quetiapine (4 trials), cariprazine, lurasidone, and …

California Healthcare Laws

Peter Forster Uncategorized

Over the last five years California has enacted a number of laws and regulations that seek to make the healthcare insurance system fairer, but keeping track of all of these laws is a real challenge. At a recent symposium I ran into a colleague of mine who reminded me of a law that requires insurance companies to continue coverage of …

Stopping Antipsychotics after a First Episode of Psychosis

Peter Forster Uncategorized

A recent Spanish study adds to the small literature on the risks of stopping antipsychotic medications following a first episode of psychosis. In this study, discontinuation of antipsychotics after a full functional recovery from a first episode of psychosis (FEP) appeared to be associated with a very high rate of relapse, compared with those who continued to take antipsychotic medications. As the researchers of …

New Staff – Nathaniel Abad

Peter Forster Uncategorized

  I am very pleased to announce that we have just hired another administrative staff member to help Hershe and Kelli with their work. Nathaniel Abad is joining us. He will be working remotely, primarily on website and information management tasks. Nathaniel Abad graduated from Ateneo de Davao University in 1997 with a Bachelor’s Degree in Biology, a preparatory course for …

UCSF Psycho-education Group for Bipolar

Peter Forster Uncategorized

UCSF Group Psycho-Education for Bipolar Disorder The Adult Psychiatry Clinic at UCSF has released the schedules of their Group Psycho-Education for Bipolar Disorder for January 2016. This activity under the Bipolar Disorder Program of the Department of Psychiatry is aimed at providing a community resource for individuals with bipolar disorder, mental health professionals and psychiatrists. Headed by Dr. Descartes Li, …