Main Written Summaries Listing Audio-Digest Foundation: Archived Written Summaries: Psychiatry: 2008 COLLEGE STUDENTS/ALTERNATIVE THERAPIES Audio-Digest Psychiatry Volume 37, Issue 24 December 21, 2008 Transition and vulnerability: the mental health of college students – Gary Christenson, MD Alternative therapies in the treatment of anxiety and depression – Patricia D. Culliton, MA, LAc Click here to read an abstracted written summary of this program. From 8th Annual Psychiatry Update, Presented By Healthpartners Institute For Medical Education "GOOD" CANCER/DEPRESSION Audio-Digest Psychiatry Volume 37, Issue 23 December 7, 2008 "Good" cancer: understanding and addressing distress in cancer patients with a good prognosis – Jennifer J. Griggs, MD, MPH Depression and its interaction with medical illness in geriatric patients – Helen C. Kales, MD Click here to read an abstracted written summary of this program. From The 19th Annual Advances In Psychiatry: Psychiatry And Medical Comorbidities, Presented By The University Of Michigan Medical School GRIEF AND DEPRESSION Audio-Digest Psychiatry Volume 37, Issue 22 November 21, 2008 Introduction; Bereavement; Complications of grief; Case examples; Bereavement and depression; Treatment; Summary; Questions and answers – Sidney Zisook, MD Click here to read an abstracted written summary of this program. From Advances in Psychopharmacology Throughout the Lifespan, presented by the University of California, San Diego, School of Medicine GENETICS AND TREATMENT OF BIPOLAR-SPECTRUM DISORDERS Audio-Digest Psychiatry Volume 37, Issue 21 November 7, 2008 Introduction; What is the bipolar spectrum?; Genetics of bipolar II; Genetic features of the bipolar spectrum; The universe of bipolar genes; Genome–wide association studies; Pharmacogenetics; What is NTRK2? – John R. Kelsoe, MD Click here to read an abstracted written summary of this program. From Advances In Psychopharmacology Throughout The Lifespan, Presented By The University Of California, San Diego, School Of Medicine DETECTION OF MALINGERED PSYCHOSIS Audio-Digest Psychiatry Volume 37, Issue 20 October 21, 2008 Introduction; Detection of lying; Hallucinations; Clues to malingered psychosis; Clues to malingering in insanity defense; Case example 1; Case example 2 – Phillip J. Resnick, MD Click here to read an abstracted written summary of this program. CORRECTIONAL PSYCHIATRY AND RIGHT TO TREATMENT Audio-Digest Psychiatry Volume 37, Issue 19 October 7, 2008 Correctional psychiatry: Types of correctional facilities; Mental illness in correctional facilities; Therapeutic issues; Confidentiality issues – Charles L. Scott, MD Right to treatment: Landmark cases; Consequences – Charles L. Scott, MD Click here to read an abstracted written summary of this program. From Forensic Psychiatry Review Course, Presented By The American Academy Of Psychiatry And The Law DEMENTIA AND ALZHEIMER'S DISEASE Audio-Digest Psychiatry Volume 37, Issue 18 September 21, 2008 Introduction; Biochemical changes; Cholinesterase inhibitors; Nerve growth factor gene therapy; Disease–modifying treatment; Immunization trials; Potential protective factors; Questions and answers – David P. Salmon, PhD Click here to read an abstracted written summary of this program. From Innovations In The Assessment Of Neurocognitive And Neurobehavioral Disorders, Presented By The University Of California, San Diego, School Of Medicine TREATMENT-RESISTANT SCHIZOPHRENIA Audio-Digest Psychiatry Volume 37, Issue 17 September 7, 2008 Introduction; Treatment algorithm; Dosing atypical antipsychotics; Clozapine; Questions and answers – Donald C. Goff, MD Click here to read an abstracted written summary of this program. From Individuals With Serious Mental Illness: Optimizing Understanding, Treatment, And Recovery, Presented By Loma Linda University School Of Medicine And Patton State Hospital TREATMENT-RESISTANT BIPOLAR DISORDER Audio-Digest Psychiatry Volume 37, Issue 16 August 21, 2008 Introduction; Other anticonvulsants; Combination treatment; Other medications; Adjunctive psychotherapies; Questions and answers – Michael Gitlin, MD Click here to read an abstracted written summary of this program. From Individuals With Serious Mental Illness: Optimizing Understanding, Treatment, And Recovery, Presented By Loma Linda University School Of Medicine And Patton State Hospital AGGRESSION / RESILIENCE Audio-Digest Psychiatry Volume 37, Issue 15 August 7, 2008 Understanding aggression: from causes to interventions – Leslie L. Citrome, MD, MPH Resilience and the effects of antidepressants – Jonathan Davidson, MD Click here to read an abstracted written summary of this program. From Wondrous Words Of Wisdom From World-Wise, Well-Spoken Witan, Presented By The University Of Wisconsin School Of Medicine And Public Health And The Madison Institute Of Medicine, Inc. ISSUES IN ADOLESCENTS AND CHILDREN Audio-Digest Psychiatry Volume 37, Issue 14 July 21, 2008 Eating disorders in children and adolescents – Eric Rickin, MD Atypical antipsychotics and metabolic syndrome in adolescents and children – Bruce Meltzer, MD Click here to read an abstracted written summary of this program. From Cutting-Edge Issues In Adolescent Psychiatry: Substance Abuse, Psychopharmacology, And Forensics, Presented By The American Society For Adolescent Psychiatry And Southwestern Medical Center DEPRESSION UPDATE Audio-Digest Psychiatry Volume 37, Issue 13 July 7, 2008 Depression: a lifelong illness – Alan J. Gelenberg, MD Treatment–resistant depression – Richard C. Shelton, MD Click here to read an abstracted written summary of this program. From Wondrous Words Of Wisdom From World-Wise, Well-Spoken Witan, Presented By The University Of Wisconsin School Of Medicine And Public Health And The Madison Institute Of Medicine, Inc. TECHNOLOGY IN PSYCHIATRIC PRACTICE Audio-Digest Psychiatry Volume 37, Issue 12 June 21, 2008 The use of computers in psychotherapy – Jesse H. Wright, MD, PhD Neurosurgery for the treatment of psychiatric disorders – Konstantin Slavin, MD Click here to read an abstracted written summary of this program. From The Use Of New Technologies In Psychiatric Practice, Presented By The University Of Iowa Roy J. And Lucille A. Carver College Of Medicine And The American Academy Of Clinical Psychiatry UPDATE ON DEPRESSION Audio-Digest Psychiatry Volume 37, Issue 11 June 7, 2008 Neurobiology of depression – Owen M. Wolkowitz, MD Cardiovascular aspects of depression – Mary A. Whooley, MD Click here to read an abstracted written summary of this program. From New Frontiers In Depression Research And Treatment, Presented By The University Of California, San Francisco, School Of Medicine NICOTINE AND ALCOHOL DEPENDENCE Audio-Digest Psychiatry Volume 37, Issue 10 May 21, 2008 Nicotine dependence: Introduction; Nicotine replacement – Stuart Gitlow, MD, MPH, MBA Pharmacologic treatment of alcoholism: Injectable naltrexone; Acamprosate; Topiramate – Stuart Gitlow, MD, MPH, MBA Click here to read an abstracted written summary of this program. From The 13th Annual Psychopharmacology Update, Presented By The University Of Nevada School Of Medicine And The Nevada Psychiatric Association INSOMNIA/FIBROMYALGIA Audio-Digest Psychiatry Volume 37, Issue 09 May 7, 2008 Pharmacotherapy for insomnia – W. Vaughn McCall, MD Emerging treatments for fibromyalgia – Barry Eliot Cole, MD Click here to read an abstracted written summary of this program. From The 13th Annual Psychopharmacology Update, Presented By The University Of Nevada School Of Medicine And The Nevada Psychiatric Association UPDATE ON DEMENTIA AND ALZHEIMER'S DISEASE Audio-Digest Psychiatry Volume 37, Issue 08 April 21, 2008 Primary prevention for Alzheimer's disease – Joseph Quinn, MD Are obesity and diabetes risk factors for Alzheimer's disease? – Richard Pratley, MD Click here to read an abstracted written summary of this program. From Dementia And Neuropsychiatry: An Update For Neurologists, Psychiatrists, Geriatricians, And Primary Care, Presented By The University Of Vermont College Of Medicine And Fletcher Allen Eldercare Services PSYCHOPHARMACOLOGY Audio-Digest Psychiatry Volume 37, Issue 07 April 7, 2008 Benzodiazepines: safe and effective anxiolytics or drug fiend’s delight? – David J. Katzelnick, MD Omega–3 fatty acids in psychiatry – Marlene P. Freeman, MD Click here to read an abstracted written summary of this program. From Helpful Highlights From Heartsome Heedful Headliners, Presented By The University Of Wisconsin School Of Medicine And Public Health And The Madison Institute Of Medicine, Inc BIPOLAR DISORDER/GERIATRIC PSYCHIATRY Audio-Digest Psychiatry Volume 37, Issue 06 March 21, 2008 New data on medication treatments for bipolar disorder – Steven L. Dubovsky, MD Psychiatric manifestations of late–life medical illness – Ronald W. Pies, MD Click here to read an abstracted written summary of this program. From Helpful Highlights From Heartsome Heedful Headliners, Presented By The University Of Wisconsin School Of Medicine And Public Health And The Madison Institute Of Medicine, Inc. POSTTRAUMATIC STRESS DISORDER: PART 2 Audio-Digest Psychiatry Volume 37, Issue 05 March 7, 2008 Psychopharmacology for PTSD – Frank Schoenfeld, MD Conjoint treatment for PTSD – Candice M. Monson, PhD Click here to read an abstracted written summary of this program. Points of Care– PTSD: 30% of people with posttraumatic stress disorder (PTSD) develop chronic condition that is unremitting and difficult to moderate .. Comorbidity: >80% of people with PTSD have one other psychiatric diagnosis, and >50% have ≥3; choose medication most likely to help PTSD and comorbidity, while having most favorable side-effect profile and fewest interactions with other drugs; most common comorbidity with PTSD major depression (major depressive disorder or bipolar disorder); comorbid anxiety disorders include panic disorder and phobias; substance abuse common (almost 50% in civilian studies); psychotic symptoms seen in 40% of hospitalized patients in one Veterans Affairs study; rapid escalation to anger common and "needs to be addressed".. Treatment of PTSD: few studies of medication treatment during 1 to 3 mo after trauma; in most studies, cognitive behavioral treatments shown effective; medication may provide sedation and relieve agitation; early psychosocial and psychopharmacologic intervention may reduce chronicity; medications to consider include β-adrenergic blockers, α2 -adrenergic agonists, antidepressants, benzodiazepines, and mood stabilizers; all data on use of medications (except for propranolol) based on clinical experience, not on studies; no single agent reliably effective .. Selective serotonin reuptake inhibitors (SSRIs): sertraline and paroxetine approved by Food and Drug Administration (FDA) for treatment of PTSD. DDr. Schoenfeld at PTSD: In an Age of Violence, Terror, and Disaster, Nov 9-10, 2007, in San Francisco, CA, sponsored by the Veterans Affairs Medical Center, San Francisco, and the U of Cal, San Francisco, Sch of Med.. Dr. Monson at the Second Annual Posttraumatic Stress Disorder Symposium, November 30, 2007, in Cleveland, OH, by the Cleveland Clinic. POSTTRAUMATIC STRESS DISORDER (PTSD): PART 1 Audio-Digest Psychiatry Volume 37, Issue 04 February 21, 2008 Advances in assessment of PTSD – Daniel S. Weiss, PhD Integrative psychotherapy for PTSD – Mardi Horowitz, MD Click here to read an abstracted written summary of this program. From Ptsd: In An Age Of Violence, Terror, And Disaster, Presented By The Veterans Affairs Medical Center And The University Of California, San Francisco, School Of Medicine THE SPECTRUM OF COMPULSIVE, IMPULSIVE, AND AUTISTIC DISORDERS Audio-Digest Psychiatry Volume 37, Issue 03 February 7, 2008 Update on compulsive, impulsive, and autistic disorders – Eric Hollander, MD The role and treatment of impulsivity in psychiatric disorders – Alan C. Swann, MD Click here to read an abstracted written summary of this program. PEDIATRIC POTPOURRI Audio-Digest Psychiatry Volume 37, Issue 02 January 21, 2008 Schizophrenia in youth – S. Charles Schulz, MD Bipolar disorder in youth – Joel V. Oberstar, MD Anxiety disorders in youth – Gail A. Bernstein, MD Click here to read an abstracted written summary of this program. From The 8th Annual Psychiatry Review - Youth Mental Health: Bridging Research and Clinical Practice, presented by the University of Minnesota Medical School PAIN MANAGEMENT Audio-Digest Psychiatry Volume 37, Issue 01 January 7, 2008 Overview of pain management – Mark S. Wallace, MD Managing migraine – James U. Adelman, MD Click here to read an abstracted written summary of this program. Points of Care– Assessing pain: .. identify and treat underlying condition; identify comorbid conditions, especially psychologic comorbidities; assess psychosocial factors; assess functional status; set goals of therapy; develop targeted plan; determine when to refer to specialist... Pain-treatment continuum: starts with least invasive therapies and progresses to most invasive, although efficacy not related to degree of invasiveness ("a lot of patients think that the more invasive it is, the better it is but that's not true") ... Neuropathic pain: medications approved by Food and Drug Administration (FDA) include lidocaine patch, gabapentin, pregabalin, duloxetine, and carbamazepine ... Antidepressants: tricyclic antidepressants shown effective; selective serotonin reuptake inhibitors (SSRIs) inconsistent ("they are great antidepressants, very poor analgesics") ... Opioids: titrate for therapeutic efficacy instead of for adverse events; fixed-dose regimens generally preferred to "as needed" (prn) regimens; document treatment plan and outcomes ... most adverse events can be controlled with appropriate specific management; understand differences between addiction, tolerance, physical dependence, and pseudoaddiction ... Conclusions: patients must be selected carefully for any form of pain management; all patients should have psychologic evaluation to ensure that their expectations realistic and compliance likely MANAGING MIGRAINE: Introduction: only about one-half of patients with migraine correctly diagnosed; of those diagnosed incorrectly, 42% diagnosed as having sinus-type headache and 32% as having tension-type headache; survey showed that 94% of patients who sought treatment in physicians' offices had migraine (migraine is type of headache that gets severe enough for patients to seek treatment); although tension-type headache most common in population, it usually responds readily to over-the-counter analgesics, and patients do not seek physicians' help ... Recommendations: clinicians who do not specialize in headache select amitriptyline, imipramine, or venlafaxine as first-line medications; speaker recommends using β-blocker second, and prefers atenolol; use neural stabilizer third (speaker prefers topiramate) Dr. Wallace at Pain Management in Women Over the Life Cycle, April 26-27, 2007, in San Diego, CA, by the U of Calif, San Diego, Sch of Med. Dr. Adelman at the Seventh Annual Augusta Pain and Headache Conference: Managing Difficult Pain and Headache Patients, May 16-17, 2007, in Augusta, GA, by the Walton Pain and Headache Centers at Walton Rehabilitation Health System, and the Medical College of Georgia, Div of Continuing Ed and Sch of Med.